闹钟
BGM: If Ever There's A Reason by Derby
? If ever there's a reason to be swept up in the season ?
? Of the fallen leaves ?
没空 金融委员会会议 医疗执行会员会
? And if the days grow shorter ?
? And the darkness drew its order from the autumn grey ?
? I'd rather sit this out and sleep the day away instead ?
? My weary eyes a bit too slow indeed ?
? I'd rather sit this out and sleep the day away instead ?
? To worry about the emptiness that comes ?
? If ever there's a reason to be swept up in the season ?
? Of the fallen leaves ?
? And if the days grow shorter ?
? And the darkness drew its order ?
? From the autumn grey ?
? I'd rather sit this out ?
? And sleep the day away instead ?
? My weary eyes a bit too slow indeed ?
你都不知道昨晚阿尔蒙干了什么破事 You won't believe the crap Armen pulled last night.
他断了我公寓的电 He cut the power to my apartment!
好啊 That's right!
没灯 没无线网 啥都没有 No lights, no Wi-Fi, nothing.
断了十五分钟 For 15 minutes!
如果我当时戴着呼吸器 And if I had been on a ventilator,
肯定早就窒息而死了 对吧 I could've suffocated in that time, right?
你是个医生 You're a doctor.
你没戴呼吸器 You're not on a ventilator.
真是谢天谢地了 但有可能啊 Thank God for that. But I could be.
当时一片漆黑 我可能会绊倒 I mean, it was dark. I could've tripped.
真该起诉他 I should sue him.
抱歉 你要吃的吧 Sorry. Were you gonna eat this?
「愤怒为食量」 I stress eat.
听着 Okay, listen.
我去问他时 I go to talk to him,
他怪我又把音乐开到很大声 and he claims I was playing my music too loud again.
你的音乐吵到我时我会戴耳塞 I wear earplugs when your music irritates me.
我没听到水滴声 I miss the dripping.
你没听懂重点 肖恩 好吗 You're missing the point here, Shaun, okay?
你得敲门 询问 You knock. You ask.
而不是断了某人的电 You don't cut someone's power.
你会敲门的吧 You knock, right?
你当然会敲啊 正常人都会 Of course, you would knock. Any normal person would.
是我疯了 还是他是个反社会者 I mean, am I crazy or is he a total sociopath?
你该戴耳机 You should get headphones.
耳机 Headphones?
那样可以降低声音 They would eliminate the sound.
我明白 Yeah. I got it.
谢谢 Thank you.
谢谢你对这事如此客观公正 Thank you for being so objective about this.
其实你不如去帮阿尔蒙 In fact, why don't you go help Armen
写我的搬出通知吧 write my eviction notice!
对 我开车再也不走那条路了 Yeah, and I'll never drive down that street again.
相当可怕的回忆 It's a pretty bad memory.
是 听着确实如此 Yeah, that sounds pretty...
等等 徒步旅行会很热吧 Wait, it's kind of hot for a hike, isn't it?
徒步旅行就会出汗 很正常 We're hiking. We're gonna sweat. It happens.
都听好 别做傻事 All right, don't do nothing stupid!
打开收银机 把东西放袋子里 Open the register and put everything in the bag!
快 赶紧的 Come on! Right now!
别动 钱包 手机 啥都交出来 Don't move. Give me your wallets, phones, everything.
手放到我能看见的地方 Keep your hands where I can see 'em.
把钱包交出来 I said get out your wallet!
快 Do it now!
钱包 快 Wallet, now!
他没事吧 Is he okay?
不知道 是从野外基地转过来的 We don't know. This is routed through Basecamp.
肖恩在现场 It says Shaun was there,
不知道他有没有受伤 but it didn't say if he was hurt or not.
急救人员正在送两名重伤人员过来 Well, EMS has two critical inbounding.
他们现在很忙 不方便通话 Their hands are a little full to chat right now.
二十岁 女性 20-year-old female.
腹部一处枪伤 Single gunshot wound to the abdomen.
低血压 心动过速 Hypotensive and tachy.
路上已输了两升生理盐水 Two liters of saline en route.
她叫艾莉 Her name's Avery.
我们会照顾好她 We'll take good care of her.
杰瑞德 跟我走 Jared, you're with me.
颈部钝伤 Blunt-force neck injury.
血氧饱和降到80以下 Oxygen sats just dropped below 80.
气管有挤压伤 Trachea's crushed.
我插了个喉罩 I inserted a laryngeal mask,
但气道还有危险 but the airway is not secured.
你没事吧 没受伤吧 Are you okay? You weren't hurt?
他的口咽部位由于惊慌过度而扭曲了 His oropharyngeal anatomy is distorted from the confusion.
缺氧性肺气肿 他几乎无法呼吸 Subcutaneous emphysema. He's barely moving air.
把他送去病区 马上准备手术室 Let's take him to a bay, and get me an O.R. now.
准备四个单位O型阴性血 给她交叉配型 I need four units O-Negative type and cross her.
她的左肺有微弱的呼吸音 She has decreased breath sounds on her left.
给她拍个胸片 Let's get a chest X-ray on her.
他在这干什么 What the hell is he doing here?
都怪他 It's his fault.
这都怪他 This is all his fault!
良 医
第一季 第八集
店员说那人进来后 Yeah, clerk says the guy entered,
喊着交出东西 shouted orders,
显然你们的医生没配合 and apparently, your doctor didn't comply.
女孩中枪 Girl gets shot,
店员用球拍打了持枪者 and the store clerk clocks the gunman with a bat.
-我们就知道这些 -好 你需要什么 - That's all we know. - All right, what do you need?
我需要对持枪者和女孩进行法医取证 I need forensics on the gunman and the girl.
好 有发现了就通知你 All right, we'll let you know what we find out.
警察想跟你谈谈 Police are gonna want to talk to you.
之后你就可以回家了 After that, you can go home.
我该留下来帮忙 我的值班才开始 I should be helping. My shift is just starting.
你在枪击现场 我可没时间绑住你的手 You were at the shooting. I don't have time to hold your hand.
我不喜欢被绑住手 I don't like my hand being held.
小口径子弹 Small-caliber bullets.
在体内反弹 They ricochet inside.
会造成多处无法预测的枪伤 They can cause multiple and unpredictable injuries.
那我们要做什么 And what do we need to do about it?
拍胸部和腹部X光片 Chest and abdominal X-rays
还要做创伤重点评估超声 and a Focused Assessment Sonogram.
三个单位的O型阴性血 Three units of O-neg and...
过来帮忙 梅伦德斯医生 We could use your help over here, Dr. Melendez!
你没事吧 Are you okay?
我没事 Yes, I'm fine.
跟我来 You're with me.
-给他拿件隔离服 -好 - Get a gown on him. - Okay.
射入伤在下面 Entrance wound is down here.
子弹射入时击断了骨盆 The bullet fractured the pelvis on the way in.
好 找到射出伤 All right, let's look for an exit wound.
数到三给她翻身 一 二 三 We're gonna roll her on three. One, two, three.
找到了 All right, got it.
在第二和第三根肋骨之间 Between the second and third rib.
这里也有大出血 She's hemorrhaging here, too.
莫菲去拿超声仪 Hey, Murphy, get us the ultrasound
看看里面情况如何 so we can find out what's inside.
创伤重点评估超声仪 Focused Assessment with Sonography and Trauma.
胸部无创伤 也无二次受伤的迹象 No chest contusions or secondary injuries evident.
血氧饱和70 Oxygen sat's 70.
摄像头无法通过塌陷部分 I can't squeeze a camera past this collapse.
三号手术室准备完毕 但就这一间了 O.R. 3 is prepped and ready, but that's it.
其他手术室都正在使用中 We got a full house right now up in surgery.
-最快也要十五分钟后 -我要手术室 - Next show time is 15 minutes out. - I could use it.
我得控制出大出血 I gotta get this bleeding under control.
你们那边情况如何 What's the status on your guy?
带她去 带中枪的人去 Take her up. Take the gunshot.
等等 Hold on.
他的气道受损严重 都没法做气管切开术 His airway's so damaged, I can't even do a tracheotomy.
还有五分钟他就缺氧性脑死亡了 He's got five minutes until anoxic brain dead.
我按压住出血了 我会想办法的 Mine's got pressure. I'll see what I can do here.
你跟我一起刷手准备手术 You're scrubbing in with me.
把插管插入塌陷的气管下面 Go ahead and feed the tube under the collapsed trachea.
开始高流量给氧 Starting high flow O2.
好了 And we're good.
现在病患能真正呼吸了 Now that our patient is actually breathing,
可以重新调整和修复了 we can realign and repair.
持针器穿4-0的缝线 Four-O on a driver.
剪刀 海绵钳 Scissors. Sponge stick.
对病患的看法影响了你的医学判断 It's a slippery thing letting your feelings about a patient
这是很危险的 influence your medical judgment.
我没有 I didn't.
我察觉到了 她是受害者 I get the instinct -- She's a victim.
而他是枪手 还是种族歧视者 He's a shooter, a racist.
我们经常不知道自己在干什么 Often we don't even know we're doing it.
我绝不会让个人感情影响病患的治疗 I would never let my personal feelings impact a patient's care.
她快流血而死了 She was bleeding out.
而他三十秒前才恢复正常呼吸 And this guy just drew his first good breath 30 seconds ago.
他俩都是重伤 They were both critical!
他快死了 你错了 承认吧 He was dying. You were wrong. Own it.
你我都知道当时很难做出选择 You know as well as I do that that was not an easy call to make.
-我知道 -对 - Do I? - Yes!
把这清理干净 布朗医生 Clear the field, Dr. Browne.
不是我动手术的地方 Not my operative field.
是手术室 刷手出去吧 The surgical field. Scrub out.
你说什么 Excuse me?
没你事了 You're done.
离开我的手术室 Step out of my O.R.
吉尔 麻烦帮布朗医生脱去装备 Gail, can you please relieve Dr. Browne of her instruments
呼叫克莱兰医生来协助我 and page Dr. Cleland to assist me?
是不是更自在了 Now, isn't this more pleasant?
除了脾脏 还要处理哪里 Aside from the spleen, what else are we dealing with?
子弹导致她的横结肠在脾曲处 The bullet ruptured her transverse colon
出现了破裂 at the splenic flexure.
划为待做事项 Put it on our to-do list.
她的男友为什么认为是你的错 Why does her boyfriend think it's your fault?
子弹刺伤了隔膜 It punctured her diaphragm here
射入了后胸部 and entered the posterior chest.
又出血了 夹住肺门 She's bleeding again. Clamp the hilum.
已经夹了 伤太重止不住 I already did. It's too damaged to hold.
纱布 Gauze!
按住这里 别松手 Hold this right there. Don't let go.
不行 Oh, this isn't gonna work.
这就像把绞碎的牛肉缝合成牛排 It's gonna be like sewing ground beef back into a steak.
新方案 她只能摘除脾脏保命了 All right, new plan -- she's gonna have to live without her spleen.
护士递手术刀 Nurse to pick up.
在我切开时 得用缝线结扎脾动脉 Need a ligating suture on the splenic artery while I make the cut.
能在这姑娘的血喷我们一身之前帮我处理好吗 Can you do that for me before this young lady bleeds out on us,
莫菲 Murphy?
好的 Yes.
BGM: Infinity by One Hundred Years
好了 现在开始修补肠破裂 Okay, let's move on to the bowel perf.
肖恩 Shaun.
谢天谢地你没事 Ah, thank God you're all right.
我刚刚听说了早上的意外 I just heard what happened.
肖恩 你没事吧 Shaun. Are you all right?
没事 我没受伤 Yes. I wasn't injured.
早上到底发生什么了 What happened this morning?
莉亚吃了我的苹果 Lea ate my apple.
不是 肖恩 今天早上在商店 No, Shaun, at the store this morning.
在商店发生什么了 What happened at the store?
钱包 立刻 Wallet now!
我不能 I can't.
为什么 Why the hell not?!
你说要把手放在你能看得到的地方 You said keep my hands where you could see them.
我的钱包在口袋里 My wallet is in my pocket.
如果我掏钱包你就看不见我的手了 You can't see my hands if
你是想英雄救美吗 -- Are you trying to be a hero?!
我是个外科住院医师 I'm a surgical resident --
妈的闭嘴 Shut the hell up!
这可不是做游戏 伙计 我是来真的 This isn't a game, man. I'm serious. Okay.
马上把你该死的手机和钱包放到地上 Put your damn phone and wallet on the ground right now.
看见这个了吗 伙计 我不是在过家家 Hey, do you see this, man? I am not playing around!
把你该死的手机和钱包放到地上 Just put your phone and wallet on the damn ground!
快点 伙计 按他说的做 Come on, man, just -- just do what he says!
求你按他说的做 Please listen to him.
闭嘴 跪下 Shut up! Just shut up and get on your knees!
把手和膝盖放在地上 Put your hands and knees on the ground.
现在把你钱包掏出来 Get your wallet out right now.
我会把你打个稀巴烂 我发誓 I will shoot your crazy ass, I swear to God. Okay.
你听见我说话了吗 我会开枪的 Are you listening to me?! I'll do it! Yes.
你听见了吗 You hear me?
天哪 Oh, my God!
好吧 Okay.
你该回去休息 You need to take the rest of the day off.
梅伦德斯医生也这么说 Dr. Melendez said that, too.
为什么 Why?
「为什么」 因为你刚刚经历了创伤性事件 "Why?" Because you just experienced a traumatic event.
-这不是我的错 -我知道 - It's not my fault. - I-I know that.
艾莉身上多处创伤 Avery has multiple injuries.
梅伦德斯医生让我照看她 Dr. Melendez wants me to monitor her.
利姆医生 Dr. Lim.
是我太过分了 I was out of line.
我不应该跟你理论 I shouldn't have argued with you.
一期缝合情况良好 Primary enclosure went well.
几个小时后就可以拔管 We'll extubate him in a few hours
以防止更深层次的脏器损害 to prevent any further internal damage.
那很好 Well, that's good.
确实 你要保证他继续稳定恢复 It is, and you're gonna make sure he stays that way.
今晚你要在重症监护室里看护他 You'll be babysitting tonight in the ICU.
我 我今晚不值班 I'm -- I'm not on call.
很好 那你有空 Great, then you're available.
今晚应该会很清闲 Should be a quiet night.
只要注意监测生命体征就行 Just want to keep an eye on those vitals.
你永远也不知道什么时候会发生气管撕裂 You never know with tracheal tears.
这事就不能交给重症监护室的护士吗 Can't one of the ICU nurses do that?
可以 Yep.
但她们没在我的手术室里出言不逊 But they didn't lip off in my operating room.
他最好明早还活着 And he'd better be breathing in the morning.
打扰一下 为什么肖恩在处理受害者的病例 Excuse me, but why is Shaun on the victim's case?
我评估过了 他没什么事 I assessed him, and he seemed perfectly capable.
你评估了 You assessed him?
这是什么意思 你问过他感觉如何 What does that mean? You asked him how he was feeling?
你会读心术 You psychic?
你有心理学的高等学位 D-Do you have an advanced degree in psychology?
你根本不知道他脑子里在想些什么 You don't know what's going on in his head.
我在手术室里的时候 When I'm in surgery,
注意力是集中在我面前开膛破肚的病人身上 my focus is on the person whose guts are open in front of me
而不是站我对面的人的心理活动 rather than the soul of the person standing across from me.
当然 No.
而且似乎肖恩不会让任何事情影响他工作 And it seems that Shaun doesn't let anything impact his work.
所以和他过目不忘的本事一样 So, along with his photographic memory,
我把冷酷无情也算作加分项了 I'm putting cold-hearted in the plus column.
莫菲医生 你知道我为什么找你来吗 Dr. Murphy, do you understand why you're here?
知道 Yes.
格拉斯曼医生说我得和你谈谈 Dr. Glassman said I had to talk to you.
任何医生在经历了潜在性的创伤事件之后 After any doctor goes through a potentially traumatic --
你得先确定 You have to determine
我是否对医院负有法律责任 if I'm a medicolegal liability to the hospital.
没错 而且更重要的是 Yes. And, more importantly,
这是一个为你提供情感支持的机会 it's an opportunity to provide you with emotional support.
你感觉如何 How are you feeling?
你这没有苹果 You don't have apples.
下次我们见面的时候我会准备些水果 I'll try to have some fruit next time we meet.
很好 Good.
你会为今天早上发生的事情感到后悔吗 Do you regret anything about this morning?
为什么 Why?
在糟糕的事情发生之后 After bad things happen,
反复回想这些事情是很正常的 it's perfectly normal to replay the events,
希望自己当时做出了不同的选择 wishing you had done things differently.
事情已经发生了 It already happened.
我无力回天 I can't do things differently.
我们谈论这件事会让你感到不安吗 Is talking about this upsetting you?
你现在在想什么 What are you thinking about right now?
全身炎症反应综合征 Systemic Inflammatory Response Syndrome.
手术很顺利 The surgery went well.
经历了像这样的严重创伤后 After a serious trauma like this,
机体会产生自我毁灭的炎症反应 the body can develop a self-destructive inflammatory reaction.
肾脏 肝脏 肺脏 心脏 Kidneys, liver, lungs, heart --
其中任何一个甚至全部同时开始衰竭 any or all of them can start to shut down.
我们会给她抗炎治疗 We'll be giving her anti-inflammatories
并密切监控 and monitoring her closely,
之后的二十四小时至关重要 but the next 24 hours are critical.
好的 谢谢 Okay. Thanks.
让她平安挺过来 无论你们用什么办法 Just get her through this. Whatever you got to do.
好的 我需要你女朋友的亲属 Yeah, well, I need consent forms
来签署知情同意书 from your girlfriend's next of kin.
请你把她的亲人带过来 If you could please get her family in here
越快越好 as quickly as possible.
我不能 我... I can't. I...
我都不知道她姓什么 I don't even know her last name.
这是我们第一次约会 It was our first date.
我们在一个约会App上认识的 W-We met on a dating app.
我们要去爬山 We were going hiking,
所以她没带钱包和身份证 so she wasn't carrying a purse or ID.
好吧 那你不需要待在这 Well, then, you really don't need to be here.
这世上有人在乎她 Someone out there cares about her.
如果她死了 If she dies,
我希望他们知道临死前有人陪着她 I want them to know someone was with her.
我会让社工试着联系她的家人 I'll have social work try to locate her family.
你想待多久都可以 Stay as long as you want.
看起来干净 干燥 健康 It looks clean, dry, and healthy.
我的脖子快疼死了 My neck is killing me.
滥用药物有多久了 How long have you been using?
有什么关系吗 What's that got to do with anything?
你对止痛药已经有一定程度的耐受 Well, you likely built up a tolerance to pain meds.
现在你真正需要它们的时候 Now that you really need them,
它们就不太管用了 they aren't there for you.
所以我才需要芬太尼 That's why I need fentanyl.
一百毫克 你到底帮不帮我 100 micrograms. Are you gonna help me or not?
这没用的 That wouldn't be helping.
我不会纵容你的坏习惯 The worst thing I can do for you is feed your habit.
怎么了 What?
你看到我的纹身了 You saw my tattoo.
没错 Yeah.
你现在在惩罚我 And now you're punishing me.
你想让我忍受疼痛 You want this to hurt.
我在专业地对你进行治疗 I'm treating you professionally.
如果你真的是在治疗 If you were treating me professionally,
我就不会这么疼了 对不起 但是我 I wouldn't be in so much pain. I'm sorry, but I --
该死的把药给我 Just give me the damn drugs!
快点 Come on!
梅伦德斯觉得他负责艾莉的病例没问题 Melendez thinks that he's okay being on Avery's case.
我不这么认为 I don't.
梅伦德斯医生或许是对的 Dr. Melendez may be right.
这个病例或许眼下是肖恩主要的关注点 That case seems to be Shaun's primary focus right now.
或许他是不幸中的万幸 Maybe his condition is a blessing in this situation.
或许 Maybe?
也或许执着于艾莉的健康状况 Or obsessing over Avery's health
是宣泄他负罪感的唯一出口 could be his only outlet for a guilty conscience.
看着她饱受痛苦煎熬只会让他感觉更糟 Watching her suffer could just be worsening those feelings.
所以 要不这就是一个大问题 So, either it's a huge problem
要不就根本算不上是问题 or it's not a problem at all.
这是你的专业意见 This is your professional opinion?
肖恩的思维非常独特 Shaun has a very unique mind
而且性格十分内向 and an incredibly introverted nature.
多谢你的建议 Well, thank you for that.
我很抱歉 但是没有和他进一步的接触 I'm sorry, but without a lot more time with him,
我只能提供这些建议 that's the best I can offer.
利姆到底想让我做什么 What did Lim expect me to do --
当她质疑我医疗决策的时候 stand there and smile
站在那里面带微笑 while she called my medical judgment into question?
干等在手术室里看着病人奄奄一息是吗 Your patient nearly died waiting on that O.R., right?
太糟糕了 你到底想让我做什么 It was bad. What do you want me to do?
让她别折磨我了 Tell her to back off!
-不要 -他就是个十足的 - No. - He's a complete and utter --
哪有温柔善良的种族歧视者 Not one of those nice racists, huh?
-我本不应该 -克莱尔 - I shouldn't have to be -- Claire!
你要做的就是 Here's what you have to do --
闭上嘴然后按照利姆医生说的做 shut up and do exactly what Dr. Lim tells you to do.
可是 But --
好的 Yes, sir.
或许我们可以轮换 Maybe we could take turns.
你帮我照看我的患者 You can keep an eye on my patient,
我照看你的 I keep an eye on yours.
不 No.
她的肌酐是1.6 Her creatinine is 1.6.
受了她这么严重的伤 Mild bump in renal numbers
肾脏指标轻微升高并不奇怪 isn't surprising after all her trauma.
今天早上肯定很糟糕 This morning must've been crazy.
你没事吧 Are you okay?
今天早上 我邻居莉亚过来吃掉了我的苹果 This morning, my neighbor Lea came over and ate my apple.
那太糟糕了 That's too bad.
没错 那是我最后一个苹果 Yes, it was my last one.
她很生我们的房东阿尔蒙的气 She was upset with Armen, our landlord.
她放音乐很大声 She plays her music very loud.
我给了她一些建议 似乎把她惹恼了 I gave her some advice. It seemed to anger her
因为她走的时候没说再见 because she left without saying goodbye.
你觉得是你做错了 And you think you did something wrong.
不 那是很好的建议 No, it was good advice.
肖恩 有时候女人想要的是建议 Shaun, sometimes a woman wants advice,
有时候她是想向你寻求支持 and sometimes she just wants support.
我怎么知道莉亚想要哪个 How can I tell which one Lea wants?
支持她总不为过 Err on the side of support.
-并没帮到她 -帮到了 - That's not helpful. - Yes, it is.
布朗医生 病人呼叫你 Dr. Browne. You're being summoned.
好吧 All right.
到时间了 About time.
你费劲挣扎 静脉注射针管都弄掉了 All your struggling, you've pulled out your IV.
这些破活难道通常不是护士在做吗 Aren't nurses usually supposed to do this kind of crap?
他们让你念医学院 They let you go to med school,
却不敢把真正重要的活托付给你 but they don't trust you with any real responsibility.
医院肯定有某个有能力的医生 There must be a competent doctor tucked around here somewhere
可以跟谁说我需要的不只是阿司匹林 who tell someone I need more than aspirin.
-「有能力」 -对 - "Competent"? - Yeah.
你懂我的意思 You know what I mean.
古埃及的神 被认为是神和人共同的医生
伊姆霍特普是现代医学之父 Imhotep was the father of modern medicine.
-埃及人 -是啊 - An Egyptian. - Yeah.
给你们的种族长脸了 Good for your people.
我相信过去三千多年来你们的种族 I'm willing to bet there's even been a couple others
甚至出过好几个厉害人物 但猜猜看 over the last 3,000 years, but guess what?
一般来说 On average,
世上大多数伟大的科技进步 you look at most great technological advancements,
都由骄傲的北欧人民持有专利 you'll find a proud Northern European holding the patent.
这就是你今天上午在忙活的事吗 That's what you were trying to do this morning?
忙着获得从街角商店偷三十块钱 Get the patent on stealing 30 bucks
去买毒品的专利吗 from the corner store for a drug fix?
你不喜欢瘾君子吧 You don't like drug addicts, do you?
我有很多不喜欢的人 A lot of people I don't like.
小偷 种族歧视者 Thieves, racists,
暴力流氓 violent punks,
但我还是会治疗他们 but I'll treat 'em.
你老妈是瘾君子吗 Was your mama a drug addict?
老话题的美妙之处 That's the beauty of cliches,
就在于通常都是真的 对吧 is they're true so often, huh?
你对我一无所知 You don't know anything about me.
我没念大学 I didn't go to college.
我没有平权运动特别照顾 所以没念 I didn't have no affirmative action to get me in,
但你有 but you did.
就因为某个软心肠的自由党人在院长办公室 All because some bleeding-heart liberal in the Dean's office
哭着读你写的有关嗑药贱人老妈的文章 teared up reading your essay about your crack-whore mama.
搞什么 What the hell?
看来我们都是暴力流氓 I guess we're all violent punks.
你当时只需把钱包给他 All you had to do was give him your wallet.
她的尿量很少 Her urine output is low.
你在干什么 What are you doing?!
别碰她 Get away from her!
你别在这推搡医生 You can't be in here shoving my doctors around.
我 他 他才是... Me? He -- He's the --
-天啊 -她得做血液透析 - Oh, my God. - She needs dialysis.
她的肾脏衰竭得很快 Her kidneys are failing fast.
这是器官完全衰竭的第一阶段 This is the first stage of total organ failure.
血液透析已排出了两升的过量液体 We removed two liters of excess fluid with dialysis,
但她情况在恶化 but she's getting worse.
她的胸腔有积液 Fluid's building up in her chest.
她的肺也衰竭了 She's in pulmonary failure, too.
排出她胸腔的积液 Draining the fluid in her pleural space
可以减少气道阻力 would reduce airway resistance.
好 准备给她做胸腔穿刺术 Yeah, let's prep her for a thoracentesis.
动作得快 We're gonna have to work fast.
我去准备胸腔引流 I'll prep the evac drain.
你得把针放到... I'm gonna need you to put that needle right between --
第六和第七根肋骨间 6th and 7th rib.
你要让他动手... Wait, you're gonna let him do --
闭嘴 好 小心 Shut up. All right, careful.
别把针插得太深 Don't put the needle in too deep.
-不能让她... -气胸 - We don't want to give her -- - Pneumothorax.
好 进去了 All right, you're in.
看看引出了什么 Now, let me see what I can pull out.
但愿她的情况能稳定 Hopefully she settles down.
二氧化碳降了 氧气升了 CO2's down, and O2's climbing.
我们能稳住她的肾脏和肺部 We can manage her kidneys and her lungs,
多个器官衰竭的最后一步就是心脏衰竭 but the last stop in multiple organ failure would be her heart.
全神贯注她的呼吸压力 Watch her ventilation pressures like a hawk,
注入心脏保护药物 push cardioprotective meds,
情况有变就呼叫我 and page me if anything changes.
你以为你是她的英雄吗 Think you're being her hero?
事实上你几乎不懂她 The fact is you hardly know her.
你也根本不懂他 And you don't know him at all.
回家吧 Go home.
我受够了 Okay, I am done.
他是个满嘴污言秽语的恶毒混球 He's a foul-mouthed, spiteful bully.
没问题 我会让接待员 No problem. I'll have the concierge
给你找个更对你胃口的病患 find a patient more suited to your liking.
他不需要医生去照顾他 He doesn't need a doctor doting over him.
他不想看到我 He doesn't want me.
我不管 I don't care.
抱歉我之前顶撞了你 I'm sorry I disagreed with you, okay?
但我不该像个学生妹那样被人奚落 But I don't deserve to be scolded like a school girl
就因为你自负之心受不了半点顶撞 because your ego can't handle being challenged a little.
这道歉可真有意思 That is some apology.
我有正当理由... Look, I had a legitimate --
你真没意识到问题所在吗 You really don't see the problem here?
什么 顶撞你吗 What? With challenging you?
你现在是当着两个护士的面顶撞我 Right now, you are confronting me in front of two nurses.
你敢这样对梅伦德斯吗 Would you do that to Melendez?
或者你会等五分钟吗 Or would you wait five minutes?
我整个职业生涯都在跟不服我领导的男人打交道 I have dealt with men undermining my authority my entire career.
女人何必为难女人 We shouldn't do it to one another, too.
现在就像照顾其他病患一样去照顾他 Now go take care of him like you would any other patient.
所有订单餐厅都会复查 Food services -- they double-check every order.
你在找什么 What are you looking for?
-一个苹果 -一个苹果 - An apple. - An apple?
-谁会点一个苹果 -我 - Who's getting an apple? - I am!
-不 -肖恩 - No. - Shaun.
请别管苹果了 Forget the apple, please.
抱歉 能单独聊聊吗 I'm sorry. Can I have a minute?
肖恩 Shaun?
好吧 Okay.
肖恩 防卫心别那么强 好吗 Shaun, there's no need to get defensive, okay?
你要坐下来吗 Do you want to sit down?
不 谢了 No, thank you.
我要你再跟我说一遍 I want you to tell me again
今早发生的事 exactly what happened this morning.
我跟你说了今早发生的事 I told you exactly what happened this morning.
是的 但人们告诉你是你的错 Yes, but people have told you that it's your fault.
不是吗 Haven't they?
我的行动跟枪击是关联事件 My actions and the shooting were associative incidents.
而不是因果关系 It is not a causal relationship.
我踱步 她中枪 I paced, and she got shot,
但枪击不是踱步引起的 but pacing doesn't cause shootings,
否则每次有人踱步 otherwise every time someone paced,
很快就会接着发生枪击 a shooting would soon follow.
好吧 你说得非常好 Okay, that's a very good point.
有人持枪 When someone has a gun
是危险的情况 对吗 and it's a dangerous situation, right?
你不想扰乱这种情况 对吗 You don't want to upset the situation.
你不想把情况变糟 You don't want to make it worse.
你也认为这是我的错 You think this is my fault, too.
不是 那是枪... No, no, it was the shoot--
那是枪手的错 It was the shooter's fault,
但你的行动可能造成了影响 but your actions may have contributed to it.
好吧 肖恩 等一下 等一下 Okay, Shaun, wait a second. Wait a second.
我知道你无法完全控制你的行为 I know your behavior is not completely in your control,
但我也知道你不是完全无法控制你的行为 but I also know it's not completely out of your control.
对吗 Is it?
所以 也许你有一点责任 So, yes, maybe it is a little bit your fault.
我也当然有责任 And definitely mine.
你甚至不在场 You weren't even there.
没错 That's right.
我不在场 I wasn't there.
我们能坐下聊吗 就一会儿 Can we sit down, please, just for a second?
肖恩 Shaun...
我说服自己一切都没问题 I convinced myself that everything was fine
因为在这里确实是那样 because in here, it is.
挺棒的 It's great.
但你需要帮助 But you need help.
肖恩 Shaun...
你需要引导 you need guidance --
远不止我所能给予你的 much more than I can give you.
我该跟我的病患待在一起 I'm supposed to be with my patient.
我该全神贯注地看着她 I'm supposed to be watching her like a hawk.
是我的错 It's my fault.
我不喜欢她 I didn't like her.
我今早一看见她时 她... When I first saw her this morning, she just...
看起来不... didn't look...
我不知道 I don't know.
我想放她鸽子 I mean, I wanted to blow her off,
所以我说我忘了带水 so, uh... I said I forgot water.
我设想我们去商店买时 I mean, I figured we'd go to the store
我假装我忘了带钱包 and -- and I'd pretend that I forgot my wallet.
我知道她没有带钱包 所以... I knew she didn't have her purse, so...
没有水 我们就不能去远足了 对吗 We can't go hiking without water, right?
这样就无害不罚了 I mean, no harm, no foul?
因为我她才会去那 She was there because of me.
她会在这... She's here...
是因为我 because of me.
这不是因果关系 It's not a causal relationship.
慢着 你说什么 Wait, excuse me?
这不是因果关系 It's not a causal relationship --
说谎和枪击 lying and shootings.
说谎不会引起枪击 Lying doesn't cause shootings,
否则 每次有人说谎... otherwise, every time someone lied --
她的脉压变低了 Her pulse pressure is narrow.
慢着 那是什么意思 Wait, what does that mean?
她快死了 She's dying.
马上呼叫梅伦德斯 Page Melendez. Stat!
你的呼吸率上升了 Your respiratory rate is up.
你呼吸有困难吗 Are you having trouble breathing?
是的 很紧密 Yeah. It's tight.
找利姆医生 Find Dr. Lim.
脉压变低表示心排血量减少 Narrow pulse pressure indicates a reduced cardiac output.
炎症在影响她的心脏 The inflammation is affecting her heart.
她处于器官衰竭末期 She's in end-stage organ failure.
是的 我们可以插入主动脉内球囊反搏 Yes, we can insert an intra-aortic balloon pump.
也许能减轻她心脏的工作量 It may reduce some of the workload on her heart,
但衰竭得很快 非常快 but it's failing fast -- really fast.
只需要撑过一夜 It only needs to work overnight.
之后炎症反应会改善 The inflammatory reaction will improve after that.
如果衰竭得那么快不是因为她的心脏呢 What if it's failing so fast because it's not her heart?
最近两次检测 Her hemoglobin's dropped from 14 to 12
她的血红蛋白值从14降到了12 between her last two draws.
如果她是因为某处有出血呢 What if the real problem is she's bleeding somewhere?
鉴于她的病情 Given what she's been through,
下降两点也许没什么 a two-point drop could mean nothing.
也有可能代表有出血状况 Or it could mean a bleed,
这样也能说明脉压为何会降低 which would account for the narrow pulse pressure.
她的心脏也会没事了 Her heart could be fine.
如果你说得对 我们得再给她开刀 If you're right, that means we'd have to open her back up.
我不确定她的身体是否能够承受第二次手术 I don't know if her body can handle another operation.
是的 承受不了 No, it can't.
通过主动脉内球囊泵治疗心脏衰竭 Treating heart failure with an aortic pump
也是比较简单的手术 is also a simple procedure.
所以咱们现在要根据手术难易度来下诊断了吗 So we're going to diagnose based on which procedure is simpler?
如果我的猜测没错 她泵不出足量的血 If I'm right, there could be no more blood to pump.
她会死的 She'll be dead.
她快不行了 She's crashing!
我们可以准备介入以进行泵血 We should prepare the cath lab for a pump.
准备手术室吧 We should prepare the O.R.
赶紧推她进手术室 Let's get her into an O.R. Now.
血红蛋白降到8了 Hemoglobin's dropped to 8.
她大出血了 She is bleeding out.
是的 但出血点在哪儿 Yes, she is, but where?
赶紧找到出血点 Got to find where the bleeder's coming from
在她死前钳住出血点 and clip it before she dies.
我没找到 I got nothing.
肯定是藏在腹膜后腔或纵膈后面了 Must be hidden under the retroperitoneum or mediastinum.
开刀的这块区域很大 That's a whole lot of real estate
只能盲目地探寻了 to cut open and just go blindly looking.
先从腹腔开始吧 她的枪伤在那里 We should start at the abdomen. She was shot there.
子弹贯穿了胸腔 The bullet passed through the posterior thorax.
收缩压40 舒张压无 她快死了 尼尔 BP's 40 over palp. She's dying, Neil.
无论你要做什么 赶紧动手 Whatever you're gonna do, you need to do it now.
那就到处都查一下吧 We need to look everywhere.
请给我一把手术刀和胸骨锯 Give me a knife and sternal saw.
我要给她开腹 从胸腔直到骨盆 I'm gonna open her up from chest to pelvis.
给胸骨和腹部碘伏消毒 Prep the sternum and abdomen with Betadine.
我需要一把海绵钳 Gonna need a sponge stick
在找到出血点时以便控制 to control the bleeding when we find it.
住手 Stop!
从她左侧第二根和第三根肋骨那里下刀 Open her between the second and third rib on the left side.
子弹划破了左侧肋间最上动脉 The bullet nicked the left supreme intercostal artery.
动脉壁破裂 The wall has blown.
你怎么知道 How do you know?
根据伤口... I followed the injuries --
从骨盆 肠道 脾脏到隔膜 pelvis to bowel to spleen to diaphragm.
下一个创口就该是左侧肋间最上动脉 Next target has to be left supreme intercostal artery.
给左侧肋间做术前消毒 All right, prep left intercostal space.
我喘不过气 I can't breathe.
为什么你们不帮帮我 Why aren't you helping me?
利姆医生两分钟内就会过来 Dr. Lim will be along in just two minutes.
你是医生 赶紧救命啊 You're the damn doctor. Do your job.
我需要打开左侧颈部筋膜间隙 I need to open up the left neck compartment
释放压力 to relieve the pressure.
手术包 Procedure tray?
你以前做过吗 You done this before?
没有 Nope.
手术刀 Scalpel.
肿胀太厉害 It's too swollen.
我看不到喉结 I can't see the Adam's apple.
好了 Okay.
沿着颈动脉鞘和气管之间的软凹陷切开 Cut along the soft divot between the carotid sheath and the trachea.
软凹陷 Soft divot.
找到了 Got it.
什么情况 Update me.
你做了什么 What did you do?
他的颈部有血肿 He had a cervical hematoma.
我得释放压力 I had to relieve the pressure.
这里吗 Here?
氧饱和回升了 Oxygen sats are going up.
这很少见 但术后肿胀会伴随气管破烂 It's rare, but post-op swelling can happen with tracheal tears.
所以我们才会在术后24小时内严密观察患者 That's why we watch them so closely the first 24 hours.
让我们到手术室完成这个好吗 You mind if we finish this off in the operating room?
我什么都没看到 肖恩 I don't see anything, Shaun --
没有出血 也没有动脉破裂 no blood and no arterial tear.
你找到位置太高 You're too high.
就在分叉附近 It's near the bifurcation.
打灯 Get some light in.
我找到了 I got something.
分叉右下方有血涌出 Blood's pooling right under the bifurcation.
给我止血钳 Clamp now.
她不再心脏衰竭了 She wasn't in heart failure.
这意味着她的心脏足够强壮 That means her heart is still strong enough
能帮她度过这一晚 to get her through the night.
我错了 I was wrong.
没错 Yeah.
但你刚刚已经弥补了错误 And you just made up for it.
你说得对 杰瑞德 You were right, Jared.
干得好 Good work.
你知道吗 You know what?
你说得对 You were right.
我妈妈是有问题 My mother had problems.
所以我无法忍受只是袖手旁观 So I couldn't afford to just around
希望天上掉大饼 expecting everything to be handed to me
或是其他拖我后腿的事情 or whatever else it is that's holding you back.
是的 我取得了一些成就 And yeah, I got some breaks,
但我也拼了命 but I worked my ass off.
两份工作 两个室友 一步步一路走来 Two jobs, two roommates every step of the way.
靠着这些 我才能站在这个位置拯救你的性命 And that is what got me to the place where I could save your life.
你女儿尚未脱离危险 Your daughter's not out of the woods yet,
但我认为她的状况会一天天转好 but I do expect her condition to improve day by day.
谢谢你 医生 Thank you, Doctor.
-谢谢 -客气 - Thank you. - You're welcome.
宝贝 Baby.
抱歉我们没陪在你身边 Sorry we weren't here for you.
你感觉怎么样 How are you feeling?
暂时没办法去爬山了 Probably won't be hiking anytime soon.
我还没谢你呢 你就想偷偷溜走吗 You sneaking out before I can thank you?
不是 你没必要谢我的 Please, you don't need to thank me.
不 有必要 Yeah, I do.
还有道歉 And apologize.
我之前误会了你 I was wrong about you.
我以为你要抛弃我 I thought you were trying to ditch me.
我当时... I was...
希望你抛弃我 hoping you were trying to ditch me.
对不起 I'm sorry.
等你感觉好点 When you're feeling better,
我希望我们能再来一次初次约会 I'd like a second chance at a first date.
抱歉 I'm sorry.
你是对的 You were right.
我公然对你不敬 I publicly disrespected you,
所以我只能公然对你表示敬重以弥补错误 and so I thought it only right to publicly respect you.
我很感激从你这里学到的教训 I am grateful for the chance to learn from you.
我知道你需要这场胜利 I know you needed this victory.
很高兴你今天拯救了性命 Glad you saved a life today.
希望他不是纳粹 Just wish it wasn't a Nazi.
2号跑道 Lane number two.
曼蒂经常跑那条跑道 Maddie always took that lane.
她会一直缀在我后面跑 She would tuck in behind me
直到最后200米才会超越我 and draft until the last 200 meters.
一个见不得人的小把戏 It was a dirty little trick.
-但很有效 -每次都有效 - It worked. - Every time.
至今都13年了 13 years ago today.
是啊 Yeah.
我也很想她 I miss her, too.
给她一些空间吧 Give her space, right?
给她一些空间 Give her space.
她只是在渐渐远离 She just drifted farther and farther away.
我做的所有事... Everything I did...
都做错了 I did wrong.
你尽了力 You did your best.
我当时 I was...
几乎就是住在你家了 practically living at your house back then, and --
如果我没有... If I hadn't...
你们俩当时都是青少年 You were both teenagers.
都一样的中二 You were idiots.
你走了好运 她没有 You got lucky, she didn't.
如果我... If I...
能多陪陪她... was there more...
如果我 if I...
在她身边... stayed on her...
你当时在他身边 You're there for him.
以下是本周的天气预报 Here's your extended forecast for the week.
首先旧金山多云 Starting off with a little bit of cloud cover in San Francisco,
气温降至21度... temperatures in the low 70s...
到了周末只有几度 ...just a few degrees as we get closer to the weekend.
希望未来7天能天晴干燥 Expect dry conditions for the next seven days here --
我看到你家有灯 I, uh, saw your light.
对不起 I'm sorry.
克莱尔说我要道歉 Claire told me to apologize
因为你并不希望我说实话 because you didn't want me to tell the truth.
你只是希望我能支持你的观点 You only wanted me to support your position,
即便你是错的 even though it's wrong.
我不接受你的道歉 Well, I don't accept.
今早我也许有点反应过度 I may have overreacted this morning a little.
你很诚实 极其诚实 And you were honest -- brutally honest --
但你在自己家不应该戴耳塞 but you shouldn't have to wear ear plugs in your own home.
别为了让我好受而说谎 And don't start lying to me to make me feel good.
你是我认识的唯一诚实的人 You're the only honest guy I know.
所以... So...
晚安 肖恩·莫菲 ...have a good night, Shaun Murphy.
我会努力不吵醒你 And I will try not to keep you up.
BGM: I'll Be Your Mirror by Clem Snide
? I'll be your mirror ?
? Reflect what you are ?
? In case you don't know ?
? I'll be the wind ?
? The rain and the sunset ?
? The light on your door to show that you're home ?
? 'Cause when you think the night has seen your mind ?
我今天犯了个错误 I made a mistake today.
? That inside you're twisted and unkind ?
有人因此受伤了 And someone got hurt.
? Let me stand to show that you are blind ?
? Please put down your hands ?
? 'Cause I see you ?