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