只是偏头痛而已 It's just a migraine.
亲爱的 只有确诊了才行 Honey, until we're completely sure...
是紧缩式疼痛还是搏动式疼痛 Is the pain a tight band or pulsating?
问得好 Good question.
是那种轻微的搏动式疼痛 Pulsating, light bothers me,
还恶心 一直是这样 nausea -- I get these all the time.
你说过你没觉得有 那叫什么来着 You said you didn't feel a, uh...what'd you call it? A...
是「发病征兆」我知道 但是 An "aura." I know, but --
你多久发病一次 Exactly how often do you get these symptoms?
问问而已 因为你男友似乎看不太出来 I just ask, since your boyfriend doesn't seem to recognize them.
萨恩和我才认识八天 Zane and I have only known each other for eight days.
进展很快 It moved fast.
埃莉你感觉到脚在抽搐吗 Ellie, did you feel your foot twitch?
没有 No.
巴彬斯基征阳性 Positive Babinski.
那是什么意思 What does that mean?
不是偏头痛的意思 It's not a migraine.
良 医
第四季 第五集
这个 Oh, that.
我当时在对新室友做尽职调查 I was performing due diligence on my new roommate,
我怀疑他是暴力狂 who might be a violent maniac,
瞧我在他衣橱里找到什么 and look what I found in his closet.
它很可爱 It's cute.
你搬来时只带了两只箱子 You moved in with two suitcases.
一共就四套内衣 You only have four pairs of underwear.
怎么偏偏带了只鹦鹉过来 How the hell did a parrot make the cut?
[美国演员吉米·巴菲特的粉丝名称] 我是「鹦鹉头」 I'm a Parrothead.
吉米·巴菲特的狂热爱好者 A Jimmy Buffett enthusiast.
就是唱「玛格丽塔维尔」的那个人 The "Margaritaville" guy?
他还有其他好歌 Well, he has other, far better songs,
但 没错 就是那个唱「玛格丽塔维尔」的人 but yes, the "Margaritaville" guy.
它给我带来好运 It brings me luck.
无法想象你的生活没有它会变怎样 Scary to think what your life would be like without it.
能还给我了吗 Can I have it back?
能更多地了解你真有趣 It's fun getting to know you better.
一切牺牲都是值得的 Worth every damn bit of sacrifice.
今天早上我在演示一个托举动作 突然嘎吱一声 I was demonstrating a torch lift this morning, and -- bang.
「芭蕾舞大师」 "Ballet master."
你是一个舞者 You're a dancer?
不是 我就像首席执行官 God, no. I'm like the CEO.
我这个年纪 相当于剧团里的贝蒂·怀特[美国著名喜剧演员] At my age, I'd be the Betty White of the troupe.
她是个舞者吗 Is she a dancer?
我对文化方面不太了解 I don't know much about, uh...culture.
我想我只是哪里扭伤了 对吧 I assume I just sprained something, right?
我们还需要对神经和腹部做检查 Uh, we will need neuro and abdominal exams,
拍X光片检查是否骨折 X-rays for fractures,
查血常规看是否感染 CBC for infection,
送到实验室培养 排除脊髓脓肿 cultures to rule out a spinal abscess --
你是新来的吧 You're...new, aren't you?
这是我来的第二周 Uh, it's my second week here.
这是我第一天看病人 It's actually only my first day seeing patients.
我是你的第一个病人 Am I your first?
是的 Yes.
抱歉 但 是的 Sorry. But...yes.
令人印象深刻 That's impressive.
带你的人对你可真放心 Whoever's supervising you must really trust you.
我感觉不太放心 I'm not sure that's true.
他们不让我进那愚蠢的健身房 They won't let me join their stupid gym
因为我有高血压 because I had high blood pressure.
那我不锻炼 怎么降血压 How am I supposed to lower it if I can't work out?
高压200低压105 200 over 105.
血压真高 That is quite high.
我和你说了我血压高 I just told you it was high.
你抽烟吗 Are you a smoker?
是的 每天一两包吧 Yeah. Pack or two a day.
心情不好 会抽更多 More if I feel crappy.
然后 And...
你有糖尿病吗 do you have diabetes?
你这是照本宣科吗 You're reading those questions out of a book?
是的 Yes.
你看过病吗 Have you ever done this before?
我和你说过 你得相信他们 I told you. You have to trust them.
我不相信 I don't.
那就装作你相信他们 Then act like you do.
径直走开 Go away.
没什么比在急诊室 Nothing more romantic
度过第一次约会更浪漫了 than spending one of your first dates in an E.R.
紧张会释放催产素 Well, stressful experiences release oxytocin.
和促使感情纽带建立的激素一样 Same hormone that creates emotional bonds.
也许还会拉近他们的关系 This might actually cement their relationship.
海马体旁边 Next to the hippocampus.
那是颗...牙齿吗 Is that...a tooth?
皮样囊肿 酷 Dermoid cyst. Cool.
她癫痫发作了 She's having a seizure.
确保她的呼吸道通畅 注射两毫克劳拉西泮 Secure her airway. Push two milligrams Ativan.
谢谢你给我们足够的信任 Thank you for trusting us enough --
请报告 Please report.
58岁男性舞者 背部疼痛 Uh, 58-year-old male dancer with back pain.
我排除了高危疾病 像骨髓炎 I ruled out red flags like osteomyelitis
以及肾感染 但我确实发现他 and kidney infection, but I did find evidence
第二腰椎轻微压缩性骨折 呈轻度楔形 of a mild L2 compression fracture with moderate wedging
另外神经管上有撞击的迹象 and evidence of impingement on the neural canal.
你想开始用β受体阻断药 You want to start beta blockers?
我吗 对 我认为我的病人有中风的可能 Me? Yeah. I think my patient's a stroke risk.
血压200/105 B.P.'s 200 over 105.
和在健身房里是一样的 It was the same at her gym earlier?
你能抬起手臂吗 Can you raise your arms?
好 用力握我的手 Okay. Now try to squeeze my hands.
她刚才给我做过这些检查了 I just did all these tests with her.
我以为你们已经准备给我开 I thought you were gonna give me stuff
降血压的东西了 to lower my blood pressure.
那就会害死你 That would kill you.
推我的手 Now push against my hands.
如果她有中风的危险 If she's in danger of having a stroke --
她不是有危险 她现在就是中风 She's not. She's already having one.
吸烟对雌性激素的影响让她有高患病风险 Smoking on estrogen put her at high risk.
血压昼夜节律失调证明了这一点 Loss of circadian blood pressure variation confirms it.
伸出舌头 Stick out your tongue.
要进行血管成像 We gotta get a CTA.
不对 静注组织型纤溶酶原激活剂 No. We're treating with IV TPA.
不用确定血块的位置吗 Don't we need to locate the clot?
刚刚已经确定了 We just did.
右偏表明右侧椎动脉闭塞 Right deviation means a right vertebral artery occlusion.
你可以把嘴巴闭上了 Oh. You can close your mouth now.
她的癫痫和昏迷都是皮样囊肿导致的 Her seizure and coma were caused by a dermoid cyst.
是一块由少量牙齿 毛发和脂肪构成的组织 It's a pocket of tissue with bits of teeth, hair, and fat.
她可能在出生前就有了 She likely got it before she was born.
你们有办法吗 What can you do?
低侵入性的疗法是导入引流管 The less invasive option is to put in a drain
来减缓一些压力 to release some pressure,
用抗癫痫药物和类固醇来治疗 treat with anti-seizure meds and steroids,
然后基本就等着看肿块是否会消下去 then basically watch to see if the swelling goes down.
高侵入性的疗法呢 And the more invasive?
手术切除 Surgical removal.
但囊肿很深入 But the cyst is deep inside
而且周围环绕着主要动脉 and wrapped around major arteries,
所以这种方法更能解决问题 so it is more likely to fix the problem,
但也会带来中风或瘫痪的风险 but it carries risk of stroke or paralysis.
需要尽快做决定 We need a decision quickly.
埃莉的资料里写了她姐姐 Ellie's sister is on the paperwork,
但我们还没联系上她 but we haven't been able to reach her.
你知道她父母住哪 或者有其他兄弟姐妹吗 Do you know where the parents live or any other siblings?
他可能还在出差 但是 He might still be on a business trip, but, uh...
你们可以试试联系她丈夫 ...you can try her husband.
如果我们不能减小肿块 If we can't reduce the swelling,
她会有永久性大脑损伤 she will have permanent brain damage.
就是他吗 Is that him?
布兰登 我们需要你做决定 Brendan, we need you to make a decision.
对 对 Yeah, yeah.
我 我 我不确定是不是应该我来... I'm -- I'm -- I'm not sure that I'm the right one to...
我是说 现在 I mean, right now...
我恨她 I hate her.
你不是恨 You don't.
你是愤怒 You're angry.
你是伤心 You're hurt.
因为你爱她 Because you love her.
58岁男性舞者 背部疼痛 58-year-old male dancer with back pain.
椎体轻度楔形变和神经管撞击 Moderate vertebral wedging and impingement on the neural canal.
对 我认为是第二腰椎压缩性骨折 Yes. I think an L2 compression fracture.
准备消炎药 支架和凝血酶原时间测定 Prescribe anti-inflammatories, a brace, and PT,
然后让他出院 then discharge him.
你要再检查一遍吗 Do you want to re-check anything?
不用 No.
记住饭后用牙线清洁大脑 各位 Remember to floss your brain after every meal, people.
抽吸 Aspirating.
你们觉得我们应该这样做吗 Do you think we should be doing this?
从法律角度我们必须做 I know we have to legally,
但是她丈夫也许不是最懂她 but maybe her husband isn't the one who knows her best,
知道她意愿的人 knows what she wants.
总比上个礼拜才认识的人更懂她 Better than the guy who met her last weekend.
蛛网膜刀 Arachnoid knife.
你说的那个人 她爱他 Mm, that guy -- she's in love with him.
很显然 Apparently.
说不准她两个都爱 Well, maybe she loves them both.
你是浪漫主义者吗 Aren't you a romantic?
盯着点穿颅器 Watch for perforators.
我一直是个多角恋者 I've been polyamorous for years.
当我追求专一恋情时 When I was monogamous,
我会心生嫉妒 占有欲强 自我任性 I was jealous, possessive, egotistical.
这个病人也隐瞒了 这不好 Our patient wasn't honest. That's not cool.
除此之外都挺好 But other than that...
边缘都是好的组织 Good margins all around.
清干手术区域 给她缝合 Let's dry up the field and close her up.
怎么也想不到 我是你的第一个病人 I never would have guessed I was your first patient.
感觉我像第四个 Felt more like the fourth.
对了 听起来你有点口音 By the way, did I detect an accent?
不可能 No.
我原来有 但是我努力改掉了 I mean, I had one, but I worked really hard to lose it.
再也没人注意到了 No one ever notices it anymore.
你是东欧人 Eastern Europe?
布鲁克林人 Brooklyn.
住在威廉斯堡街区一带 Williamsburg.
从小在哈西德社区长大 说依地语 I grew up Hasidic, speaking Yiddish.
我很早就离开那里了 I left it a long time ago.
你背离了你的宗教 You left the -- the religion?
不仅离开了宗教 还有文化 The religion, the culture...
我的家族 my family.
这一路走来肯定不简单 Must not have been easy, growing up that way,
你现在还是 knowing you were...
一名医生 a doctor.
你什么意思 Excuse me?
在我那个年代 你这么做要被痛打 My generation, you could get bashed.
被抓起来 关进监狱 You could get thrown in jail.
我们必须学习教义 怎样读懂对方 We had to learn codes, how to read each other.
你应当心存感激 You should thank your lucky stars
现在你能过上了你想要的生活 you get to live your life the way you want it.
我不知道你经历过什么 I don't know what you went through.
请不要假装了解我的过去 Please don't pretend to know what I went through.
先生 Sir?
我的肚子 My gut...
蓝色警报 Code blue!
手术似乎很成功 The surgery seemed successful,
但接下来24小时必须监测 以防癫痫 but we need to monitor for seizures over the next 24 hours.
高度够吗 Is this high enough?
往左一点 Um, a little to the left.
不是这样 往右 No. To the right.
位置对了 Yeah.
你从没提过我们之间出了什么问题 You never said anything was wrong.
能让我们俩单独待一会儿吗 Can we have the room for a moment?
抱歉 我们必须对你检查 I'm sorry, but we really need to check
你怕在他们面前谈论我们的事吗 You're worried about talking in front of them?
怕我尴尬 Embarrassing me?
我们之间没有任何问题 I didn't think anything was wrong.
只是我遇见了萨恩 When I met Zane, it --
我意识到我之前错过了一些东西 ...made me realize something was missing.
至少 我是这么觉得的 Or, at least, I think that's what I'm feeling.
能把下巴抬高一点吗 You mind tilting your chin up?
对不起 I'm sorry.
你就不能和我说说吗 Why couldn't you just talk to me?
或者直接离开我 Or -- or...leave me?
我不知道 I don't know.
那你开心吗 Were you happy?
和他在一起 With him?
我该走了 I guess I should go.
布兰登 Brendan?
这些人是谁 Who are these people?
埃莉 你知道自己在哪吗 Ellie, do you know where you are?
为什么我在医院 Why am I in the hospital?
肾上腺主动脉瘤 Suprarenal aortic aneurysm.
他正要出院的时候破裂了 It ruptured as he was being discharged.
夹住动脉 Clamping aorta now.
他血压下降了多少 How much blood is he down?
我们抽吸出来两升血 We suctioned out two liters
又快速输注了六单位 and gave six units on the rapid infuser.
动脉瘤导致了背痛 The aneurysm caused his back pain.
然而沃克医生忽视了 Dr. Wolke missed it.
我给他做了一个腹部检查 I did an abdominal exam.
动脉瘤很难发现 Aneurysms are very hard to catch.
即使是有经验的医生也总是找不到 Experienced doctors miss them all the time.
波茨剪 Potts scissors.
这个动脉瘤有6.5厘米 The aneurysm is 6.5 centimeters.
沃克医生应该能摸到 Dr. Wolke should have felt it.
它感觉就像正常的肌肉组织 It felt like... normal musculature.
很抱歉 I-I'm so sorry.
我们永远不会知道你摸到了什么 We'll never know what you felt.
就这件事而言 我们不可能知道你 There's no way to know if you, or any doctor, for that matter,
或其他医生当时是否会发现 would have detected this.
我就会发现 I would have.
他问过我是否要复查 He asked me - if I wanted to double-check.
如果我复查了 我就会在动脉瘤破裂前发现它 If I had, I would have caught the aneurysm before the rupture.
别说了 Stop it.
他犯错了 He made a mistake.
他可能犯了错 He might have.
但你也犯了 But you did, too.
不 是你让我退后 No. You told me to back off.
我没让你推卸责任 I didn't tell you to abdicate responsibility.
第一年住院医师问你是否要复查他们的工作时 When a First Year asks if you want to re-check their work,
答案永远都是要 your answer should always be yes.
他们问你就是个警告信号 The fact they're asking is a warning sign.
我当时不知道 I didn't know that.
这叫逆行性失忆 It's called retrograde memory loss.
幸好这好像只是暂时的 Luckily, it seems to have been temporary.
她又清醒了 She's lucid again.
我们在给她做核磁共振和各种化验 We're running an MRI and lab tests
查明原因 to see what caused it.
谢谢你们告诉我这一切 我知道我只是... Thank you for, uh, telling me. I know I'm just the...
你在乎她 You care.
也许我和埃莉之间的关系不总是那么完美 但 Maybe things with Ellie and I weren't always perfect, but --
很刺激 It was exciting.
我跟她在一起时就是这样 When I was with her...
以前从没有过这种感觉 never felt that way before.
她生病时我会照顾她 I took care of her when she was sick.
从没离开过 I never strayed.
我们做什么不重要 It wasn't about the things we did.
关键在于 It was -- it was about...
陪着她 being with her.
我需要她时 她也一直在我身边 She stuck by me when I needed her.
去年 我喝酒喝太多了 Last year, I was -- I was drinking way too much.
很难想象没有她的生活 It's hard to imagine being without her.
我根本无法想象没有她的生活 I just can't imagine being without her.
她稳定了 She's stable.
每小时一次神经检查 监测颅内压升高的迹象 Q-hour neuro exams and monitor for signs of elevated ICP.
你的电话 朴医生 I believe you're getting a call, Dr. Park.
你是「鹦鹉头」 听到它该自豪 You're a Parrothead. Wear it proud.
我们能定几条规则吗 Can we just agree to have some limits?
比如不是我的所有东西都可以拿来开玩笑 Maybe not everything I own is fair game.
不 No.
好极了 Perfect.
相信我 一切牺牲都是值得的 Trust me, it'll be worth every damn bit of sacrifice.
这句话我已经说了两次了 I've said that twice now.
很多话你都说过两次 你的创意有限 You've said a lot of things twice. You have limited creativity.
事实是 这根本毫无创意 Truth is, it wasn't creative at all.
这是吉米·巴菲特的「天堂里的芝士汉堡」 It's from Jimmy Buffett's "Cheeseburger in Paradise,"
他的「八大名曲」之一 太有名所以连我都知道 one of his "Big Eight," so big, even I know it.
先生 你才不是「鹦鹉头」呢 You, sir, are no Parrothead.
米娅以前的副业是做木工 Mia does woodwork as a side hustle.
那是我们第一次去夏威夷时她给我做的 She made it for me on our first trip to Hawaii.
很可爱 Lovely.
等等 不对 Wait. No, that's not right.
是「可悲」 "Pathetic"?
你会扔掉所有跟过去的朋友和工作有关的 And do you toss away all mementos of
纪念品吗 past friends and jobs?
如果工作欺骗了我 我会向前看 If a job cheated on me, I might want to move on.
你上次跟人约会是什么时候 When's the last time you dated someone?
你上次表现得像个人是什么时候 When's the last time you acted like a human being?
所以是多年前了 So, years?
对 这次我肯定用对词了 Yeah, I definitely found the right word.
回家见 See you at home.
在团队中建立信任
你睡不着吗 You can't sleep?
想喝点热牛奶吗 You want some warm milk?
我妈大概有十八种治失眠的处方 My mother has, like, 18 "prescriptions" for this.
有些是真正的处方 Some of them are actual prescriptions.
我睡得着 I can sleep
但要搞清楚如何更好地管理新人 but need to figure out how to supervise better.
你今天晚上打算看几本 How many of these are you planning to read tonight?
只看每本书里相关的章节就行 Just the relevant sections of each.
科技公司的朋友总是看关于领导力的TED演讲 Tech bros are always watching TED Talks on leadership.
比看这些书省时间 That could be quicker than those books.
明天我们来个约会之夜怎么样 How about tomorrow, we have a date night?
我们为什么要搞约会之夜 Why would we need a date night
我们不是已经确定关系住在一起了吗 if we're in a relationship and living together?
因为那样会很有意思 Because it'll be fun.
我会安排明晚的约会的 I'll schedule date night for tomorrow.
好极了 想想我们能做什么 Great. Think of something for us to do.
有一个治失眠的方法对大多数人有用 There is one thing that helps most people sleep
我妈妈没告诉过我 that my mother did not tell me about.
怎样成为优秀的管理者 What makes a great manager?
有人说全靠规划能力 Some say it's all about planning.
有人说要有领袖魅力 Others, charismatic leadership.
第三种观点 A third group --
囊肿内有脂肪流出 Your temporary memory loss was caused by some fat
导致你暂时性失忆 that leaked from your cyst.
我们可以做开颅手术把它清除掉 We can remove it via a craniotomy,
但那样有失去更多记忆的风险 but there is a real risk of more memory loss.
也许还是永久性的 Maybe permanently.
我会失去哪些记忆 What will I lose?
手术之前的记忆 The time prior to the surgery.
几天 几周 也很可能是几个月的 Days, weeks, possibly months.
但如果我们不尽快手术 But if we don't operate soon,
大脑受损的风险只增不减 the risk of brain damage only grows.
我不能做手术 I can't do it.
我连自己要什么都不知道 I don't even know what I want right now,
不过我知道我不想让一场手术 but I do know that I don't want the decision about my marriage
迫使我作出关于自己婚姻走向的决定 forced on me by an operation.
拜托 Please...
想想别的办法 find another answer.
你们不太擅长你们的工作 You are not very good at your jobs,
而我不擅长教你们 and I'm not very good at teaching you,
那我们就一步步来 一次学一点 so we are going to focus on one step at a time.
你们有各自要掌握的技能 You will master each skill separately.
我列出了四百个技能 I've made a list of 400 skills.
我昨晚没时间全写完是因为 I didn't have the time to finish it last night because --
沃克医生 你去主攻体检 Dr. Wolke, you will be focusing on physical exams.
我给你列了给卡尔做的七项 You will find a list of the seven post-op tests
术后检查项目 to be conducted on Carl.
杰克逊医生 我给你找了些 Dr. Jackson, you will find relevant seminars
关于克服工作场所紧张情绪的研讨会 on conquering nerves in the workplace.
约会有什么好的活动吗 What are good activities for a date?
她喜欢什么 what does she like?
汽车 编程 「塞尔达传说:旷野之息」 Cars, coding, "Zelda: Breath of the Wild,"
白葡萄酒 彩虹糖 「鲁保罗变装皇后秀」 Sauvignon Blanc, Skittles, "RuPaul's Drag Race,"
露营 camping...
我在大瑟尔有过一次很浪漫的露营经历 I had a very romantic time camping in Big Sur.
我今晚就要约会 This is for tonight.
我没怎么约会过 I haven't gone on many dates.
但大家都喜欢看电影 But everyone loves movies.
痊愈的很好 Healing nicely.
没有红肿 No redness or swelling.
我要在刀口附近触诊一下 I'm gonna palpate around it now.
我要跟你道歉 Look, I need to apologize.
几天前不该提起你的私人生活 For bringing up your personal life the other day.
不用 No.
你没什么要跟我道歉的 You have nothing to apologize to me for.
你的体检表上下个项目是什么 So...what's next on your list?
检查腹腔是否有感染迹象 Checking for signs of infection inside your abdomen.
眼睛睁大 Open your eyes wider.
你有黄疸病的病状 You have signs of jaundice.
应该是肝脏在衰竭 I think your liver's failing.
出现新的动脉瘤在压迫肝脏 The liver is being damaged by a new aneurysm.
怎么会 是遗传易感性还是 How? A genetic predisposition or --
更有可能是因为我们切除第一个瘤体后 More likely, when we fixed the first one,
动脉上方压力增大 we increased the pressure upstream.
我们能做腹腔支架植入吗 Can we stent the celiac?
解剖起来太复杂 Anatomy's too tricky.
腹主动脉转流呢 Aortic to celiac bypass?
那样会有动脉上方形成新瘤体的风险 We'd just risk a new aneurysm forming upstream.
有可能 但是那样能解决眼前的问题 Maybe, but it solves the problem in front of us.
我们不手术干预的话他会死掉的 He'll die without an intervention.
不管我们用哪个方案他都可能死掉 He'll probably die either way.
我们花点时间研究下别的方案 Let's all take the time to research alternate solutions.
如果24小时内想不出更好的方案 If we can't come up with something better in 24 hours,
我们就用转流术 we proceed with the bypass.
她拒绝的原因是感情方面的 She's saying no for emotional reasons.
所以她的决定与手术无关 So the answer isn't medical.
是情感原因 It's emotional.
我们认为应该让萨恩和埃莉聊聊 We think... Zane should talk to Ellie.
不行 No.
我不想让他靠近她 I don't want him anywhere near her.
说服她做开颅手术 To convince her to do the craniotomy.
对你来说 这是自私的 From you, it's self-serving.
对萨恩来说 From Zane...
等等 如果她不愿意... Wait. If she doesn't want it --
你说你无法想象没有她的生活 You said you can't imagine life without her.
如果你是认真的 那你会不惜一切代价让她活着 If you meant that, you'd risk anything to keep her alive.
即使代价是她对你的记忆 Including her memories of you.
做得好 肖肖 Well done, Shaunnie.
我真的需要这个 I really needed this.
昨天系统更新了吗 The system update yesterday?
简直快疯掉了 Went bananas.
我收到了大量投诉 I've been flooded with complaints.
就是场噩梦 Total nightmare.
工作怎么样 视频有帮助吗 How's work? Did the videos help?
有的 Yes.
再跟我说说 Tell me more.
我的一个病人长了一个继发性动脉瘤 One of my patients developed a secondary aneurysm.
我需要在明天之前找到一个手术方案 Now I need to find a surgical fix by tomorrow.
不然他可能就会死去 Otherwise, he will probably die.
我带了彩虹糖 I brought Skittles.
-那你不是应该在医院吗 -是的 - Shouldn't you be at the hospital? - Yes.
我打算在你睡觉之后 After you go to bed,
我再去医院做研究 I plan to go back and do research.
肖肖 去医院吧 Shaunnie... go to the hospital.
不 我们定好了的 No, we made this schedule.
有人需要你 Someone else needs you.
比我更需要你 More than I need you.
那是一个医院 It's a hospital.
里面都是病人 It's filled with sick people.
但是明天 有人需要你 But tomorrow, will someone need you
想出救他们的办法吗 to come up with a way to save their life?
有可能 Maybe.
也可能不是明天 Probably not tomorrow.
好吧 Okay.
我要取消约会之夜 I am canceling date night.
这是不礼貌的 That's rude.
那又怎样 Oh, well.
那 Then...
我就该 I should...
去医院了 go to the hospital.
他们正在为埃莉准备手术 They're prepping Ellie for surgery.
还有什么问题吗 Any last-minute questions?
我该怎么做 What should I do?
原谅她 Forgive her.
在适当的情况下 每个人都会走偏 Under the right circumstances, every human will stray.
我们不是天生就一夫一妻制的 We're not hardwired for monogamy.
我猜你没有结婚吧 I'm guessing you're not married.
我不是说愤怒是不对的 I'm not saying that it's wrong to feel angry.
她对你不坦诚 She wasn't honest with you.
如果不原谅她 你就会失去你所爱的人 The alternative to forgiving her is losing someone that you love.
然后呢 Then what?
如果她回到我身边只是因为她忘记了他 If she comes back to me just because she forgets him...
那我的婚姻是不坦诚的 ...my marriage wouldn't be honest.
我有个主意 I have an idea.
我们可以切除更多的近端主动脉 We could remove more proximal aorta
延长移植物 and extend the graft.
那用什么来重建腹腔动脉干呢 And rebuild the celiac trunk with what?
涤纶 Dacron?
分支太复杂了 Branches are too complex.
《柳叶刀》上一篇高分子材料的文章 This Lancet article on polymer materials...
没用的 doesn't work.
那薄膜镍钛诺呢 But thin-film nitinol?
我们把他弄坏了吗 Did we break him?
我们有材料了 We have the material.
是他自己的静脉 It's his veins.
对不起 Oh, I'm sorry.
我们是否重新建立了个人界限呢 Did we reestablish personal boundaries?
今天上午的演讲是关于 谁还没有放下 This morning's presentation's on...who's not moving on?
证据一 Exhibit A.
在一个非常浪漫的山坡上卿卿我我 Canoodling on - a very romantic hillside with --
那是和我最好的同志朋友 你能离开吗 With my gay best friend. Can you leave?
证据二 Exhibit B.
罗布·格隆考斯基的加大号运动衫 A xxl Rob Gronkowski jersey.
这是一个讨厌爱国者球队的女人 Just the latest fashion style
最新的时尚风格吗 from a woman who hates the Patriots?
或是前男友 Or an ex-boyfriend's --
不是前男友 我和格隆上过 Not an ex. I hooked up with Gronk.
似乎值得保留 Seemed worth preserving.
罗布 还是他的兄弟之一 Rob? Or one of his brothers?
大概是支柱前锋 Props. I guess.
终极证据 Exhibit infinitum --
两张《007量子危机》的票根 two ticket stubs to "Quantum of Solace."
你以前管丹尼尔·克雷格叫「金发007」 Now, you once called Daniel Craig "James Blonde,"
结果11年后 你抽屉里却有这些东西 and yet 11 years later, these were in your drawer,
放在一本2019年产手机的说明书上 on top of an instruction manual for a 2019 cellphone,
也就是说你是去年间把这翻出来的 which means you dug them out within the last year.
为什么 Why?
我只能假定你目前 I can only assume you are currently
又跟那位「金发007」粉丝搞上了 once again hooking up with the James Blonde fan.
你怎么可能推断出... How could you possible deduce --
我还看了你的邮件 I also read your e-mails.
你跟某个前任睡了 You've been sleeping with an ex
没要任何承诺 without asking for any commitment.
只是性而已 这对我没有任何影响 It's just sex. It's not keeping me from anything.
什么更有可能阻止你放下过去 What's more likely to prevent someone from moving on?
抽屉里的鹦鹉还是床上的前任 A parrot in a drawer or an ex in your bed?
至少我从中得到了些火辣的好处 I'm at least getting something hot from the situation.
你只会沉湎于失败 You're just wallowing in failure.
要是你没有别的「证据」了 So, if your bag's empty,
我现在没穿衣服 并且需要去厕所 I'm naked and have to go to the bathroom.
这叫Y型静脉移植术 It's called a Y-shaped vein graft.
你的主动脉在分叉的地方 Your aorta is damaged from the aneurysm
被动脉瘤堵住了 right where it branches off.
我们要从你腿部切一截直径相似的静脉 We're gonna find a vein in your leg that's similar in size,
用它来替代受损动脉 cut it out, and use it to replace the damaged artery.
情况有多糟糕 How bad is it?
这是个非常棒的解决方案 This is an excellent solution.
前提是手术成功 If it works.
那我有多大几率... What are the actual chances that it doesn't --
会死 that I'm gonna die?
我不想给你一个数字 I don't want to give a number.
我是说 我给不了 I mean, I can't.
我真的没办法 有太多影响因素了 I literally can't. There are too many factors.
我可以叫来莫菲医生 I can call in Dr. Murphy --
我不需要听那些数字 I don't need to hear numbers.
情况有多糟糕 How bad is this?
很糟 Bad.
谢谢 Thank you.
不论怎样 你都会是一个优秀的医生 Whatever happens, you're gonna be an incredible doctor.
我很荣幸成为你的第一个病人 And I am honored to have been your first patient.
我搞砸了 I screwed up.
你的第一次检查 That first exam.
我察觉到不对劲 I felt something.
我早该知道那是个动脉瘤的 I should have known it was an aneurysm.
我们本可以在情况恶化前救你的 We could have saved you before it got bad.
为什么 Why...?
你是我第一个病人 You were my first patient.
我要你为我做件事 I need you to do something for me.
为我祈祷 I need you to pray.
你肯定知道患者的祈祷文 You must know a prayer for the sick.
我不是信徒了 I'm not a believer anymore.
我也不是 Neither am I.
但是 But...
愿汝得愿 Yehi rutsoyn milfuneykhu adoynoy eloyhay
吾父之神 vayloyhay avoysay
助他康复 sheh tishlakh mehayru refiu shlaymu min hashumayim,
若其必亡 refias haneyfesh irefias hagif lakhoyleh Carl ben Khava.
饶恕其错 Ayl nu refu nu loy.
埃莉 你认识这两个男人吗 Ellie, do you know these men?
当然 Of course.
布兰登 Brendan.
你 And --
你是布兰登的朋友吗 And are...you a friend of Brendan's?
差不多 Something like that.
上周发生了很多事情 A lot has happened in the last week.
在你被麻醉之前 医生们录了个视频 So before you went under, the doctors made a video.
算是一段留言吧 It's sort of a-a message
过去的你给崭新的你的留言 from your old self to your new one.
我只想要你知道 I just want you to know...
我爱你 that I love you.
说说你们相遇的那天 Tell me about the day you met.
那天我在首尔美术馆看展 I was in the middle of an art exhibit in SoMa,
然后我注意到这个男人 他 and I noticed this guy, and he was...
他在看那些我也看过的画 was looking at all the same paintings I had been looking at...
给我6-0号线的反手持针钳缝合血管残端 Need another 6-0 loaded backhand for the arterial stump.
移植完成 Graft is secure.
松开萨氏吻合夹 Take off the Satinsky clamp.
下半身血流通畅 Good perfusion to his lower body.
心率飙升 Heart rate's spiking.
未见ST段升高 There's no ST elevations.
血压在下降 移植血管有血栓吗 B.P.'s tanking. Did he thrombose the graft?
末端吻合处是搏动的 Distal anastomosis is pulsatile.
但是左下腹有大量积血 But there is blood pooling in the left lower quadrant.
除了移植物 到处都在出血 He's bleeding everywhere but the graft.
是弥散性血管内凝血 It's DIC.
放置旋转式血栓弹力计和凝血监测 Send a stat ROTEM and coag profile --
开始胸外按压 给予肾上腺素 准备除颤 Start compression, give epinephrine, and get the defib.
-设为120伏 -120伏 - Set it to 120. - 120.
离手 Clear.
按压 Compressions.
没反应 No response.
把单相脉冲除颤仪设为360伏 Go to monophasic at 360.
离手 Clear.
你怎么还不进行电击 Why aren't you shocking again?!
他已经心脏停搏了 He's in asystole.
利姆医生 Dr. Lim?
沃克医生 Dr. Wolke.
他死了 He's dead.
死亡时间 下午7:23 Time of death -- 7:23 P.M.
你需要多久都行 Take as much time as you need.
我和他相爱了 I was in love with him.
我度过的那些时光 All those moments I had --
在画廊相识 聊天 meeting at the gallery, the conversations...
我全都想不起来了 I don't remember any of them.
但它们是真实的 But they were real.
并且让我想起一些感受 And they brought up feelings.
我真的很久没有这样的感受了 Ones I don't remember having for a really long time.
但这些都让我想到你 布兰登 But all they made me think of was you, Brendan.
在听我怎么认识萨恩的时候 只让我想起 Hearing how I met Zane just reminded me
我和你是如何在切尔茜的派对上相识的 how you and I met at Chelsey's party,
你穿着那件很丑的短夹克出现 and you showed up in that ugly bomber jacket.
还有萨恩带我去医院 And Zane taking me to the hospital
让我想起当我在阿斯彭摔断了股骨 reminded me how you nursed me for months
你是如何照顾了我几个月 when I broke my femur in Aspen.
并且从头到尾 And the whole time...
我忍不住想 ...I just couldn't stop thinking about
我有多伤你的心 how much I must have hurt you.
还有我不 And I d--
我不知道你 I don't know if...
你能不能原谅我 you can forgive me.
但是我爱你 But I love you.
还有我 我想回家 And I -- I want to come home.
你错了 Well, you're wrong.
那件短夹克其实挺酷的 That bomber jacket was really cool.
他死了 He died.
我试着不去干涉 I tried stepping back.
我试着集思广益 I tried brainstorming.
结果他死了 And he died.
我不知道其他人怎么想的 有什么感受 I don't know what people are thinking or feeling.
我不能说出我的需求 I can't communicate what I need.
会有更多患者死去 And more patients will die.
你不认为你的自闭症和患者的死 You don't think your ASD had anything to do
有什么关系 对吧 with your patient's death, do you?
因为 没有关系 Because it didn't.
亚舍对他的腹部检查结果不太确定 Asher wasn't sure about his abdominal exam.
我早该知道的 I should have known that.
肖恩 你在大部分事上 Shaun, you're gonna do most things
都比其他人做得好 better than anyone else,
但你也和其他人一样 会有失误的时候 and there are days when you're gonna fail, like everyone else.
今天也许就是其中一天 Today might be one of those days.
所以 So...
之后你会怎么做 ...what do you do then?
你回家 你 You go home, you...
和你爱的人在一起 be with the people you love.
你从中得到治愈 You take comfort in that,
然后第二天醒来 重新开始 and then you wake up tomorrow and start all over again.
你可以回家了 You can go home.
我只是 I just...
我现在不想自己一个人 ...don't want to be alone right now.
我今天注册了一个交友账户 I opened a Bumble account today.
我今天右滑了三次 I swiped right three times today.
交友网站中「右滑」表示「喜欢」
格隆的球衣背面没有标签 Gronk's jersey didn't have a tag in the back.
这是象征性的 It's symbolic.
你知不知道真球衣以后会值多少钱 You have any idea how much the real one will be worth one day?
有道理 Fair enough.
又一次去了玛格丽塔镇 Wastin' away again in Margaritaville.
寻找我丢失的盐瓶 Searchin' for my lost shaker of salt.
有人说这是一个女人的错误 Some people claim that there's a woman to blame.
但是我知道 But I know,
-是我该死的错 -该死的错 - It's my own damn fault. - Damn fault
我很高兴你陪着我 I'm glad you're here with me.
我也是 So am I.