1. Good morning.
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2. Morning.
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3. I'm Jake, we met last week.
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4. Yes, we did.
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5. I was just gonna get some juice.
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6. Hope you don't mind.
Are you a drummer?
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7. Am I a drummer?
No. No, I'm a chef.
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8. Well, actually,
just a cook, but...
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9. dates drummers.
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10. I played clarinet
in junior high.
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11. What are you
doing out here?
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12. I told you to stay in my room.
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13. I just snuck out
to grab some O.J.
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14. I was really thirsty. Okay.
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15. I'm sorry.
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16. I should've told you
he was spending the night.
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17. I like Jake.
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18. That's nice of you to say.
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19. I know it's difficult to have
a stranger in your home.
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20. I have to drive Dr. Glassman
to his chemo appointment.
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21. He's five days in
and doing very well.
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22. I'm helping him.
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23. Jake is very sweet.
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24. You know,
when you get to know him,
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25. I'm sure you really
will like him.
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26. I said I like him.
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27. Will he be spending
the night here a lot now?
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28. No, not a lot.
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29. But...
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30. Would that be a problem?
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31. No. So is it cool
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32. if I have him over tonight
to watch a movie?
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33. It's cool.
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34. I have to go.
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35. Good morning, Dr. Glassman.
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36. I let myself in. I'm downstairs.
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37. How are you feeling today?
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38. Good, actually.
Better than yesterday.
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39. Yes, your skin was
a bit pale yesterday.
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40. Today your color
looks much better.
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41. I brought you your electrolytes.
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42. Thank you.
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43. Cheers.
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44. Why did you do that?
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45. I don't like the flavor,
the grape.
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46. Are you experiencing nausea?
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47. No, I didn't like the
flavor, I told you.
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48. I'm fine.
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49. I'm glad you're feeling well.
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50. Let's go,
or we're going to be late.
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51. Yep. Cancer's not
gonna kill itself.
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52. Hey.
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53. I was just
thinking about you, too.
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54. Actually, can I
call you at lunch?
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55. I'm with some people
right now, and...
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56. Yes, exactly.
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57. We'll talk later.
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58. Love you.
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59. New girlfriend?
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60. Still in the call-each-other-
the-next-morning phase?
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61. Yeah, you got me.
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62. Actually, no. It was Mia.
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63. We're giving our
relationship another shot.
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64. Wow. Park, that's great.
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65. Yeah, I told you because part
of the thing with Mia is...
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66. I'm trying to be more open.
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67. Thanks. You didn't
need to explain,
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68. but sounds good.
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69. She sounds like
she's good for you.
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70. Yeah.
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71. Of course,
if it doesn't work out,
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72. I'll have to talk to you
about that, too,
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73. admit I failed.
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74. Or I can be
a supportive colgue
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75. regardless of what happens.
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76. Seventy-year-old female. Neighbor
saw her collapse in her yard.
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77. Unresponsive. No heartbeat.
EKG is flatlined.
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78. Then she'd be cyanotic.
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79. Good capillary refill...
She's perfusing?
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80. Stop CPR.
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81. And she's breathing.
Your EKG must be broken.
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82. Worked fine on our call
right before her.
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83. Everything works fine
up until it doesn't.
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84. Nothing. Told you.
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85. Hook her up,
let's check her vitals.
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86. Blood is definitely flowing
to her extremities.
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87. Should we push epi,
get the crash...
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88. Wait. Everyone quiet.
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89. Listen.
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90. Is that...?
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91. She doesn't have a rhythm because
she has a mechanical heart.
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92. Lana Moore. 34-year-old female,
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93. was slurring her words,
symptom passed,
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94. but we found a grade two arteriovenous
malformation in her brain.
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95. Are we going to do
endovascular embolization
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96. or stereotactic radiosurgery
or resection?
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97. Endovascular embolization.
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98. Patient requests she's only
served green jello
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99. and that we dim all of
our incandescent light bulbs?
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100. Lana has autism.
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101. What're you looking at him for?
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102. It's not like
they all know each other.
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103. I was just curious
what his thoughts might be.
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104. I think we should go with
endovascular embolization.
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105. Now you know.
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106. The AVM is dangerous,
but the embolization
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107. is a relatively minor procedure.
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108. We'll make a small incision
in your leg
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109. so we can insert
a catheter into your...
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110. Are you okay, Javi?
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111. The lights aren't
bothering you too much?
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112. A little.
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113. Pse continue.
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114. We'll insert the catheter
into your femoral artery.
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115. Then we'll feed it up into
the arteriovenous malform...
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116. You brought a dictionary?
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117. Is there something I'm saying
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118. that you don't understand?
Lana loves rning new words.
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119. She's memorized
the scientific Latin name
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120. of every bug in South America.
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121. Go ahead, name any six-legged critter.
I love being quizzed.
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122. Rhinoceros Beetle.
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123. Megasoma actaeon.
Found in Guyana.
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124. It's the heaviest insect
in the world
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125. and weighs as much
as 300 grasshoppers.
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126. Is she right?
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127. I have no idea.
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128. I have to go.
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129. Javi...
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130. Javi.
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131. Where are you going?
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132. It's 1115. I have
to be home by noon
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133. to watch Judge Judy before work.
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134. I-It's important to us
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135. that your girlfriend
doesn't get stressed out,
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136. so we'd prefer it if you stayed
with her as long as you can.
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137. Lana's not my girlfriend.
We're just roommates.
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138. Still stable?
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139. The diuretics have
her O2 SATs up,
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140. but she's hypotensive.
And we checked every center
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141. approved to implant
mechanical hearts,
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142. but none have any record
of her as a patient.
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143. Check overseas.
I'd start with...
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144. Mom?
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145. Is it her heart?
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146. The implanted device
appears to be malfunctioning.
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147. Do you have
any contact information
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148. for the surgeon
who implanted it?
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149. Yes, of course.
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150. Dr. Li Wei. He's in Beijing.
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151. When did she have it implanted?
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152. A little over nine months.
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153. She just went back
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154. for a follow-up exam last month.
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155. She was fine.
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156. Can you fix it?
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157. I'm gonna find out.
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158. Hello.
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159. Hello.
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160. Don't be stupid.
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161. What? There's no cameras
in here.
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162. How was your
respective weekends?
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163. Good. Checked out some bikes.
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164. Brushed up on some reading.
Excellent.
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165. I hear the search for
Chief of Surgery is back on.
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166. As is our legal
department's response
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167. to the DPH complaint
against both of you,
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168. so I wouldn't get your hopes up.
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169. Probably just as well.
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170. I'd rather not see the two
of you competing again.
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171. You seem to be getting
along better.
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172. It's weird.
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173. Is it weird?
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174. They act like a couple, right?
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175. I live with,
but we're not a couple.
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176. Yeah, but you wish you were.
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177. Do you?
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178. has a new boyfriend.
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179. You must be a little jealous.
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180. Why?
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181. 's my friend and's happy.
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182. Okay.
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183. Jake, and I can
all be friends together.
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184. Shaun, 's new boyfriend doesn't want
to hang out with the three of you.
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185. If really likes this guy,
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186. she's gonna want to
spend time just with him.
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187. I know.
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188. For the sex.
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189. Her AVM has microbleeds.
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190. Her risk of rupture is doubled.
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191. They paged Sunny's surgeon.
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192. He's gonna call you in an hour.
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193. Tell them
I can't wait that long.
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194. Her cardiac output is low and...
Got it.
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195. He's in surgery.
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196. Excuse me. ?
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197. I'm Grace Lee.
Sunny Lee's daughter.
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198. They told me downstairs that
you're my mother's doctor.
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199. Yes.
Get them to send her records
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200. and everything they can
about the device.
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201. Manufacturer,
model number, manuals.
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202. Your mother's stable,
but we're struggling
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203. to get the information we need
from her doctor in China.
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204. I don't understand.
Her doctor's in China?
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205. Like on vacation?
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206. No, her cardiac surgeon.
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207. Your sister can fill you in on
everything we've done so far.
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208. I really need to get back
on this phone call. Wait.
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209. I don't have a sister.
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210. We met 10 years ago while I was
volunteering at a senior center.
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211. We hit it off.
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212. Neither of us had anyone
in our lives at the time.
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213. People assumed we were
mother and daughter
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214. because we did
everything together.
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215. After a while,
we just went with it.
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216. She'll be glad to see you.
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217. You look like you've put
your problems behind you.
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218. Problems?
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219. She told me about
your issues with drugs.
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220. My God.
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221. She caught me smoking pot.
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222. Once. I was a teenager.
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223. So you're fine?
Of course I'm fine.
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224. Then you don't
really have an excuse
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225. for not calling for
15 years, do you?
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226. They want her back.
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227. They've arranged
for transport...
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228. They'll do
the repairs in Beijing.
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229. Is that safe?
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230. Can she travel for that long
in her condition?
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231. It's a specially-equipped
plane for patients
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232. requiring urgent
medical assistance.
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233. And 20 hours in the air
is much safer
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234. than at st that long
on an operating table here
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235. while we basically fly blind.
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236. Okay. Okay.
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237. Prep her for transport.
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238. The microbleeds indicate
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239. that it may already
be starting to rupture.
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240. If it goes, you could suffer
permanent brain damage or death.
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241. Because of that, embolization is
no longer our preferred approach.
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242. We want to open you up
and cut it out.
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243. Can you try talking to her?
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244. Just because
I have autism doesn't...
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245. I'm not asking you
because you have autism.
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246. I'm asking you because
you're her doctor
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247. and I'm getting nowhere.
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248. The sting of
the Japanese Giant Hornet
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249. can dissolve human flesh
and attack the nervous system.
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250. Recommended treatment includes oral
antihistamine and acetaminophen.
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251. Comforting choice of words.
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252. It's 630. Dinner time.
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253. I brought burgers and jello.
This one's yours.
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254. Lana can't eat now.
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255. We're trying to schedule
a surgery to...
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256. I could die.
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257. The surgery sounds scary
but necessary, so I'll do it.
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258. "Big feet got there first.
Johnny stumbled caught himself
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259. "and swung silently
about at Dove.
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260. "'Gosh, Johnny, I'm sorry, '
snickered Dove.
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261. "'Sorry, you're going
to be a lot sorrier.'
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262. "'I just didn't notice.'
'You do that a...'" Shaun.
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263. What are you doing?
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264. Reading to you
from Johnny Tremain.
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265. You're reading words.
You're not reading sentences.
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266. This edition of Johnny
Tremain is 320 pages long.
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267. To get through the entire thing,
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268. I need to read 270 words
per minute.
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269. You don't have to finish
the book in one sitting.
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270. Yes, that's how I read novels.
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271. I want to know
where the characters end up.
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272. You know what? Let's just stop.
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273. I can go slower.
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274. I-I'm not listening, anyway.
Are you in pain?
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275. No, no, I'm not...
You seem fatigued.
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276. You know what?
I have a good idea.
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277. Why don't you
take out the garbage?
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278. Thank you.
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279. Where is your recycling?
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280. It's under the sink.
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281. Dr. Glassman,
this cannot be recycled.
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282. If it's broken,
it cannot be recycled
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283. because shards of glass...
I don't care, Shaun!
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284. I didn't ask you
to re-sort the garbage.
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285. I just asked you to take it out.
Can you do that?
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286. Your call light is on.
How can I help you?
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287. Any new symptoms or discomfort?
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288. Lana?
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289. Rhinoceros Beetle?
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290. I'm gonna get Javi on the phone.
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291. You can talk to both of us.
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292. Do these doors lock?
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293. No.
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294. Do you want them to?
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295. Is there someone
you're worried about?
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296. Is it Javi? Or someone else?
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297. I'm nervous about the surgery.
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298. is an excellent surgeon.
I've seen her do...
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299. I'd like Javi to come
and have sex with me.
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300. I think an orgasm
would help calm me.
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301. Do the blinds close?
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302. She's gonna
need a norepinephrine drip
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303. to maintain her pressure
during transport.
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304. Mom?
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305. You look pretty.
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306. Mom, I've been so worried.
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307. You shouldn't have.
Teresa takes good care of me.
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308. I'm so glad.
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309. Why did you never call me?
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310. You made it cr you wanted
nothing to do with me.
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311. I just wanted to
live my own life.
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312. So that's what you got.
Your own life... Without me.
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313. This isn't a good time to...
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314. You were so good,
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315. straight A's, always so smart.
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316. You threw it all away...
You never understood.
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317. Dad did. Dad wanted
me to be happy...
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318. He wanted you to
have fun as a child,
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319. not waste your life.
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320. Singing is not a career.
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321. Sunny, you need to calm down.
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322. Grace, your mother cannot
handle this stress right now.
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323. Teresa... Teresa is a teacher.
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324. Mom, stop. Listen to the doctor.
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325. You forgot about me.
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326. I wish you'd... Stayed away.
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327. Would... Have...
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328. Her arterial
blood pressure is dropping.
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329. Start bagging and give her 40 Lasix.
I'm calling a code.
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330. Shaun? Yes, it's Shaun.
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331. I've picked out
a very good movie
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332. that we can all watch together.
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333. Not the... Not the time, Shaun.
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334. I made popcorn.
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335. That's okay. You just stay here.
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336. Stay here. Sorry.
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337. Shaun, we kind of need
some privacy right now.
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338. I also bought
orange juice for Jake.
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339. He was looking
for some in the fridge.
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340. Okay.
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341. I thought you said
you were okay with this.
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342. Jake will like the movie,
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343. It's about a chef who...
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344. Shaun, but you're not
respecting boundaries.
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345. If Jake and I are friends, then
we can all spend time together.
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346. Shaun...
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347. Of course,
we can all be friends.
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348. That would be great.
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349. It's just sometimes it's
gonna be just me and Jake.
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350. Without you.
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351. For the sex?
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352. And some other times, too.
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353. Okay?
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354. Okay.
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355. Just give us a minute
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356. and we can watch the movie
in the living room together.
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357. Okay.
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358. Having sex right now
is extremely dangerous
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359. for someone in Lana's condition.
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360. I studied the pre-op list
of things I couldn't do.
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361. Sex was not on the list.
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362. We'll update the list.
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363. Anything that elevates
her blood pressure
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364. could rupture the AVM before
we get a chance to remove it.
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365. You'll definitely
need to abstain
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366. until you're fully recovered.
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367. Seems like you two are more
than just roommates.
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368. Why?
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369. You care for each other,
you have sex...
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370. It's convenient. He's available.
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371. And it's frequently better
than masturbation.
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372. High praise.
And he ves afterward.
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373. She doesn't like being
touched when she sleeps.
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374. Are you two exclusive?
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375. Lana and Javi don't have to
define their relationship
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376. in order to make it
more digestible for you.
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377. Crly whatever it is,
is working for them.
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378. Now, you need to get some rest.
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379. We're gonna do
your surgery at 1000 a.m.
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380. Sunny's
on full life support.
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381. Unfortunately,
she can't be flown to China.
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382. Her condition
is beyond the scope
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383. of the plane's
medical facilities.
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384. is discussing next steps
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385. with Sunny's surgeon in China.
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386. No daughter would treat
a wonderful
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387. like Sunny the way you did.
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388. Does a wonderful refuse
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389. to go to her
daughter's recitals?
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390. Then, when she gets
accepted to Juilliard,
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391. cut her off?
Tell her she'll never make it,
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392. that she'll wind up broke
and on the streets?
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393. Gently incise the dura.
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394. Nicely done.
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395. And there's our AVM.
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396. Aneurysm clips.
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397. It'd be nice to have
what Lana and Javi have.
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398. All the benefits
of a relationship
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399. without the emotional baggage.
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400. The emotional baggage
is the relationship.
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401. Everybody has their issues,
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402. the point is to
sort them out together.
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403. Yeah, that's
all it takes,
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404. agreed all the single people
in the room.
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405. I can't get under the AVM.
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406. It's much closer to Broca's
area than the MRI indicated.
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407. Any damage could destroy
her ability to speak.
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408. What if we use stereotactic
image guidance?
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409. That would only
show us where we are.
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410. It wouldn't tell us
if we're affecting function.
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411. But if we track Lana's vocal
function during the operation,
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412. it will help us avoid the
speech center nerve tracts.
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413. You want to operate on her
while she's awake?
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414. We can barely get answers out
of her at the best of times.
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415. How do you think it'll go while her
skull is open in the middle of an OR?
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416. Well, it's a good thing she
has a roommate who can help.
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417. It's hard to walk away.
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418. We get angry,
we want to run away,
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419. but when it's family...
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420. I'm not angry.
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421. When I got the call
telling me she was here,
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422. all I could think about was
how my lousy, bitter mother
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423. was about to die alone.
Copy !req
424. That it wasn't her fault,
it was just her nature.
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425. So I needed to be here
to let her know
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426. that she was loved
in spite of everything.
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427. And then I found out
about Teresa.
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428. Saw them together.
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429. Saw that my mother
was capable of caring.
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430. Capable of warmth and love.
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431. Just... Not for me.
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432. pse report to ICU 2.
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433. She's bleeding
from her cannula site.
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434. She's intolerant to the ECMO.
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435. We can't wait for the new heart.
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436. We have to try and repair
this one ourselves.
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437. China thinks Sunny's heart
failure is most likely due
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438. to a broken blade
in the impeller.
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439. They're suggesting
we weld it back together
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440. using an intraoperative
device...
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441. Which we don't have.
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442. We could repair it
with fibrin bioglue.
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443. The blade spins at 1,200 RPMs...
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444. The glue won't hold.
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445. What if we used the schematics
to 3D print a new impeller?
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446. The plastic replacement probably
wouldn't hold up long-term.
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447. We don't need long-term.
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448. We just need it to work until
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449. the replacement arrives
from China.
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450. Let's get these to the lab.
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451. You need me in the OR?
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452. Yes.
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453. While you operate on her brain
with her head open?
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454. You wouldn't be able to see
what we're doing.
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455. You won't see any blood...
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456. What's the central
illuminance of the OR?
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457. I don't know. 140,000 lux.
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458. 140,000 lux is way worse
than a grocery store.
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459. I can't go to grocery stores.
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460. We can provide you
with protective gear
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461. and eye shades that can
filter out some of the lights.
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462. Bright lights are like
needles in my eyes.
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463. Megasoma actaeon.
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464. Found in Guyana.
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465. It's the heaviest insect
in the world
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466. and weighs as much
as 300 grasshoppers.
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467. Do you like playing
insect trivia with Lana?
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468. This is crazy.
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469. You shouldn't do it
because of trivia night.
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470. You should do it because...
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471. You love her.
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472. Your life is better with her.
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473. You're a better person with her.
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474. Y-You need her.
That's what love is.
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475. Do it because you love her.
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476. I don't love her.
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477. She's my roommate.
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478. Impeller blades are fine.
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479. The bearings are
functioning properly.
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480. Electrical consumption is good.
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481. Maybe the machine
isn't the problem.
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482. Heart failure is either caused
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483. by insufficient pumping
or a constricted outflow.
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484. Since her pump is fine...
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485. She doesn't have
valvular stenosis.
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486. The surgeons removed
her aortic valve
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487. when they implanted this device.
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488. It could be the aorta itself.
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489. If it narrowed,
that would reduce her outflow,
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490. cause her pressure to drop.
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491. If we do an intraop-angio,
we'd see evidence of that.
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492. Call X-ray, have them
bring a C-arm, STAT.
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493. Dr. Glassman?
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494. I got you cherry Gastrolyte.
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495. Shaun, I'm fine.
You can go back to work.
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496. At the Nathan County Fair,
I was 14
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497. and you got a cherry slushee
and said it was your...
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498. Why do you have an IV?
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499. It's just fluid, Shaun,
with potassium.
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500. I had a nurse come by
from the hospital.
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501. I could have done this.
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502. You're busy.
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503. I'm helping you.
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504. You wouldn't need the fluids
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505. if you listened to me. I know.
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506. You didn't drink
the Gastrolyte I brought you.
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507. But now... Shaun.
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508. My head really hurts right now.
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509. How long have you been
experiencing pain?
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510. It pretty much never stops.
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511. That's not true.
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512. I asked you if you
were in pain last night,
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513. and you said you weren't.
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514. I was in pain last night, Shaun.
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515. I just didn't want you to worry.
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516. Why would you lie
about a symptom?
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517. Why would you lie, Dr. Glassman?
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518. This c... This is why, Shaun.
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519. This is why.
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520. I can handle the pain.
I can handle the nausea.
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521. You have nausea?
Yes. Yes, I have nausea.
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522. Okay, you should stop
the PCV Chemo.
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523. Shaun. Okay, you should stop.
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524. I'm going to call Dr. Blaize.
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525. No. Shaun! No!
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526. I am trying to help you!
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527. I am trying to help you,
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528. but you are not
a compliant patient.
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529. You don't rest... Shaun...
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530. when I tell you to rest.
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531. You don't follow the diet
that I am giving you.
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532. Will you pse go?
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533. Shaun, will you just go, pse?
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534. Will you just go? I-I promised
that I would help you!
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535. You're not my doctor, Shaun!
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536. I don't...
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537. I don't want you here.
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538. I'm sorry.
I don't want you here.
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539. I don't know how to help you.
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540. Then stop trying.
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541. You're not helping.
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542. You can't help, Shaun.
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543. He's in pain and frustrated
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544. and nauseous,
and taking it out on you.
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545. He's in pain and
frustrated and nauseous,
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546. and I can't help him.
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547. That may be true.
So what do I do?
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548. When there's nothing you can do,
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549. you have to accept that.
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550. You have to stop trying to help.
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551. That's what he said.
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552. Thank you,
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553. My life is better with you.
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554. Mine, too.
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555. We're in the aorta now.
If there is a narrowing,
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556. we should see a sudden
rise in pressure.
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557. We should be able to
replace the narrow part
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558. with a graft. Metz.
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559. This is a...
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560. Horse.
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561. This is a...
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562. Lana, what do you see here?
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563. We need you
to keep talking to us.
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564. Have we already done damage?
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565. It's too soon, I think.
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566. We need to stop.
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567. If we ve the AVM intact and
it ruptures, it will kill her.
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568. Lana, do you understand?
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569. I have to keep going,
but if you stop talking,
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570. you may never talk again.
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571. Hand me the bipolar forceps.
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572. There's a Javi Maldonado
insisting he should be in here.
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573. I'm sorry to keep you waiting.
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574. The surgery was a success.
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575. You can see her
when she wakes up.
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576. Thank you.
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577. She wasn't great with you,
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578. but she's great with Teresa.
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579. That doesn't mean
she loves her more than you.
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580. It may just mean...
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581. She's not the same
person anymore.
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582. As soon as she saw me,
she started giving me crap.
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583. The same crap.
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584. Actually, the first thing
she said was...
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585. you look pretty.
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586. Lana, what's on the screen?
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587. A lion.
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588. And what is that?
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589. Lana, what's on the screen?
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590. Javi...
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591. Madagascan Hissing Cockroach.
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592. Gromphadorhina portentosa.
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593. One of the few insects
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594. who give birth to live young,
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595. rather than laying eggs.
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596. Keep going.
You both are doing great.
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597. Long-tailed
South African Scorpion.
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598. Hadogenes troglodytes.
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599. Reaches a length
of over eight inches,
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600. the longest scorpion
in the world.
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601. You'll still need to fly
to China to get checked out,
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602. but everything looks great.
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603. Thank you.
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604. Mom, Grace is outside.
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605. I think you should talk to her.
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606. Why?
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607. Because...
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608. She's your daughter.
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609. I'll step out. It's okay.
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610. Mom.
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611. Since we stopped talking,
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612. there hasn't been a day
I haven't thought about you.
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613. That I haven't missed you.
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614. I'm sorry.
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615. For everything.
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616. I sat in the back.
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617. At the Troubadour.
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618. You were singing I Wish It
Would Rain with that band.
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619. I cried.
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620. It was beautiful.
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621. Can you tell me your name?
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622. You remember your name?
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623. Of course I remember my name...
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624. Lana.
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625. And you're Javi.
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626. I think I love you.
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627. I think you do, too.
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628. Do you want to stay in bed
with me after we have sex?
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629. No.
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630. Dr. Glassman?
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631. Dr. Glassman?
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632. I'm not here to help.
Copy !req
633. Thank you.
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