还记得我跟你说我父母会突然来访吗 Remeber how I told you my parents drop in unannounced?
我刚收到一条短信 I just got a text.
他们明天过来 They are coming here tomorrow.
-好的 -这一点不好 肖恩 这是伏击 - Okay. - It's not "okay," Shaun, it's an ambush.
我父母不是过来看我 是来对我评头论足 My parents don't come to visit, they come to judge.
他们讨厌我的所有男友 They hate everyone I date,
意味着他们会问你一堆尴尬的问题 which means they're gonna ask you a ton of awkward questions.
这会极其不舒服 It's going to be uncomfortable.
非常 Very.
好吧 Okay.
你讨厌意外 你为什么不因此生气呢 You hate surprises. Why aren't you more thrown by this?
因为这不算意外 Because it's not a surprise.
他们的表现和你说的一模一样 They're behaving exactly the way you said.
所以只要灾难可预测 就不算灾难吗 So a disaster is fine as long as it's a predictable disaster?
灾难意味着有后果 A disaster implies consequences.
我们是成年人 We're adults.
你父母怎么想又有什么关系吗 Why would it matter what your parents think?
我说不好 因为他们是父母 I don't know, because they're parents.
你难道不觉得苦恼吗 Doesn't it bother you
你那性情乖戾的「教父」格拉斯曼依然不喜欢我 that your grumpy second dad Glassman still doesn't like me?
-格拉斯曼医生喜欢你 -不 他不喜欢 - Dr. Glassman likes you. - No, he doesn't.
-我得走了 -行吧 - I have to go. - Fine.
但我会发一些谈话要点给你 But I'm gonna text you some talking points.
多数是不要谈及的话题 Mostly subjects to avoid.
而且会有很多 And it's gonna be a very long list.
莉亚 一条新信息
加州生菜
1985年NBA乐透抽签
鼓手
她的这个伤口有多久了 How long has she had this wound?
她两周前从鞍马上摔了下来 She fell off the vault two months ago.
愈合缓慢 口腔有瘀伤 Slow healing and signs of oral bruising.
你在控制饮食吗 Are you on a restricted diet?
教练让我吃比赛餐 Coach put me on a performance diet.
高蛋白 高纤维 High protein, high fiber.
我可以给你们看她的训练记录 都是按照标准的 I can show you her training log. It's very standard stuff.
不过她喜欢的那个面条 Although the noodles that she likes,
也让我肚子不好受了一阵 they did a number on my stomach, too.
-什么面条 -魔芋面 - What noodles? - Konjac.
队里的姑娘一直都吃这个 Girls on the squad eat them all the time.
魔芋面几年前就在澳大利亚被禁了 Konjac noodles were banned in Australia several years ago.
很危险 几乎无法消化 They're dangerous, basically indigestible.
我们会让其他医生来 We will get another doctor
评估你的病情 做个检查 to assess your symptoms and do a workup.
但我们得立刻带达雅去拍片 But we need to get Darya to Imaging right away.
我查看日程表 I review my schedule,
从最后一个病人 倒着往前看 starting with the last appointment and working backwards.
这很有效 It's an effective technique.
你最好把这点记下来 You might want to write this down.
马库斯叔叔 我们说好了的 Uncle Marcus, we had a deal.
不能开小灶 No special attention.
现在不算数了 That deal's off.
丽薇 你很吃力 Livy, you're struggling,
我没法再袖手旁观了 and I can't sit on the sidelines anymore.
但我叔叔给我开小灶 But special treatment from my uncle,
只会让情况越来越糟 it's only going to make things worse.
我欠你 也欠这家医院 I owe it to you, and I owe it to this hospital.
我知道你有独特的天赋 I know you have unique talent.
所以发现我搞砸了 So you've noticed both that I'm screwing up
还发现我有独特的天赋 and that I have unique talent?
在你还没来这里之前 我就发现了你的天赋 I noticed the talent long before you started here.
提莉阿姨的年度烧烤 Aunt Tilly's annual barbecue.
你在五岁那年把这个给我了 You gave this to me when you were five years old.
那一刻 我就知道你很特别 And that moment, I knew you were special.
巨大的纤维肿块堵住了她的肠道入口 Giant mass of fiber blocking entry to her intestines.
她的血检也显示缺钙 Her blood tests also show low calcium
还有其他营养不足 and other nutritional deficiencies.
我能看看3D重建影像吗 Can I see the 3D reconstructed images?
这大概无法自行排出 It's unlikely to pass on its own.
我们得用内窥镜将其粉碎后排出了 We'll have to break it up and remove it endoscopically.
她也得放弃体操 She also needs to quit gymnastics.
她的所有胸椎骨都有严重骨质疏松 She has severe osteoporosis with compression fractures
以及压缩性骨折 in almost all of the thoracic vertebrae.
有意思 Interesting.
十四岁的姑娘 She is a 14-year-old girl
骨龄却相当于 with the bone density
八十岁的老妇人 of an 80-year-old woman.
良 医
第四季 第八集
你有脊柱侧凸 You have kyphoscoliosis,
由偏食和过度训练造成 caused by insufficient diet and overtraining.
我们需要用手术固定畸形部位 We need to surgically stabilize across the deformity
以防止脊柱衰竭和瘫痪 to prevent the spine from failure and paralysis.
脊柱融合... Spinal fusion...
意味着她不能比赛了 对吗 that means that she can't compete, right?
是的 Yes.
但离比赛只有不到一年的时间了 And the Games, they're less than a year away.
我们能不能在那之后再手术 Could we wait until after to have the surgery?
如果不治疗 If left untreated,
病情恶化的几率为20% there's a 20% chance of progression,
可能导致呼吸衰竭 which could lead to respiratory failure
甚至死亡 and death.
决定权在你 It's your call.
我每天都在承担风险 I take risks every day.
我不会放弃梦想的 I'm not giving up my dream.
你十四岁 You're 14.
你没办法做决定 It's not your call.
她小时候她妈妈就去世了 Her mother passed away when she was a baby.
我爸爸刚告诉你了这就是我的决定 And my father just told you it's my decision.
我爸爸就是教练 Coach is my dad.
你们尽可能清除堵塞 Do what you need to do to clear the blockage,
但不要动她的脊柱 but leave her spine alone.
她为了一个奖杯要用命冒险 She wants to risk her life for a trophy,
她爸爸居然不反对 and her dad is okay with that.
某种意义上这就是虐待 I mean, that has to be some form of abuse.
要和支持女儿梦想的慈爱父亲打官司 This hospital is not gonna win a lawsuit
医院是不会赢的 against a caring father who supports his daughter's dreams.
你们能做的只有把他拉到一边 All you can do is pull him aside
试着劝他负责任一点 and try to convince him to be responsible.
对 Yeah.
最近我不是非常擅长 Convincing people to be responsible
劝人负责任 has not been my strong suit lately.
我们现在聊的不是教练老爸了 对吧 We're not still talking about Coach Dad, are we?
你一直回避我 You've been avoiding me.
我最近很忙 I've been busy.
从你并未如实交代的摩托车事故中恢复吗 Recovering from a motorcycle accident that you lied about?
没什么好说的 There's nothing to tell.
我走了条很滑的人行道 I hit a patch of wet pavement.
奥德丽 Well, Audrey...
你得了创伤后应激障碍 You have PTSD.
我正在想办法 I'm dealing with it.
我不这么认为 I don't think you are.
我还有一大堆别的事得处理 Well, I also have a truckload of other things to deal with,
包括格拉斯曼刚扔给我的 including the annual surgical fundraiser
年度手术筹款会 Glassman just dumped in my lap.
确实 派对 真是太重要了呢 Yeah, parties, they're important.
我正在想办法 I'm dealing with it.
严重的胃灼烧出现多久了 How long have you had the severe heartburn?
六个月 也可能是一年 Uh, six months, maybe a year.
血压142/90 有一点高 BP is 142 over 90. That's a little high.
我和达雅经常为了比赛奔波 Yeah, well, Darya and I travel a lot for competition.
我没有照顾好自己 I don't take care of myself.
把工作置于健康之上可不是好主意 Prioritizing your work over health is a bad idea.
对你和你女儿都是如此 For you and your daughter.
谢谢你 Thank you.
但我想提醒你一下 But may I kindly remind you,
你们医生一次值班要多久 how long are the shifts that you doctors work?
压力大 睡眠少 High stress, no sleep.
遇到重要的事 你就得全力以赴 When something is important, huh, you give it all you got.
确实 但我们是成年人 达雅可不是 True. But we're adults. Darya's not.
对 但她和同龄的女孩非常不同 Yeah, but she's very different from other girls her age.
我是说 达雅 她拼命工作 I mean, Darya, she works her butt off.
她赢得了我的尊...尊重 She's earned my r... respect.
你还好吗 You okay?
我感觉胸口痛 Oh, I'm feeling some kind of chest pain.
他的血氧饱和度和血压下降 His oxygen sat and pressure's dropping.
可能是心肌梗死 肺部问题 或主动脉瘤 Possible MI, lung problem, or aortic aneurysm.
确保呼吸道通畅 Secure his airway.
血液灌注差 感觉是败血症 Poor perfusion. I think he's septic.
生命体征没有好转 And vitals aren't improving.
可能是自发性气胸 Might be a spontaneous pneumothorax
胸腔里有空气 and trapped air in his chest.
不 那样胸部声音会像鼓声 No, his chest would sound like a kettle drum.
内部有积液 There's fluid in there.
给我手术刀 弯曲钳和胸管 Give me a blade, curved clamp, and a chest tube.
自发性食管破裂很容易被误诊 Boerhaave syndrome is easily misdiagnosed.
叩诊技术不错 Nice catch with the percussion technique.
你可能救了这男人一命 You may have saved this man's life.
再给我点拉钩 Give me more retraction.
这些组织层糟透了 These tissue planes are terrible.
我们得清除纵隔 We're gonna have to debride the mediastinum.
食道的损伤太大 修复好后 There's too much damage to repair the esophagus
会有慢性瘘管的风险 without risking a chronic fistula.
持续的胸腔渗漏 The ongoing leakage into his chest
这意味着他因感染而死 means it would just be a matter of time
将只是时间问题 before he dies from an infection.
最安全的办法是做永久食管分流 The safest approach would be to permanently divert the esophagus.
这样他下半辈子只得通过一根管道进食 And he'd have to eat through a tube for the rest of his life.
但我觉得没有更好的选择了 But I don't see a better option.
24小时后 在广谱抗生素和引流管的作用下 In 24 hours, with broad spectrum antibiotics and drains,
感染能够清除并给我们更多的选择 the infection could clear and give us more options.
这为所有人赢得更多时间想出另一个绝佳的方案 Which buys everyone time to come up with another brilliant win.
她真的叫她爸爸「教练」吗 Does she really call her own father "Coach"?
他就是她的教练 He is her coach.
你怎么称呼你爸爸 What do you call your father?
-阿巴 -帕斯 - Abba. - Pass.
弗兰克 Frank.
那就是他的名字 That's his name.
你尊重什么传统吗 Do you respect any traditions?
不是那些随机的传统 Not random ones.
为什么我们要给已存在的事物创造新的标签呢 Why should we create labels for things that already have names?
这不仅是达雅怎么称呼她爸爸的问题 It's not just what Darya calls her dad,
而是他们之间的互动方式 it's how they act with each other.
他们就像同事一样 They're like coworkers.
听起来不错 That doesn't sound bad.
如果我明天是和莉亚的同事见面 If I were meeting Lea's coworkers tomorrow,
她就不会那么焦虑了 she would be much less anxious.
家人就该让你觉得焦虑 Family is supposed to make you anxious.
给父母介绍认识你的新男友 这是件大事 Introducing a new boyfriend to your parents, it's a big deal.
这是一件人生大事 It's a rite of passage.
多态心室性心律失常 Polymorphic ventricular arrhythmia.
尖端扭转型室性心动过速 Torsade de Pointes.
我们需要静脉注射两克硫酸镁 We need magnesium sulfate two grams IV.
-心跳170 -她没反应 - Heart rate's 170. - She's not responding.
把除颤仪推进来 Move in the defibrillator.
-充电到100焦 -离手 - Charged to 100 joules. - Clear.
我们做错了什么吗 Did we do something wrong?
没有 No.
这很令人困惑 Which is puzzling.
第一年住院医师能犯的错是可预料的 Mistakes by first-year residents are expected,
但一个14岁孩子出现心律失常绝对是意料之外 but cardiac arrhythmia in a 14-year-old is definitely unexpected.
我正想问你要不要搭我的车 I was gonna ask if you wanted a ride,
不过如果你要加班 but if you're working late...
花了二十个小时解决这个问题 Twenty hours to figure this out.
你确定要在开车上下班路上浪费一半的时间吗 You sure you want to waste one of them driving home and back?
我一边开车一边思考 I think while I drive.
在车里和在家思考都不如在这里好 Not as well. Not in the car. Not at home.
那会感觉太舒服 有太多干扰 Too comfortable, too many distractions.
最好留在这里认真工作 Better to buckle down here,
作为奖励 你的同事们还可以看见你 where, as a bonus, your colleagues can see you.
我以为比起人们对医生的看法 I was under the impression that results are more important
结果更为重要 than how a doctor is perceived.
而乔丹也比你强多了 And Jordan is running rings around you there, too.
如果你不能让别人听你的 结果也没有意义 Results don't matter if you can't make people listen.
所以你才不愿意做食管分流手术吗 Is that why you didn't want to perform the esophageal diversion?
你没听见我说的话 You didn't hear me?
我做的决定是为了病人好 I made a decision for the good of the patient.
现在 Now,
要靠你来证明我是对的 it's up to you to prove me right.
她有QT间期延长和偶发性心率过快 She has a prolonged QT interval and sporadic extra beats.
我会让新人们 I'm gonna get the newbies
去重新检查肾功能测试 to recheck the renal panel
再安排内分泌和遗传研究 and order endocrine and genetic studies.
我已经做过了 另外还做了毒理和药物筛查 I already did. Also a tox and drug screen.
你还好吗 Are you okay?
莉亚害怕了 Lea's scared.
那么我应该做好准备 Then I should prepare myself.
她父母肯定不喜欢我的某些地方 There is definitely something about me her parents won't like.
不是的 肖恩 No, Shaun.
你就是你 You are who you are.
你很棒 Who you are is great.
你这辈子都在为此做准备 You've been preparing for this your entire life.
当你第一次做重要的事情的时候 When you do something important for the first time,
比如手术 你会练习 like surgery, you practice.
我应该练习和她的父母见面 I should practice meeting her parents.
怎么做呢 这里可没有模拟器 Mm, how? It's not like there's a simulator
可以学习如何处理尴尬的社交互动 for learning how to navigate awkward social interactions.
有的 There is.
不过我需要披萨 But I need pizza.
BGM: Moonlight in Soho by Chucho Merchan
肖恩 这是我的父母 帕姆和迈克 Shaun, I'd like you to meet my parents, Pam and Mike.
您好 帕姆 Hi, Pam.
您好 迈克 Hi, Mike.
莉亚告诉我们你是一名医生 你的专业是什么 Lea tells us you're a doctor. What specialty?
我是一名外科医生 I am a surgeon.
太遗憾了 我听说外科医生都很傲慢和被高估了 What a shame. I hear surgeons are arrogant and overrated.
抱歉 摩根 Morgan, I'm sorry,
你能消停一会吗 but can you just give it a rest for half a second?
我正进入角色呢 请叫我帕姆 I'm in character. Please address me as Pam.
我最近读到 当你睡觉的时候 I read recently that, while you're sleeping,
你每年都会不经意吃掉八只蜘蛛 you accidentally eat eight spiders every year.
是的 Yes.
我还读到 有时候它们会在你胃里产卵 And I read that, sometimes, they lay eggs in your stomach,
然后你肚子里会有上千只蜘蛛 and then you can have thousands of spiders...
肖恩 Shaun.
你说过在他说错话或者说废话时 You said not to disagree with him
不要和他争辩 when he says something wrong and pointless.
我也没让你附和他 I didn't tell you to agree with him,
因为这只会让他说更多错话和废话 because that only gives him more wrong and pointless things.
好 这很有用 Good. That's helpful.
我们继续吧 Let's continue.
你知道亚利桑那州没有夏令丝吗 Did you know that Arizona doesn't have Daylight Savings Time?
「夏令时」 Saving.
是「时间」的「时」而不是「丝」 说不通 It's "saving," not "savings." That's grammatic...
什么 我怎么知道什么是废话 Wh... How am I supposed to know what is pointless?
事实就是事实 Facts are facts.
行吧行吧 这样也行不通 Okay, okay, okay. This isn't gonna work.
我们可以在今晚剩下的时间里 We could spend the rest of the evening
教肖恩处理琐事的技巧 teaching Shaun the fine but trivial art of how to finesse trivia.
但真正的问题 But the real problem
不是闲聊和家庭争吵 isn't gonna be small talk and family bickering.
真正的问题是 当莉亚的父母 The real problem is what happens when Lea's parents
对女儿表示出真正的担心时会发生什么 express real concerns about their daughter?
-担心什么 -所有家长都会有的担心 -What concerns? - Concerns any parent would have.
你们还不是特别熟 You two barely know each other,
你们恋爱也没多久 现在你们就同居了 you haven't been dating very long, now you're living together.
这段关系发展得太快了 This relationship is moving too fast.
你错了 You're wrong.
我记得你说过不能和你爸爸争执的 I thought you said we shouldn't argue with your dad.
那不是我爸爸 那是格拉斯曼 That wasn't my dad. That was 100% Glassy.
你不能为晚会上可能出现的差错做准备 You can't prepare for how these evenings can go wrong.
家里充满惊喜 Families are full of surprises.
就像你怎么都不喜欢莉亚 Like how you don't like Lea.
我从没那样说过 I never actually said that.
新医生 通宵上班 A first-year all-nighter.
勾起了一些回忆啊 Brings back memories.
当然 我没经历过 Not of myself, of course,
但是那些失败者认为熬夜加班 but of the losers who thought staying up all night
在笔记本上流口水会让他们看起来更像个好医生 drooling on their laptops made them look like better doctors.
所以 治好癌症了吗 So, cure cancer yet?
我想找到一种新的方法来修复破裂的食管 I'm trying to find a new way to repair a ruptured esophagus.
「用肋间肌瓣加固胃底」 "Fundic reinforcement with intercostal muscle flap."
相当先进 Pretty cutting-edge stuff.
但为什么不做分流 But why not go with diversion?
那样更安全 It's a lot safer.
因为「安全」这个词平凡又无聊 就像我一样 Because "safe" is ordinary and boring. Like me.
我叔叔认为我需要一场胜利 My uncle thinks I need a win.
取胜的唯一办法就是一鸣惊人 像乔丹一样 And the only way to do that is to be impressive, like Jordan.
有道理 Makes sense.
你赞同吗 You agree?
赞同艾伦医生一鸣惊人吗 对啊 That Dr. Allen is impressive? Yeah.
人人都知道 And everybody knows that
因为艾伦医生确保人人都知道 because Dr. Allen makes sure everybody knows that.
她和你的叔叔 She and your uncle are cut
一模一样 from the same fashionably high-end cloth.
所以我并不只是想成为一个更好的医生 So, I don't just need to be a better doctor,
我需要成为一个完全不同的人 I need to be a different person.
你应该想从做一个 You might want to start by being a person
对自己不那么愧疚的人开始 who feels a little less sorry for themselves.
要么你是一个笨拙 反复无常的孤独者 Either you're an awkward, inconsistent loner
对你最好的品质仍然感到恼怒和愧疚 who's irritatingly apologetic about your best qualities,
要么你是一个聪明的外科医生 or you're a quietly brilliant surgeon
谁无视你就要自担风险 whom others ignore at their own peril.
如果你是第一种人 If you're the first one,
现在就辞职 别再浪费资源了 quit now and stop wasting resources.
如果你是第二种 继续做那种人吧 But if you're the second, be that.
或许还得更大声点 Maybe a little louder.
克莱尔 我们该开始了吗 Claire should we start?
主菜 开胃菜 配色方案 Centerpieces, appetizers, color schemes?
你别告诉我你中午在酒店 Please tell me that you're at a hotel in the middle of the day
是因为你有外遇 because you're having an affair.
没有安排手术 There were no surgeries scheduled,
所以我想帮忙 so I decided to volunteer to help.
怎么帮忙 How helpful. Hmm.
我们可以用一半的时间做完工作 We can get the job done in half the time
还能省点时间聊天 and still have time to talk.
或者我们可以直接聊 Or we can just talk.
我不是再做个后空翻 I am not a 14-year-old girl
就可能会死去的十四岁女孩 克莱尔 whose next backflip could kill her, Claire.
我不需要被拯救 I don't need saving.
你觉得星星灯怎么样 What do you think about twinkle lights?
舞会感太强了吗 Too prom?
检查结果显示你的心脏问题 Our tests show that your heart problems
是由雌激素水平过高导致 are being caused by excess estrogen levels.
我们想知道它是怎么进入你的身体里的 And we want to know how it got in your system.
是药物吗 补品之类的 Medication? A supplement?
教练已经把我的训练记录给你们了 Coach gave you my training logs.
我知道的你们都知道 You know as much as I do.
我们还知道你从事的运动竞争非常激烈 We also know that you're in a very competitive sport,
所以也许你在服用 so maybe there's something
不在训练记录上的东西 you're taking that's not on the training log.
就算你有服用 我们也不能向任何人透露 If you are, we can't divulge that to anyone.
你们觉得我在嗑药吗 You think I'm doping?
绝对没有 No way.
-如果你的教练给你的压力过大 -他没有 - If your coach is pressuring you... - He's not.
我相信这只是暂时性的 I'm sure it's a one-time thing.
继续监测我 我会没事的 Keep monitoring me. I'll be fine.
达雅 固执 不屈不挠 奋力拼搏 Darya, you've made your dreams come true by being stubborn,
能让你的梦想成真 being relentless, and just making things happen,
但你的心脏或是脊椎不是这样的 but that's not how your heart works. Or your spine.
她不是在固执己见 She's not being stubborn.
这症状会消失的 对吗 It is going to go away, isn't it?
因为你真的服用了什么 Because you are taking something.
而现在你会停止服用 And now you're going to stop.
也就是说你服用的不是提升运动能力的 Which means that it wasn't performance enhancing.
它是做什么用的 What is it for?
你为了丰胸服了药 You took drugs for boobs?
YouTube上的女孩说它能让胸部变大 The girl on YouTube said it would make them bigger.
草药疗法中使用的植物雌激素 Phytoestrogens used in herbal remedies
能导致乳房组织胀大 can cause swelling in breast tissue,
但是有潜在的危险副作用 but there are potentially dangerous side effects.
你是怎么想的 What the hell were you thinking?
我不知道那东西会让我生病 I didn't know it would make me sick.
我受够了听男队的那些男生 I got tired of hearing the boys on the men's team
聊有曲线的女人 talking about women with curves...
要是在药检中被查出来怎么办 What if it showed up on a drug test?
要是你被禁止参加奥运会怎么办 What if you got banned from the Olympics?
那是纯天然的 不会影响竞技水平 It's natural. It doesn't mess with performance.
-其他女生 -我不在乎其他女生 - Other girls... - I don't care about other girls,
我还以为你也不在乎她们 and I didn't think that you cared about other girls.
你是不是 Are you...
我真不敢相信你愿为如此幼稚的想法 I can't believe that you're willing to risk everything
赌上你的所有 for something so childish.
那并不幼稚 It's not childish.
我为体操牺牲得够多了 I give a lot to my sport.
我只是想为自己做点事 I just wanted something for me.
你不是成年人 You're not an adult.
修复好她的心脏 Fix her heart
还有脊椎 and her spine.
什么 你不能那样做 你在惩罚我吗 What? You can't do that. Are you punishing me?
我在尽我的责任 I'm doing my job.
我是你父亲 我们是一家人 I'm your father, and we're a family,
而帮你做出正确的决定是我的责任 and it is my job to make good decisions when you won't.
从何时起做我父亲成你的责任了 Since when is being my father your job?
我们除了说体操什么都不聊 连妈都不谈 We never do anything but talk about gymnastics, not even Mom.
如果你在她去世后不觉得我需要一个父亲 If you didn't think I needed my father after she died,
为何现在又改主意 why start now?
达雅 Darya...
我会联系队里的律师申请解约 I'm calling the team lawyer and filing for emancipation.
你觉得我不能自己做决定 试试这个 You think I can't make my own decisions? Try this one.
你被解雇了 教练 You're fired, Coach.
我们可以试试T管引流 We could try T-tubes.
用它们引导形成 Using them results in the formation
可控的瘘管来作为消化道 of a controlled fistula and route for drainage.
有意思 但病人还是得经历漫长的恢复期 Interesting. But the patient would still have a long recovery
且有再次感染的风险 还有什么 and chance of reinfection. What else?
我查到些关于内窥镜真空疗法的 I found some very interesting research
非常有意思的研究 on endoscopic vacuum therapy.
其中有关于修复食道破损的 It's under investigation for the management of esophageal leaks.
很有新意 艾伦医生 但有些太新了 Definitely innovative, Dr. Allen, but a little too much so.
这个想法甚至还没经过临床试验 This concept hasn't even gone through clinical trials yet,
而我们今天就要做手术了 and we need to perform surgery today.
杰克逊医生 怎么不说话 Dr. Jackson, you've been quiet.
我在想是不是可以用胃底加固 I was thinking about fundic reinforcement.
我的想法是用病人自己的健康组织 My idea is to use the patient's own good tissue
来加固一期缝合 to reinforce the primary closure.
在这个病例中 可以用胃组织修补 In this case, using the stomach as the patch.
就像我们用皮肤移植治疗三度烧伤一样 Like the way we use a skin graft for third-degree burns.
他有得膈膜疝的风险 Well, he'd be at risk of a diaphragmatic hernia.
我们用贲门形成术 Not if we cinch up
收紧下部食管括约肌不就行了 the lower esophageal sphincter with a fundoplasty.
肖恩 莉娅说你是医生 你的专业是什么 Shaun, Lea tells us you're a doctor. What's your specialty?
我是外科医生 I am a surgeon.
尽管我们中很多人很傲慢 但并不全是这样 But we are not all arrogant. Though many of us are.
我还不确定那是好是坏 I'm still not sure if that's good or bad.
难吗 对你来说 Is it hard? For you?
我是说 这是一个困难的工作 I mean, it's a difficult job.
肖恩工作做得很出色 Shaun is excellent at his job.
那么 你对疫苗有什么看法 So, how do you feel about vaccines?
天啊 Oh, my God.
因为 我有点担心 Because, they worry me.
我不担心 They don't worry me.
-是吗 -真的吗 - Oh. - Really?
因为我们看了很多东西 Because we've read a lot of stuff.
尤其是自从莉亚告诉我们你的事 Especially since Lea told us about you.
疫苗不会导致自闭症 妈妈 Vaccines don't cause autism, Mom.
那还不如聊聊宗教 Want to talk about religion now?
这在不该讨论的清单上 I think that that was on the list of things not to talk about.
莉亚给你写了一张清单 Lea wrote you a list?
-爸爸 -好吧 - Dad. - Well...
老实说 莉亚 如果我们真的无法交流 Honestly, Lea, if we're so impossible to talk to,
我们为什么要在这里 why even have us here?
痔疮手术 Hemorrhoid surgery.
-什么 -再来点酒吗 - Excuse me? - Want more wine?
我给一个癌症晚期病人 I removed a hemorrhoid
切除了痔疮 from a patient with terminal cancer.
他只有几个月的生命 且无力回天 He only had a few months to live, and nothing would change that,
但手术确实让他更舒服了 but the surgery did make him more comfortable.
我建议我们今晚像做痔疮手术一样 I suggest we treat this evening like hemorrhoid surgery.
这是 这是一个很好的想法 Now, that's... That's a good point.
你不必给他什么清单 让他说吧 You don't have to give him any more lists. Let him talk.
我喜欢这小伙 I like this guy.
好的 Okay.
敬痔疮手术 To hemorrhoid surgery.
BGM: Dancing In the Moonlight by Toploader
♪ Everybody's feeling warm and bright ♪
♪ It's such a fine and natural sight ♪
我去了 I went.
♪ Everybody's dancing in the moonlight ♪
我去看心理医生了 I went to see a psychiatrist.
我 我听到这个很欣慰 I'm... I'm so relieved to hear that.
就一次 Well, once.
医生说我的症状需要药物治疗 The doctor said my symptoms warranted medication,
所以之后我就再没去过 so I haven't been back since.
为什么 如果你需要药物治疗 Why? If you need medication...
你为什么对你的创伤后应激障碍保密 Why did you keep your PTSD a secret?
你选择用你自己的方式 You chose to deal with your issues privately,
私下解决你的问题 on your own terms.
为什么我没有权利做同样的选择 Why am I not entitled to the same choice?
做一些自我毁灭的事 Doing something self-destructive
不是选择 而是错误 is not a choice, it's a mistake.
就像我曾经那样 Just like it was when I did it.
所以 我做一些你赞同的事 就好 So, when I do something you agree with, it's great.
当我做了你不赞同的事 When I do something you disagree with,
-就是因为我有病 -不 - it's because I'm sick. - No.
你知道吗 这就是我不想和你说话的原因 You know, this is why I don't want to talk to you,
因为这不是交流 而是说教 because it's not a conversation, it's a lecture.
BGM: Celebration by Kool & The Gang
奥德丽 Audrey.
奥德丽 Audrey...
求你 克莱尔 让我走 Please, Claire, let me go.
不 No.
我只想回家 我会没事的 I just want to go home. I'll be fine.
让我载你一程 你不能这样开车 Let me give you a ride. You can't drive like this.
来吧 Come on.
我说了我很好 I said I'm fine!
不 你不好 No. You're not!
♪ Celebrate good times Come on ♪
好了 现在谁也别开车了 你满意了吗 There! Now no one's driving home. You happy?
♪ Celebrate good times... ♪
自发性食管破裂的两大挑战 The two main challenges of Boerhaave syndrome
是及时诊断及后续进行可能的修复 are timely diagnosis followed by viability of repair,
有了这种创新的手术方法 and with this innovative surgical approach,
我想这两方面都可以做到 I think we might achieve both.
我需要结扎丝和血管闭合器 I need silk ties and LigaSure.
他胸部的感染从横膈膜漏出来 His chest infection leaked through the diaphragm
进入腹腔 into the intraperitoneal space.
胃后面有个脓肿 There's an abscess behind the stomach.
它让整个胃后壁变得脆弱 It's making the entire posterior stomach friable.
如果我们用肋间肌瓣 What if we use an intercostal muscle flap
来修补食管呢 to patch the esophagus instead?
那样会增加败血症的风险 If we do that, it raises the risk of sepsis.
病人同意承担风险 The patient signed off on risk.
-我们至少应该试试 -不是这种级别的风险 - We should at least try. - Not this level of risk.
我们得做分流手术 We need to do the diversion.
你的想法是好的 别这么快就放弃了 Your idea was good. Don't give up on it so fast.
重新考虑分流手术并不意味着失败 Reverting to diversion doesn't mean failure.
我错搜成「在我附近吃肉」了 I searched "eating meat near me," which was a mistake,
不过确实跳出来一家牛排店 but I did get a recommendation for a steak house
你爸可能喜欢 your father might like.
你不用再讨好我父母了 肖恩 You don't have to be nice to my parents anymore, Shaun.
我们不会再见他们了 We won't be seeing them again.
为什么 Why not?
「我们要谈谈肖恩」 "We need to talk about Shaun."
他们觉得我不够成熟 They don't think I'm mature enough
应付不了高难度的恋爱 to be in a challenging relationship.
留给我妈吧 她一次性把我俩都排除出去了 Leave it to my mom, she took us both out in one shot.
你知道这很侮辱人吧 对我俩都是 You do get that this is insulting. To both of us.
他们本该是世界上最爱我的人 From the people who supposedly love me most in the world.
他们不是 They don't.
不是最爱的 Not the most.
不再是 Not anymore.
莉亚... Lea...
遇到我的人 People who meet me
通常都感到不舒服 are usually uncomfortable.
大部分时候 这种感觉都不会消失 And most of the time, that doesn't go away.
那你怎么应付 How do you handle that?
我尽量耐心点 I try to be patient.
有时有用 Sometimes it works.
也许你比我更成熟 Maybe you're a more mature person than I am.
但我不确定这对我有用 But I'm not sure if that is gonna work for me.
你今早看到利姆医生了吗 Have you seen Dr. Lim this morning?
没有 怎么 Uh, no. Why?
达雅的律师打电话过来 Darya's lawyer called.
-我找利姆医生 -利姆医生不在这 - I need Dr. Lim. - Dr. Lim's not here.
我不知道她今天来不来 I don't know if she'll be in today.
如果紧急的话 也许格拉斯曼医生... If it's an emergency, maybe Dr. Glassman...
格拉斯曼医生早上有会 谁找我 Dr. Glassman's in meetings this morning. Who needs me?
达雅的律师要求医院让她的客户出院 Darya's lawyer is demanding that the hospital release her client.
告诉她的律师 病人康复之前 Tell her lawyer we're not releasing our patient
我们不会让她出院 除非收到法院通知 until she's healthy unless we receive a court order.
你有什么问题 What's your problem?
安德鲁斯医生遇到了并发症 Dr. Andrews encountered complications.
他让我通知你 手术方案需要 He asked me to inform you that the surgical plan
在不经病人同意的情况下改变 needs to change without the patient's consent.
让安德鲁斯自己决定 That's Andrews' call.
我不需要知道细节 只要咖啡 I don't need details, just coffee.
我改变想法了 我要看细节 I changed my mind. I need the details.
留在这里 Stay here.
要么用胃食管 经历漫长而痛苦的恢复过程 Long, painful recovery with a feeding tube,
要么有死亡的风险 or risk of death.
你是他的近亲 所以你来决定 As his next of kin, it's your call.
我必须做决定 I have to decide?
你刚给自己做了个生死攸关的决定 You made a life-or-death choice for yourself.
实际上 你硬要这样 In fact, you insisted on it.
那不同 医生让我 Well, that's different. The doctors were asking me
放弃我很想要的东西 to give up something I really wanted.
唯一的区别是 你父亲 The only difference is, your father is laying
正躺在手术台上等你长大 on an operating table waiting for you to grow up.
如果不好的事发生 我得负责 If something bad happened, I'd be responsible.
对 Yes.
这就是成年人的定义 That's the definition of adulthood.
我不知道该怎么办 I don't know what to do.
你当然不知道 Of course you don't.
这是个艰难的选择 It's an impossible choice.
不管选哪个 可怕的事都有可能发生 Terrible things happen either way.
而且是的 你要决定 And, yeah, it's on you.
我决定不了 I can't do it.
我没法决定 I just can't.
你还未成年 达雅 You're not a grown-up, Darya.
真幸运 Luckily.
我们当中有人会为你做这个艰难的决定 So those of us who are will make the impossible decision for you.
安德鲁斯医生会给他做分流手术 Dr. Andrews will do the diversion.
你父亲手术结束后 Someone will bring you to see your father
会有人带你去见他 when he's out of surgery.
刚才是怎么回事 What was that?
我救了那女孩 而你却没有 I saved that girl when you couldn't.
昨天你跟我说要尊重她的决定 Yesterday, you told me to respect her decision.
今天你折磨她 让她改变想法 Today, you tortured her into changing her mind.
我把一个小女孩弄哭了吗 Oh, did I make a little girl cry?
我受不了了 我不想再帮你了 I can't do this. I'm done trying to help you.
得了吧 你只会纠缠不休 Oh, please. You're never really done.
你知道你昨晚像谁吗 You know who you were last night?
我妈 My mom.
酗酒 暴躁 Drunk, angry,
拒绝做任何事来自救 refusing to lift a finger to help yourself,
撒谎 拿我出气 lying about it, and taking your pain out on me.
不寻求帮助 就只会持续这样下去 It's gonna keep happening until you get help.
吃药 跟人聊聊 Take the medication, talk to someone,
做点什么 do something.
拜托 Please.
我不是你妈妈 克莱尔 I'm not your mother, Claire.
你不必对我负责 I'm not your responsibility.
我是你的上司 I'm your boss.
我也不欠你什么 And I don't owe you anything.
肖恩 你来这儿做什么 Shaun? What are you doing here?
你们对于我和莉亚的看法是错的 You're wrong about me and Lea.
不好意思 肖恩 这是我们的家事 Well, no offense, Shaun, but this is between family.
莉亚是我女朋友 Lea is my girlfriend,
你们发的短信是关于我们的 and the texts you sent were about us.
抱歉让你看到了 We're sorry you saw those.
肖恩 你是个非常好的年轻人 Shaun, you're a very nice young man,
我们跟你相处也很愉快 and we enjoyed meeting you.
只是 It's just...
我们了解莉亚的时间比你长很多 We've known Lea a lot longer than you have.
对 她比较 Yeah, she's, um...
她很善良 Well, I mean, she has a good heart,
但是做事欠考虑 she just doesn't think ahead.
她就喜欢想尽办法激怒我们 And she will do anything to get under our skin.
你都想象不到她以前交的某些男朋友 You wouldn't believe some of the people she's dated.
我不同于 I'm different
她交过的所有男朋友 than anyone she's ever dated.
这不是一种改变吗 How is that not a change?
没错 肖恩 That's true, Shaun.
我只是不确定这是不是好事 I'm just not sure it's a good thing.
你们了解以前的她 You knew her then.
不了解现在的她 You don't know her now.
你们只知道她犯的错 All you know are her mistakes.
你们不信任她 And you don't trust her
因为你们不确定自己是不是称职的父母 because you aren't sure you were good parents.
你们说我们的关系有挑战性 You said our relationship has challenges.
说得对 You're right.
莉亚和我共同经历挑战 Lea and I go through challenges together.
这是让我们的关系更牢固的原因之一 It's one of the things that makes us stronger.
莉亚让我挑战新事物 Lea challenges me to try things,
即便我知道自己不会喜欢 even things I know I won't like,
因为停下脚步思考不见得会更好 because it is not always better to stop and think.
我让莉亚变得耐心 因为我能让别人很沮丧 And I make Lea patient, because I can be very frustrating.
你们也会这样 So can the two of you.
也许这种挑战也会让你们的关系更加牢固 Maybe this challenge will make your relationship stronger, too.
如果你真的认为我应该做脊柱手术 If you really think I should have the spinal surgery,
我相信你 I trust you.
我的确这样想 I do.
对不起 I'm sorry.
自从你妈妈去世后 Ever since your mother died,
我就很害怕 I've been scared.
我哪里知道该怎么独自养活一个女儿 What did I know about raising a little girl all by myself?
你又是个小调皮 And you... You were a handful.
又是蹬墙 Bouncing off the walls,
又是从家具上后空翻 backflips off the furniture.
你迫不及待地把我送进体育馆 You couldn't get me to the gym fast enough.
因为当你站在平衡木上 Because when you were on the beam,
或在空中翻转时 or flipping through the air,
你不仅是个小女孩 you're not just a little girl.
更是一个出色的运动员 You are an amazing athlete.
作为你的教练 As your coach,
你也让我惊喜 you make me feel amazing, too.
一直以来 All this time,
我以为我给予你的正是你所需要的 I thought I was giving you exactly what you needed.
但我错了 But I was wrong.
你需要的是作为爸爸的我 What you needed was for me to be your dad.
爸爸本应该告诉你的是 And what your dad would have told you,
无论外表如何 that no matter how you look,
成绩如何 or what you achieve,
你在我眼里永远是一个 you will always be a beautiful,
美丽 坚强的明星 strong superstar to me.
谢谢你 爸爸 Thanks, Dad.
谢谢 Thank you.
我喜欢你 好吗 I like you. Okay?
别这样 Stop.
你会把我感动哭的 You're gonna make me cry.
你这人说话带刺 你知道吗 You're a very cynical person, you know that?
事实上 我不是 Mm, actually, I'm not.
但你脾气挺暴躁也不会赞美别人 But you're a very grouchy person who cannot give a compliment.
你风趣幽默 聪明机智 You're funny. You're smart.
你让肖恩开心 And you make Shaun happy.
我想这挺好 Which I guess is a good thing,
但这也意味着你会让他非常非常难过 but it also means you can make him very, very sad.
坦白来说 我担心的就是这个 And that worries me, frankly.
我没有打算伤害肖恩 I am not planning on hurting Shaun.
有时候并不是故意的 你明白吗 It's rarely intentional, you know?
我父母不赞同我和肖恩在一起 My parents have an issue with Shaun.
我只是不希望肖恩的亲人 And I just don't want Shaun's parent
也反对我们 to have a problem with us, too.
太糟了 Too bad.
肖恩所经历的一切 Everything Shaun has gone through,
遭受的拒绝和痛苦 all the rejection and the pain,
取得的荣誉与辉煌 都属于他自己 the victories, they all belong to him.
但我为他开心而欣喜 But I feel every single high
为他伤心而痛苦 and every single low.
所以 抱歉 So, I'm sorry, I'm...
我还会继续为他操心 I'm not going to stop worrying about him,
即使他不需要 even if he doesn't need me to.
如果肖恩看到了你领带上污渍 Well, if Shaun saw that stain on your tie,
他保准又要发狂 it would drive him crazy.
小莉 Hey, Liv.
我很遗憾没有照你的方案实施手术 I'm sorry we didn't get to perform your surgery,
但是你挺身而出 我感到很自豪 but I'm really proud of the way you stepped up.
那台手术不属于我 That surgery wasn't mine.
它当然是 而且方案很棒 Of course it was, and it was brilliant...
而且那块石头也不属于我 And neither was the stone.
至于你说的那个故事 That story you told me about how you spotted my talent?
我是如何展现天赋的 我一点也不记得 Um, I don't remember any of it.
我没有在那块石头上画画 I didn't paint that rock,
如果我确实把石头给你了 and if I handed it to you,
那也没任何意义 我当时只有5岁 it didn't mean anything because I was five.
20多年来你一直珍藏了这段记忆 You have been carrying around a memory for over 20 years
也只能代表你的梦想 而不是我的 that represents your dream, not mine.
显然 你说的并不完全是真的 Clearly, that's not entirely true.
你念了医学院 You went to medical school.
那是因为我想成为一名杰出的医生 Because I do want to be a great doctor.
我太渴望了 I wanted it so bad
你让我想新颖的手术方案 我也干了 that I let you push me to think up some flashy surgery,
即使我的本能早就告诉我 even when my instincts already told me
去做我认为正确的事情 to do what I thought was the right thing,
去做真正正确的事情 and was the right thing.
莉维 我只是想帮你成为最棒的 Livy, I just want to help you be the best...
你想让我成为乔丹 You want me to be Jordan.
你按你脑海里一个完美的模范去塑造我 If you're looking to mold someone in your image, she's perfect.
但是马库斯叔叔 我只会成为我自己 But, Uncle Marcus, I've got to be me.
而这你根本无法施以援手 And you can't help me do that.
我仍然会四处夸耀你 以你为豪 I'm still gonna brag on you like a proud uncle.
你知道的 对吧 You know that, right?
杰克逊医生 Dr. Jackson.
-是你的父母 -是的 肖恩 我看到了 - It's your parents. - Yep, Shaun. I saw.
他们有可能想要做些什么 They probably want something.
我们应该准备一下 他们可能冲进来骂我们 We should prepare. Either they want to yell at us,
这种情况下 我们不应该开门 in which case, we should not answer the door,
或者他们想邀请我们共进晚餐 or they could want to take us for dinner...
但是我们已经吃到一半了 ...but we are already halfway through...
他们叫我们一起去吃饭 They want to take us to dinner.
那我该开门吗 Should I open the door?
你怎么想 What do you think?
我认为 I think...
他们一定已经成为了友善的父母 ...they must have been good parents.
我们应该和他们一起吃饭 We should have dinner with them.
你想给他们回信息吗 Do you want to text them back?
去年 我母亲去世了 Last year, after my mom died,
我情感上出现了一些问题 I was going through some problems emotionally.
我确诊为创伤后应激障碍 I was diagnosed with PTSD.
了解了 I see.
梅伦德斯知道这件事 Melendez knew.
摩根也知道 她什么都能发现 Morgan found out because she's Morgan.
但是我没告诉其他任何人 But I didn't tell anyone else.
我不想其他人知道 I... I didn't want anyone to know.
那你现在为什么要告诉我 Why are you telling me this now?
因为 Because
利姆正在遭受同样的折磨 甚至更糟 Lim is going through something like it, but maybe worse.
但她没有接受治疗 She isn't going to therapy.
她不愿意服药 她... She has refused medication. She...
够了 Okay.
你不该告诉我这些 I don't think you should be telling me this.
你是她的朋友 利姆才私底下告诉你 Whatever Lim told you, she told you in confidence and as a friend.
但她不只是朋友 她也是我的上司 But she's not just a friend. She's my boss.
而你是她的上司 You're her boss.
我别无选择 才和你说 So I'm telling you because I have no place else to turn.
她不让我插手帮忙 She won't let me help
她说这不关我事 她没错 because she says it's not my job. And she's right.
但这是你的职责 保护这家医院 But it's your job to protect the hospital.
还有保护她 And her.
所以 So...