秘鲁国航 国际出发 非旅客及员工禁止入内
后备箱打开一下吧 Can you pop the trunk?
我们到得很及时 We made good time.
感谢上天 晚了可就 Thank goodness, or else we wouldn't have
没办法在机场里干等三小时了 the full three hours to wait before our flight.
好的 Great.
好了 多谢 Alright. Thanks.
好 Alright.
请你喝星巴克 Starbucks is on me.
不是吧 那我要点个棒棒糖蛋糕 No kidding. And I'm getting a cake pop.
雷兹尼克医生 Hey, Dr. Reznick.
我以为这次只有外科医生呢 I thought this was a surgical mission.
我们也需要一些支持 Uh, we're bring‐‐ we're bringing some support.
摩根会帮忙选择病人 进行术后护理 Morgan's gonna help with patient selection and aftercare.
真不错 Oh. That's great.
十天呢 10 days, huh?
不能叫你忘了我 Can't have you forgetting me.
我很快就回来了 I'll be back before you know it.
机票 护照 Tickets, passports,
旅行钱包里有格查尔和美元 travel wallet containing quetzales and American currency.
万事俱备了 You've got 'em.
我知道 因为我检查过 I know, because I checked.
能行吗 You alright?
没事 不重 我能提 Oh, it's not that heavy. I got it.
我不是那个意思 That's not what I meant.
我没事 I'm okay.
出去玩玩有好处 I think this trip will be good.
换换地方 Change things up.
一心治病救人 Focus on helping other people.
我还是想说 如果你需要倾诉 For whatever it's worth, if you ever need to talk,
什么时候都可以找我 you can always call me.
我不会找你的 I'm not gonna do that.
我知道 I know.
我们没有购物的时间 We will not have any time to shop,
不过 你和黛比需要从免税店带什么吗 but would you or Debbie like anything from duty‐free?
危地马拉的朗姆酒很有名 Guatemala is known for its rum.
不必了 多谢 We're okay. Thanks.
那好吧 Okay.
你也要去 You're on this trip, too?
是啊 昨晚有了新想法 Yeah, got inspired last night,
决定放松一下 助人为乐 decided to take some personal days, go help out.
你连马桶垫也带了 And you're bringing a toilet seat?
说得好像你从来没参与过这种手术任务似的 Spoken like someone who's never been on one of these surgical missions.
危地马拉 十小时后
克萨尔特南戈 托托尼卡潘 帕齐特 奇尼克
航空公司会帮你找到行李的 The airline will find your bag.
安顿好了就帮你找几件衣服 We'll get you some clothes when we get situated.
要不要来点维生素B12缓解一下疲劳 Would you like some vitamin B12 to help with exhaustion,
晕车手环要吗 or a motion sickness wristband?
我多带了一条 I have an extra.
不用了 谢谢 No, thanks.
我们能到这里来真是太好了 I'm glad we're here.
是的 Yes.
这一年我们失去了太多 After all the loss this year.
这个办法再好不过 It's just... such an amazing way
能让人重新记起自己多么身在福中不知福 to be reminded what we have to be grateful for.
小心 Careful!
怎么回事 Let's see.
不好意思 先生 能把羊群赶开吗 Pardon me, sir, could you please move your flock of sheep?
我的羊不愿意被人催 等等吧 My sheep don't like to be rushed. Be patient.
车上是我们的客人 These people are our guests.
又不是我请来的 Well, I did not invite them.
我们是医生 We're doctors.
我们一路上舟车劳顿 想到酒店歇下 It's been a long trip and we need to get to our hotel.
医生 Doctor?
你是医生 You're a doctor?
当然 Of course I am.
真菌感染 It's a fungus.
真菌感染 It's... it's a fungus!
真菌感染 It's a fungus.
良 医
第四季 第十九集
多谢了 Thank you!
省际酒店
要我帮你吗 Need help with that?
不用 朋友才互相帮忙 No, that's a friend thing.
健康中心
各位好 我是马蒂奥·伦东医生 Hello, I'm Dr. Mateo Rendón.
萨拉维娅医生的团队花了几个月的时间 Dr. Saravia and her team have spent several months
收集病例 gathering cases.
当中我们选出了四十例 From those, we selected 40.
你们肯定希望全部救治 You're going to want to save them all.
但那是不可能的 You will not.
我们一共做十二台手术 We will perform 12 operations.
我是马库斯·安德鲁斯医生 临时加塞 I'm Dr. Marcus Andrews, last‐minute addition.
您看能不能增加几例 If we could add more cases, I ‐‐
知道您要来之前 Before I heard you joined the trip,
我们安排的是十台 we were doing 10 surgeries.
我们的组织花了许多年获取信任 My organization has spent years building trust.
救下这十二人 他们会更加信任我们 We save 12 people here, that trust grows,
病人越来越多 志愿医生也越来越多 more patients come to us, more doctors volunteer.
一旦失去一名病人 But if we lose a patient...
要选那种本地医生不能胜任的手术 We want surgeries we can do but the locals couldn't.
同时不需要太复杂的术后护理 Surgeries that don't need a lot of aftercare.
十二名病人 外加一个机动名额 12 patients, one alternate.
其他人都要拒绝 Everyone else gets sent home,
无论病情多严重 人生多悲惨 no matter how sick they are or how sad their story is.
分诊区
评估
第一天
请问这是什么意思 Uh, can you please tell me what this means?
亲属 Family...
你的家人 Your next of kin.
没有家人 Oh, well, nobody.
只有伊格纳西奥 Only Ignacio.
我只有小伊格一个亲人 Iggy is my only family.
他说他的狗小伊格就是他的家人 He says his dog, Iggy.
丑东西 Ugly dog.
罗伯托·坎敦·迪亚兹 Roberto Kantun Diaz?
到 Yes!
安德里亚·托雷斯·图兹 Andrea Torres Tzul?
艾米·纳瓦罗·戈麦斯 Aimé Navarro Gomez?
这里 这里 Here! Here!
我们准备做一个腹部检查和超声波 We need to do an abdominal exam and ultrasound
确定是否有栓塞和窒息的征兆 to see if there are any signs of obstruction or strangulation.
请解下绷带 躺到床上 Please remove your bandage and lie back.
躺下 解开绷带 Lie down and remove your bandages.
这样多久了 How long have you had that?
一年 还多 A year... maybe more.
症状持续一年多了 He's had it for a year, maybe longer.
克萨尔特南戈的简称
邻居叫我去谢拉的医院 My neighbor told me to go to the hospital in Xela...
可我连路费都凑不齐 but I didn't have enough for the trip...
也不能去太久不工作 and I can't go a long time without working.
两个妹妹只能靠我照料 I'm the only one who takes care of my sisters.
人家让他去医院 He was told to go to the hospital,
但他付不起路费 也不能误工 but he couldn't afford the trip or to miss work.
他的姐妹只能靠他养活 He's the sole provider for his siblings.
我们的父母两年前去世了 Our parents died two years ago.
他们的父母两年前去世 Their parents died two years ago.
她的动脉导管开口很大 She has a large patent ductus arteriosus.
这种症状我只在婴儿身上见到过 I've only seen this condition in infants.
血液循环倒流 The blood is reversed.
血液流动方向反了 It's flowing the wrong way.
我们可以尝试从股动脉进入 We could try going through the femoral vein,
做一个经皮血管闭合 do a percutaneous device closure.
她患有不可逆性肺动脉高压 She has irreversible pulmonary hypertension.
婴儿时期很容易治疗 It would have been simple to treat as an infant,
但如今闭合血管会 要了她的命 but now closing the hole will...kill her.
艾米的病情已经到了晚期 Aimé's condition is much too advanced.
我们无能为力 There's nothing we can do.
非常抱歉 I'm sorry.
不 No.
不 不 No, no.
要纸巾吗 Tissue?
美国人来之前我囤了好多 I stock up before the Americans come.
法国人来之前也一样 And the French.
想不到他们那么多愁善感 They are surprisingly sensitive people.
抱歉 我知道哭没有什么用 I'm sorry. I know this isn't helping anyone.
不要因为人之常情的事道歉 Never apologize for being human.
我坚决反对 I have a strict policy against it.
这一周你们不仅要做手术 This week, you are not just doing surgery.
还要创造奇迹 You are doing miracles.
你们要给绝望的人送去希望 You're giving people hope who had none.
但不包括那些只能回家等死的病人 Except for the ones that we send home to die.
你只能想着创造奇迹 Focus on the miracles,
不然谁也救不了 or else you won't be able to help any of them.
而我要再去拿点纸巾 And I will have to get more tissues.
多谢 Thank you.
巴斯蒂安·阿隆索·拉莫斯 Bastion Alonso Ramos.
十二岁 喜欢棒球 12‐year‐old baseball fan.
圣路易斯红衣主教队的球迷 Roots for the St. Louis Cardinals.
长了一个造釉细胞瘤 Also, he has an ameloblastoma.
危地马拉似乎棒球迷不多 Not a lot of baseball fans in Guatemala.
您是之前来过 还是从维基百科上看的 You've been here before, or do you enjoy reading Wikipedia?
我做住院医师的时候来过 I did a medical mission here during my residency.
我明白为什么叫你「马桶垫医生」了 Oh, that explains "Dr. Toilet Seat."
你已经有外号了 You already have a nickname.
下午好 巴斯蒂安 Good afternoon, Bastion.
我是安德鲁斯医生 I'm Dr. Andrews.
下午好 巴斯蒂安 这位是安德鲁斯医生 Good afternoon, Bastion. This is Dr. Andrews.
安德鲁斯医生 你好 Hello, Dr. Andrews.
你好 Hello!
画的什么 我看看 What is that? Let me see.
有点像亚迪·莫利纳 That looks like Yadi Molina.
没错 就是亚迪·莫利纳 Yes! It's Yadi Molina.
圣路易斯红衣主教队 St. Louis Cardinals.
你比较擅长击球还是接球 So, are you a better hitter or catcher?
否 待定 等候
否 巴斯蒂安
他的右肝叶上有腺瘤 He has a hepatic adenoma in the right lobe of his liver.
不像是恶性的 Does not appear cancerous.
只是暂时 No. For now.
病灶是局部的 外缘清晰 The lesion is localized, well‐circumscribed,
远离门静脉分支 and not close to portal vein branches.
阿德尔莫的肝脏上有肿瘤 There's a tumor in Adelmo's liver,
但并不是恶性的 but it's not cancer.
医生说能够切除 The doctor believes they can remove it.
他的条件不错 He's a good candidate.
谢谢 Thank you.
干杯 Cheers!
我可以一直说下去 I can continue like this for a long time.
但你的口音很奇怪 But you have a strange accent.
不是危地马拉口音 也不是墨西哥口音 It's not from Guatemala, or Mexican.
你在委内瑞拉待过吗 Did you spend some time in Venezuela?
小时候我家附近有个图书馆 In the library where I grew up,
馆里有「地道西班牙语」的录音带 they had some tapes named "Speak Spanish like a Spaniard."
我每晚都听 I listened to them every night
一直把磁带听坏 until they broke.
谢谢 我还以为你要拒绝这孩子 Oh, thank you. I thought you put this kid in the "No" pile.
我又仔细看了一下成像 I decided to take a closer look at the images.
肿块在眶底侧呈现萎缩 See where the mass is thinning the orbital floor
颅底侧又膨大 and extending up near the skull base?
但你恰恰不该这样 But that's exactly what you can't do.
不该再三考虑 权衡利弊 Reconsider? Weigh issues?
不该让私人感情 Let emotional and personal attachment
干扰专业决策 influence treatment decisions.
炸猪皮 Chicharrones?
没有斜面 没有糜烂 There's no beveling or erosions.
可以不必开颅 I can stay extracranial
建一个骨平面 切除上方的肿瘤 and create a bony plane to resect the superior tumor.
这也是感情用事吗 Did that sound too emotional?
即便不用开颅 Even if you stay out of the brain,
也要绕过两条大动脉 他有可能失血而死 two major arteries are involved. He could bleed out.
我能来一块吗 谢谢 Can I get one of those, please?
评估 第二天
两天涂一次 一共涂十天 Apply it twice a day, for 10 days.
谢谢你 肖恩·墨菲医生 Thank you, Dr. Shaun Murphy.
谢谢 Thank you.
不用客气 You're welcome.
我胸口很疼 胳膊也疼 My chest hurts, and so does my arm.
有时候手冷 And sometimes, my hand feels cold,
或者我根本感觉不到 or it's as if I wasn't able to feel it at all.
可能是心绞痛或者心肌梗塞 It could be angina or a blockage,
需要做旁路手术 which requires bypass surgery.
在他去导管室之前我们应该先做心电图 We should do an EKG before he goes to the cath lab ‐‐
你们没有导管室 You don't have a cath lab.
请伸出手臂 Stretch out your arm, please.
把头转向一边 Turn your head to the side.
摸他的脉搏 Feel his pulse.
摸不到脉搏 There isn't one.
把头向前转 Turn your head forward.
脉搏恢复了 His pulse is back.
不是心脏问题 It's not a cardiac problem.
他有胸廓出口综合征 He has thoracic outlet syndrome.
萨拉维娅医生刚给我看了神经和动脉 Dr. Saravia has just showed me that the nerves and arteries
你的脖子和胸部都被肋骨压迫着 in your neck and chest are being compressed by your ribs.
这个情况很罕见 It's a very rare condition
可能导致血栓或者栓塞 that may cause blood clots or an embolism ‐‐
他好像不高兴 He doesn't seem happy.
我翻译错了吗 Did I translate wrong?
不 你的西班牙语很好 No. Your Spanish is perfect.
但你忘了他的问题是可以解决的 But you left out that his problem can be fixed.
是可以医治的 It can be remedied.
好吧 Oh, okay.
好吧 Okay.
我不擅长用两种语言 I am not good at communication.
和别人沟通 In two languages.
护士应该很快就到 The nurse should come momentarily.
翻译应该也很快就到 The translator should be here soon.
如果你想 我可以翻译 Um ‐‐ If you want, I can translate.
你会说英语吗 Oh, you can speak English?
我们在美国住过几年 We lived in the US. for a few years.
我妈妈帮人打扫房子 Uh, my mother cleaned houses.
我看了《实习医生格蕾》 I watched "Grey's Anatomy."
当医生可不是电视剧里的那样 Well, being a surgeon is not much like that.
加尔扎女士 你能告诉我你哪里疼吗 Ms. Garza, can you show me where you feel pain?
妈妈 告诉她你哪里疼 Show them where it hurts you, Mom.
这里 Here.
你有消化不良或者抽筋吗 And do you have indigestion or cramping
或者你有没有过感觉想吐 or ever feel like you might throw up?
她想知道你有没有消化不良或者抽筋 She wants to know if you have indigestion or cramping.
你有没有过感觉想吐 Do you feel like you might throw up?
有时候 Sometimes.
有时候 "Sometimes."
但她在说谎 是经常这样 But she's lying. It's always.
她还发烧伴有呕吐 She has fevers, too, and throws up.
我要摸摸你的腹部 你能躺在床上吗 I need to feel your abdomen. Can you lie on the bed for me?
妈妈 她要摸摸你的腹部 She has to feel your stomach, Mom.
躺下 Lie down.
好吧 Okay.
加尔扎女士 我觉得你有胆结石 Ms. Garza, I think you have gallstones.
我们得做些检查 We will have to run some tests,
但你可能需要动手术 but it is likely that you will need surgery.
妈妈 医生认为你有胆结石 Mom, the doctor believes you have gallstones.
他们得做检查来验证 They need to do a test to be sure,
但你需要手术 but you need surgery.
不 不 不做手术 No, no. Not surgery.
我来这是接受药物治疗 I came here for medicine.
你跟我说了他们会给我开药的 You told me they were gonna give me medicine.
别倔了 听医生的 Don't be stubborn. Do what the doctor says.
如果她不想做手术 她来这干嘛 If she doesn't want surgery, why is she here?
我跟她说你们会给她开些有用的药 I told her you would have pills that would help her.
我告诉她在她来之前我不会吃东西 I told her I wouldn't eat until she came.
我得工作 I have to work.
我得照顾你 I need to take care of you.
她说她不能失去工作 She says she can't miss work.
她得照顾我 She needs to take care of me.
我需要你准确地翻译 I‐I need you to translate accurately.
我妈妈从前也病得很重 My mother was very sick, too.
她妈妈从前也病得很重 Her mother also was very sick.
她想瞒着她的病痛 And she tried to hide her pain,
但是孩子们能看得出人受苦的时候 but children know when people are suffering ‐‐
尤其是他们的母亲 especially their mothers.
她想瞒着她的病痛 She tried to hide her pain,
但是孩子们能看得出人受苦的时候 but kids know when people are suffering.
尤其是他们的母亲 Especially when it's their mother.
如果你照顾不好你自己 You can't take care of your daughter
你也无法照顾好你的女儿 if you do not take care of yourself.
如果你照顾不好你自己 You can't take care of your daughter
你也无法照顾好你的女儿 if you don't take care of yourself.
你看过巴斯蒂安的档案了吗 Did you review Bastion's file?
等待 待定 否
做双额钻孔 Doing a bifrontal trepanation
重建颅底 and reconstructing the skull base
可以预防脑疝 could prevent brain herniation.
脑脊液泄漏的风险是多大 What about risk of CSF leak?
用颅周皮瓣做多层硬脑膜成形术 It reduces with a multilayer duraplasty
可以减少风险 using a pericranial flap.
我对病人说五句话 I say five sentences to a patient.
你说五个字 You say five words.
一个护士要我把这个给你 A nurse wanted me to give this to you.
因为医学术语没什么用 Because medical jargon does nothing
但是能吓到他们并浪费我们的时间 but scare them and waste our time.
他们关心的是 我们能帮上忙吗 All they care about is, can we help ‐‐
能还是不能 yes or no?
否 巴斯蒂安
你儿子的心脏瓣膜损坏 Your son's heart valves are damaged.
可能是因为他去年的风湿热 It's probably the result of his rheumatic fever last year.
可能是因为 Probably as a result
他去年的风湿热 of the rheumatic fever he had last year.
因为他心脏的缘故 Because of his heart,
我们不能切除他的肝肿瘤 we can't remove his liver tumor.
这样手术的风险会很大 I‐it makes the surgery too risky.
我很抱歉 I'm very sorry.
因为他心脏的缘故 我们不能切除他的肝肿瘤 Due to his heart, we can't remove the tumor in his liver
因为这样手术的风险会很大 because it makes the surgery very risky.
我们很抱歉 We are very sorry.
谢谢 医生 Thank you, Doctor.
不 我很抱歉 No, I'm sorry.
我们不能给你儿子做手术 W‐we can't do the operation on your son.
我不确定他 He ‐‐ I'm not sure he ‐‐
但你至少试过了 But you tried.
谢谢你的尝试 Thank you for trying.
上帝保佑你 God bless you.
一切都会好起来的 Everything's gonna be okay.
别担心 Don't worry.
否 待定
评估 第三天
里昂·卡斯蒂洛 22岁男性 León Castillo. 22‐year‐old male.
无法补救的巨大脐疝 Large, non‐reducible umbilical hernia.
他是他妹妹们的唯一的依靠 He's the sole provider for his siblings ‐‐
请不要提及个人家庭信息 她们与这无关 No personal details. They're irrelevant.
两个孩子的生计都依赖他 Two children's survival depends on his.
我觉得有关系 Seems relevant to me.
决策只需要基于医疗数据 Decisions need to be based on medical data alone.
这不能变成一场比惨大会 This can't turn into a contest of whose life is more tragic.
不然赢家就太多了 There would be too many winners.
不做手术 Without surgery,
疝气很有可能勒死他 the hernia's at a very high risk for strangulation.
手术很快很简单 It's a fast, simple procedure,
他几乎肯定会完全康复 and he will almost certainly have a full recovery.
手术后他可能再活十五年 From a surgery he could survive another 15 years without.
用生物假体替换瓣膜 Replacing the valve with a bioprosthetic
意味着他永远不需要服用血液稀释剂 means he won't need to be on blood thinners forever.
但他可能需要后续手术 But he'll probably need follow‐up surgeries
更换替件 to replace the replacement.
这家伙是个运动员 一个足球明星 Well, this guy's an athlete, a fútbol star.
这有什么关系 Is that relevant?
当然有关系 因为他的心脏状况很好 Yes, because his underlying cardiac health is excellent.
他可以完全康复 He should make a full recovery.
不幸的是 他的牙齿不健康 Unfortunately, his dental health isn't.
他有蛀牙 他很有可能患心内膜炎 He has cavities, which puts him at high risk for endocarditis,
这会导致阀门劣化 which would contribute to valve deterioration.
全腹结肠切除术 A total abdominal colectomy
让她有八到九成的机会完全康复 offers her an 80% to 90% chance at full recovery.
否则就完全恢复健康 没有并发症 Otherwise healthy, no complicating factors.
肿瘤可以通过超声引导手术切除 The tumor could be removed using ultrasound‐guided surgery.
但她无法接受术后化疗和放疗 But she has no access to post‐op chemo and radiation.
肿瘤是球状的 局部的 The mass is round, localized.
没有扩散迹象 No signs of infiltration in the adjacent structures.
复发的可能性很小 Minimal chance of recurrence.
前提是全部切除 If you get all of it.
她上周刚结婚 She just got married last week...
雷兹尼克医生 Dr. Reznick.
这与医学有关 ...which is medically relevant,
因为研究表明 because studies have shown
乐观的人长期预后更好 optimistic people have better long‐term prognosis.
她充满了希望 And she is full of hope.
这有个男孩 There's a boy.
他需要毯子 He needs blankets.
能给我毯子吗 Blankets, please?
那边 There.
谢谢 Thank you.
请关门
胆结石间歇性阻塞胆管 The gallstones are intermittently blocking the bile duct,
可能导致上升性胆管炎 败血症甚至死亡 which could lead to ascending cholangitis, sepsis, and death.
她可能对药物有反应 Her condition might respond to medication.
不 不太可能 No, it's extremely unlikely
考虑到她的严重症状 given how advanced her symptoms are.
但她有不手术的选择 But she has a non‐surgical option.
巴斯蒂安没有 Bastion doesn't.
他能活到十二岁真是个奇迹 It's a miracle he made it to 12.
如果不做手术 他活不到十五岁 Without surgery, he will not see 15.
他不能吃固体食物 He's unable to eat solid foods.
他已经有营养不良的迹象了 He's already showing signs of malnutrition.
肖恩的手术计划非常激进 Shaun's surgical plan is very ambitious.
它有移植失败和坏死的风险 It runs the risk of graft failure and necrosis.
你可以让这孩子过得更糟 You could leave this boy worse off.
同时 埃德娜的手术很简单 Meanwhile, Edna's surgery is straightforward,
她是她女儿的一切 and she is all her daughter has in the world.
一个人的存在 Who a person is
不能完全脱离他们接受的医疗 cannot be completely separated from their medical care.
我不想再假装了 And I'm done pretending it can be.
我们有个需要做简单手术的母亲 We've got a mom who needs a simple procedure
但不做手术也能存活 she might live without...
或者一个生命的唯一希望都在手术上的儿子 or a son whose only shot at life is a very complicated surgery
但手术可能不成功 that may not work.
我们必须关注奇迹 We have to focus on the miracles.
去吃饭吧 Let's go eat.
小儿科
好吧 看看甲床 Okay, so, look at the nail bed.
卡拉说如果你看见了随着脉搏交替的红色 Karla said if you see alternating redness with the pulse,
那是主动脉瓣关闭不全的征兆 that's a sign of aortic insufficiency.
所以你的心脏很好 你的角质层也很好 So, your heart is fine, and your cuticles are great.
我做美甲 I get manicures.
你喜欢吗 You like?
这是国宝 It's a national treasure.
不 我只是想体验一下 No. I just wanted the experience.
我不该再喝了 明天是手术的第一天 I shouldn't have any more. First day of surgery tomorrow.
不 我很好 Oh, no, I'm good.
你玩飞镖一点也不行 You are terrible at this!
我确实不行 但我看起来很棒 I am terrible, but I look fantastic.
看这个 Watch this.
我去给我们再买一杯 I'll get us another round.
好 Okay.
请给我两杯龙舌兰 Tequila, two, please.
那边怎么了 What's going on over there?
我的飞镖技术糟糕透了 I'm getting my ass kicked in darts.
你在调情 You're flirting.
只是友好 Just being nice.
但也别太好 不然你回家会后悔的 Well, don't be so nice that you regret it when you get home.
你没什么好担心的 You have nothing to worry about.
我保证 I guarantee it.
好吧 我去叫辆出租车回酒店 Alright, I'm gonna grab a cab back to the hotel.
好 Okay.
举杯 干 穿喉入胃 Up, down, to the center and to the belly.
大家晚安 Good night, guys.
去省际酒店吗 Hotel Provincia?
去 Yeah.
可以带我一个吗 Mind if I tag along?
-明天可是大日子 -当然 - Big day tomorrow. - Sure.
我看见你跟那个男孩爸爸谈话了 I saw you break the news to that boy's dad.
你想聊聊这事吗 You want to talk about it?
摩根 Morgan.
我只是想关心一下你好不好 I just wanted to know if you're okay.
你没资格再这样关心我了 You don't get to ask me that anymore.
我们不是朋友了 We're not friends.
你划清了界限 You drew a line.
所以不要再问我好不好 So don't ask me how I am
然后装好人做出一副关心我的样子 and then pretend to be some nice guy who cares,
你明明就不在乎 when you obviously don't.
我刚收到卡拉的短信 米格尔快不行了 I... Just got a text from Karla. Miguel is crashing.
我和肖恩准备回医院去 Shaun and I are gonna head back to the hospital.
八种 Eight?
只有六种我是流利掌握的 I'm only fluent in six.
我没有一开始就计划学这些语言 I didn't set out to learn them.
只不过四处闯荡的时候学到的 I just picked them up as I moved around.
所以你是一不小心成了语言天才 So you're an accidental language genius?
那你四处闯荡的时候 So, what are some of these places,
都去过哪些地方呢 I mean, that you moved around to?
我出生在墨西哥 I was born in Mexico.
在纽黑文市读的医学院 Went to medical school in New Haven.
在芝加哥住院实习 Did my residency in Chicago.
在叙利亚 海地和刚果都呆过一阵 Stayed a while in Syria, Haiti, the Congo.
你额外停留在耶鲁就为了打动我吗 You throw in your stop at Yale to impress me?
我停留在刚果就是为了打动你 I threw in my stop at the Congo to impress you.
这不是去省际酒店的路 Hey, this is not the way to the Provincia Hotel.
你要带我们去哪里 Where are you taking us?
我们要停靠一下 We're gonna make a stop.
你想要钱吗 Do you want money?
我不要你的钱 I don't need your money.
怎么了 What's happening?
不要太惊慌 但是我们被绑架了 Don't be too alarmed, but we're being kidnapped.
进来 拜托了 快点 Come in, please! Hurry!
这是我侄女 This is my niece.
她已经分娩了十四个小时了 She's been in labor for 14 hours.
已经这样十四个小时了 14 hours like this.
你好 我是一名医生 Hello. I'm a doctor.
其他的话都交给你来说行吗 Can you handle the additional talking?
我们是来帮助你和你的宝宝的 好吗 We're here to help you and your baby, okay?
我们要检查一下你 好吗 We're going to examine you, yeah?
太疼了 It hurts so bad!
好 我们开始了 Yes, here we go.
胎儿头部朝下 胎位没问题 Well, the baby's head is down, so position's not a problem.
我什么都听不到 I can't hear anything.
那个司机 他车里有一 一杯咖啡 The cab driver, he had a‐a‐a cup of coffee in his cab.
叫他拿过来 Have him get it.
车里那个杯咖啡 A cup of coffee from the taxi...
快点拿过来 Go get it quickly!
告诉她我要检查一下宫颈口 Please tell her I have to check her cervix.
医生要检查你的宫颈口 The doctor will check your cervix.
好的 好的 可以 Okay, yes, that's fine.
她宫口完全张开了 She's fully dilated.
撕掉底部 拿给我 Okay, tear out the bottom, hand it to me.
我听到心跳声 I can hear a heartbeat.
胎心过缓 The baby has decels.
-不不 不要用力 -不要用力 - Oh, no, no! Don't push! - Don't push!
他呼吸急促然后昏迷了 He became short of breath and then lost consciousness.
我认为是他的胸廓出口综合征 I believe his thoracic outlet syndrome
导致手臂出现血栓 然后血栓进入肺部了 caused a clot in his arm, which went into his lungs.
这就能解释他的血压 That would explain the drop in blood pressure
和呼吸频率的下降 and respiratory rate.
但解释不了他的呼气末二氧化碳含量水平 But not his elevated end tidal CO2 level.
那不符合肺栓塞的症状 That is inconsistent with a pulmonary embolism.
那它符合什么的症状呢 肖恩 What is it consistent with, Shaun?
肺气肿是COPD[慢性阻塞性肺病]的一种 COPD是一类肺部疾病 会逐渐导致呼吸困难
哮喘是一种长期的肺部气道慢性炎症 这些气道输送氧气进出肺部
气胸是指空气逸出肺部 进入胸膜腔
主动脉瘤是一种气球状肿块 长在向胸腔和全身输送血液的血管上
中风由脑淤血引起 会阻碍大脑供氧和给养
脑栓塞 一个血栓从他的手臂里掉落 His brain. A clot that traveled from his arm
穿过心脏里的洞进入主动脉 through a hole in his heart into his aorta
然后进入了脑部 and up to his brain.
他只有一边有咽反射 His gag reflex is only active on one side.
我是对的 他的脑干靠近呼吸中枢处 I was right. He has a small clot in the brain stem
有一个小血栓 near the respiratory center.
我们可以手术取出他肺部的血栓 Well, we can surgically remove a clot in his lung,
但脑部的血栓 but in his brain...
这里不能做那种手术 We can't do that here.
有组织型纤溶酶原激活剂的话 就能溶解血栓 If we have TPA, we could break it up.
组织型纤溶酶原激活剂 这里没有 TPA? No.
不过我们有一种蛇毒衍生物 But we have a snake venom derivative.
作用是一样的 差不多 It does the same thing, more or less.
-有任何动静吗 -没有 - Any movement at all? - None.
看不到脐带 No cord presentation.
有可能她盆骨过窄吗 Maybe her pelvis is too narrow?
胎心更缓了 The heart rate's getting slower.
等等 Wait, wait, wait.
我摸到胎儿的手就在脸旁边 I can feel a hand by the face.
它在吮大拇指 所以才生不下来 The baby's sucking its thumb. That's why it's not progressing.
我可以做一个侧切 尝试把胎儿拽出来 I can do an episiotomy, try to pull the baby out,
但就胎儿手臂目前的位置 but with the arm where it's at,
我很可能会扯断它的锁骨 I'm probably gonna break the clavicle
造成臂丛神经损伤 and damage the brachial plexus nerve.
把手伸进去 Reach inside...
摸到胎儿的手指 然后使劲捏一下 ...find the baby's finger, and pinch it hard.
有用 It worked.
好 亲爱的 现在开始用力 好吗 Okay, dear, now we are going to push, okay?
用力 Push.
不好意思 I'm sorry...
你会说英语吗 Do you speak English?
不 我不会说 No. I don't speak English.
我叫莉亚 My name is Lea...
我是跟那些美国人一起的 I'm with the Americans.
我叫索菲娅 I'm Sofía.
那是我丈夫 奥斯卡 He is my husband, Oscar.
这是伊莎贝拉 And she is Isabela.
伊莎贝拉 Isabela.
她太完美了 She is perfect.
我在行李箱里找到这些 I found these in my suitcase.
我妈妈买了用来 My mom got them for‐‐
这里会冷 It gets cold in here.
送给伊莎贝拉 A gift for Isabela.
谢谢你 Thank you.
你想抱一抱她吗 Would you like to hold her?
不了 谢谢 No, thank you.
我该走了 I have to go.
恭喜 孩子妈妈 Congratulations, Mom.
多帅的小伙啊 What a good‐looking boy!
肖恩在照看米格尔 Shaun's keeping an eye on Miguel.
好 Yeah.
你可以难过的 You know, it's okay to not be okay.
我 I j‐‐
每次我感觉好一点的时候 Every time I feel like things are getting better...
它就又来了 it's there again.
嗯 我知道 Yeah, I know.
就好像它是一波一波地来的 Like it comes in waves.
最终会平息下来的 Eventually, it subsides.
这是一个过程 It's a process.
一个痛苦的过程 It's a terrible process.
你不必一个人经历这个过程 And it's one you don't have to go through alone.
肖恩根本不知道 对吧 Shaun has no idea, does he?
对 No.
他的工作那么重要 He's doing great, important work.
我不想妨碍到他 I don't want to interfere with that.
而且 And...
他也治不了这个 he can't fix it.
不是要他治 It's not about fixing it.
是要你们两个一起经历这段过程 It's about the two of you just being in this together.
他醒了 He's waking up.
我怎么了 What happened?
你有肺栓塞 You had an embolism,
不过我们可以治好 but we were able to give you treatment.
那我明天的手术还能做吗 Can I still have the operation tomorrow?
恐怕不能了 No, I'm afraid not.
BGM: What They'll Say About Us by Finneas
迪希雅纳 Tiziana?
迪希雅纳 醒醒 Tiziana, wake up.
♪ You're tired now, lie down ♪
我需要你告诉你妈妈 I need you to tell your mother something.
我们会给她做手术的 We're gonna do her surgery.
妈妈 妈妈 他们会给你做手术的 Mom, Mom, they're going to do your operation!
♪ It might take patience ♪
♪ And when you wake up ♪
你说我不做手术会有生命危险 You told me that I could die without that surgery.
♪ So don't you give up ♪
♪ We've got the time ♪
♪ To take the world ♪
谢谢你们 Thank you!
♪ And make it better than it ever was ♪
不客气 You're welcome.
真是 That was...
没错 It was.
晚安 奥德丽·利姆 Good night, Audrey Lim.
你知道吗 You know...
我 也不是很累 I'm...not really tired.
我也是 Me either.
明天 我要给一个年轻女孩切除 Tomorrow, I will be removing an adenocarcinoma
纵隔恶性肿瘤 from a young woman's mediastinum.
那个部位的血管结构 That can be a very dangerous area
非常危险 because of the vasculature.
这将是一次非凡的挑战 It will be an excellent challenge.
你准备上床睡觉吗 Are you coming to bed?
我想熄灯了 I would like to turn off the light.
我不想毁了这次旅行 I don't want to ruin your trip.
你是那么享受 You're having such a good time.
但是 But...
我并不享受 I'm not.
怎么了 What's wrong?
你生病了吗 Are you sick?
你是不是洗澡的时候把嘴张开了 Did you open your mouth in the shower?
那很常见 That is very common.
我只是 很难过 I'm just...sad.
每次有什么东西让我想起那个孩子 Every time something reminds me of the baby,
我就会更难过 I get even sadder.
我很高兴你的状态比我好 I'm glad you're doing better than I am.
你是快乐的 但是 I'm glad you're happy, but...
有时候 你的快乐让我更加难过 sometimes, you being happy makes me feel worse.
我厌恶这种感觉 I hate that I feel that way,
我甚至不想让你知道 and I didn't even want to tell you,
但我需要告诉你 but I think I need to tell you.
我很抱歉 I'm sorry.
你希望我不要聊工作的事吗 Do you want me to not talk about work?
不 我不能对你提那种要求 No. I can't ask you to do that.
你可以提 Yes, you can.
我想让你开心一点 I want you to feel better.
没用的 肖恩 It won't help, Shaun.
那怎样才会有用 What will help?
什么都没用 Nothing.
我好想她 I miss her so much.
甚至看到你的蓝眼睛我就心碎 I mean, even looking at your blue eyes breaks my heart,
因为我曾梦想她的眼睛会像你 because I dreamed she would have them.
我父母真的很担心 My parents are really worried,
一直打来电话 been calling all the time.
他们想让我回郝尔希镇住一阵子 They want me to come back to Hershey for a while.
他们觉得那会有所帮助 They think it'll help.
你想回去吗 Do you...want to?
我觉得休息一阵子对我会有好处 I think it would be good for me to get some time away.
放下所有事情 From everything.
我很遗憾你那么难过 I'm sorry you're sad.
埃德娜