好吧 Okay.
太可怕了 This is terrifying!
但非常好玩 And very fun!
你准备好躺下了吗 Are you ready to try lying down?
因为我准备好了 肖恩 准备太充分了 Because I am ready, Shaun. I am very ready.
卡莉 Carly --
六百纺线的超细纤维床单 600 thread count microfiber sheets.
记忆泡沫枕头 A shredded memory foam pillow.
四十瓦的A19白炽灯泡 A 40-watt A19 incandescent bulb.
对不起 I'm sorry.
这周末你没有回我电话 You didn't return my calls this weekend.
经过在天际大道的兜风 After a ride up Skyline Boulevard,
六十分钟的泰拳 60 minutes of Muay Thai,
十五年陈的威士忌 and a 15-year reserve Scotch,
我想清楚了 I had a moment of clarity.
你说我的菲尔兹病例上的客观性不是针对我 What you said about my objectivity in the Fields case wasn't about me.
你受挫了 You were in pain.
我在负责任 I was taking responsibility.
并让你也担起责任 And asking you to take your share.
那个手术计划很好 It was a good surgical plan.
你得学会接受 You need to accept that,
尽管你是个天赋禀异的外科医生 despite being a gifted surgeon,
你也会失败 you are fallible.
我想从现在起我该向格拉斯曼汇报我的手术计划 I think I should run my procedures by Glassman from now on.
奥德丽 我们需要一些制约与平衡 Audrey, we need some checks and balances.
我很制约 也很平衡 I am checked and balanced.
而且我是外科主任 And I'm the chief of this department.
你要继续向我汇报你的医学决定 You will continue to run your medical decisions past me.
布朗 今天你跟梅伦德斯 Browne, you're with Melendez today.
莫菲和朴 二十分钟后去急诊观察室见我 Murphy and Park, meet me in the E.R. observation unit in 20.
我以为今天我要和朴去急诊室会诊 I thought I was on E.R. consults with Park today.
如果是因为那天我离开了才换下我 If I'm being bumped because I took off the other day,
布朗医生也有相同的 Dr. Browne was every bit of --
首个主刀手术 First lead surgery.
谢谢 Thank you.
明天进行 Scheduled for tomorrow.
好好研究片子 准备你的患者 Study the images and prep your patient.
太棒了 我太厉害了 Yes! I rock, I rock!
手术之神知道 我知道 The surgery gods know it, I know it,
而且显然 安德鲁斯也心知肚明 and apparently, so does Andrews.
当你是最后一个时 洋洋得意 Boasting doesn't have the same impact
也起不到什么作用 when you're picked last.
显然他是在等最合适的病例 He was obviously waiting for the right case to come along.
不会吧 No.
你开玩笑吧 You're kidding me.
这比我的首次主刀手术好多了 This is much better than my first surgery.
没错 医学生都能做阑尾切除术 Damn right. A med student could do an appy.
但颈动脉内膜切除术需要真正的技术 The carotid endarterectomy takes serious finesse.
可以肯定这是个第五年才能做的手术 Fair to say it's really a 5th-year procedure,
不过我没时间在这纠结这些了 but I don't have time to sit around debating semantics.
我得去准备住院医生的圣杯手术了 I have the Holy Grail of resident surgeries to prep for.
左肺部的肿瘤是在体检时发现的 The tumor was found on my left lung at my medical fitness exam.
位置很微妙 Tricky spot.
可以治愈 Curable,
但如果不摘除整个肺 恐怕很难全部切除 but tough to remove without taking the entire lung.
他们也这么说 That's what they said.
但你不喜欢这个回答 And you didn't like that answer?
我需要肺 I need my lung.
我要上月球 I'm going to the moon.
良 医
第三季 第八集
胸痛是什么时候开始的 When did the chest pain start?
大概今早九点 Around 9:00 this morning.
好 我要检查下你的心脏 Okay, I'm gonna look at your heart.
这个凝胶会有点凉 This gel may be a little cold.
你去看过心脏医生了 You see a cardiologist.
用了他们开的硝酸甘油吗 Did you use the nitro he prescribed?
药物通常能缓解心绞痛 It usually relieves the angina,
但这次不行 but not this time.
什么是白血病
你就是那个罗莎琳德·埃利昂吗 Are...you the same Rosalind Elion
推荐改变治疗方案
刚刚在《儿科肿瘤杂志》上 who just published a study
发布了关于IDH2抑制剂 on IDH2 Inhibitors in Myeloid Leukemia
罗莎琳德
罗莎琳德·埃利昂
用于治疗髓性白血病的文章 in the Journal of Pediatric Oncology?
是我 Yeah.
你太有名了 You're famous.
我给患急性髓性白血病的孩子用了IDH2抑制剂 W-- I-I used an IDH2 on a kid with AML.
他现在好极了 I mean, he's doing great.
你的成果革新了整个白血病的治疗体系 Your studies revolutionized leukemia treatment.
很荣幸见到你 It's an honor to meet you.
谢谢你这么说 That's kind of you to say.
注意前房壁运动异常 Noticing anteroapical wall motion abnormalities.
你的胸痛在变严重吗 Is your chest pain worsening?
是的 你怎么 Yes. How did you --
她心脏病发作了 She's having a heart attack.
联系她家人 然后去手术室 Contact her family, then meet us in surgery.
她得做三支搭桥手术 She needs a triple bypass.
月球 The moon?
月球 2020年 The moon. In 2020.
是个与国家航空航天局合作的私人探险项目 It's a private venture partnership with NASA.
漂浮在无人居住的无垠太空 Floating in an expanse of uninhabitable emptiness
离最近的星巴克三十二万多公里远 200,000 miles from the nearest Starbucks --
不是我喜欢的生活 ...not for me.
你小时候从没想过当宇航员吗 You never wanted to be an astronaut when you were a kid?
在地球上挑战就够多了 Had enough challenges here on Earth.
是吗 Did you?
我小时候是个星舰迷 I was a Trekker.
我所有朋友都装了斯波克的耳朵 All my friends had Spock ears.
我只喜欢麦克伊 I was all about McCoy.
肿瘤在那 There's our tumor.
长在肺门下面 It's embedded in the hilum.
航空航天局的医生说得没错 NASA doctor was right.
要切除肿瘤得摘除整个肺 We'd have to take the entire lung to get it out.
也不一定 Not necessarily.
肿瘤在往上肺叶生长 The tumor's grown into the upper lobe.
如果我们可以从主支气管移除 If we can remove it from the main bronchus,
就只需切除最小的部分 we can get a clean margin.
剩下的肺就留得住了 The rest of the lung can stay.
不行 No-go.
你会保持百分之八十的 You'd have 80% of your --
如果治疗会让我的肺功能变弱 If treatment reduces my lung volume at all,
我就不能上太空了 I'll be unfit for space travel.
肿瘤侵入得太深了 The mass is too deep.
主要的血管 你的呼吸道 食管 Major blood vessels, your airway, esophagus,
而且心脏就在那里 and heart are right there.
你得到的其他意见也会是这样 The next opinion you get will be the same.
或更糟 Or worse.
谢谢你们 Thank you for your time.
你在顶点看到了什么 What do you see at the apex?
灌注异常 I see perfusion abnormalities.
她的左前降和后降支动脉完全闭塞了 Her LAD and PD are completely occluded.
她把丈夫列为了紧急联络人 She listed her husband as her medical proxy.
等他来了你得赶紧告诉他现状 You'll need to update him as soon as he gets here.
她的整个心脏左侧都不行了 The entire left side of her heart is compromised.
他不来 He's not coming.
他们已经离婚两年了 They've been divorced for two years.
他这两年几乎都没跟她联系过 He hasn't spoken to her in almost that long.
莫菲 把内乳和左前降支动脉吻合 Murphy, anastomose the internal mammary to the LAD.
看能否给她心脏连个新的血液供应 Let's see if we can give her heart a blood supply.
我找到了她在圣克鲁兹的姐妹 I tracked down her sister in Santa Cruz.
她也好多年没有见过罗莎琳德了 She hasn't seen Rosalind in years, either.
作为外科医生你跑腿太勤了 That's a lot of legwork for a surgeon --
没有社工吗 no social worker available?
还好你没找到家人 It's good that you didn't find anyone.
家人是这个房间里最没资格 Family members are the least qualified people in the room
做医学决定的人 to make medical decisions.
从她心肌的情况来看 Judging by the state of her myocardium,
反正现在也只有一种方法 there's only one choice, anyway.
她需要一颗新的心脏 She needs a new heart.
我觉得可以通过手术机器人来保全她的上肺叶 I think it's possible to spare her upper lobe using a surgical robot.
蕾恩·布拉克斯顿来找我了 Wren Braxton came to see me.
她来寻求你的不同意见了 You're her second opinion?
你是她找的第四个了 她想干什么 Or fourth or whatever she's up to?
我很惊讶你竟然没提出机器人手术的方案 I'm surprised you didn't offer the robotic option.
通常这种手术我都会交给你做 It's the type of surgery I usually send your way.
我没提是因为用了机器人 I didn't offer it because with the robot,
如果我切断了她的肺动脉 if I nicked her pulmonary artery,
我就来不及 she'd likely bleed out
在她大出血死亡前给她开胸补救 before I have a chance to open her up to control it.
她只会继续寻找医生 She's just gonna keep looking
直到有医生给出她想要的答案 until someone gives her the answer she wants.
那会怎么样 And then what?
你觉得她的生存几率有多大 What do you think her odds of survival are
如果一些庸医试着开刀切除肿瘤 if some hack tries to cut the tumor out,
并保全她的整个肺 leaving the lungs intact?
几乎为零 Roughly zero.
我同意 I agree.
那如果你主刀呢 用机器人 And with you? With the robot?
还是不理想 Still lousy.
你可以做到 You can do this.
你把风险预计过高了 我知道为什么 You're overestimating the risk, and I know why.
你现在又在做和之前一样的事了 And you're doing exactly what you did last time.
以为我无所不能 Assuming that I can do anything.
除了你这个刚有患者逝世的人 So everyone else is biased except for you?
其他每个人都带有偏见吗 The one who just had a patient die on him?
如果那件事对我有任何影响 If it's had any effect,
那就是让我的判断更准确了 it's to make my judgment more acute.
我不会让蕾恩和佩蒂·菲尔兹一样 I won't risk having Wren leave here
冒生命危险做手术 the same way that Patty Fields did.
人们愿意为了梦想而承担风险 People risk things to make their dreams come true.
如果你不想帮她 我自己来 If you don't want to help her, I'll do it myself.
主动脉内球囊反搏 The intra-aortic balloon pump
会在我们找到捐赠者之前维持你的心脏 will support your heart until we find a donor.
什么时候能找到呢 And when might that be?
心脏是最难找的器官 A heart is the most difficult organ to procure.
但是由于你的情况严重 But since yours is so badly damaged,
你排在名单的前面 you are very high on the list.
我想这是件好事 I suppose that's a good thing.
并不是 Not really. The --
我们在尽最大的努力 We're doing everything we can.
谢谢 Thank you.
你想让我们帮你打给谁吗 Is there anyone you want us to call?
是的 Yes.
我的实验室助手 My lab assistant.
接下来的几天 The next few days are crucial
对我的单克隆抗体研究非常关键 to my monoclonal antibody study.
汉娜需要时刻盯着那些培养物 Hannah needs to stay with the cultures around the clock.
我不想白白浪费了五年的工作 I don't want five years of work to go to waste.
我能问问你为什么把你前夫 Can I ask why you listed your ex-husband
列为治疗决策人吗 as your medical proxy?
我总得写一个人吧 I had to name someone.
利奥是唯一一个 Leo is the only person
知道我医疗状况的人 I ever discussed my medical issues with.
如果你们不介意 我现在有很多工作要做 Now, if you don't mind, I have a lot of work to do,
鉴于你们之前说的 which, as you've indicated,
我可能没有多少时间了 I may not have a lot of time to do it.
你还好吗 肖恩 How are you, Shaun?
这是需要立即化验的心脏样本 These are STAT cardiac labs.
我得走了 I have to go.
我希望你没有因为昨晚而感到尴尬 I hope you're not embarrassed about last night.
我想和你做爱 I want to have sex with you.
那很好 That's nice.
我经常想着这件事 I think about it very often.
哪怕是我应该专注于更重要的事的时候 Even when I'm supposed to focus on more pressing matters.
就像十五分钟之前 Like 15 minutes ago
当我在填化验要求单的时候 when I was filling out that lab requisition,
我差点忘了加上脑利钠肽结果 I almost forgot to add a BNP.
那很好 That's good.
不 这样不好 No, it's not.
我们需要脑利钠肽结果 We need a BNP
来监控她的心脏在球囊反搏作用下的状况 to monitor her cardiac function on the balloon pump.
我也一直在想你 I've been thinking about you, too.
在一些我不该想的时候 Sometimes when I shouldn't.
-那太糟糕了 -并不是 - That's bad. - Not really.
我做了些研究 I've been doing some research.
我看到了一个心理学家 I came across this therapy psychologists use
用来治疗恐惧的疗法 to treat phobias.
显然它对自闭症也管用 Apparently, it works in people with autism, too.
如果你愿意 If you're game,
我们今晚可以试试 we could try tonight.
我愿意 I'm game.
我要换一个首次主刀手术 I need a different first surgery.
你的病人有什么问题吗 There a problem with your patient?
动脉粥样斑剥离 The plaque dissection
对第三年的住院医师来说太难了 is too advanced for a third-year resident.
我第一次主刀时也非常紧张 I was nervous as hell for my first surgery.
然而那只是台扁桃体切除手术 And it was only a tonsillectomy.
我蒙着眼都能把扁桃体切除 I could take out a pair of tonsils blindfolded.
那不是神经 It's not nerves.
这更像是第五年住院医师做的手术 This is more like a fifth-year procedure.
你是故意要让我失败的 You're setting me up to fail.
所以我才会选你 This is why I picked you.
你害怕才来找我 却用这种自大的语气说话 You come to me scared, and you couch it in arrogance.
住院医师很少像你一样 It's rare that a resident has what you have --
有攻击性 职业道德 the aggressiveness, the work ethic,
还有成为领导的才能 and talent to be a leader.
我不是故意要让你失败 I'm not setting you up to fail.
而是给你机会表现自己 I'm setting you up to shine.
还是说我看错你了 Or am I wrong about you?
没有 No, sir.
我想让你来做那个手术 I want you to do my surgery.
利姆医生建议的那个 The one Dr. Lim suggested.
那是利姆医生的主意 It was Dr. Lim's idea.
她是个优秀的医生 也是我的上级 She's an excellent surgeon and my superior.
你觉得我是个傻子 And you think I'm an idiot.
我很害怕这次手术 I am afraid of this surgery.
我也害怕上月球 And I'm afraid of going to the moon.
重要的其实不是月球 It's not about the moon.
而是恐惧 It's about the fear.
是超越自我的恐惧 It's about getting beyond that.
但伟大的事情之所以能发生 That's how great things happen --
总是因为 how they've always happened --
有人甘愿冒险 because someone took a chance.
据我对你的了解 From what I've read about you,
我需要你这样的人做我的手术 you're exactly the kind of person I need in my corner.
我以为你这样的人 Exactly the kind of person
明白我的这种想法 I would've thought would understand.
我们能活着也是因为恐惧 Fear is also what keeps us alive.
你觉得 What do you think the odds are
你无法从月球上回来的几率有多大 of you not coming back from the moon?
这件事是英勇而令人激动的 The reason it's heroic, the reason it's exciting
正是因为你不知道会发生什么 is because you don't know what to expect.
你无法预料到每件事 You can't anticipate everything.
百分之一 二或五的几率 1%, 2%, maybe 5%.
六十 60%.
我做这个手术的失败率 This surgery, if I were doing it,
有百分之六十的可能 there is a 60% chance
你会死在手术台上 that you die on the table.
这叫做暴露疗法 It's called exposure therapy.
我们躺在床的两边 穿着衣服 We'll lie down on the bed side-by-side,
不触碰彼此 坚持十五秒 fully clothed and not touching for 15 seconds.
计时器响了之后 When this timer goes off,
我们去另一间房休息三分钟 you'll go into the other room for a three-minute break,
接着再试着这样保持二十秒 and then we'll go again for 20 seconds.
慢慢地我们就能保持更长时间 Over time, we will progress to longer intervals
开始试着靠近躺在一起 and start to lie closer together.
这看起来是个好方法 This seems like a good approach.
你准备好就开始 Whenever you're ready.
你没事吧 Are you okay?
你感觉怎么样 What -- what are you feeling?
我不知道 I -- I -- I don't know.
我不知道 I don't -- I don't know.
我不知道这为什么不管用 I don't know why it didn't work!
没事 肖恩 再试一次 It's okay, Shaun. We'll try again.
不 不 No! No.
不 我做不到 No -- no, I can't.
我们可以尝试更短的时间 W-we'll try for less time.
我做不到 I can't do this!
你走吧 Go.
什么 What?
走 Go.
离开这里 Get outta here.
我们可以一起看 We can watch the end --
我买了床单 I got the sheets,
枕头 还有该死的灯泡 the pillow, the damn lightbulb.
我读了十八篇心理学文献 I read 18 psych journals.
你却只坚持了八秒就放弃了 And you give up after eight seconds?
你说的没错 这不会成功的 You're right. This isn't going to work.
回家吧 Go home.
你和卡莉怎么样了 How are things with Carly?
我坚持了八秒钟 I lasted eight seconds.
她把我赶出了她家 She kicked me out of her house.
第一次总是比较难 我相信她... First time is difficult. I'm sure she didn't --
我们尝试了暴露疗法 试图近距离接触 We tried timed exposure therapy to get physically closer,
但我做不到 but I... couldn't do it.
试试别的 So try something else.
我和她躺在一起的时候 我会出汗 When I lie close to her, I feel diaphoretic,
心率也在上升 my heart rate is elevated,
口干舌燥 and mouth gets dry.
我不知道怎么消除这种感觉 I don't know how to not feel that way.
是你想要的吗 肖恩 You want this, Shaun?
是的 Yes.
很想 Very much.
那就用你的强项来解决 Then rely on your strengths.
把这当作医疗问题来解决 Treat it like a surgical problem.
查好资料 Do your research.
卡莉想出了一种办法 虽然不管用 Carly came up with a solution, it didn't work,
但这不代表下一个办法也不管用 but that doesn't mean the next one won't.
来点好消息吧 Give me some good news.
圣地亚哥有个可能的捐赠者 I had a potential donor in San Diego,
但心脏受损太严重了 but the heart was just too damaged.
我正在看胃食管交界处 I'm at the GE junction now.
她的右侧心脏也完全不行了 Now she has complete right-sided failure, too.
是时候讨论不抢救预嘱了 It's time to discuss a DNR.
她还剩一天 She's got one day left in this world.
尽量让她舒服些吧 Let's keep her comfortable.
百分之六十 60%?
这个数字被严重夸大了 That number is grossly exaggerated.
我花了一个小时让我的患者相信 I spent an hour convincing my patient
我不是想杀了她 I'm not trying to kill her.
她来找我 我就给她手术建议 She came to me. I gave her my surgical opinion.
我可以因为这个解雇你 I -- I could fire you for this.
因为我在你反驳我的观点之后 Because I contradicted your opinion
反驳了你的观点吗 after you contradicted my opinion?
我给她的方案是你因为过于害怕不敢给她的 I gave her an option you were too afraid to present.
不 你给这位女性的建议是可能致命的手术 No, you proposed a potentially deadly surgery
而她急需一种治疗方案 to a woman who was desperate for any option,
不管这个方案有多疯狂 no matter how crazy.
-你没有权力... -权力 - You don't have the authority -- - Authority?
我以为我们在谈病人 I thought we were talking about the patient --
你这样既不专业 也不尊重我 It was unprofessional, disrespectful --
-如果有人对你不够尊重... -我没有 - If anyone showed a lack of respect -- - I don't --
医生们 Doctors.
来我办公室 My office.
我不想靠生命维持系统活下去 I wouldn't want to be kept alive on life support.
如果没有治愈希望 我宁愿死 Not if there was no hope for a recovery.
不可能治愈了 There wouldn't be.
随着你的心脏衰竭越来越严重 As your heart failure worsens,
你可能会因为液体聚集而气短 you may get short of breath from fluid build-up.
我们可以用利尿剂和血管舒张药 We can use diuretics and vasodilators
帮助控制这种情况 to help control that.
我建议同时使用两种药物 I recommend both of those.
当然可以 Of course. Yes.
如果这样不起效 If that doesn't help,
我们可以在你胸腔里插一根导管 we could insert a catheter in your chest
把液体吸出来 to drain the fluid.
这种手术有肺穿孔的风险 The procedure does risk a lung puncture,
这会让你的症状更严重 which would worsen your symptoms.
你应该让我们尝试所有办法 You should give us every option
让你可以更轻松地呼吸 to keep you breathing easy.
而且我们会整夜待命 And we'll be on call all night
尽可能让你更舒适 to make sure you're as comfortable as possible.
谢谢你 Thank you.
我妈妈因为白血病而去世时 I went through this with my mom
我也经历过这一切 when she was dying of leukemia.
我很遗憾 I'm so sorry.
是最近发生的吗 Was that recent?
当时我十岁 I was 10.
我还记得那种无助的感觉 I remember feeling so helpless...
你应该联系利奥 You should reach out to Leo.
太迟了 It's too late.
我不相信 I don't believe that.
我和我妻子之间 There were, uh,
也曾发生过一些事 things between my wife and I
当时我觉得我们永远无法跨过那道坎 that I thought we could never get past.
但去年圣诞节 But last Christmas...
我们差点失去了儿子 ...we almost lost our son.
当我寻求帮助的时候 米娅就在那里 And when I reached out, Mia was there.
利奥 Leo...
总是逼我在他和我的研究之间 always made me feel pressured to choose
做选择 between my research and him.
最终 我意识到他是对的 Eventually, I realized he was right.
所以我选择了最需要我的地方 So I chose to go where I was needed the most.
现在给他打电话太矫情了 而且 To call him now would be hypocritical and...
也不公平 unfair.
你花了很多时间 It took a lot of time
倾尽全力推动我们 and dedication to push our understanding of leukemia
对白血病的理解 as far as you did.
我很高兴可以为病人提供治疗方案 I'm glad I have treatment options for my patients.
你做出了正确的选择 You made a good choice.
抱歉让你们久等 Sorry to keep you waiting.
我觉得你们吵架一小部分是因为工作 I assume that some of this is professional,
另外90%是因为私事 the other 90% is personal.
我说得对吗 Am I right?
这个病例很难处理 Well, it's a very difficult case.
我们都投入了太多精力 We're both just overly invested.
事实上 我希望你可以好好看一下这个病例 Actually, I'd love for you to weigh in on this one.
利姆医生 你对这个手术方案有信心吗 Dr. Lim, are you confident in the surgical plan?
-祝你好运 -谢谢 - Good luck. - Thank you.
你看都不看一下 You didn't even look at the case.
-肺部... -利姆医生是外科主任 - The pulmonary -- - Dr. Lim is my Chief of Surgery.
我相信她的判断 I trust her judgment.
我很抱歉事情有些失控 I'm sorry things got out of hand.
不会再有下次了 It won't happen again.
最好别再有下次 It better not happen again.
如果你们俩无法控制你们的私人争执 If you two can't control your interpersonal squabblings,
我将不得不失去你们中的一位 I'm gonna have to lose one of you --
至少一位 at least.
我们需要一套内窥镜套件把这家伙 We need an endoscopy suite to fetch the spoon
胃里的勺子取出来 out of this guy's stomach.
酷 Cool.
亲密关系研究进行得如何 How's the intimacy research going?
埃利昂医生没有任何亲密关系 Dr. Elion has had a very successful life
也活得很成功 without a relationship.
我也可以 So can I.
成功和幸福不是一回事 Success and happiness aren't the same thing.
你最终还是要决定让你幸福的是什么 You need to decide what will make you happy in...the end.
我不知道是一次成功的手术还是 I don't know if it's being a great surgeon
跟卡莉亲近 or being close to Carly.
但我更擅长做手术而不是跟她相处 But I'm better at surgery than I am with her.
埃利昂医生错了 这两者可以并存 Dr. Elion is wrong. You don't have to choose.
我每隔一周都会飞去凤凰城 I fly to Phoenix every other weekend
陪米娅和凯兰 to spend time with Mia and Kellan.
那你两者都做不好 Then you won't be great at either.
我觉得埃利昂医生是害怕 I think Dr. Elion is afraid.
我觉得这根本不是在期刊上发表文章和 I think it was never about the journals
她能拯救多少生命的问题 and the lives she could save.
我觉得她一直都很害怕 I think she's always been afraid --
害怕自己会失去利奥 afraid she might lose Leo
就像失去她母亲一样 just like she lost her mother.
而你 And you,
你在你弟弟去世时失去了 you lost the person you loved the most
你最爱的人 when your brother died.
你加速的心跳 汗湿的手掌 Your elevated heart rate, sweaty palms --
都不是因为你的感知问题 肖恩 they're not about your sensory issues, Shaun.
我们都有这种感觉... It's what we all feel --
恐惧 fear.
为什么会有人想感受恐惧 W-why would anyone want to feel afraid?
因为想到孤独终老更恐怖 Because the thought of ending up alone is scarier.
我觉得埃利昂医生拒绝给利奥打电话 I don't think Dr. Elion refuses to call Leo
不是因为这样太矫情 because it's hypocritical.
我觉得她是害怕他不会来 I think she's afraid he won't come.
你能搞定这个勺子吗 Can you handle the spoon?
能 Yes.
好吧 Okay.
-早上好 格拉斯曼医生 -早 - Good morning, Dr. Glassman. - Morning.
在接下来的24小时里 你想让 Which shoulder would you like to hurt
哪边肩膀疼 for the next 24 hours?
我不是来打疫苗的 I'm not here for a vaccine.
好 Okay.
我手腕和拇指关节痛 需要注射可的松 Wrist and thumb joint pain. I need cortisone shots.
我两小时之后要做手术 Surgery's in two hours.
我能问你个问题吗 Can I ask you something?
如果有个病人 假设是小提琴家 If a patient -- say, a violinist
一周要开三到四次演奏会 who concertized three or four times a week --
因为关节痛来找你 were to come to you with achy joints,
你会让他们注射可的松还是 would you give them a cortisone shot
让他们休息一段时间 or tell them to lay off for a while?
还有个更妙的问题 Better question --
如果他或她因为关节痛来找你 if he or she came to you with achy joints
并装成要打疫苗 and pretended they needed a vaccination,
你会怎么办 what would you do then?
这... It's...
这是因为我除了你 It's because I wanted you to know
不想告诉任何人 and no one else.
我上个月看了风湿科医生 I saw a rheumatologist last month.
我有类风湿性关节炎 I have rheumatoid arthritis.
我很遗憾听你这么说 I'm sorry to hear that.
我妈妈也得过这个病 My -- my mom had it, too.
这个病摧毁了她的手腕和指关节 It -- it destroyed her wrist and finger joints.
也许我应该离开圣文德医院 Maybe I should leave St. Bonaventure.
伯克利医院的外科主任今年退休 Berkeley's chief is retiring this year.
我可以申请他的位置 I could apply to replace him.
我们有权持不同的意见 We're entitled to have differing opinions.
我们可以争论 We can argue --
显然我们不可以 Apparently we can't.
我爱你 I love you.
我希望我们的关系能持续下去 I want our relationship to work.
但我也想做外科主任 And I want to be chief.
如果我们找不到让我既当你老板又和你 If we can't find a way to work together with me as your boss,
共事的方法 那就得做出改变 then something has to change.
看起来你早就得了这个病 Looks like you caught it early,
却没有明显的关节腐蚀 without any noticeable erosion of the joints.
这很好 你用了多大剂量的抗风湿药物 That's good. What's your D-MARD dose?
二十毫克 但布拉克斯顿医生才 20 milligrams, but Dr. Baxter
刚刚开始用药 just started it.
好 Okay.
你只能把你的第一次主刀手术 You're gonna have to postpone
推迟一段时间了 your first lead surgery for a while,
看看药效如何 see how you respond.
这样我就必须向安德鲁斯和利姆解释原因 I-I'd have to explain why to Andrews and Lim.
你本就该这么做 As you should.
注射可的松只能暂时缓解病情 A cortisone shot is just a temporary fix.
你知道抗风湿药物有多大的几率可以让 Do you know what the chances are the D-MARD
你的手指长期保持 can maintain the dexterity you need
足以做手术的灵敏度吗 to perform an operation in the long run?
45% 45%.
这会改变他们对我的看法 I-it'll change the way they see me.
你出状况了 Yeah, you have a condition --
你生病了 a medical condition.
他们会降低对我的期许 They'll expect less from me.
他们会等着看我失败 They'll be looking for me to fail.
所以我信任你而不是他们 That's why I'm confiding in you instead of them.
当其他人都认为 You advocated for Shaun
肖恩不可能成为外科医生时 你却支持他 when everybody else thought he couldn't be a surgeon.
不好意思 你是把关节炎和自闭症相提并论吗 I'm sorry, you're comparing arthritis to autism?
我在相提并论人们的假设 I'm comparing people's assumptions,
人们的偏见 people's prejudices.
我是求一次证明自己的机会 I'm asking for a chance to prove myself.
在今天的手术中 In this surgery today,
你必须在两层易损的组织之间 you're gonna have to create a plane as thin as paper
制造出像纸一样薄的平面 between two delicate layers of tissue
同时又不能破坏大脑的主要供血 without disrupting the major blood flow to the brain.
如果你失误了十分之一 十分之一毫米 If you miss by 1/10th -- 1/10th of a millimeter,
病人就会遭受永久性的脑损伤甚至更严重 the patient will suffer permanent brain damage or worse.
现在 我还只是疼 Right now, it's a matter of pain,
不是功能问题 not function.
你认为我会拿病人的生命冒险吗 You think I would put a patient's life at risk?
太侮辱人了 That's insulting.
对不起 I'm sorry.
如果手不疼 我就能完成手术 Without the pain, I can do this.
你相信肖恩 You believed in Shaun.
我也需要有人相信我 I need someone to believe in me, too.
好吧 Okay.
利奥·亚当 Leo Adan?
是我 That's me.
我是亚历克斯·朴 I'm Alex Park.
我是罗莎琳德的医生 I'm Rosalind's doctor.
她要死了 She's dying.
她想见你 She wants to see you.
那她为什么不给我电话 为什么派你来 Then why didn't she call me? Why'd she send you?
她不知道我在这里 She doesn't know I'm here.
即使在我们结婚时她也从没把我放首位 Even when we were married, I never topped her to-do list.
她没有背叛你 She wasn't cheating on you.
除了救人 她什么也没做 She wasn't doing anything except saving lives.
她应该得到一点宽恕 She deserves to be cut a little slack.
是啊 Yeah.
她一直在拯救这该死的世界 She was saving the whole damn world.
她就是个圣人 She's a saint.
我成了合伙人 她不在 所有人都理解 I made partner, she wasn't there, everybody understood.
我母亲死了 她不在 所有人都理解 My mother died, she wasn't there, everybody understood.
我不理解 Well, I didn't.
或许我就是个想老婆在自己身边的自私鬼 Look, maybe I was a selfish jerk for wanting my wife to be around,
但我就是 but I did.
她没有派你来 She didn't send you.
很好 Good for her.
她不是个伪君子 至少这点没改 She's not a hypocrite. At least that hasn't changed.
接口已固定好 Assistant port is secured.
装上钳子和电烙器 Load the forceps and electrocautery.
我的主任正在做一个困难的手术 My chief's doing a difficult surgery.
我是来尽我所能帮忙的 I'm here to help in any way I can.
器械准备好了 Instruments are ready.
第一个切口时间 11:32 Time of initial incision, 11:32.
-她怎么样 -她已经喘不上气了 - How is she? - She's really short of breath.
我给她开了血管扩张药和利尿剂 但情况没稳定 I gave her vasodilators and diuretics, but she's not settling.
她有双侧肺水肿 She has bilateral pulmonary edema.
她需要四十毫克呋噻米 She needs 40 milligrams of furosemide.
我再注射两毫克劳拉西泮 I'll push two lorazepam, too.
我 I can't...
喘不上 气了 c-catch...my breath...
你的胸腔里有液体 You've got fluid in your chest.
这种药会让你松口气的 This medication should help ease your breathing.
她应该好转了 She should be improving,
但她没有 but she's not.
也许我们应该插入导管 Maybe we should insert a drain.
肖恩 这跟液体没有关系 Shaun, this isn't about the fluid.
她害怕了 She's scared.
罗莎琳德 Rosalind,
我知道这很可怕 I know this is frightening,
但你不是一个人 but you are not alone.
我在这里 我哪儿也不去 I'm here, and I am not going anywhere.
只要你需要我 As long as you need me.
利奥 Leo.
我看到了肿瘤的底部 I see the base of the tumor.
有很多血从肺静脉流出 There's a lot of bleeding teasing off the pulmonary vein.
将右臂装上双极电灼仪 Put a bipolar electrocautery instrument on the right arm.
这比看起来更脆弱 It's way more friable than it looks.
肿瘤已经侵入了血管壁 The tumor's invaded the vessel wall.
我需要更多止血基质 I need to load more hemostatic matrix.
如果我继续手术 就会出现无法控制的出血 If I keep going, I'll end up with a bleed I can't control.
我要摘除这个肺 I need to take the lung.
给她做好开胸手术准备 Prep her for an open thoracotomy.
我需要一套前列腺切除术工具 I need a prostatectomy kit.
立刻 Now.
前列腺癌往往沿着周围的神经生长 Prostate cancers tend to grow along the surrounding nerves.
这个器械就是用来剥离肿瘤 The equipment's designed to dissect the tumor
而不会伤及神经 without injuring the nerves.
把动脉换成神经 Substitute arteries for nerves,
就是我们现在面对的情况了 and you've got our situation.
装上热剪 Load the hot shears.
松开近端和远端 Unclamp the proximal and distal end.
分流很好 You have good shunt flow.
放大镜 Loupes.
钳子和剥离器 Forceps and dissector.
有问题吗 雷兹尼克医生 Is there a problem, Dr. Reznick?
做得好 雷兹尼克医生 Nice work, Dr. Reznick.
你有没有 Did you...?
我们都搞定了 We got it all.
你还会需要那套宇航服 And you'll still need that flight suit.
谢谢医生 Thanks, Doc.
他或许也帮了一点忙 He might've helped out a little, too.
肿瘤在你动脉中缠结的比看起来要多 The tumor was more entangled in your arteries than it appeared,
但是梅伦德斯医生为我们赢得了非凡的胜利 but Dr. Melendez pulled off a remarkable win for us.
你的肺能完整保留下来多亏了它 This is the reason you still have two complete lungs.
签名 Sign it.
你们两个都签 Both of you.
我要把它带到月亮上去 I'm gonna leave it on the moon.
她就快了 She's very close.
我来宣布 I'll pronounce her.
我来吧 I'd like to do it.
谢谢你 Thank you.
我希望现在还不算太晚 I hope it's not too late.
没关系 It's fine.
进来吧 Come in.
你是对的 You were right.
那是个疯狂的手术 That was a crazy surgery.
但没有我想的疯狂 But not as crazy as I thought.
如果不是你 不可能会有这个手术 It wouldn't have even happened if it wasn't for you.
你也是对的 You were right, too.
我对你不客观 I'm not objective when it comes to you.
我不理会你对风险的担心 I blew off your concerns about the risks
因为我以为你已经没有运气了 'cause I thought you'd lost your mojo.
很好 Great.
我们都是对的 We're both right.
我们找到了合作的方法 And we found a way to work together.
我们的病人也好起来了 And our patient's better off for it.
那是今天 Today.
那下次呢 What about the next time?
我们不会犯同样的错了 We won't make the same mistakes.
我不确定那是错误 I'm not sure they were mistakes.
我觉得那就是我们的本性 I think they might have just been our nature.
我想我无法给予你 I don't think I can give you
一个伴侣应给予你的无条件支持 the unconditional support you deserve from a partner
也无法给你应得的主任的客观支持 and the objectivity you need from a chief.
还有 And...
我不想放弃我的梦想 I don't want to give up on my dream.
我爱你 I love you.
但这还不够 But it's not enough.
晚安 尼尔 Goodnight, Neil.
雷兹尼克医生 Dr. Reznick.
格拉斯曼医生 Dr. Glassman.
谢谢你的支持 Thank you for your support.
我的疼痛好多了 My pain is 90% better than it was.
打针有用 The shots helped.
你做得非常好 Well, you did a remarkable job.
我没事了 I'm fine.
恭喜你 Congratulations.
我对亲密行为治疗自闭症 I did extensive further research
做了更广泛深入的研究 on intimacy treatment for autism.
然后呢 And?
然后 And...
我一无所获 I found nothing.
你说得对 You were right.
暴露疗法 是最有效的选择 Exposure therapy is the most effective option.
你非常聪明和细致 You're very smart and thorough.
谢谢你 Thank you.
我想再试试 I'd like to try again.
该休息一下了 It's time to take a break.
我知道 I know.
这好可怕 This is terrifying.
还 And...
很舒服 very nice.