怎么了 What?
该起床了 It's time to wake up.
天还没亮呢 It's still dark outside.
我想做爱 I'd like to have sex.
听上去很浪漫 As romantically as that was put,
但现在太早了 肖恩 it's too early, Shaun.
根据我们的平均时长 It's exactly early enough to have sex
现在开始的话时间足够 for the average duration it takes us
完事之后也正好来得及 and still allow precisely enough time
洗漱出门上班 to get ready for work.
你醒着想这些有多长时间了 How long have you been up figuring that out?
4点53分就醒了 Since 4:53.
但想好一切就花了两分钟 But it only took two minutes.
你就一直等到现在才提吗 You've been waiting since then to propose this?
我想让你尽量睡久一点 I let you sleep as long as possible.
这真是贴心 That's... very considerate.
抱歉我迟到了 Sorry, I'm late.
我是肖恩·莫菲医生 I'm Dr. Shaun Murphy.
凯莉喉咙痛 Kayley has a sore throat.
更像是有什么东西 More like this constant feeling
一直卡在喉咙里 like there's something stuck in my throat.
我晕过去几次了 And I've fainted a couple times,
起初我以为只是偶然 which I first thought was just random.
但我显然渐渐说不出话了 And I'm obviously losing my voice.
因为我刚刚认识你 Since I've only just met you,
我不知道你正常的声音是什么样 I have no idea what your voice normally sounds like.
反正不是这样 Well, not this.
有时在吞咽时非常疼 Sometimes when swallowing, I get a super intense pain,
比吃冰淇淋引起的头疼还要严重 like, worse than an ice cream headache.
内科医生让我去看过一个耳朵鼻子喉咙医生 My internist sent me to an ear, nose, and throat guy,
一个整形外科医生 三个胃肠科专家 an orthopedic surgeon, um, three gastroenterologists,
还有一个声音问题专家 a voice issues specialist dude.
你是说耳鼻喉科医生 An otolaryngologist.
一位神经外科医生认为可能是 A-a neurosurgeon who thinks it might be a messed up nerve
连接大脑和喉咙的一根神经出了问题 connecting the throat to the brain.
你是说舌咽神经 舌咽神经痛 The ninth cranial nerve, glossopharyngeal neuralgia.
他推荐我去做脑手术之类的 He recommended, like, brain surgery.
是显微血管减压术 Microvascular decompression.
而另一个神经外科医生说不用 Which a second neurosurgeon said I don't need.
你对你从一堆推荐的专家那里 You're not happy with the answers you're getting
得到的答案不是很满意 from a whole bunch of recommended specialists,
然后你就来急诊室了吗 so you came to the ER?
我没有其他推荐的专家了 I ran out of recommended specialists.
这是一种奇怪的组合症状 It is an intriguing combination of symptoms.
我们会收治你 做一些检查 We'll admit you and run some tests.
莫非医生 Uh, Dr. Murphy?
你 You're...
很有意思 interesting.
我有自闭症 I have autism.
太酷了 That's so cool.
我不是这个意思 Uh, I mean, no...
不是说你有自闭症很酷 Sor... Not... not cool that you are.
凯莉 别越说越错 Be more insensitive, Kayley. Um...
我是说你这样很酷 It's cool that you're this...
这样冷静 知识丰富的医生 totally chill, super knowledgeable medico.
被人当面称赞还挺尴尬的 Compliments... are very awkward.
这就是要治好我的可爱医生 Cute doctor who's gonna cure me.
严重腹部不适 Severe abdominal discomfort.
高热 心动过速 血压过低 Fever, tachy, hypotensive.
没事的 亲爱的 It's okay, sweetie.
你叫什么名字 What's your name?
她叫玛拉 That's Marla.
没有人看顾 No one to leave her with.
我们会照顾你妈妈的 We're gonna take care of your mommy.
腹部触痛伴有肿大 Abdomen tender and distended.
脱水 Dehydrated.
毛细血管再充盈迟缓 Delayed capillary refill.
呼吸频率快 Rapid respiratory rate.
皮肤发冷发绀 Skin cool and bluish, looks cyanotic.
她要休克了 She's going into shock.
我们需要进行积极体液复苏 We need aggressive fluid resuscitation.
开始推广谱抗生素 Start broad spectrum antibiotics,
插鼻胃管对腹腔减压 place an NG to decompress distended abdomen.
乳酸监测 开始全套败血症治疗 Trend her lactates, initiate complete sepsis bundle.
良 医
第三季 第十四集
她的血常规 代谢自身免疫检测组合 Her CBC, BMP autoimmune panel,
鼻拭子 血培养结果 nasal swab, and blood cultures.
都是正常的 All normal.
真令人兴奋 That's exciting.
化验结果阴性令人兴奋吗 Negative tests are exciting?
没人知道她得了什么病 No one's been able to find out what she has.
我打算做个脑部稳态采集快速成像以及 I'm going to get brain FIESTA and time-of-flight MRI
时间飞跃核磁共振检查颅内神经和血管 to assess the cranial nerves and vessels,
并用多普勒超声波去... and Doppler ultrasound to...
我得回去工作了 I have to get back to work.
我们的黎明前浪漫插曲让我迟到了 Our pre-dawn romantic interlude made me late.
对 我的方法有问题 Yes. There was a flaw in my methodology.
我的计算是根据 My calculation was based on
我们性爱的平均时长 但通常来说 the mean duration of our sex overall, but generally,
我们在早上花的时间 we take statistically significantly longer
比其他时段都要长得多 in the morning than at other times of day.
也许我们可以在午饭时 Well, maybe we can discuss
讨论这件给性爱计时的问题 this whole timing-our-sex thing at lunchtime.
不了 谢谢 No, thank you.
我今天没空吃午饭 I can't have lunch today.
要做得太多 Too much to do.
BGM: Domino by Dylan LeBlanc
抱歉我迟到了 Sorry I'm late.
我本来打算取消午餐 I was going to cancel our lunch.
让我猜猜 Let me guess.
有病人比我还有趣 A patient more interesting than me.
没错 Exactly.
我就知道 Yeah.
她的症状很神秘 She has a mysterious condition.
但我发现或许吃午饭有助于搞懂她的症状 But I realized I could use our lunch to help understand it.
-我给你点了沙拉 -谢谢 - I ordered you a salad. - Thank you.
我怎么才能有冰淇淋头疼 How do I get an ice cream headache?
我从没有过 I've never had one.
你不会想经历的 脑冻特别难受 You don't want one. Brain freeze is horrible.
这个现象的科学术语 The scientific term
叫做蝶腭神经节神经痛 is sphenopalatine ganglioneuralgia.
三叉神经对嘴里的 The trigeminal nerve reacts to
温度急速变化作出反应 rapid temperature change in the mouth,
并释放信号给大脑 sending a signal to the brain,
导致血流和硬脑膜刺激的变化 which responds with changes in blood flow and dura irritation,
并被当作危险 有害的刺激物 which combats what it perceives as a dangerous, noxious stimuli,
不过这只是冰淇淋 but is just ice cream.
我得经历一次 I need to experience that.
好吧 Okay.
我通常的办法是 The technique I usually use is,
吃得超多超快 eat way too much, way too fast.
我要辞职了 I'm quitting my job.
让你特意从郝尔希镇回来的那份工作 The job you came back from Hershey for?
别告诉格拉斯曼 他已经觉得我不像话了 Don't tell Glassy. He already thinks I'm a flake.
你赶我走正是我需要的 You kicking me out is just what I needed.
我当时活得太碌碌无为了 I was in a complete rut.
私生活和工作都是 一成不变 In my personal life, at work, super stale.
我们根本没有发展 I mean, we weren't developing anything,
只是推广测试设计 just market testing designs...
简直太难受了 That's awful!
-治疗方法是什么 -时间 - What's the cure? - Time.
-要多久 -看情况 - How much time? - Depends.
你觉得我应该把郝尔希镇的工作写在简历上吗 Do you think I should include my job in Hershey on my resume?
好疼 It hurts so much!
还是说这让我看上去 Or does it make me look like
像个只有三分钟热度的人 I'm unable to commit to anything?
好吧 Okay.
超声波显示你的结肠肿大了 The ultrasound showed your colon is distended.
我们放了一根直肠管和鼻胃管 We placed a rectal tube and an NG
试着释放里面的压力 to try to get that decompressed.
妈咪 我们能回家吗 Mommy, can we go home?
现在还不行 宝宝 Not yet, sweetie.
如果能找到引起胀气的原因 It would be helpful to try to find out
就再好不过了 what could've triggered this.
你有克罗恩或溃疡性结肠炎的病史吗 Any history of Crohn's or ulcerative colitis?
没有 No.
我... I, um...
我最近有些尿路感染 I have had some UTIs lately.
这个应该没关系 That's likely not connected.
-好吧 -肠憩室炎呢 - Okay. - Diverticulitis?
最近出过国吗 Any recent international travel?
我有个三岁的女儿 还没有丈夫 I have a three-year-old and no husband.
懂了 Okay.
我们需要继续给你静脉注射抗生素 We're gonna need to keep you on IV antibiotics
监测肿胀情况 and monitor the distention.
与此同时 有人能照看玛拉吗 In the meantime, is there anyone who can look after Marla?
没有 No one.
我全家都在东岸 现在就我们娘俩 My whole family's back east. It's... It's just us.
我会找个社工来照顾她的 I'll get a social worker to look after her.
谢谢你 Thank you.
去吧 宝贝 Go ahead, honey.
为什么我的妈妈不高兴 Why is my mom upset?
如果她的小脑下前动脉 If her anterior inferior cerebellar artery
侵扰了她的舌咽神经 is encroaching on her glossopharyngeal nerve,
问题不大 it's very minor.
当然这不足以证明 Certainly not enough to justify
微血管减压术会管用 microvascular decompression surgery.
我同意 I agree.
也可能是胃酸反流 颞动脉炎 It could also be acid reflux, temporal arteritis,
咽喉感觉障碍 我们需要 laryngopharyngeal dysesthesia. We need to...
我们要做五万元的检查 We need to do $50,000 of tests,
结果可能只是个胃酸反流 and it might be acid reflux?
颞动脉炎 或者... Or temporal arteritis or...
这就是 It's a constellation
各种不明显症状的大集群 of relatively insignificant symptoms.
安德鲁斯医生 你有经历过冰淇淋头痛吗 Have you ever had an ice cream headache, Dr. Andrews?
有过 Yes.
我相信这并不需要做脑部手术 莫菲医生 I believe it didn't require brain surgery, Dr. Murphy.
折衷一下 我们可以做个颈部核磁共振 As a compromise, we could do an MRI
以及CT扫描 还有吞咽... and CT her neck and a swallow...
肖恩 Shaun.
你不可能让你老板折衷一下 You don't compromise with your boss.
给她开一些狄兰汀止痛 就送她回家 Start her on dilantin for her pain and send her home.
我能把她留在这儿吗 Can I just leave her with you?
我是接待员 不是社工 I'm a receptionist, not a social worker.
我还是个外科医生 And I'm a surgeon.
我不是说我比你更重要 I didn't mean I'm more important.
我的意思是我们都有更重要的事去做 I just meant we both have more important things to do.
社工什么时候过来 When will the social worker be here?
她说还有半小时 She said half an hour.
你能再呼她一次吗 Can you page her again?
我要我妈妈 I want my mama.
你要不去玩下玩具 好吗 Why don't you just go play with the toys, okay?
你有她的号码吗 我来给她打电话 Do you have her number? I'll call her myself.
我把妈妈弄生病了 I made Mommy sick.
不 亲爱的 这不是你的错 No, sweetie. It's not your fault.
有时候人们只是得病了 Sometimes people just get sick.
妈妈哈了偶的臭臭 Mommy drawk ma poop.
-你妈妈画了你的便便 -不是 - Your mommy drew your poop? - No!
哈了 妈咪哈了 Drawk. Mommy drawk.
喝 Drank?
对的 Yes.
妈妈喝了我的臭臭 Mommy drawnk my poop.
好消息是 我们排除了舌咽神经痛 The good news is, we've ruled out glossopharyngeal neuralgia.
你不需要做脑部手术 You don't need brain surgery.
好事坏事不单行 Never any good news without bad news.
我们列了一个你没有的病症表 We've got a list of a few things you don't have,
但我们没法确定你是什么病症 but we don't know what you do have.
所以还要做检查 So you'll run more tests.
我们不能 We can't.
这可能有21种不同的情况 There are 21 different things this might be,
但他们不想让我们再做37次检查 but they don't want us to run 37 more tests.
好吧 这可真差劲 Well, this is lame.
我能负担得起 我赚了不少钱 I can afford the tests. I make good money.
我不能一直这样说话 I can't keep talking like this!
我需要一个... I need a...
她低血压了 She's hypotensive.
卒中警报 Code stroke.
我们需要做脑部CT扫描和核磁共振 We need stat brain CT and MRI.
打给血管造影 她可能需要机械血栓切除术 Call angio. She may need mechanical thrombectomy.
颈动脉窦
3毫升2%的利多卡因 3 cc's of 2% lidocaine.
我没喝 我只是... I-I didn't drink it. I just...
我只是用了她的粪便做家庭粪便移植 I just used her stool to do a home fecal transfer.
你就没想过跟我们说明一下 And you didn't think to mention that?
你说过我的尿路感染跟这无关 You said my UTIs were unrelated.
吃了抗生素没有好转 They didn't get better with antibiotics,
我就做了我应该做的 so I did exactly what I was supposed to do.
那个视频说这是完全安全的 The video swore that it was completely safe.
确保你的朋友是健康的 Make sure your friend is completely healthy.
我觉得素食主义者最好 I've had the best results with vegans,
但如果让我在一个18岁的非素食者 though if it were between an 18-year-old carnivore
和一个60岁的素食者之间选 and a 60-year-old vegan...
别让我选 Well, don't make me choose.
我们先加盐水 We're gonna add the saline solution.
大概按照一比一的比例 Should be a one-to-one match, more or less.
然后 我们再 Then, we're gonna puree...
打成泥 多打点 ...puree, and then puree some more.
在混合的同时 While it's mixing...
我们来处理灌肠袋 let's talk enema bags.
玛拉一定看她用过搅拌机 Marla must have seen her using the blender,
以为她喝了 assumed she drank it.
这就是神秘之处 Yeah, that's the mystery here,
这么蠢的人怎么还活着 not how anyone this stupid is still alive.
也不是完全不合理的 It's not completely irrational.
抗药性尿路感染的大肠杆菌株 The E. Coli strain in drug-resistant UTIs
会藏在肚子里 can hide out in the gut.
用粪便微生物移植重新引入结肠微生物群 Repopulating the colon microbiome using FMT
有成功的案例 has shown some success.
得在医院才行 还得控制在无菌环境下 In a hospital, under controlled and sterile conditions.
为她做手术准备 Prep her for surgery.
鉴于膨胀和僵硬症状 Between the dilation and rigidity,
她可能有结肠穿孔的情况 there may be colon perforation.
检查下玛拉粪便中的毒素和感染性细菌 And test Marla's stool for toxins and infectious bacteria.
她微卒中了 我救了她 She was suffering a mini-stroke, and I saved her.
-我救了她 我要庆祝一下 -在外面庆祝 - I saved her. I need to celebrate. - Outside?
我想吻你来庆祝 I want to celebrate by kissing you.
吻很久 A lot.
里面不太合适 I-inside would be inappropriate.
伊格尔氏综合征非常罕见 Eagle Syndrome is very rare.
颅底会长出 A longer-than-normal styloid bone
长度超过正常的茎突骨 coming off the base of the skull.
-还有 -我只有五分钟的休息时间 - And... - I only get a five-minute break.
它碰触到了她的神经 It impinged on her nerves,
引起了让人混淆的症状 causing the confusing symptoms
难住了八位专家医生 that baffled eight expert doctors.
然后她突然转过头的时候 And then when she turned her head suddenly,
它挤压了她的颈动脉 导致了短暂性脑缺血发作 it pinched her carotid, causing her TIA.
就是他 Yeah, it's him!
莫菲医生 It's Dr. Murphy!
我认识你们吗 How do I know you?
他确实很可爱 He is cute!
那是他的女朋友吗 Is that his girlfriend?
凯莉更性感些 Kayley's hotter.
他真可爱 He's so cute!
我的私人切尔诺贝利 My personal... Chernobyl.
什么 What?
说真的 伙计们 Seriously, guys.
拜托 Ohh, come on.
我厨房周围应该设个隔离区 A zone of exclusion should be imposed around my kitchen.
已经有上百万人看过那个视频了 Millions of people have watched that?
到上午9点 As of 9:00 A.M.
你是个网红 You're an influencer.
你把我救你的过程上传网络了 And you posted how I saved you?
但我应该还没得救 你们还得给我动手术吧 But I take it I'm not saved yet? You still have to operate?
正常的茎突骨 A normal styloid process
有2.5厘米长 你的茎突骨 is 2.5 centimeters in length. Yours measures...
别拍我 Don't do that.
有两种手术选择 There are two surgical options.
经口的方式 我们从你的嘴进入 Transoral, where we go in through your mouth.
这种方式是非侵入性的 但手术有挑战性 It's non-invasive, but creates surgical challenges
因为不易操作和有视觉障碍 for physical and visual access.
另外一种就是经宫颈手术 The alternative transcervical procedure
脖子上会有个切口 involves an incision in your neck
不会有任何操作不便 with none of those access issues,
但会有术后疤痕 but with some post-operative scarring.
所以就是一种方法更安全 另一种我不会留疤 So one way is safer, but the other way, I'll look better?
疤痕会挺大的 It's a pretty bad-ass scar.
我能花点时间考虑下吗 Can I take a bit to decide which?
当然 Of course.
你没有权利在网络上曝光我 You had no right to tell the world about me.
只是奉承而已 It was flattering.
不是所有人都想出名 Not everyone wants to be famous.
不知能否安慰到你 If it's any consolation,
但已经有七十多人向你求婚了 you've had over 70 marriage proposals.
没有 It's not.
有些人在聚光灯下更自在 Some of us are more comfortable in the spotlight than others.
我觉得你很棒 I think you're great.
谢谢 Thanks.
我拉不出 I don't have to poop.
耐心等等 Be patient.
我拉不出 I don't have to poop!
你妈妈在这种时候 Is there something your mom does
会做什么来帮你吗 to help you when you can't go?
有时她会拉着我的手 Sometimes she hold my hand.
你想让我这么做吗 Would you like me to?
你不是我妈妈 You're not my mom.
那你再试试看 Well, just keep trying.
宝贝 我们真的需要你拉粑粑 Sweetie, we really need you to go.
如果不行 我们就得试试别的方法 If you can't, there is another way we can do this.
什么方法 How?
这可不好玩 Well, it's not fun.
我俩都不好受 For either of us.
分离中结肠动脉和静脉 Isolate and divide middle colic artery and vein.
现在很流行 It's an epidemic.
人们在网上看病 People taking online medical advice.
这不是问题 只是征兆 It's not the problem. It's the symptom.
很多人担负不起医疗费用 Medical care is a financial stress for lots of people,
更别说还要承受医生的傲慢 not to mention physician arrogance,
无能和没耐心 incompetence, impatience.
所以是我们的错咯 So it's our fault?
用闭合器切除近端 Resect and cut the colon proximal and distal
以及远端结肠到穿孔处 to the perforation with GIA stapler.
一个朋友的朋友 A friend of a friend self-diagnosed
在网上自我诊断为库欣病 her own Cushing's disease online
而之前的医生几乎不把她的话当回事 after a series of doctors barely listened to her,
只叫她多休息 told her to get more rest.
我猜她之后没有在家 I'm guessing she didn't then perform
自己动手做脑部手术吧 do-it-yourself brain surgery at home.
克莱尔说得对 Claire's right.
我是在支持你的观点 I was... supporting your point.
她说服了我 She convinced me I was wrong.
用结扎束分离肠系膜 Divide mesentery with LigaSure.
有出血状况 We have a bleed.
-很严重 -移动时的张力 - It's major. - Tension during mobilization
一定造成了脾被膜撕裂 must have caused a splenic capsule tear.
得做脾切除术 We need to do a splenectomy.
切开连接部分 Cut the connecting attachments.
肾脏 Kidney.
隔膜 Diaphragm.
用白色缝合器处理血管蒂 Take the vascular pedicle with a white load stapler.
别碰到胰尾 Do not get the tail of the pancreas.
梅伦德斯医生 Dr. Melendez?
能等等吗 Can this wait?
我不确定 I'm not sure.
你们送过来的粪便样本... The fecal sample that your team sent me...
或许没什么特别的 但是否贴错标签了 It might be normal, but was it mislabeled?
看起来像七十岁老人的样本 It seems to be from a 70-year-old.
那是一个三岁小孩的 It's from a three-year-old.
显示有短链脂肪酸 异丁酸和异戊酸升高 SCFAs, elevated isobutyric and isovaleric acid.
她有很高的风险患上严重心脏病 She is at high risk for serious cardiac problems.
她在社交媒体发关于肖恩的帖子走红了 Her social media posts about Shaun have gone viral.
有记者嚷着要采访 I've got reporters clamoring to speak
「异常杰出」的莫菲医生 to the "twice-exceptional" Dr. Murphy.
坏主意 很幸运 他不必这么做 Bad idea. Luckily, he won't do it.
他因为凯莉暴露他的隐私发了火 He went off on Kayley about his privacy.
宣传对医院是好事 The publicity would be good for the hospital.
我相信格拉斯曼医生能让他明白其中的道理 And I'm sure Dr. Glassman can make him see the wisdom of that.
我赞同安德鲁斯 I'm with Andrews.
虽然看似在赞扬我们 It smacks of us patting ourselves on the back.
但这也可能遭到利用 It could also come off as exploitative.
但更大的问题是 可能会弄巧成拙 But the bigger issue is, it could blow up in our face.
肖恩跟人交流时完全不按常理出牌 Shaun is a complete communications wild card.
谁知道他会怎么评价你和我 Who knows what he'll say about you, about me,
怎么描述被降级和医疗出错 about being demoted, about screw-ups.
我们该教教他 Well, we would have to coach him.
那媒体报道可以等到六年后吗 Do we have six years before they need to go to press?
我可以跟着他 控制场面 I can go with him, manage the situation.
不不不 No, no, no.
如果我们觉得肖恩有价值 If we consider Shaun an asset,
就不该把他视作累赘 we shouldn't treat him like a liability.
我跟他谈谈 看他怎么说 I'll talk to him, see what he says.
你可以看到她茎突过长 You can see the proximity of her elongated styloid
很靠近神经和颈动脉 to the nerves and carotid.
难点在于截除过长的部分 The trick is to break off the excess length
还不能损伤局部神经血管结构 without injury to local neurovascular structures.
如果经颈部完成 切入点是关键 If done transcervically, entry point is key.
最大限度地降低边缘下颌神经损伤的风险 Minimizes risk of a marginal mandibular nerve injury.
她做了决定吗 Has she made a decision?
还没有 Not yet.
我来主刀吧 I'd like to lead.
因为这个手术很罕见 Being that it's such a rare surgery,
实习期间我可能再也没有机会了 I may not get another chance at it during residency.
现在好歹有人可以指导我 When I have the benefit of supervision.
你难道不是希望凯莉 And it wouldn't have anything to do with hoping
或许能在网上夸赞你一番吗 Kayley might then post glowingly about you?
完全没有 Not at all.
肯定有点 Well, undoubtedly, a little.
鉴于这个病患引起的关注 Given the attention this case has drawn,
我认为我们应该使用最优秀 I think we should put our best,
最有经验的医生 most experienced choice forward.
这是一家教学医院 Well, this is a teaching hospital.
这正是三年级住院医师做的手术 It's exactly the type of surgery we'd give to a third-year.
不能因为她的网络热度而有所改变 The fact that she has an online presence shouldn't be a factor.
但你还是来了 外科主任 And yet here you are, the Chief of Surgery
你不是说三年级住院医师就能做吗 working a case you say a third-year can handle.
让年轻女医生来操刀凯莉的手术 It also might reflect well on this place
有利于我们医院的公关 to have a young woman be the face of Kayley's surgery.
前提是一切顺利 Assuming it goes well.
成也网络 败也网络 Live by the Internet, die by the Internet.
你还想主刀吗 You still want to lead?
是的 Yes.
给你了 It's yours.
安 Ann?
安 Ann.
我没事吧 Am I okay?
你没事 You're fine.
我们得提前叫醒你 We had to wake you up a little earlier than we'd like
因为我们要和你谈谈 because we need to discuss something with you.
明白吗 Do you understand?
你的肠道生物群显示胆固醇升高了 Your gut biome showed markers for elevated cholesterol.
但你没有升高 Which you don't have.
是你女儿 Your daughter does.
玛拉胆固醇高 Marla has high cholesterol?
她有遗传病 高脂血症 She has a genetic condition, hyperlipidemia.
冠状动脉检查显示 Coronary testing showed 90% narrowing
她心脏的左主干收缩了90% of the left main artery to her heart.
恐怕你女儿需要紧急心脏手术 I'm afraid your daughter needs urgent heart surgery.
-我不愿意 -好吧 - I don't want to. - Okay.
我会告诉记者 I'll tell the reporters that.
但是可以说说原因吗 But can... can we talk about why?
你的电脑响了 Your computer just beeped.
我知道 I know.
我可以想到几个你不愿与人交谈的原因 I can think of a few reasons why you might be reticent.
-你害羞 -不 我没有 - You're shy. - No, I'm not.
你在社交方面确实有些问题 Well, you do have trouble with social interactions,
你不知道 and you have trouble anticipating
别人会问什么 也不知道怎么回答 what people might ask and how you might respond.
是的 我看病 面试或者约会 Yes, that is a problem when I'm meeting with a patient
会有这种情况 or I'm at a job interview or I'm on a date.
因为我的回答很重要 Then my answers matter.
但是和记者谈话 我的回答并不重要 But if I'm talking to a reporter, they don't matter.
电脑又响了 It beeped again.
我知道 这是数字化服务 Yes, I know. We're digitizing.
病人需要服药时 Every time a patient needs to take a drug,
我们就会提醒他们 we send them a reminder.
不知道为什么 我也会收到提醒 For some unknown reason, they keep sending me one, too.
我觉得你的故事很重要 I think stories do matter.
我觉得你的所作所为 I think what you do and what you have done
可能会给人们一些灵感 might be inspirational for people to hear.
好吧 Okay.
你愿意吗 Okay, you'll do it?
好吧 你说服了我应该为此感到紧张 Okay, you've convinced me I should be nervous about it.
现在我有两个原因不接受采访 Now I have two reasons not to do it.
另一个原因是什么 What's the other reason?
我忙于工作和做爱 I'm very busy between doing my job and having sex.
没什么空余时间 I don't have a lot of free time.
你应该雇用莉亚 You should hire Lea.
-不行 -可以 - No. - Yes.
她很懂科技这块 She's very good at tech
而且不满意她现在的工作 and isn't happy in her job right now.
这样吧 肖恩 I'll tell you what, Shaun.
你好好想想 仔细想一想 You think about this, you really think about this,
想想你的故事会如何激励别人 how your story can benefit people,
我会 and I will...
面试莉亚 interview Lea.
很好 Excellent.
我会想想 I'll think about it.
我会仔细想想的 I'll really think about it.
好的 Okay.
肯定有人觉得我脖子留了疤 Some people definitely thought I would look amazeballs
会非常酷 rocking a neck scar.
但常识是 But the consensus was,
一年中能穿高领毛衣的日子就那么多 there's only so many turtleneck days in a year.
所以我选择不留疤的方法 So I'm going with the no-scar approach.
你想选谁 Which one did you vote for?
这都是我朋友 我是说 他们懂我 Well, these are my people. I mean, they know me.
他们知道什么对我和我的人设最好 They know what's best for me and my brand.
「群众的智慧」 "Wisdom of the crowd."
我的女战神首席外科医生 My warrior goddess lead surgeon.
我们会为你准备手术的 We'll get you prepped for surgery.
新衬衣 很不错 New blouse? It's nice.
莫菲医生 你有空吗 Dr. Murphy, do you have a minute?
我真的很抱歉惹你不开心 I really am sorry I upset you.
我真的很感激 And I really am grateful.
生病是 Being sick was...
你不需要解释 You don't need to explain
为什么你感谢我们给你的诊断 why you're grateful we diagnosed your illness.
确实 Well, I do.
你拯救了我和我的职业生涯 You saved me and my career.
开始 我的粉丝们真的很关心 At first, my followers were super into
我怎么了 但很快 what I was going through, but after a while,
你就只是个「生病的女孩」 you just start being "the sick girl."
你放弃了你的隐私 那不会困扰你吗 You give up your privacy. Doesn't that bother you?
我没什么好隐藏的 I have nothing to hide.
谁也不该 No one should.
我们应该就做我们自己 We should all just be who we are.
我们是 We are...
我们做的决定 the decisions we make.
你让其他人替你做决定 And you let other people make them for you.
所以你谁也不是 So you're not being anyone.
你知道我们多喜欢一起做手工吧 You know how you and I like to do so many things together?
我们做了黏土杯 We make clay mugs.
是啊 That's right.
妈妈生病了 她要治病 Mommy was sick, and she needed to be fixed.
你也生病了 And you're sick, too.
我觉得自己挺好的 I don't feel sick.
很好 That's good.
医生们只是想确认 And the doctors just want to make sure
在你察觉到生病前你各方面都更好了 everything is all better before you do.
怎么确认 How?
他们会查看你身体里面 They're gonna go inside you and...
怎么看 How?
他们会切一个小口 They're gonna make a little cut...
不 No!
你会睡着 You're gonna be asleep.
-不 -就像妈妈 - No! - Just like Mommy.
-我 -不 不 不 不 - I... - No, no, no, no, no!
跟我来 玛拉 我会照顾你的 I'll be with you, Marla. I'll take good care of you.
-不不不 -好了 深呼吸 甜心 - No, no, no, no, no! - It's okay. Just breathe, sweetie.
-数到三 -不 - Count to three. - No!
-不 -甜心 你得勇敢点 - No! - Hey, sweetie, you have to be brave.
蓝色警报 Code blue!
怎么了 What's happening?
拜托救救我的孩子 Please help my baby.
她心脏病发作了 She's had a heart attack!
玛拉. Marla.
玛拉. Marla?
玛拉. Marla!
宝贝 我在这 Baby, I'm right here.
玛拉. Marla.
你想看我的简历吗 Uh, would you like my CV?
不 No. ..
我知道你是谁 我不用看那些 I know who you are. I don't need to see a list.
我在哪工作 Where do I work?
一家科技公司 It's a tech company.
你以前在的 You were there.
汽车 跟汽车有关 Cars. Something about cars.
你没想雇我 对吧 You have no interest in hiring me, do you?
不 不是个人原因 No. It's not personal.
有点个人倾向 It's a little personal.
我是为了帮肖恩 医院不缺人 I'm doing a favor for Shaun. I don't really need anyone.
他叫你浪费我的时间吗 Did he ask you to waste my time?
没关系 Yeah... It's okay.
反正我也不想替你工作 I didn't really want to work for you anyway.
你爱唠叨 You're a bit of a grouch.
但是一定要雇一个能加固防火墙的人 But make sure whoever does do the job shores up your firewall.
三岁小孩都能黑入你们系统 A kindergartner can hack it.
谢谢关心 我们不会有什么事 Thank you. I'm sure we'll be fine.
还有 你是对的 And you're right, you know.
我们合不来 We are not a good fit.
我俩跟肖恩的交情 And our mutual affection for Shaun
也没法阻挡我们互相伤害 isn't enough to stop us from killing each other.
我 I...
你订的《纪事报》要到期了 Your Chronicle subscription is about to expire
因为你没更新信用卡信息 because they don't have your updated credit card.
你订购的咖啡机 The coffee maker you ordered,
是六个月以来买的第三个 third new one in the last six months,
周二送到 will be delivered Tuesday.
你从黛比的工资里面 And you're deducting way too much money
扣了太多保险税 out of Debbie's paycheck for FICA.
想听听你的谷歌搜索记录吗 Would you like to hear about your Google searches?
谢谢 Thank you.
莉亚 Lea!
严重近左前降支疾病 伴随中段全阻塞 Severe proximal LAD disease with mid total occlusion.
血管成形术无法解决狭窄问题 Angioplasty won't resolve that stenosis.
年纪这么小 破裂风险很高 High risk of rupture in someone this young.
植入支架 A stent?
不足以有效重建血运 Won't be enough effective revascularization.
她需要做左半结肠动脉至左前降支吻合术 She needs a left IMA to LAD anastomosis.
我从未在一个三岁孩子身上做过冠脉搭桥 I've never done a coronary bypass on a three-year-old.
我也是 Neither have I.
移植她女儿的便便 I guess it was the right call
也许是正确的决定 to put her daughter's poop up her tush.
但她被切掉了一大段结肠 Cost her a large chunk of her colon.
-救了她女儿的命 -巧合而已 - Saved her daughter's life. - Yeah, lucky coincidence.
这位妈妈肯定不会后悔 I'm sure the mother doesn't regret a thing.
也不该后悔 At least she shouldn't.
我同意克莱尔 I'm with Claire.
你有时间吃午饭吗 Do you have time for lunch?
你说的「午饭」是指 And by "lunch," you mean...?
午饭 Lunch.
我需要建议 I need advice.
我需要好好想想一些事情 I need to really think about something.
当然 Then yes, of course.
可以理解成高傲 It could be patronizing,
要么认为你是个自我感觉良好的人 being put up as some kind of feel-good, human interest story.
要么客观一点 称赞你 Or objectified and glorified
是个特立独行的人 as some kind of a symbol for people who are different.
但我跟我妹妹说了你的故事 But I also know that when I told my sister your story,
她哭了 she cried.
她很伤心吗 She was sad?
不 她受到了鼓舞 No, she was inspired.
我不知道你的建议想表达什么 I... don't know what your advice is telling me.
我不知道你觉得我该怎么做 I don't know what you think I'm supposed to do.
肖恩 你应该做 Shaun, you aren't supposed to do anything,
你认为正确的事 except what you believe is right.
谢谢 Thank you.
现在我要去问问莉亚的看法 Now I'm going to go see what Lea thinks.
我以为你有手术要做 I thought you had a surgery.
我只是上个楼 I'm just going upstairs.
莉亚在格拉斯曼先生那面试 Lea's meeting with Dr. Glassman about a job.
-这里的工作 -没错 - A job here? - Yes.
莉亚昨天午饭时跟我说 Lea told me at lunch yesterday
她在找工作 所以 that she was looking for different work, so...
等等 你昨天跟莉亚吃了午饭 Wait, you... you had lunch with Lea? Yesterday?
还瞒着我 And... and you kept it from me?
我没瞒你 I didn't keep it from you.
我没找到机会说 There was no reason to mention it
刚刚才找到 until just now, when I did.
肖恩 Shaun...
你知道我对莉亚横在我们之间是什么感受 You know how I feel about how Lea hovers over our relationship.
你还偷偷摸摸跟她见面 And... you're just sneaking around with her?
帮她在这里找工作 Arranging for her to work here,
这样她会出现得更频繁 where she'll just loom all the more.
她不会频繁出现或横在我们之间 She won't be looming or hovering.
她会待在另一层楼 She'll be on a whole other floor.
是啊 只要你觉得你真正的女友 Yeah, where you can go and get her two cents
给出的建议不够有效 你只需走两步 whenever the advice given by your actual girlfriend
就能去找她咨询 is deemed insufficient.
对 Yes.
你在干什么 What are you doing?
透气 Eh, fresh air.
你呢 You?
肖恩在跟莉亚吃午饭的事上跟我撒谎 Shaun lied to me about having lunch with Lea.
他没有 No, he didn't.
肖恩骗不了人 Shaun is incapable of deceit.
他一定是真的觉得你不会介意 He must have genuinely thought that you wouldn't mind.
好吧 但他是彻底的五音不全且感觉迟钝 Well, then, he is completely tone deaf and insensitive,
这些可不是男朋友应该具备的优点 which are not better qualities in a boyfriend.
没错 True.
但你在跟肖恩开始恋爱的时候 But not exactly unanticipated
也不是完全没料到 when you get into a relationship with Shaun.
而且真正重要的从来都不是谎言 And it's never really about the lie.
而是谎言的本质 It's what's underneath.
你嫉妒莉亚 You're jealous of Lea.
我不嫉妒 我是关心... I am not jealous. I am concerned...
你不用解释 我也会嫉妒别人 You don't need to justify. I'm on team jealousy.
嫉妒会让人开心 受到鼓舞 It's flattering, stimulating, it...
这意味着你很投入而且你在乎 It means you're committed and you care.
嫉妒很丑陋 还会反映潜在的信任问题 It's ugly and reflects underlying trust issues
我不想... that I don't want to...
对对对 都是这样 Yeah, yeah, yeah, like all things,
浅尝则止 多则毙命 a little is good, and a lot will kill you.
我的建议是 My advice...
承认自己嫉妒 并接受它 Admit you're jealous, give in to it,
然后克服它 and then get over it.
通过对扁桃体窝的 Finding the styloid
数字触诊来找到茎突 via digital palpation of the tonsillar fossa.
给你 There.
沿着下颌骨的粘膜做个垂直切口 Making incision vertically along the mucosa of mandible.
接下来呢 Next?
我会让茎突脱离它的肌肉和 I will free the styloid process from its muscle
韧带附着体 and ligament attachments.
好了 Done.
从颈动脉内侧切开 Dissecting away from the internal carotid medially,
然后再从外侧切开 and external, laterally.
现在可以折断并切除茎突了 Now fracture and excise the styloid.
-心动过缓 -血压过低 - Bradycardia. - Hypotensive.
脑电图波形缺失 脑缺血 Loss of EEG waveform. Cerebral ischemia.
你可能伤到了颈动脉 You may have injured the carotid.
或者折断茎突时压迫到了颈动脉 Or compressed it by fracturing the styloid.
看看折断的茎突是否碰到了血管 See if the fragment is impinging on the vessel.
莫菲医生 拉住她的头 Dr. Murphy, extend her head.
好 找到了 正在减轻压迫 Yes. Found it. Easing it away.
颈动脉已解压 Carotid decompressed.
脑电图回到了正常基线 EEG back to baseline normal.
继续取出茎突 Resuming styloid extraction.
凯莉在重症监护室 情况稳定 Kayley's in ICU, stable.
CT显示没有造成任何永久性伤害 CT shows no signs of any permanent damage.
未来不会有任何问题 No reason to anticipate any future problems.
所以 问题是 我们要跟她说什么 So, the question is, what do we tell her?
就说手术很成功 That the surgery was a success.
她在手术台上出现了脑缺血 She had a cerebral ischemia on the table.
但没造成任何损伤也没有任何证据可以证明 That did no damage and that there's no evidence of.
医院规定要透明 Hospital policy is transparency...
我们不会告诉病患手术时放了什么音乐 We don't tell them what music we played,
聊了些什么 what we talked about.
这跟她的手术结果和预后无关 This isn't relevant to the outcome or to her prognosis.
如果凯莉的评语 Would you be taking the same position
不会在网上被疯转 你还会这样做吗 if Kayley wasn't someone whose criticism could go viral?
我不知道 I don't know.
但觉得这跟是否告诉她无关显然是妄想 But it would be delusional to think it's not relevant.
雷兹尼克医生 Dr. Reznick.
你有什么想法 Any thoughts?
我觉得我无法公正地发表意见 I don't think I can fairly offer an opinion,
因为我的职业生涯前途未卜 because my career could hang in the balance.
好 如果医院的声誉受到影响 Yeah, well, none of us are disinterested parties,
我们都是利益相关者 given the hospital's reputation is also at stake.
你搞砸了吗 Did you screw up?
刚才的危机是本可以避免的吗 Could that crisis have been avoided?
如果是本可以避免的 那我们都有责任 If it could have been, then we are all responsible.
我们在旁观她所做的每件事 We were watching everything she was doing,
但没有一个人让她停下 and none of us told her to stop.
这不难决定 This is an easy call.
跟她和盘托出只能出于一个原因 There's only one reason to tell her everything,
那就是不说的话你会感到愧疚 and that's you might feel guilty if you don't.
但另一方 还要考虑医院的未来 On the other hand, there's the future of this hospital.
好吧 Okay.
肖恩 如果患者问起手术的细节 Shaun, if the patient asks for details about the surgery,
你能给出有限的细节吗 can you limit your answers?
我不知道 I...don't know.
-好吧 我们需要知道如果... -不 - Okay, we need to know if - No.
莫菲医生 我希望你能给出有限的细节 Dr. Murphy, I hope you will limit your answers.
但我不会命令你违背你的良知 But I won't order you to defy your conscience.
我们一般不让病患住一个房间 但是 We don't normally have patients share rooms, but...
-她怎么样 -她会好的 - She's...? - Gonna be completely fine.
等她恢复了 And once she's recuperated,
我们会给她开斯达汀和低密度脂蛋白 we'll begin her on statins and Ezetimibe,
还会给她做血脂去除术 and she'll undergo lipid apheresis.
有点像透析 It's kind of like dialysis,
能把低密度脂蛋白从她的血液中析出 but it'll allow us to extract LDL out of her blood.
这应该能让她的胆固醇水平恢复正常 Should get her cholesterol to within normal range.
她一辈子都得吃这些药 She'll need those drugs and that other stuff
进行这些治疗吗 for the rest of her life?
是 但至少她的一辈子应该会很长 Yes. But hopefully a very long one.
谢谢你 Thank you so much.
感谢上帝我做了那件事 Thank God I did what I did.
一切都还顺利吗 Everything went great?
修复很成功 你应该没... The repair was successful. You should have no...
事情很顺利 告诉你的粉丝们 Everything went great. Say it. Say it to your fans.
事情很顺利 Everything went great.
你做得很好 You rocked it.
你还得在这多待几天 然后你... You'll be with us another few days, and then you...
她成功了 对吧 She rocked it, right?
她是主治医生... She was lead surgeon in a successful...
她的头发多漂亮啊 And how gorgeous is that hair?
摩根·雷兹尼克医生 鞠个躬 Dr. Morgan Reznick, take a bow!
她把整只手伸进了我嘴里做手术 She was wrist-deep all up in my mouth, y'all.
她是个英雄 She is a damn hero!
你们还有工作要做 You've got work to do.
我们为你感到骄傲 We're proud of you.
你为什么搞砸了 Any reason you screwed up?
我没有 谁都可能遇到 I didn't. It could've happened to anyone.
没有关节炎的人可不一定 Not anyone suffers from arthritic pain.
那没有任何影响 That didn't affect anything.
你确定吗 You sure about that?
我可不确定 'Cause I'm not.
你和莉亚谈过了吗 Did you speak to Lea?
是的 Yes.
我知道她是你的好朋友 I know she's a good friend.
而我希望她 And it would be unfair
不再出现在你生活中对你是不公平的 for me to expect you to cut her out of your life.
但是 But...
你听完我的意见之后立刻去问她的意见 You going to ask her opinion right after I had given mine,
这又让我想起了怀俄明那件事 it just called up Wyoming all over again.
你更喜欢莉亚 That you preferred Lea to me.
我嫉妒她 I was jealous.
这是我得解决的问题 And it's something that I have to work out.
这是我们两个的问题 For the two of us to work out.
一起解决 Together.
莉亚给你什么建议 What was Lea's advice?
她说不和世界分享我的故事是自私的 That it'd be selfish not to share my story with the world.
我更喜欢你的建议 I liked your advice better.
实际上 Actually, yeah.
有个尴尬的事情 我们得谈谈 There's something awkward we need to talk about.
你和克莱尔 You and Claire.
你可以把门打开了 You can reopen the door.
我们之间没发生什么不得体的事 There's nothing remotely improper going on.
我收到了匿名的举报说你偏袒她 I received an anonymous favoritism complaint.
我们得解决这事 We need to deal with it.
我不想和记者说我的故事 I don't want to talk to reporters.
我知道 I know.
所以如果我和他们说了 So if I talked to reporters,
那我对自己就是不诚实的 it wouldn't be honest to who I really am.
肖恩 有时候 Well, sometimes, Shaun,
人们在不同的情况下 people present a different version of themselves
会展示出自己的不同面 depending upon the circumstances.
就像我在这里和在家时并不总是一样的 Like, I'm not always the same here as I am at home.
我不会 I don't.
对 你不会 No, you don't.
我考虑了所有的论据 I considered all the arguments.
我想成为一个好医生 I want to be known as a good doctor.
而不是一个好自闭症医生 Not a good autistic doctor.