1. fifty.
Copy !req
2. Okay.
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3. That should not
have been so hard.
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4. You're getting old, Pops.
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5. Thirty-one is not old.
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6. It is in parent years.
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7. They're like dog years.
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8. Damn you!
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9. Why won't you let us sleep?
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10. We shouldn't curse
in front of him.
Copy !req
11. We didn't.
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12. And he's obviously
gonna be a rock star.
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13. So might as well get used
to hanging out with lowlifes.
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14. He screams like Axl Rose.
Copy !req
15. And he's definitely
a night owl.
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16. Crying uses
the vocal-fold muscles
Copy !req
17. very differently than singing.
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18. And lots of jobs work at night.
Copy !req
19. Janitors, truck drivers,
polysomnographic technologists.
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20. All I know,
with those eyes and that smile,
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21. no way he ends up in any job
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22. that doesn't involve
being swarmed by supermodels.
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23. Of whatever the hell
gender he prefers.
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24. I think we may need
to get a swear jar.
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25. Wouldn't work.
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26. Ask my dad.
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27. I'm sorry.
I just don't get
what the big deal is.
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28. I've never even met your niece.
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29. Yeah, because
you've turned down
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30. every invite
to a family gathering.
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31. Okay. I've just been
really busy lately.
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32. Last time my brother
had a barbecue,
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33. you went to a karaoke bar
with Jordan instead.
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34. That is not true.
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35. - It was an ax-throwing bar.
- Ash.
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36. I've gone out of my way
to be sensitive
to your family history.
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37. Mine is different.
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38. We're all super close.
Copy !req
39. And... And this is a big deal.
It's her confirmation.
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40. I'm not asking you
to go to the church service.
Just the after party.
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41. I can't tomorrow night.
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42. I have a ton of work
to catch up on. I gotta go.
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43. Good morning.
I'm Dr. Shaun Murphy.
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44. This is Dr. Kalu and Doctor...
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45. It smells like
a brewery in here.
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46. Sorry. We had a party
at our fraternity last night.
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47. Um, I was gonna shower,
but my roommates,
Copy !req
48. they insisted I go
to the ER immediately.
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49. I-I can't hear
out of my left ear.
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50. When did you lose—
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51. Miss Lukaitis is
one of our med students.
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52. She is here to observe.
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53. Med students
do not take patient histories
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54. unless directed to.
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55. I wasn't taking a history.
Copy !req
56. I see you got into
a fight last night?
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57. No. It was...
It was a drinking game.
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58. You take turns slapping
each other in the face
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59. and whoever flinches,
they have to drink.
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60. - Sounds fun.
- Yeah.
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61. I woke up
with an insane headache.
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62. I think I ruptured my eardrum.
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63. I slapped my friend
the other day
to treat his hemophobia.
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64. It seemed safe,
but I'm probably
not as strong—
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65. There's bilateral
otitis externa
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66. and significant
cerumen blockage.
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67. Cerumen?
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68. Yeah, you have an ear infection
and a lot of earwax.
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69. Oh.
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70. Whoa. What happened here?
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71. Ooh.
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72. Oh, it's nothing.
It's just a bruise.
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73. Take more than a slap
to cause that.
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74. One of the guys
in my fraternity
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75. has one of those
foam-round shotguns
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76. that the police use
for riot control.
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77. Um, so we were testing it out
on each other.
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78. Mm.
Mm.
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79. Flush the ears with warm saline
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80. and administer
polymyxin B drops.
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81. Then get X-rays
to rule out a broken rib.
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82. You can go with them.
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83. I'd rather continue
to shadow you.
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84. I already know how
to clear out earwax and—
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85. Go with them.
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86. 43-year-old male,
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87. hand and arm caught
in a meat grinder.
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88. - Bay 6.
- Okay. Got it?
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89. We got it from here. Thanks.
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90. Can you move your fingers?
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91. I-I'm not sure.
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92. Get a BP cuff on his other arm.
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93. How'd it happen?
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94. - I manage
a food processing factory.
- You got it upside down.
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95. I was demonstrating
how to clean the meat grinder
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96. when an apprentice butcher
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97. decided to turn
the breaker back on.
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98. I hate new employees.
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99. Worse than worthless.
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100. Oh, my God.
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101. Get me
an ortho-powered driver
with a 4 millimeter hex head.
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102. Get the double-action rongeur
Copy !req
103. so you can use it
to pull off the grill.
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104. Just skin and flesh.
I don't see any bone.
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105. Oh, thank God.
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106. He's just... new.
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107. Thanks for the walk invite.
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108. I keep planning to exercise,
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109. but then I wake up feeling
like a broken-down old boxer.
Copy !req
110. Ugh, I know the feeling,
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111. and I didn't even
go through childbirth.
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112. Babies are damn hard work.
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113. Yeah. Damn hard. Thank you.
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114. I've been wanting
to talk to you.
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115. I'm creating a living trust
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116. to make sure
Eden's taken care of.
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117. And I'd like to name you
and Shaun as Eden's guardians
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118. if Park and I die.
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119. Wow. I'm...
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120. I'm flattered.
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121. You and Shaun
are great together.
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122. And given Eden's special needs,
you guys are a perfect choice.
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123. Thank you.
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124. That...
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125. That means a lot to me.
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126. And I'll talk to Shaun
about it tonight.
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127. I'm sorry.
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128. It's okay.
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129. I got a few minutes
till the patient's
sedatives take effect.
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130. I've tried every antiemetic
I could find.
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131. Even started wearing
this here wristband,
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132. but nothing works.
Copy !req
133. I was a cop for 15 years
before med school.
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134. Saw a lot of rookies
lose their lunch
at a crime scene,
Copy !req
135. but never met one
who didn't get used to it.
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136. It'll become
just part of the routine.
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137. I just got to get
through this rotation.
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138. Hey, if you want to sit
this one out, I'm fine.
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139. You can hit the skills lab,
practice suturing.
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140. Before I went to med school,
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141. I was a D-1 tackle.
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142. Two most important things
I learned is,
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143. it's better
to give than to receive,
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144. and quitters never win.
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145. Good.
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146. Then let's go save a hand.
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147. What are you doing?
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148. I mean, besides forgetting
about this morning's
board meeting.
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149. I didn't forget about
this morning's board meeting.
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150. So we're still doing this?
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151. No, I didn't skip
the meeting to prank you.
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152. I did it to be here
for the delivery.
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153. A gift for both of us.
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154. Ta-da!
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155. You prefer
to stay in your office, right?
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156. And I'm certainly
not going to leave the clinic.
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157. So I thought, why not convert
the president's office
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158. into the president's lounge?
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159. Sorry.
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160. Co-Presidents' Lounge.
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161. Oh, might as well
add a putting green
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162. and a wine cellar
while you're at it.
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163. I work better
with a pool table.
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164. Great.
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165. The board had a list of issues
they want addressed ASAP,
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166. and since I actually
attended the meeting,
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167. I get to divvy them up.
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168. Your half.
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169. He's a cutie.
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170. He's a moron.
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171. When I'm fantasizing
about him tonight,
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172. I'm not gonna be picturing him
helping me study for bio-chem.
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173. Uh, that is not something
we needed to know.
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174. He's kind of got
a Peter Parker vibe,
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175. which is exactly my type.
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176. How about you guys?
What's your type?
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177. Uh, we should
probably just focus.
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178. I bet you like tall women.
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179. Uh-huh.
- Uh...
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180. I like sweet, handsome,
caring, and, yes, tall men.
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181. You're gay?
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182. Right on.
Top or bottom?
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183. Oh, wow. Charlie...
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184. you're not in your med-school
study group, okay?
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185. That is an inappropriate
question for a co-worker.
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186. You could be fired.
Copy !req
187. Employers have to consider
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188. my neurodiverse
communication style.
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189. No one should be forced
to change who they are
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190. to be considered
more professional.
Copy !req
191. Well, I'd suggest
checking in with HR.
Copy !req
192. They may have a different idea
of reasonable accommodations.
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193. People at work talk
about their relationships
all the time.
Copy !req
194. Asking about someone's
relationship's
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195. a little different
than asking about
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196. their preferred
sexual position.
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197. The expression
doesn't refer solely
to sexual positions.
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198. No rib fractures.
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199. But...
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200. what is that?
Copy !req
201. The bleeding's
stopped.
Copy !req
202. The blades are acting
like a tourniquet.
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203. We need to get this hand out
Copy !req
204. before his fingers
get necrotic.
Copy !req
205. What if we pull his arm
while manually turning
the blades in reverse?
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206. Could grind up
whatever's stuck even more.
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207. We have to cut
the machine open.
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208. How? The Jaws of Life
are way too big,
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209. and a saw could cut his arm
or overheat the metal.
Copy !req
210. Not if you irrigate
with cold saline as I work.
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211. I'll go just deep enough
to weaken the metal,
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212. and then we'll break it apart
with a rib spreader.
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213. Brilliant.
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214. Get me an ortho oscillating saw
with a metal cutting blade.
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215. It's a very irregular shape.
Copy !req
216. Could be an intramural abscess
in his esophagus.
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217. The contrast enhancement
wouldn't be so uniform.
Copy !req
218. Yes, that is true.
Copy !req
219. What about
an esophageal cancer?
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220. That would be unusual.
Copy !req
221. - He is very young and—
A nonsmoker.
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222. I'm confident
we can excise the mass,
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223. but we need to do
an esophagogastroduodenoscopy
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224. and biopsy first.
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225. I have no idea what that is,
but it sounds awesome.
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226. Please do it now.
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227. Uh, Charlie?
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228. Hmm?
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229. Uh, it might be better trying
to be your authentic self
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230. without repeatedly
interrupting your boss.
Copy !req
231. Thank you, Dr. Kalu.
I appreciate the advice.
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232. I think you may need
to go deeper.
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233. I can't risk popping through
and cutting the radial.
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234. Park,
he's bleeding again.
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235. Should you do
a vascular cut down
and temporary ligation?
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236. No, it's been too long already.
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237. We need to get this thing open.
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238. - Come on. Give me a hand.
- I-I can't.
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239. Yes, you can.
Just close your eyes.
Pretend you're at the gym.
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240. - Come on.
Come on.
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241. All right.
Go, go, go, go, go, go, go!
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242. Keep going. It's working.
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243. Pull, pull, pull!
It's loose!
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244. Lap sponges!
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245. Severe contamination
of hand and forearm,
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246. arteries are trashed.
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247. Major vascular gaps,
radius and ulna are crushed.
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248. Get the OR prepped.
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249. We're gonna have to
amputate it.
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250. Advancing down
the esophageal lumen.
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251. Do you have a boyfriend?
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252. Yes.
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253. Approaching
the gastroesophageal junction.
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254. Is he tall?
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255. Can we talk about this later?
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256. Or not at all.
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257. Doesn't make sense.
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258. Dr. Kalu thinks
I'm being too intrusive,
Copy !req
259. but I'm actually trying
to establish a rapport.
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260. I wasn't talking
about him or you.
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261. I meant the mass.
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262. It's gone.
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263. This doesn't
make sense.
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264. That's exactly
what Dr. Wolke said.
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265. The esophageal mass
was definitely on the X-ray.
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266. And on the neck CT.
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267. But nowhere on the endoscopy.
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268. - Maybe we should
repeat all the tests?
- No.
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269. - We could—
- I can't concentrate
Copy !req
270. if you keep interrupting me.
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271. I didn't interrupt you.
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272. I asked you a question.
You said no,
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273. so I attempted
to make a suggestion,
Copy !req
274. then you interrupted me.
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275. Could you please just be quiet?
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276. Okay.
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277. Okay.
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278. He's disoriented
and slurring his speech.
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279. Phipps, do you know
where you are right now?
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280. Um, I go
to San Jose State University.
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281. He is disoriented,
but no longer slurring.
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282. - It was worse before.
Okay.
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283. Squeeze my fingers.
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284. - Right-side weakness.
- We should prep
a bolus dose of TPA.
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285. No, we should not do that.
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286. Can you wiggle your toes?
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287. But if he's having a stroke—
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288. His speech is improving,
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289. which makes a transient
ischemic attack more likely.
Copy !req
290. And you ordered a nurse
to prep an unindicated
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291. and very risky medication.
Copy !req
292. - I didn't order her,
just making a suggestion.
- Get out.
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293. - What?
- You refuse to acknowledge
you've made a mistake,
Copy !req
294. which wastes my time
and endangers our patient.
Copy !req
295. Please leave
the patient's room now.
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296. We need a head CT-CTA
to confirm it's a TIA
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297. and not a brain bleed or tumor.
Copy !req
298. Checking pupils.
Copy !req
299. Ligation and sectioning
of the viable arteries,
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300. veins, and nerves complete.
Copy !req
301. Charriere.
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302. I'll make the bone cuts
as distal as possible
Copy !req
303. - on the forearm.
Dr. Park.
Copy !req
304. I gotta leave.
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305. Maybe he should
sit this one out.
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306. Bit of a worst-case scenario
for him.
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307. I gave him
the opportunity.
Copy !req
308. He turned me down.
Copy !req
309. Have you gotten Morgan's
fecal-sample fridge installed?
Copy !req
310. I thought the idea
was to divide and conquer.
Copy !req
311. You do your half
of the honey-do list,
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312. and I do mine.
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313. Yes, but just FYI,
Copy !req
314. Morgan needs
the fridge installed
Copy !req
315. before she starts screening
for the IBS trial.
Copy !req
316. Yes, I'm aware.
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317. Then I assume you're also aware
Copy !req
318. that it needs
a new electric panel,
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319. and that Gail has put a freeze
on all facility upgrades.
Copy !req
320. - Not my first rodeo.
- Okay.
Copy !req
321. And the other stuff
on the list?
Copy !req
322. I plan to ignore.
You should do the same.
Copy !req
323. - You're advising
I ignore the board?
- Yes.
Copy !req
324. Much of their complaints
are trivial in nature.
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325. They'll either
work themselves out
or disappear completely,
Copy !req
326. which is good for us,
because then we can do
our actual jobs.
Copy !req
327. The current board
isn't as passive
Copy !req
328. as the one
you're used to dealing with.
Copy !req
329. The current board
has some newbies, yes,
Copy !req
330. and they're very anxious
to engage
Copy !req
331. and nitpick
over every little silly thing.
Copy !req
332. But you know what?
They'll learn. They always do.
Copy !req
333. I have
an actual patient waiting.
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334. Are we going in for a head CT?
Copy !req
335. Doctors Wolke and Kalu are.
Copy !req
336. You shouldn't have raised
your voice to me like you did.
Copy !req
337. I spoke with an urgency
Copy !req
338. that was appropriate
to the situation.
Copy !req
339. It may be appropriate to some,
Copy !req
340. but as a person
on the spectrum,
Copy !req
341. I don't do well
when shouted at.
Copy !req
342. I did not shout.
Copy !req
343. I'm letting you know
the parameters
Copy !req
344. for communicating
with me effectively.
Copy !req
345. I'd appreciate
your cooperation.
Copy !req
346. I'll go join
Doctors Wolke and Kalu.
Copy !req
347. No.
Copy !req
348. You will go to the skills lab
Copy !req
349. and study stroke protocols
and procedures
Copy !req
350. for handling a TIA.
Copy !req
351. I didn't do anything wrong.
Copy !req
352. We didn't have to
debride as much as I thought.
Copy !req
353. And there's more than enough
palmar and dorsal flaps
Copy !req
354. to close the stump.
Copy !req
355. Checking my work?
- No.
Copy !req
356. Just rubbernecking.
Copy !req
357. It's not every day
you get to see
Copy !req
358. a meat-grinder
partial radial amputation.
Copy !req
359. Thankfully.
Copy !req
360. But if I was checking,
Copy !req
361. now that I have a better view
of the injured area,
Copy !req
362. the distal forearm
vessels and nerves
Copy !req
363. are actually better
than I expected.
Copy !req
364. If you could bridge those gaps,
Copy !req
365. I'm wondering if you might
be able to reattach it.
Copy !req
366. Ischemic time
is less than eight hours,
Copy !req
367. and that's best case,
which this isn't.
Copy !req
368. Mm, not if there's
a blood supply.
Copy !req
369. You could graft it
to his ankle,
Copy !req
370. keep it perfused
Copy !req
371. while you prep
the forearm stump
for replantation.
Copy !req
372. You could really do that?
Copy !req
373. We've built new ears
on forearms.
Copy !req
374. Wrist anatomy
is a lot more complex.
Copy !req
375. And if we spread
an infection to his leg,
Copy !req
376. he could end up
losing two limbs
instead of just one.
Copy !req
377. We could reduce the risk
by planting antibiotic beads
in the wounds.
Copy !req
378. Yeah,
but not eliminate it.
Copy !req
379. Your call.
Copy !req
380. Prep and drape his left ankle.
Copy !req
381. Want a second set of hands?
Copy !req
382. Absolutely.
Copy !req
383. But don't you
have a hospital to run?
Copy !req
384. That's what
co-presidents are for.
Copy !req
385. CT-CTA doesn't show
any blockages
Copy !req
386. or atherosclerosis.
Copy !req
387. I'm starting to think
this might not be
a stroke or a TIA.
Copy !req
388. The neuro symptoms didn't start
Copy !req
389. until after the esophageal mass
disappeared.
Copy !req
390. Uh, not true.
Copy !req
391. No, he came to the ER
with neurological symptoms,
Copy !req
392. a headache, and hearing loss.
Copy !req
393. Which isn't surprising,
Copy !req
394. given he let his idiot friends
slap him upside the head.
Copy !req
395. Mm.
Copy !req
396. Speaking of idiots,
Copy !req
397. you should go
to the confirmation party.
Copy !req
398. Jerome mentioned it.
Copy !req
399. It's one party.
You might actually have fun.
Copy !req
400. Look, you love Jerome, right?
Copy !req
401. Right. So what makes you think
you wouldn't like his brothers?
Copy !req
402. - They play hockey.
Copy !req
403. Didn't Jerome play hockey?
Copy !req
404. Yes, as a kid,
Copy !req
405. and not in something
called the Beer League.
Copy !req
406. This isn't about
hockey or beer, is it?
You're just afraid.
Copy !req
407. I am not afraid.
I'm actually... I'm very busy.
Copy !req
408. Or you're scared
they won't like you.
Copy !req
409. Or that it's the next big step
towards something
Copy !req
410. you're still not sure you want.
Copy !req
411. Thank you, Esther Perel,
but I know exactly what I want.
Copy !req
412. - Okay.
- Okay.
Copy !req
413. And I have it.
Copy !req
414. Well, maybe you should consider
Copy !req
415. making some sacrifices
to hold on to it.
Copy !req
416. Had a nice walk
with Morgan today.
Copy !req
417. She's preparing a living trust
Copy !req
418. and would like us
to be Eden's guardians
if she and Park die.
Copy !req
419. Okay.
Copy !req
420. "Okay" you're fine
with that plan,
Copy !req
421. or "okay,"
you didn't hear a word I said
Copy !req
422. because you're still
obsessing about Charlie?
Copy !req
423. I'm fine with Morgan's plan.
Copy !req
424. I was thinking about Charlie,
Copy !req
425. not obsessing.
Copy !req
426. I can't work with her
constantly interrupting me.
Copy !req
427. She's a student, Shaun.
She's excited.
Copy !req
428. She's enthusiastic.
Copy !req
429. Why does it matter
if she is enthusiastic?
Copy !req
430. She makes a lot of mistakes.
Copy !req
431. Well, now's the time
to make mistakes.
She's a med student.
Copy !req
432. Charlie refuses to admit
she's made them,
Copy !req
433. which means
she cannot learn from them.
Copy !req
434. Are you sure about that?
Copy !req
435. Maybe she's embarrassed.
Copy !req
436. Maybe you're being
a little bit too rigid.
Copy !req
437. You know, give her a chance
to work things out.
Copy !req
438. I have not been rigid.
Copy !req
439. You're being rigid right now.
Copy !req
440. Why don't you try being
a little more patient? Right?
Copy !req
441. I will...
try to be more patient.
Copy !req
442. Great. Let's eat.
Copy !req
443. Ulnar
to posterior tibial artery
anastomosis complete.
Copy !req
444. Sutured the main dorsal
to the saphenous vein
Copy !req
445. and created
a fasciocutaneous flap
Copy !req
446. to provide temporary coverage.
Copy !req
447. Great.
Then I think we're ready.
Copy !req
448. Releasing the clamps.
Copy !req
449. Awesome.
Copy !req
450. Totally awesome.
Copy !req
451. I understand you have
a bit of a medical mystery
on your hands.
Copy !req
452. Yes, it is very interesting.
Copy !req
453. How's your new med student?
Copy !req
454. She talks too much,
Copy !req
455. refuses
to acknowledge mistakes,
Copy !req
456. and doesn't like
to read textbooks.
Copy !req
457. That does sound
like a challenge.
Copy !req
458. Dr. Glassman said
I should just be patient
Copy !req
459. and give her time to adjust.
Copy !req
460. Wrong.
Copy !req
461. Glassman's favorite way
to deal with a problem
Copy !req
462. is to avoid it and then hope
someone else solves it.
Copy !req
463. You need to tell her precisely
what you want her to do.
Copy !req
464. I have done that.
Copy !req
465. Well, do it again.
Copy !req
466. She's young and faces
communication challenges
Copy !req
467. that you need
to be sensitive to.
Copy !req
468. All her recommendations say
she's smart but stubborn,
Copy !req
469. which, if managed properly,
could be a great combination.
Copy !req
470. You of all people
should know that.
Copy !req
471. Uh, why should I know that?
Copy !req
472. Because you also arrived here
smart but stubborn.
Copy !req
473. You've become a great surgeon,
and she will be, too.
Copy !req
474. But for now, she's like a puppy
that needs to be trained
Copy !req
475. before all the bad habits
take hold.
Copy !req
476. So don't be patient,
be proactive.
Copy !req
477. Hmm.
Copy !req
478. There's no cyanosis,
severe edema, or venous stasis.
Copy !req
479. Looks great.
Copy !req
480. - It looks gross.
- Don't worry.
Copy !req
481. As soon as we clean up
all the damage to your arm,
Copy !req
482. it'll go back
to where it belongs.
Copy !req
483. Good, because
I'm gonna need both hands
Copy !req
484. to wring that butcher's neck.
Copy !req
485. Dr. Park?
Copy !req
486. What's wrong?
Copy !req
487. There's some cellulitis
at the forearm.
Copy !req
488. But don't worry.
You're on antibiotics,
Copy !req
489. and we'll watch it closely
until your next surgery.
Copy !req
490. Sorry. I'm running late.
Copy !req
491. It's like packing for
the Lewis and Clark expedition
Copy !req
492. every time
I leave the house now.
Copy !req
493. No worries.
I got you an Americano.
Copy !req
494. Thanks.
Copy !req
495. Shaun agreed. We're good to go.
Copy !req
496. One thing...
Copy !req
497. I named you and Shaun
as guardians
Copy !req
498. if both Park and I die,
but also if just I die.
Copy !req
499. Why wouldn't Park
be her guardian?
Copy !req
500. Don't tell me you guys
are on the rocks again.
Copy !req
501. No, things are great.
Copy !req
502. Actually, better than great.
They're fantastic.
Copy !req
503. So what's the problem?
Copy !req
504. The last thing I want
Copy !req
505. is for Eden to end up
with an ex-boyfriend if I die.
Copy !req
506. We've only been back together
a couple months,
Copy !req
507. so I'll revisit
the plan in a year.
Copy !req
508. Okay.
I'll let Shaun know tonight.
Copy !req
509. No, Shaun can't keep a secret.
Copy !req
510. I haven't told Park,
and I'm not going to.
Copy !req
511. Are you insane?
Copy !req
512. You can't lie to Park,
and I can't lie to Shaun.
Copy !req
513. It's not a lie. It's a secret.
Copy !req
514. And every marriage has them.
Copy !req
515. Uh, sure.
Copy !req
516. Like how much I spend
on hair color
Copy !req
517. and how often I use
his toothbrush,
Copy !req
518. but this is too big.
Copy !req
519. No, it's a tiny,
temporary detail
Copy !req
520. that's meaningless unless I die
in the next 12 months,
Copy !req
521. which isn't gonna happen.
Copy !req
522. Please, just take a few days,
think about it.
Copy !req
523. That's all I'm asking.
Copy !req
524. I'm not gonna
change my mind, but okay.
Copy !req
525. Head CT looks normal,
Copy !req
526. but the abdominal images
Copy !req
527. showed
acalculous cholecystitis.
Copy !req
528. Hmm. That wouldn't explain
his neurological symptoms.
Copy !req
529. But it does explain the fever
Copy !req
530. and the abdominal pain
he has now.
Copy !req
531. We got another abdominal CT.
Copy !req
532. Gallbladder's dilated
with extreme wall thickening.
Copy !req
533. Looks like
it's about to rupture.
Copy !req
534. Doesn't make sense.
Copy !req
535. His most severe symptoms
have been neurological,
Copy !req
536. and neither the bruise
on his chest
Copy !req
537. nor the mass in the esophagus
was near the gallbladder.
Copy !req
538. Whatever the cause,
Copy !req
539. his gallbladder
needs to be removed.
Copy !req
540. Get him prepped.
Copy !req
541. - Charlie?
Copy !req
542. We need to have a talk.
Copy !req
543. Please have a seat.
Copy !req
544. I'd rather stand.
Copy !req
545. When I'm nervous,
Copy !req
546. sitting makes me feel
uncomfortably constrained.
Copy !req
547. Okay.
Copy !req
548. You are still a student,
Copy !req
549. so it is normal for you
to be making mistakes.
Copy !req
550. I haven't made any mistakes.
Copy !req
551. You ordered a nurse
to prep an incorrect
Copy !req
552. and potentially
dangerous medication.
Copy !req
553. I didn't order her.
I made a suggestion.
Copy !req
554. And you talk too much,
Copy !req
555. often about things
you shouldn't
Copy !req
556. and other times
when you shouldn't be talking—
Copy !req
557. I learn more
by discussing things
Copy !req
558. rather than reading a textbook
or attending a lecture.
Copy !req
559. I do not lecture,
Copy !req
560. and I can't do my job
Copy !req
561. if you are
always interrupting—
Copy !req
562. - At times,
my speech pattern can be—
- You just did it again.
Copy !req
563. So did you.
Copy !req
564. Compulsive speech
is a characteristic
of our neurodiversity.
Copy !req
565. Please s-stop talking.
Copy !req
566. I am being proactive.
Copy !req
567. I have precisely explained
my expectations.
Copy !req
568. You can't order me to do
something I'm incapable of.
Copy !req
569. I have a disability,
and the law—
Copy !req
570. I am trying to help you. Okay?
Copy !req
571. I... understand
Copy !req
572. that ASD is considered
a disability.
Copy !req
573. But I also know that you are
capable of being silent.
Copy !req
574. If you want to remain
on this case,
Copy !req
575. that is what
I expect you to do.
Copy !req
576. You are to observe
and nothing else.
Copy !req
577. Do you understand?
Copy !req
578. Yes.
Copy !req
579. Good.
Copy !req
580. Now you can go join Dr. Wolke
and Dr. Kalu in the OR.
Copy !req
581. We've got
adequate debridement
Copy !req
582. of the distal forearm stump.
Copy !req
583. This is gonna work.
Copy !req
584. Good call.
Copy !req
585. Hubank, any thoughts
on what suture to use
Copy !req
586. for our arterial anastomosis?
Copy !req
587. I'm not sure.
Copy !req
588. Take your time.
Copy !req
589. Look closely at the angle
we cut the vessels at.
Copy !req
590. I guess you could
suture the ends
Copy !req
591. with a 4-0 Prolene
Copy !req
592. using an end-to-side formation.
Copy !req
593. Nice idea.
Copy !req
594. End-to-end anastomosis
with parachute technique
Copy !req
595. would work even better.
Copy !req
596. I'm Dr. Reznick.
Copy !req
597. I assume you know that Park
and I are in a relationship.
Copy !req
598. - Actually, no. I didn't—
- Don't lie.
Copy !req
599. I know how fast the gossip
gets out around here.
Copy !req
600. How's Park as a professor?
Copy !req
601. He's awesome.
Copy !req
602. Intuitive and supportive
without being patronizing.
Copy !req
603. Stop.
Copy !req
604. The whole gentle-giant thing
is lost on me.
Copy !req
605. What I respect
is totally brutal,
blunt honesty.
Copy !req
606. Think of me like Bill Belichick
Copy !req
607. but meaner
and with better hair.
Copy !req
608. You're right. I lied.
Copy !req
609. I was actually told
by a bunch of people
on my first day
Copy !req
610. about the relationship
that you and Park had.
Copy !req
611. I was also told
how you broke up
Copy !req
612. then moved back in
with one another
Copy !req
613. before breaking up again,
Copy !req
614. then got back together recently
Copy !req
615. because Park wanted to help you
Copy !req
616. take care of the baby
that you wanted to adopt
Copy !req
617. but were too overwhelmed
to do it yourself
Copy !req
618. while also running
the clinical trials.
Copy !req
619. But I wasn't lying about Park
being an awesome professor.
Copy !req
620. He's been pretty patient
and supportive,
Copy !req
621. despite the fact that
I don't want to be a surgeon,
Copy !req
622. and I faint or hurl
Copy !req
623. at the sight
of any amount of blood.
Copy !req
624. But he's a great guy.
Copy !req
625. And I'm sure he'll be
a great dad or stepdad
Copy !req
626. or whatever the label is
Copy !req
627. that you need him
to be for you.
Copy !req
628. Is that blunt enough?
Copy !req
629. Yes. Thank you.
Copy !req
630. But careful.
Copy !req
631. Nobody likes a smart-ass.
Copy !req
632. Freeing up the last
attachments to the liver.
Copy !req
633. Using
ultrasonic coagulator
Copy !req
634. for hemostasis
on the cystic plate.
Copy !req
635. What about an atypical
presentation of lupus?
Copy !req
636. ANA and ESR
are all normal.
Copy !req
637. That's why
I said atypical.
Copy !req
638. I mean,
what else could cause symptoms
Copy !req
639. in the esophagus,
brain, and gallbladder?
Copy !req
640. Dr. Kalu,
please irrigate
Copy !req
641. and lead the wound closure.
Copy !req
642. 0 Vicryl sutures
on a long needle driver.
Can I feel it?
Copy !req
643. Sorry. I know
I'm not supposed to be talking,
Copy !req
644. but I've never felt
a live organ before.
Copy !req
645. It needs
to go to pathology.
Copy !req
646. And please
don't distract Dr. Kalu.
Copy !req
647. Oh,
she's not distracting me.
Copy !req
648. It's just gonna sit
in the pathology fridge
for a few hours anyway.
Copy !req
649. Do it quietly.
Copy !req
650. Thank you,
Dr. Murphy!
Copy !req
651. Sponge here
so I can see better.
Copy !req
652. Need another 0 Vicryl suture.
Copy !req
653. And I'll take
the Metzenbaum scissors.
Copy !req
654. That's enough.
Put it back now.
Copy !req
655. Wait. Just give me a— Ow!
Copy !req
656. I think a needle
got left in the organ.
Copy !req
657. That's not possible.
Copy !req
658. We never suture
inside the gallbladder.
Copy !req
659. I know I felt... felt it.
Copy !req
660. Ow! Okay. There is
something sharp in here.
Copy !req
661. Uh, maybe it's an edge
of a gallstone?
Copy !req
662. I'm coming.
Copy !req
663. Okay.
Copy !req
664. There is something protruding.
Copy !req
665. Small forceps.
Copy !req
666. Is it a hair?
Copy !req
667. No.
Copy !req
668. It's a metal wire.
Copy !req
669. Inside the gallbladder?
How is that even possible?
Copy !req
670. It was definitely
not part of a surgical tool.
Copy !req
671. Well, I read a case
a few years ago.
Copy !req
672. A patient got a metal wire
from a barbecue grill brush
Copy !req
673. lodged in his intestines.
Copy !req
674. When we were doing
surgical prep,
Copy !req
675. Phipps said the last thing
he'd eaten
Copy !req
676. was a cheeseburger
at his frat's barbecue.
Copy !req
677. The disappearing mass
in his esophagus
Copy !req
678. could've been caused
by that wire lodged there
Copy !req
679. before it traversed
the stomach wall
Copy !req
680. and ended up
in the gallbladder.
Copy !req
681. That would be amazing.
Copy !req
682. It wouldn't explain
his neurological issues.
Copy !req
683. Well, that could still
be from the slaps.
Copy !req
684. But either way,
we never would've noticed it
Copy !req
685. without Charlie's
curiosity, so...
Copy !req
686. Yeah. Nice catch.
Copy !req
687. It was more of an accident
than a catch, but thank you.
Copy !req
688. We need the strongest
magnet we have. Stat!
Copy !req
689. What are you doing?
Copy !req
690. I'm teaching Steve
how to run the table
Copy !req
691. while, simultaneously,
Barry and I
Copy !req
692. are trying to figure out
how to lower
Copy !req
693. the overhead cost
of the clinic.
Copy !req
694. - Try those.
Copy !req
695. "The poop fridge
equals presidential priority"?
Copy !req
696. You see, Steve? I told you,
Copy !req
697. alliteration comes off
as pompous.
Copy !req
698. He prefers "poop"
to "fecal samples."
Copy !req
699. I'm so glad
you're enjoying yourself.
Copy !req
700. Meanwhile, Gail is coming down
on me for things I didn't do.
Copy !req
701. Hey, it's my signature
on the thing.
Copy !req
702. If Gail doesn't like it,
she can come to me.
Copy !req
703. She knows you don't
listen to her.
Copy !req
704. So, now, every time
she has a problem,
she comes to me.
Copy !req
705. Well, I can think of
one way to solve that problem.
Copy !req
706. Aaron, I don't have time
for these games.
Copy !req
707. You don't have time
because you're constantly
Copy !req
708. trying to placate
the damn board.
Copy !req
709. All they want is to feel
recognized and respected.
Copy !req
710. All they want,
they don't know it,
Copy !req
711. but what they really want
is a well-run,
Copy !req
712. top-flight hospital.
Copy !req
713. Well, all Gail really wants now
Copy !req
714. is a full audit of all expenses
for the past year.
Copy !req
715. Well, that's a colossal
waste of time.
Copy !req
716. Well, I agree.
Copy !req
717. And after
a 30-minute discussion,
Copy !req
718. I got Gail to agree as well.
Copy !req
719. This division of labor
isn't working,
Copy !req
720. so from now on,
you can deal with Gail.
Copy !req
721. Fine. Send her on over.
Copy !req
722. Just tell her to bring cash.
We don't take markers here.
Copy !req
723. He's an ass.
Copy !req
724. Not an ass.
Copy !req
725. What are you gonna
do with that?
Copy !req
726. It may be slightly painful,
Copy !req
727. but it's much safer
than another surgery.
Copy !req
728. Open wide and say, "Ahh."
Copy !req
729. Ahh.
Copy !req
730. That was in my tonsil?
Copy !req
731. Yes, it caused an infection
and fluid build-up in your ear
Copy !req
732. and irritated
your carotid artery,
Copy !req
733. which caused
the neurological symptoms.
Copy !req
734. You shouldn't ever clean
a cooking surface
with a wire brush,
Copy !req
735. or let someone slap you,
Copy !req
736. or shoot you
with a foam shotgun slug.
Copy !req
737. That is so cool.
Copy !req
738. Yes. It is.
Copy !req
739. I can't wait
to get back to work.
Copy !req
740. I wouldn't rush it.
Copy !req
741. It's gonna take time
and plenty of physical therapy
Copy !req
742. to get your function back.
Copy !req
743. I don't mean so I can work.
Copy !req
744. I mean so I can
fire that damn butcher.
Copy !req
745. The new CTs are all clear.
Copy !req
746. No more wires floating around.
Copy !req
747. And you might
want to take it easy
Copy !req
748. with the frat parties
for a while.
Copy !req
749. I'm actually
not that big a partier.
Copy !req
750. I grew up an only child,
so I always wanted brothers,
Copy !req
751. and now I have like 50 of them.
Copy !req
752. They've helped me through
all sorts of stuff.
Copy !req
753. A lot of the crazier stuff
they do isn't my thing.
Copy !req
754. Um...
Copy !req
755. But I feel like I owe it
to them to participate.
Copy !req
756. To be there for them
like they were for me.
Copy !req
757. That's very generous of you.
Copy !req
758. You're doing great.
Copy !req
759. No, I'm not.
Copy !req
760. Can't even watch a surgery
Copy !req
761. from another room
without dry-heaving.
Copy !req
762. That patient would've
bled out in the ER
Copy !req
763. if you hadn't helped
break open the grinder.
Copy !req
764. Yeah. I make a great crowbar.
Copy !req
765. Surgery is always
a team effort.
Copy !req
766. I'm happy to have you
on my team.
Copy !req
767. Dr. Park...
Copy !req
768. Dr. Murphy, can I talk to you?
Copy !req
769. I am trying to get home
to put Steve down.
Copy !req
770. This won't take long.
Copy !req
771. I just wanted to tell you
how impressed I was with you,
Copy !req
772. how you were able to move
that wire fragment
Copy !req
773. from the tonsil
without surgery.
Copy !req
774. It was very ingenious.
Copy !req
775. And I also wanted to thank you
Copy !req
776. for letting me
observe you in surgery.
Copy !req
777. I learned a whole lot.
Copy !req
778. Oh. That's good.
Copy !req
779. And you're welcome.
Copy !req
780. When I found the first wire
in the gallbladder,
Copy !req
781. it saved both the patient
and us a lot of time.
Copy !req
782. That is true.
Copy !req
783. That's a big contribution
from a medical student,
don't you think?
Copy !req
784. I believe your
intense curiosity
Copy !req
785. and attention to organization
Copy !req
786. will one day make you
an excellent pathologist.
Copy !req
787. I don't want to be
a pathologist.
Copy !req
788. I understand,
Copy !req
789. but given your aversion
to textbooks,
Copy !req
790. your extreme impatience...
Copy !req
791. I'm not impatient.
Copy !req
792. I'm an assertive,
dedicated, hard worker.
Copy !req
793. And your refusal
to acknowledge and learn
from your mistakes...
Copy !req
794. I just want to be a surgeon.
Copy !req
795. Like you.
Copy !req
796. Oh. You're nothing like me.
Copy !req
797. And I don't think
you should ever be a surgeon.
Copy !req
798. Hey, about to head out
to Elizabeth's party.
Copy !req
799. I just wanted to say goodbye.
Copy !req
800. Should be home by 11:00.
Copy !req
801. Wait!
Copy !req
802. I'm coming with you.
Copy !req
803. Sure this elevator's
big enough for the both of us?
Copy !req
804. - I'm not sure the hospital is.
- Well, that's fine.
Copy !req
805. I'll resign my share
of the co-presidency.
Copy !req
806. - Not if I beat you to it.
Copy !req
807. Hey, Charlie.
Copy !req
808. Are you getting out
or just taking a ride?
Copy !req
809. Charlie, are you okay?
Copy !req
810. No.
Copy !req
811. Charlie should not be upset.
Copy !req
812. I told her she would make
an excellent pathologist.
Copy !req
813. Well, you've only worked
with her for two weeks.
Copy !req
814. And isn't she hoping
to be a surgeon?
Copy !req
815. You said that
I should be proactive.
Copy !req
816. Proactive?
Copy !req
817. That's not proactive.
That's hurtful.
Copy !req
818. Maybe it's not
what you meant, but—
Copy !req
819. I was telling the truth.
Copy !req
820. I tried to be patient,
like you said,
Copy !req
821. but that also did not work.
Copy !req
822. We gave you
some conflicting advice,
Copy !req
823. which clearly
didn't help matters.
Copy !req
824. So maybe now, together,
we can find a better strategy.
Copy !req
825. Charlie has a unique
learning style—
Copy !req
826. Why do I need a strategy?
Copy !req
827. I am a good surgeon
and a good teacher.
Copy !req
828. Good teachers adjust
to their students, Shaun.
Copy !req
829. Maybe there's something
you could do.
Copy !req
830. Maybe there's something
you should do.
Copy !req
831. I have already
made adjustments.
Copy !req
832. Okay. Make some more.
Copy !req
833. - Why?
- Why?
Copy !req
834. - Because it's the—
- 'Cause she needs—
Copy !req
835. Because she needs them,
like you did.
Copy !req
836. No one ever made things
easier for me.
Copy !req
837. Or went out of their way
to make accommodations for me.
Copy !req
838. Shaun.
Copy !req
839. I'm sure you believe that,
but that is simply not true.
Copy !req
840. Dr. Melendez
put me on scut work
Copy !req
841. and threatened to fire me.
Copy !req
842. Dr. Han transferred me
to pathology,
Copy !req
843. but I never gave up,
Copy !req
844. and I learned
how to accept criticism
Copy !req
845. and improve
my communication skills
Copy !req
846. in order
to become a good surgeon.
Copy !req
847. Han and Melendez,
Copy !req
848. and I'm sure many other people,
were wrong about you.
Copy !req
849. But that doesn't mean
you should treat Charlie—
Copy !req
850. I am not wrong about Charlie.
Copy !req
851. She should not be a surgeon.
Copy !req
852. You know what, Shaun?
Copy !req
853. You sound like Han now.
Copy !req
854. You're being unfair.
Copy !req
855. No.
Copy !req
856. I am an attending.
Copy !req
857. It is my decision
Copy !req
858. how to manage
the medical students
on my cases.
Copy !req
859. I am going home now.
Copy !req
860. That went well.
Copy !req
861. Yeah.
Copy !req
862. Straight pool or 8 ball?
Copy !req
863. You can break.
Copy !req
864. Okay.
Copy !req
865. This is gonna be hilarious.
Copy !req
866. And from my favorite uncle,
Jerome,
Copy !req
867. and his adorable boyfriend,
Asher...
Copy !req
868. Is this what I think it is?
Copy !req
869. It is!
Copy !req
870. I love it!
Copy !req
871. - Thank you,
thank you, thank you!
- I'm so glad you like it.
Copy !req
872. You bastard.
Copy !req
873. She's not wearing that
in this house.
Copy !req
874. - Yes, I am.
Copy !req
875. Go, Kings, baby!
Copy !req
876. Yes! Whoo!
Copy !req
877. You like them. We got it.
Copy !req
878. Boom, boom,
boom, boom, boom!
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879. That was good! Yeah!
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880. I told the attorney
that if I die,
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881. I want you
to be Eden's guardian.
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882. I know.
You already told me that.
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883. I was lying.
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884. But this time, I'm not.
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