1. E.R.
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2. Previously on E.R.
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3. I feel terrible about what's happened.
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4. Which part? Me being crippled
or you getting sued for malpractice?
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5. I took some Vicodin out of a patient's
prescription bottle and I swallowed them.
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6. - Did you successfully expel them?
- Yes.
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7. - You coming back to work soon?
- Next week, I hope.
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8. I heard you were doing
immune therapy.
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9. As soon as the tumor vaccine's ready.
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10. I'm sorry. I can't stay.
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11. - I'll send in a surgical resident.
- Where do you think you are going?
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12. - I'm sorry.
- Get your ass over here now!
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13. Look, I know that it's been tense between us
and I really don't mean it to be.
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14. In a few weeks we'll just be
friendly co-workers all over again.
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15. I'm not sure that's what I want.
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16. E.R. 7x12 "SURRENDER"
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17. Kerry, I'm gonna put a fresh towel
on the sink for you.
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18. Okay, thank you.
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19. What time does your shift start?
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20. - Nine.
- Oh.
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21. You better hurry up.
Do you want some coffee?
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22. - Sure. Thanks.
- Okay.
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23. - That looks good on you.
- What?
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24. - My blouse.
- Oh, yeah. It's not too long?
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25. No.
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26. Good thing I have
a 40-gallon water heater.
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27. - What?
- You take long showers.
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28. - I'm sorry.
- No. No. So do I.
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29. Sometimes I stand under there for 20
minutes just to wake up when it's cold.
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30. Especially in winter.
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31. - Is it cold outside?
- Low 20s. Want a bagel?
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32. No, thanks.
I'll get something at work.
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33. - You okay?
- Yeah, I got it.
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34. No, I meant about us.
The first time can be a little...
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35. No. It's just... It's just different.
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36. That's true.
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37. - But good.
- Really?
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38. Yeah.
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39. - I'll see you at work.
- Yeah.
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40. I'll see you later.
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41. I'm sorry, I know this is understood,
but I just...
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42. This is just gonna be
between us, right?
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43. Of course.
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44. I'll get the door.
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45. Open a GAl-50 and
a TA-55 on the resection.
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46. - No need. I gave it to Henderson.
- What?
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47. Page us if the CAT scan shows free air.
Let's go.
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48. - Where?
- I got a chore for you.
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49. - You know what? I'm a little busy.
- So am I. Let's go.
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50. How is this per diem situation
working out for you?
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51. - Could be better.
- What's the problem?
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52. - Where are we going?
- Are you dissatisfied in some way?
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53. Besides being grossly underpaid?
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54. Would a $10,000 raise
and a benefits package help?
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55. - What?
- Let's make it 20,000...
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56. - ... with some administrative work.
- You're serious?
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57. Yeah. You've been doing your penance.
Working hard...
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58. displaying dedication and groveling.
I'd be a sadist if I didn't ease up.
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59. - What do I have to do?
- Oh, a little of this, a little of that.
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60. What's in it for you?
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61. - Forget it. Go back to Surgery.
- I'm just asking.
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62. Do you want the bump
or don't you?
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63. - Sure.
- So we have a deal?
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64. Yeah.
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65. Okay. Let's go. This way, please.
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66. Sorry for the delay. Dr. Benton had to
finish a surgery on a gunshot wound.
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67. Come on in, Peter. Don't be shy.
Come on. Come on.
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68. We at the county level are concerned
about the declining numbers...
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69. of minority medical school students
and faculty physicians.
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70. We are committed to addressing
this issue. As part of that commitment...
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71. I am appointing a Director of Diversity
for the medical center: Dr. Peter Benton.
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72. Dr. Benton's bio can be found in
your handout materials. He's all yours.
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73. Is your appointment the direct result of the
Trip's investigative report about the...
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74. declining numbers
of African-Americans...
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75. being admitted to med school?
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76. I...
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77. I mean, you know...
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78. It could be a part of it.
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79. How can you ensure minority representation
at the medical school...
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80. in this post-affirmative action era?
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81. E.R.
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82. - Is he drinking?
- Just water. He had a little rice.
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83. - Did you start an IV?
- We can't without a court order.
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84. - Call Dr. Samson.
- Dr. Samson doesn't work here anymore.
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85. - What?
- Dr. Miller treats your cousin now.
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86. - Fine. Call him.
- Probably not necessary now you're here.
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87. - Why's that?
- I think he's just lonely.
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88. Can you get me a protein shake
or something?
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89. Hey, Chase.
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90. It's John.
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91. Mind if I sit down?
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92. Hey, I'm sorry that I haven't
been around here very much.
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93. I've been busy.
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94. For a year?
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95. You're right.
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96. You're right. That's not an excuse.
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97. Hey, your speech sounds good.
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98. You been getting around much?
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99. No.
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100. Here you go.
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101. You gotta eat something, Chase.
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102. - No.
- Why not? What's the matter?
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103. - Just take a sip.
- No.
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104. - Just take a little sip.
- No!
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105. - Maybe later.
- Go away.
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106. - Let me know if this hurts.
- Hell, yes.
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107. - Wuss.
- You want another beating, keep talking.
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108. - I'm sitting right here.
- This is his sparring partner, Walter.
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109. - Lip lac and a possible broken jaw.
- Aren't you too old to be fighting?
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110. Never too old to defend a lady's honor.
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111. This was over a woman?
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112. Grace is in all her steps
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113. Beauty in her eyes
In every gesture, dignity and love
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114. - He stole that from a book.
- At least I know how to read.
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115. - Yeah. With your lips moving.
- Lip?
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116. Okay, okay.
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117. Let's start with 6-0 nylon. Let's try
and keep these kids apart, shall we?
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118. Hey, Mark.
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119. - Morning, Kerry.
- How's it going?
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120. Snow blower blew a rock into
a guy's larynx. I had to trache him.
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121. - No. I meant with you. First day back.
- So far, so good.
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122. - I'll let you know in four hours.
- We getting a little backed up?
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123. - Three patients waiting for a consult.
- Who's on the service?
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124. Peter. But she's stuck
in a press conference.
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125. - Who?
- Peter. She's been in for an hour.
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126. - Who's "she"?
- What?
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127. - Who's giving a press conference?
- I don't know. But I heard Peter's in it.
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128. - Kerry?
- Yeah.
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129. Can you call Radiology? They sent
this guy back without his films.
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130. - Is there any bone exposed?
- I have to rongeur it. I need the x-ray.
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131. - How'd it happen?
- They just lost it.
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132. - No. The finger.
- I don't know. He won't say.
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133. Chuny already tried.
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134. Looks like some kind of saw.
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135. What did he say?
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136. I told you.
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137. - Someone bring him in?
- He took a cab.
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138. What cab company?
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139. - Nobody saw him arrive?
- Malik was out there. Why?
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140. - We should put a call in to OSHA.
- OSHA?
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141. They monitor workplace safety
requirements. He's probably illegal...
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142. and not saying anything
because he doesn't wanna lose his job.
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143. - That's his choice, isn't it?
- Until someone gets seriously hurt.
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144. - I'll find out.
- I just need you to call Radiology.
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145. - What are you crying about?
- You should have talked to me first.
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146. I did. I said a little extra money
for added responsibility.
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147. - I don't like being used.
- Everyone is used.
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148. - It's what makes the world go round.
- You gave me that job because I'm black.
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149. You're discounting your
finely honed public relations skills.
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150. - I don't want it.
- Sure you do.
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151. You should have thought of that
before your press conference.
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152. I need a minority to be the director.
But it won't require any real work.
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153. It'll get you that much closer
to a full-time faculty position.
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154. You can find somebody else
to be your poster boy.
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155. Well, the truth is I don't have
anyone else.
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156. Which is why the diversity issue
needs your immediate attention.
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157. - You don't even believe that.
- Actually, I do.
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158. But it doesn't really matter, does it?
It's on your shoulders now. Excuse me.
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159. Time's up, Peter.
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160. - Did I misread the schedule?
- What schedule?
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161. You canceled six cases
in the past week.
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162. No, they were rescheduled.
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163. - Which means canceled.
- One had a fever, one had an emergency.
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164. All of them happen to be
the more complex procedures.
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165. It's simple coincidence. Look, I've been
completely slammed by this review.
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166. - Nothing seems to be up to standard.
- I have every confidence in you.
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167. But I need an associate chief
who actually performs surgery.
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168. I do.
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169. I will. Once I get out
from under all of this.
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170. - No, today. You're covering the ER.
- Robert, they're coming on Monday.
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171. You only have to go there
if they page you.
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172. - Are you married?
- No.
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173. - Oh, a cute girl like yourself?
- Well, he didn't crack your skull.
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174. What?
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175. There's no blood.
He didn't crack your skull.
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176. He couldn't crack a smile.
I'm a big proponent of marriage.
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177. Of course, you gotta be married
to the right person.
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178. - Is that a proposal?
- We have to get to know each other first.
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179. We have to wait for the x-ray. I don't see
any other injuries. Anything else hurt?
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180. Nothing I want to talk about
in mixed company.
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181. Well, I'm a nurse.
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182. If I'm gonna talk to you
about my private parts...
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183. I'd prefer to do it in a social setting.
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184. - Does it hurt when you pee?
- Yeah. How did you know?
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185. - Do you have an enlarged prostate?
- It's large enough.
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186. Well, it could be prostatitis.
I'm gonna need a urine sample.
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187. You'll have to hold it a little lower.
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188. I am going to show you
to the bathroom.
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189. Actually, it feels more like something
you pick up.
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190. - Pick up?
- A burning. I got it once before...
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191. when I was stationed in Korea.
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192. From sex?
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193. Well, I didn't get it from dancing.
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194. Abby, we need you. Grab 100
of mannitol. Gunshot wound to the head.
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195. - I'll be right back. Pee in that.
- From here?
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196. - Asystolic after two liters.
- What do you want?
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197. Full trauma panel. Get a C-spine.
Cross him for four.
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198. On my count. One, two, three.
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199. - Sinus at 65. Rate's coming down.
- What is it?
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200. 15-year-old with self-inflicted
gunshot to the right temple.
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201. - Pupils are fixed and dilated.
- Was there a suicide note?
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202. No. His friend said
they were playing Russian roulette.
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203. Guy's behind us. Bullet blew
through this one and grazed his cheek.
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204. - No response to painful stimuli.
- I smell alcohol. He could just be drunk.
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205. Dropped his systolic to 70.
Bradying down to 50.
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206. - Open the fluids. Pump in O-neg.
- What are you doing?
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207. Massive blood loss.
Could be the cause of his low BP.
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208. Or he could have blown out
his brain stem.
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209. - Crit's 39.
- Doesn't sound like blood loss.
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210. - You want O-neg?
- But if you wanna try transfusing...
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211. Hang two units on the infuser.
I'll put in a central line.
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212. - What?
- Nothing.
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213. - Is this the other guy?
- Yeah.
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214. Superficial abrasion.
Left cheek, cranial nerves intact.
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215. - You were playing Russian roulette?
- What?
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216. - They were playing Russian roulette.
- It was his idea.
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217. - How old are you?
- Why?
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218. - How old?
- He wanted to play.
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219. - I got this.
- What, 20?
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220. - Nineteen.
- He's 15.
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221. - He's drunk. I could smell the alcohol.
- He came over that way.
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222. - You didn't give her anything?
- Who?
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223. - Your friend.
- He brought beer and his dad's gun.
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224. - You made him hold the gun to his head.
- No. Hell, I went first.
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225. - It was his idea, but you went first?
- Better odds.
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226. - Better odds?
- That's the point.
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227. - It's not a game! She blew his brains out!
- Who's "she"?
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228. - What?
- You said she.
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229. He! He's dead.
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230. He loaded the bullet.
He knew what could happen.
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231. Why aren't the police
arresting this idiot?
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232. - I didn't kill him.
- The hell you didn't.
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233. - Did you call it?
- Yeah. After 45 minutes of CPR.
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234. - I should never have started.
- You wanted to make sure.
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235. You would have called it
from the beginning.
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236. - Yeah. But I'm lazy.
- Mark, please.
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237. You wanted to give it a chance.
No big failure.
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238. - I'm going back upstairs.
- Later, gator.
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239. - Hey, are you taking it easy?
- Yes, Mom.
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240. It came back from the
dry cleaners like that. Smell it.
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241. - So anyway, he's not psychotic?
- No. Sociopathic, maybe.
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242. I can't hold him.
We'll leave it up to the police.
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243. - Thanks.
- Anytime.
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244. - So, Elizabeth?
- Yeah?
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245. - Is Mark doing okay?
- Very well.
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246. - There's no change in personality or...?
- He's a little tired. Why?
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247. Have you noticed that
he's mixing his pronouns?
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248. Mixing? How?
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249. Like saying she
when he means he.
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250. No. Has he said anything
to you about it?
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251. - I don't think he realizes.
- Maybe you've misheard.
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252. Yeah. Maybe.
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253. - Dr. Weaver. Starting my shift.
- Okay.
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254. You wanted to see me
before I started my shift.
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255. I've been thinking about it.
The fact that you claimed responsibility...
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256. I think is a positive sign.
Therefore, I feel that I can't...
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257. summarily dismiss you.
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258. - But?
- What chip are you up to? Your AA chip.
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259. - How many days of sobriety?
- Two hundred and forty.
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260. Give it to me.
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261. It's- It's at home.
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262. All right. Well, you're starting over.
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263. Another 90 days, another 90 meetings.
And I need documentation.
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264. You'll go back to not administering any
narcotics or benzos until further notice.
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265. But that's it. Even the smallest
infraction and you no longer work here.
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266. - Understood. Thank you.
- Good.
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267. Don't make me regret it, John.
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268. - How are you doing, Mr. Nicolaides?
- Call me Walter.
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269. I'd be doing a lot better
with a sponge bath.
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270. - You want a bath?
- Yes, please.
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271. Malik.
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272. Yeah. What?
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273. - Oh, no. I'm fine. I was just kidding.
- Never mind.
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274. Whatever.
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275. - You're a real firecracker, aren't you?
- That's me. Nurse Firecracker.
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276. - Married?
- None of your business.
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277. My second wife was a spinster.
Married her when she was 32.
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278. - Waiting for the right guy, I guess.
- Damn right.
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279. We were married for another 32 years
before she passed.
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280. But don't worry, because feisty gals
like you always take a little longer.
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281. I wasn't the one who
was brought in for fighting.
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282. Well, Earl started that.
He was flirting with my Victoria.
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283. - Who's Victoria?
- My lady friend.
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284. Are the two of you intimate?
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285. I still get up a full head of steam,
if that's what you're driving at.
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286. I see. Tell me, Walter...
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287. have you been experiencing
any burning when you pee?
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288. It was cool at first. Then my girlfriend
went to work and it stayed like that.
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289. - Have you taken any drugs lately, Gary?
- A little coke.
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290. Okay, that'll do it.
Have you tried masturbating?
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291. No. I'm a Christian.
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292. Well, too bad. Sometimes that helps.
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293. - Guess we'll have to drain it.
- How?
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294. With a needle.
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295. - Do you have a men's room around?
- Down the hall to the left.
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296. I'll check back.
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297. - How do you know she's gay?
- It's obvious.
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298. - Are the fibroids actively bleeding?
- Crit is down to 28.
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299. Why risk transfusions
if she's not going to use it anyway?
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300. - Use what?
- Her uterus.
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301. - Oh, come on!
- You can tell. Check her out.
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302. These files, Dr. Benton's. He doesn't
have a box anymore so they came back.
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303. - It doesn't ensure they won't come back.
- A hysterectomy is the safest way.
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304. Dr. Weaver?
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305. Lounge.
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306. I'll make sure
she understands the risks.
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307. - Be careful. I don't want a lawsuit.
- I'm the king of couth, chief.
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308. Great. Storm's back. It's snowing again.
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309. - Is this my hand x-ray?
- Does it have your name on it?
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310. - Yes.
- Then it's yours.
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311. Orbie Coronado from OSHA
called back.
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312. Said someone from the INS
may be calling.
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313. - I didn't want them to call the INS.
- Is that my patient?
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314. They've been having problems
with furniture sweatshops in that area.
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315. - Call them back.
- That's great.
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316. We have to report
unsafe working conditions.
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317. - He wouldn't even say how he cut it.
- He was scared.
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318. - Scared of getting deported.
- Nobody's getting deported.
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319. Why the hell not?
If he's illegal, he's illegal.
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320. Shut up, Frank.
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321. Hey, I heard you got stuck
with grumpy old men.
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322. - Horny old men. They have chlamydia.
- How old are they?
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323. Late 70s. It seems to be
going around their nursing home.
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324. There's more than shuffleboard
in our futures.
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325. Do you want Mr. Baker,
20-year-old sickler in crisis?
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326. - Better not.
- Why not?
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327. Because I'm back to
not pushing narcotics.
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328. - You told Weaver?
- Yeah.
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329. - She was okay?
- Not okay. But she let me stay...
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330. - ... with a few reinforced restrictions.
- Good for you.
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331. - I guess.
- I mean it.
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332. Thanks for the push.
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333. - Carter, wound check in 5 has-
- I'm coming.
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334. He's getting difficult.
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335. Both EKGs are normal.
Cardiac enzymes are normal.
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336. His cardiologist said he should have
a treadmill test and an angiogram.
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337. - Probably meant as an outpatient.
- He didn't say that.
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338. That's what he meant.
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339. Keep taking your medications
and come back if there are any problems.
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340. That's it?
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341. - Make sure you see your cardiologist.
- You're not gonna admit him?
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342. - No.
- Georgia, it's all right.
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343. - Check him in.
- This isn't a hotel.
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344. We shouldn't have gone to a county
hospital. I want a second opinion.
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345. Okay. Here's your second opinion:
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346. Your husband's overweight.
He needs to stop drinking and smoking.
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347. He needs to lay off the pizza
and burgers and get some exercise.
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348. Otherwise, all the second opinions
in the world...
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349. won't keep him from dropping dead
in the next two years.
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350. - I'll clear the Trauma Rooms.
- Notify the ICU.
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351. Get eight units of O-neg
and every bag of Ringer's.
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352. What's going on?
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353. Rescue's bringing in victims of a fire.
Smoke inhalation, crush injuries-
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354. - How many?
- I don't know.
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355. - You call the O.R.?
- Yeah.
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356. - ETA?
- They're rolling in.
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357. - I'll take the one on the end.
- Burn to the right arm and face.
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358. What happened?
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359. A raid. A bunch of workers got trapped.
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360. Better keep her on O-2
and check carboxyhemoglobin level.
Copy !req
361. Give. 5 of albuterol.
Mark, I thought you were off.
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362. - Not anymore.
- You need to take it easy.
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363. - Not much chance of that.
- Why don't you go triage?
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364. We'll flush out the joint upstairs.
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365. I threw her in the front seat
as I pulled out.
Copy !req
366. - Any burns?
- It's a superficial lac to the calf.
Copy !req
367. - What's she saying?
- She's saying she wants her mom.
Copy !req
368. Smoke inhalation with
pleuritic chest pain.
Copy !req
369. - Malik, I need a blood gas on this guy.
- Portable chest?
Copy !req
370. - Yeah. Get me a 12-lead.
- Got an INS officer with a crushed pelvis.
Copy !req
371. - Any shortness of breath?
- Did they get out?
Copy !req
372. We only got half of them out.
They had the place barred shut.
Copy !req
373. - What place?
- We got a tip on an illegal sweatshop.
Copy !req
374. - We went there and it started burning.
- Sats are down to 82.
Copy !req
375. Dr. Weaver, his pulse ox is falling.
Copy !req
376. Put him on 15 liters. Open an intubation
tray. He needs a trauma consult now.
Copy !req
377. Sorry, doc.
Copy !req
378. Decreased breath sounds on the left.
Carter, can you take this?
Copy !req
379. - Yeah. Trauma 2.
- Luka?
Copy !req
380. 30-year-old male, burns over most
of his body. BP, 100/70. Pulse, 120.
Copy !req
381. - Where should we go?
- Get him out of the hallway.
Copy !req
382. - How much fluid in?
- One liter Ringer's and 10 of morphine.
Copy !req
383. Okay, give another round of both.
I need a sterile gown and gloves.
Copy !req
384. You know each other?
Copy !req
385. They work together.
Copy !req
386. Mark.
Copy !req
387. - Mark! What's open?
- Try the Suture Room.
Copy !req
388. - Suture Room. Go!
- He needs an NG tube and a Foley.
Copy !req
389. - We're out of I&D kits.
- Use suture-removal kits for débriding.
Copy !req
390. CBC, chem panel and cardiac enzymes.
Copy !req
391. Possible burns. She may have touched
a power line while helping her daughter.
Copy !req
392. - She doesn't know what happened.
- How old?
Copy !req
393. Five. First name, Araceli.
Copy !req
394. Haleh, call Dispatch. See if they have
a 20 on a 5-year-old girl.
Copy !req
395. Good air entry, scattered rales
bilaterally. Put her on a pulse ox.
Copy !req
396. - Got an exit wound here.
- Here's the entry.
Copy !req
397. - She's burned from the inside out.
- What was the voltage?
Copy !req
398. - I don't know.
- Get on the phone and find out.
Copy !req
399. - Pulse ox, 89.
- Put him up to five liters.
Copy !req
400. Take it easy. Just lay back.
Just lay back.
Copy !req
401. - Titrate another 10 of morphine.
- Twenty percent partial-thickness burns.
Copy !req
402. He needs a chest tube.
Copy !req
403. - I need to prep for an escharotomy.
- That's not good.
Copy !req
404. Can you set up a fiber-optic
laryngoscope? I need it now!
Copy !req
405. I got it!
Carter, can you help me prep the chest?
Copy !req
406. - I'm losing pulses.
- How fast do you need the fluids?
Copy !req
407. I'm estimating 92 percent surface burns.
Copy !req
408. Start Ringer's at 1700 cc's per hour.
Copy !req
409. Setting at 91 on 15 liters.
Copy !req
410. Switch to humidified O-2,
non-rebreather.
Copy !req
411. - What?
- He's asking how bad it is.
Copy !req
412. Tell him very serious.
Copy !req
413. Am I going to die?
Copy !req
414. Most likely, yes.
Copy !req
415. - Finger's swollen. I can't get his ring off.
- Get the ring cutter.
Copy !req
416. - I'm in.
- No pneumo, good tube position.
Copy !req
417. - He's still hypotensive.
- You know how it started?
Copy !req
418. Paint thinner. Someone kicked over
a heater when they ran out.
Copy !req
419. - Where's that crit?
- Working on it.
Copy !req
420. Borderline widened mediastinum
and a left pleural effusion.
Copy !req
421. Might be his aorta.
Copy !req
422. - All right. Chest CT. Let's move him.
- Hold on. Crit's low at 31.
Copy !req
423. You want to take him up to the O.R.?
Copy !req
424. No, I don't want to open him.
It could just be an intercostal artery.
Copy !req
425. Fine. We'll do a transesophageal echo.
Somebody tell them we're on our way.
Copy !req
426. - Neck is swollen.
- So are the upper extremities.
Copy !req
427. - Where did you find her?
- She came in with Morales.
Copy !req
428. - Her sats are dropping, 86.
- Put her on high-flow O-2, open saline.
Copy !req
429. High voltage fried every cell
in its path. Her CK is over 2000.
Copy !req
430. - Did you check her out?
- A non-displaced fracture of the tibia.
Copy !req
431. - She's okay.
- Pulse ox dropping, 82.
Copy !req
432. Let's intubate. Abby, take her out.
Copy !req
433. - Abby, out.
- She wants you to take care of her.
Copy !req
434. Twenty of etomidate, 100 of sux.
Copy !req
435. 8-0 ET tube.
Copy !req
436. Relax, relax, relax.
Copy !req
437. Okay, okay. Carter, hold him down.
Copy !req
438. Hold on. Watch the drape!
Copy !req
439. Sats are down to 78.
He's getting hypoxic.
Copy !req
440. - All right, push some Versed.
- What?
Copy !req
441. - The Versed! Right there! Come on!
- I can't.
Copy !req
442. - Why?
- I'm not allowed to.
Copy !req
443. Push the damn Versed!
I got to get this tube in him!
Copy !req
444. - Where are you going?
- Hold on.
Copy !req
445. - Inflate the tube. Bag her.
- Her complexes are widening.
Copy !req
446. - Dave, go help Benton.
- I'm busy.
Copy !req
447. - Sats are still dropping.
- I got this. Go ahead.
Copy !req
448. - Give her 10 units of insulin and D50.
- Just do it, will you?
Copy !req
449. - You do it.
- Dave, go.
Copy !req
450. - What?
- Now. Help Benton.
Copy !req
451. - You've got a run of six.
- Get a repeat potassium.
Copy !req
452. - She's in V-tach.
- Crash cart! Charge to 200.
Copy !req
453. - Got a weak femoral pulse.
- Get an amp of bicarb. Clear.
Copy !req
454. - Still V-tach. Charging, 300.
- Pressure's 60 palp.
Copy !req
455. Pressure's 92/62. Pulse, 110.
Copy !req
456. Repeat crit is 28.
Copy !req
457. - I can't isolate the aorta.
- You've got to go in now.
Copy !req
458. Not blind, I don't.
Copy !req
459. Come on.
Copy !req
460. Come on.
Copy !req
461. Okay. There. There's extra
lumenal fluid. He's torn his aorta.
Copy !req
462. No kidding.
Copy !req
463. Set up a thoracotomy tray.
Call the perfusionist. I'll scrub in.
Copy !req
464. - Scrub fast.
- How much blood?
Copy !req
465. - Eight more units. Type-specific.
- Clear.
Copy !req
466. Still in V-tach.
Copy !req
467. Three-sixty. 100 of lidocaine
and an amp of calcium.
Copy !req
468. - Clear.
- What happened?
Copy !req
469. - Lost the pulse.
- She's in V-fib. Let's start CPR.
Copy !req
470. - Benton's taking your patient up.
- You get the chest tube in?
Copy !req
471. - That's not all.
- Clear.
Copy !req
472. - You had to intubate?
- Sats were low. I'm taking him to SICU.
Copy !req
473. I'm sorry. I'm not allowed
to push controlled substances.
Copy !req
474. - He was about to arrest.
- It's part of my agreement.
Copy !req
475. - You make exceptions.
- No exceptions.
Copy !req
476. If you can't treat a patient,
you don't need to be in the room.
Copy !req
477. - I didn't set the rules.
- Use your own judgment.
Copy !req
478. - If I push the Versed, I'm outta here.
- How long has it been? Eight months?
Copy !req
479. - Yeah.
- I'll talk to Weaver.
Copy !req
480. - No, no. Don't.
- Dr. Benton, post-intubation film.
Copy !req
481. I'll handle it.
It'll just piss her off anyway.
Copy !req
482. You know what?
I'm pissed off. You should be pissed off.
Copy !req
483. - Well, it's my problem.
- No, Carter. It's everybody's problem.
Copy !req
484. Just don't talk to Weaver. Please.
Copy !req
485. Swelling of the upper airway.
We'll intubate after the escharotomy.
Copy !req
486. When is he going to die?
Copy !req
487. In about a week, from infection.
Copy !req
488. Your body won't be able to keep
the bacteria out.
Copy !req
489. You'll also get major fluid imbalances
and possible kidney failure.
Copy !req
490. We'll have to put a tube down
your throat to help you breathe.
Copy !req
491. Can you find his wife?
Copy !req
492. Does he have a number?
Copy !req
493. No. She's-
Copy !req
494. She's in Guatemala
and there's no phone there.
Copy !req
495. He has $520 in a little box by his bed.
Copy !req
496. He lives in a garage
at 395 Landale Street.
Copy !req
497. Can you get it to her?
Copy !req
498. Can you get her the money
and tell her what happened to him?
Copy !req
499. Yeah.
Copy !req
500. Can you tell her I love her?
Copy !req
501. I love her very much.
Copy !req
502. Okay, 30 of etomidate, six of Pavulon.
Copy !req
503. Clear!
Copy !req
504. - Fine V-fib.
- Charge again. 360.
Copy !req
505. - Potassium is 7.5.
- Pulse ox is 60.
Copy !req
506. - How long has she been down?
- Twenty-five minutes.
Copy !req
507. Clear!
Copy !req
508. Asystole.
Copy !req
509. - How much atropine has she been given?
- Two amps.
Copy !req
510. - When was the last epi?
- About three minutes ago.
Copy !req
511. Okay, that's it.
Time of death, 12:16.
Copy !req
512. - There was too much internal injury.
- Yeah.
Copy !req
513. Rescue found a guy trapped inside with
a blunt head trauma and blown pupil.
Copy !req
514. - All right, let's go.
- I'll clear the room.
Copy !req
515. I need better exposure.
Get a large Deaver in here.
Copy !req
516. That is a large Deaver.
Copy !req
517. Then give me more retraction.
Copy !req
518. - I can't hold his pressure much longer.
- Metz.
Copy !req
519. - We need a pump in O.R. 4.
- Where's the bypass machine?
Copy !req
520. The first one will be
off the pump in 30 minutes.
Copy !req
521. - I need it now.
- Right now. These are my last two units.
Copy !req
522. DeBakey.
Copy !req
523. Lisa, tell them we have
an unstable patient here.
Copy !req
524. I did. The pump's not available for-
Now it's 29 minutes.
Copy !req
525. Pressure's 80.
You've gotta cross-clamp him.
Copy !req
526. If I do that, I'll cut off circulation
to his spinal cord.
Copy !req
527. - Or you could let him bleed out.
- I will not paralyze this man.
Copy !req
528. You want to kill him?
Copy !req
529. I can't isolate the aorta.
Copy !req
530. - Find Romano.
- We can't wait!
Copy !req
531. Lisa, now! Go!
Copy !req
532. Carter, I've got to go home. Girl in
Exam 1 needs a leg-burn débridement.
Copy !req
533. Burn Unit's full. She need admission?
Copy !req
534. No. Give him Thermazine
to use at home.
Copy !req
535. - Boy or girl?
- What?
Copy !req
536. - You said "him. "
- Carter, I'm really tired.
Copy !req
537. - So much for a four-hour shift.
- See you Monday.
Copy !req
538. - It's none of your business.
- It is.
Copy !req
539. - He did what he was supposed to do.
- His sats were dropping.
Copy !req
540. This one needs a tetanus booster
and dressing.
Copy !req
541. There was a delay.
If I need an assistant-
Copy !req
542. Peter, you are a surgical consultant!
You do not dictate ER policy!
Copy !req
543. - This is not policy, this is punishment.
- We're not having this conversation.
Copy !req
544. This one needs Xeroform
and a tube gauze dressing.
Copy !req
545. - In a second.
- Fine.
Copy !req
546. What do you have against him?
He made a mistake. He got through it.
Copy !req
547. Peter, the terms of Carter's
diversion program are not your concern!
Copy !req
548. It's time to let up.
He's been clean now for eight months.
Copy !req
549. Has he?
Copy !req
550. - Tenth unit's up.
- Proximal aorta is dissected.
Copy !req
551. He's taching at 120.
Copy !req
552. There's a traumatic pseudoaneurysm.
Where the hell is Romano?
Copy !req
553. - I paged him three times.
- Checked his office?
Copy !req
554. - And the staff lounge.
- Get the Resident on call.
Copy !req
555. - The Resident?
- Yes! Just get him.
Copy !req
556. - BP's 70 and dropping.
- Well, give him two more units.
Copy !req
557. - This is all I've got.
- So call the blood bank.
Copy !req
558. - They're out of A-positive. I told you.
- Then get O-negative!
Copy !req
559. Just keep transfusing him.
Don't you understand I need more time?
Copy !req
560. You've got to cross-clamp him now.
Copy !req
561. Do you want the Zanger
or the Crawford?
Copy !req
562. Dr. Corday?
Copy !req
563. Dr. Corday, what clamp?
Copy !req
564. Dr. Corday?
Copy !req
565. The Crawford. Crawford.
Copy !req
566. We'll establish proximal control.
Open a 20mm Dacron.
Copy !req
567. Okay. We'll maintain blood flow
to the spinal cord...
Copy !req
568. by sewing his intercostal arteries
into the graft.
Copy !req
569. - BP's down to 60.
- Okay. The clamp's on.
Copy !req
570. Dr. Babcock, I need another hematocrit.
Eleven blade.
Copy !req
571. Okay. Pressure's up to 80.
Copy !req
572. - Better work quick.
- I'm okay. I'm okay.
Copy !req
573. Collateral flow should reduce
the risk of paralysis. Okay, cut.
Copy !req
574. 3-0 Prolene.
Copy !req
575. Hey.
Copy !req
576. Boy. Days like today, you look down
at your watch and your shift is over.
Copy !req
577. What are those?
Copy !req
578. - Med school applications.
- Oh, yeah? Where are you applying to?
Copy !req
579. - Why the two separate stacks?
- Interviews. No interviews.
Copy !req
580. You have a special secret formula?
Copy !req
581. GPA times competitive factor plus MCAT
scores. Over 25, you get an interview.
Copy !req
582. - You don't read recommendation letters?
- After the interview.
Copy !req
583. Poor kids.
Copy !req
584. I don't know if I would have made it
if I had the interview with you.
Copy !req
585. How'd you get on the committee?
Copy !req
586. I'm busy, Carter.
Copy !req
587. - Did you talk to Weaver?
- Yep.
Copy !req
588. It was nothing. It was a slip.
Not even a slip.
Copy !req
589. You know? I threw them up.
Copy !req
590. Urine output 75 in the last hour.
Hemoglobin's 10.8.
Copy !req
591. Less than 100 cc's
of chest tube output.
Copy !req
592. - Is that good?
- All good.
Copy !req
593. I just need to do a quick neuro check.
Copy !req
594. - For what?
- To check sensation.
Copy !req
595. What's so funny?
Copy !req
596. Let me see you wiggle your toes.
Copy !req
597. - That's excellent.
- Lizzie, you called for me?
Copy !req
598. - Yeah. Over an hour ago.
- I'm here now. What's so emergent?
Copy !req
599. Will you excuse me?
Copy !req
600. We had a little trouble
with an aortic graft...
Copy !req
601. and I wanted
a second pair of hands.
Copy !req
602. Should I worry about a lawsuit?
Copy !req
603. No. Things got hairy for a moment.
But I pulled him through.
Copy !req
604. - Well, that's your job, isn't it?
- Yes, it is.
Copy !req
605. And I am now late for dinner.
Thank you, Elizabeth.
Copy !req
606. Thank you.
Copy !req
607. It's a good thing they didn't frisk me.
Copy !req
608. It's chocolate.
Copy !req
609. Go away.
Copy !req
610. There's a reason I didn't come
to see you, Chase.
Copy !req
611. I thought about coming.
But I didn't.
Copy !req
612. And I didn't because I was afraid.
Because I didn't want to admit-
Copy !req
613. When I got stabbed last year at work,
a friend of mine got killed. And I...
Copy !req
614. ended up addicted to painkillers.
And it caught up to me.
Copy !req
615. And I started to shoot morphine...
Copy !req
616. and Demerol and fentanyl and
whatever else I could get my hands on.
Copy !req
617. I don't know what would have happened
had I not got busted. I went to rehab.
Copy !req
618. But I wasn't like any of those people.
I got into this because of an injury...
Copy !req
619. because of a near-death experience.
And they...
Copy !req
620. Anyway, it wasn't me. I mean,
it was me, but it wasn't... Anyway.
Copy !req
621. I did the program.
Copy !req
622. I pretended that I bought into it.
I did everything I was supposed to do...
Copy !req
623. except...
Copy !req
624. believe that I had anything to do
with what had happened. And then...
Copy !req
625. I almost relapsed.
Copy !req
626. Or I guess I-
I guess I did relapse. Anyway.
Copy !req
627. I didn't come to see you because
I didn't want to admit to the fact...
Copy !req
628. that I was just like you.
Copy !req
629. In fact, the truth is...
Copy !req
630. there's not a day that goes by
that I don't think about getting high.
Copy !req
631. It's the first thing I think about
when I wake up in the morning.
Copy !req
632. And it's the last thing I think about
when I go to bed at night.
Copy !req
633. And I think about it all day.
Copy !req
634. I'm a drug addict.
Copy !req
635. Did you bring any french fries?
Copy !req
636. Did the mom say anything
about relatives in Chicago?
Copy !req
637. - No.
- How about in Guatemala?
Copy !req
638. - We didn't have time to ask.
- All right, thanks.
Copy !req
639. What's gonna happen to her?
Copy !req
640. Put her in a group home for now.
Copy !req
641. - Will she be deported?
- Not unless she's going back to family.
Copy !req
642. Otherwise, she becomes a ward
of the state...
Copy !req
643. and then we look for
a Spanish-speaking foster home.
Copy !req
644. - You okay?
- Yeah.
Copy !req