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. Lea dates drummers.
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10. I played clarinet in junior high.
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11. Hmm.
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12. What are you doing out here?
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13. I told you to stay in my room.
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14. I just snuck out to grab some O.J.
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15. Mm-hmm.
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16. I was really thirsty. Okay.
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17. I'm sorry.
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18. I should've told you
he was spending the night.
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19. I like Jake.
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20. That's nice of you to say.
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21. I know it's difficult
to have a stranger in your home.
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22. I have to drive Dr. Glassman
to his chemo appointment.
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23. He's five days in and doing very well.
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24. I'm helping him.
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25. Jake is very sweet.
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26. You know, when you get to know him,
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27. I'm sure you really will like him.
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28. I said I like him.
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29. Will he be spending
the night here a lot now?
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30. No, not a lot.
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31. But...
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32. would that be a problem?
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33. - No.
- So is it cool
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34. if I have him over tonight
to watch a movie?
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35. It's cool.
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36. I have to go.
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37. Good morning, Dr. Glassman.
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38. I let myself in. I'm downstairs.
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39. How are you feeling today?
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40. Good, actually. Better than yesterday.
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41. Yes, your skin was a bit pale yesterday.
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42. Today your color looks much better.
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43. I brought you your electrolytes.
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44. Thank you.
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45. Cheers.
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46. Why did you do that?
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47. I don't like the flavor, the grape.
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48. Are you experiencing nausea?
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49. No, I didn't like the flavor, I told you.
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50. I'm fine.
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51. I'm glad you're feeling well.
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52. Let's go, or we're going to be late.
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53. Yep. Cancer's not gonna kill itself.
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54. Hey.
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55. I was just thinking about you, too.
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56. Actually, can I call you at lunch?
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57. I'm with some people right now, and...
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58. Yes, exactly.
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59. We'll talk later.
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60. Love you.
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61. New girlfriend?
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62. Still in the call-each-other-
the-next-morning phase?
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63. Yeah, you got me.
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64. Actually, no. It was Mia.
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65. We're giving our relationship
another shot.
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66. Wow. Park, that's great.
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67. Yeah, I told you because part
of the thing with Mia is...
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68. I'm trying to be more open.
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69. Thanks. You didn't need to explain,
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70. but sounds good.
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71. She sounds like she's good for you.
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72. Yeah.
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73. Of course, if it doesn't work out,
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74. I'll have to talk to you about that, too,
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75. - admit I failed.
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76. Or I can be a supportive colleague
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77. regardless of what happens.
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78. 70-year-old female. Neighbor
saw her collapse in her yard.
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79. Unresponsive. No heartbeat.
EKG is flatlined.
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80. Then she'd be cyanotic.
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81. Good capillary refill... she's perfusing?
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82. Stop CPR.
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83. And she's breathing.
Your EKG must be broken.
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84. Worked fine on our call right before her.
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85. Everything works fine
up until it doesn't.
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86. - Nothing.
- Told you.
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87. Hook her up, let's check her vitals.
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88. Blood is definitely flowing
to her extremities.
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89. Should we push epi, get the crash...
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90. Wait. Everyone quiet.
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91. Listen.
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92. Is that...?
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93. She doesn't have a rhythm
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94. because she has a mechanical heart.
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95. Lana Moore. 34-year-old female,
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96. was slurring her words, symptom passed,
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97. but we found a grade two
arteriovenous malformation
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98. - in her brain.
- Are we going to do
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99. endovascular embolization
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100. or stereotactic radiosurgery
or resection?
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101. Endovascular embolization.
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102. Patient requests she's only
served green Jello
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103. and that we dim all of
our incandescent light bulbs?
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104. Lana has autism.
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105. What're you looking at him for?
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106. It's not like they all know each other.
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107. I was just curious
what his thoughts might be.
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108. I think we should go with
endovascular embolization.
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109. Hmm. Now you know.
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110. The AVM is dangerous,
but the embolization
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111. is a relatively minor procedure.
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112. We'll make a small incision in your leg
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113. so we can insert a catheter into your...
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114. Are you okay, Javi?
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115. The lights aren't bothering you too much?
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116. A little.
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117. Please continue.
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118. We'll insert the catheter
into your femoral artery.
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119. Then we'll feed it up
into the arteriovenous malform...
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120. You brought a dictionary?
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121. Uh, is there something I'm saying
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122. - that you don't understand?
- Lana loves learning new words.
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123. She's memorized the scientific Latin name
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124. of every bug in South America.
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125. Go ahead, name any six-legged critter.
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126. I love being quizzed.
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127. - Rhinoceros Beetle.
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128. Megasoma Actaeon. Found in Guyana.
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129. It's the heaviest insect in the world
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130. and weighs as much as 300 grasshoppers.
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131. Is she right?
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132. I have no idea.
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133. I have to go.
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134. Javi...
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135. Javi.
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136. Where are you going?
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137. It's 11:15. I have to be home by noon
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138. to watch "Judge Judy" before work.
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139. I-It's important to us
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140. that your girlfriend
doesn't get stressed out,
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141. so we'd prefer it if you stayed with her
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142. as long as you can.
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143. Lana's not my girlfriend.
We're just roommates.
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144. Still stable?
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145. The diuretics have her O2 SATs up,
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146. - but she's hypotensive.
- And we checked every center
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147. approved to implant mechanical hearts,
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148. but none have any record
of her as a patient.
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149. Check overseas. I'd start with...
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150. Mom?
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151. Is it her heart?
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152. The implanted device
appears to be malfunctioning.
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153. Do you have any contact information
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154. for the surgeon who implanted it?
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155. Yes, of course.
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156. Dr. Li Wei. He's in Beijing.
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157. When did she have it implanted?
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158. A little over nine months.
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159. She just went back
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160. for a follow-up exam last month.
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161. She was fine.
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162. Can you fix it?
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163. I'm gonna find out.
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164. Hello.
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165. Hello.
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166. Don't be stupid.
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167. What? There's no cameras in here.
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168. Dr. Lim, Dr. Melendez.
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169. How was your respective weekends?
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170. Good. Checked out some bikes.
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171. - Brushed up on some reading.
- Excellent.
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172. I hear the search for
Chief of Surgery is back on.
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173. As is our legal department's response
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174. to the DPH complaint against both of you,
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175. so I wouldn't get your hopes up.
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176. Probably just as well.
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177. I'd rather not see the two
of you competing again.
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178. You seem to be getting along better.
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179. It's weird.
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180. Is it weird?
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181. They act like a couple, right?
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182. I live with Lea, but we're not a couple.
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183. Yeah, but you wish you were.
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184. Do you?
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185. Lea has a new boyfriend.
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186. You must be a little jealous.
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187. Why?
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188. Lea's my friend and Lea's happy.
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189. Okay.
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190. Jake, Lea, and I can
all be friends together.
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191. Shaun, Lea's new boyfriend
doesn't want to hang out
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192. with the three of you.
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193. If Lea really likes this guy,
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194. she's gonna want to
spend time just with him.
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195. I know.
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196. For the sex.
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197. Her AVM has microbleeds.
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198. Her risk of rupture is doubled.
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199. They paged Sunny's surgeon.
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200. He's gonna call you in an hour.
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201. Tell them I can't wait that long.
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202. - Her cardiac output is low and...
- Got it.
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203. He's in surgery.
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204. Excuse me. Uh, Dr. Melendez?
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205. I'm Grace Lee. Sunny Lee's daughter.
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206. They told me downstairs
that you're my mother's doctor.
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207. Yes.
Get them to send her records
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208. and everything they can about the device.
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209. Manufacturer, model number, manuals.
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210. Your mother's stable,
but we're struggling
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211. to get the information we need
from her doctor in China.
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212. I don't understand.
Her doctor's in China?
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213. Like on vacation?
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214. No, her cardiac surgeon.
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215. Your sister can fill you in
on everything we've done so far.
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216. I really need to get
back on this phone call.
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217. Wait.
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218. I don't have a sister.
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219. We met 10 years ago
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220. while I was volunteering
at a senior center.
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221. We hit it off.
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222. Neither of us had anyone
in our lives at the time.
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223. People assumed we were
mother and daughter
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224. because we did everything together.
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225. After a while, we just went with it.
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226. She'll be glad to see you.
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227. You look like you've put
your problems behind you.
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228. Problems?
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229. She told me about your issues with drugs.
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230. Oh, my God.
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231. She caught me smoking pot.
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232. Once. I was a teenager.
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233. - So you're fine?
- Of course I'm fine.
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234. Then you don't really have an excuse
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235. for not calling for 15 years, do you?
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236. They want her back.
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237. They've arranged for transport...
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238. they'll do the repairs in Beijing.
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239. Is that safe?
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240. Can she travel for that long
in her condition?
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241. It's a specially equipped plane
for patients
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242. requiring urgent medical assistance.
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243. And 20 hours in the air is much safer
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244. than at least that long
on an operating table here
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245. while we basically fly blind.
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246. - Okay.
- Okay.
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247. Prep her for transport.
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248. The microbleeds indicate
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249. that it may already
be starting to rupture.
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250. If it goes, you could suffer
permanent brain damage
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251. or death. Because of that,
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252. embolization is no longer
our preferred approach.
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253. We want to open you up and cut it out.
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254. Can you try talking to her?
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255. Just because I have autism doesn't...
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256. I'm not asking you
because you have autism.
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257. I'm asking you because you're her doctor
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258. and I'm getting nowhere.
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259. The sting of the Japanese Giant Hornet
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260. can dissolve human flesh
and attack the nervous system.
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261. Recommended treatment
includes oral antihistamine
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262. and acetaminophen.
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263. Comforting choice of words.
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264. It's 6:30. Dinner time.
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265. I brought burgers and Jello.
This one's yours.
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266. Lana can't eat now.
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267. We're trying to schedule a surgery to...
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268. I could die.
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269. The surgery sounds scary
but necessary, so I'll do it.
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270. "... big feet got there first.
Johnny stumbled caught himself
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271. and swung silently about at Dove.
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272. 'Gosh, Johnny, I'm sorry, '
snickered Dove.
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273. 'Sorry, eh, you're going
to be a lot sorrier.'
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274. 'I just didn't notice.'
'You do that a... '"
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275. Shaun. What are you doing?
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276. Reading to you from "Johnny Tremain."
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277. You're reading words.
You're not reading sentences.
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278. This edition of "Johnny Tremain"
is 320 pages long.
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279. To get through the entire thing,
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280. I need to read 270 words per minute.
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281. You don't have to finish
the book in one sitting.
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282. Oh, yes, that's how I read novels.
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283. I want to know
where the characters end up.
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284. You know what? Let's just stop.
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285. I can go slower.
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286. - I-I'm not listening, anyway.
- Are you in pain?
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287. - No, no, I'm not...
- You seem fatigued.
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288. You know what? I have a good idea.
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289. Why don't you take out the garbage?
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290. Thank you.
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291. Where is your recycling?
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292. It's under the sink.
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293. Dr. Glassman, this cannot be recycled.
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294. If it's broken, it cannot be recycled
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295. - because shards of glass...
- I don't care, Shaun!
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296. I didn't ask you to re-sort the garbage.
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297. I just asked you to take it out.
Can you do that?
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298. Your call light is on.
How can I help you?
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299. Any new symptoms or discomfort?
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300. Lana?
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301. Rhinoceros Beetle...?
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302. I'm gonna get Javi on the phone.
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303. You can talk to both of us.
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304. Do these doors lock?
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305. No.
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306. Do you want them to?
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307. Is there someone you're worried about?
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308. Is it Javi? Or someone else?
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309. I'm nervous about the surgery.
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310. Dr. Lim is an excellent surgeon.
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311. I've seen her do...
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312. I'd like Javi to come
and have sex with me.
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313. I think an orgasm would help calm me.
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314. Do the blinds close?
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315. She's gonna
need a norepinephrine drip
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316. to maintain her pressure
during transport.
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317. Mom?
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318. You look pretty.
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319. Mom, I've been so worried.
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320. You shouldn't have.
Teresa takes good care of me.
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321. I'm so glad.
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322. Why did you never call me?
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323. You made it clear you wanted
nothing to do with me.
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324. I just wanted to live my own life.
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325. So that's what you got.
Your own life... without me.
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326. This isn't a good time to...
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327. You were so good,
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328. straight A's, always so smart.
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329. - You threw it all away...
- You never understood.
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330. Dad did. Dad wanted me to be happy...
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331. He wanted you to have fun...
as a child...
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332. not waste your life.
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333. Singing is not a career.
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334. Sunny, you need to calm down.
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335. Grace, your mother cannot
handle this stress right now.
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336. Teresa... Teresa is a teacher.
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337. Mom, stop. Listen to the doctor.
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338. You forgot about me.
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339. I wish you'd... stayed away.
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340. - Would... have...
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341. Her arterial blood pressure is dropping.
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342. Start bagging and give her 40 Lasix.
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343. I'm calling a code.
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344. - Shaun?
- Yes, it's Shaun.
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345. I've picked out a very good movie
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346. that we can all watch together.
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347. Not the... Not the time, Shaun.
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348. I made popcorn.
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349. Mm.
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350. That's okay.
You just stay here.
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351. - Stay here. Sorry.
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352. Shaun, we kind
of need some privacy right now.
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353. I also bought orange juice for Jake.
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354. He was looking for some in the fridge.
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355. Okay.
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356. I thought you said
you were okay with this.
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357. Jake will like the movie, Lea.
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358. It's about a chef who...
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359. Shaun, but you're not
respecting boundaries.
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360. If Jake and I are friends,
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361. then we can all spend time together.
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362. Shaun...
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363. Of course, we can all be friends.
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364. That would be great.
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365. It's just sometimes
it's gonna be just me and Jake.
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366. Without you.
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367. For the sex?
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368. And some other times, too.
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369. Okay?
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370. Okay.
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371. Just give us a minute
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372. and we can watch the movie
in the living room together.
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373. Okay.
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374. Having sex right now
is extremely dangerous
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375. for someone in Lana's condition.
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376. I studied the pre-op list
of things I couldn't do.
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377. Sex was not on the list.
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378. We'll update the list.
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379. Anything that elevates her blood pressure
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380. could rupture the AVM before
we get a chance to remove it.
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381. You'll definitely need to abstain
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382. until you're fully recovered.
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383. Seems like you two are more
than just roommates.
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384. Why?
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385. You care for each other, you have sex...
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386. It's convenient. He's available.
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387. And it's frequently better
than masturbation.
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388. - High praise.
- And he leaves afterward.
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389. She doesn't like being touched
when she sleeps.
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390. - Hmm.
- Are you two exclusive?
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391. Lana and Javi don't have to
define their relationship
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392. in order to make it
more digestible for you.
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393. Clearly whatever it is,
is working for them.
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394. Now, you need to get some rest.
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395. We're gonna do your surgery at 10:00 a.m.
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396. Sunny's on full life support.
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397. Unfortunately,
she can't be flown to China.
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398. Her condition is beyond the scope
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399. of the plane's medical facilities.
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400. Dr. Melendez is discussing next steps
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401. with Sunny's surgeon in China.
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402. No daughter would treat a wonderful woman
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403. like Sunny the way you did.
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404. Does a wonderful woman refuse
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405. to go to her daughter's recitals?
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406. Then, when she gets
accepted to Juilliard,
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407. cut her off?
Tell her she'll never make it,
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408. that she'll wind up broke
and on the streets?
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409. Gently incise the dura.
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410. Nicely done.
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411. And there's our AVM.
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412. Aneurysm clips.
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413. It'd be nice to have
what Lana and Javi have.
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414. All the benefits of a relationship
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415. without the emotional baggage.
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416. The emotional baggage
is the relationship.
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417. Everybody has their issues...
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418. the point is to sort them out together.
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419. Yeah, that's all it takes...
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420. agreed all the single people in the room.
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421. I can't get under the AVM.
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422. It's much closer to Broca's area
than the MRI indicated.
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423. Any damage could destroy
her ability to speak.
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424. What if we use stereotactic
image guidance?
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425. That would only show us where we are.
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426. It wouldn't tell us
if we're affecting function.
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427. But if we track Lana's vocal
function during the operation,
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428. it will help us avoid
the speech center nerve tracts.
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429. You want to operate on her
while she's awake?
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430. We can barely get answers out of her
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431. at the best of times.
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432. How do you think it'll go
while her skull is open
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433. in the middle of an O.R.?
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434. Well, it's a good thing she
has a "roommate" who can help.
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435. It's hard to walk away.
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436. We get angry, we want to run away,
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437. but when it's family...
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438. I'm not angry.
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439. When I got the call
telling me she was here,
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440. all I could think about
was how my lousy, bitter mother
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441. was about to die alone.
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442. That it wasn't her fault,
it was just her nature.
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443. So I needed to be here to let her know
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444. that she was loved
in spite of everything.
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445. And then I found out about Teresa.
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446. Saw them together.
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447. Saw that my mother
was capable of caring...
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448. capable of warmth... and love.
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449. Just... not for me.
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450. Dr. Park, please report to ICU 2.
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451. She's bleeding from her cannula site.
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452. She's intolerant to the ECMO.
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453. We can't wait for the new heart.
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454. We have to try and repair
this one ourselves.
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455. China thinks Sunny's heart
failure is most likely due
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456. to a broken blade in the impeller.
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457. They're suggesting
we weld it back together
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458. using an intraoperative device...
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459. which we don't have.
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460. We could repair it with fibrin bioglue.
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461. The blade spins at 1,200 RPMs...
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462. the glue won't hold.
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463. What if we used the schematics
to 3D print a new impeller?
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464. The plastic replacement probably
wouldn't hold up long-term.
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465. We don't need long-term.
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466. We just need it to work until
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467. the replacement arrives from China.
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468. Let's get these to the lab.
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469. You need me in the O.R.?
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470. Yes.
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471. While you operate on her brain
with her head open?
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472. You wouldn't be able to see
what we're doing.
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473. You won't see any blood...
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474. What's the central
illuminance of the O.R.?
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475. - I don't know.
- 140,000 Lux.
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476. 140,000 Lux is way worse
than a grocery store.
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477. I can't go to grocery stores.
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478. We can provide you with protective gear
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479. and eye shades that can
filter out some of the lights.
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480. Bright lights are like
needles in my eyes.
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481. Megasoma Actaeon.
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482. Found in Guyana.
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483. It's the heaviest insect in the world
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484. and weighs as much as 300 grasshoppers.
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485. Do you like playing
insect trivia with Lana?
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486. This is crazy.
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487. You shouldn't do it
because of trivia night.
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488. You should do it because...
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489. you love her.
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490. Your life is better with her.
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491. You're a better person with her.
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492. Y-You need her. That's what love is.
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493. Do it because you love her.
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494. I don't love her.
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495. She's my roommate.
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496. Impeller blades are fine.
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497. The bearings are functioning properly.
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498. Electrical consumption is good.
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499. Maybe the machine isn't the problem.
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500. Heart failure is either caused
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501. by insufficient pumping
or a constricted outflow.
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502. Since her "pump" is fine...
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503. She doesn't have valvular stenosis.
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504. The surgeons removed her aortic valve
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505. when they implanted this device.
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506. It could be the aorta itself.
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507. If it narrowed,
that would reduce her outflow,
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508. cause her pressure to drop.
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509. If we do an intraop-angio,
we'd see evidence of that.
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510. Call X-ray... have them
bring a C-arm, STAT.
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511. Dr. Glassman?
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512. I got you cherry Gastrolyte.
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513. Shaun, I'm fine. You can go back to work.
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514. At the Nathan County Fair, I was 14
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515. and you got a cherry slushee
and said it was your...
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516. Why do you have an I.V.?
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517. It's just fluid, Shaun, with potassium.
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518. I had a nurse come by from the hospital.
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519. I could have done this.
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520. You're busy.
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521. I'm helping you.
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522. You wouldn't need the fluids
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523. - if you listened to me.
- I know.
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524. You didn't drink
the Gastrolyte I brought you.
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525. - But now...
- Shaun.
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526. My head really hurts right now.
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527. How long have you been experiencing pain?
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528. It pretty much never stops.
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529. That's not true.
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530. I asked you if you
were in pain last night,
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531. and you said you weren't.
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532. I was in pain last night, Shaun.
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533. I just didn't want you to worry.
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534. Why would you lie about a symptom?
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535. - Why would you lie, Dr. Glassman?
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536. - This c...
- This is why, Shaun.
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537. This is why.
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538. I can handle the pain.
I can handle the nausea.
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539. - You have nausea?
- Yes. Yes, I have nausea.
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540. Okay, you should stop the PCV Chemo.
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541. - Shaun.
- Okay, you should stop.
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542. I'm going to call Dr. Blaize.
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543. No. Shaun! No!
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544. I am trying to help you!
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545. I am trying to help you,
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546. but you are not a compliant patient.
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547. - You don't rest...
- Shaun...
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548. when I tell you to rest.
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549. You don't follow
the diet that I am giving you.
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550. Will you please go?
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551. Shaun, will you just go, please?
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552. - Will you just go?
- I-I promised that I would help you!
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553. You're not my doctor, Shaun!
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554. I don't...
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555. I don't want you here.
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556. I'm sorry. I don't want you here.
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557. I don't know how to help you.
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558. Then stop trying.
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559. You're not helping.
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560. You can't help, Shaun.
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561. He's in pain and frustrated
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562. and nauseous, and taking it out on you.
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563. He's in pain and frustrated and nauseous,
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564. and I can't help him.
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565. - That may be true.
- So what do I do?
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566. When there's nothing you can do,
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567. you have to accept that.
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568. You have to stop trying to help.
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569. That's what he said.
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570. Thank you, Lea.
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571. My life is better with you.
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572. Mine, too.
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573. - We're in the aorta now.
- If there is a narrowing,
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574. we should see a sudden rise in pressure.
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575. We should be able to
replace the narrow part
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576. with a graft. Metz.
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577. - This is a...
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578. Horse.
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579. This is a...
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580. Lana, what do you see here?
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581. We need you to keep talking to us.
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582. Have we already done damage?
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583. It's too soon, I think.
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584. We need to stop.
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585. If we leave the AVM
intact and it ruptures,
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586. it will kill her.
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587. Lana, do you understand?
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588. I have to keep going,
but if you stop talking,
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589. you may never talk again.
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590. Hand me the bipolar forceps.
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591. Dr. Lim.
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592. There's a Javi Maldonado
insisting he should be in here.
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593. I'm sorry to keep you waiting.
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594. The surgery was a success.
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595. You can see her when she wakes up.
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596. Thank you.
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597. She wasn't great with you,
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598. but she's great with Teresa.
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599. That doesn't mean
she loves her more than you.
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600. It may just mean...
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601. she's not the same person anymore.
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602. As soon as she saw me,
she started giving me crap.
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603. The same crap.
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604. Actually, the first thing she said was...
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605. you look pretty.
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606. Lana, what's on the screen?
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607. A lion.
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608. And what is that?
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609. Lana, what's on the screen?
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610. Javi...?
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611. Madagascan Hissing Cockroach.
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612. Gromphadorhina portentosa.
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613. One of the few insects
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614. who give birth to live young,
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615. rather than laying eggs.
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616. Keep going. You both are doing great.
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617. Long-tailed South African Scorpion.
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618. Hadogenes troglodytes.
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619. Reaches a length of over 8 inches,
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620. the longest scorpion in the world.
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621. You'll still need to fly
to China to get checked out...
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622. but everything looks great.
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623. Thank you.
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624. Mom, Grace is outside.
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625. I think you should talk to her.
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626. Why?
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627. Because...
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628. she's your daughter.
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629. - I'll step out.
- It's okay.
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630. Mom.
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631. Since we stopped talking,
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632. there hasn't been a day
I haven't thought about you.
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633. That I haven't missed you.
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634. I'm sorry.
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635. For everything.
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636. I sat in the back.
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637. At the Troubadour.
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638. You were singing "I Wish It Would Rain"
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639. with that band.
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640. I cried.
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641. It was beautiful.
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642. Can you tell me your name?
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643. You remember your name?
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644. Of course I remember my name...
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645. Lana.
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646. And you're Javi.
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647. I think I love you.
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648. I think you do, too.
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649. Do you want to stay in bed with me
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650. after we have sex?
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651. No.
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652. Dr. Glassman?
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653. Dr. Glassman?
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654. I'm not here to help.
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655. Thank you.
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