「良医」前情回顾 Previously on "The Good Doctor"...
你们一起共事又同床共枕 You work together and you are sleeping together.
就没觉得会有什么不对的吗 You don't see any way that can go wrong?
你为我冒了很大的风险 You went out on a limb for me.
现在炒掉我 你在董事会面前就会像个傻瓜 You fire me now, you look like a fool in front of the board.
安德鲁斯医生 你没有表决权 Dr. Andrews, I don't think you have the votes to carry it.
但我不需要表决权 But I don't need the votes.
正如你有开除你下属的权力一样 Just as you have the power to fire someone
我也能开除我的下属 under your supervision, so do I.
你听说韩医生的事了吗 Did you hear about Han?
难以想象安德鲁斯将如何应对后果 Can't imagine Andrews will survive the fallout.
他们会需要新的外科主任 They're gonna need a new Chief of Surgery.
青木应该马上会找你 给你升职了 Aoki should be calling you with the offer any minute.
我有花和巧克力 Here are flowers and chocolates.
你在约我出去吗 Are you asking me out?
是的 Yes.
我很愿意 I would love to.
你为什么在笑 Why are you smiling?
我不知道 I don't know.
我只是...想让你知道... I just... I wanted you to know that...
一切都很好 things are okay.
♪ If I start a commotion ♪
好的 Good.
♪ I run the risk of losing you, and that's worse ♪
BGM: Ever Fallen In Love by Nouvelle Vague
♪ Ever fallen in love with someone ♪
♪ Ever fallen in love, in love with someone ♪
提醒 -电影 -电视 -天气 -体育运动 -宗教禁言 -政治禁言 -堕胎及其他相关话题禁言
♪ Ever fallen in love, in love with someone ♪
♪ You shouldn't have fallen in love with? ♪
上周末我看了一部电影 I saw a movie last weekend.
哪部 好看吗 Which one? Was it good?
你喜欢哪种电影 What kind of movies do you like?
♪ What a shame ♪
这看起来很好吃 谢谢 This looks delicious. Thank you.
♪ Ever fallen in love with someone ♪
♪ Ever fallen in love ♪
我说过不要泡菜的 I said no pickles.
不好意思 Pardon me?
-没事 让他们拿掉就好 -我说了不要泡菜 - It's okay. They can just take that off. - I said no pickles.
真是抱歉 Oh. I am so sorry.
我说了不要泡菜 I said no pickles.
那真是一场灾难 It was a disaster.
发生了什么 What happened?
你们都没事干吗 Don't you all have work to do?
对不起 我们只是... Sorry. We were just...
肖恩去约会了 Shaun was on a date.
恭喜你升职了 Congratulations on your promotion.
我相信你是我们第一位女性外科主任 I believe you're our first female Chief of Surgery.
很好 谢谢 是的 That's nice. Uh, thank you. Yes.
你们还是没去工作 And you're still not working.
没说你 Not you.
我们得去趟人事部 分下手 We need to go to H.R. and break up.
得做个脑部CT和创伤检查 We need a head CT and a trauma panel.
救命 有没有人 救救我妻子 Please! Someone! Help my wife!
良 医
第三季 第一集
我们结婚已经45年了 We've been married for 45 years.
有两个孩子 Two children.
目前为止 Eh, so far.
别闹 Oh, stop it.
瑞奇和汤米 Ricky and Tammy.
瑞奇有两个孩子 Ricky's got two kids of his own.
你第一次察觉到疼痛是什么时候 When did you first notice the pain?
-今天早上 -不 是上周六 - This morning. - No, on Saturday.
他有肾结石病史 He has a history of kidney stones.
我试图让他多喝点水... I try to get him to drink more water...
你「试图」 You "try"?
我什么时候拒绝过你 When did I ever say no to you?
可能又是一块结石 但我们要做影像检查 It's probably another stone, but we'll do some imaging
来排除任何更严重的情况 to rule out anything more serious.
谢谢 Thank you.
你告诉他们孩子的事了吗 Did you tell them about the kids?
我们生了两个 We have two, you know.
目前为止 So far.
真好 That's nice.
-这个不行 -什么 - Not it. - What?
他得了痴呆症 更糟的是 这太无聊了 He's got dementia, and even worse, it's boring.
有可能是结石 Probably stones.
最好的情况是肾肿瘤 Best case scenario, it's a kidney tumor.
我们已经协助做了八次肾切除术 We've assisted on eight nephrectomies.
这是你的病人 你的病历 你是首选 It's your case, your chart, you're primary.
凯兰要过来了 Kellan's coming to town.
我得到点下班 I need to be out of here at a decent hour,
还有我们不是孩子了 and we are not children.
不是谁先喊 就由谁来决定 We do not decide things by who called it.
你先碰到病历了 归你了 You touched the chart first. It's yours.
-我没有 -你有 - Did not. - Did so.
我们一起走上去 彼得林加把病历交给你的 We walked up together, Petringa handed the chart to you.
-我没有 -你有 - Did not. - Did so.
为什么 Why?
没成而已 It just wasn't working out.
我绝对不希望这是因为 Well, I certainly hope it's not because in light of
林医生最近升任外科主任 Dr. Lim's recent promotion to Chief of Surgery
她现在是你的上司了 that she's now your supervisor?
我们知道那个安排 We knew that arrangement
让人无法接受 would be unacceptable,
鉴于我们最近才开始约会... and since we only recently started seeing each other...
在你们报告之前 你们已经秘密约会 You were seeing each other secretly for some time
有一段时间了 对吧 before you reported it, correct?
所以 也许你们只是回归 So, maybe you've just gone back
地下情的状态 to seeing each other in secret.
不 我们做好了决定 这个机会 No. Uh, we made the decision that this opportunity
对林医生来说是... for Dr. Lim is just...
你在 什么 你在写什么东西 You're -- what -- what are you writing?
我接受了你们的解释和报告 I have accepted your explanation and report.
谢谢 Thank you.
但我不相信 But I don't believe it.
你们还会一直见面 You're going to keep seeing each other,
我没法阻止这事 甚至也不想阻止 and I can't do anything to stop that, nor do I even want to.
但要知道 爱并不能战胜一切 But know this -- love doesn't conquer all,
欲望也不能 喜爱连边儿都不够格 lust doesn't either, and like doesn't even come close.
这会比你们想象中的 This is gonna be a lot more complicated
都要复杂很多 than either of you think.
你好像有个很大的子宫肌瘤 Looks like you have a large uterine fibroid
出血了 that's bled.
必须得手术切除 It has to be removed surgically.
是的 常规手术 你会没事的 Yes, routine surgery. You should be fine.
子宫 我还能 Uterine? Am I gonna be able to have --
手术不会影响你的生育能力 The surgery won't affect your ability to have children.
我没让她说完她的问题 I didn't let her finish her question
因为我预料到她会问什么 because I anticipated what she was going to ask
因为子宫的功能很少 because the uterus has very few functions.
-真不错 -真棒 - Nicely done. - Yes.
为提高手术室的使用率 我们会实施 To improve O.R. access, we're going to automatic block release
自动进修离职制和麻醉交错苏醒制度 and implement staggered starts for anesthesia.
还有问题吗 Any questions?
安德鲁斯医生和韩医生不会批准员工加班 Dr. Andrews and Dr. Han wouldn't authorize staff overtime.
我们的护士 Now, our nurses --
说得好 谢谢 Good point. Thank you.
好的 批准 Yes. Authorized.
还有一件事 虽然这是针对第三年的住院医师 One other thing, and this is really for our third years,
但会影响到你们所有人 but it will affect all of you.
传统上 你们要到第四年 Traditionally, you don't get to lead surgeries
才能做主刀医生 until fourth year.
现在情况有所不同 That will be changing.
你们越早进入并承担责任 The earlier you get in there and take responsibility,
就有越多的机会去学习 the more chance you have to learn.
如果遇到合适的手术 一些简单的 When the right surgery comes along -- something simple,
基础的 你们就上 basic, it'll be yours.
开始准备 Start prepping.
也许确实是我先碰的病历 Maybe I did touch the chart first.
放松 没事 Relax. It's okay.
我可以偶尔晚点下班 这是我的工作 I can stay late now and again. This is my job.
得了 Stop it.
你不想要这个病人 很无聊 我明白 You don't want the case. It's boring. I get it.
我知道你明白 无聊现在变得令人兴奋 I know you get it. Boring is now exciting.
无聊意味着这是一个常规手术 Boring means it's a routine surgery,
意味着这是一场利姆口中 which means it's a surgery
我们其中一人也许可以主刀的手术 that Lim just said one of us may well lead.
这个可能根本不用做手术 This one's probably no surgery at all.
可能只是肾结石以及与痴呆症患者 It's probably just kidney stones and late nights
共度的几个深夜 with a man with dementia.
我要抓住这个机会 I'll take that chance.
你讨厌人 You hate people.
他们又不知道 People don't know that.
人们喜欢我 People like me.
你得去陪你的家人 You need to be with your family.
凯兰十六岁了 他几乎不和我说话 Kellan's 16. He barely talks to me.
谁先摸到病历就归谁 正如你所说 是我 It's who touched the chart first, which, as you said, was me.
-就像你说的 -不好意思 - And as you said - Excuse me.
在 哈维 怎么了 Y-yes, Harvey? Is everything okay?
我为什么在这里 Why am I in here?
别担心 很可能只是肾结石 Nothing to worry about. It's likely just a kidney stone.
你只要 You just have to --
太好了 是癌症 Yes! It's cancer.
很好地孤立开了 手术简单 Nicely isolated, simple surgery.
非常适合住院医师 Perfect for a resident.
在子宫上做牵引 露出阔韧带 Put some traction on the uterus to expose the broad ligament.
我把盆腔牵开器滑到底部 I'll slide the pelvic retractor under the fundus.
酒洒到你身上了吗 Did the wine spill all over you?
溅得卡莉满身都是吗 Did it spill all over Carly?
别说了 S-stop.
看看直肠子宫凹陷上面 Look above the posterior cul De sac.
-癌症 -是的 - Cancer. - Yes.
面积很大 我觉得 Very extensive, I think.
似乎已经到处扩散了 It appears to have metastasized everywhere.
肝 肾 腹壁 Liver, kidney, abdominal wall.
缝合 Close her up.
我按了门铃 I rang the doorbell.
是的 Yes, you did.
你打算余生 Are you gonna spend the rest of your life
就躺在这后院吗 lying around in this backyard?
躺在我未来妻子的旁边 That, and lying next to my future wife.
祝贺你 我听说了 Congratulations. I heard.
但是你打算做什么工作呢 But what are you going to do professionally?
当人们像你一样认为自己命不久矣时 When people think they're going to die, like you did,
就会评估自己的生活 they assess their life,
重新评估什么是重要的 reevaluate what's important.
你需要做出改变 You're going to need to make a difference.
你有小狗要我领养吗 Do you have a puppy for me to adopt?
我有个院长的职位空缺 I have a vacancy at President.
又来 Again?
你很感兴趣 You're interested,
但你认为事情必须改变 but you think things have to change.
并不是 They don't.
在癌症之前 你过着有意义的生活 You led a meaningful life before cancer,
在癌症之后 你也将过着有意义的生活 and you will lead a meaningful life after.
谢谢你 醍醐灌顶 Well, thank you. I'm very inspired.
考虑一下 Think about it.
还有注意防晒 Also, sunscreen.
肠系膜上动脉根部的 What's going on behind the pancreas
胰腺后面是什么情况 at the root of the superior mesenteric artery?
需要找更好的角度 We need a better angle.
我们找不到更好的角度了 We're not gonna get a better angle.
当我们实际操作时绝对找不到 Definitely not when we're actually operating.
那解决方案是什么 So what's the solution?
没有 There isn't one.
做手术无法解决 Not surgically.
我们应该让他们去看肿瘤学家 We should refer them to an oncologist.
化疗可能会有帮助 但我不抱希望 Chemo might help, but I'm not hopeful.
你打算怎么跟他们说 What are you gonna tell them?
你们是第三年了 You guys are third year.
想从实践中学习吗 You want stuff to learn by doing?
同情的交流怎么样 How about sympathetic communication?
肖恩 告诉新娘她可能要死了 Shaun, let the bride know she's probably dying.
今早你把卡尔德隆的病历给谁了 This morning, who did you give the Calderon chart to?
我给你们了 I gave it to you guys.
但你给了我们其中一个人 Uh, but you handed it to one of us.
其中一人从你这拿走的 One of us actually took it from you.
是我 对吗 It was me, right?
我不知道 有什么要紧 I don't know. What does it matter?
你们过来然后 You just came up and --
从右边 我在摩根的左边 From the right. I came up on Morgan's left.
你是左撇子吗 You're left-handed?
只有这样才说得通 我更接近 It only makes sense that I would be closer to --
不好意思 Excuse me.
有我丈夫的消息吗 Is there any news about my husband?
哈维 你记得朴医生和雷兹尼克医生 Harvey, you remember Drs. Park and Reznick.
他们给你做了扫描 They did your scan.
是的 我的 R-right. For my, uh...
他们在找肾结石 They were looking for kidney stones.
不幸的是 我们找到了一些癌细胞 Unfortunately, we found some cancer.
-在你左肾 -癌症 - It's on your left kidney. - Cancer?
好消息是它是孤立的 The good news is it's isolated
而且是在一个很容易操作的地方 and in a very operable location.
癌症 Cancer.
我有癌症 I have cancer?
我们要告诉孩子们 We have to tell the children.
我们会做活检来确认 We'll do a biopsy to confirm,
但我相信我们发现得早 but I'm confident that we caught it early.
这很糟糕 我不能死 This is terrible. I...I can't die.
你需要我 I...You need me.
我知道 I know.
但是通过手术 放疗和免疫疗法 But with surgery, radiation, and immunotherapy,
预后良好 the prognosis is excellent.
你应该和我们的病人谈谈 You're supposed to be talking to our patient.
等到我们确定了再说 They can wait until we're sure.
已经确定了 梅伦德斯医生很确定 We are sure. Dr. Melendez is sure.
利姆医生说 Dr. Lim told us
我们已经准备好承担更多的责任 we're ready for more responsibility,
所以我决定我可以自己做决定 so I decided I can make a decision on my own,
我决定做更多调查 and I decided to do some more research.
肖恩 你要学习如何面对病患家属 Shaun, you need to learn how to do this,
拖延只会让事情变得更糟 and stalling just makes it worse.
我想也许你对你的约会感觉不好受 I think maybe you're feeling bad about your date,
然后你在这里 埋头干着 and you're in here - burying yourself in things
你潜意识觉得能控制的事 you subconsciously think you can control.
我怎么知道潜意识里发生了什么呢 How do people know what's going on in their subconscious?
你突然站起来的时候 What happened, Shaun...
发生了什么事 肖恩 when you jumped up?
♪ Fallen in love with someone, ever fallen in love ♪
♪ In love with someone, ever fallen in love ♪
♪ In love with someone ♪
♪ You shouldn't have fallen in love with ♪
你的手机在响 Your phone is ringing.
让它响着吧 It can wait.
是你妈妈 It's your mother.
让它响着吧 It can wait.
出什么事了 发生了什么灾难 What went wrong? What was the disaster?
她之前也打过来了 She called earlier, too.
如果拖延不好 If stalling is bad,
你为什么故意不接你妈妈的电话 then why are you avoiding your mother's calls?
你原谅你妈妈当年没保护你了吗 Did you ever forgive your mother for not protecting you?
那是你妈妈想知道的事吗 Is that what - your mother wants to know?
我妈妈是个糟糕的母亲 My mother was a terrible mother.
不全是她的错 她有躁狂抑郁症 It wasn't all her fault. She was bipolar.
但这也改变不了她很糟糕的事实 That doesn't change the fact that she was terrible.
我不觉得她出现在我的生活中是件好事 I -- I don't think it's good for her to be in my life.
你是在向我 Are you looking for guidance...
寻求建议吗 from me?
我是你的榜样吗 Am I a role model to you?
在某些问题上确实是 On some issues, absolutely.
我不常回想过去 I don't usually think about the past.
那毫无益处 It doesn't help.
但是约会除外 But the date.
昨天是过去的一部分 而过去很重要 Yesterday is part of the past, and the past matters.
发生了什么 What happened?
我讲了个笑话 I...told a joke.
-不是吧 -我讲了 - No. - Yes.
莉亚说我该讲笑话 Lea said I should.
不 我没这么说过 No. That is not what I said.
领带看起来不错吧 Does this tie look good?
是的 但和这条裤子不搭 Yes. But not with those pants.
我的意思是人们一般在约会时 And what I was saying was that jokes are the types of things
会讲一些笑话 people do on dates.
他们谈论天气 爱好 They talk about the weather, hobbies,
在哪上的大学 where they went to college.
我也是人 I'm a person.
我要当着你的面换裤子吗 Should I change my pants with you in the room?
我说了不 I said no.
我知道你是人 肖恩 And, yes, I know you're a person, Shaun,
但我们都有长处和短处 but we all have strengths and weaknesses.
讲笑话很容易 书上都写了 Telling jokes is easy. There are books full of them.
我说不 I said no.
没错 书上确实有很多笑话 Yes, there are a lot of jokes,
但你得知道该怎么讲 but you have to know how to tell them.
还得明白什么时候能讲 You have to know when to tell them.
我大学前空闲了一年 So, I took a gap year before college, which,
事后看来 那应该是个错误 in hindsight, I think might have been a mistake.
我一直待在家里 Staying at home.
我和我爸爸的关系... My relationship with my dad --
恺撒走进酒吧 Caesar walked into a bar
找酒保要杯马提尼 and asked the bartender for a martinus.
酒保说 你是要双杯马提尼吗 The bartender said, "Do you mean a martini?"
恺撒说 不 如果我要两杯 And Caesar says, "If I wanted two,
就会点两杯了 I would have ordered two."
她笑了吗 Did she laugh?
我不确定 I'm not sure.
那她说了什么 Well, what did she say?
她发出了这种声音 She made a sound.
呵 "Heh.
呵呵呵 Heh heh heh."
我想她是在轻声笑 You got a chuckle, I think.
-这挺好的 -不 这不好 -That's --that's good. - No, it's not.
我读了六本笑话书 I read six joke books, and all I got
然而她的反应却是呵呵呵 was a... "Heh. Heh, heh, heh."
真是大灾难 It was a disaster.
因为一个笑话吗 Because of a joke?
肯定还有更严重的事出错了 Something bigger must have gone wrong.
发生什么了 What happened?
有个年轻女人可能要死了 A young woman may be dying.
我有很多资料要查 I have a lot of research to do.
我先拿到病历 归我 我的病人 我的手术 Boom. My chart, my case, my patient, my surgery.
你从我这抢走的 You took it from me.
我的手指碰到了 It touched my fingers -- I know it did --
然后你才从我这拿走的 and then you took it from me.
我只知道是我拿着病历 All I know is I'm the one holding the chart.
这就是证据 That's the evidence we got to deal with.
-如果你能证明 -角度 - If you could prove -- - Angles.
我们得从更多角度看 We need more angles.
我们在那一片有多少摄像头 How many cameras do we have in that section?
利姆医生 我很高兴你对加班的决定 Dr. Lim, I'm glad you made that decision on the overtime.
不客气 You're welcome.
但我想你可能想知道 But I thought you'd want to know the real issue
真正的问题不是加班 而是人员短缺 isn't the overtime. It's being understaffed.
这层还需要两个护士 一个去重症监护室 We need two more nurses on this floor alone, one in ICU --
抱歉 我知道你是对的 I'm sorry. I'm sure you're right,
但我们没有预算 but we just don't have the budget.
你什么意思 Excuse me?
没什么 女士 Nothing, ma'am.
我批准了加班的事 你这么不公平 I gave you the OT. You're not being fair.
是吗 Aren't I?
你说我是对的 You told me I was right,
然后你跟我说你不打算这么做 then you told me you're not gonna do it.
是谁不公正 Who's being unfair?
没人说这份工作... Nobody said this job...
肖恩 Shaun.
跟我来 Come with me.
一切都还好吗 Is everything okay?
护士告诉我们 你没有做完手术 The nurse told us you didn't finish the surgery.
苏珊妮 Suzanne...
你的腹部中 you have very extensive cancer
有大面积的肿瘤 throughout your abdomen.
好像是恶性的 It appears to be malignant.
已经扩散到了各个器官周围 And it appears to have metastasized around every organ.
但手术还是有希望的 But there's hope with surgery.
我们看不到肝后面的癌症情况 We can't see the retrohepatic part of the cancer
因为被肝挡住了 because of the liver.
我们看不到腹膜后的部分 We can't see the retroperitoneal part
-因为右肾挡住了 -是的 我知道 - because of the right kidney. - Yes, I know.
所以我们才要取出那些器官 That's why we should take out the organs.
你想要摘除她的肝和右肾 You want to remove her liver and right kidney?
是的 Yes.
还有她的左肾 胰腺 And also her left kidney and her pancreas
肠道和胃 and her intestinal tract and the stomach.
你知道其中几个器官 You do know that several of those organs
是十分必要的 are quite essential.
我们再把它们放回去 We'll put them back.
我们取出这些器官 清理掉肿瘤 We remove them, clean up the cancer,
然后再把器官放回去 then put them back.
体外手术 Ex vivo surgery.
曾被用来治疗胰腺癌 It's been done for pancreatic cancer.
成功率不高 Without much success.
不高 No.
你认为在这成功率更高吗 You think it'd work better here?
并不 Not really.
但不这样就只能是死 But the alternative is death.
你还好吗 How are you?
还好 Good.
没在工作吗 N-not working?
是的 Yeah.
已经72小时了我还没找到工作 It's been 72 hours, and I still haven't found a job.
放轻松 我没事的 Relax. I'll be fine.
我手头有些活 你来做什么 I got some irons in the fire. What do you need?
如何拒绝一个人 How do you say no to a person?
我觉得我的方式不对 I don't think I'm doing it right.
好的 看好了 Okay. Watch closely.
真假的 Really?
如果你这么简单就放弃了 If you're gonna give up that easily,
不如现在直接退出 you might as well just quit now.
活检证实了肾脏癌症是 The biopsy confirmed that the kidney cancer is
肾细胞癌 a renal cell carcinoma.
癌症 我得癌症了 Cancer? I have cancer?
是的 Yes.
你们为什么不告诉我 Why didn't you tell me?
告诉了 We did.
好消息是通过手术 The good news is that it's treatable with surgery
免疫疗法和化疗是可以治好的 and immunotherapy and radiation.
我们得告诉孩子们 We have to tell the children.
他们知道 The children know.
他们怎么会知道 How do they know?
发生什么了 What's going on?
我要死了吗 Am I dying?
癌症是很严重 但是 The cancer is serious, but --
露比 我们想和你出去谈 Ruby, we'd like to talk to you outside.
我马上回来 I'll be right back.
问题不是如何拒绝 The problem isn't how you said no.
而是如何答应 The problem is how you said yes.
她很开心我答应了 She seemed quite happy with the yes.
一切发生得太快了 It came too quickly.
你让她以为她在帮你 You made her think she was helping you
而不是你在帮她 所以她得寸进尺 instead of the other way around, so she came asking for more,
认为她有资格这么做 feeling she was entitled to more.
所以我想答应时其实应该拒绝吗 So I should have said no when I wanted to say yes?
你不应该说出你的真实想法 You shouldn't tell her what you want to tell her.
你应该说出她需要听到的 You should tell her what she needs to hear.
你的职责是弄清你能给予他们什么 See, it's your job to figure out what you can give them,
让他们深信这是他们需要的 convince them that's what they need,
让他们感觉欠了你 and then make them feel like they owe you.
听上去根本不像我 N-none of that sounds like me.
你想按自己的方式行事 And you want to do the job your way,
却又不改变你自己 without changing who you are?
-很可笑吗 -是的 - Is that amusing to you? - Yes, I do.
昨天你还是主治医生 Yesterday, you were an attending.
今天你已经是主任 Today, you're Chief.
你不一样了 You are a different person.
要一杯浓缩咖啡吗 Want an espresso?
不做手术 Without surgery,
你丈夫也许还能再活二到五年 your husband would probably live another two to five years.
他不会太痛苦 He would have very little discomfort
直到很后期 疼痛也可以控制 until very close to the end, and that can be managed.
-你说可以治好的 -是的 - You said it was treatable. - It is.
但和癌症斗争并不容易 But fighting cancer's never easy.
我们得权衡利弊 We have to weigh the benefits against the suffering,
手术本身是很简单 and the surgery itself is usually the easiest part.
他很强壮也很健康 He's strong. He's healthy.
他精神上并不健康 He's not healthy. Not mentally.
你承受的压力 And the burden on you --
我不会让我丈夫死 I am not letting my husband die
因为照顾他并不方便 because caring for him is inconvenient,
因为我会重复一次这场对话 because I'm gonna have to repeat a conversation.
去死吧 Just go to hell.
我们从没在这种情况下做过此类手术 This type of surgery's never been done for this condition.
它会牵扯到你腹腔内的所有器官 We'd be dealing with every one of your abdominal organs,
很有可能会出差错 and something could go wrong with any of them.
你可能余生都要靠透析而活 You could be on dialysis for the rest of your life.
你的消化能力可能会大大减弱 You could have a very compromised digestive tract,
一生的糖尿病 lifelong diabetes.
你可能会出现肝衰竭 You could have liver failure.
我们还没有说全 That's not a complete list.
你可能会死 You could die.
那么 And, um...
如果我们不做手术呢 if we don't do the surgery?
可以做放化疗 Chemotherapy and radiation.
虽然成功的可能性很小 约25% Although the likelihood of success is slim, about 25%.
你们可能会偏向安宁疗护 You may prefer hospice care.
也许只能再活一年 You'd probably live maybe a year,
但会是精彩的一年 but it'd be a good year.
能给我们点时间想想吗 Could you give us some time to think about it?
当然 Of course.
史蒂文斯溪医疗中心
我们该去吃午饭了 We're supposed to be at lunch.
午饭得晚点吃了 We're gonna be late.
为什么 Why?
为什么 因为我要寻找人生的意义 Why? Because I need meaning in my life.
你的心脏看上去没问题 Your heart seems fine.
你肝脏的位置也很正常 Your liver...seems to be in the right place.
你是脑外科医生 You're a brain surgeon.
做脑外科医生还不够有意义吗 You don't think you can get meaning being a brain surgeon?
无聊的病人和无聊的病症 This is a boring patient with boring symptoms.
肖恩 这是马尔科·哈金斯 Shaun, meet Marco Higgins,
柴油机械师 目前待业 diesel mechanic, currently in between jobs.
有三个儿子 两个很久都没联络了 Three sons, two of whom he hasn't spoken to in quite some time,
但他在努力缓解关系 but he's working on that.
张嘴 Open.
张大点 Wide.
能结交新人很好 肖恩 It's good to get to know people, Shaun.
会让你成为更好的医生 It makes you a better doctor.
说「啊」 Say, "Ah."
你的病症挺无聊 是个好事 You have boring symptoms. That's a good thing.
你可不想要有趣的病症 You do not want exciting symptoms.
你昨晚约会去了吗 You had a date last night, didn't you?
我想听听 I want to hear about this.
马尔科 你想听听是吗 Marco, you want to hear about this?
是的 Yes, please.
-是的 -张嘴 - Yes, please. - Open.
简直是场灾难 It was a disaster.
谢谢你 肖恩 但这不是 Oh, thank you, Shaun, but it's really not --
很有骑士精神 No, it's polite and chivalrous...
尽管骑士精神是个值得诟病的概念 ...and even though chivalry is a problematic notion,
但有礼貌是个好事 不管是 politeness is a good thing, no matter which --
肖恩 Shaun!
你还好吗 我的天 Are you okay? Oh, my.
我还好 她就不一定了 I'm okay. She might not be okay.
-我还好 -别站起来 - No, I am okay. - Okay. Don't get up.
我确定她没事 I'm pretty sure she's okay.
脱下他的靴子 Take off his boots.
什么 What?
你觉得马尔科有糖尿病吗 Do you think Marco's diabetic?
看他脖子处的皮肤颜色我认为是的 Based on the color of his skin in the crease of his neck, I do.
根据他的报告来看 我也认为是的 Based on what it says on his chart, I do, too.
他脚上可能感染了 He could have an infection in his feet,
但痛感被糖尿病造成的神经病变掩盖了 and the pain is being masked by diabetic neuropathy.
感染可能会引起腹部症状 That infection could be causing the abdominal symptoms.
马尔科 你介意脱掉靴子吗 Marco, would you mind taking off your boots?
我错了 这一点都不无聊 I was wrong. It's not boring.
我自己能行 I can do it myself.
这点我很肯定 但我们的工作就是互帮互助 I'm sure, but our job here is to help each other,
今天我没做到 and today I didn't do that.
让我帮你打开一罐酸黄瓜当作补偿吧 I'm trying to make up for that with a jar of pickles.
我过界了 I overstepped and...
还在病人的妻子面前揭你的短 undercut you in front of the patient's wife.
我接受你的道歉 I accept your apology.
我应该做的是 What I should have done
私下指出你错了 was privately tell you that you're wrong.
-把罐子还给我 -并让你作为主刀医生 - Give me the jar back. - And let you, as lead doctor,
告诉他们 手术不是个好主意 tell them that this surgery's a bad idea.
因为我们应该让一位七十岁的老人 Because we should let a 70-year-old man die
死于可以治疗的病症吗 of a treatable condition?
因为我们不应该让一位七十岁的老人 Because we shouldn't condemn a 70-year-old man
在疑惑和恐惧中生活数年 to years of confusion and fear.
他的生命还有价值 His life still has value.
不是吧 Seriously?
他有记忆问题 但他不是植物人 He has memory issues. He's not a vegetable.
他风趣幽默 魅力十足 He's funny, he's charming.
他们一起生活了一辈子 They've lived a life together.
他为他的妻子和孩子们带来快乐 He brings happiness to his wife, to his children.
他很幸福 He's happy.
没错 Exactly.
就让他幸福下去 不管他有多少时间 Let him stay happy for whatever time he has left.
彼得林加护士 Nurse Petringa.
如果我过界了 我向你道歉 I'm sorry if I overstepped.
我追过来不是为了让你道歉的 I didn't track you down for an apology.
你准备给我们多雇些人手了吗 You gonna get us the additional staff?
不 No.
如果我给你雇了更多的人手 If I get you the additional staff,
你的工时会减少 也没有加班工资了 you lose hours, you lose overtime.
所以你让我们忙得没时间见家人 So you're doing us a favor
真是帮了大忙了 by making sure we never see our families?
你的问题不在于人手 Your problem isn't the staff.
你的问题在于实际的工作 Your problem is the actual work,
工作中无意义的事耗费了你太多的 the crap part of the work that takes too long
时间和精力 and too many of you.
我授权购买了两台病人升降机 I authorized the purchase of two Hoya patient lifts
一张机电一体化重症监护病床 and a mechatronic ICU bed.
智能床 A smart bed?
还真应该挺有意思 Those are actually supposed to be kind of fun.
你得保证让我试试 You got to promise to let me try it.
没问题 You got it.
利姆医生 Dr. Lim?
谢谢你 Thank you.
你欠我人情 You owe me.
我很清楚他会经历什么 I'm well aware of what he'll be going through.
我姐姐也得过癌症 My sister had cancer.
化疗 放疗... The chemo, the radiation...
她被折磨得痛不欲生 对吗 They beat the crap out of her, didn't they?
对 Yeah.
想象一下经受着病痛的折磨 Now imagine going through that
却无法理解 天天如此 and not understanding, every day.
恶心呕吐却不知道为什么 Throwing up and not knowing why,
不停地掉头发也不知道为什么 losing your hair and not knowing why,
日复一日地感知到自己有癌症 learning he has cancer and being devastated by it
并为此悲痛欲绝 day after day.
但最终... But at the end...
世上没有百分之百的事 There are no guarantees.
他年纪大了 身体在逐渐衰弱 He's old, and his body's breaking down.
精神也在逐渐衰弱 His mind is breaking down,
不管我们怎么做 生命都会终结 and it's gonna end, no matter what we do.
45年来 我从没对他撒过谎 In 45 years, I have never once lied to him.
当记忆逝去 剩下的只有情感 When memory goes, all that's left is emotion.
我们知道的已经不重要了 What we've learned doesn't matter.
我们午饭吃了什么 我们去了哪里度假 What we had for lunch, where we went for vacation,
这些都不重要了 none of it matters.
但我们的感受... But how we feel...
我们亲近的人... who we're close to...
他还是我一直爱着的那个男人 He's the same man I've always loved.
还是那么幽默 Same sense of humor.
一切都跟原来一样 Same everything.
他从未改变 He hasn't changed.
我欠他的也从未改变 And what I owe him hasn't changed.
你决定了吗 Have you decided?
还没有 Not yet.
慢慢来 不着急... Take your time. There is no urgency to --
你们还在等什么 What are you waiting for?
莫菲医生 他们面对的是 Dr. Murphy, they are kind of facing
一个不可能的选择 an impossible choice.
但他们必须做决定 But they have to make it.
你们在等待什么其他的信息吗 What additional information are you waiting for?
-肖恩 -如果我能理解病人 - Shaun... - I'll be a better doctor
就能成为更优秀的医生 if I understand the patient.
没错 但现在 True, but right now,
你的医术比不上他们的 your skills are secondary to their --
你是不是在纠结是否应该跟另一个人 Are you debating whether you should find somebody else
坠入爱河 一个健康的人 to fall in love with, someone healthy?
不 不 当然不是 No. No, of course not.
你应该去爱别人 You should be.
我们还年轻 We're kids.
你不应该用你的余生 You shouldn't have to spend the rest of your life
去照顾一个病人 taking care of an invalid.
你觉得这是个问题吗 You think that's the issue?
对我来说 你是个负担吗 Me? A-a burden on me?
我所承受的比你承受的要轻松很多 This is so much easier on me than you.
不 不是 No, it's not.
发生在我身上的事迟早都会发生 Whatever happens to me is gonna happen,
我只能承受 and I have to live with it.
而你... You...
你是有选择的 you have a choice.
「无论疾病还是健康」 "In sickness and in health."
这是我今天上午 That was the commitment I made...
做出的承诺 this morning.
如果这件事发生在昨天... Now, if this had happened yesterday...
那 这就不是 So...it's not
那么难以决定了 是吗 that difficult a decision then, right?
我想是的 I guess not.
我能感觉到她的肱骨头在关节窝外面 I can feel her humeral head outside the glenoid fossa.
是关节前向脱臼 It's an anterior dislocation.
我可以减轻症状 I can reduce that.
在这里 Here?
是的 通过牵引和外部旋转 Yes, with traction and external rotation.
我的天 感觉 感觉好多了 Oh, my, that -- that -- that feels better.
是我撞到了你 I bumped you.
别放在心上 Oh, d-d-don't worry.
常有的事 我也没看路 It happens. I-I wasn't watching, either.
走吧 Come on.
就这样吗 That's it?
你撞到了一位通情达理的女士 You bumped into a very understanding woman,
还奇迹般地接住了一瓶红酒 you amazingly caught a bottle of wine.
灾难到底是什么 Where was the disaster?
松开肠系膜上动脉给器官供血 Unclamp the superior mesenteric to perfuse the organs.
小肠颜色发暗并发绀 The small intestines look dusky and cyanotic.
我们得切除所有坏死的部份 We'll need to resect all the necrotic segments.
克莱尔 找到髂骨首个能存活的部分 Claire, find the first viable part of the ilium
夹住近端 and clamp proximal to it.
我觉得你不太忙 I don't think your irons in the fire are very hot.
你的任何工作面试 Any job interviews you get,
都得花很多时间解释 you're gonna spend a large chunk of time trying to explain
为什么你在圣何塞圣文德只当了不到一年院长 why you lasted less than a year as President at St. Bonaventure.
你要怎么解释自己为什么 I mean, how do you put a positive spin on
花大价钱雇来了外科主任 why you spent a fortune on a Chief of Surgery
几周后却为保护第二年的住院医师解雇了他 you fired weeks later to protect a second-year resident?
你觉得我错了 You think I made a mistake?
不 我觉得你做的对 No, I think you did the right thing.
我敬佩你 所以我想帮你个忙 I admire you, which is why I want to do you a favor.
你所需要做的是证明自己没有断了后路 What you need to do is prove that you haven't burned any bridges,
意味着你得回圣何塞圣文德医院工作 which means you have to come back to work at St. Bonaventure.
做什么 做外科医生为你工作 As what? As a surgeon working for you?
而且你刚好急需 And the fact that you're undoubtedly in need
一个外科主治医生来替代你 of a surgical attending to replace yourself
这只是个巧合吗 is just a coincidence?
这是你需要的 It's what you need.
谢谢你的好意 I admire the effort.
但别骗欺诈大师 But don't con a con man.
你作为领导者最大的优势和劣势 Your greatest strength and your greatest weakness
都是你的固执 as a leader was your stubbornness.
今天别让这个成为你的劣势 Don't let it be a weakness today.
我的背左边疼 My back hurts on the left side.
因为那里做了活检 That's where you had your biopsy.
会疼上一阵子 It's gonna hurt for a little while.
什么活检 What biopsy?
哈维 你来是因为你以为自己有肾结石 Harvey, you came in here because you thought you had kidney stones.
我们做了影像检查 但并不是 We did some imaging, and you don't.
那是什么 怎么回事 What is it? What... what's wrong?
怎么 怎么回事 露比 What? What's going on, Ruby?
我 I...
为什么大家都不说话 Why isn't anybody saying anything?
我要死了吗 Am I dying?
露比 Ruby?
我不能死 I...I can't die.
我需要照顾你 I need to take care of you.
我不能 I...I can't...
他们没找到结石 They didn't find stones.
一切都好 Everything is okay.
疼痛会消失 The pain will go away.
我们今晚就回家 We're gonna go home tonight.
好吗 好的 Okay? Okay?
今晚我很开心 I had a nice time.
就这样 That's it?
没了 It's over?
灾难呢 Where's the disaster?
我听了整整一小时 I've listened to an hour of this.
说好的灾难呢 I was promised a disaster.
灾难呢 Where's the disaster?
太累了 It...was exhausting.
一切总是在失控 Everything was always out of control.
任何时候任何事情都会出错 Anything could happen at any time.
而且都出错了 Anything did.
有太多事要记得去做 There was too much to remember to do,
太多要记得别做 而所有一切都没道理 too much to remember not to do, and none of it made sense.
太艰难 不舒服 不愉快 It was hard, uncomfortable, unpleasant.
我整个晚上都不自然 I spent the whole evening doing unnatural things
就为了让她开心 我还不知道她是否开心 to make her happy, and I have no idea if she was happy,
但我知道我不开心 and I know I wasn't happy.
所有一切都是灾难 It was all a disaster.
欢迎新主治医生 马库斯·安德鲁斯医生 I want you to meet our new attending, Dr. Marcus Andrews.
幸会 Pleasure to meet you.
你在这工作多久了 How long have you been working here?
麦格杜格尔女士 Ms. McDougal?
她没要我的身份证 She didn't ask for ID.
这是规矩 It's policy.
我们接收很多移民 We take a lot of immigrants here.
她也没看我 She also didn't look at me.
或检查我诉说的症状 Check the symptom I told her I had...
左眼的割伤 A cut over the left eye.
你愈合地很快 麦格杜格尔女士 You heal very nicely, Ms. McDougal.
你讨厌这里 You hate it here.
讨厌这词太重了 "Hate" is a strong word.
你会选择别的什么工作 What would you do differently?
说出五个 Give me five things.
糖尿病临床教育者 现场化验室和X光室 Diabetes clinical educator, onsite lab and X-ray,
心理健康顾问 多学科关怀小组 mental health advisor, multidisciplinary care team,
电子病历 electronic medical records.
之前医院有诊所 We had the clinic at the hospital
但我得关闭 因为太烧钱 and had to shut it down because it was a money pit.
回来做院长吧 我们重新开 Come back as President, and we'll re-open it.
你的办公室可设在诊所 Your office can be in the clinic.
我要戴领带吗 Do I have to wear a tie?
欢迎回来 Welcome back.
我还好吗 Am I okay?
手术非常成功 The surgery went very well.
我们相信肿瘤已完全切除 We're confident that we got all of the cancer.
她身边有个袋子 There's a bag by her side.
这只是为术后引流吗 Is that just to drain stuff post-surgery?
出现了并发症 There were complications.
我们需要移除一大部分你的肠子 We had to remove a large portion of your bowel
并从身上引流排出废物 and divert the waste through a stoma in your skin.
这是个回肠造口袋 That's an ileostomy bag.
我得带着多久 How long will I have that?
永远 Forever.
所以我的下半辈子去厕所 So I have to go to the bathroom
都得戴着这个东西吗 in this thing for the rest of my life?
对 Yes.
我们会教你怎么换 We'll teach you how to change it,
怎么处理 how to dispose of it.
他们会教我俩 They'll teach both of us.
这就是原因 肖恩 Now, this is why we do it, Shaun.
每次约会都是灾难 Every date is a disaster.
每段感情都不受控 Every relationship is out of control.
但如果你坚持 你就能和一个人厮守终生 But if you stick with it, you wind up with someone in your life
会在你需要帮助时帮助你 who will help you when you need to be helped,
当你需要爱护时爱你 love you when you do not feel lovable,
无论发生什么都和你在一起 be with you no matter what.
这不值得 It's not worth it.
妈 Hi, Mom.
我儿子来了 My son's coming to town.
我得去机场接他 Think I'll pick him up at the airport.
BGM: Farewell by Unkle
♪ And when I see ♪
♪ And if I walk ♪
♪ And when I run away ♪
爷爷 Hi, Grandpa.
♪ And when I run away ♪
♪ Hold me in your arms ♪
♪ Don't let go ♪
♪ And when I see ♪