1. Good morning.
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2. What time is it?
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3. 6:28.
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4. You should be asleep,
but I'm glad you're not.
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5. Your post-op pathology and MRI
results are finally in, and...
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6. They're good.
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7. Very good.
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8. Was the pause
for dramatic effect?
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9. Yes.
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10. The surgery was a success.
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11. The only thing you need now is rest.
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12. And chemo and radiation.
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13. Have you been here all night?
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14. I slept in a chair in the lab.
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15. Well, you should go home and go to sleep.
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16. I can't go home.
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17. My next shift starts in 31 minutes.
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18. The surgery was a success.
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19. The surgery was a success.
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20. All Dr. Glassman needs now is rest.
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21. That's great news.
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22. And chemo and radiation.
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23. How are you?
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24. I don't need rest.
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25. I fell asleep in a comfortable chair.
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26. Good. Someone screwed
up the on-call schedule
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27. and left the ER short-staffed.
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28. I need two volunteers to fill in.
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29. Good news is you won't have me
breathing down your neck.
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30. Bad news is it's a 36-hour shift.
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31. This new flex-time policy is ridiculous.
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32. Aren't our salaries low enough already?
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33. It's not about the money.
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34. Andrews believes that surgeons
need to be at their best
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35. even when they're exhausted.
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36. The only way for residents
to learn it is to do it.
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37. You got to practice like you play.
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38. And you can't do either without sleep.
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39. You're free to take it up
with Andrews any time.
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40. Pick a number between one and five.
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41. 2.5.
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42. - One.
- That's not between...
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43. - Five.
- Three.
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44. Aw, damn it.
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45. Good news.
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46. Dr. Melendez won't be
breathing down our necks.
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47. You're second-year residents.
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48. This is a great opportunity
for you to prove
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49. that you don't need a babysitter anymore.
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50. And I have a ton of personal crap
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51. I got to take care of today,
so I'm on call,
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52. but don't call me
unless you absolutely need to,
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53. but you better not need to.
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54. You've got a M.I. in one
and compound femur in two.
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55. I'm gonna kill that bastard!
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56. He's dead!
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57. And a bleeding, angry drunk guy in five.
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58. Get your hands off of me!
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59. What the hell are you looking at?
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60. Excising the
endometrial lesions
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61. should only take about an hour.
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62. We'll be operating through a single
incision in your belly button.
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63. You won't even be able to see the scar.
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64. How can you operate
through such a small opening?
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65. It's a new technique using a single port
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66. divided into sections for
the camera and our tools.
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67. - New?
- To them.
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68. Don't worry. It isn't to me.
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69. I'm confident that this will resolve
your pain and infertility issues.
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70. Thank you, all of you.
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71. Being a mother is all I've ever wanted.
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72. On our first date,
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73. she told me the baby's name
she'd picked out.
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74. We were 17.
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75. So let's hear 'em.
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76. Jackson for a boy and Cameron for a girl.
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77. Very nice. I like them.
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78. So do I.
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79. And you are going to be
an amazing mother very soon.
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80. Let's get her prepped.
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81. I thought it was just because
she was so pretty and, uh,
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82. it had been a while,
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83. but after she left, it stayed.
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84. You think she roofied me with Viagra?
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85. Sure. That could have happened.
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86. Or maybe it was the alcohol, marijuana,
and Molly you pre-gamed with.
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87. A lot of different drugs
can cause priapism.
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88. Especially those cooked up in a garage.
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89. Is it okay if I touch it?
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90. Uh, okay.
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91. Rigid corpora cavernosa
and flaccid glands.
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92. What's that mean? What's she getting?
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93. It's been over four hours.
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94. You don't want necrosis to set in.
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95. N-Necrosis? Are you saying that my...
My penis could die?
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96. It could, but it won't because
we're going to move fast.
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97. What the hell are you
going to do with that?
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98. We need to remove the deoxygenated
blood to restore circulation.
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99. You're going to feel a small
pinch and then some pressure.
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100. Is she lying?
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101. I'm not sure.
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102. Holy mother of God, that hurts!
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103. Wow!
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104. I go out for a short walk so I
can have one moment of peace,
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105. and this is what I come home to.
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106. What's the problem?
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107. His mouth was obviously
big enough to get it in.
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108. He must have strained his masseter.
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109. It's gone into spasm and caused lockjaw.
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110. So give him a sedative
and pry it open with a Mclvor.
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111. I tried. It won't budge.
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112. And he said it hurt like a son of a...
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113. Inez.
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114. That's what he said.
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115. I put in a bite block,
but I don't know...
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116. Call Lim.
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117. We're supposed to be proving
our independence.
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118. I will try again with the Mclvor.
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119. You don't want to tear the masseter.
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120. If the bite block slips and he gags,
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121. he will have broken glass
and vomit in his lungs.
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122. I could put him under.
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123. Then I can dislocate his jaw
if I have to.
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124. We definitely can't do that
without calling Lim.
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125. That's true.
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126. I hope we don't interrupt
anything important.
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127. Don't worry. She's either
sleeping or doing laundry.
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128. There's nothing interesting
going on in her life.
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129. Not guilty.
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130. Do you have something
against traffic school, ma'am?
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131. Your Honor, the defendant's not
eligible for traffic school.
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132. This is her third moving
violation in the last year.
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133. Alleged violation, thank you very much.
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134. Traveling 100 miles per hour on a
motorcycle? Do you have a death wish?
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135. I wasn't going anywhere near 100.
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136. So how fast were you going?
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137. Excellent question.
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138. And one I assure you the
officer who issued my ticket
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139. will not be able to answer.
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140. California State Vehicle Code mandates
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141. that all LIDAR speed-measurement
devices be calibrated...
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142. at least once a...
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143. Sorry, I need to get this.
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144. No, you need to turn it off.
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145. Your Honor, I'm a trauma surgeon at St.
Bonaventure,
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146. and I'm on call, so...
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147. Five minutes.
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148. The court is adjourned
for a five-minute recess.
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149. I thought I was clear.
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150. I'm available to help with stuff
you can't do on your own.
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151. Uncle Fester Jr. does not qualify.
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152. I think the situation warrants
putting him under a general an...
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153. And dislocating his jaw?
He's not a damn snake.
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154. So, what should we do?
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155. Prove to me you're as capable
as I think you are.
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156. It doesn't make any sense.
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157. We are the only hospital
on the West Coast
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158. that hasn't adopted the ACGME mandate
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159. on a 24-hour max shift length.
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160. And numerous studies have
shown the negative effects
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161. that sleep deprivation has
on critical thinking,
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162. which can cause residents
to make mistakes
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163. that not only harm patients,
but that waste money.
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164. You've done your homework.
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165. Um, it's something I've been
thinking about for a long time.
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166. I actually did a paper on it
at med school.
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167. Well, Dr. Browne,
I've also thought about it.
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168. In fact, when the new ACGME
guidelines were released,
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169. I joined a nationwide study
analyzing a flextime schedule.
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170. It found that as long as a weekly
max of 80 hours is adhered to,
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171. patient outcomes and resident
satisfaction scores are better
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172. than at hospitals with a daily max.
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173. So we're just going to
have to agree to disagree
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174. about whether my foolish
new policies "make any sense."
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175. No, I didn't say...
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176. And I know I told you
to be more assertive.
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177. But you also need to make sure
that you don't forsake
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178. your normally excellent
judgment in that effort.
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179. - Whether...
- Excuse me. Yeah, hi, I'm sorry.
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180. - I'm back.
- How wonderful.
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181. Take a seat until your case is called.
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182. Oh, my case was called.
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183. You said I could have
a five-minute break.
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184. The court took a five-minute break.
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185. Yours is going to be considerably longer.
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186. Continue.
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187. Make a stab
incision with an 11 blade,
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188. and I'll insert the Veress.
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189. He'll get over it. Don't worry.
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190. Andrews just likes to hammer
a nail every now and then.
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191. I didn't call him a fool. I just
said his policy didn't make sense.
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192. Insufflation's complete.
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193. Ready for the multi-port.
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194. You said it didn't make sense,
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195. and he explained that
in his opinion it did.
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196. What's the problem?
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197. The problem is men who tell
women to be assertive,
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198. then as soon as we are,
they criticize us for it.
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199. We're the bitch.
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200. You didn't call him a fool.
He didn't call you a bitch.
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201. Not to her face.
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202. He just suggested she
choose her words more carefully.
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203. So, women have to be assertive
but careful?
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204. When you're talking to your
boss, yes. Everyone does.
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205. If you're all done
debating, this boss could use some help.
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206. You see that?
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207. There are lesions on her ovary.
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208. That wasn't visible on the imaging.
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209. It's small.
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210. We can excise it without
damaging the ovary, but...
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211. There are others.
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212. Her bowel, bladder, uterus.
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213. No wonder she's been in so much pain.
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214. We'll start
with the Fallopian lesions
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215. just go one by.
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216. Browne, I need you to scrub
out and brief the husband.
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217. Explain the endometriosis is way
more severe than we thought.
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218. Why me? Why not Park?
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219. Because I think you're better at
talking to anxious relatives.
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220. Is there a problem?
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221. No.
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222. Retract that tissue.
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223. Why is she so on edge today?
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224. No idea.
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225. Just one of those days.
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226. I didn't mean one of "those" days.
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227. I just meant, people wake up
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228. on the wrong side of the bed sometimes.
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229. Dr. Browne explained exactly
why she was "on edge."
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230. Did you forget already,
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231. or were you just not listening
to begin with?
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232. Excuse me?
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233. We should cut back on the conversation
and focus on the procedure.
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234. I agree.
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235. I want to see her.
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236. I'm sorry. You can't go into the OR.
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237. I'll just... I'll just look
through the window, please.
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238. Daniel, trust me.
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239. Seeing your beautiful wife
on the operating table
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240. is not gonna make you less anxious.
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241. Hey. Everything is under control.
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242. The only thing that's changed
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243. is how long the surgery's gonna take.
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244. Look, I'm... I'm sorry.
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245. I... I... I don't mean to be a pain.
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246. You're not a pain. You're just scared.
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247. I would be, too.
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248. She's getting the best care possible,
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249. and as soon as we're done,
we'll bring you to her.
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250. Thank you.
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251. Okay.
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252. Y-You're... You're good at this.
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253. Dr. Monteo to pre-op.
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254. Dr. Monteo to pre-op.
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255. Shouldn't you be in the ER?
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256. Lea keeps calling me.
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257. She wants to talk about why I
told her to go back to Hershey.
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258. You told Lea to go back to Hershey?
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259. I thought it would solve
the problem, but no.
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260. No. It just made it worse.
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261. Now she wants to talk about it more,
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262. but there's no more to be said.
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263. That's not the way it works, Shaun.
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264. It can't just be one person
who does the talking.
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265. You have to listen, too.
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266. I don't want to listen to her.
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267. It's too... hard.
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268. It's too hard.
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269. Well, relationships aren't always easy.
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270. They get complicated, messy.
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271. Exactly.
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272. That's why I don't want one.
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273. Well, that's not true.
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274. The reason that you left
the ER to come talk to me
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275. is because we have a relationship.
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276. And we both benefit from it.
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277. Lea's your friend.
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278. You can't just wall
yourself off from people
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279. in the hope that you'll never get hurt.
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280. We need to wall it off
so he doesn't get hurt.
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281. Stay calm, buddy.
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282. Just relax your throat
and breathe through your nose.
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283. Clamp.
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284. Got it. Cool!
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285. Now bite down.
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286. This is a surgical pouch.
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287. It can't even be cut by a scalpel.
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288. Come on, you can do it.
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289. On the count of three.
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290. One...
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291. Two...
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292. Three.
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293. - Inez!
- What? He was being a total wuss.
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294. Callate la boca!
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295. That was... amazing.
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296. You want to create
a plane between the outer serosa
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297. and muscularis layer
to avoid disrupting the lumen.
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298. Everything go okay with the husband?
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299. Yes. And, uh, I apologize.
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300. I shouldn't have questioned
your decision.
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301. It's all good.
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302. Two Fallopian lesions down,
and one more to go.
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303. You want to take the wheel
on the next one?
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304. Sure.
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305. Figures.
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306. Nurse Flores, do you have a problem
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307. with Dr. Browne taking the lead?
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308. No. I just find it interesting
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309. that you only gave her the
opportunity after she apologized.
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310. You can scrub out.
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311. No. I'll stay.
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312. I'm not asking. I'm ordering. Scrub out.
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313. No. I've done nothing wrong.
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314. You're undermining my
management of this procedure.
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315. By answering a question you asked me?
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316. By making snide comments
questioning my judgment.
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317. I'm not leaving my post,
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318. so why don't we just get back to work?
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319. You, me, and Andrews will be
discussing this later.
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320. I look forward to it.
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321. Gonna need more saline now!
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322. Hi, Daddy.
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323. Have you eaten?
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324. N-Not yet.
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325. I'll get lunch after I finish this.
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326. Lunch? It's almost 5:00.
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327. Then dinner.
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328. Look, I'll go now. I'm starving.
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329. I'll be back in 30.
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330. Hey, your erection's back.
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331. She's not talking about me.
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332. 30-day suspended
sentence and a $700 fine.
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333. Take all these documents to Room 306.
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334. Mr. Alex Leon.
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335. No way, Your Honor. I've
been waiting patiently.
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336. We'll get to you.
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337. When? At 4:59 so you can
tell me you've run out of time
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338. and make me come back
to do this all over again?
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339. Well, I guess we'll just have
to see about that, won't we?
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340. No, we won't. Take a seat, kid.
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341. Your Honor, I am so sorry
that my two-minute phone call
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342. was such an incredible inconvenience,
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343. but I went out of my way to be
here today to have my case heard.
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344. And that is exactly what I'm gonna do.
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345. Now.
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346. Can I have Dr. Lim's file, please?
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347. Thank you.
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348. And I promise this
won't take long because,
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349. as I started to explain...
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350. Guilty.
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351. $1,500 fine and license
suspension for one year.
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352. The bailiff will have some paperwork
for you to sign on the way out.
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353. You can't do that.
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354. I have a thick book in my
office that says I can.
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355. No. This is America.
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356. I pay taxes, which pay
your salary, by the way.
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357. - I wouldn't go there.
- Oh, I am definitely going there.
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358. I strongly advise
you don't say another word.
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359. You can appeal this verdict
to a different judge.
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360. I don't want a different judge.
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361. I want this one to do her damn job!
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362. We keep the TP up front.
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363. Just give a yell if you need some.
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364. Is it gonna die?
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365. Just relax. Everything's under control.
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366. That's not a "no."
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367. We're gonna review your lab
results and we'll be right back.
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368. Excuse me.
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369. We've already reviewed his labs.
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370. There's no sign of a
malignancy, sickle cell,
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371. lymphoma, or leukemia.
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372. I know. I just need a minute to think.
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373. - I think we should...
- No.
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374. We're not calling Lim.
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375. We got our asses chewed out last time,
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376. and this is not life and death.
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377. We can inject diluted phenylephrine
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378. every five minutes for an hour.
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379. That's a lot of injections in his penis.
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380. I'll give him a lidocaine local.
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381. Fine. A dorsal nerve block.
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382. You guys are such wimps.
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383. That much phenylephrine could
also cause a hypertensive crisis.
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384. Okay, Dr. No, what's your idea, then?
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385. You already rejected it.
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386. We are not calling Lim.
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387. Are you awake?
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388. Yes.
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389. If a patient has reoccurring
low-flow priapism
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390. but there's no sign of sickle cell,
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391. blood dyscrasia, or Hodgkins...
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392. Why are you asking me?
I'm a neurosurgeon.
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393. My work is up here, not down there.
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394. Because Morgan won't let me ask...
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395. Dr. Glassman, why do you insist
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396. on ignoring Dr. Ko's medical advice?
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397. I'm not.
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398. Really? She advised you to
do consults from your ICU bed?
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399. I didn't ask him to come in here.
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400. Go to sleep.
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401. What do you think I've been trying
to do for the last 14 hours and...
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402. What time is it?
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403. 8:17.
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404. 47 minutes?
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405. I would like some more morphine,
please, and an Ambien.
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406. You know you can't have either.
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407. Well, then how the hell
am I supposed to fall asleep?
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408. Every time I turn, I strangle myself.
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409. You nurses come in here every 30
minutes to steal my bodily fluids!
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410. Have you tried easing yourself
onto your side
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411. and putting a pillow between your legs?
Copy !req
412. Of course, that's the problem.
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413. I don't know how to use a pillow.
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414. Try it.
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415. And I will turn the light
all the way off,
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416. and Dr. Murphy will leave you alone.
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417. Winter's procedure.
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418. It's not the solution, but it'll buy you
enough time to maybe find another one.
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419. Thank you.
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420. You're welcome.
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421. Good night, Dr. Glassman.
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422. Seems like for every lesion
we excise, we find two more.
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423. What time is it?
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424. 1:12 in the morning.
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425. And my bladder is about to burst.
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426. After I finish this one,
I'm gonna take a break.
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427. While I'm out, Park, you take over.
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428. Start on the lesions
I showed you on the bladder,
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429. but be careful...
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430. Her pressure's dropping.
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431. She's bleeding out. I can't see
anything. We're taking out the scope.
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432. We're gonna have to open her up.
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433. I've got two units
on the rapid infuser.
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434. MAP is still hovering at 60.
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435. Moving as fast as I can.
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436. Paint her with Chlorhexidine
and don't make it a Picasso.
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437. - It's a crash lap.
- On it.
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438. Knife.
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439. Uh, the
bleeding's under control.
Copy !req
440. What about her bladder?
Copy !req
441. There's infiltrating lesions all over it.
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442. Even the walls are involved.
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443. We're gonna have to remove it.
Copy !req
444. And give her a urostomy bag?
Copy !req
445. There has to be another option.
Copy !req
446. If I had another option, Nurse
Flores, I would've suggested it.
Copy !req
447. What if we excise part of her
bowel, reconstruct a bladder?
Copy !req
448. That's a lot more dangerous than...
Copy !req
449. Making a 28-year-old woman
urinate through a hole
Copy !req
450. in her abdomen for the rest of her life?
Copy !req
451. I think the additional risk is worth it.
Copy !req
452. See if the husband agrees.
Copy !req
453. - Okay. I'll go.
- No, Park will.
Copy !req
454. And while he does, I want
everyone but J.L., Dr. Browne,
Copy !req
455. and Nurse Flores to clear the OR.
Copy !req
456. You, monitor the patient.
Copy !req
457. You two, we need to have a talk.
Copy !req
458. Do I have a choice?
Copy !req
459. Do you want to keep
a fully functioning penis?
Copy !req
460. - Of course...
- Then no.
Copy !req
461. That's even...
Bigger than it was last time.
Copy !req
462. Winter's procedure requires
an extra-large-gauge needle
Copy !req
463. to poke a hole big enough
to restore blood flow.
Copy !req
464. We'll give you a lidocaine nerve block.
You won't feel a thing.
Copy !req
465. W-Why wasn't I given that last time?
Copy !req
466. The risk wasn't worth it before.
Copy !req
467. Uh, trust me,
it was worth it before, too.
Copy !req
468. Good choice. We'll be right back.
Copy !req
469. W... You said that we needed
to do this right now!
Copy !req
470. We do. I just need to confer
with my colleague for a moment.
Copy !req
471. You're talking to Lim behind my back?
Copy !req
472. No.
Copy !req
473. Don't lie. You're not good at it.
Copy !req
474. I saw you delete her text.
Copy !req
475. I knew Glassman didn't give
you the Winter's idea.
Copy !req
476. The text wasn't from Dr.
Lim. It was from Lea.
Copy !req
477. If it was from Lea, then
why'd you delete it so fast?
Copy !req
478. Claire thinks I shouldn't
push a good friend away,
Copy !req
479. but thinking about her...
Copy !req
480. I don't want to talk to her.
Copy !req
481. You shouldn't listen to them.
Copy !req
482. Either of them.
Copy !req
483. Lea and Claire are nice to you.
Copy !req
484. But... they're not your friends.
Copy !req
485. They want to take care of you,
like a cute pet.
Copy !req
486. They take you seriously
as a doctor but not as a man.
Copy !req
487. Lea kissed me.
Copy !req
488. After we sang karaoke.
Copy !req
489. Shaun, it was a pity kiss.
Copy !req
490. You've never even met Lea.
Copy !req
491. True.
Copy !req
492. But I know that she's not
in middle school,
Copy !req
493. which means if she really
thought of you as a man,
Copy !req
494. she wouldn't have settled
for just one innocent peck.
Copy !req
495. I just...
Copy !req
496. What're you looking at?
Copy !req
497. Hey, Shaun.
Copy !req
498. What's going on? I thought I couldn't
be released until I was arraigned.
Copy !req
499. The judge decided nine hours
was enough punishment.
Copy !req
500. She's the one who should be punished.
I should sue her.
Copy !req
501. What you should do is learn
to keep your mouth shut.
Copy !req
502. You're lucky I'm hungry.
Copy !req
503. This stops now.
Copy !req
504. We need to work together.
Copy !req
505. We are.
Copy !req
506. That's how we came up with the
idea to rebuild her bladder.
Copy !req
507. There's a way to offer your input
without undermining my authority.
Copy !req
508. The only thing that undermines
your authority
Copy !req
509. is your comments about
Dr. Browne's supposed PMS.
Copy !req
510. - What?
- I never said you had PMS.
Copy !req
511. I just asked Park if he knew
Copy !req
512. why you were more irritable than usual.
Copy !req
513. I'm not irritable, and I'm not a whiner!
Copy !req
514. I never said you were...
Copy !req
515. You told me to take it up with
Andrews. This was your idea.
Copy !req
516. If anyone's a whiner, it's you.
Copy !req
517. That's enough.
Copy !req
518. You're 12 hours into an operation
Copy !req
519. you thought was gonna take one,
so I think it's safe to say
Copy !req
520. you're all more irritable than usual.
Copy !req
521. But you need to get a grip.
Copy !req
522. Dr. Melendez, maybe it's time
you took a little break.
Copy !req
523. Get an energy bar and some juice.
Copy !req
524. I don't need a...
Copy !req
525. Do it anyway.
Copy !req
526. And when he gets back,
I expect everyone in this OR
Copy !req
527. to conduct themselves with
the utmost professionalism.
Copy !req
528. Can I get two brisket tacos, please?
Copy !req
529. You know what? Actually, make it three.
Copy !req
530. Thank you.
Copy !req
531. You're out of order!
Copy !req
532. Hmm.
Copy !req
533. She's out of order!
Copy !req
534. This whole traffic court
hearing is out of order!
Copy !req
535. Okay, very funny, smart-ass.
Copy !req
536. Actually, I gotta give you props.
Copy !req
537. You were right
about the LIDAR calibration.
Copy !req
538. Hmm. If your phone hadn't rung,
you might've gotten off.
Copy !req
539. Next time, I will turn my phone off.
Copy !req
540. Next time? You're done.
Copy !req
541. Case closed.
Copy !req
542. You're gonna start having to work on
Copy !req
543. upping your rideshare rating.
Copy !req
544. I'm obviously gonna appeal.
Copy !req
545. She was biased against me from the start.
Copy !req
546. I see it all the time... Women
in power are worse than men.
Copy !req
547. No comment.
Copy !req
548. Order up. Brisket tacos.
Copy !req
549. Thanks.
Copy !req
550. Oh, thank you.
Copy !req
551. Want one?
Copy !req
552. I would love a beer. But I can't.
Copy !req
553. I'm on call for the next 17 hours.
Copy !req
554. You're still on call?
Copy !req
555. What would you have done if they
needed you while you were locked up?
Copy !req
556. I would've had them phone
my secondary coverage.
Copy !req
557. I didn't see the point
in waking another doctor.
Copy !req
558. Or publicizing your predicament.
Copy !req
559. I'm competing for a promotion,
Copy !req
560. and I didn't feel the need to
tell my boss I was locked up
Copy !req
561. unless I absolutely had to.
Copy !req
562. No harm, no foul.
Copy !req
563. Husband consented.
Copy !req
564. We're good to go whenever you are.
Copy !req
565. Scrub back in. I'll be right there.
Copy !req
566. Oh, I'm gonna kill them.
Copy !req
567. - Oh, God.
- Oh.
Copy !req
568. - Sorry.
- It's okay.
Copy !req
569. What?
Copy !req
570. We had a patient come in this
morning with low-flow priapism.
Copy !req
571. We thought it was drug-induced,
Copy !req
572. but then I noticed a foot drop...
Copy !req
573. Cut to the chase.
Copy !req
574. We found an epidural abscess
with pelvic extension and...
Copy !req
575. Get him prepped. I'll be there in 15.
Copy !req
576. What?
Copy !req
577. - I gotta go.
- No.
Copy !req
578. Is someone dying?
Copy !req
579. Not if I can get there in time.
Copy !req
580. Oh, um, can you give me a ride?
Copy !req
581. Irrigate
with diluted bacitracin.
Copy !req
582. Morgan, irrigation.
Copy !req
583. Sorry. It's been a long day.
Copy !req
584. And you only have another
nine and a half hours to go.
Copy !req
585. Only 9 hours, 21 minutes.
Copy !req
586. Browne's right. This
flextime schedule is absurd.
Copy !req
587. Yeah, it has its drawbacks.
Copy !req
588. But if this penis had been
passed on to the next shift,
Copy !req
589. they would've assumed
you missed something,
Copy !req
590. and they would've
done a whole new work-up.
Copy !req
591. The delay could've paralyzed him.
Copy !req
592. Or maybe they wouldn't be so tired
Copy !req
593. and would've noticed
the foot drop faster.
Copy !req
594. You guys are doing fine.
Copy !req
595. And you'll get used to the fatigue.
Copy !req
596. After a while, it won't even bother you.
Copy !req
597. That's easy for you to say.
Copy !req
598. You were on home-call chilling
on your couch all day.
Copy !req
599. Good point.
Copy !req
600. Orthotopic
neobladder is in place.
Copy !req
601. Let's make sure it drains
properly before we move on.
Copy !req
602. Flow looks good.
Copy !req
603. Hold on, push it back again.
Copy !req
604. What's that? At the base of the uterus?
Copy !req
605. It looks dusky.
Copy !req
606. Can I get some more dye?
Copy !req
607. It's a polyploid mass.
Copy !req
608. It extends from the uterine
to the ovarian artery.
Copy !req
609. All collateral blood supplies
have been invaded.
Copy !req
610. We're gonna have to do
a full hysterectomy.
Copy !req
611. What if we resect the mass
Copy !req
612. and graft a saphenous vein for bypass?
Copy !req
613. Risk of graft occlusion
is too high. She'd go septic.
Copy !req
614. The last thing she told us was her
lifelong dream was to be a mother.
Copy !req
615. It's an innovative idea. But...
Copy !req
616. It's not our decision.
Copy !req
617. I'll scrub out and talk to the husband.
Copy !req
618. No, I'll do it.
Copy !req
619. No, I... I... I can't
make that decision for my wife.
Copy !req
620. Yes, you can.
Copy !req
621. You've already done it once.
Copy !req
622. This is different.
Copy !req
623. But this is what Gina wants.
Copy !req
624. I... I... It's why
she made you her proxy.
Copy !req
625. No. I'm... I'm her proxy
because she didn't think
Copy !req
626. she should ask her mother and sisters
Copy !req
627. to fly from Maine for a minor surgery.
Copy !req
628. Look, you have to call them.
Copy !req
629. No, Gina chose you.
Copy !req
630. You are the one who knows her,
who truly understands her.
Copy !req
631. What would she want us to do?
Copy !req
632. I don't... I don't know.
Copy !req
633. I mean, how... How can any man...
Copy !req
634. Please, just tell me what to do.
Copy !req
635. I met her yesterday.
I barely know her.
Copy !req
636. So you can be objective. You...
You can make the right call.
Copy !req
637. No, Gina didn't choose someone
to be objective.
Copy !req
638. - She chose you.
- Please, just tell me what to do.
Copy !req
639. - I can't.
- You have to! Because I won't.
Copy !req
640. I can't do that to her.
Copy !req
641. Please. Just... Just help me.
Copy !req
642. Whatever you say, that's...
That's what I'll do.
Copy !req
643. Whatever you say.
Copy !req
644. Do you feel sorry for me?
Copy !req
645. Why would I?
Copy !req
646. Morgan says Lea is only nice to me
Copy !req
647. because she feels sorry for me.
Copy !req
648. Does Morgan have a theory for
why Morgan is so nice to you?
Copy !req
649. I'm being honest,
which is better than nice.
Copy !req
650. Cut this fibrinous tissue.
Copy !req
651. Bipolar.
Copy !req
652. Some women put a guy in the friend zone
Copy !req
653. and they end up treating him
more like a pet than a person.
Copy !req
654. Morgan has a point.
Some women do that.
Copy !req
655. But the only way to find out if
Lea does that is to talk to her.
Copy !req
656. The wound is clean.
Copy !req
657. No more macroscopic signs of infection.
Copy !req
658. Any spinal nerve damage?
Copy !req
659. Won't be able to tell until he wakes up.
Copy !req
660. What'd he decide?
Copy !req
661. He didn't.
Copy !req
662. He refused to make a decision.
Copy !req
663. He, um, insisted that I do it for him.
Copy !req
664. She really wants to be a mom,
Copy !req
665. - so I think that we should try to...
- No.
Copy !req
666. He chose me to make the decision.
Copy !req
667. Her life matters more than a dream.
Copy !req
668. Do a full hysterectomy.
Copy !req
669. You're right.
Copy !req
670. Let's go.
Copy !req
671. She's already been under for 22 hours
Copy !req
672. and we got a lot more work to do.
Copy !req
673. Metz and a forcep.
Copy !req
674. Cut the
uterosacral ligament.
Copy !req
675. Large pan.
Copy !req
676. Time?
Copy !req
677. 4:10. She's been under
26 hours, 10 minutes.
Copy !req
678. All right, let's close
her up so we can wake her up.
Copy !req
679. I'll go tell the husband.
Copy !req
680. No. I'll do it.
Copy !req
681. Dr. Browne, you take lead on the close.
Copy !req
682. Wiggle your toes.
Copy !req
683. All 10 are going to market.
Copy !req
684. You're gonna be fine.
Copy !req
685. And, uh, w-what about my...
Copy !req
686. He'll be fine, too.
Copy !req
687. Thank you.
Copy !req
688. Oh, don't thank me.
Copy !req
689. Those two are the ones who saved you.
Copy !req
690. All on their own...
Copy !req
691. Almost.
Copy !req
692. What happened?
Copy !req
693. The endometrial lesions
were much more invasive
Copy !req
694. than we saw on the imaging.
Copy !req
695. In order to remove them all,
we needed to reconstruct
Copy !req
696. a new bladder out of a section
of your intestine.
Copy !req
697. And we had to remove your uterus.
Copy !req
698. Honey, I am so sorry.
Copy !req
699. It's gonna be okay.
Copy !req
700. I love you so much.
Copy !req
701. I love you, too.
Copy !req
702. Now that we've handled
the surgical crisis,
Copy !req
703. it's time we deal with
the unprofessional behavior.
Copy !req
704. The only question I have is,
who exactly is to blame?
Copy !req
705. It was a 27-hour surgery.
Copy !req
706. There were some tense moments.
Copy !req
707. But I was very pleased with how everyone
Copy !req
708. ultimately worked together as a team.
Copy !req
709. I was especially impressed
with how Dr. Browne
Copy !req
710. aggressively stood her ground
and insisted
Copy !req
711. that I respect the husband's
final decisions
Copy !req
712. regarding his wife's hysterectomy.
Copy !req
713. Is there anything the two
of you would like to share?
Copy !req
714. No. I'm good.
Copy !req
715. Well, I'd like to say...
Copy !req
716. I was very impressed
with Dr. Melendez's openness
Copy !req
717. to hearing input from all
of the surgical team.
Copy !req
718. It's definitely something all of us
Copy !req
719. on the nursing staff appreciate.
Copy !req
720. Very good.
Copy !req
721. Go home, get some rest.
Copy !req
722. You're here.
Copy !req
723. Yeah, I am.
Copy !req
724. I shouldn't have told you to go away.
Copy !req
725. It wasn't very nice and you've
always been nice to me.
Copy !req
726. You've been a good friend.
Copy !req
727. If you want to talk, I will listen.
Copy !req
728. You're right. I have been a good friend.
Copy !req
729. Actually, I've been an awesome friend,
Copy !req
730. but you have been a total jerk!
Copy !req
731. You are so worried about me hurting you?
Copy !req
732. What about how you hurt me?
Copy !req
733. What? You think you're
the only one who has feelings?
Copy !req
734. You think you're the only one
who needs someone
Copy !req
735. who doesn't judge them, doesn't
make them feel totally alone,
Copy !req
736. like there's not one person in the world
Copy !req
737. who actually gives a damn about them?
Copy !req
738. Okay. I'm sorry.
Copy !req
739. No, you're not!
Copy !req
740. You're... You're just uncomfortable
Copy !req
741. and you're trying to get me to shut up.
Copy !req
742. Which, don't worry, I will.
Copy !req
743. Just as soon as I finish telling you
Copy !req
744. that friendship
is a two-way street, Shaun!
Copy !req
745. A two-way street, you jackass!
Copy !req
746. Guess I was wrong.
Copy !req
747. She does think of you like a real man.
Copy !req
748. Are you awake?
Copy !req
749. Hi, Daddy.
Copy !req
750. Maddie?
Copy !req
751. How are you feeling?
Copy !req
752. It's so good to see you.
Copy !req
753. You're dead.
Copy !req
754. Don't you think I know that?
Copy !req
755. Am I dead?
Copy !req
756. No, dummy. You're just tired.
Copy !req