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+--------+-------------------------+-------------------------+--------+--------+
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|000001a0| 2d 2d 2d 2d 2d 2d 00 53 | 63 61 6c 70 65 6c 20 2d |------.S|calpel -|
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|000001c0| 73 75 65 2e 00 4d 65 74 | 61 6c 20 52 69 62 62 6f |sue..Met|al Ribbo|
|000001d0| 6e 20 2d 20 50 72 65 76 | 65 6e 74 73 20 73 75 74 |n - Prev|ents sut|
|000001e0| 75 72 65 20 64 72 69 6c | 6c 20 66 72 6f 6d 20 64 |ure dril|l from d|
|000001f0| 72 69 6c 6c 69 6e 67 20 | 69 6e 74 6f 20 74 68 65 |rilling |into the|
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|00000210| 72 20 2d 20 55 73 65 64 | 20 74 6f 20 6c 75 62 72 |r - Used| to lubr|
|00000220| 69 63 61 74 65 20 61 6e | 64 20 70 72 65 76 65 6e |icate an|d preven|
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|00000240| 77 68 65 6e 20 64 72 69 | 6c 6c 69 6e 67 20 62 6f |when dri|lling bo|
|00000250| 6e 65 2e 00 54 72 65 70 | 68 69 6e 65 20 42 69 74 |ne..Trep|hine Bit|
|00000260| 20 2d 20 55 73 65 64 20 | 74 6f 20 64 72 69 6c 6c | - Used |to drill|
|00000270| 20 74 68 65 20 62 75 72 | 72 20 68 6f 6c 65 73 20 | the bur|r holes |
|00000280| 69 6e 20 74 68 65 20 73 | 6b 75 6c 6c 2e 00 54 72 |in the s|kull..Tr|
|00000290| 65 70 68 69 6e 65 20 44 | 72 69 6c 6c 20 2d 20 55 |ephine D|rill - U|
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|000002b0| 20 62 75 72 72 20 68 6f | 6c 65 73 20 69 6e 20 74 | burr ho|les in t|
|000002c0| 68 65 20 73 6b 75 6c 6c | 2e 00 42 6f 6e 65 20 53 |he skull|..Bone S|
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|000002e0| 20 73 61 77 20 62 65 74 | 77 65 65 6e 20 74 68 65 | saw bet|ween the|
|000002f0| 20 73 6b 75 6c 6c 20 62 | 75 72 72 20 68 6f 6c 65 | skull b|urr hole|
|00000300| 73 2e 00 42 6f 6e 65 20 | 53 61 77 20 2d 20 55 73 |s..Bone |Saw - Us|
|00000310| 65 64 20 74 6f 20 73 61 | 77 20 62 65 74 77 65 65 |ed to sa|w betwee|
|00000320| 6e 20 74 68 65 20 73 6b | 75 6c 6c 20 62 75 72 72 |n the sk|ull burr|
|00000330| 20 68 6f 6c 65 73 2e 00 | 46 69 6e 65 20 42 69 74 | holes..|Fine Bit|
|00000340| 20 2d 20 55 73 65 64 20 | 74 6f 20 64 72 69 6c 6c | - Used |to drill|
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|00000360| 20 74 68 65 20 73 6b 75 | 6c 6c 2e 00 46 69 6e 65 | the sku|ll..Fine|
|00000370| 20 44 72 69 6c 6c 20 2d | 20 55 73 65 64 20 74 6f | Drill -| Used to|
|00000380| 20 64 72 69 6c 6c 20 73 | 75 74 75 72 65 20 68 6f | drill s|uture ho|
|00000390| 6c 65 73 20 69 6e 20 74 | 68 65 20 73 6b 75 6c 6c |les in t|he skull|
|000003a0| 2e 00 53 6d 6f 6f 74 68 | 69 6e 67 20 42 69 74 20 |..Smooth|ing Bit |
|000003b0| 2d 20 55 73 65 64 20 74 | 6f 20 73 6d 6f 6f 74 68 |- Used t|o smooth|
|000003c0| 20 72 6f 75 67 68 20 62 | 6f 6e 65 20 65 64 67 65 | rough b|one edge|
|000003d0| 73 2e 00 53 6d 6f 6f 74 | 68 69 6e 67 20 44 72 69 |s..Smoot|hing Dri|
|000003e0| 6c 6c 20 2d 20 55 73 65 | 64 20 74 6f 20 73 6d 6f |ll - Use|d to smo|
|000003f0| 6f 74 68 20 72 6f 75 67 | 68 20 62 6f 6e 65 20 65 |oth roug|h bone e|
|00000400| 64 67 65 73 2e 00 45 6c | 65 63 74 72 6f 63 61 75 |dges..El|ectrocau|
|00000410| 74 65 72 69 7a 65 72 20 | 2d 20 55 73 65 64 20 74 |terizer |- Used t|
|00000420| 6f 20 63 61 75 74 65 72 | 69 7a 65 20 62 6c 65 65 |o cauter|ize blee|
|00000430| 64 65 72 73 2e 00 46 69 | 73 68 20 48 6f 6f 6b 73 |ders..Fi|sh Hooks|
|00000440| 20 2d 20 41 6e 63 68 6f | 72 73 20 74 68 65 20 73 | - Ancho|rs the s|
|00000450| 63 61 6c 70 20 66 6c 61 | 70 20 61 77 61 79 20 66 |calp fla|p away f|
|00000460| 72 6f 6d 20 74 68 65 20 | 73 6b 75 6c 6c 2e 00 52 |rom the |skull..R|
|00000470| 61 69 6e 65 79 20 43 6c | 69 70 20 2d 20 50 6c 61 |ainey Cl|ip - Pla|
|00000480| 63 65 64 20 6f 6e 20 74 | 68 65 20 73 63 61 6c 70 |ced on t|he scalp|
|00000490| 20 66 6c 61 70 20 61 73 | 20 69 74 20 69 73 20 69 | flap as| it is i|
|000004a0| 6e 63 69 73 65 64 2e 00 | 42 6f 6e 65 20 46 6c 61 |ncised..|Bone Fla|
|000004b0| 70 20 2d 20 54 68 69 73 | 20 69 73 20 74 68 65 20 |p - This| is the |
|000004c0| 70 6f 72 74 69 6f 6e 20 | 6f 66 20 74 68 65 20 73 |portion |of the s|
|000004d0| 6b 75 6c 6c 20 72 65 6d | 6f 76 65 64 20 70 72 65 |kull rem|oved pre|
|000004e0| 76 69 6f 75 73 6c 79 2e | 00 53 75 63 74 69 6f 6e |viously.|.Suction|
|000004f0| 20 2d 20 55 73 65 64 20 | 74 6f 20 72 65 6d 6f 76 | - Used |to remov|
|00000500| 65 20 74 68 65 20 73 75 | 62 64 75 72 61 6c 20 68 |e the su|bdural h|
|00000510| 65 6d 61 74 6f 6d 61 2e | 00 44 69 73 73 65 63 74 |ematoma.|.Dissect|
|00000520| 6f 72 20 2d 20 55 73 65 | 20 69 6e 20 65 61 63 68 |or - Use| in each|
|00000530| 20 62 75 72 72 20 68 6f | 6c 65 20 74 6f 20 73 65 | burr ho|le to se|
|00000540| 70 61 72 61 74 65 20 74 | 68 65 20 64 75 72 61 20 |parate t|he dura |
|00000550| 74 69 73 73 75 65 20 66 | 72 6f 6d 20 74 68 65 20 |tissue f|rom the |
|00000560| 73 6b 75 6c 6c 2e 00 42 | 6f 6e 65 20 57 61 78 20 |skull..B|one Wax |
|00000570| 2d 20 55 73 65 64 20 74 | 6f 20 73 74 6f 70 20 73 |- Used t|o stop s|
|00000580| 6d 61 6c 6c 20 62 6c 65 | 65 64 65 72 73 20 6f 6e |mall ble|eders on|
|00000590| 20 74 68 65 20 62 6f 6e | 65 20 65 64 67 65 73 2e | the bon|e edges.|
|000005a0| 00 53 6f 61 70 20 2d 20 | 53 68 6f 75 6c 64 20 62 |.Soap - |Should b|
|000005b0| 65 20 75 73 65 64 20 74 | 6f 20 63 6c 65 61 6e 20 |e used t|o clean |
|000005c0| 68 61 6e 64 73 2c 20 62 | 65 66 6f 72 65 20 70 75 |hands, b|efore pu|
|000005d0| 74 74 69 6e 67 20 6f 6e | 20 67 6c 6f 76 65 73 2e |tting on| gloves.|
|000005e0| 00 47 61 75 7a 65 20 53 | 74 72 69 70 73 20 2d 20 |.Gauze S|trips - |
|000005f0| 53 68 6f 75 6c 64 20 62 | 65 20 70 6c 61 63 65 64 |Should b|e placed|
|00000600| 20 75 6e 64 65 72 20 74 | 68 65 20 64 75 72 61 20 | under t|he dura |
|00000610| 74 69 73 73 75 65 20 66 | 6c 61 70 2c 20 70 72 65 |tissue f|lap, pre|
|00000620| 76 65 6e 74 73 20 64 72 | 79 69 6e 67 2e 00 44 72 |vents dr|ying..Dr|
|00000630| 61 70 65 20 2d 20 50 6c | 61 63 65 64 20 6f 76 65 |ape - Pl|aced ove|
|00000640| 72 20 74 68 65 20 70 61 | 74 69 65 6e 74 27 73 20 |r the pa|tient's |
|00000650| 68 65 61 64 2c 20 6f 75 | 74 6c 69 6e 65 73 20 6f |head, ou|tlines o|
|00000660| 70 65 72 61 74 69 6f 6e | 20 61 72 65 61 2e 00 43 |peration| area..C|
|00000670| 6f 74 74 6f 6e 20 53 77 | 61 62 73 20 2d 20 55 73 |otton Sw|abs - Us|
|00000680| 65 64 20 74 6f 20 77 69 | 70 65 20 62 6c 6f 6f 64 |ed to wi|pe blood|
|00000690| 20 66 72 6f 6d 20 74 69 | 73 73 75 65 2e 00 53 75 | from ti|ssue..Su|
|000006a0| 72 67 69 63 61 6c 20 47 | 6c 6f 76 65 73 20 2d 20 |rgical G|loves - |
|000006b0| 57 6f 72 6e 20 77 68 65 | 6e 20 6f 70 65 72 61 74 |Worn whe|n operat|
|000006c0| 69 6e 67 2e 00 41 6e 74 | 69 73 65 70 74 69 63 20 |ing..Ant|iseptic |
|000006d0| 2d 20 4d 75 73 74 20 62 | 65 20 61 70 70 6c 69 65 |- Must b|e applie|
|000006e0| 64 20 6f 76 65 72 20 65 | 6e 74 69 72 65 20 73 63 |d over e|ntire sc|
|000006f0| 61 6c 70 20 74 6f 20 70 | 72 65 76 65 6e 74 20 69 |alp to p|revent i|
|00000700| 6e 66 65 63 74 69 6f 6e | 2e 00 53 74 61 70 6c 65 |nfection|..Staple|
|00000710| 20 47 75 6e 20 2d 20 55 | 73 65 64 20 74 6f 20 61 | Gun - U|sed to a|
|00000720| 70 70 6c 79 20 73 6b 69 | 6e 20 63 6c 69 70 20 61 |pply ski|n clip a|
|00000730| 74 20 74 68 65 20 6f 70 | 65 72 61 74 69 6f 6e 20 |t the op|eration |
|00000740| 63 6c 6f 73 69 6e 67 2e | 00 44 72 61 69 6e 20 2d |closing.|.Drain -|
|00000750| 20 55 73 65 64 20 61 66 | 74 65 72 20 74 68 65 20 | Used af|ter the |
|00000760| 73 75 63 74 69 6f 6e 20 | 72 65 6d 6f 76 65 73 20 |suction |removes |
|00000770| 74 68 65 20 73 75 62 64 | 75 72 61 6c 20 68 65 6d |the subd|ural hem|
|00000780| 61 74 6f 6d 61 2e 00 53 | 75 74 75 72 65 73 20 2d |atoma..S|utures -|
|00000790| 20 55 73 65 64 20 74 6f | 20 63 6c 6f 73 65 20 69 | Used to| close i|
|000007a0| 6e 63 69 73 69 6f 6e 73 | 2c 20 6f 72 20 68 6f 6c |ncisions|, or hol|
|000007b0| 64 20 62 6f 6e 65 20 73 | 65 63 74 69 6f 6e 73 20 |d bone s|ections |
|000007c0| 69 6e 20 70 6c 61 63 65 | 2e 00 42 6c 6f 6f 64 20 |in place|..Blood |
|000007d0| 49 56 20 2d 20 53 68 6f | 75 6c 64 20 62 65 20 75 |IV - Sho|uld be u|
|000007e0| 73 65 64 20 77 68 65 6e | 20 63 75 74 74 69 6e 67 |sed when| cutting|
|000007f0| 20 74 69 73 73 75 65 2c | 20 68 65 6c 70 73 20 68 | tissue,| helps h|
|00000800| 6f 6c 64 20 62 6c 6f 6f | 64 20 70 72 65 73 73 75 |old bloo|d pressu|
|00000810| 72 65 2e 00 53 61 6c 69 | 6e 65 20 49 56 20 2d 20 |re..Sali|ne IV - |
|00000820| 53 61 6c 69 6e 65 20 73 | 6f 6c 75 74 69 6f 6e 20 |Saline s|olution |
|00000830| 64 72 69 70 2e 00 47 6c | 75 63 6f 73 65 20 49 56 |drip..Gl|ucose IV|
|00000840| 20 2d 20 47 6c 75 63 6f | 73 65 20 64 72 69 70 2e | - Gluco|se drip.|
|00000850| 00 4d 61 6e 6e 69 74 6f | 6c 20 49 56 20 2d 20 55 |.Mannito|l IV - U|
|00000860| 73 65 64 20 69 6e 20 63 | 61 73 65 20 6f 66 20 6c |sed in c|ase of l|
|00000870| 6f 77 20 75 72 69 6e 65 | 20 6f 75 74 70 75 74 2e |ow urine| output.|
|00000880| 00 4e 69 74 72 6f 70 72 | 75 73 73 69 64 65 20 2d |.Nitropr|usside -|
|00000890| 20 49 6e 64 75 63 65 73 | 20 68 79 70 6f 74 65 6e | Induces| hypoten|
|000008a0| 73 69 6f 6e 20 64 75 72 | 69 6e 67 20 74 68 65 20 |sion dur|ing the |
|000008b0| 61 6e 65 75 72 79 73 6d | 20 61 6e 64 20 74 75 6d |aneurysm| and tum|
|000008c0| 6f 72 20 6f 70 65 72 61 | 74 69 6f 6e 73 2e 00 41 |or opera|tions..A|
|000008d0| 6e 74 69 62 69 6f 74 69 | 63 73 20 2d 20 55 73 65 |ntibioti|cs - Use|
|000008e0| 64 20 74 6f 20 66 69 67 | 68 74 20 69 6e 66 65 63 |d to fig|ht infec|
|000008f0| 74 69 6f 6e 2e 00 44 6f | 70 61 6d 69 6e 65 20 2d |tion..Do|pamine -|
|00000900| 20 55 73 65 64 20 69 6e | 20 65 6d 65 72 67 65 6e | Used in| emergen|
|00000910| 63 79 20 74 6f 20 65 6c | 65 76 61 74 65 20 62 6c |cy to el|evate bl|
|00000920| 6f 6f 64 20 70 72 65 73 | 73 75 72 65 20 66 6f 72 |ood pres|sure for|
|00000930| 20 61 20 73 68 6f 72 74 | 20 74 69 6d 65 2e 00 41 | a short| time..A|
|00000940| 74 72 6f 70 69 6e 65 20 | 2d 20 55 73 65 64 20 69 |tropine |- Used i|
|00000950| 6e 20 65 6d 65 72 67 65 | 6e 63 79 20 63 61 73 65 |n emerge|ncy case|
|00000960| 20 6f 66 20 68 65 61 72 | 74 20 62 72 61 64 79 63 | of hear|t bradyc|
|00000970| 61 72 64 69 61 2e 00 4c | 69 64 6f 63 61 69 6e 65 |ardia..L|idocaine|
|00000980| 20 2d 20 55 73 65 64 20 | 69 6e 20 65 6d 65 72 67 | - Used |in emerg|
|00000990| 65 6e 63 79 20 63 61 73 | 65 20 6f 66 20 68 65 61 |ency cas|e of hea|
|000009a0| 72 74 20 50 56 43 2e 00 | 4d 69 63 72 6f 20 46 6f |rt PVC..|Micro Fo|
|000009b0| 72 63 65 70 73 20 2d 20 | 55 73 65 64 20 74 6f 20 |rceps - |Used to |
|000009c0| 65 6c 65 76 61 74 65 20 | 74 68 65 20 61 72 61 63 |elevate |the arac|
|000009d0| 68 6e 6f 69 64 20 6d 65 | 6d 62 72 61 6e 65 2e 00 |hnoid me|mbrane..|
|000009e0| 52 68 6f 74 6f 6e 20 44 | 69 73 73 65 63 74 6f 72 |Rhoton D|issector|
|000009f0| 20 2d 20 55 73 65 64 20 | 74 6f 20 72 65 6d 6f 76 | - Used |to remov|
|00000a00| 65 20 74 69 73 73 75 65 | 20 6c 61 79 65 72 73 20 |e tissue| layers |
|00000a10| 61 72 6f 75 6e 64 20 74 | 68 65 20 61 6e 65 75 72 |around t|he aneur|
|00000a20| 79 73 6d 2e 00 41 72 61 | 63 68 6e 6f 69 64 20 4b |ysm..Ara|chnoid K|
|00000a30| 6e 69 66 65 20 2d 20 55 | 73 65 64 20 74 6f 20 69 |nife - U|sed to i|
|00000a40| 6e 63 69 73 65 20 74 69 | 73 73 75 65 20 61 6e 64 |ncise ti|ssue and|
|00000a50| 20 6d 65 6d 62 72 61 6e | 65 2e 00 52 68 6f 74 6f | membran|e..Rhoto|
|00000a60| 6e 20 48 6f 6f 6b 20 2d | 20 55 73 65 64 20 74 6f |n Hook -| Used to|
|00000a70| 20 72 65 74 72 61 63 74 | 20 74 69 73 73 75 65 20 | retract| tissue |
|00000a80| 61 6e 64 20 76 65 69 6e | 73 20 61 72 6f 75 6e 64 |and vein|s around|
|00000a90| 20 74 68 65 20 61 6e 65 | 75 72 79 73 6d 2e 00 52 | the ane|urysm..R|
|00000aa0| 65 74 72 61 63 74 6f 72 | 20 2d 20 55 73 65 64 20 |etractor| - Used |
|00000ab0| 74 6f 20 72 65 74 72 61 | 63 74 20 61 6e 64 20 73 |to retra|ct and s|
|00000ac0| 65 70 61 72 61 74 65 20 | 66 72 6f 6e 74 61 6c 20 |eparate |frontal |
|00000ad0| 61 6e 64 20 74 65 6d 70 | 6f 72 61 6c 20 62 72 61 |and temp|oral bra|
|00000ae0| 69 6e 20 6c 6f 62 65 73 | 2e 00 4d 69 63 72 6f 73 |in lobes|..Micros|
|00000af0| 63 69 73 73 6f 72 73 20 | 2d 20 55 73 65 64 20 74 |cissors |- Used t|
|00000b00| 6f 20 69 6e 63 69 73 65 | 20 6d 65 6d 62 72 61 6e |o incise| membran|
|00000b10| 65 2e 00 49 72 72 69 67 | 61 74 6f 72 20 2d 20 4d |e..Irrig|ator - M|
|00000b20| 75 73 74 20 62 65 20 75 | 73 65 64 20 72 65 67 75 |ust be u|sed regu|
|00000b30| 6c 61 72 6c 79 20 74 6f | 20 70 72 65 76 65 6e 74 |larly to| prevent|
|00000b40| 20 62 72 61 69 6e 20 74 | 69 73 73 75 65 20 66 72 | brain t|issue fr|
|00000b50| 6f 6d 20 64 72 79 69 6e | 67 20 6f 75 74 2e 00 41 |om dryin|g out..A|
|00000b60| 6e 65 75 72 79 73 6d 20 | 43 6c 69 70 20 2d 20 41 |neurysm |Clip - A|
|00000b70| 70 70 6c 69 65 64 20 74 | 6f 20 74 68 65 20 6e 65 |pplied t|o the ne|
|00000b80| 63 6b 20 6f 66 20 74 68 | 65 20 61 6e 65 75 72 79 |ck of th|e aneury|
|00000b90| 73 6d 2e 00 53 75 63 74 | 69 6f 6e 20 2d 20 55 73 |sm..Suct|ion - Us|
|00000ba0| 65 64 20 74 6f 20 72 65 | 6d 6f 76 65 20 62 72 61 |ed to re|move bra|
|00000bb0| 69 6e 20 74 69 73 73 75 | 65 20 63 6f 6e 74 61 69 |in tissu|e contai|
|00000bc0| 6e 69 6e 67 20 74 68 65 | 20 74 75 6d 6f 72 2e 00 |ning the| tumor..|
|00000bd0| 55 6c 74 72 61 73 63 61 | 6e 20 53 65 6e 73 6f 72 |Ultrasca|n Sensor|
|00000be0| 20 2d 20 55 73 65 64 20 | 74 6f 20 70 72 6f 62 65 | - Used |to probe|
|00000bf0| 20 62 72 61 69 6e 20 74 | 69 73 73 75 65 20 66 6f | brain t|issue fo|
|00000c00| 72 20 61 20 74 75 6d 6f | 72 2e 00 54 68 65 20 50 |r a tumo|r..The P|
|00000c10| 61 74 69 65 6e 74 20 2d | 20 48 6f 70 65 66 75 6c |atient -| Hopeful|
|00000c20| 6c 79 2c 20 79 6f 75 20 | 6b 6e 6f 77 20 77 68 61 |ly, you |know wha|
|00000c30| 74 20 74 6f 20 64 6f 20 | 77 69 74 68 20 68 69 6d |t to do |with him|
|00000c40| 2e 00 50 6c 65 61 73 65 | 20 44 6f 63 74 6f 72 21 |..Please| Doctor!|
|00000c50| 20 20 48 6f 77 20 72 75 | 64 65 2e 2e 2e 00 44 6f |  How ru|de....Do|
|00000c60| 63 74 6f 72 2c 20 6b 69 | 64 6e 65 79 73 20 68 61 |ctor, ki|dneys ha|
|00000c70| 76 65 20 66 61 69 6c 65 | 64 21 00 46 61 74 61 6c |ve faile|d!.Fatal|
|00000c80| 20 20 6c 69 64 6f 63 61 | 69 6e 65 20 20 69 6e 6a |  lidoca|ine  inj|
|00000c90| 65 63 74 69 6f 6e 2e 00 | 46 61 74 61 6c 20 20 61 |ection..|Fatal  a|
|00000ca0| 74 72 6f 70 69 6e 65 20 | 20 69 6e 6a 65 63 74 69 |tropine | injecti|
|00000cb0| 6f 6e 2e 00 46 61 74 61 | 6c 20 62 6c 6f 6f 64 20 |on..Fata|l blood |
|00000cc0| 70 72 65 73 73 75 72 65 | 20 64 72 6f 70 2e 00 46 |pressure| drop..F|
|00000cd0| 61 74 61 6c 20 6c 6f 73 | 73 20 6f 66 20 62 6c 6f |atal los|s of blo|
|00000ce0| 6f 64 2e 00 46 61 74 61 | 6c 20 50 43 4f 32 20 6c |od..Fata|l PCO2 l|
|00000cf0| 65 76 65 6c 2c 20 44 6f | 63 74 6f 72 2e 00 46 61 |evel, Do|ctor..Fa|
|00000d00| 74 61 6c 20 63 6c 6f 74 | 74 69 6e 67 20 66 72 6f |tal clot|ting fro|
|00000d10| 6d 20 65 6d 70 74 79 20 | 49 56 2e 00 46 61 74 61 |m empty |IV..Fata|
|00000d20| 6c 20 68 65 61 72 74 20 | 72 68 79 74 68 6d 2c 20 |l heart |rhythm, |
|00000d30| 44 6f 63 74 6f 72 2e 00 | 44 6f 63 74 6f 72 2c 20 |Doctor..|Doctor, |
|00000d40| 79 6f 75 20 71 75 61 63 | 6b 21 20 20 47 65 74 20 |you quac|k!  Get |
|00000d50| 6f 75 74 20 6f 66 20 68 | 65 72 65 21 21 21 00 59 |out of h|ere!!!.Y|
|00000d60| 6f 75 20 64 72 69 6c 6c | 65 64 20 61 20 66 65 77 |ou drill|ed a few|
|00000d70| 20 74 6f 6f 20 6d 61 6e | 79 20 68 6f 6c 65 73 2e | too man|y holes.|
|00000d80| 00 4e 6f 20 69 72 72 69 | 67 61 74 6f 72 2c 20 66 |.No irri|gator, f|
|00000d90| 61 74 61 6c 20 68 65 61 | 74 20 62 75 69 6c 64 20 |atal hea|t build |
|00000da0| 75 70 2e 00 59 6f 75 20 | 6d 69 73 73 65 64 20 74 |up..You |missed t|
|00000db0| 68 65 20 69 72 72 69 67 | 61 74 69 6f 6e 20 66 6c |he irrig|ation fl|
|00000dc0| 75 69 64 2e 00 59 6f 75 | 20 73 6b 69 64 64 65 64 |uid..You| skidded|
|00000dd0| 20 74 68 65 20 64 72 69 | 6c 6c 2c 20 44 6f 63 74 | the dri|ll, Doct|
|00000de0| 6f 72 2e 00 59 6f 75 20 | 64 72 69 6c 6c 65 64 20 |or..You |drilled |
|00000df0| 69 6e 74 6f 20 74 68 65 | 20 62 72 61 69 6e 2c 20 |into the| brain, |
|00000e00| 44 6f 63 74 6f 72 21 00 | 59 6f 75 20 73 61 77 65 |Doctor!.|You sawe|
|00000e10| 64 20 74 68 72 6f 75 67 | 68 20 68 65 72 65 20 74 |d throug|h here t|
|00000e20| 77 69 63 65 21 00 44 75 | 72 61 20 74 69 73 73 75 |wice!.Du|ra tissu|
|00000e30| 65 20 74 6f 72 6e 2c 20 | 64 69 73 73 65 63 74 6f |e torn, |dissecto|
|00000e40| 72 20 77 61 73 20 6e 6f | 74 20 75 73 65 64 20 69 |r was no|t used i|
|00000e50| 6e 20 61 6c 6c 20 68 6f | 6c 65 73 2e 00 44 6f 63 |n all ho|les..Doc|
|00000e60| 2c 20 79 6f 75 20 6d 69 | 73 73 65 64 20 74 68 65 |, you mi|ssed the|
|00000e70| 20 72 69 62 62 6f 6e 20 | 61 6e 64 20 64 72 69 6c | ribbon |and dril|
|00000e80| 6c 65 64 20 74 68 65 20 | 62 72 61 69 6e 2e 00 50 |led the |brain..P|
|00000e90| 61 74 69 65 6e 74 20 77 | 61 73 20 75 6e 64 65 72 |atient w|as under|
|00000ea0| 20 6e 69 74 72 6f 70 72 | 75 73 73 69 64 65 20 74 | nitropr|usside t|
|00000eb0| 6f 6f 20 6c 6f 6e 67 2c | 20 44 72 2e 00 44 75 72 |oo long,| Dr..Dur|
|00000ec0| 61 20 64 72 69 65 64 20 | 6f 75 74 2c 20 6e 6f 20 |a dried |out, no |
|00000ed0| 67 61 75 7a 65 20 73 74 | 72 69 70 73 20 77 65 72 |gauze st|rips wer|
|00000ee0| 65 20 75 73 65 64 2e 00 | 59 6f 75 20 64 69 64 6e |e used..|You didn|
|00000ef0| 27 74 20 69 6e 64 75 63 | 65 20 68 79 70 6f 74 65 |'t induc|e hypote|
|00000f00| 6e 73 69 6f 6e 2c 20 44 | 6f 63 74 6f 72 21 00 59 |nsion, D|octor!.Y|
|00000f10| 6f 75 20 63 75 74 20 74 | 6f 74 61 6c 6c 79 20 74 |ou cut t|otally t|
|00000f20| 68 72 6f 75 67 68 20 74 | 68 65 20 64 75 72 61 2e |hrough t|he dura.|
|00000f30| 00 59 6f 75 20 6d 69 73 | 73 65 64 20 74 68 65 20 |.You mis|sed the |
|00000f40| 73 79 6c 76 61 6e 20 66 | 69 73 73 75 72 65 2e 00 |sylvan f|issure..|
|00000f50| 59 6f 75 20 73 68 6f 75 | 6c 64 20 68 61 76 65 20 |You shou|ld have |
|00000f60| 6c 69 66 74 65 64 20 74 | 68 65 20 61 72 61 63 68 |lifted t|he arach|
|00000f70| 6e 6f 69 64 20 77 69 74 | 68 20 74 68 65 20 66 6f |noid wit|h the fo|
|00000f80| 72 63 65 70 73 2e 00 59 | 6f 75 20 70 75 6c 6c 65 |rceps..Y|ou pulle|
|00000f90| 64 20 74 68 65 20 6c 6f | 62 65 73 20 61 70 61 72 |d the lo|bes apar|
|00000fa0| 74 20 74 6f 6f 20 6d 75 | 63 68 2e 00 44 6f 63 74 |t too mu|ch..Doct|
|00000fb0| 6f 72 2c 20 79 6f 75 20 | 64 61 6d 61 67 65 64 20 |or, you |damaged |
|00000fc0| 74 68 65 20 6f 70 74 69 | 63 20 6e 65 72 76 65 2e |the opti|c nerve.|
|00000fd0| 00 44 6f 63 74 6f 72 2c | 20 79 6f 75 20 63 75 74 |.Doctor,| you cut|
|00000fe0| 20 74 68 65 20 63 61 72 | 6f 74 69 64 20 61 72 74 | the car|otid art|
|00000ff0| 65 72 79 2e 00 44 6f 63 | 74 6f 72 2c 20 79 6f 75 |ery..Doc|tor, you|
|00001000| 20 63 75 74 20 74 68 65 | 20 62 72 61 69 6e 20 6c | cut the| brain l|
|00001010| 6f 62 65 2e 00 4f 4b 2c | 20 44 6f 63 2c 20 74 6f |obe..OK,| Doc, to|
|00001020| 6f 20 6d 61 6e 79 20 68 | 6f 6c 65 73 2e 00 59 6f |o many h|oles..Yo|
|00001030| 75 20 73 75 63 6b 65 64 | 20 6f 75 74 20 70 61 72 |u sucked| out par|
|00001040| 74 20 6f 66 20 74 68 65 | 20 62 72 61 69 6e 21 00 |t of the| brain!.|
|00001050| 44 75 72 61 20 72 69 70 | 70 65 64 2c 20 6e 6f 74 |Dura rip|ped, not|
|00001060| 20 65 6e 6f 75 67 68 20 | 73 75 74 75 72 65 73 2e | enough |sutures.|
|00001070| 00 44 6f 63 74 6f 72 2c | 20 74 68 65 20 62 72 61 |.Doctor,| the bra|
|00001080| 69 6e 20 64 72 69 65 64 | 20 6f 75 74 21 00 52 6f |in dried| out!.Ro|
|00001090| 75 67 68 20 62 6f 6e 65 | 20 65 64 67 65 73 20 73 |ugh bone| edges s|
|000010a0| 6c 61 73 68 65 64 20 74 | 68 65 20 64 75 72 61 2e |lashed t|he dura.|
|000010b0| 00 43 6f 6e 67 72 61 74 | 73 20 44 6f 63 2c 20 79 |.Congrat|s Doc, y|
|000010c0| 6f 75 20 61 72 65 20 66 | 69 6e 69 73 68 65 64 20 |ou are f|inished |
|000010d0| 77 69 74 68 20 74 68 65 | 20 6f 70 65 72 61 74 69 |with the| operati|
|000010e0| 6f 6e 2e 00 44 6f 63 74 | 6f 72 2c 20 73 68 6f 75 |on..Doct|or, shou|
|000010f0| 6c 64 6e 27 74 20 74 68 | 61 74 20 6f 70 65 72 61 |ldn't th|at opera|
|00001100| 74 69 6f 6e 20 68 61 76 | 65 20 74 61 6b 65 6e 20 |tion hav|e taken |
|00001110| 61 20 6c 69 74 74 6c 65 | 20 6c 6f 6e 67 65 72 3f |a little| longer?|
|00001120| 00 59 6f 75 20 74 75 72 | 6e 65 64 20 74 68 65 20 |.You tur|ned the |
|00001130| 68 65 61 64 20 74 68 65 | 20 77 72 6f 6e 67 20 64 |head the| wrong d|
|00001140| 69 72 65 63 74 69 6f 6e | 2c 20 44 6f 63 74 6f 72 |irection|, Doctor|
|00001150| 2e 00 55 68 20 6f 68 2c | 20 74 68 69 73 20 70 61 |..Uh oh,| this pa|
|00001160| 74 69 65 6e 74 20 68 61 | 73 20 61 6e 20 69 6e 66 |tient ha|s an inf|
|00001170| 61 72 63 74 69 6f 6e 2e | 00 4b 6e 6f 77 20 77 68 |arction.|.Know wh|
|00001180| 61 74 3f 20 54 68 69 73 | 20 70 61 74 69 65 6e 74 |at? This| patient|
|00001190| 20 68 61 64 20 61 20 73 | 75 62 64 75 72 61 6c 20 | had a s|ubdural |
|000011a0| 68 65 6d 61 74 6f 6d 61 | 2e 00 48 61 74 65 20 74 |hematoma|..Hate t|
|000011b0| 6f 20 74 65 6c 6c 20 79 | 6f 75 20 44 6f 63 2c 20 |o tell y|ou Doc, |
|000011c0| 62 75 74 20 70 61 74 69 | 65 6e 74 20 68 61 64 20 |but pati|ent had |
|000011d0| 61 6e 20 61 6e 65 75 72 | 79 73 6d 2e 00 47 65 65 |an aneur|ysm..Gee|
|000011e0| 20 44 6f 63 74 6f 72 2c | 20 70 61 74 69 65 6e 74 | Doctor,| patient|
|000011f0| 20 68 61 64 20 61 20 74 | 75 6d 6f 72 2e 00 53 6f | had a t|umor..So|
|00001200| 72 72 79 20 44 6f 63 2c | 20 74 68 65 20 70 61 74 |rry Doc,| the pat|
|00001210| 69 65 6e 74 20 6f 6e 6c | 79 20 68 61 64 20 61 20 |ient onl|y had a |
|00001220| 6d 69 67 72 61 69 6e 65 | 2e 00 57 72 6f 6e 67 20 |migraine|..Wrong |
|00001230| 61 6e 73 77 65 72 20 44 | 6f 63 2c 20 70 61 74 69 |answer D|oc, pati|
|00001240| 65 6e 74 20 68 61 64 20 | 68 79 73 74 65 72 69 61 |ent had |hysteria|
|00001250| 2e 00 57 68 6f 61 2c 20 | 74 68 69 73 20 70 61 74 |..Whoa, |this pat|
|00001260| 69 65 6e 74 20 68 61 64 | 20 6c 6f 77 65 72 20 6d |ient had| lower m|
|00001270| 6f 74 6f 72 20 6e 65 75 | 72 6f 6e 20 64 69 73 65 |otor neu|ron dise|
|00001280| 61 73 65 2e 00 54 6f 6f | 20 62 61 64 2c 20 70 61 |ase..Too| bad, pa|
|00001290| 74 69 65 6e 74 20 68 61 | 64 20 63 6f 63 61 69 6e |tient ha|d cocain|
|000012a0| 65 20 61 64 64 69 63 74 | 69 6f 6e 2e 00 53 6f 72 |e addict|ion..Sor|
|000012b0| 72 79 20 61 62 6f 75 74 | 20 74 68 61 74 2c 20 70 |ry about| that, p|
|000012c0| 61 74 69 65 6e 74 20 68 | 61 64 20 6d 6f 72 70 68 |atient h|ad morph|
|000012d0| 69 6e 65 20 61 64 64 69 | 63 74 69 6f 6e 2e 00 4f |ine addi|ction..O|
|000012e0| 6f 6f 70 73 2c 20 74 68 | 69 73 20 70 6f 6f 72 20 |oops, th|is poor |
|000012f0| 70 61 74 69 65 6e 74 20 | 6f 6e 6c 79 20 68 61 64 |patient |only had|
|00001300| 20 61 20 68 65 61 64 61 | 63 68 65 2e 00 59 6f 75 | a heada|che..You|
|00001310| 20 68 61 76 65 20 6c 6f | 77 65 72 65 64 20 74 68 | have lo|wered th|
|00001320| 65 20 70 61 74 69 65 6e | 74 27 73 20 49 2e 51 2e |e patien|t's I.Q.|
|00001330| 20 65 6e 6f 75 67 68 2e | 00 53 70 69 6e 61 6c 20 | enough.|.Spinal |
|00001340| 74 61 70 20 6c 65 66 74 | 20 6f 70 65 6e 20 74 6f |tap left| open to|
|00001350| 6f 20 6c 6f 6e 67 2c 20 | 44 6f 63 74 6f 72 21 00 |o long, |Doctor!.|
|00001360| 50 61 74 69 65 6e 74 20 | 64 69 65 64 20 6f 66 20 |Patient |died of |
|00001370| 68 79 70 65 72 76 65 6e | 74 69 6c 61 74 69 6f 6e |hyperven|tilation|
|00001380| 2c 20 44 6f 63 74 6f 72 | 21 00 44 6f 63 74 6f 72 |, Doctor|!.Doctor|
|00001390| 2c 20 74 68 65 20 70 61 | 74 69 65 6e 74 20 68 61 |, the pa|tient ha|
|000013a0| 73 20 73 6c 69 70 70 65 | 64 20 61 77 61 79 2e 00 |s slippe|d away..|
|000013b0| 44 6f 70 61 6d 69 6e 65 | 20 61 6e 64 20 6e 69 74 |Dopamine| and nit|
|000013c0| 72 6f 70 72 75 73 73 69 | 64 65 20 64 6f 20 6e 6f |roprussi|de do no|
|000013d0| 74 20 6d 69 78 2c 20 44 | 6f 63 74 6f 72 2e 00 57 |t mix, D|octor..W|
|000013e0| 65 6c 63 6f 6d 65 20 74 | 6f 20 74 68 65 20 4f 2e |elcome t|o the O.|
|000013f0| 52 2e 20 50 72 65 73 73 | 20 52 49 47 48 54 20 6d |R. Press| RIGHT m|
|00001400| 6f 75 73 65 20 62 75 74 | 74 6f 6e 20 74 6f 20 69 |ouse but|ton to i|
|00001410| 64 65 6e 74 69 66 79 20 | 74 6f 6f 6c 73 2e 20 47 |dentify |tools. G|
|00001420| 6f 6f 64 20 4c 75 63 6b | 21 00 42 6c 6f 6f 64 20 |ood Luck|!.Blood |
|00001430| 6c 6f 61 64 65 64 20 69 | 6e 74 6f 20 74 68 65 20 |loaded i|nto the |
|00001440| 49 56 2c 20 44 6f 63 74 | 6f 72 2e 00 47 6c 75 63 |IV, Doct|or..Gluc|
|00001450| 6f 73 65 20 69 73 20 6e | 6f 77 20 6c 6f 61 64 65 |ose is n|ow loade|
|00001460| 64 20 69 6e 20 74 68 65 | 20 49 56 2c 20 44 6f 63 |d in the| IV, Doc|
|00001470| 74 6f 72 2e 00 44 6f 63 | 74 6f 72 2c 20 74 68 65 |tor..Doc|tor, the|
|00001480| 20 6d 61 6e 6e 69 74 6f | 6c 20 69 73 20 6c 6f 61 | mannito|l is loa|
|00001490| 64 65 64 2e 00 53 61 6c | 69 6e 65 20 68 61 73 20 |ded..Sal|ine has |
|000014a0| 62 65 65 6e 20 61 64 64 | 65 64 20 74 6f 20 74 68 |been add|ed to th|
|000014b0| 65 20 49 56 2c 20 44 6f | 63 74 6f 72 2e 00 50 43 |e IV, Do|ctor..PC|
|000014c0| 4f 32 20 6c 65 76 65 6c | 20 69 73 20 6e 6f 72 6d |O2 level| is norm|
|000014d0| 61 6c 20 6e 6f 77 2c 20 | 44 6f 63 74 6f 72 2e 00 |al now, |Doctor..|
|000014e0| 4c 69 64 6f 63 61 69 6e | 65 20 69 6e 6a 65 63 74 |Lidocain|e inject|
|000014f0| 69 6f 6e 20 77 61 73 20 | 73 75 63 63 65 73 73 66 |ion was |successf|
|00001500| 75 6c 2e 00 44 6f 70 61 | 6d 69 6e 65 20 69 6e 6a |ul..Dopa|mine inj|
|00001510| 65 63 74 69 6f 6e 20 73 | 75 63 63 65 73 73 66 75 |ection s|uccessfu|
|00001520| 6c 2e 00 41 74 72 6f 70 | 69 6e 65 20 69 6e 6a 65 |l..Atrop|ine inje|
|00001530| 63 74 69 6f 6e 20 73 75 | 63 63 65 73 73 66 75 6c |ction su|ccessful|
|00001540| 2e 00 4e 69 74 72 6f 70 | 72 75 73 73 69 64 65 20 |..Nitrop|russide |
|00001550| 61 64 6d 69 6e 69 73 74 | 65 72 65 64 2c 20 44 6f |administ|ered, Do|
|00001560| 63 74 6f 72 2e 00 41 6e | 74 69 62 69 6f 74 69 63 |ctor..An|tibiotic|
|00001570| 20 69 6e 6a 65 63 74 69 | 6f 6e 20 73 75 63 63 65 | injecti|on succe|
|00001580| 73 73 66 75 6c 2e 00 53 | 70 69 6e 61 6c 20 74 61 |ssful..S|pinal ta|
|00001590| 70 20 69 73 20 6f 70 65 | 6e 2c 20 44 6f 63 74 6f |p is ope|n, Docto|
|000015a0| 72 2e 00 53 70 69 6e 61 | 6c 20 74 61 70 20 69 73 |r..Spina|l tap is|
|000015b0| 20 6e 6f 77 20 63 6c 6f | 73 65 64 2c 20 44 6f 63 | now clo|sed, Doc|
|000015c0| 74 6f 72 2e 00 54 68 65 | 20 62 72 61 69 6e 20 69 |tor..The| brain i|
|000015d0| 73 20 74 69 67 68 74 2c | 20 44 6f 63 74 6f 72 2e |s tight,| Doctor.|
|000015e0| 00 54 68 65 20 62 72 61 | 69 6e 20 69 73 20 72 65 |.The bra|in is re|
|000015f0| 6c 61 78 65 64 2c 20 44 | 6f 63 74 6f 72 2e 00 53 |laxed, D|octor..S|
|00001600| 65 74 20 74 6f 20 62 72 | 61 69 6e 20 74 69 73 73 |et to br|ain tiss|
|00001610| 75 65 20 6c 61 79 65 72 | 20 31 2e 00 53 65 74 20 |ue layer| 1..Set |
|00001620| 74 6f 20 62 72 61 69 6e | 20 74 69 73 73 75 65 20 |to brain| tissue |
|00001630| 6c 61 79 65 72 20 32 2e | 00 53 65 74 20 74 6f 20 |layer 2.|.Set to |
|00001640| 62 72 61 69 6e 20 74 69 | 73 73 75 65 20 6c 61 79 |brain ti|ssue lay|
|00001650| 65 72 20 33 2e 00 4f 66 | 66 20 74 6f 20 74 68 65 |er 3..Of|f to the|
|00001660| 20 67 6f 6c 66 20 63 6f | 75 72 73 65 2c 20 44 6f | golf co|urse, Do|
|00001670| 63 3f 00 4f 6b 20 65 76 | 65 72 79 6f 6e 65 2c 20 |c?.Ok ev|eryone, |
|00001680| 74 61 6b 65 20 66 69 76 | 65 21 00 54 61 6b 69 6e |take fiv|e!.Takin|
|00001690| 67 20 61 20 62 72 65 61 | 6b 2c 20 65 68 20 44 6f |g a brea|k, eh Do|
|000016a0| 63 3f 00 50 6c 65 61 73 | 65 20 72 65 6d 6f 76 65 |c?.Pleas|e remove|
|000016b0| 20 69 72 72 69 67 61 74 | 6f 72 20 62 65 66 6f 72 | irrigat|or befor|
|000016c0| 65 20 63 6f 6e 74 69 6e | 75 69 6e 67 2e 00 50 6c |e contin|uing..Pl|
|000016d0| 65 61 73 65 20 63 6c 6f | 73 65 20 74 68 65 20 6f |ease clo|se the o|
|000016e0| 70 65 6e 20 64 72 61 77 | 65 72 20 66 69 72 73 74 |pen draw|er first|
|000016f0| 2e 00 59 6f 75 20 68 61 | 76 65 6e 27 74 20 63 75 |..You ha|ven't cu|
|00001700| 74 20 66 61 72 20 65 6e | 6f 75 67 68 20 6f 6e 20 |t far en|ough on |
|00001710| 74 68 65 20 64 75 72 61 | 2e 00 50 6c 65 61 73 65 |the dura|..Please|
|00001720| 20 72 65 6d 6f 76 65 20 | 74 68 65 20 72 65 74 72 | remove |the retr|
|00001730| 61 63 74 6f 72 73 20 66 | 69 72 73 74 2e 00 43 61 |actors f|irst..Ca|
|00001740| 6e 27 74 20 70 69 63 6b | 20 75 70 20 64 75 72 61 |n't pick| up dura|
|00001750| 20 61 66 74 65 72 20 73 | 75 74 75 72 69 6e 67 2e | after s|uturing.|
|00001760| 00 43 61 6e 27 74 20 72 | 65 61 63 68 20 74 68 65 |.Can't r|each the|
|00001770| 20 62 6f 6e 65 20 66 6c | 61 70 20 73 75 74 75 72 | bone fl|ap sutur|
|00001780| 65 20 68 6f 6c 65 2e 00 | 43 61 6e 27 74 20 70 69 |e hole..|Can't pi|
|00001790| 63 6b 20 75 70 20 62 6f | 6e 65 20 66 6c 61 70 20 |ck up bo|ne flap |
|000017a0| 61 66 74 65 72 20 73 75 | 74 75 72 69 6e 67 2e 00 |after su|turing..|
|000017b0| 54 68 65 72 65 20 77 61 | 73 20 6e 6f 20 63 65 6e |There wa|s no cen|
|000017c0| 74 65 72 20 73 75 74 75 | 72 65 20 74 6f 20 63 6f |ter sutu|re to co|
|000017d0| 6e 6e 65 63 74 2e 00 50 | 6c 65 61 73 65 20 72 65 |nnect..P|lease re|
|000017e0| 6d 6f 76 65 20 69 72 72 | 69 67 61 74 6f 72 20 62 |move irr|igator b|
|000017f0| 65 66 6f 72 65 20 6d 6f | 76 69 6e 67 20 6d 69 63 |efore mo|ving mic|
|00001800| 72 6f 73 63 6f 70 65 2e | 00 54 75 72 6e 20 74 68 |roscope.|.Turn th|
|00001810| 65 20 70 61 74 69 65 6e | 74 27 73 20 68 65 61 64 |e patien|t's head|
|00001820| 20 66 69 72 73 74 2c 20 | 44 6f 63 74 6f 72 2e 00 | first, |Doctor..|
|00001830| 50 6c 65 61 73 65 20 63 | 75 74 20 6f 6e 20 74 68 |Please c|ut on th|
|00001840| 65 20 64 6f 74 74 65 64 | 20 6c 69 6e 65 2c 20 44 |e dotted| line, D|
|00001850| 6f 63 74 6f 72 2e 00 50 | 6c 65 61 73 65 20 66 6f |octor..P|lease fo|
|00001860| 6c 6c 6f 77 20 74 68 65 | 20 65 64 67 65 20 6f 66 |llow the| edge of|
|00001870| 20 74 68 65 20 62 6f 6e | 65 2e 00 49 6e 6a 65 63 | the bon|e..Injec|
|00001880| 74 20 69 6e 74 6f 20 73 | 6f 66 74 20 66 6c 65 73 |t into s|oft fles|
|00001890| 68 2c 20 44 6f 63 74 6f | 72 2e 00 54 6f 6f 20 63 |h, Docto|r..Too c|
|000018a0| 6c 6f 73 65 20 74 6f 20 | 74 68 65 20 65 64 67 65 |lose to |the edge|
|000018b0| 2c 20 44 6f 63 74 6f 72 | 2e 00 44 6f 6e 27 74 20 |, Doctor|..Don't |
|000018c0| 63 6f 6c 6f 72 20 6f 75 | 74 73 69 64 65 20 74 68 |color ou|tside th|
|000018d0| 65 20 6c 69 6e 65 73 2c | 20 44 6f 63 74 6f 72 2e |e lines,| Doctor.|
|000018e0| 00 43 6c 69 70 20 64 6f | 65 73 6e 27 74 20 67 6f |.Clip do|esn't go|
|000018f0| 20 74 68 65 72 65 2e 20 | 20 50 61 79 20 61 74 74 | there. | Pay att|
|00001900| 65 6e 74 69 6f 6e 2c 20 | 44 6f 63 74 6f 72 2e 00 |ention, |Doctor..|
|00001910| 50 6c 65 61 73 65 20 63 | 6f 6e 74 69 6e 75 65 20 |Please c|ontinue |
|00001920| 66 72 6f 6d 20 6c 61 73 | 74 20 69 6e 63 69 73 69 |from las|t incisi|
|00001930| 6f 6e 2e 00 50 75 74 20 | 74 68 61 74 20 6f 6e 20 |on..Put |that on |
|00001940| 74 68 65 20 49 56 20 73 | 74 61 6e 64 2c 20 70 6c |the IV s|tand, pl|
|00001950| 65 61 73 65 2e 00 49 6e | 73 65 72 74 20 6f 6e 6c |ease..In|sert onl|
|00001960| 79 20 69 6e 74 6f 20 74 | 68 65 20 62 75 72 72 20 |y into t|he burr |
|00001970| 68 6f 6c 65 73 2c 20 44 | 6f 63 74 6f 72 2e 00 59 |holes, D|octor..Y|
|00001980| 6f 75 20 6d 75 73 74 20 | 63 75 74 20 66 72 6f 6d |ou must |cut from|
|00001990| 20 74 68 65 20 62 75 72 | 72 20 68 6f 6c 65 73 2e | the bur|r holes.|
|000019a0| 00 50 6c 65 61 73 65 20 | 63 6f 6e 74 69 6e 75 65 |.Please |continue|
|000019b0| 20 66 72 6f 6d 20 6c 61 | 73 74 20 63 75 74 2e 00 | from la|st cut..|
|000019c0| 53 61 77 20 69 6e 20 61 | 20 73 74 72 61 69 67 68 |Saw in a| straigh|
|000019d0| 74 20 6c 69 6e 65 2c 20 | 44 6f 63 74 6f 72 2e 00 |t line, |Doctor..|
|000019e0| 55 73 65 20 73 6d 6f 6f | 74 68 69 6e 67 20 62 69 |Use smoo|thing bi|
|000019f0| 74 20 6f 6e 20 72 6f 75 | 67 68 20 62 6f 6e 65 20 |t on rou|gh bone |
|00001a00| 65 64 67 65 73 2c 20 44 | 6f 63 74 6f 72 2e 00 50 |edges, D|octor..P|
|00001a10| 6c 61 63 65 20 72 69 62 | 62 6f 6e 20 6f 76 65 72 |lace rib|bon over|
|00001a20| 20 74 68 65 20 73 6b 75 | 6c 6c 20 6f 70 65 6e 69 | the sku|ll openi|
|00001a30| 6e 67 2e 00 54 68 61 74 | 27 73 20 70 6c 65 6e 74 |ng..That|'s plent|
|00001a40| 79 20 6f 66 20 73 75 74 | 75 72 65 73 21 00 47 61 |y of sut|ures!.Ga|
|00001a50| 75 7a 65 20 64 6f 65 73 | 6e 27 74 20 67 6f 20 61 |uze does|n't go a|
|00001a60| 74 20 74 68 69 73 20 70 | 61 72 74 69 63 75 6c 61 |t this p|articula|
|00001a70| 72 20 73 70 6f 74 2e 00 | 44 6f 6e 27 74 20 70 6c |r spot..|Don't pl|
|00001a80| 61 63 65 20 74 68 65 20 | 62 6f 6e 65 20 66 6c 61 |ace the |bone fla|
|00001a90| 70 20 6f 6e 20 74 68 65 | 20 66 69 73 68 20 68 6f |p on the| fish ho|
|00001aa0| 6f 6b 73 2c 20 44 6f 63 | 74 6f 72 2e 00 52 65 74 |oks, Doc|tor..Ret|
|00001ab0| 72 61 63 74 6f 72 20 69 | 73 20 61 6c 72 65 61 64 |ractor i|s alread|
|00001ac0| 79 20 69 6e 20 70 6c 61 | 63 65 20 68 65 72 65 2e |y in pla|ce here.|
|00001ad0| 00 41 6e 65 75 72 79 73 | 6d 20 63 6c 69 70 20 64 |.Aneurys|m clip d|
|00001ae0| 6f 65 73 6e 27 74 20 67 | 6f 20 68 65 72 65 2e 00 |oesn't g|o here..|
|00001af0| 53 75 63 74 69 6f 6e 20 | 6d 75 73 74 20 62 65 20 |Suction |must be |
|00001b00| 70 6c 61 63 65 64 20 69 | 6e 20 62 75 72 72 20 68 |placed i|n burr h|
|00001b10| 6f 6c 65 2e 00 50 75 74 | 20 73 75 74 75 72 65 73 |ole..Put| sutures|
|00001b20| 20 6f 6e 20 74 68 65 20 | 69 6e 63 69 73 69 6f 6e | on the |incision|
|00001b30| 2c 20 44 6f 63 74 6f 72 | 2e 00 43 75 74 20 6f 6e |, Doctor|..Cut on|
|00001b40| 6c 79 20 69 6e 20 74 68 | 65 20 62 75 72 72 20 68 |ly in th|e burr h|
|00001b50| 6f 6c 65 2c 20 44 6f 63 | 2e 00 44 6f 6e 27 74 20 |ole, Doc|..Don't |
|00001b60| 64 72 69 6c 6c 20 68 65 | 72 65 2c 20 79 6f 75 20 |drill he|re, you |
|00001b70| 63 6f 75 6c 64 20 68 75 | 72 74 20 73 6f 6d 65 6f |could hu|rt someo|
|00001b80| 6e 65 2e 00 53 74 61 70 | 6c 65 73 20 67 6f 20 4f |ne..Stap|les go O|
|00001b90| 4e 20 74 68 65 20 69 6e | 63 69 73 69 6f 6e 2c 20 |N the in|cision, |
|00001ba0| 44 6f 63 74 6f 72 2e 00 | 59 6f 75 20 6d 69 73 73 |Doctor..|You miss|
|00001bb0| 65 64 20 74 68 65 20 62 | 6f 6e 65 20 66 6c 61 70 |ed the b|one flap|
|00001bc0| 2c 20 44 6f 63 2e 00 44 | 6f 63 74 6f 72 2c 20 59 |, Doc..D|octor, Y|
|00001bd0| 6f 75 20 64 69 64 6e 27 | 74 20 63 6c 65 61 6e 20 |ou didn'|t clean |
|00001be0| 74 68 65 20 73 63 61 6c | 70 20 79 65 74 2e 00 44 |the scal|p yet..D|
|00001bf0| 6f 63 74 6f 72 2c 20 62 | 6f 74 68 20 72 65 74 72 |octor, b|oth retr|
|00001c00| 61 63 74 6f 72 73 20 6d | 75 73 74 20 62 65 20 6f |actors m|ust be o|
|00001c10| 6e 20 61 74 20 74 68 69 | 73 20 70 6f 69 6e 74 2e |n at thi|s point.|
|00001c20| 00 57 61 74 63 68 20 6f | 75 74 20 77 69 74 68 20 |.Watch o|ut with |
|00001c30| 74 68 6f 73 65 20 66 69 | 73 68 68 6f 6f 6b 73 21 |those fi|shhooks!|
|00001c40| 00 4c 65 61 76 65 20 74 | 68 65 20 72 61 69 6e 65 |.Leave t|he raine|
|00001c50| 79 20 63 6c 69 70 73 20 | 61 6c 6f 6e 65 20 6e 6f |y clips |alone no|
|00001c60| 77 2c 20 44 6f 63 74 6f | 72 2e 00 44 69 73 73 65 |w, Docto|r..Disse|
|00001c70| 63 74 6f 72 20 74 6f 20 | 62 65 20 75 73 65 64 20 |ctor to |be used |
|00001c80| 69 6e 20 42 75 72 72 20 | 48 6f 6c 65 73 2e 00 57 |in Burr |Holes..W|
|00001c90| 68 61 74 20 61 72 65 20 | 79 6f 75 20 63 61 75 74 |hat are |you caut|
|00001ca0| 65 72 69 7a 69 6e 67 2c | 20 44 6f 63 74 6f 72 3f |erizing,| Doctor?|
|00001cb0| 00 54 68 65 20 73 75 74 | 75 72 65 73 20 64 6f 6e |.The sut|ures don|
|00001cc0| 27 74 20 67 6f 20 74 68 | 65 72 65 2c 20 44 6f 63 |'t go th|ere, Doc|
|00001cd0| 2e 00 54 68 65 20 72 69 | 62 62 6f 6e 20 64 6f 65 |..The ri|bbon doe|
|00001ce0| 73 6e 27 74 20 73 65 65 | 6d 20 74 6f 20 67 6f 20 |sn't see|m to go |
|00001cf0| 68 65 72 65 2e 00 4e 6f | 20 73 74 61 70 6c 65 73 |here..No| staples|
|00001d00| 20 75 6e 74 69 6c 20 63 | 6c 6f 73 69 6e 67 2c 20 | until c|losing, |
|00001d10| 44 6f 63 74 6f 72 2e 00 | 47 61 75 7a 65 20 69 73 |Doctor..|Gauze is|
|00001d20| 20 6e 6f 74 20 6e 65 65 | 64 65 64 20 61 74 20 74 | not nee|ded at t|
|00001d30| 68 69 73 20 74 69 6d 65 | 2e 00 54 68 65 20 6d 69 |his time|..The mi|
|00001d40| 63 72 6f 20 66 6f 72 63 | 65 70 73 20 61 72 65 20 |cro forc|eps are |
|00001d50| 6e 6f 74 20 6e 65 65 64 | 65 64 20 6e 6f 77 2c 20 |not need|ed now, |
|00001d60| 44 6f 63 74 6f 72 2e 00 | 44 6f 6e 27 74 20 6e 65 |Doctor..|Don't ne|
|00001d70| 65 64 20 74 68 65 20 72 | 65 74 72 61 63 74 6f 72 |ed the r|etractor|
|00001d80| 73 20 6e 6f 77 2c 20 64 | 6f 20 77 65 3f 00 52 68 |s now, d|o we?.Rh|
|00001d90| 6f 74 6f 6e 20 64 69 73 | 73 65 63 74 6f 72 20 69 |oton dis|sector i|
|00001da0| 73 20 6e 6f 74 20 75 73 | 65 64 20 61 74 20 74 68 |s not us|ed at th|
|00001db0| 69 73 20 74 69 6d 65 2e | 00 52 68 6f 74 6f 6e 20 |is time.|.Rhoton |
|00001dc0| 68 6f 6f 6b 20 69 73 20 | 6e 6f 74 20 75 73 65 64 |hook is |not used|
|00001dd0| 20 61 74 20 74 68 69 73 | 20 74 69 6d 65 2e 00 41 | at this| time..A|
|00001de0| 6e 65 75 72 79 73 6d 20 | 63 6c 69 70 20 69 73 20 |neurysm |clip is |
|00001df0| 6e 6f 74 20 75 73 65 64 | 20 61 74 20 74 68 69 73 |not used| at this|
|00001e00| 20 74 69 6d 65 2e 00 44 | 6f 63 74 6f 72 2c 20 6b | time..D|octor, k|
|00001e10| 65 65 70 20 79 6f 75 72 | 20 65 79 65 73 20 6f 6e |eep your| eyes on|
|00001e20| 20 77 68 61 74 20 79 6f | 75 20 61 72 65 20 64 6f | what yo|u are do|
|00001e30| 69 6e 67 2e 00 4e 6f 77 | 20 69 73 20 6e 6f 74 20 |ing..Now| is not |
|00001e40| 61 20 67 6f 6f 64 20 74 | 69 6d 65 20 66 6f 72 20 |a good t|ime for |
|00001e50| 74 68 61 74 2e 00 50 6c | 65 61 73 65 20 64 6f 6e |that..Pl|ease don|
|00001e60| 27 74 20 64 6f 20 74 68 | 61 74 2e 00 4e 65 76 65 |'t do th|at..Neve|
|00001e70| 72 20 75 73 65 20 61 6e | 74 69 73 65 70 74 69 63 |r use an|tiseptic|
|00001e80| 20 69 6e 20 74 68 65 20 | 62 6f 64 79 2c 20 44 6f | in the |body, Do|
|00001e90| 63 74 6f 72 2e 00 59 6f | 75 20 6d 75 73 74 20 63 |ctor..Yo|u must c|
|00001ea0| 75 74 20 74 68 65 20 73 | 63 61 6c 70 20 6f 70 65 |ut the s|calp ope|
|00001eb0| 6e 20 66 69 72 73 74 2e | 00 50 6c 65 61 73 65 20 |n first.|.Please |
|00001ec0| 66 69 6e 69 73 68 20 61 | 74 74 61 63 68 69 6e 67 |finish a|ttaching|
|00001ed0| 20 74 68 65 20 72 61 69 | 6e 65 79 20 63 6c 69 70 | the rai|ney clip|
|00001ee0| 73 2e 00 59 6f 75 27 76 | 65 20 61 6c 72 65 61 64 |s..You'v|e alread|
|00001ef0| 79 20 64 72 69 6c 6c 65 | 64 20 68 65 72 65 2c 20 |y drille|d here, |
|00001f00| 44 6f 63 74 6f 72 2e 00 | 4d 75 73 74 20 64 72 69 |Doctor..|Must dri|
|00001f10| 6c 6c 20 61 6c 6c 20 62 | 75 72 72 20 68 6f 6c 65 |ll all b|urr hole|
|00001f20| 73 20 66 69 72 73 74 2e | 00 59 6f 75 20 68 61 76 |s first.|.You hav|
|00001f30| 65 20 61 6c 72 65 61 64 | 79 20 73 75 74 75 72 65 |e alread|y suture|
|00001f40| 64 20 74 68 65 20 64 72 | 61 69 6e 2e 00 44 72 61 |d the dr|ain..Dra|
|00001f50| 69 6e 20 6d 75 73 74 20 | 62 65 20 70 6c 61 63 65 |in must |be place|
|00001f60| 64 20 69 6e 20 62 75 72 | 72 20 68 6f 6c 65 2e 00 |d in bur|r hole..|
|00001f70| 59 6f 75 20 6d 75 73 74 | 20 73 6d 6f 6f 74 68 20 |You must| smooth |
|00001f80| 74 68 65 20 73 70 68 65 | 6e 6f 69 64 20 72 69 64 |the sphe|noid rid|
|00001f90| 67 65 20 66 69 72 73 74 | 2e 00 50 6c 61 63 65 20 |ge first|..Place |
|00001fa0| 74 68 65 20 67 61 75 7a | 65 20 62 65 68 69 6e 64 |the gauz|e behind|
|00001fb0| 20 74 68 65 20 64 75 72 | 61 20 66 6c 61 70 2e 00 | the dur|a flap..|
|00001fc0| 48 61 76 65 6e 27 74 20 | 79 6f 75 20 66 6f 72 67 |Haven't |you forg|
|00001fd0| 6f 74 74 65 6e 20 73 6f | 6d 65 74 68 69 6e 67 2c |otten so|mething,|
|00001fe0| 20 44 6f 63 74 6f 72 3f | 00 53 68 6f 75 6c 64 6e | Doctor?|.Shouldn|
|00001ff0| 27 74 20 79 6f 75 20 74 | 61 6b 65 20 6f 66 66 20 |'t you t|ake off |
|00002000| 74 68 65 20 72 61 69 6e | 65 79 20 63 6c 69 70 73 |the rain|ey clips|
|00002010| 20 66 69 72 73 74 3f 00 | 53 6f 6d 65 74 68 69 6e | first?.|Somethin|
|00002020| 67 20 69 73 6e 27 74 20 | 72 69 67 68 74 20 68 65 |g isn't |right he|
|00002030| 72 65 2c 20 44 6f 63 2e | 2e 2e 00 47 72 75 6d 62 |re, Doc.|...Grumb|
|00002040| 6c 65 2c 20 67 72 75 6d | 62 6c 65 2c 20 67 72 75 |le, grum|ble, gru|
|00002050| 6d 62 6c 65 2e 2e 2e 00 | 47 65 74 20 6f 75 74 20 |mble....|Get out |
|00002060| 6f 66 20 74 68 65 20 77 | 61 79 2c 20 74 68 65 20 |of the w|ay, the |
|00002070| 44 6f 63 74 6f 72 20 64 | 69 64 6e 27 74 20 73 65 |Doctor d|idn't se|
|00002080| 65 20 74 68 61 74 2e 00 | 42 6f 79 2c 20 73 6f 6d |e that..|Boy, som|
|00002090| 65 20 70 65 6f 70 6c 65 | 20 74 68 69 6e 6b 20 74 |e people| think t|
|000020a0| 68 65 79 20 6b 6e 6f 77 | 20 65 76 65 72 79 74 68 |hey know| everyth|
|000020b0| 69 6e 67 2e 00 57 69 6c | 6c 20 79 6f 75 20 73 74 |ing..Wil|l you st|
|000020c0| 6f 70 20 62 6f 74 68 65 | 72 69 6e 67 20 74 68 65 |op bothe|ring the|
|000020d0| 20 64 6f 63 74 6f 72 3f | 00 57 65 6c 6c 2c 20 69 | doctor?|.Well, i|
|000020e0| 73 6e 27 74 20 74 68 61 | 74 20 73 70 65 63 69 61 |sn't tha|t specia|
|000020f0| 6c 3f 00 44 6f 63 74 6f | 72 2c 20 49 20 74 68 69 |l?.Docto|r, I thi|
|00002100| 6e 6b 20 79 6f 75 72 20 | 6f 74 68 65 72 20 61 73 |nk your |other as|
|00002110| 73 69 73 74 61 6e 74 20 | 69 73 20 61 20 73 6c 61 |sistant |is a sla|
|00002120| 63 6b 65 72 2e 00 44 6f | 63 74 6f 72 2c 20 49 20 |cker..Do|ctor, I |
|00002130| 77 69 73 68 20 79 6f 75 | 20 77 6f 75 6c 64 20 68 |wish you| would h|
|00002140| 69 72 65 20 62 65 74 74 | 65 72 20 61 73 73 69 73 |ire bett|er assis|
|00002150| 74 61 6e 74 73 2e 00 4d | 6f 72 65 20 6f 66 20 74 |tants..M|ore of t|
|00002160| 68 65 20 73 79 6c 76 61 | 6e 20 66 69 73 73 75 72 |he sylva|n fissur|
|00002170| 65 20 73 68 6f 75 6c 64 | 20 62 65 20 63 75 74 2c |e should| be cut,|
|00002180| 20 44 6f 63 74 6f 72 2e | 00 44 6f 63 74 6f 72 2c | Doctor.|.Doctor,|
|00002190| 20 74 68 65 20 49 56 20 | 69 73 20 61 6c 6d 6f 73 | the IV |is almos|
|000021a0| 74 20 65 6d 70 74 79 2e | 00 44 6f 63 74 6f 72 2c |t empty.|.Doctor,|
|000021b0| 20 50 43 4f 32 20 6c 65 | 76 65 6c 20 69 73 20 74 | PCO2 le|vel is t|
|000021c0| 6f 6f 20 68 69 67 68 2e | 00 44 6f 63 74 6f 72 2c |oo high.|.Doctor,|
|000021d0| 20 50 43 4f 32 20 6c 65 | 76 65 6c 20 69 73 20 74 | PCO2 le|vel is t|
|000021e0| 6f 6f 20 4c 6f 77 2e 00 | 48 65 61 72 74 20 72 68 |oo Low..|Heart rh|
|000021f0| 79 74 68 6d 20 69 73 20 | 61 62 6e 6f 72 6d 61 6c |ythm is |abnormal|
|00002200| 2c 20 44 6f 63 74 6f 72 | 21 00 48 65 61 72 74 20 |, Doctor|!.Heart |
|00002210| 69 73 20 69 6e 20 50 56 | 43 2c 20 44 6f 63 74 6f |is in PV|C, Docto|
|00002220| 72 21 00 48 65 61 72 74 | 20 69 73 20 69 6e 20 62 |r!.Heart| is in b|
|00002230| 72 61 64 79 63 61 72 64 | 69 61 2c 20 44 6f 63 74 |radycard|ia, Doct|
|00002240| 6f 72 21 00 42 6c 6f 6f | 64 20 70 72 65 73 73 75 |or!.Bloo|d pressu|
|00002250| 72 65 20 69 73 20 6c 6f | 77 2c 20 44 6f 63 74 6f |re is lo|w, Docto|
|00002260| 72 2e 00 44 6f 63 74 6f | 72 2c 20 70 6c 65 61 73 |r..Docto|r, pleas|
|00002270| 65 20 63 68 65 63 6b 20 | 74 68 65 20 75 72 69 6e |e check |the urin|
|00002280| 65 20 6f 75 74 70 75 74 | 2e 00 42 75 72 72 20 68 |e output|..Burr h|
|00002290| 6f 6c 65 73 20 61 72 65 | 20 61 6c 6c 20 64 69 73 |oles are| all dis|
|000022a0| 73 65 63 74 65 64 20 6e | 6f 77 2c 20 44 6f 63 74 |sected n|ow, Doct|
|000022b0| 6f 72 2e 00 53 68 6f 75 | 6c 64 6e 27 74 20 79 6f |or..Shou|ldn't yo|
|000022c0| 75 20 75 73 65 20 74 68 | 65 20 64 69 73 73 65 63 |u use th|e dissec|
|000022d0| 74 6f 72 20 66 69 72 73 | 74 2c 20 44 6f 63 74 6f |tor firs|t, Docto|
|000022e0| 72 3f 00 53 68 6f 75 6c | 64 6e 27 74 20 79 6f 75 |r?.Shoul|dn't you|
|000022f0| 20 70 75 74 20 74 68 65 | 20 67 61 75 7a 65 20 6f | put the| gauze o|
|00002300| 6e 20 66 69 72 73 74 2c | 20 44 6f 63 74 6f 72 3f |n first,| Doctor?|
|00002310| 00 53 68 6f 75 6c 64 6e | 27 74 20 79 6f 75 20 75 |.Shouldn|'t you u|
|00002320| 73 65 20 6d 6f 72 65 20 | 73 75 74 75 72 65 73 2c |se more |sutures,|
|00002330| 20 44 6f 63 74 6f 72 3f | 00 53 68 6f 75 6c 64 6e | Doctor?|.Shouldn|
|00002340| 27 74 20 79 6f 75 20 77 | 61 73 68 20 66 69 72 73 |'t you w|ash firs|
|00002350| 74 2c 20 44 6f 63 74 6f | 72 3f 00 48 65 79 20 44 |t, Docto|r?.Hey D|
|00002360| 6f 63 74 6f 72 2c 20 79 | 6f 75 20 66 6f 72 67 6f |octor, y|ou forgo|
|00002370| 74 20 79 6f 75 72 20 67 | 6c 6f 76 65 73 2e 00 00 |t your g|loves...|
+--------+-------------------------+-------------------------+--------+--------+