堪萨斯州至明尼苏达州西部 Severe Winter Weather Advisories
明尼苏达州 极端严寒天气预警
皆发布了极端严寒天气预警 have been issued from Kansas to western Minnesota.
报道称有极端冰冻及降雪 Severe ice and snow reported.
气温极可能降至零下二十度 Temperatures will likely reach below 20 degrees,
风寒指数 and wind chill...
肖恩 Shaun.
明尼苏达州发布了极端严寒天气预警 There is a severe weather warning in Minnesota.
你已经三天没来上班了 You haven't been at work in three days.
我想一个人呆着 I want to be left alone.
抱歉她让你受伤了 I'm sorry she hurt you.
但你很坚强 But you are strong.
你是我认识的最坚定的人 You're the most determined man I know.
你能挺过去的 You're gonna get through this.
我真希望我 I wish I was...
是个正常人 normal.
每个人都希望自己是正常人 肖恩 Everyone wishes they were normal, Shaun.
你得起来了 You need to get up.
你要进行日常锻炼 You need to do your exercise routine,
然后冲澡 刮胡子 之后去上班 then shower, shave, and get to work.
不是因为你的病人需要帮助 And not because your patients need your help,
而是这能让你感觉好点 but because it'll make you feel better.
你不出门我也不走 I'm not leaving without you.
你的睡眠呼吸骤停比我们想的要严重 Your sleep apnea is worse than we'd thought.
由于你有假性软骨发育不全 You have a condition related to your pseudoachondroplasia
你的颅底在变狭窄 that is narrowing the base of your skull
导致你的脑部控制呼吸的部分 and compressing the part of your brain
受到压迫 that controls your breathing.
别人老说我狂妄自大 People always say I'm too full of myself.
这其实就是真的吧 Guess it's actually true.
芬恩 这很严重 Finn, this is serious.
别担心 我会没事的 Don't worry. I'm gonna be fine.
我们可以移除你颅骨壁的部分骨头 We can remove bone from the wall of your skull
然后切除你小脑的一部分 and resect a small section of your cerebellum
以降低脑干压 to reduce brain-stem pressure.
你要 你要切掉他的一部分脑子吗 You're -- you're gonna cut out a piece of his brain?
这不会影响你的智力 It won't affect your intellect,
但会造成语言障碍 but it will cause a speech impediment
以及平衡问题 and some difficulty with balance.
我宁愿你们让我变傻些 I'd rather you knock a few points off my IQ.
别说了 Stop it.
我是认真的 I'm serious.
我的「口才」可是你喜欢我的点 My "Gift of gab" is what you love about me.
那第二个选项呢 Uh, w-what's option two?
抱歉 没有其他选项了 I'm sorry, there is no other option.
我是个销售 我从不接受「没有」 I'm a salesman. I don't hear the word "No."
总有别的办法的 Th-there's always another way.
你们只要跳出思维框架 You just got to think outside the box.
正是跳出了框架 We've already done that,
我们才提出这样的手术方案 which is how we came up with this surgery.
这是让你活着的唯一办法 It's the only way to keep you alive,
所以你别无选择 只能接受 so you have no choice but to accept it.
莫菲医生说话直接 不顾人感受 Dr. Murphy is being rude and insensitive...
但他说得对 but he's also right.
芬恩 求你 我爱你 Finn, please, I love you.
我会一直在你身边 And I will always be here for you
不论你如何讲话或者走路 no matter how you talk or walk.
但你得听从医嘱 But you have to listen to your doctors.
我也爱你 I love you, too.
你们就按最佳方案来吧 Do whatever you think's best.
良 医
第三季 第十八集
让我猜猜 Let me guess.
我还要再一次手术 I'm gonna need another surgery.
这都第几次了 第十次了吧 What's that now, my tenth?
第十一次 Eleventh.
我还是不能在农场工作 And I still can't work the farm;
不能开拖拉机 也不能拉操纵杆 can't drive a tractor, pull a combine lever.
我甚至都扭不开一瓶啤酒 I can't even twist open a bottle of beer.
我们初次见面时 你在救护车上 When we met, you were in an ambulance
而你的双臂还搅在收割机里 and your arms were still in your harvester.
现在知觉恢复了 行动能力也几乎恢复了 Today you have sensation and almost full mobility.
现在我们只需要治疗神经 Now we just need to treat the neuropathy
改善你的臂力 and improve your strength.
那我们怎么做 So how do we do that?
我在想 股薄肌移位术 I'm thinking a gracilis muscle transfer.
这应该可以改善他的握力并减轻疼痛 That should improve his grip and relieve some of the pain,
但只有一个办法能完全解决这些问题 but there's only one way to eliminate all of it.
泰森 你有没有再想想截肢 Tyson, have you given any more thought to amputation
并且安装骨整合假肢呢 and osseointegrated prosthetic arms?
假肢会直接连接在你上臂的骨头和神经上 They'd attach directly to the bones and nerves in your forearm,
你可以像控制自己的手一样使用它们 and you can control them just like your own hands.
在某些地方 手的功能会不尽如意 Function would be reduced in some respects.
不那么灵巧 没有感知反馈 Less dexterity, no sensory feedback.
但握力等等会变得更好 But others, like grip strength, would be better.
更重要的是 你不会再疼了 And more importantly, you'd be pain-free.
我想当一个农民 I want to be a farmer,
而不是生化机器人 not a cyborg.
好 Okay.
疼痛在加剧 The pain's getting worse.
可能是因为我在手术室忙疯了 Probably because I've been crazy busy in the O.R.
而莫菲今天来上班 with Murphy out till today.
他回来了吗 He's back?
只是因为布朗去了他家 Only because Brown went to his apartment
把他拽过来上班了 and dragged his ass in.
她不应该这么做 She shouldn't have done that.
他正在试着自己解开心结 He's trying to work this out on his own.
这是好事 That's a good thing.
抗风湿药物不起作用 DMARDs aren't working.
我知道 I know.
所以我在考虑滑膜切除术 Which is why I've been thinking about synovectomy surgery.
你要移除手指关节滑膜吗 You're gonna remove the joint linings in your fingers?
这能暂时止痛 That'll resolve the pain temporarily.
然后呢 Then what?
这能给我至少十年时间 It'll give me at least ten years.
然后你的关节软骨会被磨光 And then you're gonna be bone on bone;
手上每一个关节都严重受损变形 every joint in your hand will be mangled and deformed.
然后你要怎么办 What's your plan then?
谁知道十年后会出现什么新疗法呢 Who knows what treatments will be available in ten years?
你有考虑过肿瘤学吗 Have you thought about oncology?
外科医生才是做手术的人 Surgeons do the real work.
他们切除肿瘤 治愈病人 They cut out the tumor; they cure the patient.
肿瘤学家只是做扫尾工作的人 Oncologists just sweep up after.
你想知道一个更好的工作吗 You want to know an even better job?
给奥克兰运动家队当先发投手 Starting pitcher for the Oakland A's.
你想知道我为什么没得到那份工作吗 You want to know why I didn't get that job?
因为球探不喜欢你戴棒球帽的方式吗 Because the scouts didn't like the way you wore your hat?
对 还有就是我生来就长了这条手臂 Yeah, that, and I was born with this arm.
你出生的时候就有这双手 You were born with those hands.
你要做的是 What are you gonna do,
再做几年手术 practice surgery for a few more years
然后下辈子 and then spend the rest of your life
连一根铅笔都捡不起来 not being able to pick up a pencil?
你可以选择其他的专业 You can pursue another specialty.
你后半辈子都可以加以练习 You can practice for the rest of your life.
你来上班的路上车追尾了吗 You get rear-ended on the way to work
还是说你讨厌长得矮的人 or you just hate little people?
都不是 心电图正常 Neither. EKG is normal.
那你是被甩了 So you got dumped.
不是 No, I didn't.
没什么不好意思的 It's nothing to be ashamed of.
我们都没出去约会过 We were never even going out.
芬恩 Finn?
我很担心你 I've been worried sick.
放轻松 Take it easy.
我说了让你待在家里 没什么好担心的 I told you to stay home. There's nothing to worry about.
别假装坚强了 Stop trying to act so tough.
你不该一个人承受这些 You shouldn't have to go through this alone.
抱歉 宝贝 但你该在外面等 Sorry, baby, but you should wait outside.
让医生做完事情 然后我马上就出来 Let the doctors finish up, and I'll be right out.
他暂时不会进手术室 He's not going to the O.R. for a while,
所以我们做完检查后 还有很多时间 so there will be plenty of time to visit when we're done.
好的 Okay.
我就在外面 I'll be right outside.
你们能不能 Is there any way you could make sure
让她和娜塔莉待在不同候诊室里 she and Nathalie stay in separate waiting rooms
并且不同时来找我 and aren't allowed to visit at the same time?
不 我们不会帮你隐瞒的 No. We're not helping you cheat.
我没有隐瞒 I'm not cheating.
我总是说得很清楚我没准备好安定下来 I've always made it clear I'm not ready to settle down,
但有时候女人喜欢自己假设 but sometimes women m-make assumptions.
所以你觉得没必要解释清楚 Oh, and you don't feel the need to correct that?
我明白你不认同 I understand you don't approve,
我只是要求 but all I'm asking
你们帮我避免在做脑手术之前 is for you to help me get through brain surgery
为感情的事焦虑 without emotional turmoil
我想这对我的恢复是有害的 that I assume would be harmful to my recovery.
好吧 Okay.
谢谢 Thank you.
你看到的和我这里一样吗 Are you seeing the same thing I'm seeing?
肌腱被包裹在瘢痕组织里了 The tendons are encased in scar tissue.
股薄肌移植转移也没有用 The gracilis muscle transfer isn't gonna work.
还是有可能 It still could.
如果我们把肌肉 If we attach the muscle
绕过瘢痕组织直接连到前臂上 further down the forearm and bypass the scar ball.
那样固定不住 It wouldn't hold.
施加在移植物上的张力太大 There'd be too much tension on the graft.
我们会想到办法的 We can figure out a way to work around that.
把他叫醒 送回他的房间 Let's wake him up and put him back in his room
查查所有关于游离肌肉和神经移植的文章 and pull every paper on free-muscle and nerve transfers.
他唯一的选择是双手截肢 His only option is double amputation
以及骨整合假肢 and the osseointegrated prosthetics.
我们别无选择 We don't have a choice.
我们有 Yes, we do.
而且作为外科主任 我刚做了选择 And as Chief of Surgery, I just made it.
他看起来不是那样的人 He doesn't really look the part.
他挺帅的 有幽默感 He's a handsome guy with a great sense of humor
还有份高薪工作 and a high-paying job.
他的意思是 He means because women don't like
女人不喜欢和奇怪的男人谈恋爱 to be in relationships with men who are weird.
他不奇怪 你也不奇怪 He's not weird. And neither are you.
一周之前 你还在脚踏两只船 And a week ago, you were juggling two women,
所以别自怨自艾了 so stop feeling so sorry for yourself.
你和长得不高 不帅 或者 Have you ever dated anyone who wasn't tall,
神经不正常的人约会过吗 handsome, and neurotypical?
这跟我没关系 It's not about me.
-怎么回事 -他停止呼吸了 - Talk to me. - He stopped breathing,
我甚至还没有注射麻醉药 and I haven't even administered the paralytics.
发生了什么 What just happened?
髓质压力肯定增加了 Pressure on the medulla must be getting worse.
他很幸运 没有晚一点进来 He's lucky he didn't wait any longer to come in.
给他插管 开始干活 Let's tube him and get to work.
等等 Wait.
弯曲他的脖子试试 Flex his head into position again.
伸展他的脖子 Extend his neck.
发生了什么 What's going on?
弯曲他的脖子能避免对后部的压迫 Flexing the neck offsets the posterior compression.
但那应该会减轻压力 But that should take the pressure off,
而不是增加 not make it worse.
这没道理 Doesn't make any sense.
没搞清楚前我们不能给他做脑部手术 And we're not gonna do brain surgery on him until it does.
我没看出脖子弯曲时有什么区别 I don't see anything different in the flexed-neck views.
他的第二颈椎不应该是这样向内弯的吗 Should his C2 bone be curved inward like that?
这可能使前部的更狭窄 It could exacerbate the narrowing on the front of his --
那不严重 It's not significant.
如果他的呼吸暂停 Well, if his apnea's getting worse
是因为前部和后部的压力 because of pressure from the front as well as the back --
治疗方法是一样的 The treatment is the same.
手术创造更多的颅底空间 Surgery to create more room in the skull base.
不一样 还有别老打断我 It's not the same, and stop interrupting me.
如果我们能从前面钻进第二颈椎 If we drill off the C2 in the front,
并把后部打开 as well as open the back,
我们也许不用切除小脑 we might not have to resect the cerebellum.
他就不会有任何语言障碍或平衡问题 He wouldn't have any speech impediment or balance issues.
那我们就得从他的口腔进入 We'd have to approach through his mouth;
那是个细菌富集的环境 a bacteria-rich environment,
而且不能充分消毒 which can't be fully sterilized.
将会有很高的术后脑部感染风险 There would be too high a risk of a post-op brain infection.
我们可以想别的办法 So we figure out another approach.
只有一种安全地钻进第二颈椎的办法 There's only one safe way to access the C2.
那就突破思维框架 Okay, so come up with something outside the box.
不 那是个愚蠢的说法 No, that's a stupid expression.
根本没有框架 There is no box.
你是在浪费宝贵的时间 And you are wasting valuable time
就因为你想偏袒她 just because you want to be nice to her.
-莫菲 -我们必须在 - Murphy - We should do the cerebellar
致命窒息发生前给他做小脑手术 surgery before he has a fatal apnea --
莫菲 Murphy.
我不是在偏袒 I'm not being nice.
我是在用我的经验和判断做出决定 I'm using my experience and judgment to make the call.
这是我的工作 That's my job.
-你就是在偏袒 -你现在就是个混蛋 - You are being nice. - And you're being a jerk.
你有一晚上的时间 You've got the night.
如果明早之前 你们不能想出办法 If you two can't come up with a solution by morning,
我们就按照原计划进行 we'll proceed with the original plan.
俄克拉荷马城 未来十四天天气预报
你的病人急需 Your patient's in desperate need
俄克拉荷马的天气预报吗 of an Oklahoma weather report?
我今天甚至不想来的 I didn't even want to be here today.
你该去试试武术课 You should try a martial arts class.
转移注意力是舒缓压力和心碎的关键所在 Focused distraction is key to dealing with stress and heartbreaks.
那只是逃避问题 That's just avoiding the problem.
别太痴迷于失去的东西 Don't obsess over what you've lost,
把目光放在你在这段关系中的收获 focus on what you've gained from the relationship.
我不想打断你们的集体治疗 I hate to interrupt group therapy,
但如果我们从颈部侧面进入呢 but what if we approached through the side of the neck?
我们可以将椎动脉移开 We could transpose the vertebral artery,
露出椎骨 从旁边钻开第二颈椎 open up the spine laterally to drill off the C2.
这会让他的脊椎永远处于不稳定状态 It would leave his spine permanently unstable
还可能造成中风 and could cause a stroke.
或许有办法降低中风风险 There might be a way to mitigate stroke risk.
可不稳定的问题还是没有解决 而且 And he'd still have the instability and --
好了 肖恩 Come on, Shaun.
我需要的是帮助 不是批评 I need help, not criticism.
每次你想出什么 I have always supported you
不保守的治疗方案时 when you were trying to come up with
我总是很支持你的 an unconventional treatment option.
你支持我是因为你认为我是对的 You supported me when you thought I was right.
你们怎么想 What do you guys think?
我们得走了 We gotta go.
是吗 We do?
我们切除这块瘢痕组织和神经 We remove the scar tissue and the nerves.
然后从上臂摘取神经组织 Then harvest nerves from his upper arm
重新接通前臂神经 to rewire his forearms.
这能提升他的抓握能力 It'll improve his grip,
而且瘢痕组织切除后 and with the scar tissue removed,
痛感应该也会消失 the pain should decrease, too.
并不能解决引起结疤的 Does nothing to solve the blood-flow problem
血流量问题 that's causing the scarring.
我们肯定能想出解决这个问题的办法 I'm sure we can come up with a solve for that.
你上次就是这么说的 That's what you said last time.
我说的没错啊 这不是有进展吗 And I was right. We're making progress.
我们能单独谈谈吗 Would you two give us a moment?
谈完去住院医师休息室找你们 We'll meet you in the Residents' Lounge when we're done.
你那么反对装假肢 Are you so against the prosthetics
是因为你觉得这样对泰森最有利吗 because you think it's in Tyson's best interest?
还是因为是我的主意 Or because it's my idea?
你觉得我在乎出主意的人是谁吗 You think I care whose idea anything is?
你是个争强好胜的人 You're a competitive person
还跟曾坐过你的位置的人共事 working with the guy who used to hold your job.
我承认我的好胜心在我们共事时 I'll admit my competitive drive may kick up a notch
有些明显过头了 when we work together.
我也承认我欣赏这个人 I'll also admit that I admire the courage
在手臂被联合收割机扯掉后还能跌跌撞撞 of a guy who stumbled a half-mile back to his house
走八百多米回家的勇气 after his arms were ripped off by a combine.
他用嘴开了门 He opened a door with his mouth
用鼻子打了求救电话 and dialed 911 with his nose,
只要他还想坚持与病痛战斗下去 and as long as he wants to keep fighting,
我就会陪他战斗下去 I'm gonna fight along with him.
这跟我的自尊心没有任何关系 Which has nothing to do with my ego.
那就好 Good.
我就是想确认这一点 That's all I wanted to confirm.
但我还是要为截肢做好术前准备 But I'm gonna start prepping for the amputation
因为这是我们唯一合理的选择 because that's the only rational choice we have,
我相信你很快就会想通的 which I'm confident you'll realize soon enough.
有进展吗 Make any progress?
有 我想到了从侧面进入的办法 Yeah, I figured out a lateral approach,
但肖恩认为这会让他的脊椎失去稳定性 but Shaun thinks it would leave his spine unstable
并增加中风的风险 and increase his risk of stroke.
-他说得对 -我也觉得 - I agree. - Yeah, me too.
肯定能有办法降低... There has to be a way to mitigate the --
布朗医生 Dr. Browne?
有人刚送来的 These just got delivered.
-祝你开心 -谢谢 - Enjoy. - Thanks.
达什很会浪漫 Dash is a romantic.
还以为你不喜欢浪漫呢 Thought you hated romantics.
是的 他是跟我开玩笑呢 Yeah, he's -- he's teasing me.
我跟他说我觉得送花的人很逊 I told him I thought guys who sent flowers were lame.
我们都还没接吻过呢 We haven't even kissed yet.
你还在等什么 What are you waiting for?
我不知道 I don't know.
我享受跟他在一起的感觉 I enjoy being with him.
其实我都忘了他有多有趣 Actually, I forgot how funny he is.
就是总觉得还没到时候 Just...hasn't seemed like the right time.
相比脊椎的不稳定 我还是更担心 I'm more worried about the stroke risk
中风的风险 than spinal instability,
想想怎么解决这个吧 so focus on fixing that.
好了 Okay.
还有 克莱尔 如果他是对的人 And, Claire, if he's the right guy,
就别再想什么时机未到了 stop holding out for the right time.
你的生命体征很稳定 Your vitals are stable.
晚上护士会继续监护你 The nurses will monitor you during the night.
你的问题解决起来很简单 Your problem's simple to solve.
你只要约别人出去就好了 You just need to ask someone else out.
莉亚很特别 Lea was special.
那是当然了 I'm sure she was.
但还有很多像她那样特别的人 But there are so many others, just as special.
你得主动认识她们 You just have to get to know them.
我不想 No, I don't want to.
你想的 Yes, you do.
你以为我不懂你的感受吗 You think I don't know how you feel?
害怕被拒绝 就因为你太 Afraid of being rejected because you're too...
与众不同 different.
我最终想通了 去他的 Finally I decided, screw it.
我开始跟遇见的每一位女生聊天 I started talking to every woman I saw.
在街角 电梯里 杂货店里 Street corners, elevators, grocery stores.
我发现我还挺会聊天的 And I learned I'm pretty good at it.
这就是我的天赋 That's my gift.
每人都有天赋 Everyone has one.
他们只是 They just...
还没有发现自己的天赋罢了 have to figure out what it is...
蓝色警报 Okay. Code Blue!
蓝色警报 Code Blue!
我和莫菲刚刚给芬恩接上了膈肌起搏器 Murphy and I just inserted a diaphragmatic pacemaker on Finn.
这样只能让他进行浅层呼吸 It'll only trigger shallow breaths,
所以他患肺炎的风险很高 so he's at high risk for pneumonia.
你有进展了吗 You got anything?
我在想从更低的位置 Yeah, I was thinking of using
穿过寰椎进入 a more inferior transatlas approach.
这样能把中风风险降到最小 That would minimize stroke risk.
这样不行 That won't work.
会让第一第二颈椎的关节变得不稳定 It would destabilize the C1-2 joint.
你已经尽力了 You did all you could.
回家吧 Go home.
明天一早我们就按原计划 We'll do the original cerebellar surgery
进行小脑手术 first thing in the morning.
这么说我就能继续干农活了 So I'll be able to work the farm.
我们还得想办法加强血流量 We still need to find a way to increase blood flow.
你的抓握能力和前臂力量应该能恢复大半 You should regain most of your grip and forearm strength,
但还是会有点疼 but you'd still be in some pain.
我能忍 I-I can handle it.
真的吗 Can you?
你怎么能确定 How can you know for sure?
一年年过去了 痛感却没有消退 As the years go by and the pain doesn't stop...
你到时候会后悔吗 will you change your mind?
那时候后悔可就太晚了 Because it'll be too late.
怎么了 你有什么感觉 What's wrong? What are you -- what are you feeling?
好像有匹马在踢我的胸口 Like a horse just kicked in my chest.
做超声心动图 给我肺动脉导管工具 I need an echo and pulmonary cath kit!
呼叫利姆 马上 And page Lim, stat!
我记得上次看 I think the last time
真正的朋克摇滚演出是在... that I was at an actual punk-rock show was, uh...
大学里 College.
帕蒂·史密斯 Patti Smith.
我的天 Oh, my God!
我完全不记得了 I completely forgot about that.
你不记得被一个六十岁的女人 You forgot getting your ass tossed offstage
扔下舞台吗 by a 60-year-old woman?
不记得 Yeah.
你记得我们接到你时你是怎么说的吗 Remember what you said when we picked you up?
是跟她有关的 瘦但是强壮吗 Uh, oh, something about her being, uh, thin but strong?
「瘦但是结实」 "Thin but wiry."
-结实 -结实 - Wiry. - Wiry.
好了 我... Okay, well, I, um...
我明天一早要做手术 所以我该走了 I have an early surgery, so I should probably get going.
-好吧 -好 - Okay. - Okay.
晚安 Have a good night.
晚安 Good night.
我有个主意 I got an idea.
其实 是你先想到的 Actually, you had it first.
方法是对的 只是路线不对 It's the right approach, just the wrong route.
我们从后面经过硬脑膜进去 We go in from the back, posterior transdural,
小心地把骨髓移开 gently move your spinal cord out of the way
这样就可以钻开变形的第二颈椎 so we can drill off the misshaped C2.
有瘫痪的风险 There is a risk of paralysis,
但我们会一直监控你的脊椎功能 but we would be monitoring your spinal functions
从而帮助避免神经损伤 to help avoid any nerve injuries.
就这么办 我要在哪里签字 Let's do it. Where do I have to sign?
你什么都不该签 You shouldn't sign anything.
同意做这个手术是 Consenting to this surgery
目光短浅和鲁莽的行为 would be incredibly shortsighted and reckless.
把坏情绪 It is one thing
发泄在同事身上是一回事 to take your bad mood out on your colleagues,
但试图贬低我的手术建议... but to try and undermine my surgical advice --
我的意见是合理的 My opinion's valid.
好吧 谢天谢地 他不同意 Well, thankfully, he disagrees.
他为了招人喜欢甘愿冒瘫痪的风险 He's risking paralysis to be charming.
因为人们希望所有人都完美 Because people expect everyone to be perfect.
在我们走进病房之前 Everyone's opinion is valid
每个人的意见都是合理的 all the way until we go into the patient room.
进入病房后我们就是意见一致的团队 We are a team with one opinion.
我... I...
我的状态没有好转 I don't feel better!
反而更糟了 I feel worse!
做错误的手术 And doing the wrong surgery
对任何人都没有好处 is not going to help anyone.
我不想做这个手术 我要回家 I don't want to do it; I'm going home.
你不能抛弃你的病人和团队 You're not walking out on your patient or your team.
我还有两天病假 I still have two sick days
和76小时未使用的带薪休假 and 76 hours of unused P.T.O.
你没生病 You're not sick,
而且你正在治疗一个病例 and you're in the middle of a case.
我不在乎病例或病人 I don't care about the case or the patient.
我什么都不在乎 I don't care about anything.
最近几年里我心碎过两次 I've had my heart broken twice in the last few years.
你想知道我是如何应对的吗 You want to know what I did?
我天天上班 I came to work every day
假装一切如常 and pretended everything was fine.
直到最后 Until, eventually,
我不再假装了 I wasn't pretending anymore.
这样一点用都没有 That's not helpful at all.
那这样如何 How about this?
回去帮克莱尔 Go back in there
给芬恩做术前准备 and help Claire prep Finn for surgery,
否则我就不要你这个住院医师了 or you won't be my resident.
圣何塞圣文德其他任何人都不会要你 Or anyone else's at St. Bonaventure.
而且我知道你很在乎这个 And I know you care about that.
我们本来可以清除血块 We were able to clear the clot,
但因为你手臂里的动脉阻塞 but due to the restricted arteries in your arms,
我们就得继续给你用血液稀释剂... we're gonna need to keep you on blood thinners...
无限期地用下去 indefinitely.
好 Okay.
用血管稀释剂就不可能做重建手术了 The blood thinners make the reconstructive surgery impossible.
我们除了截肢别无选择 We have no choice but to amputate.
很抱歉 I'm sorry.
不 No.
我不会让你们切掉我的手臂 I'm not letting you cut off my arms.
我不想用假肢 I don't want false limbs.
我不想变成另一个人 I don't want to be that guy.
我要做我自己 I want to be who I am.
我从没见过比你 You are the toughest,
更坚强 更执着的人 most tenacious person I've ever met.
而且这不会因为 And that is not gonna change
我们把你的手换成钛金的而改变 because we replace your hands with titanium.
该放手了 It's time to let go.
好吧 Okay.
你回到那里时能画一个 Any way you could draw a skull
有眼镜蛇从眼睛里钻出来的骷髅吗 with a cobra coming out of its eyes while you're back there?
画个蹩脚的笑脸行吗 Would you settle for a lame smiley face?
因为我只会画这个 Because that is the only thing I can draw.
我最喜欢的护士来了 There's my favorite nurse.
你查过我昨晚告诉你的 Did you check out that Ethiopian place
那个埃塞俄比亚餐厅吗 I told you about last night?
我还真查了 那里的炖豌豆很好吃 Actually, I did, and the kik alicha was delish.
如果你想来一顿颠覆人生的美味 Now, if you want a truly life-changing meal,
就得试试第六大街的列侬餐厅 you need to try Lennon's on Sixth.
-这家餐厅贵吗 -贵得离谱 - Is it expensive? - Outrageously.
但很值 But worth it.
餐厅里全是白色的桌布和蜡烛 Now, it's all white tablecloths and candles,
所以你得约个会 so you'll need a date.
莫菲医生如何 How 'bout Dr. Murphy?
你亲口说过他是很有天赋的外科医生 You told me yourself he's a gifted surgeon.
这可是非常高的评价 That's pretty high praise.
而且他跟我说过你很可爱 And he told me you're cute.
祝你今天好运 Good luck today.
谢谢 Thanks.
我都帮你准备好了 I totally teed you up.
就等你出击了 All you had to do was take a swing.
我对她没兴趣 I'm not interested in her.
如果她不是你喜欢的类型 If she's not your type,
这周围肯定还有很多其他 I'm sure there are plenty of other cool nurses
不错的护士 roaming around here
可以让你更有自信 who could make you feel better about yourself.
他很难过是因为他的两段感情都吹了 He's miserable because he's had two relationships blow up.
我觉得开始另一段感情并不能解决问题 I don't think jumping into another one is the answer.
不 不 不 No, no, no!
卡雷拉4
芬恩 你不能这样勉强自己 Finn, you can't exert yourself like this.
冷静点 Just take it easy.
我在咖啡馆遇到了一个女人 I ran into a woman in the cafeteria.
人很好 但看上去很焦虑 Real nice. But seemed stressed.
没想到她男朋友也要做脊椎手术 Turns out that her boyfriend is having spinal surgery, too.
多巧啊 是吧 Big coincidence, huh?
但重点是 But get this.
他也是假性软骨发育不全 He also has pseudoachondroplasia.
这几率多小啊 I mean, what are the chances?
娜塔莉 不可以 Nathalie, don't you dare.
停下 Stop!
冷静点 Just slow down.
你说我是你一生挚爱 You called me the love of your life!
我确实爱你 I do love you!
不许这么说 Don't say that!
我不想再听到你的屁话 I don't want to hear any more of your garbage.
求求你了 Please...
你得听我说 you have to...listen.
你得回到床上 不然你会昏倒 You need to get back to bed now, or you'll pass out.
怎么了 What's up?
你在这干什么 What are you doing in here?
一旦有病人躺在手术台上 Once you get a patient on the table,
就很难有机会欣赏这处净地了 there's too much going on to appreciate what this place is.
这里很好 It's nice.
这里很完美 It's perfect.
该刷手进去了 Time to scrub in.
这将是我的最后一场手术 This will be my last surgery.
五个月前 Five months ago,
我被查出患有类风湿性关节炎 I was diagnosed with rheumatoid arthritis.
药物对我没有作用 I'm not responding to medication.
你为什么要那么做 Why did you do that?
因为我想 I felt like it.
但这改变不了他出轨的事实 It didn't change the fact that he cheated on you.
这没法让你的人生变更好 It won't make your life any better.
你没法决定自己的感情 You can't control how you feel about someone.
但你可以决定如何对待这些感情 But you can control what you do with those feelings.
我以对自己最好的方式结束了这段恋情 I ended the relationship on my terms.
更重要的是 More importantly...
我因此感觉更好了 it made me feel better.
用棒球棍砸保时捷 A Louisville Slugger to a Porsche?
简直疯了 It was insane.
我喜欢她 I like her.
有什么可喜欢的 What is to like?
我不知道 I don't know.
就是喜欢她 I just do.
收不到体感诱发电位和运动诱发电位信号了 A sudden complete loss of any SSEP and MEP signals.
血压和心率都在下降 我们伤到脊髓了 B.P. and heart rate are tanking. We've injured his cord.
注射高剂量类固醇和升压药 Push high-dose steroids and pressors.
拿走牵引器 降低压力 Remove the retractor to take the pressure off.
最后一处血管和神经结扎 That's the last of the vessels and nerves ligated.
梅氏解剖剪 Mayos.
标本袋 Specimen bag.
骨锚位置可以 We have healthy bone-anchor sites.
这里也可以 Same here.
准备给他两只健全的胳膊吧 Time to give him functional arms.
别给我 给她 Not me. Give it to her.
她只是三年级的住院医师 She's a third-year resident --
有天赋 但我不会 a talented one, but I wouldn't --
我肯定她已经查了所有骨整合相关文献 I'm sure she's read every article written on osseointegration,
在练习室准备了很久 spent countless hours in the Skills Lab,
就算一只胳膊绑起来 and could probably do this
她依然可以顺利完成这场手术 with one of her own arms tied behind her back.
蒙着眼睛也可以 Blindfolded.
开始吧 Get to work.
再推注一毫克阿托品 Push another milligram of atropine.
为了让他不结巴我们可能让他瘫痪了 We may have just paralyzed him trying to avoid a stutter.
得等他醒过来才能确定 We won't know anything until we wake him up.
为什么血压还再升 Where's the pressure still coming from?
侧压升高 Laterally now.
如果移除第一和第二颈骨关节 So if we remove the joints of the C1 and C2 bones,
也许能有足够的空间 that should make enough room
钻掉这处枢椎齿突 so we could drill off the odontoid.
我们可以用钢钉来稳定他的脊椎 We could replace them with screws and rods to stabilize his spine.
这是个 That's...
很好的想法 a good idea.
是的 Yes, it is.
前提是他没有瘫痪 If he's not already paralyzed.
科琳·布朗 Colleen Brown.
大一那年 Freshman year.
我带她去了滑轮场 I took her to the roller-skating rink
因为我觉得就该这么做 'cause I thought that's what you're supposed to do --
带女孩们去滑轮场 take girls to the roller-skating rink.
我不会滑轮滑 I didn't know how to roller-skate,
结果她丢下我 和鲍比·K的弟弟走了 she ended up leaving with Bobby K's little brother.
我被伤得很深 Broke me up.
一周都去不了学校 Couldn't go to school for a week.
刚开始三天骗我妈说我病了 Convinced my mom that I was sick for the first three days,
剩下的两天我就靠两部电影过活 and the last two I spent in a double feature all day --
《宝贝母子》和《十二把椅子》 "Where's Poppa?" and "Twelve Chairs."
到今天我还能一字不漏地背出所有台词 To this day, I can quote both films verbatim.
所以你觉得我应该在家 So you think I should've stayed home
再多待两天 for two more days?
不 我觉得这不重要 No, I don't think it would've mattered.
多待两天不会改变什么 It doesn't make a difference.
之后我列了个清单 And then I made a list
写下所有我烦她的地方 of all the things that annoyed me about her.
她嚼口香糖的样子 The way she chewed her gum,
她总是坐在教室第一排 the way she used to sit in the front row of every class
举手想让老师点她的样子 so that the teacher would call on her when she raised her hand,
她总是说「打扰一下」而不说「什么」的样子 the way she said, "Excuse me?" instead of just "What?" or "Huh?"
但这些都没用 None of it makes any difference.
那你为什么要告诉我 Then why are you telling me?
也许你会好受点 如果你知道 Maybe it'll make you feel a little bit better to know that,
你正在经历的 what you're going through,
这个世界上所有的年轻男人 every other young man in the history of the world
也都经历过 has gone through.
你想和莉亚 和卡莉都好好相处 You're trying to make it work with Lea and with Carly,
但却适得其反 and you're getting a little beat up,
没有关系 and that's okay.
加入我们 Join the club.
有很多人都是这样 You're in the mix.
这是个好事 That's a good thing.
我为你骄傲 I'm proud of you.
准备好了吗 You ready?
你可能会有些不习惯 It's gonna take some getting used to.
但神经还是一样的神经 But they're the same nerves you used before.
集中注意力像平常一样 All you have to do is think about using the arms
活动手臂 the way you normally would.
太棒了吧 That's pretty cool.
这不是啤酒 It's not a beer,
但总要开始拿个东西练习 but you got to start somewhere.
用食指和拇指夹住盖子 转开 Now pinch your forefinger and thumb and twist off the cap.
我感受不到这个东西 I-I can't feel the thing.
你会习惯的 你行的 You'll get used to it. You got this.
很好 Nice.
你是不是希望我说你是对的 You want me to say you were right?
对病人来说 还是对你 About the patient, or you?
你雇我的时候说 When you offered me a job,
这样会帮我重新振作起来 you said it was to help me get back on the horse.
但你真正想要的是一个良师 But what you really wanted was a mentor.
我很合适 Which I'm fine with,
但我觉得你也因此感受到了威胁 but I think maybe you feel threatened by that need.
也许是这样吧 Well, maybe that's true.
但你大概对此享受得过头了 But maybe also you enjoy it a little too much.
可能因为你还没适应 Maybe because you're having a hard time
自己不再是主任 giving up being Chief.
也许我们都是对的 Maybe we're both right.
怎么样 How did it go?
你能把手抬起来吗 Can you lift your arms for me?
好 Okay.
我会推你的手 你要抵抗 I'm gonna push your arm, and I need you to resist.
很好 加大力度 Good. More.
再用力点 Stronger.
非常好 That's great.
你应该会痊愈 You should make a full recovery.
谢谢 Thank you.
娜塔莉的手怎么样 H-how's Nathalie's hand?
没有神经或肌腱损伤 There was no nerve or tendon damage.
她会没事的 She'll be fine.
她是个好人 She's a good person.
有些情绪化 但这正是我喜欢她的地方 A little spirited, but that's what I loved about her.
你打算把她追回来吗 Are you going to try to win her back?
我很自信但是不蠢 I'm confident but not stupid.
你得知道什么时候该结束 莫菲医生 You gotta know when to call it, Dr. Murphy.
我是说 I mean, there's a-a whole world
天涯何处无芳草 of amazing people out there.
别被什么灵魂伴侣的说法绊住脚步 Don't get bogged down with this notion of a soulmate.
芬恩的检查结果很正常 Finn's exam was normal.
但我不确定是否值得这样冒险 But I am not sure it was worth the risk.
我们今天做了件好事 We did a good thing today.
主要是你的功劳 Mostly because of you.
谢谢你这么说 但是 That's kind of you to say but...
你对病人的全身心付出 Your commitment to your patients...
让我想起我学医的初衷 reminds me of why I got into medicine.
与你相处使我成为更好的外科医生 Being around you makes me a better surgeon.
更好的人 A better person.
晚安 Well, good night.
晚安 Good night.
你今天做得很好 You did good work today.
我知道你要离开手术室了 And I understand you're leaving surgery.
我也知道很难 And I know that's a -- that's tough.
但这是正确选择 But it's the right call.
我觉得不是 No, I don't think it is.
我热爱手术 I love operating.
所以我要坚持到我不能做为止 So I'm gonna keep doing it as long as I can.
我要做滑膜切除手术 I'm gonna have the synovectomy surgery.
真的很蠢 That's really stupid.
愚蠢至极 That's incredibly... stupid.
不是所有梦想都能成真 Not every dream comes true.
你有其他选择 You have other opportunities.
你有别的机会 You have another chance.
不是每个人都能有 你该感恩 Not everybody does. Be grateful for that.
找一个新的理想去追逐 Pick another passion and pursue that.
我要做手术 I'm doing the surgery.
好好享用 Enjoy.
再来一杯 Another, please.
这样来开启夜生活 对吗 Well, that's one way to start the night off right.
你好 弗莱契护士 Hello, Nurse Fletch.
你可以叫我朱莉 You can call me Julie.
你一个人还是在等人 Are you here alone, or are you meeting someone?
我一个人 I'm alone.
敬我们俩 Well, to us.
你眼睛很漂亮 You have beautiful eyes.
谢谢 Thank you.
是不是有人告诉你 Or did someone just tell you that
这是句不错的开场白 that's a good opening line?
就在我们后院 我竟然都没去过 It's right in our backyard, and I've never even been there.
-你呢 -也没有 - Have you? - No.
我们该接触接触大自然了 It's, uh, time we unleash our inner tree-hugger.
你下周末休息 You're off next weekend.
我觉得我们应该去优胜美地国家公园 I think we should go to Yosemite.
你觉得呢 What do you think?
可以呀 Yeah, sounds fun.
我要买双登山鞋 I need to get me some hiking boots.
还有 一件毛衣 And, uh, like a fleece.
帽子 Beanie.
我要打扮成大胡子型男 I'm rocking the full lumbersexual look.
因为我得跟周围融为一体 'Cause I gotta blend in.
我听说熊可以看到1.6公里以外的游客 I hear a bear can spot a tourist a mile away.
你没事吧 You okay?
你 Uh, you're, uh --
你人在这 但是心不在 you're here, but, you know, not.
你说得对 抱歉 You're right. I'm sorry.
只是这周过得太漫长了 It's -- it's just been a long week.
我有些累 I'm a bit exhausted.
我想早点回去休息 Yeah, I think I might call it an early night.
你确定吗 Oh, you sure?
我 我们不一定要去酒吧 I -- you know, we don't have to go to the club.
我们可以待在这里 看个电影 We can chill here. We can watch a movie.
对不起 我只是 I'm sorry. I just...
我只是觉得我该回家 I just think I should go home.
好的 Okay.
肖恩 Shaun?
我想砸烂你的车 I want to smash your car up.
我觉得这样不好 I think that's a bad idea.
我想让你也体会到我所受的伤害 I want to hurt you the way you hurt me.
我很抱歉 I'm s-sorry.
你 You...
你是 You're...
我做不到 I can't.
你表现出一副关心我的样子 You acted like you cared about me...
但你根本不尊重我 ...but you don't even respect me.
你不值得信任 You're flaky.
还有 And...
你恋爱谈不长 And you can't keep a boyfriend.
工作也做不长 Ang you can't keep a job.
没人喜欢你 And no one likes you.
你会孤独终老 And -- and you're going to end up alone,
你活该 and you deserve it!
因为你肤浅 Because you're a superficial,
自私而且对人抱有偏见 selfish, and prejudiced person!
现在能告诉我你心里在想什么了吗 You ready to tell me what's on your mind?
还不行 Not really.
我 I...
我觉得我爱上我老板了 I think I'm in love with my boss.