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.
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488. Urine dip ruled out UTI and kidney stones.
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489. So her symptoms have nothing to do with the earthquake?
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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
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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
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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?
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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.
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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?
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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.
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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.
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536. Hey, we got somebody down here!
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537. Can you hear us? We're coming!
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538. Lea. Are you okay?
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539. I-I think so.
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540. Hey. How long before you guys get this thing off of me?
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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
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546. everyone does dumb stuff when they're a teenager.
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547. I bet your dad doesn't judge you nearly as harshly
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548. as you think he does.
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549. My dad doesn't know me.
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550. Neither do you.
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551. Can you stay with him?
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552. That's... incredible.
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553. Thank you.
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554. Spend enough time around Dr. Browne,
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555. you get used to incredible.
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556. Okay. Thank you.
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557. There'll be a cruiser waiting to pick Casey's dad up
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558. when he lands in three hours.
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559. What if we compress Casey's aorta against his spine
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560. and create a higher cross-clamp?
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561. You didn't tell him yet, did you?
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562. No.
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563. We could buy time
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564. to repair his aorta after we lift the bar.
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565. Casey's about Kellan's age.
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566. This has nothing to do with Kellan.
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567. Yes, it's... It's a 1% chance of success if we do this,
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568. against a 100% chance of death if we don't.
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569. Okay.
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570. Prep him.
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571. When will we know if she's gonna be okay?
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572. When she wakes up.
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573. And there's still a risk of infection.
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574. Let's get her stabilized and out of here.
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575. I'm administering the budesonide
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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.
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580. Prep her for discharge.
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581. Can you give me something for my back pain?
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582. It's bruised from when you fell in the earthquake.
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583. Take some Tylenol.
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584. Uh, it's been bad all week.
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585. Muscle relaxers usually help.
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586. Check her tubes.
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587. You're pregnant.
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588. The fetus is developing inside your fallopian tube.
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589. It's called an ectopic pregnancy. It's not viable.
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590. That's a relief.
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591. But if your fallopian tube ruptures,
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592. it can cause a serious, possibly fatal, bleed.
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593. So we'll get you into surgery as soon as possible
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594. to make sure that doesn't happen.
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595. It's gonna be fine.
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596. If we get out of this alive,
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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.
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600. I might die because I'm still hung up on Paul.
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601. No.
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602. I don't want to move on.
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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,
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606. I never knew I could drive a car.
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607. Or enjoy music.
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608. Or sing karaoke.
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609. Or take tequila shots.
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610. Or fall in love.
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611. I don't want to stop being the person I am with her.
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612. Lea makes me more.
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613. But I don't make her more.
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614. If I did,
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615. then Lea would want to be my girlfriend.
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616. She's tachycardic and hypotensive.
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617. Abdomen?
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618. Rigid.
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619. Her fallopian tube ruptured.
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620. Any chance he can wait an hour?
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621. Rapidly expanding subdermal hematoma.
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622. It still doesn't hurt. Can't this wait?
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623. We need to fix something right away.
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624. Okay.
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625. Whatever you gotta do, I guess.
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626. Hey, um,
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627. about my dad...
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628. The minute he lands, we'll get him here.
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629. Thank you.
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630. Okay.
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631. She needs a surgeon... Stat.
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632. I'm a surgeon.
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633. Harmonic scalpel, DeBakey forceps,
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634. two Yankauer suctions, and vasopressin.
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635. Marta?
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636. Can you squeeze Noreen's hand?
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637. Let's get you to the hospital.
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638. You two, free beer for life.
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639. Whoa.
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640. Watch it! Aftershock!
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641. We need to immobilize your leg.
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642. Cover your head.
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643. All right, get her out of here.
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644. Right.
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645. That was a big one.
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646. Oh! Are you okay?
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647. Yeah.
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648. Just a little... A little motion...
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649. Oh!
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650. I need oxygen here now!
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651. You okay?
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652. What about our patient?
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653. Vitals stable.
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654. Shaun, you okay down there?
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655. I am okay.
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656. Except for the water.
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657. Please hurry.
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658. Please hurry!
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