你应该加薪 You should be getting a raise.
你不能每次做的好就加薪 You don't get a raise every time you do something well.
你做得非常好 还省了175万美元 You did something very well and saved $1.75 million.
-我会跟格拉斯曼医生谈谈 -不 不行 - I'll talk to Dr. Glassman about it. - No, you won't.
如果要谈或者做别的事 If any talking or anything else needs to be done,
我完全有能力解决我的... I'm fully capable of handling that my --
不 不不不不 No, no, no, no, no, no, no, no, no.
那是我的车 That's my car.
你可以去崔奇拖车店取车 You can pick it up at Tricky's Towing.
我现在就要取车 因为这是我的车 I'm picking it up right now because this is my car,
我有权停在这 而你擅闯他人领地 I'm allowed to park here, and you're a trespasser.
一点后来取 Any time after 1:00.
肖恩 告诉他 Shaun, tell him.
这不是你的停车位 This is not your spot.
有人撒谎了 Someone told a lie.
我上周刚买了停车位 大家还不知道 I just got a spot last week, so it's kind of new to everyone.
没错 这不是我的车位 So, yes, it is not my spot,
但不意味着这个车位不行 but that doesn't make it the wrong spot.
250美元 现金还是刷卡 It'll be $250, cash or credit.
我才不付250美元 我不会浪费250美元在 I'm not paying $250. I don't have $250 to waste on th--
如果你加薪了 If you get that raise --
肖恩 Shaun. ‭
你能停下吗 Would you just stop for a minute?
-我一开始就停不下来 -法律可不是这样的 - Not once I start. - That's not a law.
这只是你这混蛋瞎编出来欺负人的 That's just some bull you bastards made up so you can do this.
350美元 $350.
充满敌意的工作环境费用 Hostile work environment fee.
杰弗里·威廉姆斯 21岁 Jeffrey Williams. 21 years old.
五岁时 他爱上了棒球 When he was 5, he fell in love with baseball,
梦想和老虎队打球 dreamt of playing with the Tigers.
等到他八岁时 By the time he was 8,
他是少年棒球联盟的最佳击球手 he was the best hitter in Little League.
对吧 杰弗 Right, Jeff?
九岁时 他带领球队打进了分区赛 At 9, he led his team all the way to the Divisionals.
良 医
第四季 第十一集
纯粹的生活 丹妮 Pura vida, Dannie.
后缩 Retropulsion.
什么 What?
她的拇指动了 Her thumb moved.
-那是什么意思 -没什么 - What does that mean? - Nothing.
就算真有什么 也是垂死肌肉的正常反应 If it happened, it's a normal response in dying muscles.
或有可能是组织缺氧 Or it could just be the result of hypoxia
或电解质失衡 or an electrolyte imbalance.
或脑活动 Or brain activity.
脑电图未显示任何有效脑活动 The E.E.G. showed no purposeful brain activity.
快给她连上 Hook her back up.
伊莱斯 过去十年丹妮做了数千次检查 Elias, over the last 10 years, Dannie's had thousands of tests.
如果有任何机会 If there was any chance --
雷兹尼克医生 拜托了 赶紧 Dr. Reznick, please. Now.
强直性脊柱炎 Ankylosing spondylitis.
挺棘手的病 Nasty little disease.
杰弗十岁时 炎症非常严重 When Jeff was 10, the inflammation was so bad
他背上的骨头开始融合成一块 the bones in his back started to fuse together
变成了一个巨大粗糙的骨头 into one big, gnarly bone.
如果你无法挺直背 就不能用腿 If you can't extend your back, you can't use your legs.
如果无法放松背部 就不能用手臂 If you can't unwind your back, you can't use your arms.
腿没用 手臂也没用 Useless legs, useless arms.
甚至无法坐标准轮椅 Can't even fit into a standard wheelchair.
我十岁起就在床上吃早饭了 I've had breakfast in bed since I was 10.
还有午饭 And lunch.
还有晚饭 And dinner.
你很疼吗 Are you in a lot of pain?
比以前好多了 Not compared to what it was.
真希望能早七年 I wish I'd met that rheumatologist
遇到巴尔的摩脊柱诊所的风湿病学家 at the Baltimore Spine Clinic seven years earlier.
他们没给你做手术吗 They didn't offer you surgery?
我 我去看了九个神经外科医生 Well, I've -- I've been to nine neurosurgeons,
他们都说治不好我 所以 and they all said that they couldn't fix me, so...
但多亏了格拉斯曼医生 But thanks to Dr. Glassman,
我的脆骨病后生活又有希望了 my post-pretzel future's looking bright.
我不想再接受长期看护 I wanna move out of long-term care,
我想学习工程学 study engineering,
去欧洲 go to Europe,
甚至去球场看球赛 hell, go to a ballpark and see the game,
或许和一个姑娘一起 maybe with a girl.
我只想再拥抱一次别人 I'd just love to be able to hug someone again.
我需要两名住院医生协助我 I'm gonna need two residents to assist me with --
做手术 with the surgery.
你十年前在干什么 What were you doing 10 years ago?
她脑中的动脉瘤 That's how long it's been
已经破裂十年了 since the aneurysm in her brain ruptured
伊莱斯也来探病十年了 and how long Elias has been visiting,
给她带薄荷巧克力饼 希望能出现奇迹 bringing her Peppermint Patties and hoping for that special day
她能睁开眼睛说 「亲爱的 我睡过头了吗」 she opens her eyes and says, "Hi, honey. Did I sleep in?"
我终于说服他放弃了 And I had finally gotten him to give that up.
放弃希望吗 Give up hope?
放弃那个冻结他生活的不可能的幻想 Give up an impossible fantasy that has paralyzed his life.
他曾经有职业 目标 妻子 He used to have a career, goals, a wife,
只要我们让他往前看 他就能再次拥有那些 things he can have again if we let him move on.
我说的「我们」 指的是你 And by "we," I mean you.
所以你要告诉他那个抽搐没有任何意义 So you are gonna tell him that the twitch meant nothing.
但她的多巴胺水平升高了 But she has elevated levels of dopamine.
这是种压力荷尔蒙 很有可能是肾上腺 Which is a stress hormone, likely produced by the adrenal
暂停工作时产生的 when it was temporarily shut down.
但大脑中的神经递质也增加了 But it's also a neurotransmitter in the brain
这可能跟大脑活动增加有关 and may be associated with increased brain activity.
我们得给她的脑部和全身做单光子发射型CT We need to do a SPECT C.T. of her brain and full body
用放射指示剂找出多巴胺的来源 with radiotracers to find the source of the dopamine.
你了解伊莱斯 对吗 You know about Elias, right?
这位病人的丈夫不愿往前看 The patient's husband who can't move on
这让一切变得更糟 and it's making everything worse?
你知道这意味着什么吗 Do you see an analogy here?
不 No.
别再做检查了 肖恩 No more tests, Shaun.
我去问问利姆医生 I'll ask Dr. Lim.
-你是虚张声势 -我不知道怎么虚张声势 - I'm calling your bluff. - I don't know how to bluff.
关节切割近乎完美 Joint cuts are nearly perfect.
近乎完美会让他的腿失去知觉 Nearly perfect leaves him with no feeling in his legs.
我把椎体弄裂了 I kind of cracked the vertebral body.
但其他的部分我都做对了 But I got the rest right.
做得很完美 That is perfect.
欢迎加入我的团队 Welcome to my team.
教科书般的手术 Textbook.
你是完全按照视频演示做的 You followed the video demonstration exactly.
你没按视频演示做 You didn't.
问题出在第三节 The third bone is the problem,
你把它跟第一节搞混了 and you messed around with the first one.
为什么 Why?
我的模型比视频演示中的情况更严重 My model was a bit more severe than the one in the demo,
所以我觉得用三柱重建术可能会更好 so I thought a three-column reconstruction might be better.
很好 出色的即兴发挥 Nice. Nice improv.
你加入我的团队 You're on my team.
我标记了每个螺钉的位置 I mapped out every screw placement,
截骨术切割的位置和用杆加固的位置 osteotomy cut, rod contouring.
我一直想知道 You know, I've been trying to figure out
你为什么要这么做 why you're doing this.
我不知道 改变一个孩子的人生 I don't know. Change a kid's life?
诸如此类 Something like that.
我想你一定很害怕 I'm thinking you must be afraid.
-什么 -拜托 - What? - ‭Come on.
你自从癌症康复后就一直很冲动 You've been impulsive ever since you recovered from cancer.
你离开外科 开始看门诊 You quit surgery to start a clinic,
跟我最喜欢的咖啡师约会过几次后就结婚了 married my favorite barista after a few dates,
我猜这些事都无法让你开心 and I'm guessing none of it made you happy.
很抱歉 I'm sorry.
除了开董事会 我们很少聊天 We barely talk to each other outside of the board meetings,
而现在 你突然就能看穿我的灵魂了 and now, all of a sudden, you can see into my soul?
我爱我的妻子 也爱我的工作 I love my wife. I love my work.
很好 Great.
但你还是觉得空虚 对吗 And you still feel empty, don't you?
我觉得你是害怕 I'm thinking you're scared
这辈子会错过什么 something's missing from your life,
所以你一直在尝试 so you keep reaching.
你会接手其他外科医生都不愿碰的病例 You take on a case no other surgeon will touch.
这一切都很吸引人 As fascinating as all this is,
但我觉得杰弗里不太在乎 I don't think Jeffrey really cares all that much
-我们为什么要做这个手术 -他应该在乎 - why we're doing the surgery. - He should.
因为你的动机会影响你的能力 Because your motives are affecting your ability
让你无法正确评估手术是否值得冒险 to properly assess whether that surgery is worth the risk.
谢谢你的建议 Thank you for the input.
你应该在12点15跟我一起吃午饭 You were supposed to meet me for lunch at 12:15.
现在已经12点23了 It's 12:23.
我不是第一个被崔奇刁难的人 I'm not the first person Tricky has shafted.
他真是实至名归 He's earned his name.
我正在收集我能找到的所有投诉 I'm gathering every complaint I can find,
如果当时你支持我 我就不用这么做了 which I wouldn't be doing if you'd backed me up.
所以不吃午饭了 So no lunch.
你生我气了吗 Mm, are you mad at me?
你生我气时就不看我 When you're mad at me, you don't look at me.
虽然 你现在看我了 所以也许你不生气了 Although, you are now, so maybe you're not.
我向我男友寻求支持 I turned to my boyfriend for support,
他却把我晾在一边 and he hung me out to dry,
所以只能说我很失望 so let's just say I am disappointed.
我说的是实话 I told the truth.
这不是诚实的问题 而是是否支持我的问题 This isn't about honesty. This is about having my back.
我们现在是个团队 肖恩 为共同的目标努力 We're a team now, Shaun, working together for a common goal.
而现在 我们的目标就是把我的车拿回来 And right now, our goal is to get my car back.
那你就得付350美元 Then you need to pay $350.
我一分钱都不付 I'm paying nothing.
他是个强盗 He is a pirate,
我要把他公之于众 and I'm going to expose him to the world.
多巴胺特异性摄取没有增加 No increased dopamine-specific uptake.
不是大脑产生的 It's not coming from the brain.
这意味着它肯定是我们停止供氧时 Which means it must've come from the adrenal glands
肾上腺分泌的 when we shut down their oxygen supply.
向下扫描肾上腺 Move down to adrenals.
令人钦佩 为他妻子哀悼十年 Impressive -- to mourn his wife for 10 years.
他不是在哀悼她 He's not mourning her.
只要她活着他就不能哀悼 He can't as long as she's alive.
丹妮陷入了昏迷 Dannie is stuck in limbo,
介于生死之间的迷境 somewhere between life and death.
他也是 So is he.
如果做一个好伴侣有时限 If there are time limits to being a good partner,
是不是也有道德上的限制 are there also ethical limits?
就算他们做错了 是不是也应该支持他们 Should you support them even if they've done something wrong?
你是说昏迷的病人可能抢了银行吗 You think maybe the coma patient robbed a bank?
很棒的不在场证明 Good alibi.
莉亚做了什么 What did Lea do?
不重要 Doesn't matter.
支持她 Support her.
不管你同不同意他们的做法 Whether you agree with them or not,
好伴侣就该支持他们 the job of a good partner is to be supportive.
而不是去 As opposed to, say,
找外科主任解决争执 resolving disputes by running to the Chief of Surgery.
也不是肾上腺引起的 It's not coming from the adrenals either.
在那 There it is,
但不是由器官引起的 but it's not coming from an organ.
是一个肿瘤引起的 It's coming from a tumor.
丹妮得癌症了 Dannie has cancer.
外国童谣 寓意破损的东西难再修复
你可以理解为和「矮胖子」一样 You could say we're doing a kind of Humpty Dumpty,
只是这次 only this time,
我们会把你修复好 we're actually going to put you back together again.
不过不要太激动了 Don't get too excited, though.
安德鲁斯医生想和我们讲一下现实情况 Dr. Andrews wants to give us a little reality check.
如果一切顺利 If all goes well,
你会恢复有限范围内的运动能力 you'll have a restricted range of motion
依靠助行器行走 and be dependent on a walker.
如果不顺利 有瘫痪的风险 If all doesn't go well, there is a risk of paralysis
鉴于可能会大出血 and, given the potential for massive blood loss,
有很小的几率 你可能撑不过手术 there's a small chance you might not survive the surgery.
但你有一个很棒的医疗团队 But you have a great team
还有世界最顶尖的神经外科医生之一 and one of the top neurosurgeons in the world.
所以你说呢 So, what do you say?
真的要做了 This is really happening.
没错 明天一早 Yes, sir. Tomorrow morning. First thing.
抱歉 格拉斯曼医生 I'm sorry, Dr. Glassman.
我不 我做不到 I can't -- I can't do it.
她脊椎上有个副神经节瘤 She has a paraganglioma abutting her vertebrae.
她之前的抽搐不是脑部活动增加的表现 Her twitch wasn't a sign of increased brain activity.
只是肿瘤刺激神经产生的反应 It was just a reaction to the tumor irritating her nerves.
我们可以关掉生命维持系统 We can take her off life support.
这个癌症是什么状况 能治吗 What about this cancer? Is it treatable?
手术是唯一的办法 The only treatment would be surgery,
而且肿瘤的位置也不好 and it's in a difficult location.
如果你们不移除它 会怎么样 Well, what happens if you don't remove it?
它是恶性的 It's malignant.
丹妮会在几个月内死去 Dannie would die within a couple of months.
那你们就必须给她做手术 Then you have to operate.
她可能会死在手术室里 She could die in the O.R.
在这你还能握着她的手 rather than here with you holding her hand.
我们重新检查过她的脑电图了 没有变化 We rechecked her E.E.G. There's no change.
有变化的 There was a change.
拇指动了就是变化 Uh, the thumb movement was a change.
癌症和多巴胺也是 And the cancer and the dopamine were changes.
别的也可能会变 Something else could change,
而也许那就是能让她醒来的变化 and maybe that's the change that'll wake her up.
伊莱斯 她的身体不行了 Elias, her body is dying.
除非我们不管 Only if we let it.
我放弃过她一次 我不会再放弃了 I gave up on her once. I'm not doing that again.
我把你的出院手续拿来了 I've got your discharge paperwork.
抱歉我浪费了你的时间 I'm sorry I wasted your time.
我以为我准备好了 我也知道会有危险 I thought I was ready for this, and I knew it was dangerous.
虽然我的人生并不完美 Hey, look, my life isn't perfect,
但还没糟到我想冒着生命危险去改变 but it's not so bad that I want to risk throwing it all away.
你听说过盖茨·布朗吗 You ever hear of Gates Brown?
六八年老虎队的左外野手吗 Left field for the '68 Tigers?
对 Yes.
我爸有他的棒球卡 My dad had his baseball card.
你爸跟你说过他的故事吗 Your dad ever tell you about his story?
第一个发现他才华的是个狱警 First person to recognize his talent was a prison guard.
他帮他提前一年假释出狱 He helped him get out of prison a year early on parole
让他能去打职棒 so he could play professional baseball.
我经常会想盖茨·布朗 I think about Gates Brown a lot.
当我要做艰难 Whenever I have to make a-a tough,
艰难抉择的时候 really tough decision,
我会想他当时该有多害怕啊 I think about how scared he must've been.
去老虎队打球吗 Playing for the Tigers?
那是梦想成真吧 It's a dream come true.
真厉害 Real scary.
提前出狱 Getting out of jail early,
面对一个他离开了一段时间的世界 facing a world he hadn't been in in a while.
要是他有负众望怎么办 What if he didn't live up to expectations?
要是他的水平不够打职棒怎么办 What if he wasn't good enough for the bigs?
但他一直拼搏 努力不懈 But he kept fighting. He kept pushing.
你之前想做这个手术 You wanted to have this surgery,
你一直拼搏 努力不懈 and you kept fighting and you kept pushing
一个又一个的医生拒绝了你 and doctor after doctor said no,
然后你终于找到同意做的医生了 then finally you found a doctor who said yes,
你现在却退缩了吗 and now you stop?
这讲不通啊 That doesn't make any sense.
我不觉得你是害怕 I don't think that you are afraid
手术会失败 that this surgery is gonna fail.
我觉得你是害怕手术会成功 I think you're afraid it's gonna succeed.
在过去几年里 For the last several years,
你本来可以上网课 you could've taken classes online,
为你的学位努力 worked toward your degree.
你本可以去旅游 You could've gone traveling.
你以为我以前没试过吗 You don't think I've tried?
你试过 好吧 但你失败了 Oh, you tried, okay, and you failed,
但是 伙计 你能有个好借口吗 but, man, did you have a good excuse.
现在你的手术成功了 And now you have the surgery and it's successful,
但你还在失败吗 but you still fail?
太可怕了 That's scary.
你现在应该看看镜子里的自己 Because now you got to look at yourself in the mirror
然后问自己 and you have to ask,
「变成这样是因为健康状况还是因为我自己」 "Was it my condition, or was it me?"
你知道我在哪儿过十岁生日的吗 You know where I celebrated my 10th birthday?
儿童医院 Children's Hospital,
我的脊柱注射了十三针类固醇 getting 13 steroid shots into my spine.
当我十一岁的时候 By the time I was 11,
我认识的人只有医生和护士 my entire social network was R.N.s and M.D.s.
我从来没有过工作 I've never had a job.
我从来没跟女生跳过舞 I've never danced with a girl.
我从来没有知心朋友 I've never even had a best friend.
我不知道怎么做一个正常人 I have no idea how to live like a regular person.
那又怎样 So what?
所以你的生活烂透了 So you'll suck at it.
加入俱乐部 Join the club.
如果你觉得是正确的 你可以拒绝手术 Say no to the surgery if that's the right decision.
但你对你自己要负责 But do yourself a favor.
不要因为害怕生活而拒绝手术 Don't say no because you're afraid to live your life.
我要支持你 I'm going to support you.
谢谢 Thank you.
我在看你哦 你注意到了吗 I'm looking right at ya. See?
我注意到了 I noticed.
把你手机给我 Let me have your phone.
为什么 W-Why?
我注册了几百个点评账号给崔奇差评 I've created a couple hundred Yelp accounts to trash Tricky
我的IP地址已经用完了 and maxed out on my I.P. address,
所以我需要个新的 so I need another one.
你不能那么做 You're not allowed to do that.
他不能勒索别人 He's not allowed to extort people,
所以我只是反过来勒索他 so I'm just extorting him back.
一旦我威胁他我要放大招了 Once I threaten to unleash my arsenal,
他就会交出我的车 he'll hand over my car.
他甚至可能帮我把车洗好 He might even detail it for me.
我实际上不用发布任何东西 I won't have to actually post anything.
谢谢 Thank you.
肿瘤的最后一段紧贴着她的硬脊膜 This last segment of tumor is holding on to her spinal dura
贴得死死的 for dear life.
解剖剪 Fine dissecting scissors.
我可能参与了诈骗 I may be participating in fraud.
但我想支持我女友 But I want to support my partner.
如果你女友 If your partner wants you to do something
让你做你觉得不舒服的事就拒绝她 that makes you feel uncomfortable, shut it down.
不要失去理智 Do not enable crazy.
莉亚没有失去理智 Lea isn't crazy.
我们有时都会失去理智 We're all crazy sometimes.
只要有合适的诱因 Just takes the right motivation.
很显然有一个中间立场 There is an obvious middle ground.
如果你觉得你女友做错了 If you think your partner's doing something wrong,
就让她看看什么是正确的 help them see what's right.
该死 胶囊破裂 硬脑膜撕裂 Damn it. The capsule ruptured, and it tore the dura.
脑脊液泄露了 We have a C.S.F. leak.
我们应该尝试移植 We should try a graft.
割一些筋膜来加固硬脑膜 Harvest some fascia to reinforce the dura.
利姆医生 Dr. Lim?
就像我生日一样甜 Tastes like my birthday.
化验结果表明肿瘤没转移 Lab confirms the tumor wasn't metastatic.
你没有癌症复发 You're cancer-free.
大脑功能也很正常 And brain function is apparently fine.
总之 今天是个好日子 All in all, it's been a pretty good day.
十年了 10 years.
我错过什么好事了 I miss anything good?
没有 No.
那我为什么会醒来 So why'd I wake up?
我们在做检查 We're running tests.
曾经有这样的案例 There have been cases of anesthesia
麻醉后大脑复苏了 rebooting the dormant brain.
你的麻醉剂量很少 但还是有可能 Yours was light, but it still might have --
我们把它称作奇迹吧 Let's just call it a miracle.
好 最后一块骨头 Okay, last bone wedge.
好吧 让我们开始矫正他 Alright, let's start straightening him out.
如果你能说服这孩子去冒生命危险 You know, if you can talk this kid into risking his life,
你就能让任何人不再害怕 I'm thinking maybe you can talk anyone out of any fear.
我一直想让你别戴这些帽子 I've been trying to talk you out of those caps for years.
这些帽子是救命的 不是因为害怕 These caps save lives. No fear in that.
我不敢吃芝士汉堡 I'm afraid to eat a cheeseburger.
我妈对她的厨艺很自信 My mother, she was very proud of her cooking.
她告诉我们 我们不需要牺牲口味来保持洁食 She told us we didn't need to sacrifice taste to keep kosher.
洁食指符合犹太教教规的食材
至少不要像她在厨房里一样 At least not with her in the kitchen.
一想到我用别的方式 And it's crazy considering
拒绝她的信仰就很疯狂 all the other ways I've rejected her faith,
但如果我吃了一个芝士汉堡 but if I do eat one,
就感觉斩断了我和我妈最后的联系 it feels like I'm cutting my last lifeline to my mother.
我妈教了我弹吉他 My mom taught me how to play a guitar.
我们也有矛盾 很多 We had our problems, a lot of them,
但一起唱歌时 矛盾就似乎无所谓了 but everything seemed to be okay when we were singing.
她去世之后 Since she died, um,
我连琴盒都不敢打开了 I'm afraid to even open the case.
你应该还在上班 是想我了吗 It's the middle of your shift. You miss me?
我今早过得很糟 I had a bad morning.
我有个患者死而复生 My patient lived.
很惊人 That is surprising.
继续努力 你会慢慢习惯的 You keep being competent, you'll get used to it.
我得吃个冰淇凌 I need an ice-cream infusion.
自助餐厅有 The cafeteria has ice cream.
不是车厘子惊喜味的 Not Cherry Garcia.
听说你输给了一个新手 Heard you lost out to a Firsty.
给我的一天带来了点快乐 One bright spot in my day.
我把一切做到了最好 但还是不对称 I did everything perfectly, but it's still not symmetrical.
就像鼻部整形 Nose job.
它会在修补的时候改变 你得随着变化 It's changing as you fix it. You got to change with it.
安德鲁斯总是说对待计划的第一步 Andrews always said the first thing you do with your plan
就是先把它扔掉 is toss it out.
这就是我为什么不做整形择期手术 That's exactly why I didn't do a plastics elective.
或者你是一个前蓝领警察 Or you're a blue-collar ex-cop
害怕打破常规 who's afraid to color outside the lines.
你的第三腰椎做得很好 Your L3 vertebrae is perfect,
表示你也不是完全没天赋 which means you're not entirely without talent.
但是看看那些你不应该修复的骨头 But look at the bones you're not supposed to fix.
有什么是你的直觉告诉你 What are your instincts telling you
而操作手册却没有提到的吗 that this procedure manual isn't?
恭喜 Congratulations.
你现在跟新手一样好了 You're now as good as a Firsty.
我差点就为吃了你的冰淇凌愧疚了 I almost feel bad about eating your ice cream.
高压82 低压50 是脊髓休克吗 B.P.'s 82/50. Spinal shock?
体感诱发电位和运动诱发电位水平正常 S.S.E.P. and M.E.P. Waves are normal.
检查是否有变形 Check for buckling.
脊髓没有受压 No cord compression.
血压还在下降 Pressure's still dropping.
我们是在椎管里戳了个洞吗 Did we poke a hole in the canal?
把这些螺丝拿下来 Let's back out these screws.
不是脊柱的问题 是他的心脏 Spine's not the problem. It's his heart.
心力衰竭 上救生车 It's in failure. Crash cart!
纱布 Sponges
我知道丹妮为什么会醒过来了 I know why Dannie woke up.
副神经节瘤里充满了多巴胺 The paraganglioma was filled with dopamine.
有微量的泄露 我们就是这么发现它的 And leaking it in trace amounts. That's how we found it.
但是当囊膜破裂 But when the capsule ruptured,
肿瘤泄露了大量多巴胺 the tumor released the dopamine in very large amounts.
她的脊椎穿刺显示每升有超过1200纳克 Her spinal tap showed over 1,200 nanograms per liter.
把她的整个大脑都泡在了多巴胺里 Which bathed her brain in dopamine,
因此激活了大脑 让她醒了过来 which energized it and woke her up.
这就是个意外事件 It was just a freak event.
但只是暂时的 A temporary freak event.
多巴胺会耗尽 The dopamine's gonna wear off,
她的大脑会重新停止工作 and her brain will shut down again.
对 而且让她保持清醒的剂量将会让她中毒 Yes. And the dose she'd need to stay awake would be toxic.
如果不能复制那个手术 她就会重新陷入昏迷 If we don't replicate the surge, she'll relapse into a coma.
如果我们复制 她就会死 And if we do, she'll die.
你的多巴胺水平正在快速下降 Your dopamine levels are dropping quickly,
当它们回归正常水平 and when they return to normal,
你会重新陷入昏迷 you'll return to your comatose state.
-什么 -不要 - What? - ‭No.
看看她 她很清醒啊 Sh-- Look at her. She's lucid.
她能说能笑 她很好 She's talking and laughing. She's fine.
我很抱歉 I'm sorry.
就这样吗 Th-That's it?
没有治疗 没有手术 没有药吗 There's no treatment, no surgery, no medication?
-伊莱斯 我们希望 -不要 - Elias, I wish we -- - ‭No!
我还有多长时间 H-How long do I have?
不到24个小时 Less than 24 hours.
但是她可以再次醒过来 是吗 But she could wake up again, right?
你们这次也没想到她能醒过来 I mean, you didn't think she would this time.
你们说她不应该醒过来的 You said she shouldn't have.
那一系列让她醒过来的巧合 The series of events that coincided to make this happen
不太可能再发生了 was so unlikely,
基本上可以说这是不会再发生的了 it is safe to say it will never happen again.
我想看别的医生 I want to see another doctor.
- 伊莱斯 -肯定有办法 - Elias. - ‭There -- There must be some way --
我们总得面对 We have to face this.
为什么 因为他们这么说了吗 Why? Because they say so?
听我说 Listen to me.
你就在这里 You're right here,
看着我 握着我 looking into my eyes and holding my hand.
你哪都不会去 丹妮 You're not going anywhere, Dannie.
我保证 I promise.
肌钙蛋白正常 不是心力衰竭 Troponin's normal. It's not a heart attack.
没有心包积液的症状 Yeah, no signs of P.E.
心脏也没有凝块 No clots in the heart either.
心瓣正常 心壁运动正常 Normal valves, no wall motion abnormalities.
但在他右室流入道S波和D波混合了 But he has S/D wave fusion on RV inflow.
他的心脏泵血不正常 His heart's not filling properly.
双腿肿胀 His legs are swollen.
血液没有从下半身回流 His fluid's not returning from his lower body.
他的身体结构适应了躯体的扭曲 His anatomy adapted to his contortions.
和正常的身体结构完全不一样 Nothing is where it started.
而现在 移动到这个新姿势 And now, moving to this new position
可能会束缚住他的腔静脉 could be trapping his vena cava.
他的脊椎和胸骨 His spine and breastbone
正在挤压流向心脏的血液 are squeezing off blood flow to his heart.
静脉受到了压迫 The vein's compressed.
我们能用支架撑开它吗 Can we prop it open with a stent?
有太多的胸腔限制 There's too much chest-cavity restriction.
杰弗的身体不允许我们让他直起身 Jeff's body is not letting us straighten him out.
我们需要复原手术 We need to reverse the surgery.
已经没办法复原了 All the king's horses.
伊莱斯是时候去上厕所了 About time Elias took a bathroom break.
他每时每刻都在谈论你 He never shuts up about you.
我知道你喜欢滑雪 不管是滑水还是滑雪 I know you love skiing, both water and downhill,
还知道你居然一天内在塔霍湖都玩了 and how you actually did both the same day in Tahoe
尽管水温只有9度 despite a water temperature of 48 degrees.
我知道你最喜欢的电影是《地球战场》 I know your favorite movie is "Battlefield Earth."
因为太烂反而挺好看 我懂 So bad it's good. I get it.
还有你最爱的糖果 这是我自己摸索出来的 And your favorite candy, well, that I got all on my own.
我也听说了小狗的事 I also heard about the puppies,
他在三只小狗中无法抉择 所以他 how he couldn't decide between three of them, and so he --
把它们都带回家了 Brought them all home.
是啊 Yeah.
你是想说我是个幸运的女孩吗 Are you trying to tell me that I'm a lucky girl?
没事的 It's okay.
我知道我是 I know that I am.
我找到了我的灵魂伴侣 I found my soul mate.
人们还在用这个蹩脚的词吗 Do people still use that lame word?
他是个很好的人 He's a wonderful man...
他很难做出艰难的抉择 who has trouble making tough decisions,
而他的余生 and he's gonna spend the rest of his life
都要坐在你床边 sitting at your bedside,
听着呼吸机维持你生命的声音 listening to a ventilator keeping you alive.
这一切都取决于你 Which puts it all on you.
螺钉卡住了 Screw's stuck.
我试试腰板摊开器 I'll try a lamina spreader.
如果我们在这里做骨移植 If we do a bone graft here,
我们可以像以前一样重新融合第三椎骨 we can re-fuse the T3 vertebrae the way it was before.
再也不会跟以前一样了 It'll never be the way it was before.
我们在十五个不同的部位弄断了他的脊椎 We cracked his spine at 15 different levels.
他会变得更加扭曲 更痛苦 He will be more contorted. He'll be more in pain.
T型手柄 T-handle.
漏斗胸 Pectus excavatum.
如果你从没听说过 If you never heard of it,
不要担心 这是非常罕见的 don't feel bad -- it's very rare.
漏斗胸的人出生时胸部中间就有一个凹陷 The person is born with a big dent in the middle of his chest.
有时候情况很糟糕 Sometimes it's so bad that the breastbone
因为胸骨会压迫心脏 presses against the heart,
你得打断胸骨 and you got to break away the sternum,
敲开肋骨 用金属棒撑开 you got to crack open the ribs, prop it open with metal bars.
如果我们能帮杰弗做到这一点 If we can do that for Jeff,
我们就能在他的胸部创造足够的空间 then we can create enough space in his chest.
准备缝合 我们把他转过来 Close him up. Let's turn him around.
这是不抢救预嘱 It's, uh, a DNR.
我不想再靠机器维持生命 I don't want to be put back on life support.
这样活着没有意义 That's not life.
你给了她这个 You gave her this?
但我签字了 But I signed it.
你还记得我们一起过的第一个情人节吗 You remember our first Valentine's Day together?
你给我的那个 有两颗心的银吊坠 You gave me that -- that silver pendant with the two little hearts.
我告诉你我在考虑那份在波士顿的工作 I told you I was considering that job in Boston.
你放我走了 And you let me go.
-你不需要我的许可 -我知道 - You didn't need my permission. - I know.
我知道 I know.
但你知道那是我需要做的事 But you knew that it was something that I needed to do.
你还知道 And you also knew...
我很害怕 that I was scared.
丹妮 这不是波士顿 Dannie, this isn't Boston.
我不能 I can't.
我不能让你走 I can't let you go.
我知道 I know.
我想这就是我醒来的原因 I think that's why I woke up.
有件事我一直感到很内疚 Something that I have always felt guilty about.
哥斯达黎加 Costa Rica.
那是你梦寐以求的旅行 That was your dream trip.
你母亲病了 Your mother was sick.
不是很重 Not very.
但是你从没抱怨过 But you never complained.
取消了所有计划 Canceled everything.
你后来去过吗 Did you ever go?
没有你我怎么能去 How could I go without you?
因为你必须去 Because you have to.
为了我们两个 For both of us.
让我有这个念想 Let me have that thought.
纯粹的生活 Pura vida.
哥斯达黎加人常用的打招呼方式
丹妮 Dannie?
纯粹的生活 Pura vida.
想试着站起来吗 Wanna try and stand up?
你可以的 You got this.
不行 不行 No, no.
我怕我会摔倒 Okay, I'm afraid I'm gonna fall.
所以你才要试 That's why you got to try.
格拉斯曼医生 Dr. Glassman.
已经过了六点了 It's after 6:00.
你二十四小时营业 You're open 24 hours.
我没说我不营业了 I'm not saying I'm closed.
我是说过了正常营业时间 I'm saying it's after regular business hours.
要加五十块钱 There's a $50 fee for that.
我写了336条极差的评价 I've created 336 of the most scathing critiques
关于你和你的肮脏操作 of you and your sleazy operation.
所以把车还给我 So give me my car back,
否则我就发出去 让你关门大吉 or I'll post them and shut your ass down.
我可不买账 小蛋糕 I'm not buying it, Cupcake.
你不是法外之徒 我得另加 You're no outlaw, and I'm gonna have to add
200块的「不公平商业行为」费 a $200 "unfair business practice" fee.
我按下这个按钮 I push this button,
你就可以和「狡猾拖车」说再见了 and you can kiss Tricky's Towing goodbye.
现金还是信用卡 Cash or credit?
这次我没骗人 This time, I'm not lying.
肖恩 告诉他 Shaun, tell him.
现金 Cash.
这边 This way.
BGM: Italian Stallion by Shawn Lee's Ping Pong Orchestra
肖恩 Shaun.
开走 开走 Drive away! Drive away!
回来 Get back here!
开快点 Okay, drive fast.
我的天 肖恩 Oh, my God, Shaun.
好极了 Kick its butt.
怎么样 So?
是... It's...
真的... really...
真的很好吃 really good.
扣人心弦 请大家为特拉弗斯鼓掌 That was tight. Everyone give it up for Travers!
接下来是... Next up is...
克莱尔 Claire.
你可以的 you got this.
好吧 Okay.
这首歌是我 我母亲教我的 this is a song my -- my mother taught me.
如果你不喜欢 So if you don't like it,
真为你感到惭愧 shame on you.
BGM: Crowded Table by Antonia Thomas
* 你可以握着我的手 * * You can hold my hand *
* 如果你要放手 * * If you need to let go *
* 我可以做你的靠山 * * I can be your mountain *
* 当你的心情处在低谷 * * When you're feeling valley-low *
* 我想有个家 餐桌边挤满了人 * * I want a house with a crowded table *
* 大家围坐在火炉旁 * * And a place by the fire for everyone *
* 我们敢于承担 仿佛依旧年轻有为 * * Let us take on the world like we're young and able *
* 当一天终了 让我们聚在一起 * * So bring us all together when the day is done *
* 如果你想要一座花园 * * If you want a garden... *
我拿到杰弗的术后图像了 I got Jeff's post-op images.
一切看起来都很好 Everything looks great.
你做了了不起的事 What you did was phenomenal.
感觉一定很好 It's got to feel pretty good.
感觉很好 Feels great.
三个我拒绝了的患者 Three patients I turned down.
这个世界需要更多搞砸到一定程度的人 This world needs more people screwed up just enough
相信自己可以做到不可能的事 to think they can do the impossible.
* 餐桌边挤满了人 * * Crowded table *
* 大家围坐在火炉旁 * * And a place by the fire for everyone *
* 我们敢于承担 仿佛依旧年轻有为 * * Let us take on the world like we're young and able *
你欠我七块钱 You owe me seven bucks.
这个只要六块钱 This costs $6.
送货费 Delivery charge.
我刚给你的房租加了二十块 I just increased your rent by $20.
* 大门常开 * * The door is always open *
* 你的照片就在墙上 * * Your picture's on my wall *
* 大家都有点疲惫 * * Everyone's a little broken *
* 但都心有归属 * * But everyone belongs *
* 心有归属 * * Yes, everyone belongs *
他的表情太棒了 His face was awesome.
愤怒之极又有一点懵 Mostly blind rage with a sprinkle of bewilderment.
你像钢铁战士那样跳进车里是什么感觉 And how about you leaping into the car like the Man of Steel?
我伤到了膝盖 I hurt my knee.
这让你的行为更加精彩 Making what you did even more spectacular.
我真不敢相信你居然骗了那家伙 I can't believe you stiffed the guy like that.
我没骗 I didn't.
我付了他250美金 那是他应该得的 I paid him $250, which is what he was entitled to,
让他没理由报复 leaving him with no reason to retaliate.
这样很公平 That is fair.
莉亚... Lea...
这两天... you have been a bit...
...你有点疯狂 ...crazy the last two days,
我需要帮你认清是非 and I needed to help you see what was right.
我是有点疯狂 I have been a bit crazy.
但其实不是因为车的事 But it wasn't really about the car.
两天前 我发现... Two days ago, I found out...
肖恩... Shaun...
我怀孕了 I'm pregnant.
* 餐桌边挤满了人 * * With a crowded table *
* 大家围坐在火炉旁 * * And a place by the fire for everyone *
* 我们敢于承担 仿佛依旧年轻有为 * * Let us take on the world like we're young and able *
* 当一天终了 让我们聚在一起 * * So bring us all together when the day is done *