1. do you take
Lea Abigail Dilallo
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2. to be your wife...
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3. to live together...
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4. Okay.
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5. Shaun?
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6. We got this.
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7. Everyone...
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8. We're prepared.
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9. To keep her
in sickness and health,
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10. forsaking all others,
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11. for as long as you
both shall live?
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12. We are not having
an outdoor wedding.
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13. Okay.
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14. Hey.
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15. Hi.
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16. I had a great time
- last night.
- Me too.
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17. Want to go grab
some breakfast?
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18. I got to get
to the hospital.
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19. I'm a surgeon.
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20. Oh.
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21. You look beautiful as always.
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22. One plus of only
having video chats...
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23. No morning breath.
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24. I remember it being
like a summer breeze.
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25. What's on your agenda
for the day?
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26. Ugh, budget hell.
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27. Our department's
way in the red,
so I don't see a way to...
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28. Perhaps I should
let you go.
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29. No, no. I was, uh...
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30. Hoping for a little excitement
this morning,
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31. but it looks like you're
out and about, so...
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32. I can make myself
available.
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33. Excellent.
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34. Just give me two minutes
to make this go away, yeah?
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35. Sure.
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36. I can go away,
but not in two minutes.
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37. So, my lawyer
called me last night
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38. to tell me I'm no longer
a wanted man,
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39. which, hopefully, only applies
to law enforcement.
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40. Nice exposure
of the right tonsil.
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41. Visibility can be tough
with kids.
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42. Someone's
in a good mood.
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43. That's your third compliment
this morning.
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44. Mateo flew up from Guatemala
last night.
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45. Oh, she's in a good mood
because she had sex.
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46. Retract
the superior pole.
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47. Mateo can come
to the engagement party
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48. this Saturday
if he wants.
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49. Also the wedding,
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50. depending on how long
he is staying.
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51. We don't know
when it will be,
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52. but I do know
it will not be outdoors.
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53. Incise
the tonsillar pillar
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54. and dissect
around the capsule.
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55. Lea is making all
of the arrangements
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56. because she wants it
to be perfect,
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57. but all that matters to me
is marrying Lea,
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58. and any day that happens
will be a perfect day.
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59. Oh, that's very sweet.
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60. But planning a wedding's
a big undertaking.
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61. Mia got pretty overwhelmed
planning ours.
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62. Better keep
checking in.
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63. Oh, there's a firm,
irregular mass
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64. in this tonsil.
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65. Get that to pathology.
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66. Some, uh,
shortness of breath,
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67. occasional blurred vision
and headaches,
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68. and this morning,
my urine was foamy.
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69. How many exam rooms
in this clinic?
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70. Three.
Any blood in your urine?
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71. A little.
I love that blouse.
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72. - Chloe?
- Cushnie.
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73. You take 20 milligrams
of Ritalin L.A. a day?
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74. For my ADHD.
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75. Just three?
I hardly had to wait at all.
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76. Blurred vision
and headaches
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77. can be side effects
from Ritalin.
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78. Would you be willing
to stop your medication
for a couple of days,
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79. see if they're causing
any of your symptoms?
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80. I'll refer any complaints
about my behavior to you.
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81. Foamy urine concerns me.
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82. Could be kidney stones,
so we should do a CT...
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83. I see by your ID badges
you're both residents,
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84. but you seem to be
more in charge.
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85. Is that official,
or are you just bossy?
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86. Tell me if I'm asking
too many questions.
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87. You're asking
too many questions.
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88. We're gonna run some labs
and do a CT of your kidneys.
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89. Are you overwhelmed
planning the wedding?
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90. Because Park and Lim thought
you might be overwhelmed.
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91. Nope, not at all.
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92. I've got it.
It's gonna be great.
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93. Oh, great.
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94. That's why
they're divorced.
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95. I'm also great,
because my tonsillectomy
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96. may have found something worse
than an infection,
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97. which may be interesting...
Or may still be very boring.
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98. I won't know for sure
until the path results...
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99. Maybe let me know once
it's definitely interesting?
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100. This is a very
small office.
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101. Actually,
it feels a lot larger
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102. when I'm the only one
in it.
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103. - Who are you?
- I'm Salen.
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104. Are you really
the president of the hospital?
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105. Uh, it says so
on the sign on your door.
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106. Pretty small office
for such a big title.
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107. Nicole?
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108. You used to be a neurosurgeon,
but now you...
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109. - Actually, I still am.
- You do both.
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110. But do you identify more
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111. as a "doctor"
or an executive?
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112. Actually, I identify
more as someone
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113. who wants to get back to work
as soon as possible.
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114. Nicole!
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115. Salen...
I'm sorry, Dr. Glassman.
I'm so sorry.
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116. We'll be out of here
right away.
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117. Ms. Morrison,
you can't just wander off.
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118. It's time for
your CT scan.
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119. Oh. Fantastic.
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120. Ms. Morrison,
please try to hold still.
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121. You're the one
who wanted me off my meds.
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122. Renal pelvis looks clean.
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123. You sound disappointed.
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124. Morgan made me a deal.
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125. I do all the scut work.
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126. If the patient needs
anything surgical,
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127. she'll put in a good word
with the attending.
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128. Even if there's
a kidney stone,
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129. I mean,
surgery's pretty unlikely.
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130. But what's that,
on the right kidney?
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131. That's a significant
hypodensity.
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132. Could be a mass.
She needs a kidney biopsy.
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133. That is a legit
ultrasound-guided procedure.
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134. And it's mine.
All mine!
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135. Riley's throat...
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136. It's still really
bothering him.
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137. We had to remove
additional tissue
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138. because your son's
tonsils showed signs
of cancerous cells.
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139. Riley has cancer.
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140. The margins were clear,
which means that
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141. we were able to remove
all the cancer.
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142. His prognosis
is excellent.
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143. But right now,
he's not our main concern.
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144. The cancer
on your son's tonsil
is cervical cancer.
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145. What?
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146. That makes no sense.
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147. He got it from you.
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148. He was exposed
to your cancerous cells
in the birth canal,
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149. which he likely inhaled.
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150. Jackson may also have been
exposed during birth.
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151. We need to scan
both you and...
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152. - Hey!
- Hey, boys.
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153. - How you feeling, Riley?
- Hey, Uncle Nick.
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154. Why are you here?
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155. I texted Uncle Nick
that Riley was sick.
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156. Everything is fine.
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157. Thank you for the gift,
but if you could please...
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158. Sarah, I'm better.
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159. All right? I swear.
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160. And if you need anything,
I can help.
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161. Everything
is gonna be fine.
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162. It was very nice
of Uncle Nick to visit,
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163. but he needs to leave.
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164. Say goodbye.
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165. I love you, guys.
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166. Bye, Riley.
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167. Hey, uh...
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168. I need to talk to you.
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169. I'm sorry. I just... No. No, no, no.
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170. You did nothing wrong, honey.
Nothing at all.
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171. But, um...
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172. The doctors and I...
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173. We need to talk to you.
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174. Imaging found
an abnormal lesion
in your kidney.
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175. Now, it could be
a benign growth,
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176. but given your symptoms,
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177. it could be
renal-cell carcinoma.
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178. We'll need to biopsy the mass
to be sure.
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179. Who will be doing
- the procedure?
- Dr. Allen.
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180. She's an excellent
surgical resident,
right, Dr. Andrews?
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181. Quite.
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182. And she'll be under
my supervision every
step of the way.
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183. If that's acceptable to you,
Ms. Morrison.
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184. Of course.
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185. No eating or drinking
anything besides water
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186. between now and when
I do the procedure.
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187. Why did you lie
to your brother?
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188. You said
everything was fine.
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189. It's not.
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190. He just never grew up.
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191. When I decided
to become a single mom,
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192. Nick wanted to help.
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193. He got on great
with the kids.
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194. He also drank...
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195. Like our dad.
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196. One day
about four years ago,
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197. I had a job interview
and no sitter.
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198. Nick insisted he'd help.
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199. He took the boys
to the beach...
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200. And got drunk.
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201. Started chattin' up
some girl,
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202. then turned around.
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203. Boys were gone.
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204. The cops found them
about a mile down the beach.
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205. That's a good answer.
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206. - Hey.
- Hey.
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207. I heard about
you and Isabel.
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208. Mmm-hmm.
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209. Sorry to hear that.
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210. Appreciate the sympathy.
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211. No need for us
to have a heart-to-heart.
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212. I've been there.
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213. Not recently.
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214. Breakup's a breakup.
How different can they be?
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215. I'm doing great.
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216. Taking this cute dietician
to Shaun and Lea's party.
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217. Marie.
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218. Or Annabelle or... Lydia.
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219. You don't remember
her name?
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220. I don't know
which one to take.
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221. - They're all dieticians?
- Two of them are.
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222. I got to check my notes.
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223. - How you doing?
- Good. Good. Really good.
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224. Good. Really good.
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225. I'm thinking
of going on a diet.
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226. This one or this one?
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227. Wear whatever you want.
I don't care.
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228. I've got work.
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229. Oh, you do care.
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230. Who are you on
the phone with now?
Caterer? Flowers?
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231. I'm on hold with
our cloud-backup people.
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232. They're just... Oh.
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233. Hello.
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234. Um, three more trays
of the bruschetta,
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235. two more chicken satay for
- Murphy/
- Dilallo tomorrow night.
Thank you.
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236. Um...
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237. This one or this one?
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238. Number two.
Morgan's wearing green.
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239. - Excellent.
- Mmm-hmm.
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240. Busy.
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241. If you're too busy
to answer the door,
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242. I assume lunch
is out of the question?
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243. I ate at my desk
half an hour ago.
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244. The hospital's bleeding
more money than actual blood.
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245. I'll be quick.
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246. I applied for a provisional
California medical license.
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247. My request was approved.
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248. An old medical-school friend
is a surgeon
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249. at San Francisco General.
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250. He's, uh...
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251. Offered me a job.
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252. As promised, very quick.
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253. I'll let you think.
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254. No, I just didn't know
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255. you were thinking
of leaving Guatemala.
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256. It is a bit fast,
isn't it?
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257. Although...
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258. If we'd met here,
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259. San Francisco would seem
far away, right?
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260. That is very true.
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261. So if I take this job,
we'll just have to deal
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262. with being so far away
from each other, am I right?
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263. I'm glad you are
no longer a fugitive
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264. from government
authorities.
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265. The PET scan shows
increased metabolic activity
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266. in the mother's uterus
and the son's trachea.
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267. They both have cancer.
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268. I'm doing a biopsy today.
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269. Are you doing
a biopsy today?
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270. 'Cause I'm doing
a biopsy today.
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271. Not many second-year residents
are doing biopsies today.
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272. No.
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273. I'm not doing
a biopsy today.
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274. Are you?
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275. Hello?
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276. No. No, no.
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277. The flowers need
to be there by 5:00.
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278. If it's impossible,
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279. then why did you commit
to that time two weeks ago?
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280. Okay.
I need to talk to my fiance.
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281. He's a lawyer,
and he gets really worked up
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282. when businesses
don't honor their agreements.
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283. It's actually kind of
a turn-on for him,
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284. making people pay, uh...
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285. Oh. That's great.
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286. Yeah.
Thank you so much.
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287. Was any of that true?
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288. Either way, well done.
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289. What kind of flowers
are you getting?
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290. Gardenias.
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291. Are you a patient?
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292. I love gardenias.
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293. What's your P.U.E. ratio?
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294. 1.4.
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295. You're not supposed
to be in here. Uh...
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296. Put down
that sandwich!
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297. Hi, Dr. Allen.
Is it time for my biopsy?
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298. I told you not to eat.
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299. I forgot.
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300. That tends to happen
when I'm off my meds.
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301. Please tell me
that was going to be
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302. your first bite
of that sandwich.
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303. My first bite.
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304. Of this half.
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305. Your cancer
appears to be
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306. primarily localized
to the cervix and uterus.
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307. You will need
a radical hysterectomy.
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308. If the cancer's spread
to the lymph nodes,
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309. you would also
need those removed
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310. and post-radiation
and possibly chemotherapy.
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311. And Jackson?
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312. When was the last time
you had a Pap smear?
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313. Your cancer
is quite advanced.
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314. Most cervical cancers
are detected early
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315. with regular Pap smears.
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316. I'm a single mom.
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317. Things sometimes fall
through the cracks.
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318. How's my son?
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319. Jackson has a tumor
in his trachea.
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320. There appears to be
just one lesion,
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321. no lymph-node involvement
or metastasis.
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322. Surgery will hopefully
be curative.
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323. And how soon
can you do that?
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324. There's no rush to do it.
It's slow-growing.
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325. But there is a rush
to do your surgery.
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326. Waiting increases
your risk
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327. of serious bowel injury
and metastasis.
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328. How long will
my recovery take?
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329. If all goes well...
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330. A month.
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331. No.
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332. I can't.
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333. Who will look
after the boys?
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334. I... I can't afford
a full-time sitter.
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335. There's no one
that I can ask.
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336. Jackson's surgery
should go first.
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337. And once he's better,
you can do mine.
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338. Jackson's recovery
won't be quick either.
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339. He may need
to remain intubated
while his trachea heals.
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340. He won't be able to eat.
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341. We'll need to put
a tube in his belly.
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342. You can help me in a month.
Right now...
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343. You help my son.
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344. Thank you.
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345. Are you okay?
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346. The engagement party
is off.
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347. Another bad dream?
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348. Another reminder that chaos
follows me everywhere.
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349. Is the wedding
still on?
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350. Yeah.
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351. Okay.
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352. Stupid choice.
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353. It's not stupid to
sacrifice yourself
for your child.
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354. It's being a parent.
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355. Call it
whatever you want.
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356. We can't force her
to do the surgery.
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357. So we're gonna have
to do Jackson's surgery first
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358. and hope
for a smooth recovery.
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359. You're wrong.
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360. Endoscopic mucosal
tracheal resection.
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361. If Jackson's tumor was seeded
via exposure during birth,
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362. which is a very
reasonable assumption,
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363. then we can reasonably assume
that it is localized.
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364. Endoscopic resection
should allow
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365. for a recovery of days
instead of weeks.
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366. Talk to the mother.
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367. We have rescheduled
your kidney biopsy
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368. for 6:00 this evening.
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369. Nothing to eat or drink
between now and then.
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370. Ms. Morrison, could
you stop doing that
while we're talking?
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371. This helps me relax.
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372. I don't care
if you're relaxed.
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373. I care about the wandering,
the eating,
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374. and the not listening.
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375. - I'm listening.
- Repeat what
he just said.
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376. You've rescheduled my biopsy
for 6:00.
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377. Nothing to eat
or drink until then.
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378. Is your relationship primarily
cooperative or competitive?
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379. - Cooperative.
- Competitive.
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380. He said that because
he doesn't want to appear
competitive in front...
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381. Have you always
had fat ankles?
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382. Rude!
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383. Only if the answer
is "yes."
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384. If the answer is "no,"
it's a symptom.
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385. This endoscopic approach,
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386. it's, um, not
the normal surgery?
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387. There is no normal surgery
for removing
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388. cervical cancer
from a child's trachea.
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389. Is it just as safe?
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390. Safer.
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391. Overall.
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392. It's slightly more dangerous
for Jackson,
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393. but much less dangerous
for you.
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394. We would need emergent ECMO,
but we can prep for that,
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395. and his recovery
should be shorter.
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396. So... No.
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397. No.
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398. I'm sorry.
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399. I'm sorry
for giving a hard time
with Uncle Nick.
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400. Oh...
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401. I'm sorry
for giving a hard time
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402. with cleaning up
after dinner,
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403. fighting with Riley.
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404. I know how much
you do for us.
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405. And I know after
the surgery,
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406. you won't be able
to do all of those things.
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407. I can help.
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408. I love you.
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409. I love you, too.
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410. And if anything
ever happened to you...
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411. Oh...
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412. I... I'm...
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413. Hey.
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414. Okay.
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415. Swollen ankles could indicate
an infectious abscess,
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416. which could be the lesion
we saw on her kidney imaging.
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417. In which case, poking the mass
with a biopsy needle
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418. is a terrible idea.
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419. Could seed
the infection.
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420. So no biopsy.
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421. You'll be relieved to know
that even if there was
a biopsy,
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422. you wouldn't
be doing it.
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423. Second-year residents who have
to reschedule procedures
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424. because they allow
their patients
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425. to wander off
to eat sandwiches
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426. don't get dibs.
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427. Let's recheck C.B.C., E.S.R.,
blood and urine cultures,
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428. and then start her
on broad-spectrum antibiotics.
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429. If her symptoms improve,
then it's an infection,
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430. which would be good news.
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431. How cooperative
you feeling right now?
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432. I'm really... sorry.
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433. You're at the mass.
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434. It has a wide base.
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435. No easy way to loop
my snare around it.
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436. Is it... pulsating?
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437. It has a major arterial feeder
from his aorta.
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438. We can't remove it
from this angle
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439. without risking
a massive bleed.
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440. It was a good idea
that won't work.
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441. Abort the surgery.
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442. Ta-da!
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443. You look amazing!
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444. But wait.
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445. You shouldn't look amazing.
The party's canceled.
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446. I do not accept that,
not today.
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447. I look amazing,
and people need to see that.
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448. And unless
you caught Shaun cheating,
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449. no way you should
be here sulking
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450. instead of having a party
where I look amazing.
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451. Did you catch
Shaun cheating?
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452. No! Of course not.
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453. Are you worried
about marrying Shaun?
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454. No, not at all.
Copy !req
455. I just want this wedding
to be perfect.
Copy !req
456. And the party was going
to be a trial run.
Copy !req
457. It wasn't going
to be perfect.
Copy !req
458. It was going
to be a disaster.
Copy !req
459. No. It just wasn't
going to be perfect.
Copy !req
460. The first time
I got married...
Copy !req
461. I was all about
it being spontaneous
Copy !req
462. and romantic and fun.
Copy !req
463. The deejay
was an hour late.
Copy !req
464. We ran out of booze,
the food was cold,
Copy !req
465. and, somehow,
there were no napkins,
Copy !req
466. not a single one.
Copy !req
467. It was a disaster,
and so was the marriage.
Copy !req
468. So I-I really need
to get this one right.
Copy !req
469. If you aren't
willing to risk
Copy !req
470. little things going wrong,
Copy !req
471. you'll never get
the chance
Copy !req
472. to have the big things
go right.
Copy !req
473. E-mail everyone
Copy !req
474. and tell them
the party's back on.
Copy !req
475. Then I'm doing
your hair.
Copy !req
476. MMm.
Copy !req
477. If we avoid
an abdominal incision,
Copy !req
478. that'd reduce
Sarah's recovery time,
Copy !req
479. which might convince her
to let us do
her procedure first.
Copy !req
480. There may be uterine adhesions
to the bladder.
Copy !req
481. That makes a laparoscopic
removal difficult.
Copy !req
482. You two, get changed.
Copy !req
483. Engagement party's
back on.
Copy !req
484. We are working
on a case.
Copy !req
485. Your fiancEe is working
on a celebration
Copy !req
486. of your future together.
Copy !req
487. Is someone going to die
Copy !req
488. if you don't figure
this out tonight?
Copy !req
489. Maybe.
Copy !req
490. Not good enough.
See you at the party.
Copy !req
491. Talk some sense into him.
Copy !req
492. We will solve
this problem
Copy !req
493. and then go
to the party.
Copy !req
494. It won't take very long.
We are both quite clever.
Copy !req
495. The food is happening,
Copy !req
496. bubbly is flowing,
Copy !req
497. flower arrangements
are in position.
Copy !req
498. The deejay
wouldn't uncancel,
Copy !req
499. so we're streaming chill jazz
on your phone.
Copy !req
500. - You're amazing.
- Oh.
Copy !req
501. Congratulations, Lea.
Hi, Jordan.
Copy !req
502. Thank you.
Copy !req
503. So, where's the man
of the hour?
Copy !req
504. Shaun's getting into
his party duds as we speak.
Copy !req
505. Got to make sure he
measures up to this beauty.
Copy !req
506. I got it. I know how
to do Jackson's surgery
Copy !req
507. without cracking
his chest.
Copy !req
508. How?
Copy !req
509. It's complicated.
Copy !req
510. I've seen journal articles
that support it,
Copy !req
511. and I need to pull them.
Copy !req
512. You go ahead.
I'll put everything together.
Copy !req
513. Are you lying
about having a solution?
Copy !req
514. Is your future with Lea
Copy !req
515. more important
than this one case?
Copy !req
516. Much more.
Copy !req
517. Then do you really
want me to answer?
Copy !req
518. Well, where's Shaun?
I'd like to toast
the two of you.
Copy !req
519. I've got to take this.
Copy !req
520. Yeah.
Shaun?
Copy !req
521. Shaun?
Copy !req
522. - Shaun?
- This is not a little thing.
Copy !req
523. Paging
Dr. Shaun Murphy!
Copy !req
524. Stop yelling.
Copy !req
525. We are all
so happy for you.
Copy !req
526. The first time
Shaun mentioned Lea,
Copy !req
527. she was the girl
who borrowed his batteries.
Copy !req
528. I told him not to ask
for them back,
Copy !req
529. but clearly,
it worked out.
Copy !req
530. These two have a love
that can move...
Copy !req
531. What if we embolize
the blood supply to the tumor
Copy !req
532. and then do
the endoscopic surgery?
Copy !req
533. If Shaun couldn't
figure this out,
Copy !req
534. you really think
you're going to?
Copy !req
535. I was hoping you might help,
you know,
Copy !req
536. instead of just
throwing insults.
Copy !req
537. Even if you come up
with a brilliant idea,
Copy !req
538. it still won't work.
Copy !req
539. If medical logic
was gonna persuade her,
Copy !req
540. she'd have changed
her mind already.
Copy !req
541. This is perfect.
Copy !req
542. Yes, it is.
Copy !req
543. Uh...
Copy !req
544. Um...
Copy !req
545. Look, I know you don't
want me here.
Copy !req
546. I have something for you.
Copy !req
547. This is
my 90-day chip.
Copy !req
548. I haven't had a drink
in 106 days, and...
Copy !req
549. Not my first time
getting sober, but...
Copy !req
550. I want to be the man
I know I can be.
Copy !req
551. I want to be
your brother again.
Copy !req
552. You keep it.
Copy !req
553. And whatever you all
are going through,
Copy !req
554. it'll be here, just like
I'll be here for you...
Copy !req
555. And for the boys...
Copy !req
556. If you'll let me.
Copy !req
557. I'm...
Glad you're doing better.
Copy !req
558. Really.
Copy !req
559. But how do I know
I can trust you?
Copy !req
560. No, you don't.
Copy !req
561. But...
Copy !req
562. Sarah, you need
to trust someone.
Copy !req
563. You couldn't decide,
so you ended up
with two dates?
Copy !req
564. I got Marie and Maria confused
in my text threads
Copy !req
565. and inadvertently
double-dipped.
Copy !req
566. Well, it seems like
it's going okay so far.
Copy !req
567. Oh, yeah. They're talking
about moving on to a club...
Copy !req
568. Without me.
Copy !req
569. They do have
real chemistry.
Copy !req
570. How about a double?
Copy !req
571. Yes, please.
Copy !req
572. Excuse me.
Copy !req
573. That was SF General.
Copy !req
574. Once the hospital board
found out
Copy !req
575. that my original charges
included assault,
Copy !req
576. they decided I was
too big of an insurance risk.
Copy !req
577. Maybe another hospital
in the Bay Area.
Copy !req
578. Yeah.
Copy !req
579. Uh, I would like to, um...
Make a toast.
Copy !req
580. Uh...
Copy !req
581. I have known Shaun
Copy !req
582. since he was...
Copy !req
583. Littler.
Copy !req
584. And, Shaun,
Copy !req
585. I have never, ever seen you
Copy !req
586. as happy as you are
Copy !req
587. right now with Lea.
Copy !req
588. Well, not that you've
always been happy.
Copy !req
589. There have been
some ups and downs,
Copy !req
590. a little bit like
a roller coaster.
Copy !req
591. But you guys have
managed it so well.
Copy !req
592. A whole lot better
than I have.
Copy !req
593. Is that funny?
Copy !req
594. Anyway, um...
Copy !req
595. But here's to
many, many, many years of...
Copy !req
596. of happiness.
Copy !req
597. At least two, maybe three.
Copy !req
598. That was funny.
Copy !req
599. I'm divorced, so that's funny.
Copy !req
600. Yeah,
but you're married now,
Copy !req
601. so let's give it up
for Shaun...
Copy !req
602. Debbie left me
like two months ago,
Copy !req
603. but that's not
the point.
The point is...
Copy !req
604. You guys have built
a-a platform
Copy !req
605. and you've taken off.
Copy !req
606. And that's...
Copy !req
607. I mean, who knows?
Copy !req
608. And, so...
Copy !req
609. That was fun
- last night.
- Yeah.
Copy !req
610. You want
to grab some breakfast?
Copy !req
611. I should get going.
Copy !req
612. Yeah.
Copy !req
613. What's on your mind,
guapa?
Copy !req
614. Well...
Copy !req
615. Radical hysterectomy
with lymph-node resection
Copy !req
616. on a mom of two boys.
Copy !req
617. I'm just worried
about incontinence
Copy !req
618. and fistula
post-procedure.
Copy !req
619. Can you preserve
the superior vesical artery?
Copy !req
620. That will ensure blood supply
to the distal ureter.
Copy !req
621. Is that all
you're thinking about?
Copy !req
622. No.
Copy !req
623. It's still swollen,
Copy !req
624. but blood and urine cultures
are negative.
Copy !req
625. Rules out infection.
Copy !req
626. Well, it rules out
bacterial infection.
Copy !req
627. It could still
be fungal or viral.
Copy !req
628. We're better off with
an endovascular renal biopsy.
Copy !req
629. Ms. Morrison,
we'd like to insert a catheter
Copy !req
630. through your jugular vein
to your kidney.
Copy !req
631. That way, we can biopsy
the mass safely.
Copy !req
632. Okay.
Copy !req
633. Will you
be doing it?
Copy !req
634. Dr. Wolke will
be doing the honors,
Copy !req
635. under my guidance.
Copy !req
636. Great.
Copy !req
637. Who's the chief of surgery
here?
Copy !req
638. Dr. Audrey Lim.
Copy !req
639. A woman.
That's fantastic.
Copy !req
640. Can I meet her?
Copy !req
641. She's a little busy.
Copy !req
642. Dr. Murphy, can you identify
the superior vesical arteries?
Copy !req
643. Yes.
Copy !req
644. W-Why?
Copy !req
645. Salvage them.
It will ensure blood supply
to the distal ureter.
Copy !req
646. That will reduce the risk
of incontinence or fistula.
Copy !req
647. Very clever.
Copy !req
648. It is, isn't it?
Copy !req
649. Dr. Lim!
Copy !req
650. Excuse me.
Who are you?
Copy !req
651. And what are you doing
in my operating room?
Copy !req
652. I'm Salen Morrison.
Copy !req
653. Dr. Andrews thinks I should
have an endovascular
kidney biopsy.
Copy !req
654. What do you think?
Copy !req
655. It's absolutely
the best next step.
Copy !req
656. But what about
the possibility of...
Copy !req
657. Ms. Morrison, I don't know
anything about your case.
Copy !req
658. But if Dr. Andrews
recommends you get a biopsy,
Copy !req
659. then get a biopsy.
Copy !req
660. I have complete faith in him
and all of my attendings.
Copy !req
661. Please page Dr. Andrews
Copy !req
662. and have him
come get his patient.
Copy !req
663. Oh, I feel...
Copy !req
664. Something's wrong.
Copy !req
665. Stat.
Copy !req
666. What causes kidney lesions,
shortness of breath,
Copy !req
667. swollen ankles,
and heart irregularities?
Copy !req
668. Early polycystic
kidney disease?
Copy !req
669. See, we're just guessing.
We need to sample the lesion.
Copy !req
670. Every time we get close
to doing the biopsy
on this woman,
Copy !req
671. something...
doc-blocks us.
Copy !req
672. It's like she's messing
with us.
Copy !req
673. Whatever's
in her kidney is very real,
Copy !req
674. and she didn't intentionally
make her heart rate
Copy !req
675. - go through the roof.
- Unless...
Copy !req
676. Look at
her blood work.
Copy !req
677. She said
she'd stop her meds,
Copy !req
678. but her Ritalin level today
is over double
when she came in.
Copy !req
679. That could cause
her heart irregularities.
Copy !req
680. She is messing with us.
Copy !req
681. You look great.
Copy !req
682. Yeah, Jackson's asleep,
but, um, he's doing good.
Copy !req
683. Your surgery
went well.
Copy !req
684. Your prognosis
is good.
Copy !req
685. You'll receive
chemo-radiation treatment.
Copy !req
686. The radiation therapy
includes
both external beam...
Copy !req
687. Thank you.
Copy !req
688. You're welcome.
Copy !req
689. I think
she was talking to me.
Copy !req
690. Because you
brought Nick.
Copy !req
691. Your brother
is not perfect.
Copy !req
692. But sometimes,
Copy !req
693. we need people
who aren't perfect.
Copy !req
694. I forgot.
Copy !req
695. You do that a lot.
Copy !req
696. This is silly.
Copy !req
697. You must have patients
all the time who screw up,
Copy !req
698. don't do what they're told.
Copy !req
699. Do you accuse all of them
of being liars?
Copy !req
700. I didn't think
- you're a liar.
- Thank you.
Copy !req
701. I think
you are insane.
Copy !req
702. There's a lesion
on your kidney,
Copy !req
703. and you're actively
preventing us
Copy !req
704. from finding out
what it is.
Copy !req
705. Or she already knows.
Copy !req
706. Or at least
she knows enough
Copy !req
707. to put concealing makeup
on her fingers.
Copy !req
708. To hide
her Raynaud's syndrome.
Copy !req
709. You have scleroderma?
Copy !req
710. So your kidney...
Copy !req
711. That's a benign lesion,
not a mass.
Copy !req
712. I got diagnosed
seven years ago,
Copy !req
713. after having symptoms
for three years.
Copy !req
714. Lots of bad doctors
out there.
Copy !req
715. I went off my scleroderma meds
a couple weeks ago,
Copy !req
716. see if you doctors
were more of the same.
Copy !req
717. Why?
Copy !req
718. I was curious.
Copy !req
719. How do I look?
Copy !req
720. You look like someone
Copy !req
721. about to make a presentation
to a hospital board.
Copy !req
722. Perfect.
Copy !req
723. I'm gonna go
to my hotel room.
Copy !req
724. No, no.
Don't you dare.
Copy !req
725. Either the board
is gonna make this
Copy !req
726. a very good night
or a very bad night.
Copy !req
727. But, either way,
Copy !req
728. I want you here
when I get home.
Copy !req
729. Okay.
Copy !req
730. You know, we have
been down an attending
Copy !req
731. for over a year.
Copy !req
732. And I do know
a very qualified candidate.
Copy !req
733. If the board
gives me the money,
Copy !req
734. I'm gonna
offer you a job.
Copy !req
735. And if they don't,
screw 'em.
Copy !req
736. I'm gonna
offer you a job.
Copy !req
737. The party was
a disaster.
Copy !req
738. Yeah.
Copy !req
739. Yeah, it was.
Copy !req
740. I'm sorry.
Copy !req
741. I screwed up.
Copy !req
742. Shaun, that was
not your fault.
Copy !req
743. Oh, no, I know.
Copy !req
744. It wasn't my fault at all.
It was yours.
Copy !req
745. It was your party,
Copy !req
746. your responsibility,
Copy !req
747. but that's the problem.
Copy !req
748. When things
go wrong for us,
Copy !req
749. they should go wrong
for both of us.
Copy !req
750. So I'm going to help you
plan our wedding.
Copy !req
751. This way...
Copy !req
752. When it goes
terribly wrong,
Copy !req
753. it will be
both our faults.
Copy !req
754. And it'll be because
of the both of us
Copy !req
755. when everything
goes right.
Copy !req
756. What happened?
The meeting's over?
Copy !req
757. But my presentation...
I haven't had a chance... No one has.
Copy !req
758. There was only one item
on the agenda.
Copy !req
759. The hospital
is being purchased.
Copy !req
760. What? By who?
Copy !req
761. I'm looking forward to working
with both of you.
Copy !req