1. DR. Previously,
on The Good Doctor...
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2. We had the clinic
at the hospital.
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3. Come back as President, and...
And we'll re-open it.
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4. We need to go to HR
and break up.
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5. I have accepted
your explanation and report.
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6. Thank you.
But I don't believe it.
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7. Traditionally, you don't
get to lead surgeries
until fourth year.
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8. That will be changing.
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9. When the right surgery
comes along, it'll be yours.
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10. I want you to meet
our new attending,
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11. Dr. Marcus Andrews.
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12. Pleasure to meet you.
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13. You had a date last night,
didn't you?
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14. It was hard,
uncomfortable,
unpleasant,
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15. and I have no idea
if she was happy,
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16. and I know I wasn't happy.
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17. I don't like
when you do that.
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18. I know.
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19. But I did it anyway
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20. because you need
to snap out of it.
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21. The moping,
it accomplishes nothing.
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22. I'm not moping.
I'm eating.
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23. Which is the only thing
you're doing
outside your room now.
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24. You didn't even
come out
to tell me
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25. to turn down
the Talking Heads.
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26. It didn't bother me.
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27. The walls were shaking.
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28. I'm surprised
the cops didn't show up.
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29. You like Carly.
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30. You need to get
back in the saddle.
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31. And luckily, you have
a totally awesome roomie
who's here to help you.
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32. I'm not going
on any more dates.
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33. Shaun,
everyone gets it.
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34. Dating is stressful.
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35. But being alone
is worse.
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36. I'm not alone.
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37. I have you.
I have Dr. Glassman.
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38. Yeah, friends are great,
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39. but everyone needs
a special friend.
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40. I don't.
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41. Shaun...
I'm not like everyone!
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42. No one is like everyone.
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43. We're all unique.
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44. But we're also the same.
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45. I had rent control.
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46. The only way
for them to jack the rent
is to get me out,
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47. so they just
make up a reason.
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48. Said that I was
playing my music too loud.
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49. And the all-night parties,
the fighting
with the neighbors,
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50. the wandering around
the parking lot without
any clothes on?
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51. I had a robe on!
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52. And I wasn't wandering.
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53. I was trying
to take the trash out,
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54. but they moved
the damn bins.
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55. It was windy.
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56. Mom, you were clearly
off your meds and drinking.
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57. Okay.
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58. "Was."
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59. It was
a temporary setback.
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60. Okay, nobody's perfect,
but it is all
under control now.
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61. People with things
under control
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62. don't show up at
their daughter's
at 1:00 a.m.
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63. looking for
a place to stay.
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64. I will be out of your hair
before you even know.
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65. Two weeks.
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66. Three, tops.
One!
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67. I don't have time
to babysit a grown woman.
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68. Well, it's three weeks
until the end of the month.
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69. You at least owe me that.
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70. No, I don't, actually.
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71. One week.
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72. We need some help
over here!
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73. Male, 30s,
gaping 10-centimeter
laceration to his left cheek.
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74. Probable fractured
temporal bone, maxilla,
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75. definitely
shattered mandible.
What happened?
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76. He tried to stop
some creeper
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77. from groping a woman
on the subway.
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78. Maniac ended up
bashing his skull in
with some kid's skateboard.
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79. Wheels broke off,
and the metal axle...
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80. Did that.
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81. Okay, we need
to secure his airway.
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82. His mouth is filling up
with blood.
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83. Intubation cart.
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84. He has a
through-and-through
oral defect...
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85. (SUCTION)
And the mandible
is crushed.
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86. We need hemostats.
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87. The woman?
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88. She's fine.
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89. Cops arrived, tased the dude,
took him away in cuffs.
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90. Everybody's fine
except for the hero.
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91. We're gonna
need to intubate
through the neck.
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92. Betadine, scalpel,
6-0 tube to place
surgical cric.
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93. Could you do me
a huge favor and take
this up to Lim's office?
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94. Sure.
I'm running late.
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95. No problem.
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96. Melendez is waiting.
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97. Sorry,
I had to help Kellan
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98. with a biology project
this morning.
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99. What's in the box?
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100. Ducati throw pillow.
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101. You really think you can
bribe Lim with a pillow?
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102. I'm not bribing her.
I'm being nice.
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103. She's starting a new job
in a new office.
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104. Where she'll decide
who gets the first
lead surgery.
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105. I'm not stupid enough
to think
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106. I can influence her decision
with a gift.
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107. But it never hurts
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108. to have a good relationship
with your boss.
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109. And it's
a damn cool pillow.
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110. DR. Hey.
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111. No signs
of any post-op infection.
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112. There's also no sign
your surgery did any good.
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113. Tom.
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114. How often
is he vomiting?
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115. After every feeding.
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116. Okay.
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117. Shh.
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118. This is obviously not
the outcome we had hoped for,
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119. but a pyloric stenosis
requires a cautious approach.
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120. If we're too aggressive...
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121. It's okay, buddy.
I got you.
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122. Shh, shh, shh, shh.
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123. Our baby is in pain.
He can't eat.
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124. And you don't seem to have
any clue why.
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125. I would be upset, too,
if I were in your position.
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126. But you're wrong.
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127. We need to conduct some tests
to confirm, but I am confident
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128. it's just a matter
of going back in
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129. and making
a tiny adjustment.
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130. Your son's
in good hands.
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131. Thank you.
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132. I'm sorry.
I'm just...
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133. A father
who loves his son.
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134. You've got nothing
to apologize for.
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135. That was impressive.
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136. Get an abdominal
ultrasound
to confirm
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137. it's just an incomplete
pyloromyotomy.
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138. You're wasting
your ass-kissing.
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139. First surgery
isn't his decision.
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140. No. He's just the one
sleeping with the one
making that decision.
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141. Pupils are equal
and reactive.
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142. Do you know
where you are?
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143. And do you know
how you ended up here?
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144. Josh, you have
multiple fractures
in your cheek and jaw,
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145. and a large piece
of your cheek tissue, skin,
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146. and underlying muscle
was torn off.
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147. You're going to need
extensive reconstructive
surgery
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148. to save
your jaw function.
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149. You need to read
these consent forms.
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150. And if you have any questions,
write them on this pad.
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151. Was the woman
on the subway
a friend of yours?
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152. DR. He's a fool.
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153. Trying to prove
how macho you are
can get you killed.
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154. Clamp the branch
of the inferior alveolar.
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155. So, you would just
stand by?
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156. Let a woman get groped?
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157. Apply manual compression.
Try and close
the fracture gap.
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158. You help
every homeless
drug addict
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159. you see on the subway?
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160. I don't.
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161. And neither
does Browne,
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162. which is why she ought not
get so self-righteous.
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163. Yes.
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164. I help my patients
to the best of my ability
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165. because it's meaningful,
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166. and to me, the downside
is purely financial.
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167. For friends,
I'll risk a little
bit more,
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168. but the only people
I'm risking life
and limb for
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169. are my family.
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170. Someone gropes my wife
on the subway,
they're gonna get whupped.
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171. This isn't gonna work.
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172. The mandibular ramus
is just too shattered,
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173. and I can't get
adequate stabilization.
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174. We can't do
any skin or muscle grafts
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175. if we can't fix
the skeletal structures.
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176. Alloplastic augmentation
to bridge the gap?
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177. The span is too wide.
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178. We're gonna
have to wire him shut.
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179. Wake him up.
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180. He should know
he's never gonna talk
or eat solid food again.
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181. Forever.
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182. Do you have
any questions?
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183. I'm sorry.
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184. The Cantrells
want a new surgeon.
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185. What can you tell me
about the first surgery?
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186. Is this an M&M review?
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187. Not yet.
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188. Is it possible
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189. you may have been
a little too aggressive?
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190. Cut too deeply?
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191. Are you really
asking me that?
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192. I need to know.
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193. I definitely
didn't go too deep.
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194. Great.
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195. We'll talk
to the Cantrells.
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196. Audrey.
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197. Is this weird for you?
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198. A little. You?
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199. I'm trying
not to let it be.
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200. Good.
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201. Me too.
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202. Hello.
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203. I'm here to pick up artificial
dermal regeneration templates.
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204. Let me get it.
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205. Hey, Shaun.
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206. I heard
what happened
to the guy.
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207. Sounds horrible.
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208. Is he gonna be okay?
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209. He won't be able to eat
or speak normally ever again.
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210. Thank you.
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211. Shaun.
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212. You seem
a bit uncomfortable.
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213. If it has anything to do
with our date,
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214. I just want you to know,
I had a really good time,
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215. and hope
we can do it again.
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216. I had
a horrible time...
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217. And don't want to
do that ever again.
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218. Extensive swelling.
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219. But within
the acceptable range
of post-op edema.
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220. The very top
of the range.
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221. I think maybe Melendez
did go too deep,
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222. injured the pylorus.
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223. Well?
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224. The swelling is within
the acceptable range
for a post-op edema.
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225. Got your muffins.
Delicious.
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226. I'm glad you liked them.
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227. I did.
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228. Just kinda surprised
you thought I could be
bought with baked goods.
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229. We're not trying
to buy you off
with muffins or a pillow.
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230. Someone got me a pillow?
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231. No. I wanted to
show you my support
for your promotion.
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232. You're all gonna lead
surgeries, hundreds of them.
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233. So it doesn't matter
who does anything first.
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234. The only thing that matters
is that you do it right.
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235. So, what was
in the box?
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236. Sample marketing pamphlets.
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237. My buddy owns a print shop,
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238. asked me to give Lim
some samples.
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239. Well played.
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240. But it's all
moot anyway.
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241. It doesn't matter
who goes first.
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242. Right.
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243. Just so I'm clear,
that "right" was
sarcastic, right?
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244. Right.
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245. Hey.
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246. Since when does
the President
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247. need to stock
his own shelves?
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248. When it's a free clinic
and you want it done right.
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249. Thank you.
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250. (WHISPERING) Have you ever
had sex in the office?
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251. I'm not gonna
answer that.
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252. First of all,
it's embarrassing
if I say yes,
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253. and it's even
more embarrassing
if I say no.
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254. I take the fifth.
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255. If we're gonna
get married,
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256. I need to know
all your naughty...
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257. I brought us lunch.
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258. I know what
you each like.
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259. Dr. Melendez is not
just our best surgeon.
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260. He's one of the tops
in the entire country,
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261. with the expertise to know
that the best way
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262. to avoid a truly bad outcome
in this procedure
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263. is to err
on the side of caution.
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264. W-We hear all that.
We do.
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265. And we really
appreciate you
taking the time
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266. to explain everything.
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267. But we would just
be more comfortable
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268. having someone else
take over from here.
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269. You do understand?
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270. Of course.
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271. I assume you'd be okay
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272. if I perform
Braden's second surgery?
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273. Eh, the Chief
of the department?
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274. Eh...
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275. Absolutely.
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276. Thank you, Doctor.
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277. Of course.
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278. Nobody likes dating.
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279. It's awkward
and uncomfortable.
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280. It's expensive.
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281. Ah.
That's why you proposed
after two dates?
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282. To save money?
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283. I proposed after two dates
because after one date,
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284. I realized how much
I loved being around you
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285. and how much fun
we'd have together.
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286. He's right, Shaun,
'cause the fun
can be so fun.
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287. That didn't happen to me.
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288. I have to go
to surgery.
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289. Shaun.
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290. Whenever you're ready,
you'll try again.
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291. What?
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292. Whenever he's ready?
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293. He's got to go
at his own pace.
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294. He needs to be pushed.
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295. I'm not gonna push him.
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296. A man doesn't
push another man
into a date.
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297. He pushed you.
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298. Shaun doesn't know
any better.
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299. If you want him
to find love,
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300. he literally needs
to be pushed into it.
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301. Literally?
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302. Shaun's not like
other men.
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303. Oh, he easily admits
he's wrong?
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304. He easily changes course?
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305. If you don't talk to him,
is anything gonna change?
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306. No good deed
goes unpunished.
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307. Why does it always
work out that way?
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308. It doesn't.
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309. Most good deeds
get rewarded.
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310. DR. And what do
you base that on, Murphy?
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311. Certainly not the news
or the Forbes 500.
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312. Or the Bible.
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313. I base it
on neuroscience.
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314. Bad outcomes
just implant deeper
in our cerebral cortex.
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315. DR.So, evolution
agrees with me.
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316. Our brains encourage us
to be selfish.
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317. Yes.
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318. Which makes it strange
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319. that people
keep being unselfish.
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320. You were.
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321. You saved my job.
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322. And now you're an attending
instead of the President.
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323. Screws
and wire ligature.
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324. We're not doing this.
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325. We can do better.
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326. There is
no other procedure.
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327. We'll invent one.
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328. Truce during surgery.
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329. Fair.
What about procedures?
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330. Imaging is fair game.
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331. Anything invasive,
we go to our corners.
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332. Crap. I left my keys
in my locker.
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333. Losing my mind.
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334. I'll see you tomorrow.
Night.
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335. What about
a muscle graft
from the temporalis?
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336. That wouldn't address
deep mucosa or bone.
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337. Unless we took
an osseocutaneous free flap
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338. from the radial forearm.
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339. We'd need approximately
two inches
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340. and could use
the natural concavity of...
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341. And he could lose
the use of his hand.
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342. That seems like
a reasonable trade-off.
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343. I'm not telling this guy
that we can restore his speech
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344. and all it'll cost
is his hand.
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345. Because he's a hero?
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346. What he did
has nothing to do with it.
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347. It's what we can do
that matters.
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348. What we can do
is what we were doing.
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349. That's the protocol.
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350. Aren't we risking more damage
by leaving him in an ICU bed
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351. while we try to invent
a new treatment?
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352. How about attaching
two free flaps
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353. on vessels
on either side
of his neck?
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354. Heard from Claire
you're having an
all-hands-on-deck sesh.
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355. Happy to join.
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356. Good. How about Park?
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357. He left.
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358. Said he had a thing
with his son.
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359. Thankfully, I don't have kids,
so extra hours, not a problem.
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360. Have you considered an
allograft augmentation or a...
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361. Heard y'all were working late,
so I got some coffee.
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362. Any way I can help?
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363. DR.I want to
talk about our meeting
with the Cantrells.
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364. On date night?
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365. Can it wait...
10 and a half hours?
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366. I guess.
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367. Thank you.
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368. Have you ever been
to The French Laundry?
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369. No.
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370. We should do
a weekend in Napa.
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371. I know this great little B&B
just south of St. Helena...
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372. It's not about
the Cantrells.
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373. It's about
what you said to them.
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374. Has it been 10 and
a half hours already?
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375. I "erred on the side
of caution."
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376. Caution is a good thing.
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377. Err isn't.
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378. I didn't err...
Not at all.
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379. I was going to bat
for you.
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380. I think that maybe
you're so afraid
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381. of appearing to favor
your boyfriend
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382. that you're
overcompensating.
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383. Given I think
you may have erred,
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384. I'd say
I was incredibly supportive.
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385. In which case, you went
against your better
professional judgment
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386. to favor your boyfriend.
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387. So, I'm too supportive
or not supportive enough?
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388. Should I change
the reservation
to two tables for one?
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389. I've had plenty of first dates
that were actual disasters.
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390. Took one woman
to a Coyotes game,
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391. saw four minutes of it,
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392. spent the rest
of the night
in the ER
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393. while she got 17 stitches
after being hit by a puck.
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394. We got married
eight months later.
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395. Then you divorced her.
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396. It was worth it.
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397. We don't have a choice.
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398. Evolution needs us
to propagate,
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399. so it gives us
a shot of happiness
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400. every now and again
to suck us in like idiots.
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401. To keep us in a game
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402. that we know
we're gonna lose
almost every time.
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403. Because
the upside's like...
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404. Nothing else.
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405. Love.
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406. But if Shaun really
doesn't need to play, then...
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407. Good for him.
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408. We've officially turned into
an episode of The Bachelor.
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409. Everyone go home.
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410. I'm not tired.
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411. I am.
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412. No.
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413. There are still
a number of possibilities.
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414. Murphy, you are smart
and you're creative,
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415. but there are things
you can't do.
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416. You can't do miracles.
You can't fix the unfixable.
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417. Hey, baby.
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418. You work way too hard.
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419. Yes, I do.
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420. Uh... Let me get you
something to eat,
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421. 'cause I made some pulled pork
and some peanut coleslaw.
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422. No, thanks, Mom.
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423. Did you find a place?
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424. I saw one,
but it was nasty.
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425. Y-You must be hungry.
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426. You saw one,
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427. and then you came home
and cooked?
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428. Yes.
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429. I came home
and cooked dinner
for my daughter.
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430. I'm trying, Claire.
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431. Okay,
I'm taking my meds.
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432. I'm seeing Dr. Donovan.
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433. I am doing my best.
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434. I've heard that before.
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435. You got six days.
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436. Shaun, you need sleep.
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437. Your neurons
will be sparkier
in the morning.
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438. There are 640 muscles
and 206 bones in the body,
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439. but only 284
and 72 of those
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440. are of sufficient size
for our grafts,
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441. but that still leaves
20,448 possible permutations.
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442. It's not unfixable
until I rule out every...
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443. So, some anatomy problem,
you won't give up on,
Copy !req
444. but after one date,
Copy !req
445. you think you've explored
all the possible permutations?
Copy !req
446. Stop distracting me.
Copy !req
447. I'm distracting you?
Copy !req
448. By talking about you?
By talking about love?
Copy !req
449. Yes.
Copy !req
450. I...
I need to concentrate.
Copy !req
451. Okay.
Copy !req
452. I'll shut up.
Copy !req
453. You're still talking.
Copy !req
454. Good night, Shaun.
Copy !req
455. You're still...
Copy !req
456. We only have
206 bones?
Copy !req
457. Still talking.
Oh...
Copy !req
458. (SIGHS) Yes.
Copy !req
459. Shaun?
Copy !req
460. I think we should talk.
Copy !req
461. So did Lea.
Copy !req
462. But I have to find
a solution for an
oromandibular defect
Copy !req
463. that doesn't involve
titanium plates,
Copy !req
464. 356 of our muscles,
or 134 of our bones.
Copy !req
465. I don't think
you never want
to see me again.
Copy !req
466. I have to find a solution
for an oromandibular...
Copy !req
467. We have to talk.
Copy !req
468. You owe me that much.
Copy !req
469. Why do I owe you
that much?
Copy !req
470. Because I thought
we had a nice time.
Copy !req
471. And I thought
you were a nice guy,
Copy !req
472. an honest guy,
and I still think you are,
Copy !req
473. and I'm confused
about how you feel
Copy !req
474. and about how I feel
about how you feel,
Copy !req
475. and I just need
to talk about it.
Copy !req
476. So, if you have
any feelings
for me at all,
Copy !req
477. you'll help me
understand.
Copy !req
478. Okay.
Copy !req
479. My little sister,
Andie, has autism.
Copy !req
480. We're not
all the same.
Copy !req
481. I know.
Copy !req
482. I think growing up
with Andie helps me
understand you.
Copy !req
483. But it also makes me
wonder about myself.
Copy !req
484. And did I date you
to prove something?
Copy !req
485. Did I date you to
Copy !req
486. somehow make
things better
for Andie?
Copy !req
487. I don't think I did,
but...
Copy !req
488. My point is...
Copy !req
489. I have questions,
too, Shaun.
Copy !req
490. Trying to figure out
what we want
Copy !req
491. and why we want it
and is it good for us
Copy !req
492. are good questions.
Copy !req
493. And they
can't all be answered
over one dinner.
Copy !req
494. I have to go.
Copy !req
495. Murphy...
Copy !req
496. I've... I've got it!
Copy !req
497. I've got it!
Copy !req
498. We take
a vascularized free flap
Copy !req
499. and suture it
to the facial artery
and vein,
Copy !req
500. then flip up
the pectoralis.
Copy !req
501. It's a great idea.
Copy !req
502. We're not doing it.
Copy !req
503. It's never been tried
before.
Copy !req
504. Risk one,
graft failure
brings infection
Copy !req
505. and he loses
the other half
of his face.
Copy !req
506. Risk two,
sepsis and he dies.
Copy !req
507. Risk three...
Copy !req
508. Yeah, yeah, yeah,
risk whatever.
Copy !req
509. We do
the standard procedure,
Copy !req
510. the guy never speaks
or eats again.
Copy !req
511. Dr. Murphy,
could you please
give us a minute?
Copy !req
512. Why do you
want to do this?
Copy !req
513. You've been my boss
for a few hours,
Copy !req
514. and you're already
questioning my motivations?
Copy !req
515. You fell on your sword
for Shaun,
Copy !req
516. and your reward
for your act of heroism
was getting fired.
Copy !req
517. And now you're back here,
answerable to me.
Copy !req
518. I imagine you've
been asking yourself
if it was worth it.
Copy !req
519. Your issues
with the procedure
are valid,
Copy !req
520. but at least let me put them
before the patient.
Copy !req
521. He'll say yes.
Copy !req
522. I won't sugarcoat
the risks.
Copy !req
523. He'll say yes anyway.
Copy !req
524. He wants to believe
things will work out.
Copy !req
525. That's why he's a hero.
Copy !req
526. Sometimes
the hero loses.
Copy !req
527. Which is why
he's got to learn
when to stand back
Copy !req
528. when there's nothing
he can do to help.
Copy !req
529. Are you going to order me
to stand back?
Copy !req
530. No.
Copy !req
531. Hey, Shaun?
Copy !req
532. You got a minute?
Copy !req
533. Okay.
Copy !req
534. (SIGHS) Debbie wanted me
to talk to you.
Copy !req
535. To tell you...
Copy !req
536. Not to give up on love.
Copy !req
537. Don't give up on love.
Copy !req
538. Okay.
Copy !req
539. Do you want me
to let her know
you told me?
Copy !req
540. Yes, please.
Copy !req
541. Hey, Shaun?
Copy !req
542. I know this, uh,
dating thing
can be scary.
Copy !req
543. You're good at dating.
Copy !req
544. Well, before Debbie,
the last time
I went on a date,
Copy !req
545. Wake Me Up
Before You Go-Go
was the big hit.
Copy !req
546. 'Cause a-a-after Maddie
and the divorce,
Copy !req
547. I kind of shut down
for a while.
Copy !req
548. Yeah, I...
And it felt better
Copy !req
549. to be in a place
where I couldn't get hurt.
Copy !req
550. But then, last year,
I got my diagnosis,
Copy !req
551. I thought
I was gonna die,
Copy !req
552. and Debbie
came into my life,
and I said to myself,
Copy !req
553. "I-I-I don't want
to be safe anymore."
Copy !req
554. You know?
Copy !req
555. I want to... I want to...
I want to feel alive.
Copy !req
556. And...
And if I get hurt,
I get hurt.
Copy !req
557. That's part of the deal.
Copy !req
558. Morgan says
it's biological,
Copy !req
559. that it doesn't
make sense.
Copy !req
560. Morgan's right.
Copy !req
561. So I'm right?
Copy !req
562. No. No.
Copy !req
563. Look...
Copy !req
564. It's wonderful,
this love thing.
Copy !req
565. Why should it
make any sense?
Copy !req
566. When I think about
the reasons I-I'm
in love with Debbie,
Copy !req
567. okay, she's...
She's kind,
she's funny,
Copy !req
568. she's... She's loving.
Copy !req
569. But that's not it.
Not really.
Copy !req
570. (CHUCKLES)
Don't tell her this,
Copy !req
571. but there are
other people
in the world
Copy !req
572. that are kinder,
that are funnier,
Copy !req
573. that are more loving
than she is,
Copy !req
574. but she makes me happy,
just being around her.
Copy !req
575. It makes
absolutely no sense,
Copy !req
576. but I wouldn't trade it
for anything.
Copy !req
577. Okay.
Copy !req
578. I have
an ethical dilemma.
Copy !req
579. I was going through
state regulations
for medical staff,
Copy !req
580. specifically, residents,
Copy !req
581. and their new guidelines
have raised an issue for me.
Copy !req
582. The state caps residents
at 80 hours a week,
Copy !req
583. but I don't think
that's nearly enough.
Copy !req
584. I work over 100,
and I don't plan
on cutting back,
Copy !req
585. so I'm wondering
how I should be
reporting my hours.
Copy !req
586. Park offered
to co-write a paper with me.
Copy !req
587. (SIGHS)
What a suck-up.
Copy !req
588. I said yes.
Copy !req
589. It's an interesting case.
It should be written up.
Copy !req
590. So he's...
Copy !req
591. Gonna do a lot of work
for nothing.
Copy !req
592. Except for the good
of the medical community.
Copy !req
593. And I'm gonna tell you
what I told him.
Copy !req
594. If you come to me
with one more favor,
Copy !req
595. one more humblebrag,
Copy !req
596. if I suspect either of you
have your lips puckered,
Copy !req
597. you're going
to the bottom of the list.
Copy !req
598. Yes, ma'am.
Copy !req
599. Dr. Lim?
Copy !req
600. Do you ever think about
what it means,
Copy !req
601. me doing all this?
Copy !req
602. Means you've
underestimated me.
Copy !req
603. Maybe.
Copy !req
604. But it also means
that I care.
Copy !req
605. That getting the first surgery
means something to me,
Copy !req
606. enough for me to go out
and really overspend
on designer desserts
Copy !req
607. and then to spend
even more time
Copy !req
608. trying to make them
look homemade.
Copy !req
609. If I'm putting
that much effort
into muffins,
Copy !req
610. imagine how hard I'll work
Copy !req
611. to make the most
of this opportunity
Copy !req
612. if it's given to me.
Copy !req
613. With considerable
physio and speech therapy,
Copy !req
614. this graft would allow you
Copy !req
615. to not only chew
and swallow whole foods,
Copy !req
616. but it would enable you
to talk again.
Copy !req
617. It's an untested procedure
with not-insignificant risks.
Copy !req
618. If the graft
doesn't take,
Copy !req
619. more skin and bone
could become infected,
Copy !req
620. possibly necrotic.
Copy !req
621. We need to know
you understand.
Copy !req
622. It's an
experimental procedure.
Copy !req
623. In addition to all of
the usual surgical risks,
Copy !req
624. there are
all of the unknowns.
Copy !req
625. Bleeding out,
permanent graft loss,
Copy !req
626. stroke...
Copy !req
627. Death.
Copy !req
628. Good for you, Josh.
Copy !req
629. Get him prepped.
Copy !req
630. Okay.
Copy !req
631. DR.
Infuse carbon dioxide.
Copy !req
632. Grasping duodenum
just distal of the pylorus.
Copy !req
633. Huh. Look at that.
Copy !req
634. That's not good.
Copy !req
635. Page Dr. Melendez.
Copy !req
636. An intussusception.
Copy !req
637. The telescoped bowel
is causing a blockage.
Copy !req
638. The baby had
two unrelated conditions
causing the same symptom.
Copy !req
639. We only know about
the second condition
Copy !req
640. because of
the first surgery.
Copy !req
641. Treatment protocol
is a barium enema,
Copy !req
642. but not for someone
Braden's age.
Copy !req
643. An air enema might work.
Copy !req
644. Unless the intestine's torn.
Copy !req
645. (BEEP)
Morgan,
reposition the scope
Copy !req
646. to get a better look
at the intestinal wall
Copy !req
647. around
the intussusception site.
Copy !req
648. DR.
There's too much swelling
and edema to be sure.
Copy !req
649. With the risk
of infection,
Copy !req
650. we don't have
time to find out.
Copy !req
651. You're gonna
have to open him up.
Copy !req
652. You should.
Copy !req
653. The Cantrells
made their wishes clear.
Copy !req
654. Well, that's when
I made them
think you'd erred,
Copy !req
655. which you did not,
Copy !req
656. not on the side
of caution,
Copy !req
657. not at all.
Copy !req
658. We do the surgery
together.
Copy !req
659. Who's the lead?
Copy !req
660. I think you know.
Copy !req
661. Pulling rank?
Copy !req
662. Absolutely.
Copy !req
663. As Chief of Surgery,
I designate you.
Copy !req
664. DR.
It's like a puzzle.
You secure to the artery,
Copy !req
665. then the vessel
just won't quite
stretch to the vein.
Copy !req
666. You could mobilize
the recipient vessel.
Copy !req
667. Repeat that, Dr. Browne.
Copy !req
668. Mobilize the recipient vessel
to create more slack.
Copy !req
669. You saw Carly again.
How was it?
Copy !req
670. Inconvenient.
Copy !req
671. But despite her intrusion,
Copy !req
672. I was still able
to concentrate on medicine.
Copy !req
673. That wasn't an intrusion.
That was a date.
Copy !req
674. It was walking.
Copy !req
675. Walking with
someone you like
who likes you, too,
Copy !req
676. is a non-date date.
Copy !req
677. Some of the best dates
that I have had
Copy !req
678. did not involve flowers
and restaurant reservations.
Copy !req
679. Just...
Copy !req
680. Sharing a bag of chips
and sitting on a couch.
Copy !req
681. DR. Secured.
Copy !req
682. Remove clamps.
Copy !req
683. Blood flow
to and from graft.
Copy !req
684. Let's move on
to the pectoralis flap.
Copy !req
685. (MONITOR BEEPING RAPIDLY)
DR.
Blood pressure's dropping.
Copy !req
686. Okay.
Heart rate is up.
Copy !req
687. DR. Push IV fluids,
give epinephrine 1 milligram,
then start a drip.
Copy !req
688. There's intestinal wall
perforation.
Copy !req
689. Repairable?
Copy !req
690. (SIGHS) There's
too much tissue damage.
Copy !req
691. Infection?
Copy !req
692. No sign of peritonitis,
but we'll need to remove
this section of bowel.
Copy !req
693. He's tachy.
Hypotensive.
Copy !req
694. Push vasopressors
and antibiotics.
Copy !req
695. (MONITOR BEEPING RAPIDLY)
DR. Check an iSTAT
hematocrit, ABG.
Copy !req
696. Give two units PRBCs.
Copy !req
697. I don't see
any major bleeding.
Copy !req
698. DR.
Push more fluids,
start an inotrope.
Copy !req
699. Check all vessels we worked on
for clots with the Doppler.
Copy !req
700. Okay.
Copy !req
701. Large clot
in the carotid.
Copy !req
702. Clamps back on,
Copy !req
703. performing
carotid arteriotomy.
Copy !req
704. Will try to aspirate out
the clot.
Copy !req
705. Stand by with heparin.
Copy !req
706. Carotid clot removed.
Copy !req
707. EEG looking good.
Copy !req
708. Resuming
pectoralis flap
dissection.
Copy !req
709. Good work, everybody.
Copy !req
710. DR. Go ahead...
say something.
Copy !req
711. Yeah, you can talk.
Copy !req
712. Maybe not
too much at first,
Copy !req
713. give the jaw
a chance to heal.
Copy !req
714. (HOARSELY) Thank you.
Copy !req
715. On behalf of all of us,
you're very welcome.
Copy !req
716. The woman
who was being accosted
when you intervened is here.
Copy !req
717. Is she all right?
Copy !req
718. She's not here
as a patient.
Copy !req
719. She's been
waiting to see you.
Copy !req
720. Okay?
Copy !req
721. Hello.
Copy !req
722. Hey.
Copy !req
723. I am so sorry
this happened.
Copy !req
724. Me too.
Copy !req
725. You look...
Copy !req
726. When the swelling goes down,
he'll look a lot better.
Copy !req
727. It's okay.
Copy !req
728. My face
was never my fortune.
Copy !req
729. What made you do it?
Copy !req
730. Why did you step in?
Copy !req
731. I don't know.
Copy !req
732. You needed help.
Copy !req
733. Olivia, by the way.
Copy !req
734. Josh.
Copy !req
735. We'll let you two
get acquainted.
Copy !req
736. It didn't matter who
got the first lead surgery...
To me.
Copy !req
737. But it's recently
been brought to my attention
Copy !req
738. how much it might mean
to some of you.
Copy !req
739. Seems I'd forgotten
how important
this decision is
Copy !req
740. when you've been
dreaming about it
for years.
Copy !req
741. You're all
excellent candidates,
each deserving,
Copy !req
742. and will all
get your turn.
Copy !req
743. Starting with Dr. Browne.
Copy !req
744. Yes!
Copy !req
745. DR. Thank you.
Copy !req
746. Congratulations.
Thanks.
Copy !req
747. What the hell was that?
Copy !req
748. I was happy
for a colleague.
Copy !req
749. You weren't campaigning
for you to win.
Copy !req
750. You were campaigning
for me to lose.
Copy !req
751. Do you dislike me
that much?
Copy !req
752. I just wouldn't want you
supervising me
as Chief Resident.
Copy !req
753. You'd be
a nightmare of a boss.
Copy !req
754. Shaun.
Copy !req
755. Dr. Lim thought my motives
for fighting this hard
Copy !req
756. for this patient
were miscalculated.
Copy !req
757. She was right.
Copy !req
758. We shouldn't have
saved his face?
Copy !req
759. We have limited resources,
and we're even more limited
Copy !req
760. in our personal capacity
to determine who is deserving,
Copy !req
761. so we make a choice
to treat everyone the same.
Copy !req
762. So why did you treat
this patient differently?
Copy !req
763. Because I was angry.
Copy !req
764. I made a sacrifice
to save you.
Copy !req
765. I lost my job,
I took a substantial
demotion.
Copy !req
766. And I thought
I was a fool.
Copy !req
767. The cost was
way too high.
Copy !req
768. I resented you,
Copy !req
769. and I kind of resented
the universe.
Copy !req
770. But today,
Copy !req
771. you made me proud
of my sacrifice.
Copy !req
772. Thank you.
Copy !req
773. You're welcome.
Copy !req
774. Very few things
that are worthwhile in life
Copy !req
775. come without a cost,
Shaun.
Copy !req
776. This is tricky.
Copy !req
777. I feel like
we were just tested
and both of us failed.
Copy !req
778. But...
Copy !req
779. We'll get better at this.
Copy !req
780. Hey, honey.
Copy !req
781. I'll make you a plate,
and you can take it
to your room.
Copy !req
782. Thanks.
Copy !req
783. I saw three
more apartments today.
Copy !req
784. One was kind of nice,
Copy !req
785. but it's not ready
until a week from
this Tuesday,
Copy !req
786. which puts me
over your deadline
by three days.
Copy !req
787. No.
Copy !req
788. Three days?
Come on.
Copy !req
789. You can stay here.
Copy !req
790. For a little while,
until you're
a bit better.
Copy !req
791. But you have to
stay on your meds.
Copy !req
792. And keep away
from other drugs
and alcohol.
Copy !req
793. I'm testing your urine
every two days.
Copy !req
794. Don't miss any appointments
with Dr. Donovan.
Copy !req
795. Can you live with that?
Copy !req
796. Do you have a couch?
Copy !req