1. Previously on
The Good Doctor...
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2. You ready to tell me
what's on your mind?
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3. I think I'm in love
with my boss.
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4. DR.I have
rheumatoid arthritis.
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5. I wanted you to know
and no one else.
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6. I've been thinking about
synovectomy surgery.
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7. That'll resolve the pain
temporarily. Then what?
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8. It'll give me
at least ten years.
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9. And then you're gonna be
bone on bone.
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10. What's your plan then?
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11. I understand
you're leaving surgery.
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12. That's tough.
But it's the right call.
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13. No, I don't think it is.
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14. I'm doing the surgery.
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15. You don't tell me anything
about your life.
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16. That's because
you don't want
to know anything.
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17. That's not true!
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18. You don't want to
feel guilty about being
a thousand miles away.
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19. You just want to know
that I'm okay.
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20. I love you, Lea.
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21. I want to be
your boyfriend.
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22. I'm a challenge for anyone.
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23. I just know it would be
too hard for you.
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24. You have to
give me a chance.
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25. You need to let me try.
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26. No.
I will fix it!
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27. Shaun, you're autistic.
You can't fix that.
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28. You acted like
you cared about me,
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29. but you don't even
respect me.
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30. You're going to
end up alone,
and you deserve it!
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31. Because you're
a superficial,
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32. selfish,
and prejudiced person!
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33. Uh, two lychee Kolsch,
please.
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34. Lea?
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35. Hey!
Hey.
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36. I saw the invite
at the clinic.
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37. And I assumed
you wouldn't be here.
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38. You with a friend?
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39. Uh, it's been
a rough couple of weeks.
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40. Hey! They're here!
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41. The guys who made
this all possible!
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42. I don't know about
all that.
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43. Yeah, well,
you try opening a brewery
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44. or fundraising
when you're dead.
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45. Ohh.
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46. Oh, honey, uh,
you remember
Dr. Melendez...
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47. Hi.
And Dr. Glassman.
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48. This is my wife,
Noreen.
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49. Aaron. Hi.
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50. This is Lea.
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51. Your flavor profiles
are epic.
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52. Well, how about a tour?
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53. Uh, yes.
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54. Okay, great. Come on.
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55. Carl!
Marta.
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56. It's good to see you!
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57. She is in host mode.
We could be here forever.
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58. I'll show you around.
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59. The, uh, hops in the Kolsch,
is that the Citra?
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60. In combination
with the Noble German.
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61. Lady knows her stuff.
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62. Do you feel that?
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63. It's an earthquake.
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64. Get out of there!
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65. Lea!
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66. Hello?
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67. Thank God.
Are you okay?
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68. Um, I'm fine, I think.
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69. The ceiling caved in.
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70. Were you hit?
Are you bleeding?
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71. Not as far as I can tell.
Just...
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72. Just some bruises.
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73. The brewing tanks
fell over.
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74. One went
right through the floor.
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75. And Glassman?
Wasn't he with you?
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76. I was! I am!
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77. Your shoulder.
It's dislocated.
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78. Yeah.
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79. I'm okay.
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80. Noreen.
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81. We're okay here.
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82. I'm about to assemble
a HURT team and head out.
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83. Any idea
how many wounded?
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84. No. Let me check.
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85. Come on.
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86. Lea?
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87. Get here
as fast as you can.
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88. The hospital is
on mass casualty
incident protocol.
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89. Cancel all elective surgeries.
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90. Transfer non-critical patients
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91. to urgent-
or chronic-care facilities.
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92. No family members or visitors
are allowed in the ER.
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93. We're gonna need
every inch of space
we've got.
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94. Use the waiting room
for patient overflow.
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95. Our HURT Team,
which I'll be running,
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96. has been assigned
to the Bold Statement Brewery,
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97. which collapsed
during a charity event.
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98. Melendez and Glassman
went to that.
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99. I spoke with Melendez.
They're both fine.
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100. That's two
out of approximately
a hundred.
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101. Park, Shaun, Claire,
you're with me.
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102. Get the equipment packed up.
I want to be on the road
in three minutes.
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103. I need you
to cover surgery.
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104. I'll get another attending
on the ER.
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105. I'll do both. I used to run
the whole hospital.
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106. It's just a cut.
You'll be fine.
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107. I need to focus
on medical emergencies.
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108. Cuts and scrapes
do not qualify.
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109. My colleague and I
will be com...
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110. Lea?
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111. The door to the Brew Hall
is totally blocked.
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112. Dr. Melendez!
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113. Noreen?
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114. Marta.
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115. What hurts?
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116. My back.
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117. Okay, I'm gonna
need a towel
and some tape,
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118. and Glassman and I
need every first aid kit
you've got.
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119. Go.
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120. Hold still.
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121. You're gonna be okay.
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122. I'm gonna stabilize
that leg, sir.
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123. Hold on a second.
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124. Sir, please put that light
on your leg.
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125. What was that?
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126. Just hold still.
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127. What if there's an aftershock?
The whole place
could come down.
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128. Just hold still, please, sir.
Just hold still!
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129. Just please sit down!
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130. Hey, you guys
can head across the street,
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131. and you'll be okay
over there.
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132. There mi...
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133. Might be about
40 people inside
in need of treatment
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134. or so... Some kind of
onsite evaluation.
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135. Where do you need me?
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136. Back at the hospital.
We're short on surgeons.
Okay.
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137. Shaun. Uh...
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138. Lea... was here.
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139. Where is she now?
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140. I don't know. She was inside
when the tanks fell down.
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141. But the first responders
are gonna find her. Shaun?
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142. Jack's in place.
Let's lift it.
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143. All right, she's clear.
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144. Melendez.
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145. 50-year-old woman,
medical history includes
spinal tumor resection,
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146. C1-through-3 fusion,
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147. complaining of severe
back pain.
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148. Hey, where were you hit?
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149. Are you dizzy?
You okay?
I'm fine.
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150. A beam fell, hit me
on my side,
knocked me down.
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151. Let me see.
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152. I'm fine.
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153. Let me see.
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154. I'll lay off working
my obliques at the gym
for a bit.
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155. Ow.
How much does that hurt?
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156. No more than it should.
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157. You're gonna need
a full evaluation.
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158. I'll go with Marta
back to the hospital,
get checked out.
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159. Where was Lea?
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160. In the Brew Hall,
and it's completely
blocked in.
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161. Glassman and I
already tried.
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162. The danger
of spinal fracture...
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163. Let's get a real
cervical collar on her
and get her onto the board.
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164. Stop!
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165. Don't touch her.
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166. You winced when they
touched your neck.
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167. Did your right hand hurt?
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168. Yeah.
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169. Like it was on fire.
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170. It's not
just a fracture.
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171. Something is pressing
on her spinal cord.
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172. Even the move to the board
could shift the object,
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173. leading to
permanent paralysis.
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174. I need to find Lea.
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175. Get the
battery-powered X-ray.
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176. Okay.
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177. Lucky there weren't
more books on that shelf.
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178. Bay one.
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179. 500 milligrams
IV acetaminophen,
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180. and page Calderon
in pedes.
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181. Reznick, no. You had surgery
on your hands 48 hours ago.
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182. I don't need them
to triage.
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183. We need a surgeon
over here.
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184. Construction worker.
Through and through
impalement.
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185. Point of entry's
his pelvis.
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186. BP 111 over 84.
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187. Pulse 107 BPMs.
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188. Pupils?
Ignore her.
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189. Normal and reactive.
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190. Right now she's a patient,
not a doctor.
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191. Motor exam?
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192. Normal.
All right. Thanks.
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193. I'm concerned
about the iliac artery.
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194. You should check
his femoral pulse.
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195. I was planning to.
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196. Okay, okay, okay.
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197. Right leg is strong.
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198. Left is thready.
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199. Ultrasound his leg to confirm.
His abdomen, too.
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200. Look for additional
damaged vessels.
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201. Then take him to OR 2
and page Cohen.
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202. There could be
a lot of vascular injuries.
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203. You should do his surgery
while I help with triage.
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204. Dr. Reznick, I don't need
or want your help.
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205. You have a habit
of withholding key details
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206. from your attendings
as it benefits you.
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207. Go to bed.
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208. Lea?
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209. Lea, can you hear me?
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210. Help. Think I'm stuck.
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211. Shaun, we need you on triage.
Let the professionals...
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212. Sh... Okay.
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213. Help.
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214. Under here.
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215. Someone is down there.
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216. Someone's down there,
but it's not Lea.
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217. We need fire and rescue
over here!
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218. Coming now!
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219. Shaun!
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220. It's right up against
the spinal canal.
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221. It's the C2 screws
we used to fuse the vertebrae
once the tumor was out.
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222. That doctor was right?
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223. I could end up paralyzed?
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224. I'm afraid so.
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225. So, what are
we gonna do
about that?
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226. We could
remove the screw here.
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227. No. You can't operate
on my wife's spine
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228. in the middle of all this.
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229. DR.
It would have its risks,
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230. significantly more
than most surgeries,
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231. but Dr. Browne's right.
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232. If we don't
remove the screw here,
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233. it's very likely that
you'll be paralyzed
from the neck down.
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234. Take it out.
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235. Lea?
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236. Lea?
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237. Are you there?
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238. Can you hear me?
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239. Lea?
Please help!
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240. Lea, it's me!
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241. Lea, it's Shaun!
It's...
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242. Lea?
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243. Shaun, help!
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244. Okay.
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245. Hey! This area needs
to be stabilized before
any medical personnel...
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246. Lea!
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247. I think I'm stuck.
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248. Okay.
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249. Lea. I'm coming.
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250. Okay.
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251. Aah!
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252. I am not afraid.
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253. I am... not afraid.
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254. I'm not afraid.
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255. Of course you are.
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256. You know why?
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257. Because
this is stupid scary.
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258. Dispatch rerouted us
to Good Sam
for some reason.
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259. Put us on diversion.
Too many trauma patients,
too few surgeons.
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260. Now you got two more patients
and one more surgeon.
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261. Which procedure
do you want?
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262. Pelvic fracture can wait.
Bay 7.
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263. I'm overseeing the ER.
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264. Someone has to.
Doesn't have to be you.
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265. Morgan texted me.
She's offered to help.
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266. Hands-free.
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267. I'll handle the ER.
You two go cut.
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268. Who's gonna actually treat
the patients? Siri?
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269. The nurses. I'll tell
them what to do and then
oversee every move.
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270. Running this place
isn't a job for a third-year,
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271. even on days
without an earthquake.
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272. Well, we've had an earthquake.
There are no options.
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273. Morgan. You be careful
with those hands.
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274. You could screw them up
for good.
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275. Understood.
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276. Petringa! OR 3.
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277. What were you doing
in a brewery, anyway?
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278. I was just sitting at the bar,
having a beer.
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279. Now I'm trapped under it.
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280. You're not 21.
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281. I'd show you my ID,
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282. but my pockets are
kind of underground right now.
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283. We should let
your parents know
where you are.
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284. I'm fine.
It doesn't even hurt.
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285. I think you should have
someone here... Mom, Dad.
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286. My mom's dead.
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287. And my dad's on a plane.
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288. Do you know the flight number?
We can get word to him.
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289. If my son
was in your situation,
I'd want to be there,
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290. no matter
what else was going on
or how he got there.
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291. My dad already thinks
I'm a screw-up.
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292. And this doesn't exactly
disprove that.
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293. Just get this thing
off me.
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294. Call me a bitch.
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295. Call me a bitch.
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296. We are gonna clear this ER
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297. and get the hospital
off trauma diversion.
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298. With a patient in every bed
and one doctor
with zero hands?
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299. Actually, I've got eight.
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300. You guys are gonna do
exactly what I tell you.
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301. I ask you to probe
2 inches to the left,
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302. I don't mean 1.5 inches
or 1.7.
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303. I have you debride
a wound,
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304. that's three
Betadine swabs,
not two.
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305. I don't care what shortcuts
you've picked up.
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306. I will not say please.
It is a wasted word.
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307. I will not say thank you.
I will be moving on.
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308. I will be a bitch, so you
may as well call me one now.
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309. Bitch.
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310. You're a bitch.
Bitch.
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311. As a feminist,
I'm really not com...
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312. Say it.
Bitch.
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313. Nice.
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314. Let's get to work.
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315. You should be up there
doing your job,
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316. not down here.
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317. Lea needs me.
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318. No, she doesn't.
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319. You think rescuing her
will make her fall
in love with you.
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320. It won't.
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321. You're... being...
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322. You always said
I could do...
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323. Because I believed in you.
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324. Right now, I don't.
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325. She doesn't love you.
She told you.
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326. She thinks
you're limited.
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327. You are.
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328. You're not her hero.
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329. Please help!
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330. We need a central line,
endotracheal tube,
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331. bag mask, portable oxygen,
anesthesia...
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332. We've got midazolam.
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333. That combined with
a morphine drip should work.
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334. Okay. Noreen?
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335. Don't do this surgery.
Please.
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336. I-I can't lose her.
Not this soon.
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337. M-Marta was
with her husband.
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338. She was miserable.
She didn't know...
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339. We're not the ones
you need to persuade.
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340. Sorry.
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341. I will
push your wheelchair.
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342. I'll wipe your mouth,
whatever you need.
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343. And be glad
for every minute of it
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344. because...
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345. You will still be alive.
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346. And we'll still be
on our adventure.
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347. Five years.
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348. That's...
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349. That's just not enough.
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350. So greedy.
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351. Marta, please.
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352. Thank you for being willing
to take care of me...
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353. Again.
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354. Five years isn't enough.
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355. However long I have with you
will never be enough.
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356. I only found you
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357. once I stopped listening
to my fear...
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358. Fear of
hurting my husband...
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359. Being thrown
out of the church,
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360. of dying alone.
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361. Pushing all that aside
made room for you,
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362. and you are my life.
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363. Dr. Melendez
saved me once.
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364. He's gonna do it again.
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365. Be brave with me.
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366. Okay.
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367. You found me.
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368. Mm.
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369. I'm Dr. Shaun Murphy.
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370. I'm here to help you.
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371. What's your name?
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372. Vera.
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373. Where does it hurt,
Vera?
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374. Everywhere.
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375. But mostly the shoulder.
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376. Mm.
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377. Okay.
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378. Take a deep breath,
please.
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379. Your lungs are fine.
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380. Can you feel
your hands?
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381. Yes.
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382. That means
you have no nerve damage.
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383. It missed
your vital organs.
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384. I can remove it without
risking permanent injury.
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385. That's good news.
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386. This is bad.
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387. When I cut, brace this.
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388. Her neck cannot
move at all.
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389. Making
initial midline incision
to posterior neck.
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390. It's gonna
take some time before
we can move that bar.
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391. That's fine.
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392. We need to get a sense
of the kid's injuries
before you do anything.
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393. I need to get under there
and take a look.
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394. Follow me.
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395. Asthma
and dust inhalation.
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396. Bad combination.
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397. Take deep breaths.
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398. Higher.
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399. Higher.
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400. Where her lungs are.
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401. You're the one
that can hear them.
There.
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402. Deeper.
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403. Trying.
Just can't.
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404. That's probably because
your lungs are hyperinflated.
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405. Start nebulizer albuterol
and oxygen,
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406. eight liters per minute.
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407. Why are you using
plaster of Paris?
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408. You told me cast her arm.
You didn't tell me...
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409. To use fiberglass,
which takes half the time
and is twice as effective?
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410. I wasn't aware that
I had to instruct you
on common sense.
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411. Bitch.
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412. Can I speak
to Dr. Lim, please?
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413. Shaun, where are you?
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414. I found a woman with
shoulder and leg impalements.
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415. I'm going to extract
the shoulder,
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416. but freeing the leg
could sever the posterior
tibial artery.
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417. That sounds bad.
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418. You would die.
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419. DR. What's the leg
impaled on?
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420. Mm, it appears to be
steel rebar.
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421. We'll send down
a firefighter.
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422. Once they've sawed
through the rebar,
they'll transport her up.
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423. And keep this channel open
so I can hear you.
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424. Have they found Lea?
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425. No. They're still searching.
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426. Okay.
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427. Hey, Aaron, can you
head back to the ER
when you finish here?
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428. Not unless you can take
the transected aorta
being prepped in OR 3.
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429. I got a myocardial contusion
and tamponade in 2.
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430. Ceiling fan
fell on this guy's chest.
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431. Ow.
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432. See you
on the other side.
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433. Yeah.
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434. We've got a bleed.
Clamp.
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435. The hardware tore
a muscular branch
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436. of her
right vertebral artery.
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437. I can't find the bleed
without suction.
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438. I see it.
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439. Her vitals are stable,
but she's lost too much blood.
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440. We can't keep cutting
till we give her
a transfusion.
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441. Check all local hospitals
and blood banks.
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442. See who can get us
O-negative, stat.
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443. There might be another way
to transfuse her.
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444. DR.So, I'm 16,
in my dad's car,
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445. a dime bag in my pocket,
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446. and a cop approaching.
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447. Did you get arrested?
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448. Hey, let me
tell the story.
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449. It's got a beginning,
middle, and end.
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450. I want the end.
It's better
with the middle.
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451. We, uh,
roll down the window,
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452. and the cop is hit
with a cloud of smoke.
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453. She makes us get out,
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454. pats us both down,
searches the whole car...
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455. Uh, I'll be right back.
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456. Oh, wait. Come on, come on.
Don't leave me hanging.
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457. Come on.
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458. She didn't find anything.
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459. All right.
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460. Our bodies
can do amazing things,
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461. even hide dime bags.
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462. Holy crap! No way!
Did you still smoke it?
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463. I'll be right back.
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464. Oh, man, you did! Euggh!
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465. How bad is it?
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466. His spine's been severed.
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467. He's lost
a lot of blood.
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468. No femoral pulses.
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469. His legs are ice cold.
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470. The bar's basically
cross-clamping
his abdominal aorta.
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471. He's gonna bleed out
when we lift the bar.
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472. Yeah.
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473. No, there's gotta be
something we can do.
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474. We can get his dad here
before it's too late.
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475. Inject five CCs
bupivacaine,
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476. wait 20 minutes,
then pull it out.
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477. You here for me
to discharge our asthmatic?
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478. No, she's gotten worse.
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479. And she's complaining
about back pain.
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480. She said she fell
during the earthquake.
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481. Symptom explained.
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482. Those sutures need to be
closer together.
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483. Add budesonide
to her nebulizer.
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484. That should
help her breathing.
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485. I think
she might be pregnant.
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486. Shortness of breath
plus back pain
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487. could be UTI,
kidney stones,
or pregnancy.
Copy !req
488. Urine dip ruled out
UTI and kidney stones.
Copy !req
489. So her symptoms have nothing
to do with the earthquake?
Copy !req
490. It's possible.
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491. How can you be
both slow and sloppy?
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492. This is my first time
doing sutures.
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493. Finish up
so I can discharge him.
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494. Stop with
the zebra hunting.
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495. Put her on budesonide
and clear the bed.
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496. I asked you to be my hands,
not my brain.
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497. Dr. Reznick.
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498. I'm over the bitch plan,
after three years of it.
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499. We're in crisis.
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500. That you are using
to rehabilitate
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501. your reputation
with Andrews,
which is fine.
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502. But stop biting the hands
that are your hands.
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503. What are you doing?
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504. Sterilizing
the instrument.
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505. Do you know someone
with cancer?
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506. Um...
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507. I'm curious
why you were at
Copy !req
508. a fundraiser
for cancer research.
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509. I was there for a man.
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510. One without cancer
Copy !req
511. or any interest
in being with me.
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512. My ex-boyfriend is
on the board of the charity.
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513. Why did you want to see
your ex-boyfriend?
Copy !req
514. I guess...
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515. I hoped he'd realize
he was still in love with me
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516. and beg me
to take him back.
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517. Clever, huh?
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518. I understand.
Copy !req
519. I still want Lea
to be my girlfriend.
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520. But she doesn't feel
the same way?
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521. I have autism.
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522. Oh...
Shaun, that shouldn't...
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523. Why didn't you warn me?
Copy !req
524. Studies have shown
that anticipation
only heightens pain.
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525. I used small talk
to distract you.
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526. Where did you two meet?
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527. Church.
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528. I'm not a member anymore.
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529. Okay.
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530. Place that
in the surgical cavity.
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531. You made a cell saver
out of a...
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532. Beer engine.
Copy !req
533. I ran alcohol through it
to sterilize it.
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534. Attach this to an IV.
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535. We are gonna pump
her own blood back into her.
Copy !req
536. Hey, we got somebody
down here!
Copy !req
537. Can you hear us?
We're coming!
Copy !req
538. Lea. Are you okay?
Copy !req
539. I-I think so.
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540. Hey. How long before you guys
get this thing off of me?
Copy !req
541. We're working on it.
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542. You said your dad thinks
you're a screw-up?
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543. Has he
actually said that?
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544. No.
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545. The reason I told you
that story is
Copy !req
546. everyone does dumb stuff
when they're a teenager.
Copy !req
547. I bet your dad
doesn't judge you
nearly as harshly
Copy !req
548. as you think he does.
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549. My dad doesn't know me.
Copy !req
550. Neither do you.
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551. Can you stay
with him?
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552. That's... incredible.
Copy !req
553. Thank you.
Copy !req
554. Spend enough time
around Dr. Browne,
Copy !req
555. you get used to
incredible.
Copy !req
556. Okay. Thank you.
Copy !req
557. There'll be a cruiser
waiting to pick Casey's dad up
Copy !req
558. when he lands
in three hours.
Copy !req
559. What if we compress
Casey's aorta
against his spine
Copy !req
560. and create
a higher cross-clamp?
Copy !req
561. You didn't tell him yet,
did you?
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562. No.
Copy !req
563. We could buy time
Copy !req
564. to repair his aorta
after we lift the bar.
Copy !req
565. Casey's about Kellan's age.
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566. This has nothing to do
with Kellan.
Copy !req
567. Yes, it's... It's a 1% chance
of success if we do this,
Copy !req
568. against a 100% chance of death
if we don't.
Copy !req
569. Okay.
Copy !req
570. Prep him.
Copy !req
571. When will we know
if she's gonna be okay?
Copy !req
572. When she wakes up.
Copy !req
573. And there's still
a risk of infection.
Copy !req
574. Let's get her stabilized
and out of here.
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575. I'm administering
the budesonide
Copy !req
576. and checking to see
if she's pregnant.
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577. I told her
I'm on the pill.
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578. Ever miss a day?
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579. Look at that.
An unoccupied uterus.
Copy !req
580. Prep her for discharge.
Copy !req
581. Can you give me something
for my back pain?
Copy !req
582. It's bruised
from when you fell
in the earthquake.
Copy !req
583. Take some Tylenol.
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584. Uh, it's been bad
all week.
Copy !req
585. Muscle relaxers
usually help.
Copy !req
586. Check her tubes.
Copy !req
587. You're pregnant.
Copy !req
588. The fetus is developing
inside your fallopian tube.
Copy !req
589. It's called
an ectopic pregnancy.
It's not viable.
Copy !req
590. That's a relief.
Copy !req
591. But if your fallopian tube
ruptures,
Copy !req
592. it can cause a serious,
possibly fatal, bleed.
Copy !req
593. So we'll get you into surgery
as soon as possible
Copy !req
594. to make sure
that doesn't happen.
Copy !req
595. It's gonna be fine.
Copy !req
596. If we get out of this alive,
Copy !req
597. let's promise to move on.
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598. You can do better
than Lea.
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599. Not that I have any business
suggesting that.
Copy !req
600. I might die because
I'm still hung up on Paul.
Copy !req
601. No.
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602. I don't want to move on.
Copy !req
603. If she doesn't feel like...
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604. I always knew
I could be a good doctor.
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605. But until I met Lea,
Copy !req
606. I never knew
I could drive a car.
Copy !req
607. Or enjoy music.
Copy !req
608. Or sing karaoke.
Copy !req
609. Or take tequila shots.
Copy !req
610. Or fall in love.
Copy !req
611. I don't want to stop being
the person I am with her.
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612. Lea makes me more.
Copy !req
613. But I don't
make her more.
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614. If I did,
Copy !req
615. then Lea would want
to be my girlfriend.
Copy !req
616. She's tachycardic
and hypotensive.
Copy !req
617. Abdomen?
Copy !req
618. Rigid.
Copy !req
619. Her fallopian tube
ruptured.
Copy !req
620. Any chance
he can wait an hour?
Copy !req
621. Rapidly expanding
subdermal hematoma.
Copy !req
622. It still doesn't hurt.
Can't this wait?
Copy !req
623. We need to fix something
right away.
Copy !req
624. Okay.
Copy !req
625. Whatever you gotta do,
I guess.
Copy !req
626. Hey, um,
Copy !req
627. about my dad...
Copy !req
628. The minute he lands,
we'll get him here.
Copy !req
629. Thank you.
Copy !req
630. Okay.
Copy !req
631. She needs a surgeon...
Stat.
Copy !req
632. I'm a surgeon.
Copy !req
633. Harmonic scalpel,
DeBakey forceps,
Copy !req
634. two Yankauer suctions,
and vasopressin.
Copy !req
635. Marta?
Copy !req
636. Can you squeeze
Noreen's hand?
Copy !req
637. Let's get you
to the hospital.
Copy !req
638. You two,
free beer for life.
Copy !req
639. Whoa.
Copy !req
640. Watch it!
Aftershock!
Copy !req
641. We need to
immobilize your leg.
Copy !req
642. Cover your head.
Copy !req
643. All right,
get her out of here.
Copy !req
644. Right.
Copy !req
645. That was a big one.
Copy !req
646. Oh! Are you okay?
Copy !req
647. Yeah.
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648. Just a little...
A little motion...
Copy !req
649. Oh!
Copy !req
650. I need oxygen here now!
Copy !req
651. You okay?
Copy !req
652. What about our patient?
Copy !req
653. Vitals stable.
Copy !req
654. Shaun,
you okay down there?
Copy !req
655. I am okay.
Copy !req
656. Except for the water.
Copy !req
657. Please hurry.
Copy !req
658. Please hurry!
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