你说疼得很厉害 You said the pain was intense?
对 两侧都很尖锐地疼 Yeah, it was sharp on both sides.
持续时间也不长 And it didn't last long?
只疼了几分钟 Just a few minutes.
那之后24小时里都没有复发吗 And nothing in the 24 hours since then?
我的产科医生说可能是圆韧带疼痛 My O.B. said it was probably round ligament pain.
有可能 那其实就是生长痛 Yeah, that's basically growing pains.
你的子宫和圆韧带都在扩张 Your uterus is expanding. So do your ligaments.
胎心胎动都很正常 Normal fetal heart rate and movement.
血压正常 Your B.P. is perfect.
一切指标都很正常 Everything seems normal.
并发症和流产也是很正常的事 Complications and miscarriage are also normal.
莉亚的产科医生没有考虑到所有可能性 Lea's O.B. did not consider every possibility.
所以我们才会来这里 Which is why we're here.
肖恩列了一个清单 Shaun made a list.
我敢肯定他不排除每一个可能性 And I'm pretty sure he's not going to sleep
绝不睡觉 until every possibility is ruled out.
我把所有可能危害到 I categorized every medical complication
莉亚或胎儿的并发症都分类好了 that could negatively impact Lea or the baby
并且按病死率进行了排序 and sorted by Case Fatality Risk.
我去准备化验检查 I'll get started on the tests.
病人呼吸急促 Shortness of breath,
脉搏血氧值和呼吸率都在下降 pulse ox and respiratory rate are dropping.
她需要吸氧 She needs oxygen.
玛克辛·斯坦利 87岁 Maxine Stanley, 87 years young.
她在装饰艺术社团的鸡尾酒筹款会上 She passed out on the dance floor at a cocktail fundraiser
晕倒在舞池里 for the Art Deco Society.
是 是「新艺术社团」 Art -- Art Nouveau.
她出现室颤了 She's in v-fib.
我去推救生车 Getting the crash cart.
不 看她的手环 No, look at her bracelet.
那个古董莱俪手镯吗 非常惊艳 The vintage Lalique? It's stunning.
另一只手腕上的那个 她的医用腕带 Other wrist. Her medical bracelet.
她签过不抢救预嘱 She signed a DNR.
如果我们不抢救 她会心搏停止的 If we don't do anything, she's gonna go asystolic.
我知道 I know.
-我们就不能... -不行 - But can't we just -- - No.
肾上腺素 Epinephrine?
注射肾上腺素不算非常规抢救手段 Epinephrine doesn't qualify as extraordinary lifesaving measures.
她签不抢救预嘱是有原因的 She has a DNR for a reason.
死亡时间 Time of death,
两点二十... two twe--
她还是没有心跳 但血压在上升 She still has no heartbeat, but her pressure is rising.
会是机器故障吗 Could the machines be screwing up?
全都故障吗 All of them?
她的血氧饱和度超过九十了 Her oxygen levels are climbing to over 90.
我听得到血流的声音 I'm hearing blood flow.
我还活着 I'm alive?
你们俩中哪个蠢货干的好事 Which one of you bozos did this?
良 医
第四季 第十六集
黛比托我把这个送给宝宝 Debbie asked me to bring this for the baby.
毛绒玩具对不到一周岁的婴儿来说不安全 Stuffed toys aren't safe for infants under 12 months old.
它们很容易引起窒息 They increase the risk of suffocation.
我会告诉她你说了谢谢的 I'll tell her you said thank you.
你应该在上班 You should be at work.
没错 Yeah.
但你没去 But you're not.
所以你来肯定是有什么事 So you must be here for a reason.
克莱尔一定给你打电话了 Claire must have called you.
她很担心莉亚 She's worried about Lea.
你说对了一半 You got some of that right.
除了莉亚很好 Except that Lea is fine.
而不好的人是你 You're not.
肖恩 你需要放轻松 Shaun, you gotta relax.
没 没有哪个准爸爸能够放轻松 N-No one expecting a baby should relax.
好多事情都可能出错 There are many things that could go wrong.
好吧 那孩子出生后你就能放松了吗 Okay, so after the baby's born, then you can relax?
不 不能 N-no.
孩子什么能力都没有 需要我们提供一切 The baby will be helpless, need us for everything.
那么一旦孩子学会了自己吃饭自己穿衣 So, once the baby learns how to feed itself and dress itself,
-你就能放松了 -不能 - then you can relax? - No.
明白我的意思了吗 Is my point becoming at all obvious?
我永远都没法放松了 That I'm never going to relax ever again?
差不多 对 Kinda, yeah.
肖恩 这应该是你人生中最美好的时刻 Shaun, this should be the most amazing moment of your life.
每一个为人父母的人都会这么告诉你 Every parent'll tell you the same thing.
它眨眼即逝 If you blink, you're gonna miss it,
而你却在眨眼 and you're blinking.
你 你 你很紧张害怕 You're -- You're -- You're nervous and you're scared
而你本该激动雀跃 when you s-should be excited.
没有早产征兆 No signs of preterm labor,
肝化验结果也排除了妊娠期黄疸的可能性 and tests on your liver ruled out obstetric cholestatis,
也不是双胎输血综合症 and it's not twin-twin transfusion,
因为你怀的不是双胞胎 because you're officially not having twins.
看来和一个医学天才生宝宝 Turns out having a baby with a medical genius
也有不好的地方 has a downside.
但如果真的有问题 But if there is a problem,
我宁愿在这里发现而不是在其他地方 I'd rather be here than anywhere else.
得好好保护这个小姑娘 Gotta take care of this little girl.
传感器绑稳了吗 Is the transducer secure?
我刚检查过 怎么了 I just checked it. Why?
胎儿的心动有点过缓 Baby's heart rate is mildly bradycardic.
心率会随着人的活动而上下浮动 Um, heart rate fluctuates with activity,
你又躺了有一会儿了 and you've been off your feet for awhile.
但如果肖恩在这里的话 But if Shaun were here,
他会做一个经阴道超声 he would check a transvaginal ultrasound.
我们准备起来吧 Let's get it set up.
好消息 Good news.
你的心律失常没有造成太大伤害 The arrhythmia didn't do a lot of damage --
我有三件事不能忍 Three things I can't tolerate --
乳糖 工装裤 lactose, cargo pants,
和我的预嘱被人无视 and my wishes being ignored.
斯坦利夫人 我保证 我们没有无视预嘱 Mrs. Stanley, I can assure you, we did not disregard your DNR.
那是谁干的 Then who did?
不是「谁」干的 It wasn't a "who."
你最近接受过肺癌治疗吗 You were treated for lung cancer recently?
治疗没有效果 Didn't work.
化疗只是让我吐完了我吃下去的所有正经食物 All chemo did was make me puke up any decent meal I ate.
你还接受了叶切除手术以切除肿瘤 You also had a lobectomy to remove the tumors.
他们给你的心脏装了一个东西 They implanted a cardiac device.
一个起搏器 A pacemaker.
让我不要死在手术台上 So I wouldn't die on the table.
那不是一个起搏器 It's not a pacemaker.
他们相当于在你的心脏里装了一个小泵 It's basically a miniature pump inside your heart,
如果你心脏停跳 那个泵会代为运转 and if your heart stops, it takes over.
你能把它关掉吗 Can you turn it off?
那把它拿出来吧 Then take it out.
我好喜欢它 I love it.
它太大了 婴儿没法吞下去 It's too big for an infant to swallow,
这意味着它危险程度中等 which means it's only moderately hazardous.
人生中大多数好东西都是这样的 Most good things in life are.
有一天我们会告诉女儿 Someday we'll tell our daughter
泰迪医生和老爸医生是怎么护她平安的 how Dr. Ted and Dr. Dad both kept her safe.
我们发现了一个问题 We have found something.
你有二型血管前置 You have Type 2 vasa previa.
也就是说胎儿的血管和脐带附着在一起 It's when the fetal blood vessels run across the cervix,
使血管极为脆弱 making them extremely vulnerable.
这些血管随时都可能破裂 Now, they could rupture at any time,
你破水时 definitely when your water breaks,
或在外力作用下一定会破裂 but also under other added stress.
如果血管破裂发生的话 情况会有多糟 And if that were to happen, how bad would it be?
我们 We...
会失去孩子 would lose the baby.
这涉及到一瓣小胎盘 There's a small, secondary placental lobe
和数条血管 and multiple vessels at risk.
孕几周了 Gestational age?
22周 22 weeks.
离独立存活还有两周 Two weeks short of viability.
不能进行剖腹产 C-section is not an option.
我建议通过胎儿镜激光剥离 I suggest fetoscopic laser ablation
来保住血管 避免胎儿大出血 to stabilize the vessels and avoid fetal exsanguination.
这非常冒险 但最有可能能够 It's very risky, but has the highest potential
避免选择性早产 to avoid elective prematurity.
我写了一个初步的手术计划 I wrote a preliminary surgical plan.
我们探讨一下吧 Should we review it?
-我熟知这类手术 -很好 - Well, I'm familiar with the procedure. - Good.
鉴于你是外科主任 可以由你来主刀 Since you're the head of surgery, you can take the lead.
我来协助 I will assist.
克莱儿选择做那个超声检查 展现了 And Claire showed excellent judgment
优秀的判断力 因此我想请她参与手术 ordering the ultrasound, so I would like her to join us.
而且乔丹面对病人时很镇定 Also, Jordan has a calming bedside manner.
这是一个优秀的团队 This is a good team.
我不反对 I don't disagree.
但你不能参与手术 Except you can't be on it.
我 我可以 Y-Yes, I can.
我查看了医院规章制度 I reviewed the rules.
医生对其家庭成员进行手术 It is a conflict of interest
会造成利益冲突 for doctors to operate on family members.
我和莉亚没有领证 所以 不存在冲突 Lea and I are not married, so, mm -- is no conflict.
肖恩 莉亚怀着你的孩子 Shaun, Lea is carrying your child.
我们又不是对婴儿进行手术 We aren't operating on the child.
你在咬文嚼字 You're citing technicalities.
我在严格遵守规章制度 I am citing the rules.
那规章制度的本意是什么 And why are those rules in place?
避免医生出现情绪冲突 影响... So that people with emotional conflicts don't get --
那规章制度就应该直接这么写出来 Then the rule should have said that.
不是这么写的 它只写了... It doesn't. It just says --
肖恩 Shaun.
我非常在乎你和莉亚 I care about you and Lea too much
所以不能只因为你觉得有用 to put your baby's life at risk
就把孩子的生命置于危险之中 just to make you feel useful.
你是医院的院长 You are the president of the hospital.
你可以否决利姆医生 You can overrule Dr. Lim.
我同意利姆 I agree with Lim.
每个人 包括你 总是告诉我 Everyone, including you, is always telling me
我缺乏情绪 I'm not emotional enough,
而现在你又说我太情绪化了吗 and now you are saying that I am too emotional?
你现在不生气吗 肖恩 Are you not angry right now, Shaun?
你不害怕吗 Are you not scared?
你和其他人一样情绪化 You're as emotional as anyone.
也许你只是没有使用它 Maybe you don't have access to it,
也许你不明白...没人明白 maybe you don't understand...Well, nobody understands it.
只是那不是问题症结所在 It's just that that's not the issue.
如果没有害怕过 我们就不会站在这里了 If I hadn't been scared, we wouldn't be here.
我不会要求做检查 I wouldn't have ordered the tests,
而莉亚会失去孩子 and Lea would have lost the baby.
我的情绪起了作用 My emotion helped.
利姆医生做了正确的决定 Dr. Lim made the right call.
考虑到玛克辛的年龄 Considering Maxine's age,
停止她的心搏 然后做搭桥手术 stopping her heart and placing her on bypass
太冒险了 is way too risky.
机器人辅助手术呢 What about robotic-assisted surgery?
采用心脏肿瘤手术的方法 Adapt the approach used in cardiac tumors
在她心脏还在跳动的时候取出装置 to remove the device while her heart's still beating.
不好意思 我们真的应该 I'm sorry, but should we really
给这个女人做手术吗 be operating on this woman at all?
不抢救预嘱是一回事 但现在我们考虑的是 A DNR is one thing, but now we're considering
一种实验性的可选择的手术 an experimental elective surgery for the sole purpose
这个手术唯一的目的就是促进病人的死亡 of facilitating the patient's death.
病人同意用这个装置来救她的命 The patient agreed to the device to save her life,
而不是延后她的死亡时间 not prolong her death.
这就是我们 Is that what we're doing
治疗绝症病人的时候所做的吗 when we treat terminally ill patients?
她犯了个错误 She's making a mistake.
她做了个选择 She's making a choice.
这是她要做的 Which is hers to make.
但这不合理 But it doesn't make sense.
她比我这个月治疗过的病人 She's more full of life
都更有活力 than any patient I've treated this month.
那就跟她谈谈 So talk to her.
让她改变主意 Make her change her mind.
也许她会改变你的想法 Or maybe she'll change yours.
我也爱你 I love you, too.
碰 Pong.
我一直在等红中 I've been waiting for that Red Dragon.
你已经准备好拍特写了 斯坦利女士 You're ready for your close-up, Ms. Stanley.
「日落大道」参考 A "Sunset Boulevard" reference.
你是什么年代出生的 10年前吗 And you were born, what, 10 years ago?
我从没看过 I've never seen it,
但是我的巴比...奶奶... but my Bubbe...Uh, grandmother...
以前总是这么说 used to say it all the time.
是她教我打麻将的 She's the one who taught me Mah Jong.
她是不是像你想的和我一样天真 Well, was she as naive as you think I am?
你还有更好的事情要做 年轻人 You have better things to do, young man.
在我生命的这一刻 我不需要任何新朋友 And at this point in my life, I don't need any new friends.
你希望死吗 Do you want to die?
只有年轻人才会这么问 Something only the young would ask.
以为真的有选择 Thinking there's actually an option.
有时候 如果你幸运的话 Well, sometimes, if you're lucky,
你可以选择何时死去 there's a choice about when.
有时候 如果你真的幸运的话 And sometimes, if you're really lucky,
你可以选择如何死去 there's a choice about how.
我想死在舞池里 I want to die on the dance floor
心中有歌 手中有酒 with a song in my heart, drink in my hand.
你想让我几个月后在痛苦中死去 You want me to die a few months later,
不知道我是谁 不知道我在哪里 in pain, not knowing who I am or where I am.
请原谅我没有对这次机会表示感谢 Forgive me for not saying thanks for the opportunity.
胡了 Mah jongg.
感觉怪怪的 对吧 Feels weird, right?
看着别人做你的工作 Watching other people do your job
就像是百老汇演出的候补 is like being the understudy in a Broadway show.
或者说几部大学音乐剧 Or a couple college musicals.
基本上是一样的 Basically the same thing.
我应该是手术组的一员 I should be part of the surgical team.
我对这个手术的各方面都做了广泛的研究 I have studied every aspect of this surgery extensively.
你知道吗 我从没认真把你当做外科医生 You know, I never expected to take you seriously as a surgeon.
我从没把你看成是竞争对手 I never saw you as competition
直到第二年的那台主动脉夹层 until that aortic dissection our second year.
假腔里有意外的凝血 There was surprise clotting in the false lumen.
你的表现完美无瑕 Which you performed flawlessly.
那时我才意识到我低估了你 That's when I realized I'd underestimated you.
就像现在利姆医生低估了我一样 Just like Dr. Lim is underestimating me now.
不 肖恩 No, Shaun.
你成为一个更好的医生 You didn't become a better doctor
不是因为和梅伦德斯医生合作的手术 because of that surgery with Melendez.
我不再是个白痴了 终于意识到 I became less of an idiot and finally realized
我不是这里唯一一个能做伟大工作的人 I wasn't the only person here capable of doing great work.
莉亚的手术医生很棒 Lea's in good hands.
即使那不是你 Even if they're not your hands.
孩子很好 The baby is fine.
利姆医生完成得很好 Dr. Lim did an excellent job.
克莱尔和艾伦医生也一样 So did Claire and Dr. Allen.
血管正在愈合 但仍然脆弱 The vessel is healing, but still vulnerable.
此外 婴儿需要类固醇来加速肺部发育 Also, the baby needs steroids to speed lung development.
我们将在24小时和48小时内复查超声波 We will recheck the ultrasound in 24 and 48 hours.
在那之前 我们所能做的就是观望和等待 Until then, all we can do is watch and wait.
还好我知道高速无限网络的密码 At least I know the password to the good Wi-Fi.
你还好吗 You okay?
如果你在搜索 If you're researching
哪种类固醇最有效... which steroid is most effective...
我不是 I'm not.
我想把注意力 I'm trying to take my mind off of the baby
从孩子会出什么问题 and what can go wrong
以及其他我无能为力的事情上移开 and all the other things I can do nothing about
然后专注于我能做好的事情...我的工作 and focus on something I can do well...my job.
有效果吗 Is that helping?
可能会 It could be.
去做你的工作 Go do your job.
机器人辅助 Robotic-assisted left anterior
左前胸腔镜摘除心脏装置 thoracoscopic removal of a cardiac device.
谁想和我一起写论文 Who wants to write the paper with me?
如果有效的话 Assuming it works.
肖恩 Shaun.
还以为你不会加入我们 Wasn't aware you'd be joining us.
这个手术很有趣也很复杂 This surgery is interesting and very complicated,
而且我一点也不关心病人 and I don't care about the patient at all.
这似乎是分散注意力的好方法 It seems like an excellent distraction.
你总是可以用另一个视角看世界 Can always use another set of eyes.
我为莉亚感到抱歉 如果有什么我能做的 I'm sorry about Lea. If there's anything I can do...
不 你不能 No, you can't.
作为一年级的住院医师 As a first-year resident,
你是这里资格最浅的医生之一 you're one of the least-qualified doctors here.
装置周围的疤痕 There's more scarring around the device
比成像显示的更多 than the imaging showed.
我们得先把它剥离 再把它取下来 We're gonna need to free it before we can remove it.
止血钳已装载 Clamp is loaded.
让我们从流出管开始 Let's begin with the outflow cannula.
看看病人能不能耐受 We'll see if our patient can tolerate it.
生命体征稳定 Vitals are stable.
心电图很好 EKG is good.
太棒了 This is excellent.
我全神贯注 I am completely focused,
不去想莉亚或者我们可能会失去孩子 not thinking about Lea or how we could lose the baby.
胎心率125 Fetal heart rate is 125.
母亲的血压是110/60 生命体征正常 Mom's B.P. is 110 over 60. Vitals are normal.
有液体泄漏 所以艾伦医生检查了胎膜早破 There was some fluid leakage, so Dr. Allen checked for PROM.
阴性 没有宫缩 Negative, and no contractions.
确认一下是羊水 Let's confirm it's amniotic fluid,
然后测试固液比 then test for an L&S ratio
看看肺对类固醇的反应 to see how the lungs are responding to the steroids.
你觉得怎么样 How do you feel?
我不懂医 但如果我是辆车 I don't speak "doctor," but if I were a car,
液体泄漏会是个问题 fluid leakage would be a problem.
手术后羊水会轻微渗漏 Amniotic fluid can leak slightly after surgery.
这只是我们需要持续关注的事情 It's just something for us to keep an eye on.
好吧 Right.
等等看 Wait and see.
-泰迪医生在哪 -谁 - Where is Dr. Ted? - Who?
肖恩给孩子带来的玩具 刚才还在这里 The toy Shaun brought for the baby. It was right here.
什么样的母亲会弄丢孩子的第一只泰迪熊 What kind of mother loses her baby's first teddy bear?
莉亚 没事的 可能是哪个护士 Lea, it's fine. One of the nurses probably...
不 不是 No, it's not.
-没事 只是… -他在这里 - It's fine, it's just... - He's right here.
谢谢 Thank you.
在医院里 努力保护你的孩子 Being in the hospital trying to protect your child
是一种可怕 难受 孤独的感觉 is a terrifying, awful, lonely feeling,
而作为一个医生 我没法说什么能让它好转 and there's nothing as a doctor I can say to make it better.
但作为你的朋友 But as your friend,
我可以让你知道你并不孤单 I can let you know you're not alone.
伊莎贝尔和我一直在努力建立一个家庭 Isabel and I have been trying to have a family.
我快记不清做了多少试管婴儿 I've almost lost track of how many IVF cycles.
人们过来问情况如何 People come over and ask how it's going.
我们说「接近了」 不管是什么意思 We say, "Getting close," whatever that means.
基本上这只是一个设计好的答案 Mostly, it's just an answer designed
让人们不再问问题 to get people to stop asking questions.
我从小就很害怕 I've been scared since I was a kid.
如果我可以做得更好 If I could just be better,
成为更好的女儿 a better -- better daughter,
更好的学生 更好的医生 better student, a better doctor,
那我就能阻止坏事发生 then I could stop bad things from happening.
但当梅伦德斯去世后 我终于明白了 But when Melendez died, I finally realized
你不能掌控生命 that life is not something you're supposed to control.
你应该分享生命 It's something you're supposed to share.
怀孕八个月时 Eight months pregnant,
米娅和我就计划好了一切 Mia and I had everything planned.
待产包 去医院的备选路线 Bags packed, alternate routes to the hospital.
米娅的羊水是在商场里破的 Mia's water breaks at the mall.
一切都没有按照我们的预期进行 Nothing went the way it was supposed to go.
但那仍然是我一生中最美好的一天 And it was the best day of my life.
我以为我准备好了 但当我失去朱尼尔时 I thought I was ready, but when I lost Junior...
我花了很长时间才停止自责 It took a long time for me to stop blaming myself.
一年之后 我养了只猫 A year later, I got a cat.
那很有用 That helped.
你失去了一个孩子 却养了只猫 You -- You lost a child, and you got a cat?
朱尼尔是我的乌龟 Junior was my tortoise.
是我的第一只宠物 First pet I ever owned.
你应该一开始就这么说 That should've been at the beginning of the story,
艾伦医生 Dr. Allen.
又不是我没关门 I wasn't the one who left the gate open.
你的乌龟跑了 Your tortoise ran away?
你的羊水水平很稳定 Your amniotic fluid levels are stable.
这很好 That is good.
我们得做个计划以防你的羊水在商场破了 We need a plan in case your water breaks at the mall.
我觉得你特别担心这个是因为听说... I take it that's a specific concern you heard about from...?
朴医生说他妻子... Dr. Park says his wife --
别跟人聊天了 Stop talking to people.
好 Okay.
我觉得接下来有三个手术可以帮助我 There are three surgeries I'm thinking of using
分散注意力 to distract me next.
一个是胆囊切除术... One is a gallbladder removal...
-听着很无聊 但... -肖恩 - which sounds very boring, but it... - Shaun.
什么 Wha-- What...?
下肢肿胀和气短 Lower extremity swelling and shortness of breath
是肺栓塞的症状 are symptoms of a pulmonary embolism.
呼叫布朗医生 Page Dr. Browne!
恭喜你 斯坦利夫人 Congratulations, Mrs. Stanley.
手术很成功 The surgery was a success.
成功感觉像是我被卡车碾过了 Success feels like I've been run over by a truck.
手术总会有些负面影响 Surgery takes a toll.
你会收到一套术后护理指导 You'll get a set of instructions for post-op care.
健康食物的选择 受限制的活动等 Healthy food choices, limiting activities...
我可以帮你把这些指导 And I can throw those instructions
扔到垃圾桶里 或者你也可以自己扔 in the trash for you, or you can do that yourself.
我们会给你一些止痛药和抗生素 We'll give you something for the pain and some antibiotics
以防手术部位出现小感染 for a small infection around the surgical site.
然后你就可以回到舞池了 Then you'll be back to the dance floor,
让低血压和心律不齐见鬼去吧 low blood pressure and erratic heart rhythm be damned.
我来 Let me.
我不会把我的迪奥口红交到别人手上 I-I don't turn over Rouge Dior to just anyone.
谢谢你的信任 Thank you for the vote of confidence.
涂得不错 Nice job.
跟我奶奶一样 Same bubbe.
沃克医生 So, Dr. Wolke,
你现在有什么安排吗 what's on your agenda this time?
现在 This time...
我任你差遣 I just like you.
所以 你想干什么 So, what are you gonna do?
你想继续参加新艺术派对吗 You gonna keep going to Art Nouveau parties?
你说得好像这是件坏事似的 You say that like it's a bad thing.
这不是坏事 It's not a bad thing.
不过不是件有意义的事 It's just not a... meaningful thing.
我奶奶在我读医学院时去世了 My bubbe died when I was in med school.
我无法告诉你我愿意付出什么 I can't tell you what I'd give for
来换取多一点陪她的时间 a little more time with her.
愿她的回忆成为一种祝福 May her memories be a blessing.
家人很重要 Family is important.
我有个最喜欢的侄子 I have a favorite nephew.
如果我能多花点时间陪他就好了 It'll be nice to spend more time with him.
还有其他几位家人 And a few others.
这里 There.
血块在右下肺动脉里 The clot is in the lower right pulmonary artery.
很小 It's small.
我们能用组织纤溶酶原激活剂把它分解掉吗 Could we use TPA to dissolve it?
在孕期用抗凝血剂风险太大 Anticoagulants are too risky during pregnancy.
也许我们只要观察这个血块就行了 Maybe we just keep an eye on the clot
希望它能自己分解掉 and hope it breaks up on its own.
卧床休息会增加形成血块的可能性 Bed rest increases the likelihood of more clots.
我觉得我们应该植入下腔静脉滤器 I think we should insert an IVC filter.
它可以阻止新形成的血块进入肺部 That would trap future clots before they get to the lungs.
我们无法预知再做个手术会造成怎样的压力 It's hard to know what the stress of another procedure will do,
但我觉得我们应该冒险 but I think we should risk it.
肖恩 你觉得呢 Shaun, what do you think?
我... I...
相信你们的判断 trust your judgment.
你看到安德鲁斯医生了吗 Have you seen Dr. Andrews?
我想看看他能否跟我们的肿瘤科团队谈谈 I want to see if he'll talk to our oncology group
让斯坦利夫人参加临床试验 about enrolling Mrs. Stanley into a clinical trial.
她不是想跳舞喝酒一直到死吗 What happened to dancing and drinking until she dies?
好吧 我想我说服她用一点痛苦换一点生命了 Well, I think I sold her on a little pain for a little more life.
那太好了 That's...great.
你们俩谁的患者租了辆做塔可的美食车 Which one of your patients rented the gourmet taco truck
把门诊部的入口堵住了 that's blocking the clinic entrance?
如果他们有玉米卷 我也想加入 If they're serving carnitas, I want in.
BGM: I'm Gonna Live Till I Die by Frank Sinatra
♪ I'm gonna live till I die ♪
♪ I'm gonna laugh 'stead of cry ♪
♪ I'm gonna take the town and turn it upside down ♪
医生们 欢迎参加我的告别晚会 Doctors, welcome to my going-away soiree.
如果你们想要珠链 If you want some beads,
就得表现出一点... you're going to have to show a little --
这样不行 玛克辛 Not happening, Maxine.
虽然我们了解你很想回去参加派对 And as much as we understand your desire
但我们医院有规定 to get back to partying, we have hospital rules about --
那就告我啊 Oh, sue me.
或者准确地说 是告我的遗产 Or, more accurately, sue my estate.
我为你祖母的事感到遗憾 亚舍 I am sorry about your grandmother, Asher,
但你错过的不是更多时间 but what you missed isn't more time.
而是告别的机会 It was a chance to say goodbye.
♪ I'll be a devil... ♪
谢谢你给我告别的机会 Thank you for giving me that chance.
我决定拒绝使用抗生素 I've decided to refuse the antibiotics.
不用抗生素 你只要24小时就会出现 Without antibiotics, you'll develop sepsis
败血症和心源性休克 and be in cardiogenic shock in as little as 24 hours.
我不明白 I don't understand.
你为什么要这么做 Why are you doing this?
因为这是我的人生 Because it's my life.
所有的一切 All of it...
包括结局 including the ending.
植入下腔静脉滤器是安全的手术 Placing an IVC filter is a safe procedure
出现并发症的几率很低 with a very low complication rate,
而且克莱尔是优秀的医生 and Claire is an excellent doctor.
肖恩 Shaun.
害怕是正常的 It's okay to be scared.
但害怕没有用 But it's not helpful.
我想让病情好转 I want to make things better.
我不知道该怎么办 I don't know how.
看 Look.
我们也会像他们一样 That's going to be us.
你不需要解决问题 肖恩 You don't need to fix things, Shaun.
只要跟我一样坚信我们能挺过去 Just believe with me that we're gonna get through this
我们三个会一起回家 and that the three of us are going home.
我们要检查一下你的氧气 小姐 Somebody needs to check your oxygen, young lady,
因为你在胡言乱语 because you're not making any sense.
我说了吧 I told you.
我并非神志不清 格拉斯曼医生 I am not delirious, Dr. Glassman.
我只是碰巧有自己的想法 I just happen to have my own opinion.
这不是想法的问题 It's not a matter of opinion.
这是绝对的事实 It's a matter of absolute fact.
泰德·威廉姆斯是有史以来最伟大的棒球明星 Ted Williams was the greatest baseball player of all time.
讨论结束 句号 End of discussion, full stop.
泰德·威廉姆斯是很好 Ted Williams was good.
但不太受欢迎 Not exactly a hot take,
泰德·威廉姆斯在约翰·帕奇奥雷克面前不堪一击 but John Paciorek beat Ted Williams like a drum.
他还是职棒大联盟中击球次数最多的球员 Only player to bat a thousand in Major League Baseball.
-现在你会说 -对 - Now you're gonna say... ? - I am.
「但约翰·帕奇奥雷克只打过一场比赛」 ..."But John Paciorek only played one game."
一场比赛 Played one game!
-没错 -而我却要说 - That's right. - And I'm gonna say,
直到1959年 也就是威廉姆斯退休前一年 baseball wasn't fully integrated until 1959,
棒球才完全融入美国社会 a year before Williams retired.
数字不代表一切 格拉斯曼医生 Numbers aren't everything, Dr. Glassman.
更多不一定就更好 More does not mean better.
生命不是这样 棒球也不是 Not in life, not in baseball...
也许塔可是这样 maybe in tacos.
好吧 我们为什么要谈论棒球和塔可 Alright, why are we talking baseball and tacos?
你吃了吗 Have you had one?
我吃了四个 好吃极了 I've had four, and they're wonderful.
而且你会成为一名优秀的律师 And you would make an excellent lawyer?
自从伍德斯托克音乐节之后 我从没说过 You know, I haven't had this much tongue in my mouth
这么多话 since Woodstock.
好吧 我们有些医生觉得你可能有点疯狂 Well, some of us think that you might be a little crazy.
有点 A little.
有些人分不清疯狂与快乐的区别 Some people can't tell the difference between crazy and happy.
不管怎样 你完全有能力 Either way, you're perfectly capable
自己做决定 of making your own decision.
现在我要离开这个愉快的派对了 Now, I'm gonna leave this lovely party.
失陪了 Excuse me.
帮我一个忙好吗 Just do me one favor, will you?
音量不要太大 Keep the volume down.
很高兴认识你 It was a pleasure to meet you.
也很高兴认识你 Pleasure to meet you.
那是玛克辛的动脉血气分析报告吗 Are those Maxine's new ABG results?
不是 No.
如果你想聊聊 If you want to talk --
斯坦利夫人拒绝治疗 你为什么难过 Why are you so upset about Mrs. Stanley refusing treatment?
她已经癌症晚期 不久于人世 She has terminal cancer. She is dying.
医生也没办法 Doctors can't fix that.
我知道家人很爱我 但他们不了解我 I know my family loved me, but they didn't... see me.
除了奶奶 Except my grandmother.
她在安息日晚餐上和我四目相对 She'd catch my eye at Shabbat dinner
然后会做几个鬼脸 and make some ridiculous face
逗我笑 于是他们就让我回房间 so I'd laugh and get sent to my room,
这时候房间里就会有 and that's where I'd find it --
一本书 一首歌 a book or music
或她觉得我喜欢 却禁止出现的东西 or something verboten she thought I'd like.
她几年前去世了 She passed away a few years ago.
多一点时间对我来说 意义重大 More time would've meant...everything.
时间就是希望 Time is hope.
玛克辛·斯坦利夫人的动脉血气分析 ABG results for Mrs. Maxine Stanley.
放置下腔静脉过滤器之前 Right before inserting the IVC filter,
我预约了一个无应激试验 I ordered a non-stress test
想确定一下胎儿能够经受这个过程 to make sure the baby could tolerate the procedure.
这时候我就注意到 That's when I noticed the heart rate
胎儿心跳逐渐减缓 had been getting progressively slower.
所以过滤器植入完毕之后 So, after we implanted the filter,
我又预约了多普勒超声 I ordered a Doppler ultrasound.
发现脐动脉血流 The tracing of the umbilical artery
被抑制 伴有血液倒流 was dampened with flow reversal.
血栓不止一处 肖恩 有两处 There wasn't just one clot, Shaun, there were two --
另一个我们没有发现 one we couldn't see
因为它卡在脐动脉当中 because it was lodged in the umbilical artery.
也许我看错了 或者遗漏了什么 Maybe I made a mistake or I missed something.
我真的 真的希望是我判断错了 肖恩 I-I really, really want to be wrong about this, Shaun.
你没有错 You aren't wrong.
我看到了羊水的结果 I saw the test results on the amniotic fluid.
胎儿肺部对激素无反应 The lungs aren't responding to the steroids.
无法存活 The baby can't survive.
我很遗憾 I'm sorry.
你跟莉亚谈过了吗 Did you talk to Lea?
还没有 No.
我保护不了莉亚 I couldn't protect Lea.
我现在唯一能为她做的 The only thing I can do for her now
就是多给她一点时间 is give her more time...
心怀希望 to hope.
我觉得你这么做不是为了莉亚 I don't think you're doing this for Lea.
我认为你是在保护你自己 I think you're protecting yourself
免于看到她痛苦 from the pain of watching her pain.
你希望我一起去吗 Would you like me to be there?
不必了 谢谢 No. Thank you.
该死 Crap.
所有人都竭尽全力 There was nothing anyone could have done
仍然无法挽回 that would have made any difference.
但这不会影响以后 And nothing about this affects your chances
怀上一个健康宝宝的几率 of having a healthy baby later.
现在怎么办 What do we do now?
有两个医学方案 Medically, you have two choices.
可以打麻醉 然后刮宫 You can be sedated and have a D&C.
或者有人会决定引产 Or some people decide to induce labor
这样能抱一抱孩子 so they can hold their child.
能给我们几分钟吗 C-could you give us a minute?
当然 Of course.
你想聊聊方案的优缺点吗 Do you want to discuss risks and benefits?
不想 No.
我不需要再了解什么了 I don't need any more information.
我们已经失去了她 We've lost her.
失去了她 We lost her,
现在已经不需要再问什么医学问题了 and this isn't about medical questions anymore.
要我生下宝宝 I can't go into labor
却不能和她一起回家 我做不到 and not leave here with our baby.
太惊人了 Remarkable.
肿胀消失 体征有所好转 Swelling's down, trends are improving.
你的感染看起来好像自我清除了 Your infection appears to be clearing on its own.
显然生活还没有放过您 Apparently, life isn't done with you yet.
昨天是我很久以来 Yesterday was one of the --
过得最开心的一天 the best days I've had in a long time.
不是因为办了派对 Not because of the party.
是因为那些回忆 Because of the memories.
午夜的塔可饼让我想起了大学室友 Midnight taco runs with my college roommates.
我姐姐故意唱错我最喜欢的歌 My sister messing up the words to my favorite song.
和丈夫拌嘴 Arguing with my husband,
但他调的玛格丽塔是一绝 who served the best margaritas.
我这一生很精彩 I -- I've had a wonderful life
遇到不少非凡的人 and with wonderful people.
玛克辛 你完全可以继续这样的生活 Maxine, there's no reason you can't have more of that.
已经一去不返了 They're gone.
现在我 And now I, uh...
我只能独自回家 I have to go home alone.
她这个年纪 Pretty incredible that a woman of her age,
得过癌症 ravaged by cancer,
能一夜之间清除感染 真了不起 could fight off an infection overnight.
如果我信仰宗教 我就会说 If I were a religious man, I'd say,
「真是奇迹降临」 "Wow, that's -- that's a miracle."
所以要么我去入教 So, either I should go join a church or a temple or a mosque,
要么就是有人在玛克辛·斯坦利的静脉注射里 or someone slipped antibiotics
偷偷加了抗生素 into Maxine Stanley's I.V.,
还是在她明确拒绝的情况下 antibiotics which she specifically asked us not to give her.
别说 一个字也别说 Don't say anything. Not a word.
一旦说出什么傻话承认了 Say something stupid like a confession,
我就必须立刻开除你 and I'm gonna have to fire you right on the spot.
更别说还要应对诉讼 Not to mention fending off a lawsuit,
而我们一定会输官司 也很应该输掉 which we would, and most certainly should, lose.
更重要的是 More importantly,
你的所作所为并没有帮到玛克辛 对吗 none of this helps Maxine, does it?
所以现在怎么办 So what happens now?
我不知道 I don't know.
我们现在假设你认识这个医生 Let's just say for the sake of it that you know this doctor.
他会觉得愧疚吗 Would they feel at all guilty?
会 Yes.
为什么 Why?
因为她是个很好的人 Because she's a good woman, and...
而且这是她的决定 it was her decision.
你早就知道这是她的决定 You knew it was her decision.
她告诉过你 这是她的决定 You were told it was her decision.
你没有听 You didn't listen.
那你怎么知道下一次会有所不同 What makes you think next time will be any different?
因为今天早上 我第一次看到了 Because I saw her this morning, and for the first time, I saw...
她的痛苦 her pain.
好吧 Okay.
你必须做出补偿 You're gonna have to make this right.
很抱歉一切并不像您想的那样 I'm sorry things didn't turn out like you wanted.
没关系 That's okay.
许多伟大的文学作品都烂尾了 Lots of great books have final lousy chapters.
这是临终关怀表 This is an aid-in-dying request.
有一些手段能够让您在自己选择的时间 There are procedures that allow you to end things
结束生命 when you want to end things.
可能会比较复杂 It can be complicated.
规则上有一些障碍 Quite a few regulatory hoops.
我会帮您完成 I'll get you through them.
BGM: Ooh Child (Alternate Version) by Beth Orton
♪ Ooh-ooh, child ♪
♪ Things are gonna get easier ♪
♪ Ooh-ooh, child ♪
♪ Things'll be brighter ♪
♪ Ooh-ooh, child ♪
♪ Things are gonna get easier ♪
♪ Ooh-ooh, child ♪
♪ Things'll get brighter ♪
♪ Someday, yeah ♪
♪ We'll put it together and we'll get it undone ♪
♪ Someday when your head is much lighter ♪
♪ Someday, yeah ♪
♪ We'll walk in the rays of a beautiful sun ♪
♪ Someday when the world is much brighter ♪
我有没有告诉过你那次凯兰 Did I ever tell you about the day Kellan was --
说过了 You did.
♪ Ooh-ooh, child ♪
再说一遍吧 But tell me again.
♪ Things are gonna get easier ♪
♪ Ooh-ooh, things'll be brighter ♪
喂 黛比 Hey, Deb --
不 我不是要晚回家 No, I-I'm not gonna be late.
♪ Someday ♪
我只是 I just, um...
♪ We'll put it together and we'll get it undone ♪
我只是想听听你的声音 I just wanted to hear your voice.
♪ ...when your head is much lighter ♪
♪ Someday, yeah ♪
♪ We'll walk in the rays of a beautiful sun ♪
♪ Someday when the world is much brighter ♪
进口石油和非石油产品 As costs for both imported
价格均有下降 petroleum and non-petroleum products fell,
政府周三声称 the government said Wednesday...
♪ Ooh-ooh, child ♪
♪ Things are gonna get easier ♪
♪ Ooh-ooh, things'll be brighter ♪