1. Shaun...
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2. You need to give me
your driver's license.
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3. No, I don't.
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4. Do you remember the
memory test I gave you?
Vividly.
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5. Yes. It demonstrated
you have a deficit.
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6. A deficit.
You shouldn't be driving.
Dr. Blaize agreed.
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7. Shaun, that test was supposed
to be between us,
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8. that's why I didn't want
to do it at the hospital.
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9. Yes, your doctor needs
to be informed
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10. of the results
of all your medical tests.
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11. Even tests
that are done at home.
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12. Shaun, I've been driving
for like half a century.
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13. I'm an excellent driver,
okay?
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14. I don't need to give you
my driver's license.
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15. Okay. Then I'll have
to notify the DMV.
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16. Dr. Glassman?
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17. You're not gonna notify
the DMV, Shaun.
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18. Yes, I will notify
the DMV.
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19. Shaun, you will not
notify the DMV.
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20. Dr. Glassman,
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21. if you don't give me
your driver's license,
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22. I will notify the DMV.
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23. Dr. Glassman?
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24. George Reynolds, 28,
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25. sudden onset of arm
and leg weakness,
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26. right facial droop,
and trouble speaking.
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27. CT confirmed a middle cerebral
artery embolism.
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28. I booked us
into interventional radiology.
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29. When did you first notice
your symptoms, George?
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30. About, uh,
four and a half hours ago.
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31. Wait,
what's wrong with me?
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32. You may be having a stroke.
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33. You're on monthly injections
of Lupron?
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34. For three months.
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35. That may have
caused this.
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36. Do you have
prostate cancer?
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37. No. I... I was diagnosed
with atypical hyperplasia.
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38. That shouldn't have any effect
on what we're gonna do now.
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39. We're gonna take care of you,
George. Don't worry.
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40. This is local anesthetic,
you'll feel a pinch.
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41. Are you a real doctor?
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42. I'm Dr. Shaun Murphy.
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43. People ever call you
Murph?
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44. No.
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45. I'm going to make
a small incision
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46. so we can insert the tube
and re-inflate your lung.
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47. What do they call you,
Billy?
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48. CraterHead, Volcano,
ThreeEyes,
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49. those are just
the creative ones.
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50. Hold tight.
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51. Here comes the tube...
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52. You guys really know
what you're doing.
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53. Yes, we do.
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54. We'll order an MRI
for your lungs.
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55. Then we will fix
your fractured eye orbit,
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56. that will require surgery.
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57. What do you say
we fix your forehead, too?
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58. You could do that?
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59. I think so...
I don't think so.
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60. It's a pre-existing condition,
and it's not
medically necessary.
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61. It shouldn't be approved.
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62. The MCA clot is obstructing
all distal flow.
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63. Anti-androgens aren't
indicated for hyperplasia...
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64. He said atypical.
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65. You think he's lying?
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66. Maybe he's
gender transitioning.
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67. Aside from cancer,
there aren't
many other indications.
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68. Let's focus
on what we do know.
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69. Feeding the catheter.
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70. Suctioning the thrombus,
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71. and he's recanalizing.
Slowly retract.
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72. Whatever his reasons are
for taking anti-androgens,
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73. hopefully
there are options.
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74. He either drops them
or he's gonna keep
having strokes.
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75. The forehead repair would be
expensive and cosmetic...
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76. It's not
about prettying him up,
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77. it could give him
a new life, friends,
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78. maybe a few less beatings.
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79. Stopping the beatings
is the guards' job.
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80. You really don't have
any empathy for Billy?
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81. Empathy is a bad reason
to fight for someone.
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82. If empathy makes me
only want to help patients
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83. who are from Wyoming
or have ASD,
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84. then that's very unfair
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85. to all my neuro-typical
patients from Idaho.
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86. I need to take
those drugs.
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87. They caused your stroke.
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88. We don't think
you have hyperplasia.
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89. If you tell us
the real reason,
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90. I'm sure there are
other safer treatments...
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91. No, there aren't!
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92. If you're transitioning,
there are alternatives...
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93. I told you
why I was taking the meds.
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94. George,
we are your doctors,
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95. we need to know
the truth.
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96. We're not gonna
tell anyone.
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97. I'm not transitioning.
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98. And I don't have
hyperplasia.
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99. I have problems...
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100. With my sex drive.
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101. I know it sounds stupid,
like why can't I just
control myself, but...
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102. It's all I think about.
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103. It's all I can think about.
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104. I can't work,
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105. I can't socialize,
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106. I can't have a life.
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107. And those meds
are the only thing
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108. that makes it
even remotely tolerable.
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109. They'll kill you.
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110. The residents
have a betting pool
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111. on who you're going
to appoint
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112. as your replacement
as Chief of Surgery.
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113. The decision needs to be made
with decorum and expediency.
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114. I haven't quite gotten
around to analyzing...
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115. You've had little face time
with your attendings
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116. since you became
president.
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117. You need to correct that.
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118. I've scheduled
your announcement.
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119. You've got two days.
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120. Where is he?
He's gone,
signed out AMA.
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121. I tried...
How long ago?
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122. Five minutes...
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123. Why are we
in a hurry?
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124. I was researching
alternative meds for him.
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125. Realized Lupron didn't
make any sense.
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126. Prescribing anti-androgens
for sexual urges
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127. is like hitting a mosquito
with a mallet.
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128. Unless
they're deviant urges.
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129. We might've just released
a child molester.
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130. DR.
Should we call
the police?
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131. We can't.
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132. We have
no evidence of a crime.
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133. DR. Lim's at 3 to 2,
Melendez is just behind
at 2 to 1,
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134. Cooperberg's 7 to 1,
and if Dartling,
or anybody else comes in,
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135. you can retire.
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136. Andrews might bail
on Melendez
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137. when he finds out
our patient bolted.
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138. Which is why Melendez
is now 4 to 1.
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139. Pari-mutuel betting
is very exciting.
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140. Do you need empathy to be
a good doctor?
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141. No. I think
it can interfere
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142. with effective
decision-making.
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143. She's just saying that
to avoid hurting
your feelings,
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144. thus making her
fake point for real.
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145. Her empathy
made her lie to you.
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146. I think
you just agreed with me
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147. and insulted me
at the same time.
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148. I think empathy's
very important...
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149. Telling the cold hard truth
even when it hurts,
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150. sometimes is the
most empathetic thing
we can do.
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151. Which is what I'm doing
for Shaun right now.
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152. You're welcome.
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153. I have autism
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154. which means
I have a deficiency
of mirror neurons,
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155. which inhibits me
from emotionally
trading places with people,
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156. which makes empathy
very difficult.
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157. Does that mean
I can't be a good doctor?
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158. No, it doesn't.
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159. We all have our strengths
and weaknesses, Shaun.
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160. One of Claire's is making sure
everyone feels validated.
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161. The creep is back.
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162. Is George having
another stroke?
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163. No.
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164. Severe lacerations
to the scrotum.
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165. Did you give him
anything for pain?
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166. Morphine. Four milligrams.
And I notified the cops.
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167. I think
it was a hate crime.
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168. Yeah, I don't think so.
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169. All right.
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170. On my count.
One, two, three.
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171. We'll take it from here.
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172. I'll pack him
and prep him.
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173. You did this to yourself,
didn't you?
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174. I think I know what kind
of urges you've been having.
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175. I'm not a monster.
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176. I never touched anyone...
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177. Any... Child.
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178. My sister and I
were always best friends...
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179. But then she had children.
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180. If I can't keep taking
the drugs...
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181. I had to do this.
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182. Home surgery tends
to not have
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183. the results
you're hoping for.
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184. You did a lot of damage
but your testicles
are unscathed.
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185. Please, finish the job.
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186. I say we do it,
he's a pedophile.
No, he's not.
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187. He just told us he was.
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188. He has never acted
on his urges,
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189. and he's asking us
to do something
to ensure he never does.
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190. He is a decent person
trying...
I'm confused.
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191. What do you want
to do with him?
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192. Treat him like a patient
with a diagnosis.
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193. Put him
on antidepressants,
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194. refer him to a urologist,
give him a psych eval.
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195. Let the experts determine
if he should have
a castration.
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196. Psych eval?
Antidepressants?
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197. When we refer people
for counseling,
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198. how often
do they get cured?
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199. I am looking to help him
manage this dis...
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200. And if they don't get cured,
what happens?
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201. They get more depressed,
can't cope, quit jobs,
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202. maybe kill themselves?
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203. All bad, but not
rape-a-child bad.
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204. DR.
So what are you going to do?
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205. We can't ethically
remove healthy organs
for crime prevention.
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206. We don't amputate
a kleptomaniac's hands
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207. to prevent them
from stealing.
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208. Hands have many purposes,
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209. the balls of a pedophile
have but one.
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210. Set up his referrals
and patch him up.
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211. How long you been
in Foothills?
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212. Nine months.
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213. Time flies in juvie.
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214. Any visitors?
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215. I don't have a granny
bringing me cookies,
if that's what you mean.
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216. This is why empathy
is bad.
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217. You're talking to our patient
because you like him,
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218. which is causing him
to move,
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219. which is affecting
our imagery.
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220. He's scared.
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221. I'm talking to him
to calm him down
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222. which is improving
our imagery.
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223. The fact that I like him
is beside the point.
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224. You grow up in San Jose?
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225. East Paly, but I got out
of there as soon as I could...
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226. I was 15.
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227. Your parents still there?
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228. Mom's gone,
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229. dear old Dad is terrible.
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230. Siblings?
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231. Little brother...
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232. He's gone too.
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233. Crappy dad.
Lost his brother...
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234. I mean,
you really don't ha...
He's not scared.
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235. He's short of breath
because his diaphragm
is lacerated.
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236. His stomach has passed
through that tear
and is now in his chest.
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237. Billy needs emergency surgery
on his diaphragm.
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238. DR. The defect
reaches all the way
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239. from the center
to the anterior costal margin.
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240. DR.
So what do we need to do?
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241. Divide the inferior
pulmonary ligament
to bring the lung upwards.
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242. Uh-huh.
Mesh.
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243. Whoever kicked him was
wearing some serious footwear.
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244. And they'll be waiting for him
when he goes back.
Unless we help him.
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245. Dr. Park wants
to fix his forehead.
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246. The constitution
guarantees prisoners
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247. get the same care
as everyone else.
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248. Most non-prisoners
can't afford
cosmetic surgery.
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249. He would be getting
better care
than everyone else.
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250. Kid is smart and personable
and puts up a great front.
But he's scared to death.
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251. And he got 36 months
for selling weed,
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252. a crime that doesn't
even exist anymore.
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253. You think his life
would be anything like this
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254. if he didn't grow up
with a massive dent
in his head?
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255. Sorry,
I'm not convinced.
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256. Is that because you don't have
any empathy for Billy?
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257. No. It's because
I agree with you.
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258. It's expensive, risky
and unnecessary.
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259. But empathy can be
an invaluable motivator,
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260. Dr. Murphy, that truly
connects the physician
with their patient.
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261. Is he still up there?
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262. Yes he is.
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263. We can't do the castration,
George.
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264. Not without the proper
psychiatric clearance.
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265. That'll take forever.
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266. Just a few months.
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267. A few months is forever.
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268. Binge watch
your favorite shows,
catch up on your reading.
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269. You attracted to men,
Dr. Reznick?
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270. Yes. Adult men.
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271. And if that
were reprehensible,
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272. do you think
you could stop?
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273. You have no idea
what it's like
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274. to live
with these thoughts.
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275. I hate them,
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276. and I hate myself
for having them.
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277. But I can't stop them.
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278. And I'm afraid
of what I could do.
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279. We will start the process
immediately.
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280. In the meantime,
we'll transfuse you,
get you on antibiotics...
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281. No.
I'm refusing treatment.
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282. No transfusion.
No antibiotics.
No repair.
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283. Let 'em rot.
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284. We have something
in common.
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285. Neither of us has
a driver's license.
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286. How do you feel about
not having a driver's license?
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287. I'm pissed, Shaun.
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288. You feel pissed.
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289. Yes, I feel pissed.
I feel very pissed
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290. because something important
was taken away from me.
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291. And by a friend.
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292. You feel very pissed
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293. because something important
was taken away from you,
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294. and by a friend.
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295. And parroting everything
I say isn't helping.
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296. I'm finding commonality,
Dr. Glassman,
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297. and inquiring
about your emotional state,
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298. and actively listening
by restating your responses.
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299. "External corroboration
enhances our sense
of self-worth."
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300. Okay.
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301. The day after I got
my driver's license,
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302. you want to know
what I did?
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303. I went out and bought
a 1963 Galaxie, Midnight Blue.
1,255 bucks,
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304. every penny I earned
for the past three years
working in a gas station.
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305. How do you think
that made me feel?
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306. You liked it?
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307. No, Shaun.
I loved it.
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308. You want to know why?
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309. Because a car
to a 16-year-old kid
means independence,
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310. which means he can go
wherever he wants
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311. whenever he wants.
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312. And that doesn't change
with age, Shaun,
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313. in fact,
it means even more.
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314. When you took my license,
that's what you took from me.
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315. I don't expect you
to understand.
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316. So you don't have
to pretend.
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317. Hey.
Is Andrews stalking you?
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318. Yeah.
It's annoying.
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319. We need to stand together
and tell him to back off.
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320. I'm not telling the president
he's annoying.
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321. He's infringing
on our autonomy
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322. and inhibiting
the free flow of ideas,
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323. both of which affect
our ability
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324. to deliver
the best patient care.
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325. That sounds
slightly better.
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326. Okay. I'm in.
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327. Are you?
No. Of course not.
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328. The last thing I'm gonna do
right now is confront him.
I'm the front-runner.
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329. Not according to Vegas.
I'm 3 to 2.
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330. Guess they don't know that you
have double my mortality rate.
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331. I'm a trauma surgeon,
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332. you're comparing apples
to asshats.
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333. I resent
being called an apple.
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334. The diaphragm repair
went very well.
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335. And we've scheduled
your orbital fracture repair.
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336. We'll get you some stronger
pain meds for the recovery.
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337. When are you gonna
fix my forehead,
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338. make me all John Legend?
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339. I tried, Billy.
I'm sorry.
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340. I wasn't really getting
my hopes up anyway.
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341. My dad taught me that.
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342. He'd say,
"You know what, Billy?"
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343. And he'd just punch me
in the face.
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344. At least, I think
that was the lesson
he was trying to impart.
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345. That's what happened
to your forehead?
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346. He was a big A's fan.
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347. Watched every game
with a bat in his hand.
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348. August 14th, 2008,
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349. they lost
in the 12th inning...
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350. Infection's setting in,
but his testicles
Copy !req
351. still show good flow
on the Doppler.
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352. Pain meds?
He won't take them.
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353. Thinks they'll knock him out
and we'll step in
and repair them.
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354. I hate this.
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355. Me too.
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356. I'm going to be
a good driver.
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357. I got every answer correct
on the written test.
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358. Except one,
but that was because
it was improperly worded.
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359. I told the DMV
they need to rewrite it
Copy !req
360. and they said they'd
take it under advisement.
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361. Great.
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362. Let's go.
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363. Okay,
let's close our eyes
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364. and take
some nice, deep breaths...
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365. And how about
a little guided imagery
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366. to evoke
positive visualizations?
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367. Okay.
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368. Let's picture
the parking lot,
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369. the cars around us,
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370. the yellow steel thingy
at the entrance
of the parking lot
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371. that could really do
a lot of damage...
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372. A bollard.
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373. The speed bump
that is 15 feet
from the corner
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374. with the stop sign that
someone put a "Hate"
sticker on
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375. so it says "Stop Hate,"
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376. which is right in front
of the Jiff-E Mart,
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377. which says it's open
"8 til Late, 24/7,"
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378. which can't be true
beca...
That's great, Shaun.
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379. Super amount
of visualization.
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380. And now that
we're feeling comfortable
about our surroundings,
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381. we can put the car
into drive,
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382. ease our foot
off the brake...
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383. Very nice...
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384. We can open our eyes now,
Shaun.
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385. What we're doing is cruel.
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386. I'm open to all options,
Dr. Browne.
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387. I'm gonna have to ask you
to give us some privacy.
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388. Really?
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389. You want to throw
the president of the hospital
out of a medical discussion?
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390. You're infringing
on my autonomy
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391. and inhibiting
the free flow of ideas,
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392. both of which affect
my ability
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393. to deliver
the best patient care.
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394. Dr. Melendez.
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395. There are many drivers
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396. not following
the rules of the road.
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397. They fail to signal,
check their blind spots,
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398. display a red flag
when the load extends
Copy !req
399. more than four feet
past the tail lamp.
Copy !req
400. You're right, Shaun,
it's a mad world.
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401. But there's nothing
you can do about them,
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402. you just got
to focus on you.
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403. Yes, let's focus on me.
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404. Yes.
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405. Let's take
the next right.
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406. You can drive
in the bike lane
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407. when you're this close
to the turn, Shaun.
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408. No, I can't.
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409. It's a broken line.
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410. That was the improperly
worded question,
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411. whether it's broken
or solid,
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412. you can't enter
the bike lane
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413. this distance
from the intersection.
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414. I told them
that it...
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415. Okay, Shaun.
You don't have
to go so slow.
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416. She's in the lane,
she's not supposed
to be in the lane.
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417. It's a violation
carrying a fine...
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418. Okay, Shaun, don't worry
about what she's doing...
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419. No.
Shaun, you have to pull
into the bike lane...
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420. Don't worry
about what she's doing...
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421. You can't just stop.
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422. Shaun,
you can't just stop...
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423. Shaun!
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424. George is screaming
in agony
Copy !req
425. and we are doing nothing
except hiding
behind ethical red tape.
Copy !req
426. Ethical red tape is there
to protect people like him
Copy !req
427. from making permanent
regrettable mistakes.
Copy !req
428. I'm glad we're not using it
to cover our asses
Copy !req
429. the day before the new
Chief of Surgery is announced.
Copy !req
430. Let me sign off
on the documentation.
Copy !req
431. I'll note his scrotum
is already beyond repair
Copy !req
432. and surgical castration
is our only option.
Copy !req
433. I vote yes.
No.
Copy !req
434. I'm not gonna let anyone
falsify medical records.
Copy !req
435. Not for pain.
Not for a pedophile.
Copy !req
436. Once his testes
are actually beyond repair,
Copy !req
437. we will castrate him.
Copy !req
438. So we're just gonna
leave him there screaming,
Copy !req
439. keeping his entire unit
awake?
Copy !req
440. Move him.
Copy !req
441. DR.I'd like a clean
dissection through
the periosteal planes
Copy !req
442. so I can slip the MEDPOR mesh
over the fracture.
Copy !req
443. Why do I prefer
MEDPOR mesh?
Copy !req
444. It allows
fibrovascular ingrowth
Copy !req
445. and integration
of the patient's tissue.
Copy !req
446. Prisoner surgeries
are approved
Copy !req
447. for psychological reasons
all the time.
Copy !req
448. Tattoo removal,
Copy !req
449. gender reassignments
include breast implants.
Copy !req
450. Hell, if he had a crappy smile
we could justify dental work
as needed
Copy !req
451. for proper mastication.
Copy !req
452. You sent a few kids
to juvie?
Copy !req
453. More than a few.
Copy !req
454. You feel guilty.
Copy !req
455. Think that's maybe clouding
your judgment?
Copy !req
456. Maybe.
Copy !req
457. You're afraid
of ruffling Andrews' feathers
this close to decision day.
Copy !req
458. Think that's maybe
clouding yours?
Copy !req
459. We could give Billy
a breast implant.
Copy !req
460. We could insert it
over his split thickness
frontal bone defect.
Copy !req
461. It would only require
a tiny incision
at his eyebrow.
Copy !req
462. Now you're in favor
of this?
Copy !req
463. I was against it
because it was too expensive
and unnecessary and risky,
Copy !req
464. but if we do it now,
Copy !req
465. it won't require
any additional surgery,
Copy !req
466. and it'd be
very economical.
Copy !req
467. He did give us verbal consent
when he was first admitted.
Copy !req
468. Keep him under.
Copy !req
469. Get what we need,
Dr. Murphy.
Copy !req
470. Ready or not...
Copy !req
471. Tell Melendez to meet us
in the OR.
Copy !req
472. Showing signs
of ischemia,
Copy !req
473. we have a strong medical case
for removing.
Copy !req
474. Dr. Lim.
You a castration fan?
Copy !req
475. Right now, I am.
Copy !req
476. Andrews told me
he's backing off.
Great.
Copy !req
477. Because you presented him
with a very good argument.
Copy !req
478. My argument.
Which you regurgitated to him
Copy !req
479. right after you said
you wouldn't back me up.
Call that leadership?
Copy !req
480. Yes, I do.
Copy !req
481. You presented me
with a very good argument,
Copy !req
482. but you didn't have
the guts to take it to
Andrews on your own.
Copy !req
483. One more reason
I don't want
to work under you.
Copy !req
484. You don't want this
promotion so that you
can improve the hospital.
Copy !req
485. You want it
for the pretty title.
Copy !req
486. You're an adrenaline junky.
You won't last two weeks
liaising with board members.
Copy !req
487. There's a long
and dusty trail
Copy !req
488. littered with people
who have underestimated me.
Copy !req
489. JL: We're ready to go.
Copy !req
490. Curved tissue scissors,
please.
Copy !req
491. DR.
His systolic is 68.
And look at this.
Copy !req
492. He's septic.
He's going into D.I.C.
Copy !req
493. Rerun his labs.
Copy !req
494. Have platelets, plasma
and cryo ready.
Copy !req
495. If he starts bleeding,
he'll die.
Copy !req
496. I reduced the volume
from 80 cc's to 35.
Copy !req
497. Have the odds changed
in the last 24 hours?
Copy !req
498. Little.
Where am I at?
Copy !req
499. 6 to 1.
Copy !req
500. I'll put $100 on me.
Copy !req
501. He's becoming
severely bradycardic.
Copy !req
502. The pressure on his orbit
caused a retrobulbar hematoma.
Copy !req
503. DR. If we don't
relieve it now, he'll arrest.
Forceps and scissors.
Copy !req
504. Just lost his pulse,
pushing atropine.
Copy !req
505. Set up a temporary
transcutaneous pacemaker.
Copy !req
506. If we inject
the orbital muscle
with local anesthetic
Copy !req
507. we might be able
to fatigue the reflex.
Copy !req
508. Do it.
Copy !req
509. Starting CPR.
Copy !req
510. I hope
that's a look of resolve.
Copy !req
511. Melendez stood up to me
in front of his residents.
Copy !req
512. I did the same thing
to O'Connell
when I was his age.
Copy !req
513. What about Lim?
Copy !req
514. She has the kind of focus
that took me years to develop.
Copy !req
515. And Cooperberg,
he reminds me
of me when I was...
Copy !req
516. Marcus. You were good.
Copy !req
517. But no one's gonna be as good
as you think you were.
Copy !req
518. One of your weaknesses
was decision-making.
Copy !req
519. I trust you've gotten
past that since
I made you president.
Copy !req
520. DR. Continuing
compressions until I have
capture on the pacemaker.
Copy !req
521. Pacing pads
are in position.
Copy !req
522. Stopping CPR.
Copy !req
523. Injecting lidocaine.
Copy !req
524. I have set the rate
to 80.
Copy !req
525. DR. Increase
the ventricular
by two milliamps.
Copy !req
526. Increase by two more.
Copy !req
527. Blood pressure
is responding,
102 over 68.
Copy !req
528. DR.
Keep those pacer settings
Copy !req
529. and let's get back
to the main event.
Copy !req
530. DR.
Both his PT and PTT
are coming back down,
Copy !req
531. his systolic is stable at 110,
and no ectopy on the monitor.
Copy !req
532. His D.I.C. score is back
under four. He's stabilized.
Copy !req
533. Ball's in your court.
Copy !req
534. Dr. Melendez?
Copy !req
535. Effects of low testosterone
on cardiovascular function
and sepsis?
Copy !req
536. Possible acute
vascular response,
Copy !req
537. circulatory collapse...
Copy !req
538. And what about
on D.I.C.?
Copy !req
539. DR. Increased risk
of clots and stroke.
Copy !req
540. George's body
can't tolerate
Copy !req
541. any loss of testosterone
right now.
Copy !req
542. We want to save his life,
we have to save his testicles.
Copy !req
543. Sutures.
Copy !req
544. I know
how to get you to drive.
Copy !req
545. I can't drive.
Copy !req
546. Driving
is just like surgery.
Copy !req
547. Say you're driving
down the street
Copy !req
548. and suddenly,
somebody steps
off the sidewalk,
Copy !req
549. right in front of you.
Copy !req
550. Things like that
must happen
Copy !req
551. when you're deep inside
someone's belly.
Copy !req
552. That doesn't make
any sense.
Copy !req
553. It's an analogy, Shaun.
I need you to work with me
just a little bit.
Copy !req
554. Give me.
Copy !req
555. Okay.
Copy !req
556. It would be
something unexpected,
Copy !req
557. out of our control,
Copy !req
558. from an aberrant source,
and very bad.
Copy !req
559. It would be analogous
to an arterial bleed.
Copy !req
560. How about
if a truck stalls out,
crippling traffic?
Copy !req
561. A thrombus
impeding blood flow,
so we divert.
Copy !req
562. A thrombus, exactly.
Copy !req
563. What if you're just
cruising along
Copy !req
564. and a car comes out of nowhere
and goes racing by?
Copy !req
565. A tachyarrhythmia.
Copy !req
566. Yes!
Shaun, you got this.
Yes.
Copy !req
567. So let's get you driving
that hooptie.
Copy !req
568. I've got this, Albert.
Copy !req
569. We did the surgery.
Copy !req
570. Your circulatory
and clotting systems
were shutting down.
Copy !req
571. But removing your testicles
would have put you
Copy !req
572. at greater risk
by reducing your...
Copy !req
573. You would have died.
Copy !req
574. I've set you up with
a psychiatrist
and a urologist.
Copy !req
575. They'll screen you,
get you cleared,
Copy !req
576. and then we can do this
the right way.
Copy !req
577. George,
we can get this done.
Copy !req
578. You just cannot
try this again.
Copy !req
579. I get it.
Copy !req
580. I do it your way,
or it just doesn't happen.
Copy !req
581. It's just another
intersection, Shaun,
Copy !req
582. just like the last one
and just like the next one...
Copy !req
583. The last intersection isn't
where everyone honked at me
and made me freeze...
Copy !req
584. That was a different day,
with different drivers
Copy !req
585. and a different Shaun
behind the wheel,
Copy !req
586. because today,
this Shaun has a plan
Copy !req
587. for this intersection,
which is...
Copy !req
588. I am going
to dissect it.
Copy !req
589. Damn right you are.
Copy !req
590. And today,
you're gonna turn right
Copy !req
591. which you will do by...
Copy !req
592. Determining laterality.
Copy !req
593. And waiting until I can
legally enter the bike lane.
Copy !req
594. Somebody just made
a turn...
Copy !req
595. Shaun!
Copy !req
596. Everybody okay?
Copy !req
597. You were wrong.
Copy !req
598. You were wrong, Lea.
I can't drive.
Copy !req
599. Shaun, I thought
I had it figured out.
Copy !req
600. I can't drive.
Copy !req
601. I...
Copy !req
602. Surgery is mechanical.
Copy !req
603. Mechanics are predictable.
Copy !req
604. Driving is subject
to human foibles
Copy !req
605. which means there are
limitless possibilities.
Copy !req
606. You're right.
My metaphor sucked.
Copy !req
607. It sucked very much.
Copy !req
608. Because...
Copy !req
609. Becoming a surgeon is about
way more than operating.
Copy !req
610. You had to learn
about interacting
Copy !req
611. with teachers,
co-workers, patients, bosses.
Copy !req
612. Cooperating with them,
communicating with them...
Copy !req
613. I am very bad
at communicating.
Copy !req
614. Shaun,
you became a surgeon,
Copy !req
615. one of the hardest things
that anyone can do.
Copy !req
616. And you proved that
just because something
is hard,
Copy !req
617. doesn't mean
you can't do it.
Copy !req
618. And look what you just did.
Copy !req
619. I just hit a trash can.
Copy !req
620. Exactly, a trash can
instead of an oncoming car
or a pedestrian.
Copy !req
621. You did great, Shaun.
Copy !req
622. That soccer ball was
a dropped Metzenbaum.
Copy !req
623. I know, right?
Copy !req
624. When I accidentally drop
an instrument in the OR,
Copy !req
625. I react quickly
to minimize damage.
Copy !req
626. Yes.
Yes.
Copy !req
627. I dropped a Metzenbaum.
Copy !req
628. I can drive this hooptie.
Copy !req
629. DR.
Window's about to close.
Copy !req
630. $10 will get you $20
on Melendez,
Copy !req
631. $10 will get you $1,000
if you want to bet on me.
Copy !req
632. Hey, everybody.
Copy !req
633. I can't be prouder
of all of you.
Copy !req
634. We have grown
into a preeminent
surgical department,
Copy !req
635. which has been recognized
with the official designation
Copy !req
636. of Surgical Center
of Excellence.
Copy !req
637. It's now more important
than ever
Copy !req
638. that we maintain
our high standards.
Copy !req
639. And so, while there are
many worthy candidates,
Copy !req
640. I've decided...
Copy !req
641. to retain the title myself.
Copy !req
642. Thank you.
Copy !req
643. Thank you!
Copy !req
644. Yes!
Copy !req
645. Y...
Copy !req
646. You... You did it.
You...
Copy !req
647. You really did it.
Copy !req
648. DR.It was his idea.
Copy !req
649. Murph? You...
Copy !req
650. We inserted
a small breast implant
to fill in the depression
Copy !req
651. and create a more
aesthetically
pleasing contour.
Copy !req
652. Breast implant?
Copy !req
653. Yes.
Copy !req
654. You saved my life.
Copy !req
655. It was a mistake.
Copy !req
656. It caused
an oculocardiac reflex
and you almost died.
Copy !req
657. It was a mistake.
Copy !req
658. George?
Copy !req
659. George?
Copy !req
660. Why didn't his
monitor alarm go off?
Copy !req
661. He was stable,
I disconnected it so he
could use the restroom.
Copy !req
662. I didn't...
Morgan! He's gone!
Copy !req
663. George!
Copy !req
664. I was never gonna
confront Andrews.
Copy !req
665. I was playing you.
Copy !req
666. But damn if you didn't
actually make it work.
Copy !req
667. It didn't work
for anybody.
Copy !req
668. He played us both.
He set us against each other.
Copy !req
669. I think you were right.
Copy !req
670. Even if you were
just bluffing,
Copy !req
671. we need to stand together.
Copy !req
672. Where was that wisdom
two days ago?
Copy !req
673. Still in the bottle.
Copy !req
674. Hey. How'd you come up
with that idea?
Copy !req
675. You mentioned breast implants
and I thought...
Copy !req
676. Of his forehead.
Copy !req
677. We were operating
on his eye,
Copy !req
678. his forehead was covered.
Copy !req
679. Why were you
thinking of it?
Copy !req
680. You care about him,
Copy !req
681. you were worried
about his problem.
Copy !req
682. You empathized with him.
Copy !req
683. My idea almost killed him.
Copy !req
684. No, it didn't.
Copy !req
685. I found these
in Billy's drawer.
Copy !req
686. Three days of pain meds.
Copy !req
687. He was cheeking them
to build up a stash.
Copy !req
688. He wasn't exaggerating.
Copy !req
689. You saved his life,
Shaun.
Copy !req
690. This isn't the way
this should have ended...
Copy !req
691. But I'm not so sure
the world is a worse place
Copy !req
692. than it was
a couple hours ago.
Copy !req
693. You almost look comfortable
behind the wheel.
Copy !req
694. This seat has
excellent lumbar support.
Copy !req
695. But I am still
very nervous.
Copy !req
696. I can drive a car.
Copy !req
697. I can see that.
Copy !req
698. Lea taught me
using a very bad analogy.
Copy !req
699. Nothing works
like a bad analogy.
Copy !req
700. He's getting
pretty good.
Copy !req
701. Won't be long
before he gets his operator's.
Copy !req
702. Your next
radiation appointment
is in 45 minutes.
Copy !req
703. Ow.
Copy !req
704. Thank you.
Copy !req