1. Don't put any food down the sink.
Copy !req
2. Garbage disposal's broken.
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3. - I'll call the landlord.
- All right.
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4. He took a week to call the plumber
when we lost the hot water,
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5. but I guess this doesn't matter as much.
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6. We'll just use the regular trash.
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7. Yes.
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8. 10% to 15% of known pregnancies
end in miscarriage.
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9. This wasn't unusual.
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10. No. You're right.
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11. We're not the only people
to go through this.
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12. The best thing to do
is to just get back to normal.
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13. Hmm.
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14. I'm glad you're going back into work.
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15. Couple more days of rest,
and I'll be doing that, too.
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16. Are you sure you're all right?
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17. "All right" is stretching it,
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18. but yeah.
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19. We just need some time.
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20. How you feeling?
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21. All right.
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22. How's Lea doing?
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23. She thinks we need time. I agree.
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24. Hey, Shaun. How are you feeling?
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25. All right. And Lea thinks we need time.
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26. I didn't expect to see you here.
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27. You have a few days leave.
I thought you'd be home.
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28. I prefer to work.
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29. Well, we respect your judgment.
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30. Bon appétit.
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31. Gastric reflux
causing projectile vomiting.
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32. I'm clearing your schedule for the next…
How many days?
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33. Oh. Well, that is up to my lovely
and talented doctors.
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34. Welcome to St. Bonaventure, Senator Clark.
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35. Oh, please. Marian.
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36. Oh, Marian, I am a huge supporter.
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37. You had my vote
in the presidential primaries.
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38. Thank you, Dr. Browne.
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39. - Oh, Claire.
- Claire.
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40. If only there'd been
another couple million like you.
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41. - Yeah.
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42. It's okay. Nothing wrong
with a balanced ticket.
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43. I was in my hotel this morning,
going over my speech,
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44. when this started happening to my face.
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45. Whole left side went rogue,
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46. blinking and twitching like crazy.
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47. Has it happened before?
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48. This was the third time.
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49. Fortunately, all in private.
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50. Needless to say,
I had to cancel my appearance.
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51. Can I see that again?
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52. Oh. I'm sorry. I just deleted it.
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53. The only thing worse than people
seeing my twitchy face in person
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54. is them seeing my twitchy face
on a hacked video.
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55. Mm.
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56. So, how do we go about
deleting it from my body?
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57. It's a hemi-facial spasm.
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58. We should do an MRI to rule out
the more serious possible causes.
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59. Which are?
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60. Aneurysm, MS, possibly a brain tumor.
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61. What are the less serious causes?
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62. Stress, exhaustion, too much coffee.
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63. Well, that's my job description.
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64. Which can be treated
with Botox injections and Ativan.
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65. Ah. Sold.
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66. We still need to do the MRI.
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67. Do both.
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68. Oh. As Claire knows,
I always have to control the agenda.
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69. Hi. Artie Hill.
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70. I have mild heart failure.
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71. I'm Dr. Park.
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72. How do you know
you have mild heart failure?
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73. I'm tired, and I've been
having palpitations.
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74. We'll run tests,
but if it makes you feel better,
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75. a lot of people have palpitations,
and it doesn't usually mean heart failure.
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76. Yeah, but I was just talking
to my doctor on the phone,
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77. and he told me I have heart failure.
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78. The doctor who did my bypass.
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79. Your bypass?
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80. He told me I should
go to the nearest emergency room.
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81. I was in the park,
looking at the cherry trees,
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82. and I started feeling funny, so I called…
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83. When was this bypass?
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84. - Um…
- A month ago.
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85. Paul Nakano.
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86. I performed his surgery
at San Jose General.
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87. Mr. Hill, I hope you took a taxi,
as I asked you to.
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88. It was only three blocks.
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89. If you don't mind,
I'd like to get a 12-lead EKG,
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90. cardiac CT, and bloodwork.
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91. Ordinarily, I'd be thinking about
volume overload as the cause…
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92. But in this case,
sodium and B.U.N. are normal.
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93. The next thing I'd look at is
a post-op myocardial infarction.
Copy !req
94. But in this case,
the troponins are normal.
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95. So you know what I'm thinking?
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96. Yes. You did your job too damn well.
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97. The heart's been so strengthened
from the bypass
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98. that it's revealed
a weakness in the valve.
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99. It can't handle
the pump pressure.
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100. Hmm.
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101. Dr. Nakano was my Chief of Surgery
when I was a resident.
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102. Hmm.
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103. So, when do you want to
open him up?
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104. I'm hoping never.
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105. Have either of you ever done
a transcatheter aortic valve replacement?
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106. I've read about it.
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107. It's minimally invasive and way preferable
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108. to opening up the patient
for the second time in a month.
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109. Well, I look forward
to learning from you again.
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110. Hmm.
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111. Oh. Excuse me! Sir? Person in the hall?
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112. Oh, sorry.
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113. Hello. I am Dr. Shaun Murphy.
I am a surgeon.
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114. Uh, I-I can't find my socks.
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115. And I can't find the button
to call someone.
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116. Ah.
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117. Now, why would they put it there?
You can't even see it.
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118. What about the socks?
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119. I have mild heart failure.
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120. I was in the park,
looking at the cherry trees…
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121. Cherry trees aren't in bloom
at this time of year.
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122. Well,
I can still look at them.
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123. They don't disappear
just because the blossoms fall.
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124. Mm. I can get you socks
from the pre-op supplies area.
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125. Ah, yes. I remember those
crappy socks they give you. I'll take 'em.
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126. Why do you guys keep it
so cold in here?
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127. My feet are freezing.
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128. It's beautiful to look at
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129. if you're inside
and don't have to go anywhere.
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130. And you might not want
to go anywhere if you don't…
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131. Take care of Arthur.
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132. But he lost his silly head
and shot Br…
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133. Every night, we have three clients a week
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134. who think I'm waiting tables…
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135. We'll use a pigtail catheter
to place the guide wire,
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136. then run a delivery catheter
through an 18 French sheath
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137. to ferry the new valve
through the femoral artery to the heart.
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138. Then we inflate a balloon
that expands the new valve
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139. and installs it
right inside his current one.
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140. That would kill him.
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141. He has cold feet.
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142. Who are you?
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143. I'm Dr. Shaun Murphy.
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144. He's one of my residents.
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145. Oh. Artie has cold feet?
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146. He's afraid of the procedure?
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147. No, I think Dr. Murphy means it literally.
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148. The patient has cold feet.
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149. Is his body temperature dropping?
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150. No, his core body temperature
is stable at 98.5.
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151. He rarely has cold feet. I got him socks.
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152. You're gonna need to
draw some dotted lines here for me.
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153. Okay. Cold feet means
impaired circulation,
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154. which means constricted
blood flow from the heart,
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155. which means a damaged vessel.
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156. If we try to push the new valve
through the damaged area,
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157. it will rip open, killing him.
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158. "Damaged vessel"?
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159. Yes. You make a mistake
during the bypass,
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160. most likely a tear in the aorta.
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161. I didn't make a mistake.
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162. Mm, you caused an aortic dissection.
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163. Shaun, this man has
more cardiac experience
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164. than everyone in this room times ten.
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165. A lot of people have cold feet.
My wife has cold feet.
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166. Everyone has cold feet in a hospital.
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167. Yes. We should perform
an angio on Mr. Hill.
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168. That will show the aortic dissection.
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169. This man recently underwent
an open heart surgery.
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170. He's gonna have valve replacement.
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171. We don't need to load him up
with yet another procedure
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172. when there was no mistake.
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173. Studies show that old people
are less likely to admit mistakes
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174. because they are less aware
when they've made one.
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175. Okay, Dr. Murphy, you've told us
your thoughts on this case.
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176. It's my understanding
that you have a few days of leave.
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177. I suggest you take them.
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178. I prefer to continue working.
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179. Then do it somewhere else.
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180. You…
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181. will kill him.
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182. You think my surgeon is wrong?
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183. Yes.
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184. And you're, like, a-a real doctor, right?
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185. I am a real doctor.
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186. No offense, but best heart guy around
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187. versus the guy who happened
to be passing my room when I needed socks.
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188. Why shouldn't I let Dr. Nakano
do what he thinks I need?
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189. If anything goes wrong, he can fix it.
Copy !req
190. It could be difficult.
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191. The tip of the catheter would be likely
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192. to rupture your weakened aorta,
ripping it open and causing you
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193. to hemorrhage into your chest
and bleed out in a matter of minutes.
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194. If you survived,
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195. you'd have severe anoxic brain damage.
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196. But it's unlikely you'd survive.
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197. Go home.
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198. Is Mr. Hill requesting the angio?
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199. He's not just requesting.
He's demanding.
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200. This is why you take a leave of absence
when you need one.
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201. You're not thinking clearly or you never
would have pulled a stunt like this.
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202. I prefer to stay at work.
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203. I could assist with E.R. consults.
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204. Dr. Murphy,
because I'm being professional,
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205. you may not understand
how angry I am right now.
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206. Will you do what Mr. Hill wants?
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207. What you want, you mean?
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208. Yes, we'll do it. You've forced our hand.
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209. Good.
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210. I would have fired him.
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211. Honey, when Freya brings you a dead rat,
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212. she's offering you a gift.
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213. I know.
I waited until she was gone
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214. so she wouldn't see me toss it away.
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215. - Wish you were here.
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216. You could strike the right balance
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217. between enthusiasm
and discouragement.
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218. Oh. Honey, I gotta go.
My doctors are here.
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219. You sure everything is okay there?
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220. Absolutely. These shots
are working like a charm.
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221. - Love you!
- Love you.
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222. Mwah.
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223. The shots are not doing the job.
What else do you have for me?
Copy !req
224. I had another episode.
It was shorter, but still there.
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225. The MRI shows a branch
off the basilar artery
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226. that's compressing the facial nerve.
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227. Unfortunately, you have
a "tortuous" artery.
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228. Where it should be straight,
it bends and twists.
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229. Bad news is, it'd be a nightmare
to try and address this surgically.
Copy !req
230. Good news…
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231. Is, other than some twitching,
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232. which is minimized by the Botox,
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233. it's not causing any other problems.
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234. Exactly.
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235. Aside from
the complete destruction
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236. of all I want to achieve in life.
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237. Melodramatic, yet true.
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238. These episodes keep happening,
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239. eventually one of them
will get caught on video.
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240. Ten minutes later,
it'll be all over social media.
Copy !req
241. My opponents will
mock me relentlessly.
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242. I think a lot of people
would have sympathy for you.
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243. We don't vote for people
we feel sympathy for.
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244. We want strong leaders.
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245. We want the symbol more than the reality.
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246. Please help me.
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247. Unfortunately, there's nothing we can do.
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248. We'll see what we can come up with.
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249. Shaun?
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250. You shouldn't be here.
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251. Andrews is pissed at you,
with good reason.
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252. There's no need
to make him any more angry.
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253. That's why I'm hiding.
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254. I couldn't wait in the lounge
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255. because the walls are glass
and people could see me.
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256. "Wait"? What are you waiting for?
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257. When they see that I was right,
they'll let me come back.
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258. I want to be prepared.
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259. I'm reading about options
in aortic dissection.
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260. - Shaun, no.
- Yes.
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261. Once they do the angio,
they'll see the evidence.
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262. Dr. Andrews won't be angry anymore.
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263. They did the angio.
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264. Mm.
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265. Oh.
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266. No. No, they… They couldn't.
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267. They did it.
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268. I was there. You were wrong.
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269. But…
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270. - Cold feet…
- It was a focused angio.
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271. I saw the ascending aorta
and the aortic root.
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272. There was no sign of dissection.
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273. They're giving the patient
a chance to rest
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274. before scheduling the TAVR.
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275. We all make mistakes.
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276. But I think you should leave the building
while you're still forgivable.
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277. - Lea.
- Yeah.
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278. How are you?
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279. I'm good.
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280. It happened to me, too.
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281. Twice.
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282. We could bypass
the basilar artery.
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283. A 25% mortality rate, sure.
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284. How about stereotactic radiosurgery?
Copy !req
285. No, she wouldn't like it.
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286. It takes months
to see any kind of improvement.
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287. It's interesting.
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288. The fact that you like this person
makes you willing
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289. to make really stupid decisions
that could kill her.
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290. We could meet in the middle.
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291. Tortuous or not,
the main basilar isn't causing the spasms.
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292. So we leave it alone and just sling up
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293. the branch of the artery
that's applying the pressure.
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294. Nice.
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295. I have two predictions to make.
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296. One, she'll come up with a rationalization
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297. to justify not telling her husband
about this surgery,
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298. and two, you'll come up
with a rationalization
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299. to justify forgiving her for that.
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300. You wouldn't have fired him.
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301. He's dealing with some personal issues,
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302. and I remember
you giving me some slack once
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303. when I screwed up.
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304. Well, you were facing
a challenging surgery,
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305. and your girlfriend, who I never liked,
by the way, dumped you, so…
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306. You knew about the dumping?
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307. Oh, yeah.
I just didn't know why.
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308. She wanted a commitment.
Said I didn't love her enough.
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309. And I told her I loved her,
but I didn't have time to get into it
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310. because I had an esophagus to reconstruct.
Copy !req
311. Why did you help me?
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312. I mean, why me and not Penzer?
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313. He was always number one in our class.
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314. I was always second.
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315. Where's Penzer now?
Copy !req
316. What, you think I've been following
the guy's career for the past 20 years?
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317. He's at the NIH, making policy.
Copy !req
318. That's Penzer.
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319. Great mind, great hands,
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320. but I knew he'd never be a surgeon.
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321. He didn't love it enough.
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322. - I can wait.
- Oh, this can, too.
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323. Just letting the phone get to 10%,
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324. then I'll run the gauntlet
of well-wishers and head out.
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325. Yeah. I'm one of them.
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326. When my grandma died,
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327. I remember a whole relay
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328. of the mothers of the church
bringing food to the house.
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329. They all loved my grandma.
Copy !req
330. The older ladies got
their best hats and gloves out
Copy !req
331. for the service.
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332. Pastor made a special prayer
at the gravesite.
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333. We all told stories about her.
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334. There were rituals.
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335. We said goodbye to the past.
Copy !req
336. You're saying goodbye to the future.
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337. I'm sorry for your loss.
Copy !req
338. And how soon could I get out of here?
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339. If all goes well, a day,
maybe two at most.
Copy !req
340. Oh. You hear that, Cal?
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341. Rebooking for Thursday.
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342. There was an "if" there.
Copy !req
343. That's strange. I heard a "when."
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344. Now, I will be appointing Cal as
my healthcare surrogate while I'm under.
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345. Mm, uh, most people appoint their spouse.
Copy !req
346. Or at least notify them.
Copy !req
347. He'll just try to talk me out of this.
Copy !req
348. Because he loves me.
Copy !req
349. Whereas Cal is using me
to find a better position,
Copy !req
350. but knows exactly what I want.
Copy !req
351. So… Let's fix my broken brain.
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352. I got your text.
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353. I'm a good diagnostician.
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354. Of course you are.
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355. Sit down. You… You want to sit?
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356. No.
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357. I accounted for every symptom.
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358. I listened to the patient's history.
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359. Someone's feet were cold.
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360. Okay? Uh, just…
Sometimes that means something.
Copy !req
361. Sometimes it doesn't.
This time, it didn't.
Copy !req
362. S-So what?
Copy !req
363. What are you still doing here, Shaun?
Copy !req
364. Wh… Do you not want to go home?
Copy !req
365. You gotta go home. You suffered a loss.
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366. You gotta…
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367. You gotta deal with it. You gotta face it.
Copy !req
368. Mm.
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369. Why do I have to "face it"?
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370. What does that mean? It happened.
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371. Yeah.
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372. It did happen.
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373. It happened, okay?
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374. Go home
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375. and be with Lea.
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376. Oh, Claire. I'm happy to see you.
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377. Uh, it seems the reporters
have discovered I'm here,
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378. so poor Cal has gone off
to craft a believable explanation.
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379. So, what's something a person
might be hospitalized for
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380. that says "I'm an unstoppable force"?
Copy !req
381. You want me to provide you
with a good lie?
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382. Yeah.
Copy !req
383. But you must be scared.
Copy !req
384. I'm terrified.
Copy !req
385. You know, when I'm scared,
Copy !req
386. I think about Evvie Sinclair.
Copy !req
387. You were the commencement speaker
Copy !req
388. at my high school graduation.
Copy !req
389. Oh.
Copy !req
390. I was a bit of a mess back then.
Copy !req
391. I had no idea
what I was gonna do with my life
Copy !req
392. or what I could do with my life.
Copy !req
393. And you told us about Evvie Sinclair,
Copy !req
394. born with Turner Syndrome,
small in stature,
Copy !req
395. facial abnormalities, speech impairment.
Copy !req
396. But she just had
Copy !req
397. a desperate need to learn.
Copy !req
398. And against her parents' wishes,
Copy !req
399. she started high school.
Copy !req
400. And…
Copy !req
401. And I just remember thinking…
Copy !req
402. If Evvie can go through those doors
Copy !req
403. and walk down those halls…
Copy !req
404. I went home that day,
and I applied to 11 colleges.
Copy !req
405. So, I am a doctor…
Copy !req
406. because of you.
Copy !req
407. And Evvie.
Copy !req
408. Mm.
Copy !req
409. That was a great story.
Copy !req
410. Rickie Demarest.
Copy !req
411. He was my campaign manager before Cal.
Copy !req
412. He made up some lovely stuff.
Copy !req
413. You're back early.
Copy !req
414. Dr. Andrews sent me home,
Copy !req
415. and Dr. Glassman thinks we should talk.
Copy !req
416. Dr. Glassman is not a counselor.
Copy !req
417. He's a neurosurgeon.
Copy !req
418. And a sometimes annoying person.
Copy !req
419. I'm gonna make some tea.
Copy !req
420. - Oh. It's your mother.
Copy !req
421. - No, no, no, no, no.
- Hello.
Copy !req
422. Hi, Shaun. How are you?
Copy !req
423. I'm… Well.
Copy !req
424. Lea…
Copy !req
425. Can't talk to you now.
Copy !req
426. Oh, you're both home.
I wanted to ask about strollers.
Copy !req
427. The one Lea likes, I read a review
Copy !req
428. that said the front wheel
keeps coming off.
Copy !req
429. I'm sure she won't listen,
so I'm gonna send a link.
Copy !req
430. You should read it, too.
Copy !req
431. Yes. Thank you.
Copy !req
432. You don't want your little girl
pitching headfirst onto the sidewalk.
Copy !req
433. Oh, no.
Copy !req
434. No. We wouldn't.
Copy !req
435. Just hang up. Just…
Copy !req
436. Okay. I should go.
Copy !req
437. And now that we know it's a girl,
I was wondering…
Copy !req
438. I already bought a onesie
with little dinosaurs on it.
Copy !req
439. Unbelievably cute.
Copy !req
440. Mm. Cute. Yes.
Copy !req
441. Okay, that sounds good.
Copy !req
442. I am due at the hospital.
Copy !req
443. Just a quick question.
Copy !req
444. Since it's not a boy,
the dinosaurs will have to go.
Copy !req
445. What would be nice for a girl?
Copy !req
446. I don't… I don't know.
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447. There's one with ballet shoes.
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448. That's stupid.
Why would you have to change it?
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449. A girl would like dinosaurs
just as much as a boy.
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450. Dinosaurs are fascinating.
You need to shut up.
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451. Um…
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452. - Shaun?
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453. As you all know, Senator Clark
is a very competitive person.
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454. She tore her meniscus
while charging the net
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455. to return a drop shot.
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456. For the record,
it was match point, which she won.
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457. She underwent…
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458. I wonder if he negotiates
employment contracts.
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459. And thanks to the terrific doctors
here at St. Bonaventure,
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460. she'll be back fighting for you
before you know it.
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461. Senator Clark
wanted to thank all…
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462. Oh, did you hear that?
We're terrific.
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463. You must be. You repaired
her meniscus through her head.
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464. It's no one's business why she's here.
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465. And there's the rationalization
I've been waiting for.
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466. If this was someone you didn't like,
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467. these character flaws
would reveal some deep problem
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468. worthy of your eternal judgment,
but since…
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469. You're head of department.
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470. I'm sure you've had to
spin things sometimes.
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471. "Spin things"? Sure.
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472. Lie? No.
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473. Just one more example of how
Senator Clark has been able…
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474. And that was an example of both.
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475. Marian isn't waking up.
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476. And to that end, she's already making
calls and sending e-mails.
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477. Oh. And texts.
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478. She just told me to wrap it up.
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479. I yelled at your mother.
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480. Yeah.
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481. I misdiagnosed a patient.
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482. That's why they sent me home.
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483. I'm not behaving normally.
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484. Neither am I.
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485. But maybe this is normal
for where we're at.
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486. Dr. Glassman talked about
"facing my loss,"
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487. but I don't know what that means,
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488. and even if we could face it,
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489. won't we just hurt ourselves
for no reason?
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490. I don't know.
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491. I don't think
grief has an actual solution.
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492. It has to. I can't stay this way.
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493. Claire told me about this support group.
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494. I'm not sure we can just
force ourselves past this.
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495. The cold feet are not a coincidence.
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496. If they do the TAVR procedure,
they'll kill the patient.
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497. For a different reason.
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498. The guide wire's in place.
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499. I'm preparing to deliver the valve.
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500. - Okay, you… You have to stop.
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501. If that valve goes through…
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502. - Get out of here, Murphy.
- No.
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503. If that valve goes through, he'll die.
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504. - Call Security.
- I thought it was an aortic dissection,
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505. but I was wrong. The cold feet are
from a coarctation… No.
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506. No. No, no. It's too close.
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507. You're too close. Stop!
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508. - Stop! Stop, please! Stop!
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509. B.P.'s spiking. 200 over 100.
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510. Heart rate's up. He's gonna stroke.
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511. Give him nitro and cardene!
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512. - I'm pulling out.
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513. B.P.'s dropping.
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514. He's starting to stabilize.
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515. Okay.
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516. Dr. Murphy?
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517. Go on.
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518. Dr. Nakano did not
make a mistake in the bypass.
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519. He did everything right.
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520. But Mr. Hill has a congenital narrowing
of the abdominal aorta.
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521. He's had that coarctation for year,
but never knew
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522. because his body compensated
for the poor circulation
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523. by raising his blood pressure,
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524. caused his heart to deteriorate,
requiring a bypass.
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525. The stronger, repaired heart
put pressure on the valve,
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526. and his blood pressure dropped.
No more compensation.
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527. His feet got cold.
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528. And I could get the guide wire up there,
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529. but the valve delivery system
would be too big
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530. to fit through the coarctation
without damaging the vessel.
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531. Yes.
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532. We'll have to open him up.
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533. And the valve will have to
be replaced directly…
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534. through surgery.
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535. I hope you'll join us for that.
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536. How's Cal gonna spin this?
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537. Her latest tennis match
went into extra sets?
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538. Slinged branch looks good,
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539. no conflict with the seventh nerve,
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540. no bleeds, no strokes.
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541. The basilar is dilated.
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542. And compressing her brain stem.
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543. - She's stopped breathing.
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544. We need to intubate.
Get the airway cart.
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545. Tell them
she's gonna be at the conference.
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546. If they keep asking,
tell them the Senator believes
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547. anyone not ready to commit
on climate change action
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548. is on the wrong side of history.
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549. Just never use that phrase
more than once a month.
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550. - He has to run.
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551. The sling procedure went fine,
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552. but the basilar artery
was less stable than we hoped.
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553. It's gotten even more dilated
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554. and is causing progressive
neurological deficits.
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555. We have no choice
but to bypass the artery.
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556. The last surgery was dangerous.
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557. This one way more so.
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558. What do you need me to sign?
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559. We should inform her husband.
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560. There is a one in four chance
that she could die.
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561. If I told Pete that,
he'd be at the airport in half an hour,
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562. and everyone would know that Marian is
in this hospital for something serious.
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563. She has a brain aneurysm.
That doesn't make her weak.
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564. Even worse. It makes her mortal.
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565. Her husband has a right to be here.
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566. A moral right. To destroy her career.
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567. Which is what I'm protecting her from.
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568. This is just a game to you,
isn't it?
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569. Yeah. The game they make you play
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570. before you can do anything real.
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571. Valve placed. Leaflets mobile.
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572. New valve is perfectly
seated in the annulus.
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573. No regurgitation,
flow in both coronary arteries.
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574. I'm about to close up.
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575. Looks like
we've got a paravalvular leak.
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576. We need to go back and fix this.
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577. Irrigate and check the image.
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578. No leak.
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579. Slight excess from the washing jets
in the mechanical valve.
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580. Normal finding.
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581. Wow. You're very good.
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582. I think he knows that.
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583. Still nice to hear.
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584. Closing up now.
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585. Two-oh Vicryl suture.
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586. Retracting
temporal lobe and cerebellum…
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587. Very carefully.
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588. Vascular anatomy
is fully exposed,
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589. avoiding the tortuous area.
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590. Radial artery graft length
looks to be a perfect fit.
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591. Anastomosing with 9-0 Prolene.
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592. - Temporal lobe's swelling.
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593. B.P. and heart rate
are plummeting.
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594. Drop her CO2,
full propofol burst suppression.
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595. Widen the craniotomy.
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596. With the cerebellum herniating outward?
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597. We do that,
she may never walk normally again.
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598. If she didn't want a twitch…
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599. Drill.
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600. Open the arachnoid plane
and release CSF collections.
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601. Reduce the pressure from the inside.
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602. For her, it's worth the risk.
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603. Arachnoid dissector.
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604. There was a patient admitted this morning
I think you should see.
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605. You thinking of Mrs. Cavanaugh?
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606. That's a good idea, Dr. Park.
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607. We'd welcome another take
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608. as to whether she's a good candidate
for inserting an ICD.
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609. I'll consult just on that question,
if you'd like me to.
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610. But I won't join in the O.R.
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611. I'm quitting surgery.
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612. I don't understand.
When did you decide…
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613. Fifteen minutes ago.
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614. I nearly closed up
without doing a final antibiotic lavage.
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615. But you didn't.
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616. Nurse Barker prompted you
with the syringe.
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617. It was a tiny error.
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618. There was no contamination of the field.
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619. Many surgeons don't even
do a final lavage.
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620. I always told myself
once I started making tiny errors,
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621. I'd stop before I made a big one.
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622. Paul,
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623. we almost lost a patient today.
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624. You were still rattled.
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625. Thank you, Marcus.
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626. But I made this plan years ago,
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627. because I knew that when the time came,
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628. I'd look for reasons
why whatever I did wrong
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629. was tiny, minor, didn't count.
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630. That's when I made the rule.
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631. Everything counts.
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632. Dr. Murphy, it was nice sewing with you.
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633. You gave us a scare.
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634. But all good now.
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635. You're mad at me.
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636. About little Evvie.
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637. Well, Evvie inspired me.
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638. I took strength from her for years.
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639. Now it's all fiction.
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640. Fictional lives can save real lives.
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641. Four years ago, I used that story
on the Senate floor.
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642. I got my bill passed by one vote.
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643. That lie helped millions of people
with disabilities.
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644. I'm really proud of that lie.
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645. I'm heading out
to have a drink with Dr. Nakano.
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646. Are you going to try
to talk him out of leaving surgery?
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647. No.
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648. I'm going because
no one's meant to shoulder loss alone.
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649. And I'm the one
who should be with him tonight.
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650. Why?
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651. Because we love the same thing.
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652. And he knows no one would understand
what he's lost more than I would.
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653. I have been thinking…
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654. about all the people you've helped,
including me.
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655. And about not…
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656. sharing the danger you were in
with your husband.
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657. Probably not sharing
a lot of other things.
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658. And it struck me that…
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659. Being in a marriage like that
must be lonely.
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660. You can't trust him to lie.
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661. So you end up sharing more of yourself
with a guy like Cal,
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662. who is a hired gun
and who's gonna end up
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663. working for somebody else
two years from now.
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664. The fact that Pete and I don't talk shop
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665. doesn't make our marriage
less than wonderful.
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666. Another lie?
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667. Hey, hey!
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668. How 'bout those Devils, huh?
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669. But before I go all fan girl
about last night's game,
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670. let's talk about the upcoming
climate change conference.
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671. I have to tell you guys a story
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672. about a little boy
who lives on the Outer Banks
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673. of South Carolina,
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674. whose home is about to be washed away…
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675. I could get another mug,
or I could wash these.
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676. It's a tough decision.
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677. Mm.
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678. I should probably tell you,
I didn't get to calling the landlord.
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679. And maybe ten minutes ago,
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680. I saw a couple fruit flies
near the drain, so…
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681. So… Yeah.
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682. Now it's my fault if we're…
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683. If we get bugs.
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