1. We should not
live together.
Copy !req
2. That makes no sense.
Copy !req
3. I rented that apartment,
Copy !req
4. and neither of us
can afford it on our own.
Copy !req
5. It has a fireplace.
Copy !req
6. We shouldn't
live together.
Copy !req
7. It has a fireplace.
Copy !req
8. Do you ever
think about us
Copy !req
9. being together
Copy !req
10. as a couple?
Copy !req
11. Sometimes.
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12. I don't want that.
Copy !req
13. You don't want us
to be a couple?
Copy !req
14. Or you don't want me thinking
about us as a couple?
Copy !req
15. Neither.
Copy !req
16. If we get
an apartment together,
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17. I feel like
that's a signal
Copy !req
18. that you and I might end up
as boyfriend and girlfriend,
Copy !req
19. and that's
not going to happen.
Copy !req
20. You can't
predict the future.
Copy !req
21. Feelings change.
Copy !req
22. I used to hate hugs,
but now,
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23. sometimes I don't.
Copy !req
24. But I don't want
my feelings to change.
Copy !req
25. I like
being your friend,
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26. and romantic relationships
are... Are unpredictable.
Copy !req
27. So much can go wrong,
especially when I am involved.
Copy !req
28. And if we live together,
it's gonna be awkward.
Copy !req
29. You're bound to walk in on me
when I'm naked
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30. or hear the weird
sex sounds I make
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31. with some out-of-work
drummer
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32. or find me crying
when that drummer dumps me,
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33. even though I was
totally gonna dump him.
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34. I was so unhappy
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35. when we weren't
getting along.
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36. You were, too, right?
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37. Yes.
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38. Anything that puts
our friendship at risk
isn't worth it to me.
Copy !req
39. Okay, Shaun?
Copy !req
40. Yes.
Copy !req
41. Our gallbladder
removal's off.
Copy !req
42. Patient took an Ambien
last night,
Copy !req
43. woke up eating
a roast chicken.
Copy !req
44. Let's check
the consult list
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45. for something
a little more interesting.
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46. See? Gallbladders
are boring.
You're a resident.
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47. You don't get to call
any surgery boring.
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48. See?
Copy !req
49. This is
interesting.
Copy !req
50. Fizzy urine.
Copy !req
51. 42-year-old female,
syncopal episode
Copy !req
52. with persistent loss
of consciousness.
Copy !req
53. On the ride, she went
into PVT, rate of 180.
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54. We shocked her back
to normal sinus rhythm.
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55. I'm starting to feel...
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56. She's going
back into PVT.
Copy !req
57. We need to shock her.
Get her into a bay.
No. No.
Copy !req
58. That was cool,
but you may have
just cracked her sternum.
Copy !req
59. Get her into bay two.
What happened?
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60. You're her husband?
Yes.
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61. Your wife
is pretty frail.
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62. Any idea what could
have caused that?
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63. She did.
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64. She's anorexic.
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65. I'm Dr. Murphy.
This is Dr. Park.
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66. We're here
about your urine.
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67. How long
has it been fizzy?
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68. I hadn't even noticed.
Is that a problem?
Copy !req
69. Ah, it can be a symptom
of several conditions,
many of them minor.
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70. You're here for ortho...
A scope on your right knee?
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71. It's been sore.
I've been training for a race.
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72. Joint pain
plus fizzy urine.
Copy !req
73. You could have
emphysematous cystitis,
Copy !req
74. bladder cancer,
kidney problems...
Copy !req
75. Those sound serious.
Should I call my husband?
Copy !req
76. Emphysematous cystitis is
a treatable bladder infection.
Copy !req
77. Your symptoms could also
be from a kidney stone
or dehydration.
Copy !req
78. Could my issues
be caused by
gastric bypass surgery?
Copy !req
79. It depends.
When was it?
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80. Fifteen years ago.
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81. I used to be
377 pounds.
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82. That's a lot.
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83. Your surgery wouldn't cause
those symptoms,
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84. but we need to do a cystoscopy
to find out what did.
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85. I'll cancel the ortho
and get Lim to sign off.
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86. Hey, wait.
What...
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87. So, what is
a cystoscopy?
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88. It's like
a knee scope,
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89. except the camera
goes up your penis.
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90. You administered
amiodarone?
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91. Rhythm's normal.
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92. That's good,
right?
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93. It's better than
when you came in.
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94. Your heart
is failing
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95. as a result of a condition
called mitral regurgitation.
Copy !req
96. One of your valves
isn't closing all the way.
Copy !req
97. Blood keeps leaking back
into your atrium.
Copy !req
98. That's why you fainted
and why we need
to repair that valve ASAP.
Copy !req
99. How long
have you been anorexic?
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100. I've had
issues with food
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101. on and off
since I was 14.
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102. Mitral valve issues
are a frequent complication
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103. of long-term
malnutrition.
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104. This bout started
about a year ago.
Copy !req
105. Skipping meals,
lying about eating,
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106. exercising excessively.
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107. I don't know
what else I can do.
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108. I... I can't monitor her
24 hours a day.
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109. I'm not asking you to.
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110. No, but you are
starving yourself.
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111. Mom.
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112. Graham-y,
come here.
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113. What's he doing here?
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114. When I got home,
I heard about the ambulance.
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115. I made Cindy
bring me here.
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116. What's wrong
with my mom?
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117. She needs a surgery to repair
a valve in her heart.
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118. This heart thing, is...
Is that why she's so skinny?
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119. Look,
what matters, Graham,
Copy !req
120. is that these doctors
are gonna help your mom.
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121. Okay?
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122. You haven't
moved your bowels.
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123. Well, thank you, Shaun,
for that announcement.
Copy !req
124. Saves me the trouble
of tweeting.
Copy !req
125. The nurses already knew.
They told me.
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126. They also said
you're no longer talking
to your dead daughter.
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127. Constipated, but no longer
psychotic. A narrow win.
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128. Your first
defecation event
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129. is a vital part
of the discharge criteria.
Copy !req
130. Event? What is this,
the post-op decathlon.?
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131. Pooping, peeing,
walking, talking?
Yes.
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132. You have to walk
a full lap of the floor.
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133. But you canceled physical
therapy this morning.
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134. Those nurses
have big mouths.
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135. I canceled because
my leg is a little sore.
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136. That could be
phlebitis
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137. or a DVT or a...
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138. Could also be
an unsurprising complication
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139. from a surgeon
poking around in my pons.
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140. Every day in the hospital
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141. increases your risk
of infection by 1.37%.
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142. You need to move your bowels,
and we should walk right now.
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143. I'll go very slow.
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144. Shaun,
is there any chance
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145. that you are needed
elsewhere right now?
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146. I... I have eight minutes
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147. until my patient's
cystoscopy.
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148. Good. Be early.
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149. DR. Urethra looks clean.
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150. No lesions,
no stones so far.
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151. How do we check
for obstructions
or stones further up?
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152. Contrast cystogram.
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153. Since you found
this patient,
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154. how about
you do the honors?
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155. You know this guy
used to weigh 370 pounds?
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156. Thread the catheter
further into the bladder.
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157. That's a big drop.
Good for him.
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158. He did
have gastric bypass.
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159. That makes it
less impressive?
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160. Now infuse the contrast.
Well, yeah,
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161. it is the easy way, compared
to just diet and exercise.
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162. The contrast dye
is dissipating.
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163. It's supposed to.
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164. You said he's training
for a race.
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165. Obviously,
he turned his life around.
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166. Still dissipating.
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167. Bypass made it
physically impossible
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168. for him to eat
as much as he wanted.
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169. It's gone.
The contrast is gone.
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170. DR. That makes no sense.
DR. Where did it go?
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171. He probably
has a fistula,
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172. a tunnel connecting
his bladder to his intestine.
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173. Air and bacteria moving
the other direction
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174. caused bubbles
in his urine.
Copy !req
175. Her liver and thyroid
are normal,
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176. but her electrolytes
are off.
Copy !req
177. Her albumin
is at 2.1.
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178. She's severely
malnourished.
Copy !req
179. She'll be totally vulnerable
to post-op infections.
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180. She needs this surgery
to survive,
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181. but she may be too sick
to survive the surgery.
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182. DR.In order
to operate safely,
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183. we need to boost
your caloric intake,
optimize protein.
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184. Can't you do that
through my IV?
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185. It's more efficient to pump
a nutritional supplement
directly into your stomach.
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186. We use a tube
running down from your nose.
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187. I had an NG tube once.
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188. It didn't work.
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189. She couldn't
tolerate it.
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190. Because it's not
really about food.
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191. It's about control.
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192. You've lived for decades
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193. with a condition
that has killed more people
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194. than any other
psychiatric illness.
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195. You didn't just survive.
You had a child.
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196. Can you tell us how?
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197. When I got pregnant, it was
like this terrifying miracle.
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198. And the thought of
gaining all that weight,
but...
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199. I wanted him so much.
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200. We both did.
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201. Every meal, I would sit
with pictures
of his ultrasound,
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202. I... Imagining the food
going directly to him.
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203. Can you do that again?
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204. Eat for Graham?
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205. We've determined
the fistula
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206. between your bladder
and intestine
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207. was caused
by Crohn's disease,
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208. an inflammatory
intestinal condition.
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209. Once we reverse
your gastric bypass,
you'll need...
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210. Wait. Rev...
Reverse my bypass?
Are you sure?
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211. Bypass surgery shortens
the digestive tract.
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212. People with
Crohn's disease need
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213. every inch of intestine
they have,
or they risk critical,
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214. even fatal
malnutrition.
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215. Okay, but I don't want
my husband to know,
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216. and he'll be here soon.
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217. Well, we would never
reveal anything
without your permission,
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218. but Crohn's disease
is going to require
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219. some major
adjustments.
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220. Well, I'll tell Spence
about the Crohn's,
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221. and I'll tell him
I'm having surgery...
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222. On my bladder.
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223. Your husband doesn't know
you had gastric bypass?
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224. That would require him knowing
I was obese to begin with.
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225. That's not
gonna happen.
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226. Your husband
must be very shallow.
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227. Even if I don't disclose
that I reversed your bypass,
your scars might.
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228. It requires
a separate incision.
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229. Well, tell him
there was a complication.
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230. Our obligation to protect your
privacy doesn't include lying.
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231. And you shouldn't have to go
through this without him.
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232. The single abdominal
umbilical port.
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233. We can repair
Wade's fistula
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234. and reverse his bypass
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235. all through
a single incision.
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236. We can help
deceive your husband.
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237. Oh, honey, I'm so sorry.
That's okay, Spence.
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238. Got here
as soon as I could.
It's all right.
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239. And since my husband is
surrounded by surgeons,
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240. what's the issue,
what are you gonna
do about it,
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241. and how often have you
done it successfully?
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242. How are you doing?
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243. I'm fine.
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244. Graham, would you mind
filling this?
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245. You've had
one spoonful of tuna,
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246. two ounces
of apple sauce.
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247. That's it?
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248. Mom, if that's all I had,
you'd never let me up
from the table.
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249. This is different.
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250. I can't eat
too quickly.
I don't believe you.
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251. It's true.
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252. Your mother is suffering
from severe malnutrition,
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253. and she's trying
her best...
I knew it.
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254. You're too skinny.
That's why you're here.
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255. That's probably why
your heart's messed up,
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256. and you still won't eat.
Graham, I am trying.
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257. How hard
can it be to eat?
I'm not feeling well.
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258. Me and Dad
are really worried about you.
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259. Don't you care?
Of course I do, Graham.
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260. So much.
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261. Then do something.
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262. Prove it.
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263. You provoked
that argument?
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264. Yep, and I may have just
saved our patient.
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265. She requested an NG tube.
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266. Understanding is nice.
Calories are better.
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267. He's screwing this up.
His husband's scared,
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268. and he just wants to know
what's going on.
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269. Nothing like marital advice
from the divorced.
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270. You're divorced, too.
And I'm not advising.
Copy !req
271. I'm not judging
the health of a marriage
Copy !req
272. based on a single secret,
which is neither shocking
Copy !req
273. nor a sign
of its imminent demise.
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274. What, truth in a marriage
is overrated?
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275. Well, it was in mine.
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276. Not every single insight,
opinion, or impulse
needs to be shared.
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277. Marriage sounds
confusing.
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278. No wonder you both
failed at it.
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279. How's it going
in here?
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280. Not as bad
as I remember.
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281. Does it hurt, Mom?
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282. No, just
a little awkward.
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283. Makes it hard to talk.
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284. But I'm okay.
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285. I am so proud of you.
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286. Dr. Glassman
hasn't defecated
Copy !req
287. or done
his physical therapy.
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288. I am aware
and yet unalarmed.
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289. Who are you?
I'm Dr. Shaun Murphy.
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290. Oh, right!
Copy !req
291. Your Dr. Glassman's...
Friend.
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292. Please order him to do
physical therapy
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293. and give him 15 milligrams
of ex-lax.
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294. The ex-lax
is a decent idea.
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295. As for the physical therapy,
of course, he's stalling.
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296. Glassman's a proud man.
He ran this hospital.
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297. He's reluctant to feel
weak and vulnerable
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298. in front of people
who used to work for him.
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299. That doesn't
make sense.
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300. He is weak.
He just had brain surgery.
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301. Well, sensical or not,
that's my take.
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302. He'll walk eventually.
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303. Every day
in the hospital
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304. increases his risk
of infection by 1.37...
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305. Well, you tell him that,
and maybe he'll hop
right out of bed.
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306. I did.
It didn't work.
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307. He didn't respond
to the stick.
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308. Try the carrot. Although,
really, I would just advise...
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309. Dr. Glassman
doesn't like carrots.
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310. What should I do
with the stick?
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311. It's a metaphor.
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312. Uh, Glassman, appropriately,
is the donkey.
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313. The stick
signifies punishment.
Copy !req
314. The carrot signifies...
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315. Reward, but he is...
He's recovering nicely,
Copy !req
316. and your best bet is
to just be patient with him.
Copy !req
317. So, I should
use a reward
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318. to motivate Dr. Glassman
to do physical therapy.
Copy !req
319. Actually,
what I'm saying
Copy !req
320. is that you should be
patient and supportive...
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321. and please,
please answer that.
Copy !req
322. Close the door.
Copy !req
323. We were headed to pre-op
when he started
projectile vomiting.
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324. It's... green.
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325. That could mean bile and
a partial bowel obstruction.
Copy !req
326. We need an NG tube.
An obstruction?
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327. Did the Crohn's
cause that?
Copy !req
328. It's hard to know for sure.
NG tube stat.
Copy !req
329. You're doing great.
Copy !req
330. You should try
and get some sleep.
Copy !req
331. I can't.
Copy !req
332. There's this voice
in my head,
and it won't be quiet.
Copy !req
333. It keeps
telling me that
Copy !req
334. this bag has
60 grams of protein,
Copy !req
335. 40 grams of fat,
Copy !req
336. 1,200 calories
in total.
Copy !req
337. It just won't stop.
Copy !req
338. Try to think
of Graham and Sam.
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339. I'm trying.
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340. I'll get something
to put over that.
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341. Louisa, no!
Copy !req
342. No!
Copy !req
343. No!
Copy !req
344. I'm sorry.
Copy !req
345. I... I just...
Copy !req
346. I can't stand it.
Copy !req
347. I got
your deposit back.
Copy !req
348. Why?
Copy !req
349. Shaun, I told you
that you and I
can't live together.
Copy !req
350. No.
Copy !req
351. You told me
we can't be boyfriend
and girlfriend.
Copy !req
352. We can still be
friends with benefits.
Copy !req
353. The benefit is...
Copy !req
354. We would be
living together.
Copy !req
355. I was clear.
Copy !req
356. It's too complicated...
You were.
Copy !req
357. We can't date or kiss
or have sex.
Copy !req
358. But I thought you wanted
to be friends.
Copy !req
359. Yes. Of course.
Copy !req
360. And spend time
together.
Right.
Copy !req
361. Then it's simple.
Copy !req
362. She begged us
to reinsert the NG tube,
Copy !req
363. then pulled it out again
an hour later.
Copy !req
364. DR.Do we try again
with the tube and restraints?
Copy !req
365. Oh, we'd just be raising
her risk of self-injury,
pneumonia, a blood clot.
Copy !req
366. What about going back
to solid food?
Copy !req
367. Anything less than
1,200 calories a day,
Copy !req
368. and her malnutrition
wouldn't be improving.
Copy !req
369. In fact,
she'll keep losing weight.
Copy !req
370. We should go ahead with
that valve repair now.
Copy !req
371. I think we can
improve her nutrition
Copy !req
372. without force-feeding
or IVs.
Copy !req
373. I found a small study
where deep brain stimulation
Copy !req
374. was used
to treat anorexia.
Copy !req
375. You want to use brain surgery
for a psychiatric disorder?
Copy !req
376. Surgical procedures
have been effective
Copy !req
377. for, uh, depression,
OCD, addiction.
Copy !req
378. This surgery could reduce
her anxiety around eating.
Copy !req
379. Once she's eating, her
malnutrition will improve
Copy !req
380. and reduce the risk
of the valve repair.
Copy !req
381. It could also
cause personality changes.
Copy !req
382. And this study
covers six subjects
Copy !req
383. with only 50% success.
Copy !req
384. Well, this could be
Louisa's only shot
Copy !req
385. at getting free
of this illness.
Copy !req
386. And it was done
in the UK.
Copy !req
387. DBS isn't FDA-approved
for anorexia treatment here.
Copy !req
388. So, we call
an IRB ethics hearing
Copy !req
389. and argue
emergent-use approval.
Copy !req
390. Which we shouldn't get
off such little data.
Copy !req
391. Nice work
digging this up,
Copy !req
392. but it's not
a real option.
Copy !req
393. Let's go talk to her
about the valve surgery.
Copy !req
394. Can I help you?
Copy !req
395. I'm looking
for a carrot.
Copy !req
396. 17, 18, 19...
Copy !req
397. No, uh, sorry, we don't
have any carrot muffins.
Copy !req
398. How about
a lemon-poppy, Shaun?
Copy !req
399. Hello, Debbie Wexler.
Copy !req
400. It's a metaphor
for moving a donkey.
Copy !req
401. I need a carrot
because I don't want
Copy !req
402. to beat Dr. Glassman
with a stick.
Copy !req
403. He likes
blueberry muffins.
Copy !req
404. How's Aaron...
Copy !req
405. Dr. Glassman recovering?
Copy !req
406. He moved his bowels
this morning.
Copy !req
407. But he doesn't
want to appear weak,
Copy !req
408. so he hasn't
done physical therapy.
Copy !req
409. I want that
blueberry muffin, please.
Copy !req
410. It has 23
visible blueberries.
Copy !req
411. You know,
Aaron once told me
Copy !req
412. that his absolute favorites
were the chocolate chip ones.
Copy !req
413. Do you want
one of those instead?
Copy !req
414. Yes, I want
one of those instead.
Copy !req
415. Oh, hi, Dr. Park.
Copy !req
416. Um, I have a few questions
about Wade's surgery.
Copy !req
417. Sorry,
I'm pretty busy.
Copy !req
418. Actually,
I need to get going.
Copy !req
419. Uh, I'll walk with you.
Copy !req
420. I know Wade's surgery
is this afternoon,
Copy !req
421. but I've been
researching treatments
for Crohn's lesions.
Copy !req
422. What'd we do
before the Internet?
Copy !req
423. I talked to two experts
who felt that Wade
should be put
Copy !req
424. on REMICADE
or Azathioprine
Copy !req
425. before any surgical
interventions.
Copy !req
426. Interesting
recommendations,
Copy !req
427. but considering they haven't
seen your husband's chart...
Copy !req
428. Well, this doctor
felt strongly
that you should see
Copy !req
429. how he responds
to medication before...
Copy !req
430. Wade's care is completely
appropriate for his condition.
Copy !req
431. But if his Crohn's lesions
could be treated
without cutting him open...
Copy !req
432. That's not
what we're treating.
Copy !req
433. Excuse me?
Copy !req
434. Go talk
to your husband.
Copy !req
435. I brought you
a chocolate chip muffin.
Copy !req
436. I love
chocolate chip.
Copy !req
437. Thank you.
Copy !req
438. Where is it?
Copy !req
439. At the nurse's station.
Copy !req
440. You can walk out
to get it.
Copy !req
441. Shaun, you see,
here I thought you were
doing something nice for me.
Copy !req
442. I am.
No, you're not.
Copy !req
443. You're manipulating.
Copy !req
444. My leg hurts,
and I... I have
a sore throat,
Copy !req
445. and I don't
feel like walking.
Copy !req
446. Dr. Blaize says you
don't want to seem weak
Copy !req
447. in front of people
who used to work for you.
Copy !req
448. Dr. Blaize is wrong.
Copy !req
449. I don't want to walk
because I don't want to walk.
Copy !req
450. And this is
condescending,
Copy !req
451. and it's insulting,
and it's annoying.
Copy !req
452. Should I get you
your muffin?
Copy !req
453. Well, that
would be nice.
Copy !req
454. An orderly
is eating it.
Copy !req
455. Mr. DeLeon,
can I help you?
Copy !req
456. Uh...
Copy !req
457. My wife's decided against
the valve-repair surgery,
Copy !req
458. at least until she's tried
the deep brain stimulation
for her anorexia.
Copy !req
459. Did Dr. Browne tell you
that it's an experimental
brain surgery,
Copy !req
460. which could alter your wife's
personality forever?
Copy !req
461. That's if we get
the special approval required.
Copy !req
462. She's explained
all the issues.
Copy !req
463. I got
our apartment back.
Copy !req
464. I had to pay $300 more
as a deposit
Copy !req
465. because someone else
wanted it, but that's okay.
Copy !req
466. No, Shaun!
Copy !req
467. It has a fireplace.
Copy !req
468. Why aren't you
listening to me?
Copy !req
469. You're not
listening to me!
Copy !req
470. I'll be okay
running into you naked,
Copy !req
471. or hearing sex noises
Copy !req
472. or seeing you cry
over breakups with drummers.
Copy !req
473. I know that you think you can,
but how can you be sure?
Copy !req
474. Because living with you
will be good for me.
Copy !req
475. It makes me happy.
Copy !req
476. You remember
what you said, Shaun,
Copy !req
477. that no one can
predict the future
Copy !req
478. and feelings
can change?
Copy !req
479. What if I end up
hurting you again?
Copy !req
480. I don't want to risk
our friendship
Copy !req
481. over an apartment.
Copy !req
482. Do you?
Copy !req
483. If we don't
live together,
Copy !req
484. you will have to buy
your own batteries.
Copy !req
485. We'll still
see each other.
That will be hard.
Copy !req
486. I work a lot.
We'll find a way.
I know we will.
Copy !req
487. I need to go to work.
Copy !req
488. I'll stop on the way home
and tell the manager
Copy !req
489. we don't
want the apartment.
Copy !req
490. No, I'll do it.
Copy !req
491. The subjects
who responded in this study
Copy !req
492. are all long-term sufferers
with a target BMI of 13-16,
Copy !req
493. who actively pursued
this treatment,
Copy !req
494. much like our patient.
Copy !req
495. Additionally, DBS surgery
requires lighter sedation
Copy !req
496. and places less strain
on her system
Copy !req
497. than an open-chest
procedure.
Copy !req
498. You're referring
to the valve repair
Copy !req
499. recommended
by Dr. Melendez?
Copy !req
500. Yes.
Copy !req
501. I propose delaying
that surgery
by a couple weeks,
Copy !req
502. which would be
well worth it
Copy !req
503. in terms of
reduction of risk
Copy !req
504. if the DBS
is successful.
Copy !req
505. Excellent presentation,
Dr. Browne.
Copy !req
506. Very thorough.
Copy !req
507. Agreed, though I do
have concerns
Copy !req
508. about approving
this procedure
Copy !req
509. based on
the small subject pool.
Copy !req
510. But I'll confer with...
Copy !req
511. There is,
uh, one more person
Copy !req
512. I want you to hear from...
The patient.
Copy !req
513. This is an IRB,
not a therapy session.
Copy !req
514. Actually, patients
who had the opportunity
Copy !req
515. to air their concerns
are eight times less likely
to sue their hospital.
Copy !req
516. You paged me?
Copy !req
517. You can step out.
Dr. Park's got this.
Copy !req
518. Grab the sheet.
Copy !req
519. You talked
to Wade's husband.
Copy !req
520. Maybe we should
discuss this later.
Copy !req
521. I can patch him up
while tearing you down.
Copy !req
522. You violated
our patient's confidentiality.
Copy !req
523. I told him
what we weren't treating.
That's not a violation.
Copy !req
524. And their marriage
is better off
Copy !req
525. for having his secrets
out in the open.
Copy !req
526. That'd be meaningful
if you were
a marriage counselor
Copy !req
527. instead of
a surgical resident.
Copy !req
528. Whatever lie blew up
your marriage
Copy !req
529. won't be undone
if Wade tells the truth.
Copy !req
530. I was just trying
to help our patient.
Copy !req
531. Our former patient.
Copy !req
532. Wade's demanding a transfer
to another hospital.
Copy !req
533. I have tried cognitive
behavioral therapy,
Copy !req
534. food psychodynamic
therapy,
Copy !req
535. family therapy,
Copy !req
536. in-patient treatment,
out-patient treatment,
Copy !req
537. anti-depressants,
NG tubes,
Copy !req
538. TPN.
Copy !req
539. And yet,
here I am, dying.
Copy !req
540. Killing myself.
Copy !req
541. And I can't
stop on my own.
Copy !req
542. Please...
Copy !req
543. Help me... to stop.
Copy !req
544. Are you aware DBS
has been known to cause
personality changes?
Copy !req
545. In your case,
the electrode
Copy !req
546. would be at
the nucleus accumbens...
Copy !req
547. Dr. Browne explained
all of the risks.
Copy !req
548. It's important
we know that you understand.
Copy !req
549. The nucleus accumbens plays
a role in maternal attachment,
Copy !req
550. delivering dopamine when moms
interact with their children.
Copy !req
551. Now, what if in trying
to overcome your
eating disorder,
Copy !req
552. you lose the ability
to feel love for your son?
Copy !req
553. My son is everything to me.
Copy !req
554. For that past year,
he has been watching me
starve myself to death.
Copy !req
555. I'll risk anything
Copy !req
556. to keep him
from seeing me succeed.
Copy !req
557. Thank you,
Ms. DeLeon.
Copy !req
558. We'll need
a few minutes to talk.
Copy !req
559. You kept it a secret because
you think I'm shallow.
Copy !req
560. I said the same thing.
Copy !req
561. I kept it a secret
because of
"friendly fatties."
Copy !req
562. Any news
on my transfer?
Copy !req
563. San Francisco General
should have a bed tomorrow.
Copy !req
564. Come on.
It's a joke.
Copy !req
565. A joke?
I'm here to clamp
your nasogastric tube.
Copy !req
566. About a couple
we've known for years?
Copy !req
567. We were
at their wedding,
Copy !req
568. and yet you treat them
like a punch line.
This used to be green.
Copy !req
569. Now it's brown.
You're the one
who lied.
Copy !req
570. If I'd known
you were offended...
Copy !req
571. The point is, is that's why
I didn't tell you.
Copy !req
572. Red and green
makes brown.
Copy !req
573. Your bowel
is bleeding.
Copy !req
574. You need surgery now!
Page Dr. Park and Dr. Lim!
Copy !req
575. He has
a strangulated bowel.
Copy !req
576. Spence.
It's gonna be okay.
Copy !req
577. We need to open up
an OR now!
Copy !req
578. By a margin of 2-to-1,
Copy !req
579. this Internal Review Board
has decided
Copy !req
580. in favor of allowing
this procedure.
Copy !req
581. Nicely done.
Thank you.
Copy !req
582. Hope the surgery
goes well.
Copy !req
583. DR. Use the 45 mm
gold stapler.
Copy !req
584. The truth coming out
didn't help Wade's marriage.
Copy !req
585. DR. Hopefully,
with some time.
Copy !req
586. Secrets are corrosive.
Copy !req
587. Wade should've been honest
from the start.
Copy !req
588. Maybe Wade thought
Spencer would feel
Copy !req
589. the same way you did
about his bypass,
Copy !req
590. that he lost weight
the easy way.
Copy !req
591. Okay.
Copy !req
592. It's time.
Copy !req
593. Graham-y.
Copy !req
594. You are...
Copy !req
595. The highlight
of my life.
Copy !req
596. You know that, right?
Copy !req
597. Yeah.
I love you, too.
Copy !req
598. I love you more than
any person on the planet
Copy !req
599. ever loved any other person
on the planet.
Copy !req
600. I... I know.
Copy !req
601. Mom, you're gonna
be okay, right?
Copy !req
602. Of course, baby.
Copy !req
603. Of course.
Copy !req
604. We'll see you guys
in a few hours.
Copy !req
605. I love you.
Copy !req
606. The chocolate chip muffin
didn't work.
Copy !req
607. The donkey won't walk.
Copy !req
608. I told you that Glassman's
probably embarrassed.
Copy !req
609. No. He's not.
Copy !req
610. I asked him,
Copy !req
611. and he said
you were wrong.
Copy !req
612. Doesn't mean
I'm actually wrong.
Copy !req
613. He needs help
recovering.
Copy !req
614. I'm trying to help,
Copy !req
615. but it's not working.
Copy !req
616. He got angry at me.
Copy !req
617. Dr. Glassman
is your patient.
Copy !req
618. You need to fix
his lack of mobility.
Copy !req
619. This is your problem.
Copy !req
620. I don't know what to do.
Copy !req
621. I don't know how
to help him.
Copy !req
622. Being sick is hard.
Copy !req
623. Being around sick people
is hard.
Copy !req
624. We want to help.
Copy !req
625. We all struggle
with what to do.
Copy !req
626. Your obsession...
Okay.
Copy !req
627. More than a muffin
or a bowel movement
Copy !req
628. or a walk
around the ward,
Copy !req
629. what Glassman needs
is someone to be
there for him.
Copy !req
630. A patient,
supportive friend.
Copy !req
631. I know
the perfect person.
Copy !req
632. Mmm.
Copy !req
633. Hey, there.
Copy !req
634. How are you feeling?
Copy !req
635. I'm okay.
Copy !req
636. I feel like...
Copy !req
637. I want something to eat.
Copy !req
638. I'm hungry.
Copy !req
639. All right, buddy.
Copy !req
640. Let's get you home.
Copy !req
641. Get you a decent
night's sleep.
Copy !req
642. See you
in the morning.
Copy !req
643. I'll get you
some food.
Copy !req
644. Are you sure
you're all right?
Copy !req
645. Yeah.
Copy !req
646. I just...
Copy !req
647. I wonder if that hug
felt different for him.
Copy !req
648. Did it for you?
Copy !req
649. Your husband's surgery
went well.
Copy !req
650. He's in recovery now.
Copy !req
651. I think he's awake.
Copy !req
652. Thank you.
Copy !req
653. Wade told me
where to find these.
Copy !req
654. DR. This is him
before bypass?
Copy !req
655. He said that seeing these
would help me understand
why he never told me.
Copy !req
656. Which...
Copy !req
657. I said
was ridiculous.
Copy !req
658. Is he gonna end up
like this again?
Copy !req
659. It's possible.
Copy !req
660. I wish
I didn't know that.
Copy !req
661. Yeah?
Copy !req
662. Debbie, hi.
Copy !req
663. Oh, um...
Copy !req
664. Shaun thought
you could use a visit.
Copy !req
665. Huh.
Oh, and, uh...
Copy !req
666. And another muffin.
Copy !req
667. Thank you. I wish
I'd known you were coming.
Copy !req
668. I would've slipped
into something
a little less comfortable.
Copy !req
669. You look... good.
Copy !req
670. Uh-huh.
Yeah, well...
Copy !req
671. Unlikely,
but thank you.
Copy !req
672. I am
Copy !req
673. sorry that I've been
Copy !req
674. out of touch.
Copy !req
675. Well, I had
a brain tumor.
Mmm.
Copy !req
676. Understandable.
We both dropped the ball.
Copy !req
677. Okay.
Copy !req
678. Here we go.
What's happening?
Copy !req
679. We're taking a walk.
Oh, no, no, thank you.
No, my leg hurts...
Copy !req
680. Oh, yes, we are.
Yeah, mmm-hmm.
Ow, ow.
Copy !req
681. Which is exactly
why you need to take a walk.
Copy !req
682. Wow. You're really good
at this.
Copy !req
683. You sure you haven't
done this before?
Copy !req
684. Well...
Copy !req
685. I spent a little time
as a nurse.
Copy !req
686. I always liked
the night shift.
Copy !req
687. Everything gets
really quiet.
Copy !req
688. It's almost...
It's almost peaceful.
Copy !req
689. Just came
from Louisa's room.
Copy !req
690. She's eating.
Copy !req
691. That's great news.
Copy !req
692. Yeah.
Copy !req
693. Hopefully we'll be able
to do the valve repair
in a couple weeks.
Copy !req
694. I hope you're right.
Copy !req
695. But you won't be
a part of the surgery.
Copy !req
696. Or any of my surgeries.
Copy !req
697. You went around me,
directly to the patient.
Copy !req
698. I had a good idea
that you didn't
take seriously.
Copy !req
699. I considered it,
Copy !req
700. and then I decided against
taking it to the patient.
Copy !req
701. And yet, I managed
to get Aoki and Andrews
to sign off at the IRB.
Copy !req
702. You didn't get Andrews.
Copy !req
703. You voted for me?
Copy !req
704. You made a strong case.
Copy !req
705. But you're...
Copy !req
706. You're booting me
off your service?
Copy !req
707. Disagree with me
all you want.
Copy !req
708. I expect
my residents to.
Copy !req
709. I expect them to argue
passionately
for their position.
Copy !req
710. And I expect them
to then accept my decision.
Copy !req
711. Even when you're wrong?
Copy !req
712. I can't run my team
any other way.
Copy !req
713. You know what was insane,
was the 1928 Torpedo Roadster.
Copy !req
714. With the Purpleheart
trim?
Copy !req
715. Ah, and that
lizard-skin interior.
Copy !req
716. DR.
My neighbor in Wyoming
had a Silver Arrow.
Copy !req
717. Oh, I'd love
to drive one just once.
Copy !req
718. Good job.
You got him walking.
Copy !req
719. Debbie Wexler did it.
Copy !req
720. She's a better carrot
than I am.
Copy !req
721. She's a better friend.
Copy !req
722. DR. Hey, it's me.
Copy !req
723. Yeah, just making sure
the check got there okay.
Copy !req
724. Great, great.
Copy !req
725. Hey, I have a question...
Copy !req
726. About Phil.
Copy !req
727. I know, I know.
He's long gone.
Copy !req
728. I was actually wondering...
Copy !req
729. What do you think
would've happened
Copy !req
730. if I hadn't seen
you two together?
Copy !req
731. I found
my next apartment.
Copy !req
732. Okay.
Copy !req
733. It's has
a fireplace,
Copy !req
734. and natural lighting...
Copy !req
735. No. N... No.
Copy !req
736. and a really great
roommate
who's also a friend.
Copy !req
737. He works a lot, so might be
hard to see him otherwise.
Copy !req
738. I'm talking
about you, Shaun.
Copy !req
739. I don't want to risk anything
hurting our friendship.
Copy !req
740. If you say you can handle
living together,
Copy !req
741. I trust you.
Copy !req
742. We... We're going
to be roommates?
Copy !req
743. Oh...
Copy !req
744. I... It has a fireplace.
Copy !req
745. Yes, it does.
Copy !req
746. Oh!
Copy !req
747. We're going
to be roommates!
Copy !req
748. We're gonna be roommates!
Copy !req
749. Okay!
Yes.
Copy !req
750. Okay!
Yes!
Copy !req
751. We're gonna be roommates!
Copy !req
752. Oh, y...
Copy !req
753. Yes!
Copy !req