1. Autism,
a mental condition
Copy !req
2. characterized by
difficulty in communicating.
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3. Does it sound like
I'm describing a surgeon?
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4. You saved his life.
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5. I'm Dr. Shaun Murphy.
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6. Never forget,
you're the smart one.
And I'm proud of you, Shaun.
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7. My brother went to heaven…
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8. In front of my eyes.
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9. He's got a serious deficit.
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10. We hire Shaun,
and we give hope to those
people with limitations
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11. that those limitations
are not what they think
they are.
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12. That they do have a shot.
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13. If Shaun
doesn't live up to everything
I know he can do,
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14. I will resign my position
as president of this hospital.
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15. Where to?
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16. San Jose
Saint Bonaventure Hospital.
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17. I'm a surgical resident.
Today's my first full day.
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18. I meant floor.
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19. Oh. Ground floor.
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20. I'm taking the bus.
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21. This is Mitchell Brand,
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22. 55 years old, post-op day one
from a radical prostatectomy.
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23. Morning, Mitchell.
I'm Dr. Melendez.
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24. These are my residents,
Dr. Browne and Dr. Kalu.
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25. Your surgery went perfectly.
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26. Yeah? Am I ever
gonna walk again?
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27. Yes, of course.
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28. This is Mitchell Brand,
I reviewed his chart.
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29. He's 55 years old,
from Chicago, divorced
with two children.
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30. You did a radical
prostatectomy
on him yesterday.
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31. There are many possible
complications but none
related to motor neurons.
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32. There is no chance
you won't be able to walk.
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33. He… He wasn't worried
about his legs.
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34. Oh, yes.
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35. There's a significant
chance of impotence.
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36. Dr. Murphy, you're late.
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37. Nah, the bus was late.
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38. The schedule was clear.
They post it online.
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39. But the 4 bus was late,
which meant…
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40. - You're late.
- Five minutes. We've all been…
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41. On your first day, no less.
It is your responsibility
to be here.
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42. If you are not, you have failed
in your responsibility,
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43. - which makes it your fault.
- Okay. How can it be my fault?
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44. I did nothing wrong. The bus…
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45. This is gonna work out great.
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46. The board clearly
made the right choice
in hiring you.
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47. Thank you.
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48. Dr. Melendez, we've got
an emergent consult in the ER.
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49. You should be fine
if you leave it alone
for a couple of days.
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50. Four days of indigestion,
bloating, constipation,
and nausea.
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51. - And a lot of pain, apparently.
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52. Did you give her morphine?
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53. Yeah, 10 milligrams.
It hasn't touched her pain.
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54. You have time to get a CT?
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55. Yeah. That's why I called you.
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56. It's very big.
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57. Yes, it is.
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58. What are we looking at?
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59. It's definitely
abutting the aorta
and the left kidney.
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60. Renal angiomyolipoma?
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61. Do you see
an extensive blood supply?
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62. No.
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63. Maybe some kind
of neurogenic tumor.
Or maybe a lymphoma.
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64. She has a sarcoma,
a malignant tumor.
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65. "Malignant"?
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66. That means
it's killing me, right?
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67. - Yes.
- Not necessarily.
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68. We're just speculating
right now.
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69. No, it's definitely malignant.
If it weren't malignant…
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70. - Please stop saying
"malignant."
- Shall we talk outside?
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71. Give her more morphine.
As much as she wants.
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72. Okay.
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73. Hang in there.
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74. You scared her.
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75. - You didn't need
to be so blunt.
- Why?
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76. Her prognosis is terminal
without immediate
medical intervention.
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77. Isn't that scary?
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78. Well, that fear
does her no good.
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79. Does she have
a malignant sarcoma?
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80. Are we gonna be
doing a laparotomy?
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81. We'd need intra-operative
staging with a biopsy,
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82. extensive dissection
of the retroperitoneum,
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83. and excision of the mass
with wide, clear margins.
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84. - I want in.
- You do know
you're drooling, right?
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85. About cutting open
a 40-year-old woman.
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86. Real person.
Right behind that door.
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87. It's called bedside manner.
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88. No such thing
as outside-the-door manner.
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89. It is exciting, Claire.
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90. We'd be saving a life.
And we'd be learning.
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91. - See?
- Dr. Browne,
you're my number two.
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92. With all due
respect, Doctor…
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93. Comments that start
that way rarely
come across that way.
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94. I was going to say
that's an excellent call.
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95. Thank you. Jared,
prep the surgical team.
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96. Sir, what do I do?
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97. - Scut work.
- What's scut work?
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98. Today I'm gonna
need my surgeons
to have no distractions.
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99. So I'm gonna need you
to handle those distractions.
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100. All the work they do every day
that they hate doing…
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101. You're handling it for them.
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102. Make sure
they know we still need
a consent on that one.
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103. - Am I being punished
for something?
- No.
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104. Okay.
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105. So that's it?
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106. You just accept my answer
at face value?
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107. Why?
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108. You're very arrogant.
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109. Arrogant people don't think
they need to lie.
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110. So, you must be
doing this to teach me.
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111. I look forward to learning
from scut work.
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112. Say, "Ah."
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113. Ah.
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114. - How long will this be?
- Seven minutes.
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115. Without any complications,
it takes seven minutes
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116. to do a discharge
examination properly.
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117. Dr. Dunsmuir has already
cleared him to go
and we need the bed.
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118. Okay. Protocol requires
that the surgical department
also clears him.
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119. You have an ear infection.
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120. Yes,
that's why he's here.
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121. My hearing's been
a little muffled
and I've had some ringing.
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122. They gave him amoxicillin,
and we're sending him home.
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123. Which is why you're here.
To send him home.
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124. I'd like an MRI of the head
and internal auditory meatus.
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125. I'm not being discharged?
What do you think is wrong?
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126. I'll tell you
when I know for sure.
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127. I don't wanna scare you.
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128. Shaun. What are you
doing down here?
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129. I'm waiting for her to fart.
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130. Flatulence. But I'm
using the word "fart"
in front of the patient
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131. to be more casual.
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132. But you're the president
of the hospital,
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133. so I'll say
"flatulence" to you.
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134. Well, I appreciate that.
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135. Why are you doing that?
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136. She had her deviated
septum repaired.
Before we can release her,
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137. we have to be sure
she isn't suffering
from postoperative ileus.
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138. Ah.
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139. This is what Dr. Melendez
feels you'll be most useful
doing today?
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140. Waiting for farts?
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141. I'm not just
waiting for farts.
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142. - Thank goodness.
- I'm doing all the scut work.
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143. Well, welcome
to your surgical residency.
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144. Thank you.
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145. There. I think that was it.
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146. I don't think so.
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147. I'll wait a little longer.
This is important.
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148. The procedure
is called a laparotomy.
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149. Hmm.
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150. Yeah, your heart
sounds good.
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151. So, we make a long
incision down the middle
of your abdomen…
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152. - Expose the tumor…
- Am I going to die?
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153. Dr. Melendez
is the best surgeon
I have ever seen…
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154. Can this all wait?
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155. You have a very
serious condition.
It's not advisable to…
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156. Just a couple of weeks.
My son is getting
married next weekend.
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157. They look very happy.
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158. After the initial incision…
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159. They've been
planning this for months.
If they have to reschedule…
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160. Well, this is
complicated surgery,
but if all goes well,
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161. recovery's pretty easy.
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162. No need
to reschedule anything.
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163. And if it doesn't?
If it doesn't go well?
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164. My husband died
in a car accident
a couple of years ago.
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165. Mark is our only child.
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166. I can't die right before
his wedding. I can't.
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167. You're not gonna die.
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168. You will be at the wedding.
Looking beautiful.
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169. Okay.
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170. You're not supposed
to make promises
like that, Dr. Browne.
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171. I told her what
she needed to hear.
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172. Officially, our legal
department's policy is
to tell the ugly truth.
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173. The uglier the better.
Is that what you did?
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174. I don't think
that's what you did.
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175. Yeah, well,
it's a dumb policy.
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176. She needs to have
the surgery. Scaring her
would change nothing.
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177. Right. Because a much
better policy would be
to lie to all of our patients
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178. whenever it makes
you feel better.
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179. No, it doesn't make me
feel better.
It makes her feel better.
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180. I'm pathetic.
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181. - What?
- I am pathetic.
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182. And here's my thinking,
so just bear with me
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183. because it kind of
insults both of us.
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184. You met that woman
an hour ago
and you lied to her.
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185. A pity lie
because you obviously
care about her.
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186. A pity lie that has absolutely
zero upside for you.
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187. But I can't make you,
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188. the world's softest touch,
care about me.
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189. Hey.
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190. I need a consult.
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191. You have a question
about this?
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192. This patient's
perfectly healthy.
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193. There's not even
any artifact on these images.
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194. Yeah. Which, in turn,
raises an interesting
medical question.
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195. Why the hell
did this patient
get an MRI?
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196. I don't know
anything about this.
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197. Yeah. Someone
on your team ordered it.
It's your responsibility,
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198. which makes it your fault.
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199. How did you…
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200. It's my department, it's my job
to know everything.
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201. Well, then,
since I work for you,
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202. doesn't that make
all this actually your fault?
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203. Sorry. I stopped listening
after "I work for you."
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204. - Does that hurt?
- Yes.
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205. - Does that hurt?
- Yes.
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206. - Does that hurt?
- How much are we
paying for this?
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207. She has a tummy ache.
That's what they do,
they ache.
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208. She's just trying
to get out of school. Again.
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209. Where do you think
she learned that from?
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210. You don't think she hears you
calling in sick to work
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211. right before you go golfing?
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212. I like school.
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213. Me, too. What did you eat
for dinner last night?
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214. - Cereal.
- I thought
you made meatloaf.
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215. I did. And it got cold
while we were waiting for you.
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216. I want D-dimer,
lactate, and amylase…
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217. What tests are you ordering?
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218. D-dimer, lactate, and amylase.
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219. - For a tummy ache, hmm?
- Yes.
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220. I'm concerned it may be…
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221. Shall we talk outside?
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222. Told you
something was wrong.
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223. You're happy she might be sick?
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224. I'm happy you're wrong.
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225. Yeah, let's talk outside.
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226. Have they been bickering
like that the whole time?
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227. I didn't notice.
They aren't sick.
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228. Yeah, they're
what we call a vector.
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229. A carrier. A cause of disease.
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230. - You mean the parents?
- Yeah.
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231. That little girl
has a tummy ache
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232. because Mommy and Daddy
won't stop fighting.
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233. This isn't a medical issue.
Send them home.
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234. It could be intestinal
malrotation, which could
quickly become fatal.
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235. And every patient
in this hospital
could have malaria,
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236. but that doesn't mean
we're gonna go around
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237. testing for every condition
we think they could have.
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238. For example, that MRI
you ordered on the guy
with the ear infection?
Copy !req
239. - Nice call, genius.
- Thank you.`
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240. I was being sarcastic.
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241. It's normal. He's healthy.
Send him home, too.
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242. - Why are you smiling?
- Because you're right.
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243. So, you thought he was
making a mistake
and didn't say anything?
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244. You just stood by
watching, taking notes,
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245. while he wasted
everybody's time?
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246. Is that your job?
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247. In my experience,
doctors don't listen
to nurses.
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248. And they only talk
to us to lecture us
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249. when they figure
we screwed something up.
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250. From now on,
you don't run any tests
you don't have to run.
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251. How do I know
if a test is needed
until after I run it?
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252. She'll tell you.
Today, she's your boss.
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253. I could never
eat before surgery.
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254. Puke? I could do that.
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255. I get cranky if I don't eat.
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256. I hear Shaun made the call.
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257. He's an excellent
diagnostician.
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258. You should get him
a job in radiology.
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259. He doesn't wanna be
a radiologist,
he wants to be a surgeon.
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260. That's what we hired him to be.
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261. That's what I worked
damn hard
to hire him to be.
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262. Not a glorified orderly.
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263. Every resident
does scut work.
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264. So you're treating him
like anybody else?
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265. - Are you?
- Yes. Yes, I am.
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266. He more than earned
the right to be here.
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267. He has had to get past
people like you
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268. and their prejudices
every step of the way.
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269. - "Prejudices"?
- Yeah, prejudices.
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270. Do you have any idea
how many patients he scared
the crap out of today?
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271. How many wasted tests
he ordered?
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272. - So teach him.
- I'm doing that.
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273. I'm teaching you both
that he doesn't belong.
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274. Okay.
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275. You're gonna make me
pull rank, I will pull rank.
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276. This is my hospital.
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277. But it's my team.
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278. You can't tell me
how to run my team.
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279. Hey. How are you doing?
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280. What's the point
of sarcasm?
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281. Um… Uh, I…
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282. Well, I guess
sometimes it's a way of
Copy !req
283. critiquing people in a way
that's funny, so they
don't feel quite so bad.
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284. Isn't it just lying?
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285. Well, it's not lying,
because people know
you're lying.
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286. I'm not good at that.
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287. You may remember me
from last year.
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288. We sell chocolate bars
every year
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289. to pay for our class trip
to Mount Rushmore.
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290. Okay.
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291. But this year we're not going
to Mount Rushmore.
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292. Because Kenny can't go.
He's got cancer.
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293. So, Samantha had the idea
that if he can't go,
none of us would go,
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294. and we all thought
that was a great idea.
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295. So we're gonna have a party
at the hospital for him.
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296. There are two Kennys
in your class.
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297. Is it Kenny I or Kenny M?
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298. No one's sick.
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299. You mean you lied?
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300. - You aren't supposed to lie.
- Yeah.
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301. And you and me aren't
supposed to starve.
We need money for food.
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302. - Was any of that true?
- Yeah.
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303. We're not going
to Mount Rushmore.
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304. I can't discharge people
if I think
they might still be sick.
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305. Um, of course not.
Why would you?
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306. Dr. Melendez made
Nurse Fryday
my boss today.
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307. Should I speak
to Dr. Glassman?
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308. No.
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309. What did you think
this job was?
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310. - To save people's lives.
- No.
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311. I mean, yeah, sometimes
we do save lives.
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312. But the job…
It's doing whatever
Melendez asks us to do.
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313. Paging Dr. Browne.
Paging Dr. Browne to the OR.
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314. I'm Dr. Claire Browne.
I'm First Assist today,
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315. and I'll be leading
the time out. Patient's name?
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316. Stephanie Willis.
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317. Scheduled surgery?
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318. Excision
of an indeterminate
retroperitoneal tumor.
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319. We don't anticipate
any complications
with the surgery.
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320. Thank you, Dr. Browne.
Copy !req
321. - Ten-blade.
- Ten-blade.
Copy !req
322. Let's remove a tumor.
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323. No.
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324. It might be infected.
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325. - It's not.
- There is some discoloration.
Copy !req
326. He's 82 years old.
Everything is discolored.
Copy !req
327. Once we
get through the muscle layer,
proceed carefully.
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328. Blood pressure,
120 over 70.
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329. Heart rate, 60.
She's holding steady.
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330. I've opened
the fascia.
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331. You kept your puke?
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332. Yeah, I thought
you'd wanna see it.
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333. It looks like puke.
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334. No. No, no.
It's not the regular color.
Copy !req
335. - Your puke has
a regular color?
- Yeah.
Copy !req
336. It is a bit
of an unusual color.
Copy !req
337. We could order some…
Copy !req
338. - I'm sending you home.
- You're sure?
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339. It's safe for me to go home?
Copy !req
340. I don't know
what to say.
Copy !req
341. You'll learn. By doing.
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342. Hi.
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343. My brother said there's
a kid named Kenny and he's
sick and there might…
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344. You should give us money.
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345. So, am I okay?
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346. Am I okay?
Copy !req
347. According to all hospital
rules and direct instructions
given to me, yes.
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348. But…
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349. Whoa.
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350. We need
better exposure of this tumor.
Copy !req
351. Now, let's get
the deep Balfour in here.
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352. Deep
Balfour retractor.
Copy !req
353. Let's get this thing open.
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354. I've got to see
where it's safe to cut.
Copy !req
355. I can't see anywhere
where the tumor hasn't
encased her arteries.
Copy !req
356. Claire, tell me
you got something.
Copy !req
357. I've got nothing.
This tumor is way bigger
than it looked on the scans.
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358. I… I can't even see her aorta.
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359. That's a problem.
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360. Is that the girl
with the bickering parents?
Copy !req
361. Didn't we send her home?
Four hours ago?
Copy !req
362. Dr. Murphy? Dr. Melendez
needs you in surgery.
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363. That won't be necessary.
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364. The tumor has
entirely encased
the large abdominal arteries.
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365. That's very bad.
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366. If it's in the artery walls,
it's going to be impossible
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367. to cut out without killing her.
Copy !req
368. You should get
a biopsy to determine
where the margins are.
Copy !req
369. - Thank you.
- You're welcome.
Copy !req
370. I was being sarcastic. Again.
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371. Oh, I see, because you already
know everything I said,
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372. and you already sent
a biopsy to the lab?
Copy !req
373. Yes. 'Cause I'm a doctor too.
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374. Yes. But you need me?
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375. Yeah. I need you
to run down to the lab
and hurry them along.
Copy !req
376. I'm Dr. Shaun Murphy.
I'm a surgical resident.
Copy !req
377. Dr. Melendez
sent you a biopsy.
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378. When will the results
be ready?
Copy !req
379. When I get to it.
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380. It's very important.
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381. They're all very important.
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382. Let me see
the other test orders.
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383. I'll tell you which ones
are most important
Copy !req
384. and you can do them
in that order.
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385. I'll be honest and fair.
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386. That is not the way
that it works.
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387. Now go wait your turn.
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388. Do it again.
Copy !req
389. - Get the hell away
from me, you moron.
- Let's get out of here.
Copy !req
390. Wait, wait, wait.
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391. If you wanna
get anything in life,
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392. Shaun, there's one thing
you gotta do.
Copy !req
393. Never be afraid.
Copy !req
394. You're the moron!
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395. If you don't do Dr. Melendez's
test right now,
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396. I will throw a rock
through your window.
Copy !req
397. Well, I wouldn't want that.
Copy !req
398. Go have a seat.
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399. Your results will
be ready in 15 minutes.
Copy !req
400. You got a minute?
Copy !req
401. I have a patient
lying in the OR
waiting for lab results,
Copy !req
402. and I'm sitting here,
trying to figure out what
the hell I'm gonna do next
Copy !req
403. and I don't like
any of my options. So…
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404. Yeah, unfortunately,
it seems I do.
Copy !req
405. Okay. We can talk
another time.
Copy !req
406. Glassman talked to you.
Copy !req
407. I don't have a problem
with an autistic doctor.
Copy !req
408. No, you just have a problem
with one working for you.
Copy !req
409. Really? That's how you see me?
Copy !req
410. Let's not make this personal.
Copy !req
411. You're accusing me
of prejudice.
Copy !req
412. I have a problem with a doctor
who has a problem
with communication.
Copy !req
413. Okay. Let's
make this personal.
Copy !req
414. Who do you respect
at this hospital?
Copy !req
415. You and Glassman.
Copy !req
416. And who do you not respect?
Copy !req
417. It doesn't bother you
that it looks like you're
on the wrong team?
Copy !req
418. If the tumor hasn't invaded
into the arterial walls,
Copy !req
419. we could create
a plane of dissection.
Copy !req
420. Well, if it's a non-invasive
liposarcoma,
Copy !req
421. we can work it off
from the outside.
Copy !req
422. Blunt section, tissue forceps.
Peel it off, piece by piece.
Copy !req
423. It's a leiomyosarcoma.
Copy !req
424. Well, that sucks.
Copy !req
425. - Yes, it's sad.
- The surgery's impossible.
Copy !req
426. Well, might as well
wake her up.
Copy !req
427. Let her know she has
three months to live.
Copy !req
428. Offer palliative care.
Copy !req
429. The surgery isn't impossible.
Copy !req
430. Just very, very,
very difficult.
Copy !req
431. Yes. In the sense that
we'll be operating blind.
Copy !req
432. Yes, because the left kidney
is in the way.
Copy !req
433. The healthy left kidney.
Copy !req
434. Both kidneys
are healthy, Jared.
She only needs one.
Copy !req
435. Without the left one,
it's theoretically possible
Copy !req
436. to access the tumor
and remove it.
Copy !req
437. You're suggesting we cut out
a perfectly healthy organ
Copy !req
438. - just to get a better view?
- Yes.
Copy !req
439. - But she might die anyway?
- Yes, quite probably.
Copy !req
440. I have to go.
I have a boil to lance.
Copy !req
441. I mean, that's a brilliant,
Copy !req
442. very, very, very terrible idea.
Copy !req
443. Close her up
and wake her up.
Copy !req
444. Who wants to join me
when I tell her she has
six weeks left to live?
Copy !req
445. There is one possibility.
Copy !req
446. If we remove the left kidney,
we might be able to get
Copy !req
447. a good enough view
to successfully remove
the mass.
Copy !req
448. Take out a healthy kidney
to get a better view?
That's insane.
Copy !req
449. A good view is half
the battle in any operation.
Copy !req
450. Most likely outcome
is we'd be depriving
Copy !req
451. her of what little time
she has left.
Copy !req
452. But if we succeed…
Copy !req
453. You wanna do this
'cause it's exciting.
You wanna be a hero.
Copy !req
454. But if you fail,
this woman dies.
Copy !req
455. She misses
her son's wedding.
Copy !req
456. Well, that's
the issue, isn't it?
Copy !req
457. You promised
this woman she'll be okay.
Copy !req
458. She had to do the surgery.
I might as well
tell her good things.
Copy !req
459. The reason
we don't make patients
promises isn't just for legal.
Copy !req
460. Jared's right,
your judgment
is compromised.
Copy !req
461. - I still think…
- But you're not objective.
Copy !req
462. Who the hell is?
Copy !req
463. We should at least
wake her up,
Copy !req
464. explain what we found,
what we're hoping to do,
Copy !req
465. and get a new consent.
Copy !req
466. What we're hoping to do
is exactly what you told her
we were going to do.
Copy !req
467. Remove that tumor.
Copy !req
468. The only thing we'd be
explaining is why you
undersold the risks.
Copy !req
469. We're doing the surgery.
Copy !req
470. And Jared, you're
my new number two.
Copy !req
471. - Mayos.
- Mayos.
Copy !req
472. Going to open the fascia
and expose the kidney.
Copy !req
473. - You clamp the renal hilum.
- Clamp.
Copy !req
474. Clamp.
Copy !req
475. We just cut off
the blood supply
to a perfectly healthy kidney.
Copy !req
476. If we needed
color commentary,
Copy !req
477. I would have hired
Jeff Van Gundy.
Copy !req
478. Shaun, I believe
you've met Trevor.
Copy !req
479. Yes, I sent him home.
Copy !req
480. Yes, well, he didn't go home.
Copy !req
481. He actually came
to the president
of the hospital instead.
Copy !req
482. He said you sent him home
even though
you thought he was sick.
Copy !req
483. I specifically never said that.
Copy !req
484. I made sure not to say that.
Copy !req
485. No. No. What the hell
does that mean?
Copy !req
486. What does that mean, Shaun?
Copy !req
487. - Am I healthy?
- Probably.
Copy !req
488. You're a doctor,
you're supposed to know.
Copy !req
489. No, we're not.
Nobody knows
anything for sure.
Copy !req
490. Anybody could drop dead
of a heart attack at any time.
Copy !req
491. Who is this guy? Am I…
Am I gonna have
a heart attack?
Copy !req
492. Shaun has some
difficulty with certain
social interactions…
Copy !req
493. - But if he says…
- I don't give a crap
what he says.
Copy !req
494. What do you say?
Am I healthy?
Copy !req
495. I've reviewed your chart
and I can say
with complete confidence
Copy !req
496. that you are in peak
physical condition.
Copy !req
497. Thank God.
Copy !req
498. Shaun, people
need reassurance.
Copy !req
499. I told him
he was safe to go home.
I was very clear.
Copy !req
500. With your words.
Your actions said something
completely different.
Copy !req
501. No, they didn't.
My actions were
completely silent.
Copy !req
502. When you reassure someone,
they have to receive it.
Copy !req
503. You have to gauge whether
they actually are reassured.
Copy !req
504. You understand?
Copy !req
505. When did you
review Trevor's chart?
Copy !req
506. I didn't.
Copy !req
507. It's not really a lie.
If you say that
he is safe to go home,
Copy !req
508. then I know for a fact
that he's safe to go home.
Copy !req
509. I sent a girl home today.
Copy !req
510. How often do people
develop stomach issues
because of their brain?
Copy !req
511. Based on my
personal experience,
every single day.
Copy !req
512. I want D-dimer, lactate,
and amylase
for a 10-year-old girl,
Copy !req
513. Martine LaDuff.
Copy !req
514. She might have a tummy ache
caused by stress.
Copy !req
515. Or she might not.
Copy !req
516. - Hi, Shaun.
- Hi, Carly.
Copy !req
517. That's a lot of tests
for an upset stomach.
Copy !req
518. - You could get in trouble.
- That's definitely true.
Copy !req
519. Remove the kidney.
Copy !req
520. Okay.
Copy !req
521. Let's get in there
with some suction, Claire,
Copy !req
522. so we can get a better view
of what we're dealing with.
Copy !req
523. There it is.
Copy !req
524. It's a mess.
Copy !req
525. Yes, it is.
Copy !req
526. But now it's a mess
we can see.
Copy !req
527. Everything is
within normal range.
Copy !req
528. Slightly elevated
lactate and amylase.
Copy !req
529. And she's very small.
Normal should be lower.
Normal should be lower.
Copy !req
530. What do you think she has?
Copy !req
531. Thank you.
Copy !req
532. What the hell? It's after00.
Copy !req
533. I ran tests. The results
were ambiguous.
Copy !req
534. I think Martine
has intestinal malrotation
Copy !req
535. and that a volvulus
has occurred.
Copy !req
536. "Ambiguous" tests
told you this?
Copy !req
537. It's a genetic condition.
Copy !req
538. The symptoms
are very similar to stress.
Copy !req
539. Call us in the morning.
Copy !req
540. Okay. She may not be alive
in the morning.
Copy !req
541. Does your boss
know you're here?
Copy !req
542. No, I think he'd be upset
with me for being here.
Copy !req
543. I am not waking
my daughter up
Copy !req
544. in the middle
of a school night
because of some freak.
Copy !req
545. And you don't need
to call me in the morning,
Copy !req
546. because I'll be calling
your boss in the morning.
Copy !req
547. Were you being sarcastic?
Copy !req
548. - How hard is it
to get rid of someone?
- I told him…
Copy !req
549. You're right, I'm weird.
Copy !req
550. Part of my weirdness
is that I perseverate.
Copy !req
551. That means I keep
thinking about things.
Copy !req
552. So I will keep knocking
on your door until
I know Martine is okay.
Copy !req
553. Martine.
Copy !req
554. Martine?
Copy !req
555. Martine?
Copy !req
556. Martine, you need to wake up.
Copy !req
557. - Oh, honey…
- Martine?
Copy !req
558. She vomited.
Copy !req
559. - I can't wake her.
- I'll call 911.
Copy !req
560. No. There is no time.
Copy !req
561. - Do you have a car?
- Yeah.
Copy !req
562. Shaun! What's wrong?
What's wrong?
Copy !req
563. Hey. Hey! You called me.
What's wrong?
Copy !req
564. Hey, look at me.
Look at me!
Copy !req
565. What's…
You don't have to say
the whole thing, okay?
Copy !req
566. Just one thing, okay?
Copy !req
567. - One thing.
- My brother…
Copy !req
568. Hold on, Shaun.
Hold on now. Hold on.
Copy !req
569. Her pulse is too weak
to perfuse her organs.
Copy !req
570. What? What does that…
Copy !req
571. - Jerry…
- Please hurry.
Copy !req
572. Patient is
a 10-year-old female.
Copy !req
573. She has bradycardia
with hypovolemic shock.
Copy !req
574. She needs oxygen,
IV adrenaline
Copy !req
575. and a liter of saline
wide open, please.
Copy !req
576. Coming through!
Copy !req
577. Her pulse is better.
She needs an ultrasound.
Copy !req
578. That is it.
Copy !req
579. Whoa.
Copy !req
580. - I think
you got it all.
- You "think"?
Copy !req
581. No, you definitely did,
I just can't quite believe it.
Copy !req
582. It was
your idea. You should
have more confidence.
Copy !req
583. Nice work, Doctor.
Copy !req
584. There.
Copy !req
585. The small bowel is twisted
around the superior
mesenteric artery.
Copy !req
586. Martine needs
surgery immediately.
Copy !req
587. We need to confirm
with Dr. Melendez.
Copy !req
588. No, Dr. Melendez is in surgery.
Copy !req
589. Part of Martine's
bowel is dying
and killing her with it.
Copy !req
590. No. You cannot make
these calls on your own.
Copy !req
591. Dr. Melendez was very clear.
Copy !req
592. He was very clear.
Copy !req
593. It's past midnight,
which means it's tomorrow.
Copy !req
594. Which means
you're no longer my boss.
Copy !req
595. Is this the OR scheduler?
Copy !req
596. Yes, this is Dr. Murphy.
Copy !req
597. Prepare an OR for surgery.
Copy !req
598. Ten-blade.
Copy !req
599. Ten-blade.
Copy !req
600. I'll take it from here.
Copy !req
601. Nice diagnosis.
I'll handle the repair work.
Copy !req
602. - Is Stephanie okay?
- Yes.
Copy !req
603. Jared had an excellent idea
and she's gonna be fine.
Copy !req
604. - Light.
- Light.
Copy !req
605. Would you
like me to assist?
Copy !req
606. Pretty basic.
I think I can take this one
on my own.
Copy !req
607. Go home. Get some sleep.
Copy !req
608. Let him stay.
Copy !req
609. Dr. Andrews,
Copy !req
610. I believe our opinions
on the wisdom
of hiring Dr. Murphy…
Copy !req
611. That battle is lost.
Copy !req
612. Shaun is here
and we have to accept it
Copy !req
613. and we will treat him
like any other resident.
Copy !req
614. Sir, it's my team.
- And it's my department.
Copy !req
615. Dr. Murphy.
Copy !req
616. Back on suction.
Congratulations.
Copy !req
617. Suction ready.
Copy !req
618. I am gonna get a drink.
I am way too
wound up to sleep.
Copy !req
619. You care to join me?
Copy !req
620. - For either?
- Don't think so.
Copy !req
621. Seriously? We were just
part of something amazing.
Copy !req
622. We reached into that woman
and we healed her.
Copy !req
623. And you're what, cranky?
Copy !req
624. Maybe you could
learn something from me.
Copy !req
625. Like what? To steal credit?
Copy !req
626. Make yourself a hero
with Shaun's idea?
Copy !req
627. No, but I fought for it.
I went out on a limb for it.
Copy !req
628. I deserve credit for that.
Copy !req
629. Why didn't you rat me out
as soon as I brought it up?
Copy !req
630. It seemed
beside the point.
Copy !req
631. No, you didn't rat me out
'cause you thought
the idea was crazy.
Copy !req
632. You would let me
take the fall.
Copy !req
633. Is that fair?
Copy !req
634. My idea if it fails,
but Shaun's if it succeeds?
Copy !req
635. But I'll tell you what,
Copy !req
636. I'll accept that you're right.
Copy !req
637. I'll apologize
to the whole team.
Copy !req
638. If you prove to me that
you're not a hypocrite.
Copy !req
639. How am I supposed to prove
something like that?
Copy !req
640. Our patient's about to come
out of anesthesia.
Copy !req
641. Tell her the truth.
Copy !req
642. When she wakes up
and hears what we did,
Copy !req
643. how we miraculously
saved her life,
Copy !req
644. be honest with her,
about credit.
Copy !req
645. Tell her you
didn't want to do it.
Copy !req
646. Tell her that you wanted
to send her home to die.
Copy !req
647. I hear you got Shaun off scut
and back into surgery.
Copy !req
648. I heard you tried.
Copy !req
649. You're welcome.
Copy !req
650. Just a friendly warning.
I know you have no interest
Copy !req
651. in helping Shaun.
Copy !req
652. You figure you give him
a little authority,
he'll screw something up
Copy !req
653. and then you will be
done with him,
Copy !req
654. and then you'll be
done with me.
Copy !req
655. You're right about me.
I am getting old
Copy !req
656. and maybe a little emotional.
Copy !req
657. Maybe I over-committed.
Copy !req
658. But you're wrong
about Shaun.
Copy !req
659. He's gonna handle anything
you throw at him.
Copy !req
660. Either way, if he succeeds,
Copy !req
661. I'm the guy
who just backed him.
And if he fails,
Copy !req
662. I'm the president.
Copy !req
663. Everything went great.
Copy !req
664. Thank you.
Thank you. Thank you.
Copy !req
665. - There were complications.
- But I'm okay?
Copy !req
666. - Yeah. But the surgery…
- I don't care.
Copy !req
667. You saved me. Thank you.
Copy !req
668. My son's going
to be here soon.
Copy !req
669. I told him you said
it would be okay,
but he flew in any way.
Copy !req
670. You saved me.
Copy !req
671. You're gonna be a beautiful
mother of the groom.
Copy !req
672. Go on in, take a bow.
You've earned it.
Copy !req
673. Why does it matter
who gets credit?
Copy !req
674. It matters because
the people who get credit…
Copy !req
675. They don't have
to do scut work.
Copy !req
676. Dr. Murphy,
thank you so much.
Copy !req
677. Thank you.
Copy !req