1. Boy: Mister?
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2. Mister?
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3. Woman: Ladies and gentlemen,
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4. welcome to San Jose
International Airport.
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5. Look out! Watch out!
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6. Help!
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7. - Adam?!
- Oh, my God!
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8. Adam?!
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9. Somebody call 911!
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10. Oh, my God!
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11. I'm a doctor, let me take
a look. Let me take a look.
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12. His jugular vein's been cut.
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13. Does anyone have a clean cloth?
Please. Someone!
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14. I have a fresh change
of clothes in my bag.
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15. That's great.
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16. You're killing him.
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17. I'm saving his life.
He was bleeding out.
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18. N... You have it in the wrong place.
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19. I think I remember enough of Anatomy 101
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20. to know where the jugular vein is.
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21. You would be in the right place
if he were an adult.
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22. He's not an adult. He is a boy.
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23. Which means you're also putting
pressure on his trachea.
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24. Which means he's not
currently breathing.
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25. You have to put the pressure higher up.
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26. There.
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27. Some glass. He'll be fine.
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28. Who are you?
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29. Hello. I'm Dr. Shaun Murphy.
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30. I'm a surgical resident
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31. at San Jose St. Bonaventure Hospital.
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32. Synced & corrected by kinglouisxx
www.addic7ed.com
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33. Autism...
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34. a mental condition
characterized by difficulty
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35. in communicating and using
language and abstract concepts.
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36. That's the definition.
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37. Does it sound like
I'm describing a surgeon?
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38. He's not Rain Man.
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39. He's high functioning, he's
capable of living on his own,
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40. capable of managing his own affairs.
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41. "High functioning"?
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42. Is that our new hiring standard?
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43. If it were, you wouldn't be here.
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44. I'm sorry. Is this
really necessary? Really?
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45. A special meeting
of the Board of Directors...
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46. as much as I love you all...
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47. questioning one of my hiring decisions?
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48. Did you bother to look up
the definition of "President"
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49. while you were skimming the dictionary?
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50. You're hiring him to be
a surgical resident...
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51. my department... over my objections.
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52. Marcus, stop making
everything so personal.
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53. I made it personal?
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54. You've wanted his job since day one.
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55. Everyone in this room knows that.
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56. And, Aaron, yes, this is your hospital.
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57. But the money it takes to run it
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58. comes from the Foundation I control.
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59. So let's all play nice, shall we?
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60. Stop acting like you're stunned
that you're standing there.
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61. You tried to slip one past us.
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62. I vetted him like I would
any other candidate.
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63. And you genuinely thought
that this Board
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64. wouldn't reasonably
have any doubts about
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65. hiring a surgeon who's been
diagnosed with autism?
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66. So justify your decision.
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67. I met Shaun Murphy
when he was 14 years old.
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68. I was living in Wyoming at the time.
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69. He was, and he still is,
an extraordinary young man.
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70. Yes, he has autism, but he also
has savant syndrome...
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71. genius-level skills in several areas.
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72. He has almost perfect recall.
He has spatial intelligence.
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73. And he sees things
and analyzes things in ways
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74. that... that are just remarkable.
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75. In ways that we can't
even begin to understand.
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76. Those are assets. Undeniable assets
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77. for any doctor, particularly a surgeon.
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78. You've known him since he was 14?
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79. You care about him.
He's like a son to you.
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80. Dr. Andrews, your wife is gonna
be very upset with you.
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81. If you're trying to turn this
into a nepotism case,
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82. we're gonna have to fire her
idiot nephew from bookkeeping.
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83. Hey!
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84. Sorry. You seen Claire?
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85. Would you turn off the light?
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86. Sure. You seen Claire?
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87. Why? Would you turn off the light?
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88. Melendez wants to operate on 104,
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89. but Claire hasn't gotten
informed consent.
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90. And she's ignoring her page.
You seen her?
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91. No. Now go away and turn off the light.
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92. Sure.
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93. They need you to, um...
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94. I heard.
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95. Oh, she's such a bitch.
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96. No.
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97. She just doesn't like you.
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98. Hmm.
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99. It's kind of silly, isn't it?
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100. Um, maybe.
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101. To say for sure, I'd need to know
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102. what it is you're talking about.
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103. Us.
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104. - Ah. Not silly at all.
- Hmm.
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105. Quite a bit of fun, actually.
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106. I meant that we're hiding it.
Our relationship.
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107. Hmm. Well...
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108. Jared, we don't have a relationship.
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109. We have sex.
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110. But, if you want to tell people
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111. that you're screwing me, go for it.
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112. The veins in the boy's
left arm are popping.
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113. - Is that bad?
- I-I don't see.
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114. Intrathoracic pressure.
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115. No, his chest is rising. He's breathing.
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116. No, the... the chest
is moving paradoxically.
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117. The left lung is in distress.
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118. Yes.
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119. Who here has a sharp knife,
blade five inches or longer?
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120. Nobody?
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121. You should start artificial respiration.
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122. He's going to stop breathing very soon.
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123. - I feel fine.
- Dr. Melendez would like
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124. to do the surgery today.
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125. You need bypass surgery quite urgently.
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126. Would you please sign the consent?
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127. No.
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128. You're scared.
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129. - I-I'm not scared.
- Well, you should be.
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130. We're gonna cut your chest open,
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131. we're gonna stop your heart,
repair it and restart it.
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132. Are you seriously telling me
that that doesn't scare you?
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133. I just want a second opinion.
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134. Callum, yesterday,
your life was perfect.
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135. You were playing tennis,
you had a big anniversary.
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136. Today, you're lying in a hospital bed
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137. trying to figure out
the best way to say goodbye,
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138. maybe forever, to your teenage children.
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139. Why are you doing this?
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140. Because I can't deal with lies.
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141. If you lie to me,
my answers won't help you.
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142. But, if you're scared, I can help you.
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143. I'm scared.
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144. Okay.
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145. - You can't be back here.
- Oh, I need a knife.
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146. Where do you keep the knives
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147. people forget they're traveling with?
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148. A knife? Sure. Anything else?
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149. I do also need a narrow six-foot tube
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150. and high-proof alcohol and gloves
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151. and baggage-handling tape,
but I am going to get
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152. the alcohol from the duty-free store
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153. and the tube from
the back of a soda machine.
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154. Well, I wish you all the luck with that.
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155. But I'm not gonna give you a knife.
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156. No, I need a knife.
It-It's... It's very...
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157. There is a medical emergency.
There's a medical emergency.
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158. That one. That one, right near
the top, looks very sharp.
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159. Would you get it for me?
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160. No, I'm not gonna give you a knife.
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161. - I'll ask...
- There's not the time.
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162. Weapon! Weapon!
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163. Move! Get out of the way!
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164. Drop it.
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165. You idiot! You're lucky
we didn't just shoot.
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166. No! He's trying to save my son's life.
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167. You get that consent on 104?
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168. Well, I made him a deal.
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169. He's got a meeting with
Dr. Max from psychiatry at 6:00,
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170. we'll get the consent by 8:00,
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171. we can operate first thing
in the morning.
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172. You did pass anatomy, right, Dr. Browne?
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173. His problem's in his heart,
not his head.
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174. He's not psychologically
ready for surgery.
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175. He will be. Soon.
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176. Well, he is physically ready.
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177. So, get the consent.
We're prepping O.R. 6 now.
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178. Do I need to cite you
the 17 studies that show
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179. a correlation between
attitude and outcome
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180. in surgical patients?
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181. Do I need to remind you
that I am your superior?
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182. You do know what the opposite
of superior is, right?
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183. - Subordinate. Doesn't...
- Sure. Subordinate. Or... inferior.
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184. - Either way.
- It doesn't mean I'm wrong.
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185. I suppose not.
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186. But it does mean you have
to act like you're wrong.
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187. He's panic stricken.
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188. Yesterday, he was young and healthy.
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189. Today, he's mortal.
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190. Just give him a chance
to wrap his head around that.
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191. Dr. Kalu?
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192. Do you think you can get me
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193. a signed informed consent on 104?
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194. - Of course.
- Thank you.
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195. You think he's right?
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196. I think he's my boss.
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197. And if I have to choose
between my boss and...
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198. the woman I'm screwing,
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199. not much of a choice, am I right?
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200. Shaun: Excuse me. Excuse me, please?
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201. The incision should
take place two ribs down.
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202. Okay, well, why the bottle?
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203. The air will continue
to leak and accumulate
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204. until the damage
can be properly repaired.
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205. The tube allows the air to get out.
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206. The water in the bottle stops
the air from coming back in.
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207. A homemade one-way valve.
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208. He's breathing.
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209. You saved his life.
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210. He saved his life!
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211. Shaun, where are you? I-I...
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212. Call me as soon as you can, please.
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213. - That was a mistake.
- I agree,
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214. 'cause it's not about the new
doctor, this is about you.
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215. They're baiting you.
And you're letting them.
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216. - Maybe.
- Maybe what?
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217. What mistake are you talking about?
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218. - Your shot at Andrews' nephew.
- Oh, come on. It was funny.
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219. It was very funny.
It was also disrespectful.
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220. Well, you don't show him respect.
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221. I assume it's because
you don't respect him.
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222. You show someone respect
because you respect them,
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223. or because you're afraid of them.
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224. I don't fit into either category.
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225. Well, neither do I.
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226. You should.
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227. You're only in that room
because your grandfather
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228. founded this hospital.
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229. I'm gonna pretend that this conversation
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230. didn't take this tangent,
and instead focus on something
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231. relevant... the debate you are losing.
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232. Here's how you win this.
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233. You don't make it personal.
You do not make it about you.
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234. That is what they want,
and if you give it to them,
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235. you will lose.
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236. I need to get to San Jose
St. Bonaventure Hospital.
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237. That's where we're going.
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238. Good.
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239. Ethan: How hard can it be
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240. to just act like a normal human being?!
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241. - He doesn't know how.
- Bull!
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242. What are we supposed to do now? Huh?
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243. This is the third school
he's been thrown out of.
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244. We'll find another school.
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245. No, we won't, 'cause
nothing's gonna change.
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246. They can't handle him,
and I don't blame them,
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247. 'cause obviously,
we can't handle him, either.
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248. What the hell happened this time?
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249. What happened?!
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250. You're hurting him.
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251. What did you do?!
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252. - Shaun!
- No!
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253. Will you stop petting
that stupid rabbit?!
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254. It changed.
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255. The boy's ECG changed.
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256. It's the same... 86 BPM.
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257. No. It used to be higher.
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258. No, it used to be 86. It's still 86.
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259. It used to come up to here.
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260. Lower amplitude means lower voltage.
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261. Lower amplitude means lower voltage.
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262. What's going on? What does it mean?
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263. It means he's trying to read
20-year-old equipment
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264. while traveling in a vehicle
going 40 miles an hour.
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265. How did you get him to sign?
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266. I simply told him it was either
consenting or going home,
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267. then I gave him two forms
and told him to pick one.
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268. Melendez: And you highlighted
the Release Against
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269. Medical Advice form that mentions
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270. the "possibility of death
or permanent disability"?
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271. Well done.
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272. Hand me the Metz and a pick-up.
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273. I'm isolating the descending aorta.
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274. Sarah: Vascular clamp.
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275. What is that?
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276. Under the left atrium...
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277. something white.
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278. Is that part of the lung?
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279. Melendez: It's pus.
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280. Did he have TB?
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281. No, he doesn't have any...
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282. No, not currently.
Does he have a history...
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283. When he was younger,
he was exposed to...
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284. This is an abscess. It's gonna bur...
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285. Suction and a lap sponge.
His BP's crashing.
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286. Two liters saline wide open.
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287. Set up the level one.
Two units packed cells now.
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288. Get Levophed on board
and keep that MAP at 60.
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289. Get in there with the suction.
I can't see a damn thing.
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290. Suction.
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291. I hope it isn't too upsetting
to him when he hears
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292. he would have died in his room
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293. if we'd waited until tomorrow.
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294. Dr. Melendez, we've got
an incoming 8-year-old male,
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295. pneumothorax stabilized,
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296. but undetermined internal injuries.
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297. Who do you want to catch?
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298. Claire, I don't think we need you.
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299. This patient is gonna be fine... now.
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300. 8-year-old healthy boy,
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301. status post encounter with
a shattered glass sign.
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302. Numerous lacerations.
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303. - Echo...
- Get him set up in Trauma 3
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304. with an EKG, full
blood work and a pan-scan.
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305. We need an echo... echocardiogram.
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306. - Who is this guy?
- He helped with first-aid at the airport.
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307. I'm the doctor.
He needs an echocardiogram.
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308. - Where are you taking him?
- To surgery.
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309. All cardiac vital signs
are within normal range.
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310. - Do you have any I.D.?
- No. His... His heart. It's his heart.
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311. His heart is fine. Now stay here.
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312. Adam needs an echocardiogram.
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313. No. Behave yourself. Or you'll
be removed from the building.
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314. Echo. Echo.
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315. Melendez: What's that?
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316. Claire: A one-way valve.
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317. And he reports the boy
suffered a pneumothorax.
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318. That is cool.
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319. Do you think we should
do an echocardiogram?
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320. Based on the presenting
symptoms, which give
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321. no indication that
an echocardiogram is necessary,
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322. I'm going to answer no.
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323. Am I missing something?
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324. No, sir.
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325. Knife.
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326. Glassman: We don't normally
treat rabbits, especially...
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327. This was the closest doctor
place, and it was an emergency.
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328. No, I can see that.
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329. But even if I was a vet,
the rabbit... is dead.
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330. I'm sorry, guys.
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331. Everything smells
different when it rains.
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332. What do we do now?
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333. Well, you should bury him, I guess.
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334. I don't know, give him a...
a nice funeral.
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335. Has he gone to heaven?
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336. Yeah, sure. Uh, sure...
sure, he has. Um...
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337. No, I don't want him to go to
heaven! I want him to be here!
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338. This won't happen again.
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339. It can't happen again. He's dead.
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340. I know that.
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341. I mean, nothing like this
is ever going to happen to us,
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342. ever again.
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343. Because we're not going home.
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344. We're never going home again.
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345. We have each other,
and that's all we need.
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346. Andrews: A surgeon needs
to communicate...
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347. not just information,
but sympathy, empathy.
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348. Can Dr. Murphy do that?
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349. He can't even reliably show up
for a job interview.
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350. Are you gonna sit here
and tell us that there were
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351. no other equally-qualified
young surgeons...
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352. surgeons without this one's... issues?
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353. No.
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354. Which is why... exactly why...
we should hire Shaun.
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355. We should hire him
because he is qualified
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356. and because he is different.
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357. How long ago was it
that we wouldn't hire
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358. black doctors in this hospital?
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359. How m... How long ago was it
that we wouldn't hire
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360. female doctors at this hospital?
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361. So, you're comparing
being African-American
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362. or a woman with being autistic.
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363. Please, go on...
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364. Okay.
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365. The rationalization is exactly the same.
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366. Words like "temperament"
and, "Oh, no! Ohh!
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367. How are the patients going to react?"
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368. Aren't we judged by how we treat people?
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369. I don't mean as doctors.
I mean as people.
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370. Especially those who... who don't have
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371. the same advantages that we have.
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372. We hire Shaun,
and we give hope to those people
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373. with limitations that those limitations
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374. are not what they think they are,
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375. that they do have a shot!
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376. We hire Shaun, and we make this
hospital better for it.
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377. We hire Shaun, and we are
better people for it.
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378. We'd be "better people,"
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379. spending a lot more on
malpractice insurance.
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380. - How old is this kid again?
- 8.
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381. Sponge stick.
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382. What was his heart rate
five minutes ago?
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383. - Uh, 86.
- You sure?
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384. Certain. He's been a rock.
It's barely changed.
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385. No, something's changed.
Something's different.
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386. You asked earlier about an echo.
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387. You had no medical reason,
but you asked anyway. Why?
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388. There was this weird guy,
the one that did
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389. the one-way valve, he kept insisting
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390. that the boy needed an echocardiogram.
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391. - He didn't say why?
- H-He was really weird.
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392. His blood pressure's dropping.
That makes no sense.
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393. He's not bleeding anymore.
Everything's under control.
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394. Do an echo.
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395. Sir, the boy is wide open.
It's gonna take awhile.
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396. Good. That'll give me time to figure out
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397. why the hell we're doing an echo.
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398. Dr. Browne, you're with me.
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399. We're gonna go find your weird guy.
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400. Keep him stable.
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401. Why the echo?
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402. Uh, okay. He, uh... He... Okay.
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403. Uh, he... Uh, I, uh... He...
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404. Okay. I understand you think
he needs an echocardiogram.
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405. We just don't know why.
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406. Well, I-I noticed that
there was a slight reduction
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407. in the intensity
of the electrocardiogram.
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408. The electrical flow...
I noticed that, too.
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409. The heart rate was the same,
but the amplitude dropped.
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410. Pericardial effusion.
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411. Reduced cardiac output.
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412. Would stress other organs.
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413. Causing them to shut down.
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414. Yes.
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415. Hold on.
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416. Yeah, we're coming right back up...
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417. Thank you.
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418. They did the echo. It's normal.
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419. No pericardial effusion.
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420. No. It has to be. There...
There is no other explanation.
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421. The echo is normal, which
means we just wasted our time.
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422. N-No.
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423. Okay, um, hey, come with me.
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424. Come on.
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425. Show them.
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426. Again.
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427. Again.
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428. Again.
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429. There.
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430. Looks normal to me.
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431. It's not normal.
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432. There's a concave deformity
in the right atrium.
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433. Um, no, there's not.
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434. Yeah. Yes, there is. It's very subtle.
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435. Even if you are right,
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436. that's not where a pericardial
effusion manifests.
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437. Not usually.
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438. But it... it could.
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439. This kid was sprayed with glass
shards... cut his jugular.
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440. What if a piece of glass
entered his blood stream?
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441. It could have traveled
down the jugular vein,
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442. into the brachiocephalic vein
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443. and on to the superior vena cava.
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444. If it punctured the SVC,
blood could be leaking
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445. behind the heart,
restricting the heart's ability
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446. to expand and fill during diastole,
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447. reducing the heart's efficiency.
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448. Lot of ifs there.
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449. Dr. Chen, pair of 14-gauge on a syringe.
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450. All in favor of ratifying
Dr. Glassman's decision
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451. in hiring Dr. Shaun Murphy?
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452. All against.
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453. Excuse me.
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454. Is this a medical emergency?
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455. No. No medical emergency...
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456. Then you weren't
supposed to interrupt...
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457. Yes, I know, but you need to go online.
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458. - What? What site?
- Pretty much any of them...
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459. Twitter, YouTube, any local news site.
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460. He saved his life!
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461. The YouTube clip already has
over 200,000 views.
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462. Apparently, he's one of our doctors.
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463. Dr. Shaun Murphy saved this boy?
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464. The boy is in O.R. 2.
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465. Dr. Melendez isn't sure
if he's going to make it.
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466. Your fiancé sure can handle a knife.
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467. Why did you warn me about
respecting Dr. Andrews?
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468. What's going on?
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469. I'm not gonna always
be here to protect you.
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470. You think you're gonna lose?
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471. Everybody loses...
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472. eventually.
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473. Is that your guy?
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474. Can we get a TV?
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475. No.
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476. Why not?
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477. Because we're poor, dude.
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478. We live in a bus.
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479. Do you think Mom is looking for us?
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480. Nope.
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481. She loves us, but she knows
it's better this way.
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482. I got you a present.
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483. It's not my birthday.
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484. I got you a present anyway.
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485. Here.
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486. Kelly.
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487. Dr. Browne...
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488. You were right.
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489. - I don't like pickles.
- I know.
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490. - I don't want pickles.
- And I checked.
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491. You saved that boy's life.
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492. Oh, good.
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493. His name is Adam.
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494. Traumatic pneumothorax.
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495. I'm hungry.
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496. Board reconvenes in 45 minutes.
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497. Can you stay here until I get back?
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498. Okay.
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499. Okay.
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500. He's got a serious deficit.
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501. A child is alive today
because of that deficit.
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502. And tomorrow, one may
be dead because of it.
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503. I seem to remember that
when I hired you,
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504. you weren't exactly making
the most adult decisions.
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505. You haven't killed anyone yet. Have you?
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506. Well, thankfully,
there's a cure for youth
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507. and stupidity... time and experience.
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508. There's a cure
for stupidity? Okay.
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509. That would be a windfall.
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510. All Shaun has is a diagnosis.
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511. I'd like your help.
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512. I take it I'm not gonna get it.
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513. Okay.
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514. Wait.
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515. What's the story with this kid?
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516. Why is it so important to you?
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517. Why not?
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518. Because letting things
get personal is a sure formula
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519. for screwing things up.
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520. I don't know.
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521. Letting things get personal is how we...
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522. ...how we make it matter.
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523. So, are you proud or disappointed?
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524. Do I have to pick just one?
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525. Hey.
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526. You're new to town, right?
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527. Yes.
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528. Well, I'm sure you have
a lot of questions.
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529. No.
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530. Uh...
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531. You got to be curious about
the place, about the people.
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532. Dr. Glassman gave me
a map of the hospital,
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533. and I got a map of San Jose online.
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534. Okay.
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535. Great.
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536. I do have one question.
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537. Yeah?
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538. Why were you rude to me
when we first met,
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539. then nicer to me the second time we met,
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540. and now you want to be my friend?
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541. Which time was it
that you were pretending?
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542. Shaun. We're ready.
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543. The vote was clear.
Why are we reopening this?
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544. Is it really because
of a piece of publicity?
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545. It's because the man just
saved somebody's life.
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546. And thank God for that,
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547. but it doesn't change
a single thing we discussed.
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548. Glassman: Give him six months.
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549. If he proves anything
less than excellent...
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550. Someone "less than excellent"
means someone else dies.
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551. Well, I-I would love
to make you happy, Doctor.
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552. I would love to hire someone
who never, ever makes a mistake.
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553. Unfortunately, God already has a job.
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554. I can accept that he will have insights
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555. that none of the rest of us will have.
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556. Can you accept that
he will make mistakes
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557. none of the rest of us will make?
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558. You won't be the one who pays the price.
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559. If Shaun doesn't live up to
everything I know he can do,
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560. he will be immediately released.
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561. And I will resign my position
as President of this hospital.
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562. We haven't heard from Dr. Murphy yet.
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563. Perhaps we should hear from him
before we decide his fate.
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564. Shaun...
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565. Dr. Murphy...
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566. I'd like you to tell us why
you want to become a surgeon.
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567. Why do I want them to be my friends?
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568. Everybody needs friends, Shaun.
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569. It's gonna be cool, okay?
Play hide and seek maybe?
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570. - Okay.
- Tag in the warehouse?
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571. Hey, stop following me.
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572. - Told ya it was fun, right?
- Shh!
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573. Hey, you know what?
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574. The day that the rain
smelled like ice cream,
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575. my bunny went to heaven
in front of my eyes.
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576. The day that the copper pipes
in the old building
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577. smelled like burnt food,
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578. my brother...
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579. went to heaven in front of my eyes.
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580. I couldn't save them.
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581. It's sad.
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582. Neither one had the chance
to become an adult.
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583. They should have become adults.
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584. They should have had
children of their own
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585. and loved those children.
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586. And I want to make that possible
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587. for other people.
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588. And I want to make a lot of money
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589. so that I can have a television.
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590. Dr. Murphy...
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591. I want to be the first to welcome you
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592. to San Jose St. Bonaventure Hospital.
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593. We're very proud to have you.
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594. Shaun, Dr. Melendez's
team is going into surgery.
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595. I mean, if you're interested.
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596. Got a messy field here.
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597. Murphy.
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598. Shaun: Suction.
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599. Never forget, you're the smart one.
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600. You can do anything.
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601. And I'm proud of you, Shaun.
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602. Bet you've seen many of these.
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603. I remember my first.
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604. Kept thinking, "It doesn't get
any better than this."
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605. And for you, I'm afraid,
that's literally true.
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606. You're a nice kid,
and you're obviously very smart,
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607. but you don't belong here.
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608. So, as long as you're part of my team,
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609. this is all you're ever
going to be doing... suction.
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610. I saw a lot of surgeons
in medical school.
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611. You're much better than them.
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612. I have a lot to learn from you.
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613. You're very arrogant.
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614. Do you think that helps you
be a good surgeon?
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615. Does it hurt you as a person?
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616. Is it worth it?
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