别把食物放在水槽里 Don't put any food down the sink.
垃圾处理机坏了 Garbage disposal's broken.
-我会给房东打电话 -好 - I'll call the landlord. - All right.
上次我们的热水断了 He took a week to call the plumber
他花了一周时间才给水管工打电话 when we lost the hot water,
但我觉得这次没那么重要 but I guess this doesn't matter as much.
我们用普通垃圾桶就行了 We'll just use the regular trash.
对 Yes.
已知有10%到15%的妊娠都以流产告终 10% to 15% of known pregnancies end in miscarriage.
这其实挺常见的 This wasn't unusual.
对 你说得对 No. You're right.
我们不是唯一经历流产的人 We're not the only people to go through this.
最好的办法就是恢复正常生活 The best thing to do is to just get back to normal.
我很高兴你要回去上班了 I'm glad you're going back into work.
再休息几天 我也要回去上班了 Couple more days of rest, and I'll be doing that, too.
你真的没事吗 Are you sure you're all right?
「没事」就是在慢慢恢复 "All right" is stretching it,
但没错 but yeah.
我们只是需要点时间 We just need some time.
良 医
第四季 第十七集
你感觉如何 How you feeling?
挺好 All right.
莉亚怎么样 How's Lea doing?
她觉得我们需要时间 我同意 She thinks we need time. I agree.
肖恩 你感觉如何 Hey, Shaun. How are you feeling?
挺好的 莉亚觉得我们需要时间 All right. And Lea thinks we need time.
我没想到会在这里见到你 Well, I didn't expect to see you here.
你请了几天假 我以为你会待在家里 You have a few days leave. I thought you'd be home.
我更喜欢工作 I prefer to work.
好吧 我们尊重你的决定 Well, we respect your judgment.
好好享用吧 Bon appetit.
胃反流导致的喷射性呕吐 Gastric reflux causing projectile vomiting.
我帮你把接下来的时间空出来 需要几天 I'm clearing your schedule for the next... How many days?
这得由我可爱又有天赋的医生们决定 Oh. Well, that is up to my lovely and talented doctors.
欢迎来到圣文德医院 克拉克参议员 Welcome to St. Bonaventure, Senator Clark.
叫我玛丽安就好 Oh, please. Marian.
玛丽安 我是你的超级支持者 Oh, Marian, I am a huge supporter.
我在总统预选时投了你一票 You had my vote in the presidential primaries.
谢谢 布朗医生 Thank you, Dr. Browne.
-叫我克莱尔 -克莱尔 - Oh, Claire. - Claire.
如果其他几百万人也像你一样就好了 If only there'd been another couple million like you.
对 Yeah.
没关系 平衡票也没什么错 It's okay. Nothing wrong with a balanced ticket.
我今天早上在酒店里准备我的演讲 I was in my hotel this morning, going over my speech,
我的脸就突然变成这样了 when this started happening to my face.
整个左脸都失控了 Whole left side went rogue,
疯狂地眨眼抽搐 blinking and twitching like crazy.
以前发生过这种事吗 Has it happened before?
这是第三次了 This was the third time.
幸运的是 都是在我一个人的时候 Fortunately, all in private.
不用说 我只能取消公开露面了 Needless to say, I had to cancel my appearance.
能再给我看看吗 Can I see that again?
抱歉 我刚刚把它删了 Oh. I'm sorry. I just deleted it.
唯一比让人们亲眼看到我抽搐的脸更糟的是 The only thing worse than people seeing my twitchy face in person
让他们在被黑的视频里看到我抽搐的脸 is them seeing my twitchy face on a hacked video.
所以我们要怎样才能把它从我体内删除呢 So, how do we go about deleting it from my body?
这是半面痉挛 It's a hemi-facial spasm.
我们应该做核磁共振 We should do an MRI
来排除更严重的病因 to rule out the more serious possible causes.
哪些病因 Which are?
动脉瘤 多发性硬化症 也可能是脑瘤 Aneurysm, MS, possibly a brain tumor.
那不那么严重的病因有哪些 What are the less serious causes?
压力 疲劳 喝太多咖啡 Stress, exhaustion, too much coffee.
那就是我的职责说明 Well, that's my job description.
这可以通过注射肉毒杆菌和劳拉西泮来治疗 Which can be treated with Botox injections and Ativan.
就这么办 Ah. Sold.
我们还是得做核磁共振 We still need to do the MRI.
两者都做 Do both.
克莱尔知道 我总是要控制议程 Oh. As Claire knows, I always have to control the agenda.
你好 我叫阿蒂·希尔 Hi. Artie Hill.
我有轻微的心力衰竭 I have mild heart failure.
我是朴医生 I'm Dr. Park.
你怎么知道自己有轻微心力衰竭的 How do you know you have mild heart failure?
我很疲惫 而且我一直有心悸 I'm tired, and I've been having palpitations.
我们会做些检测 如果能让你好受些 We'll run tests, but if it makes you feel better,
很多人都有心悸 a lot of people have palpitations,
这并不意味着有心力衰竭 and it doesn't usually mean heart failure.
对 但我刚跟我的医生通过电话 Yeah, but I was just talking to my doctor on the phone,
他说我有心力衰竭 and he told me I have heart failure.
给我做搭桥手术的医生 The doctor who did my bypass.
搭桥手术 Your bypass?
他说我应该去最近的急诊室 He told me I should go to the nearest emergency room.
我当时在公园里 看樱花树 I was in the park, looking at the cherry trees,
然后突然感觉怪怪的 于是我打电话给... and I started feeling funny, so I called...
你什么时候做的搭桥手术 When was this bypass?
一个月前 A month ago.
我是保罗·中野 Paul Nakano.
我在圣何塞综合医院帮他做的手术 I performed his surgery at San Jose General.
希尔先生 我希望你是照我说的打车来的 Mr. Hill, I hope you took a taxi, as I asked you to.
只有三个街区远 It was only three blocks.
如果你不介意 我想做个12导联心电图 If you don't mind, I'd like to get a 12-lead EKG,
心脏CT 再验个血 cardiac CT, and bloodwork.
通常 我会觉得病因是容量负荷过度 Ordinarily, I'd be thinking about volume overload as the cause...
但这位病人钠和尿素氮都正常 But in this case, sodium and B.U.N. are normal.
接下来我会考虑术后心肌梗死 The next thing I'd look at is a post-op myocardial infarction.
但这位病人的肌钙蛋白也正常 But in this case, the troponins are normal.
所以你知道我觉得是什么吗 So you know what I'm thinking?
知道 你的手术做得太好了 Yes. You did your job too damn well.
心脏因为搭桥而变得太强壮 The heart's been so strengthened from the bypass
从而暴露了瓣膜的弱点 that it's revealed a weakness in the valve.
它无法承受心脏泵血的压力 It can't handle the pump pressure.
我当住院医师时 中野医生是我的外科主任 Dr. Nakano was my Chief of Surgery when I was a resident.
那你打算什么时候给他开胸 So, when do you want to open him up?
我希望不用开胸 I'm hoping never.
你们中有谁做过 Have either of you ever done
经导管主动脉瓣置换术吗 a transcatheter aortic valve replacement?
我读到过 I've read about it.
这是微创手术 比在一个月内 It's minimally invasive and way preferable
给病人第二次开胸更可行 to opening up the patient for the second time in a month.
好 我期待再次跟您学习 Well, I look forward to learning from you again.
打扰一下 先生 大厅里的那个人 Oh. Excuse me! Sir? Person in the hall?
抱歉 Oh, sorry.
你好 我是肖恩·莫菲医生 我是外科医生 Hello. I am Dr. Shaun Murphy. I am a surgeon.
我找不到我的袜子了 Uh, I-I can't find my socks.
而且我也找不到叫人的按钮 And I can't find the button to call someone.
为什么他们要把它放在那儿 Now, why would they put it there?
我根本看不到 You can't even see it.
那袜子呢 What about the socks?
我有轻微的心力衰竭 I have mild heart failure.
我当时在公园里 看樱花树 I was in the park, looking at the cherry trees...
樱花树这个时候不开花 Cherry trees aren't in bloom at this time of year.
不过我还是可以看它们 Well, I can still look at them, though.
花谢了树又没有消失 They don't disappear just because the blossoms fall.
我可以从术前供给区给你拿几双袜子 I can get you socks from the pre-op supplies area.
我对他们提供的奇怪袜子记忆犹新 Ah, yes. I remember those crappy socks they give you.
就穿它吧 I'll take 'em.
你们这怎么这么冷 Why do you guys keep it so cold in here?
我的脚冰凉 My feet are freezing.
从里面看它很美 It's beautiful to look at if you're inside
而且哪里都不用去 and don't have to go anywhere.
而且你也不会想要去任何地方 如果你不... And you might not want to go anywhere if you don't...
照顾好亚瑟 Take care of Arthur.
但是他失去了理智 然后开枪... But he lost his silly head and shot Br...
最有趣的是... And what is so funny about it is that...
妈妈
我们将用一根猪尾导管放置导丝 We'll use a pigtail catheter to place the guide wire,
然后用一根6毫米护套递送导管 then run a delivery catheter through an 18 French sheath
将新瓣膜从股动脉送到心脏 to ferry the new valve through the femoral artery to the heart.
然后我们给气球充气 使新瓣膜膨胀 Then we inflate a balloon that expands the new valve
就可以把新瓣膜安装在现在的瓣膜里了 and installs it right inside his current one.
那会杀了他的 That would kill him.
他足部低温 He has cold feet.
你是谁 Who are you?
我是肖恩·莫菲医生 I'm Dr. Shaun Murphy.
他是我的住院医生 He's one of my residents.
阿蒂胆子小[脚部冰冷]吗 Artie has cold feet?
他害怕手术吗 He's afraid of the procedure?
不 我想莫菲医生是字面意思 No, I think Dr. Murphy means it literally.
患者足部低温 The patient has cold feet.
他的体温降低了吗 Is his body temperature dropping?
不 他的核心体温稳定在36.9度 No, his core body temperature is stable at 98.5.
他很少发生足部低温 我给他拿了袜子 He rarely has cold feet. I got him socks.
你得跟我说得明白一点 You're gonna need to draw some dotted lines here for me.
足部低温意味着循环受阻 Okay. Cold feet means impaired circulation,
也就是心脏血流不足 which means constricted blood flow from the heart,
也就是血管受损 which means a damaged vessel.
如果我们试图把新瓣膜推进受损部位 If we try to push the new valve through the damaged area,
它会撕裂 导致他死亡 it will rip open, killing him.
「血管受损」 "Damaged vessel"?
是的 你在搭桥手术中失误 Yes. You make a mistake during the bypass,
可能造成了主动脉撕裂 most likely a tear in the aorta.
我没有失误 I didn't make a mistake.
你造成了主动脉剥离 Mm, you caused an aortic dissection.
肖恩 这个人在心脏手术方面的经验 Shaun, this man has more cardiac experience
比这个房间里所有人总和的十倍还多 than everyone in this room times ten.
很多人都会脚部冰冷 我妻子就脚部冰冷 A lot of people have cold feet. My wife has cold feet.
每个人在医院都会脚部冰冷 Everyone has cold feet in a hospital.
是的 那我们应该给希尔先生做一次血管造影 Yes. We should perform an angio on Mr. Hill.
就能查出是否有主动脉剥离 That will show the aortic dissection.
这个人最近刚经历了开胸手术 This man recently underwent an open heart surgery.
他还要做瓣膜置换手术 He's gonna have valve replacement.
我们没有必要再增加一个程序 We don't need to load him up with yet another procedure
又没有任何失误 when there was no mistake.
有研究表明年长的人更不愿意承认错误 Studies show that old people are less likely to admit mistakes
因为他们很少意识到自己的错误 because they are less aware when they've made one.
好了 莫菲医生 你已经说明了你的想法 Okay, Dr. Murphy, you've told us your thoughts on this case.
据我所知你有几天的假期 It's my understanding that you have a few days of leave.
我建议你休息 I suggest you take them.
我更愿意继续工作 I prefer to continue working.
那就去别处工作 Then do it somewhere else.
你... You...
会杀死他的 Will kill him.
你觉得我的主刀医生错了 You think my surgeon is wrong?
是的 Yes.
而你是真正的医生 是吗 And you're, like, a-a real doctor, right?
我是真正的医生 I am a real doctor.
无意冒犯 但是最好的心脏医生 No offense, but best heart guy around
和当我需要袜子的时候路过我房间的人 versus the guy who happened to be passing my room
比起来 when I needed socks.
我为什么不让中野医生做他觉得我需要的事呢 Why shouldn't I let Dr. Nakano do what he thinks I need?
如果发生了什么问题 他可以补救的 If anything goes wrong, he can fix it.
可能会很难 It could be difficult.
导管的尖端很有可能 The tip of the catheter would be likely
弄破你脆弱的大动脉 to rupture your weakened aorta,
撕开动脉并且导致胸腔内出血 ripping it open and causing you to hemorrhage into your chest
然后在几分钟内失血过多 and bleed out in a matter of minutes.
即便你幸存 If you survived,
你也会有严重的缺血性脑损伤 you'd have severe anoxic brain damage.
不过你幸存的可能性不大 But it's unlikely you'd survive.
回家去 Go home.
希尔先生要求血管造影了吗 Is Mr. Hill requesting the angio?
他不仅仅是要求 他是强烈要求 He's not just requesting. He's demanding.
为什么说该休息的时候就休息 This is why you take a leave of absence when you need one.
你无法清醒思考 You're not thinking clearly
不然你就不会像这样耍手腕了 or you never would have pulled a stunt like this.
我更想继续工作 I prefer to stay at work.
我可以协助急诊科会诊 I could assist with E.R. consults.
莫菲医生 因为我的专业性 Dr. Murphy, because I'm being professional,
你也许不能明白我现在有多生气 you may not understand how angry I am right now.
你会同意希尔先生的要求吗 Will you do what Mr. Hill wants?
你是指你的要求吗 What you want, you mean?
我们会做的 是你逼我们的 Yes, we'll do it. You've forced our hand.
很好 Good.
要是我 早就开除他了 I would have fired him.
亲爱的 如果芙蕾雅给你一个死老鼠 Honey, when Freya brings you a dead rat,
她是在送你礼物 she's offering you a gift.
我知道 我一直等着她走开 I know. I waited until she was gone
这样她就看不到我把它扔掉了 so she wouldn't see me toss it away.
真希望有你在 Wish you were here.
你可以在激情和沮丧之间 You could strike the right balance
找到恰当的平衡 between enthusiasm and discouragement.
亲爱的我得挂了 我的医生来了 Oh. Honey, I gotta go. My doctors are here.
你确定你那边一切都好 You sure everything is okay there?
当然 这些针剂很有效果 Absolutely. These shots are working like a charm.
-爱你 -爱你 - Love you! - Love you.
这些针剂没有效果 The shots are not doing the job.
你们还有什么办法 What else do you have for me?
我又抽搐了 短一些 但是仍然有 I had another episode. It was shorter, but still there.
核磁共振显示基底动脉的一个分支 The MRI shows a branch off the basilar artery
压迫了面神经 that's compressing the facial nerve.
可惜你有一个「曲折的」动脉 Unfortunately, you have a "tortuous" artery.
它本应是直的 但是它弯曲且扭曲 Where it should be straight, it bends and twists.
坏消息是 想用手术解决这个问题 Bad news is, it'd be a nightmare
将会非常困难 to try and address this surgically.
好消息... Good news...
是 使用肉毒菌素后 Is, other than some twitching,
可以减少扭曲 which is minimized by the Botox,
而不会导致其他问题 it's not causing any other problems.
正是 Exactly.
除了彻底摧毁 Aside from the complete destruction
一切我想要的生活 of all I want to achieve in life.
夸张 但真实 Melodramatic, yet true.
这些抽搐继续发生 These episodes keep happening,
早晚会被摄像机捕捉到 eventually one of them will get caught on video.
只需要十分钟 就会遍布社交媒体 Ten minutes later, it'll be all over social media.
我会被竞争对手们无情地嘲笑 My opponents will mock me relentlessly.
我觉得很多人会同情你的 I think a lot of people would have sympathy for you.
没有人会给自己同情的人投票 We don't vote for people we feel sympathy for.
大家都想要强大的领导人 We want strong leaders.
比起实际能力 人们更在乎表面形象 We want the symbol more than the reality.
请帮帮我 Please help me.
很不幸 我们什么都做不了 Unfortunately, there's nothing we can do.
我们会想想办法 We'll see what we can come up with.
BGM: The Rush by JJ Wilde
♪ Last night I came out I was so damn manic ♪
♪ I don't even know where I went wrong ♪
♪ But I went wrong ♪
♪ And it's times like these that I swear to God ♪
♪ Oh, that my mother can't see me and if she did ♪
♪ I don't know how I would keep it together ♪
♪ I don't know how I would keep it ♪
肖恩 Shaun?
你不该在这里 You shouldn't be here.
安德鲁斯对你非常生气 他有充分理由 Andrews is pissed at you, with good reason.
没必要让他更生气了 There's no need to make him any more angry.
所以我才躲起来 That's why I'm hiding.
我不能在休息室等着 I couldn't wait in the lounge
那里都是玻璃墙 大家都看得见 because the walls are glass and people could see me.
「等着」 你在等什么 "Wait"? What are you waiting for?
等他们意识到我是对的 就会让我回去 When they see that I was right, they'll let me come back.
我想做好准备 I want to be prepared.
我在看主动脉夹层的手术方案 I'm reading about options in aortic dissection.
-肖恩 不 -他们会的 - Shaun, no. - Yes.
他们一做血管造影就会发现证据 Once they do the angio, they'll see the evidence.
安德鲁斯医生就不会再生气了 Dr. Andrews won't be angry anymore.
他们已经做了血管造影 They did the angio.
不可能 不可能 他们 他们不能 No. No, they... They couldn't.
他们做了 They did it.
我在那儿 是你错了 I was there. You were wrong.
但是 But...
-足部低温 -做的是选择性造影 - Cold feet... - It was a focused angio.
我看了升主动脉和主动脉根 I saw the ascending aorta and the aortic root.
不存在主动脉夹层 There was no sign of dissection.
现在病人在稍作休息 They're giving the patient a chance to rest
准备实施经导管主动脉瓣置换术 before scheduling the TAVR.
我们都会犯错 We all make mistakes.
但我觉得你应该及时离开这里 But I think you should leave the building
而不是坚持一错再错 while you're still forgivable.
BGM: Turn Out the Lights by Julien Baker
♪ There's a hole in the drywall still not fixed ♪
♪ I just haven't gotten around to it ♪
♪ And besides ♪
♪ I'm starting to get used to the gaps ♪
♪ Say you wish you could find some way to help ♪
♪ Not to be so hard on myself ♪
♪ So why is it easy for everyone else ♪
♪ I'm not always like this ♪
♪ There's always tomorrow I guess ♪
-莉亚 -嗯 - Lea. - Yeah.
你还好吗 How are you?
挺好的 I'm good.
我也经历过 It happened to me, too.
两次 Twice.
我们可以做一个基底动脉旁路手术 We could bypass the basilar artery.
25%死亡率 当然好 A 25% mortality rate, sure.
立体定向放射治疗怎么样 How about stereotactic radiosurgery?
不行 她不会喜欢的 No, she wouldn't like it.
那得几个月后才能看到一点效果 It takes months to see any kind of improvement.
真有趣 It's interesting.
你出于对这个患者的喜欢 The fact that you like this person makes you willing
而愿意做出那些愚蠢得可能会害死她的决定 to make really stupid decisions that could kill her.
我们可以各退一步 We could meet in the middle.
不管扭不扭曲 引起痉挛的不是主基底动脉 Tortuous or not, the main basilar isn't causing the spasms.
所以我们就不管它 So we leave it alone and just sling up
只把造成压力的那根动脉吊起来 the branch of the artery that's applying the pressure.
漂亮 Nice.
我预测两件事 I have two predictions to make.
第一 她会编出一个合理的理由 One, she'll come up with a rationalization
不让我们把手术的事告诉她丈夫 to justify not telling her husband about this surgery,
第二 你会想出一个合理的理由 and two, you'll come up with a rationalization
来原谅她这么做 to justify forgiving her for that.
你不会开除他的 You wouldn't have fired him.
他在处理一些个人私事 He's dealing with some personal issues,
我记得有一次我搞砸了的时候 and I remember you giving me some slack once
你放了我一马 when I screwed up.
你那时正面对一个很有挑战性的手术 Well, you were facing a challenging surgery,
而你女朋友又甩了你 顺带一提 and your girlfriend, who I never liked, by the way,
我向来不喜欢她 所以 dumped you, so...
你知道她甩了我 You knew about the dumping?
知道啊 只是不知道为什么 Oh, yeah. I just didn't know why.
她想要我一个承诺 觉得我不够爱她 She wanted a commitment. Said I didn't love her enough.
我说我很爱她 And I told her I loved her,
但是我没有时间去履行这个承诺 but I didn't have time to get into it
因为病人的食道还等着我重建呢 because I had an esophagus to reconstruct.
你那时为什么帮了我 Why did you help me?
我是说 为什么帮我而不是帮彭泽 I mean, why me and not Penzer?
他一直是班里第一名 He was always number one in our class.
我一直是第二 I was always second.
彭泽现在在哪里 Where's Penzer now?
怎么 你觉得我过去二十年以来都在追踪 What, you think I've been following the guy's career
那哥们的职业轨迹吗 for the past 20 years?
他在国家卫生研究所 制定规章制度 He's at the NIH, making policy.
彭泽就是那种人 That's Penzer.
脑子聪明 双手灵活 Great mind, great hands,
但我知道他成不了外科医生 but I knew he'd never be a surgeon.
他不够热爱 He didn't love it enough.
妈妈
-我可以等 -这个电话也可以等一下 - I can wait. - Oh, this can, too.
等手机电量充到10% Just letting the phone get to 10%,
我就顶着大家的关心祝愿出去 then I'll run the gauntlet of well-wishers and head out.
我也是来关心你的 Yeah. I'm one of them.
我奶奶去世的时候 When my grandma died,
我记得一整班 I remember a whole relay
教堂里的母亲们都带食物来我们家 of the mothers of the church bringing food to the house.
她们都很爱我奶奶 They all loved my grandma.
老太太们都戴上她们最好的帽子和手套 The older ladies got their best hats and gloves out
来参加葬礼 for the service.
牧师在墓地里作了一段特别的祷告 Pastor made a special prayer at the gravesite.
我们讲了很多关于她的事 We all told stories about her.
做了很多仪式 There were rituals.
我们和过去告别 We said goodbye to the past.
而你在和未来告别 You're saying goodbye to the future.
节哀顺变 I'm sorry for your loss.
那我多久能出院呢 And how soon could I get out of here?
如果一切顺利 一天 最多两天 If all goes well, a day, maybe two at most.
听见了吗 卡尔 You hear that, Cal?
我把周四的日程重新排上 Rebooking for Thursday.
我们是说「如果」一切顺利 There was an "if" there.
奇怪了 我只听到「一切顺利」 That's strange. I heard a "when."
我要指定卡尔在我麻醉时 Now, I will be appointing Cal
做我的医疗代理人 as my healthcare surrogate while I'm under.
大部分人会指定自己的伴侣 Mm, uh, most people appoint their spouse.
或至少让他们知情 Or at least notify them.
他只会让我别做这个手术 He'll just try to talk me out of this.
因为他爱我 Because he loves me.
而卡尔只想利用我往上爬 Whereas Cal is using me to find a better position,
但却对我的喜好了如指掌 but knows exactly what I want.
那么就来治好我的脑子吧 So... let's fix my broken brain.
我收到你的短信了 I got your text.
我是一个很好的诊断医生 I'm a good diagnostician.
那是当然 Of course you are.
坐吧 你要坐吗 Sit down. You...you want to sit?
不 No.
我考虑到所有症状 I accounted for every symptom.
我听取病人的病史 I listened to the patient's history.
只是脚有点凉 Someone's feet were cold.
好吗 不用 Okay? Uh, just...
有时候确实意味着什么 Sometimes that means something.
有时候却并非如此 但这次没有 Sometimes it doesn't. This time, it didn't.
那又怎样 S-so what?
你为什么还在这里 肖恩 What are you still doing here, Shaun?
你不想回家吗 Wh... Do you not want to go home?
你得回家去 你失去了亲人 You gotta go home. You suffered a loss.
你必须 You gotta...
你必须认真对待 直面后果 You gotta deal with it. You gotta face it.
为什么必须面对 Why do I have to "Face it"?
这到底是什么意思 事情已经发生了 What does that mean? It happened.
是啊 Yeah.
事情确实发生了 It did happen.
已经发生了 好吗 It happened, okay?
回家吧 Go home
去陪陪莉亚 and be with Lea.
克莱尔 Oh, Claire.
还好你在 I'm happy to see you.
记者已经发现我住院了 Uh, it seems the reporters have discovered I'm here,
可怜的卡尔要去编造一个可信的理由 so poor Cal has gone off to craft a believable explanation.
有哪些病是需要住院 So, what's something a person might be hospitalized for
同时又表明这个人「势不可挡」的 that says "I'm an unstoppable force"?
你想让我帮你找个好借口 You want me to provide you with a good lie?
没错 Yeah.
但你一定很害怕吧 But you must be scared.
害怕极了 I'm terrified.
我害怕的时候 You know, when I'm scared,
就会想起伊薇·辛克莱 I think about Evvie Sinclair.
我的高中毕业典礼上 You were the commencement speaker
是您做的开幕演讲 at my high school graduation.
我那时候人生一团糟 I was a bit of a mess back then.
对自己将来要做什么 I had no idea what I was gonna do with my life
能做成什么一无所知 or what I could do with my life.
那时你给我们讲了伊薇·辛克莱 And you told us about Evvie Sinclair,
先天患有特纳综合征 身材矮小 born with Turner Syndrome, small in stature,
面部畸形 口齿不清 facial abnormalities, speech impairment.
但她有着 But she just had
强烈的求知欲 a desperate need to learn.
在父母的反对下 And against her parents' wishes,
依然读了高中 she started high school.
后来 And...
后来我就在想 And I just remember thinking...
连伊薇能克服这么多困难 If Evvie can go through those doors
踏上坦途 and walk down those halls...
那天回家之后 我申请了十一所大学 I went home that day, and I applied to 11 colleges.
所以我成为医生 So, I am a doctor...
都是因为你 Because of you.
还有伊薇 And Evvie.
真是个好故事 That was a great story.
里奇·德马雷 Rickie Demarest.
卡尔的前辈 我的上一任竞选经理 He was my campaign manager before Cal.
总会编一些迷人的故事 He made up some lovely stuff.
你回来得很早 You're back early.
安德鲁斯医生让我回家 Dr. Andrews sent me home,
格拉斯曼医生说我们应该谈谈 and Dr. Glassman thinks we should talk.
格拉斯曼医生又不是咨询师 Dr. Glassman is not a counselor.
他只是个神经外科医生 He's a neurosurgeon.
有的时候还讨人嫌 And a sometimes annoying person.
我要泡点茶喝 I'm gonna make some tea.
你妈妈打来的 Oh. It's your mother.
-别接 别接 -你好 - No, no, no, no, no. - Hello.
你好 肖恩 还好吗 Hi, Shaun. How are you?
我 很好 I'm... well.
莉亚 Lea...
现在不方便接电话 can't talk to you now.
你们两个都在家 我想问问学步车 Oh, you're both home. I wanted to ask about strollers.
莉亚看中的那一款 有评价说 The one Lea likes, I read a review
前轮常常掉下来 that said the front wheel keeps coming off.
她肯定不会听 所以我发个链接过来 I'm sure she won't listen, so I'm gonna send a link.
你也应该看看 You should read it, too.
好的 谢谢 Yes. Thank you.
你肯定不愿意小女儿 You don't want your little girl
一头扎进人行道吧 pitching headfirst onto the sidewalk.
不 Oh, no.
那可不行 No. We wouldn't.
挂掉就好了 Just hang up. Just...
好的 我要挂了 Okay. I should go.
已经知道是个女孩了 我在想 And now that we know it's a girl, I was wondering...
我已经买了小恐龙图案的连体衣 I already bought a onesie with little dinosaurs on it.
可爱极了 Unbelievably cute.
可爱 没错 Mm. Cute. Yes.
看来不错 Okay, that sounds good.
我该去医院了 I am due at the hospital.
还有一句 Just a quick question.
既然不是男孩 恐龙就不能要了 Since it's not a boy, the dinosaurs will have to go.
-我 -小女孩穿什么好看呢 - I'm... - What would be nice for a girl?
我 我不知道 I don't... I don't know.
有一件芭蕾舞鞋图案的 There's one with ballet shoes.
太愚蠢了 That's stupid.
为什么要换呢 Why would you have to change it?
女孩和男孩一样可以喜欢恐龙 A girl would like dinosaurs just as much as a boy.
恐龙很好 你可以闭嘴了 Dinosaurs are fascinating. You need to shut up.
肖恩 Shaun?
我们都知道 克拉克参议员很有冲劲 As you all know, Senator Clark is a very competitive person.
她在比赛中 She tore her meniscus while
扣球时撕裂了半月板 charging the net to return a drop shot.
那时正好遇上赛点 而她获胜了 她经历了 For the record, it was match point, which she won. She underwent...
我在想他签合同的时候会不会据理力争 I wonder if he negotiates employment contracts.
多亏有圣何塞圣文德医院了不起的医生们 And thanks to the terrific doctors here at St. Bonaventure,
不久她就能回归为各位而战 she will be back fighting for you before you know it.
克拉克参议员要感谢所有 Senator Clark wanted to thank all...
听到了吗 我们很了不起呢 Oh, did you hear that? We're terrific.
你肯定是 你从大脑里修复了她的半月板 You must be. You repaired her meniscus through her head.
她住院的原因不需要向别人解释 It's no one's business why she's here.
这就是我一直在等的理由 And there's the rationalization I've been waiting for.
如果你不喜欢她 If this was someone you didn't like,
这些性格缺陷会暴露一些深层问题 these character flaws would reveal some deep problem
有助于最终决策 但是 worthy of your eternal judgment, but since...
你是主任 You're head of department.
有时候说话肯定得委婉一些 I'm sure you've had to spin things sometimes.
委婉 当然 "Spin things"? Sure.
撒谎 没有 Lie? No.
最后举一个例子说明参议员克拉克怎么能够 Just one more example of how Senator Clark has been able...
刚才那是个很好的例子 And that was an example of both.
玛丽安没有醒 Marian isn't waking up.
为此 And to that end,
她已经在打电话发邮件了 she's already making calls and sending e-mails.
还有短信 Oh. And texts.
玛丽安·克拉克参议院正入院做手术
她叫我赶紧结束 She just told me to wrap it up.
我冲你妈妈大喊大叫 I yelled at your mother.
是 Yeah.
我误诊了一个病人 I misdiagnosed a patient.
所以他们让我待在家里 That's why they sent me home.
我的行为不正常 I'm not behaving normally.
我也是 Neither am I.
但对于我们的处境来说这也许是正常的 But maybe this is normal for where we're at.
格拉斯曼医生让我直面自己的损失 Dr. Glassman talked about "Facing my loss,"
但我不懂这是什么意思 but I don't know what that means,
即使我们能够面对 and even if we could face it,
难道我们不会无故受伤吗 won't we just hurt ourselves for no reason?
我不知道 I don't know.
我觉得悲伤是没有解药的 I don't think grief has an actual solution.
必须有 我不能一直这样 It has to. I can't stay this way.
克莱尔跟我聊过这个互助小组 Claire told me about this support group.
不知道我们是否能逼自己挺过去 I'm not sure we can just force ourselves past this.
脚冷是有原因的 The cold feet are not a coincidence.
如果做了经导管主动脉瓣置换术 If they do the TAVR procedure,
他们会杀了病人 they'll kill the patient.
因为另一个原因 For a different reason.
导丝就位 The guide wire's in place.
我准备放入心瓣了 I'm preparing to deliver the valve.
你们必须停下 Okay, you... you have to stop.
如果放入心瓣 If that valve goes through...
-出去 莫菲 -不要 - Get out of here, Murphy. - No.
如果放入心瓣 他会死的 If that valve goes through, he'll die.
-叫安保部门 -我开始以为是 - Call Security. - I thought it was
主动脉夹层血肿 但我错了 an aortic dissection, but I was wrong.
脚冷是因为主动脉狭窄 不要 The cold feet are from a coarctation... No.
不 不 不 太靠近了 No. No, no. It's too close.
太靠近了 停下 You're too close. Stop!
停下 停下 求你了 停下 Stop! Stop, please! Stop!
血压骤升 高压200低压100 B.P.'s spiking. 200 over 100.
心率上升 他要中风了 Heart rate's up. He's gonna stroke.
给他注射硝酸甘油和尼卡地平 Give him nitro and cardene!
我正在拿出来 I'm pulling out.
血压在下降 B.P.'s dropping.
他情况逐渐稳定了 He's starting to stabilize.
好了 Okay.
莫菲医生吗 Dr. Murphy?
继续说 Go on.
中野医生在搭桥手术里并没有出错 Dr. Nakano did not make a mistake in the bypass.
程序都对 He did everything right.
但是希尔先生有先天性的 But Mr. Hill has a congenital narrowing
腹主动脉狭窄 of the abdominal aorta.
他患动脉狭窄已经很多年了 但从来不知道 He's had that coarctation for year, but never knew
因为身体为了补偿血液循环不良 because his body compensated for the poor circulation
升高了血压 by raising his blood pressure,
导致心脏受损 需要搭桥手术 which caused his heart to deteriorate, requiring a bypass.
修复后的强力心脏对心瓣施压 The stronger, repaired heart put pressure on the valve,
血压下降 and his blood pressure dropped.
没有了补偿 No more compensation.
因此他感到脚冷 His feet got cold.
意味着我可以把导丝放入 And I could get the guide wire up there,
但是心瓣传送系统太大了 but the valve delivery system would be too big
是没法通过狭窄的动脉的 to fit through the coarctation
一定会伤到血管 without damaging the vessel.
对 Yes.
我们得把动脉切开 We'll have to open him up.
通过手术 And the valve will have to be replaced directly...
直接置换心瓣 Through surgery.
我希望你能加入我们 I hope you'll join us for that.
卡尔怎么解释这个 How's Cal gonna spin this?
她最近的网球比赛进加时了 Her latest tennis match went into extra sets?
脑神经情况良好 Slinged branch looks good,
未压迫第七脑神经 no conflict with the seventh nerve,
没有出血 没有中风 no bleeds, no strokes.
脑基底扩张 The basilar is dilated.
压迫到了她的脑干 And compressing her brain stem.
她停止呼吸了 She's stopped breathing.
我们得给她插管 去拿气道急救车 We need to intubate. Get the airway cart.
告诉他们她会参加发布会 Tell them she's gonna be at the conference.
如果他们一直问 告诉他们参议员觉得 And if they keep asking, tell them the Senator believes
任何不准备为气候变化采取行动的人 anyone not ready to commit on climate change action
都站在历史的错误面 is on the wrong side of history.
不过这话一个月只能说一次 Just never use that phrase more than once a month.
他得挂了 He has to run.
悬吊术很成功 The sling procedure went fine,
但脑底动脉没有我们想的那么稳定 but the basilar artery was less stable than we hoped.
扩张更严重了 It's gotten even more dilated
正不断造成神经的缺损 and is causing progressive neurological deficits.
我们只能进行动脉搭桥 We have no choice but to bypass the artery.
上一个手术很危险 The last surgery was dangerous.
这个更是 This one way more so.
你们需要我签什么 What do you need me to sign?
我们应该通知她的丈夫 We should inform her husband.
她有四分之一的概率会死 There is a one in four chance that she could die.
如果我跟皮特说了 If I told Pete that,
他半个小时就会到机场 he'd be at the airport in half an hour,
所有人都会知道玛丽安在医院 and everyone would know that Marian is in this hospital
病情很严重 for something this serious.
她有脑动脉瘤 这不会让她的形象变弱 She has a brain aneurysm. That doesn't make her weak.
更差 这会让她丧命 Even worse. It makes her mortal.
她丈夫有权在这里 Her husband has a right to be here.
道德上是 但会毁了她的事业 A moral right. To destroy her career.
这正是我要阻止的 Which is what I'm protecting her from.
这对你来说只是个游戏 是吗 This is just a game to you, isn't it?
对 那种让你 Yeah. The game they make you play
虚度光阴的游戏 before you can do anything real.
心瓣已放入 小叶活动正常 Valve placed. Leaflets mobile.
新心瓣完美放在了环状缺损上 New valve is perfectly seated in the annulus.
没有反流 血液在冠状动脉里流动 No regurgitation, flow in both coronary arteries.
我要收尾了 I'm about to close up.
好像有瓣膜泄露 Looks like we've got a paravalvular leak.
得返回修复好 We need to go back and fix this.
冲洗之后检查图像 Irrigate and check the image.
没有泄露 No leak.
是机械心瓣冲刷血流装置造成的少量反流 Slight excess from the washing jets in the mechanical valve.
正常现象 Normal finding.
你做得太好了 Wow. You're very good.
他自己也知道 I think he knows that.
好话不嫌多 Still nice to hear.
现在缝合 Closing up now.
2-0薇乔缝合 2-0 vicryl suture.
拉开颞叶和小脑 Retracting temporal lobe and cerebellum...
千万小心 Very carefully.
血管结构完全露出 Vascular anatomy is fully exposed,
避开弯曲部位 avoiding the tortuous area.
桡动脉移植长度 Radial artery graft length
看起来正好合适 looks to be a perfect fit.
用9-0普理灵线缝合血管 Anastomosing with 9-0 Prolene.
颞叶肿起 Temporal lobe's swelling.
血压和心率急剧下降 B.P. and heart rate are plummeting.
降低二氧化碳浓度 异丙酚充分爆发抑制 Drop her CO2, full propofol burst suppression.
扩大开颅程度 Widen the craniotomy.
让小脑外突吗 With the cerebellum herniating outward?
这样的话 她也许再也不能正常行走了 We do that, she may never walk normally again.
如果她连面部抽搐都不愿意 If she didn't want a twitch...
钻颅 Drill.
打开蛛网膜表面 Open the arachnoid plane
释放出脑脊液 and release CSF collections.
从内部减缓压力 Reduce the pressure from the inside.
对她来说 值得冒险 For her, it's worth the risk.
好 蛛网膜解剖器 All right. Arachnoid dissector.
今天上午来了个病人 There was a patient admitted this morning
我觉得你应该看看 I think you should see.
你是指卡瓦诺太太吗 You thinking of Mrs. Cavanaugh?
想法不错 朴医生 That's a good idea, Dr. Park.
关于她是否适合植入除颤器 We'd welcome another take
我们希望听听您的建议 as to whether she's a good candidate for inserting an ICD.
如果你想听 我可以当一次顾问 I'll consult just on that question, if you'd like me to.
但是我不参与手术 But I won't join in the O.R.
我不再做手术了 I'm quitting surgery.
我不明白 你什么时候决定的 I don't understand. When did you decide...
十五分钟前 Fifteen minutes ago.
我差点没做最后的抗生素清洗就缝合了 I nearly closed up without doing a final antibiotic lavage.
但是你没有 But you didn't.
巴克护士拿注射器提醒你了 Nurse Barker prompted you with the syringe.
只是个小错误 It was a tiny error.
手术室没有污染 There was no contamination of the field.
很多外科医生甚至不做最后的清洗 Many surgeons don't even do a final lavage.
我总是告诉自己 一旦开始犯小错误 I always told myself once I started making tiny errors,
就要停下 以免犯大错 I'd stop before I made a big one.
保罗 Paul,
今天那个病人差点死掉 we almost lost a patient today.
你当时还心有余悸 You were still rattled.
谢谢你 马库斯 Thank you, Marcus.
但是我多年前就已经决定了 But I made this plan years ago,
因为我知道真到了这个时候 because I knew that when the time came,
我会给自己找理由 I'd look for reasons why
什么我犯的错误微不足道 不算 whatever I did wrong was tiny, minor, didn't count.
当时我就定下了这条规定 That's when I made the rule.
再小的错误也算 Everything counts.
莫菲医生 很高兴与你合作 Dr. Murphy, it was nice sewing with you.
你吓了我们一跳 You gave us a scare.
但现在没事了 But all good now.
你在生我的气 You're mad at me.
因为小伊薇 About little Evvie.
伊薇激励过我 Well, Evvie inspired me.
很多年里我都是从她身上汲取力量 I took strength from her for years.
现在发现都是虚构的 Now it's all fiction.
虚构的人生可以拯救真实的人生 Fictional lives can save real lives.
四年前 我在参议院讲了那个故事 Four years ago, I used that story on the Senate floor.
以一票之差通过了议案 I got my bill passed by one vote.
那个谎言帮助了数百万残疾人 That lie helped millions of people with disabilities.
我以它为傲 I'm really proud of that lie.
我准备出去和中野医生喝一杯 I'm heading out to have a drink with Dr. Nakano.
你要劝他继续做手术吗 Are you going to try to talk him out of leaving surgery?
不是 No.
我去是因为没有人应该独自承受失败 I'm going because no one's meant to shoulder loss alone.
今天晚上应该由我陪着他 And I'm the one who should be with him tonight.
为什么 Why?
因为我们热爱同一件事 Because we love the same thing.
而且他知道 And he knows
我比任何人都能理解他失去了什么 no one would understand what he's lost more than I would.
我在想 I have been thinking...
所有你帮助到的人 包括我 about all the people you've helped, including me.
也在想 And about not...
你不让丈夫分担你面临的危险 sharing the danger you were in with your husband.
大概还有很多事没有让他知道 Probably not sharing a lot of other things.
我突然想到 And it struck me that...
这样的婚姻一定很孤独 being in a marriage like that must be lonely.
你不放心对他撒谎 You can't trust him to lie.
所以最后只能把秘密说给卡尔这种人 So you end up sharing more of yourself with a guy like Cal,
这种拿钱办事 who is a hired gun and who's gonna end up
两年后又去替别人办事的人 working for somebody else two years from now.
皮特和我不谈工作 The fact that Pete and I don't talk shop
并不妨碍我们的婚姻美满 doesn't make our marriage less than wonderful.
又是谎言 Another lie?
魔鬼队表现怎么样 How about those Devils, huh?
我先不作为粉丝谈论昨天的比赛 Alright, before I go all fan girl about last night's game,
先说说即将到来的气候变化大会 let's talk about the upcoming climate change conference.
我要给大家讲个故事 I have to tell you guys a story
一个住在北卡罗莱纳州 about a little boy who lives on
外滩群岛的小男孩 the Outer Banks of South Carolina,
BGM: Appointments by Julien Baker
他的家即将被大海吞噬 whose home is about to be washed away...
♪ I think if I fail again ♪
♪ That I know you're still listening ♪
♪ Maybe it's all gonna turn out alright ♪
我可以再拿一个杯子 也可以把这些洗了 I could get another mug, or I could wash these.
♪ And I know that it's not ♪
很难决定 It's a tough decision.
♪ But I have to believe that it is ♪
我可能应该告诉你 I should probably tell you,
我没有给房东打电话 I didn't get to calling the landlord.
♪ I have to believe that it is ♪
可能十分钟前 And maybe ten minutes ago,
我在水槽附近看见几只苍蝇 所以 I saw a couple fruit flies near the drain, so...
♪ I have to believe that it is ♪
♪ Have to believe that ♪
♪ I have to believe that it is ♪
所以 对 So... Yeah.
♪ Probably not but I have to believe that it is ♪
如果家里有虫 Now it's my fault if we...
就是我的错 If we get bugs.
♪ When I tell you that it is ♪
♪ Oh, it's not for my benefit ♪
♪ Maybe it's all gonna turn out alright ♪
♪ Oh, I know that it's not ♪
♪ But I have to believe that it is ♪