“良医”前情提要 Previously on "The Good Doctor..."
尼拉因为你而半盲了 Nira is half-blind because of you.
你认为我控制了莎伦？ - 表明立场如何？ - You think I control Salen? - How about taking a stand?
你本可以和我一起工作 把事情做对 You could've worked with me to make things right.
相反 你不得不把大楼烧掉 Instead, you had to burn the building down.
她点起的火把 She lit the match.
如果你要通过这个交易 If you're gonna go through with this deal,
你将不得不摧毁我 you're gonna have to destroy me.
祝你好运 Good luck.
因为现在这都是你的问题 'Cause now this is all your problem.
♪ BGM: Colors By:Black Pumas ♪
♪ 早上醒来 望着天空 ♪ ♪ I woke up to the morning sky first ♪
♪ 一片蔚蓝 就像预演的那样 ♪ ♪ Baby blue Just like we rehearsed ♪
♪ 当我从地上爬起来时 ♪ ♪ When I get up off this ground ♪
♪ 我抖落身上的树叶 让他们落在棕色的泥土上 ♪ ♪ I shake leaves back down to the brown, brown, brown, brown ♪
♪ 知道我身上变得干净为止 ♪ ♪ Till I'm clean ♪
♪ 然后我走到有树荫的地方 ♪ ♪ Then I walk where I'd be shaded by the trees ♪
♪ 青青草地旁 ♪ ♪ By a meadow of green ♪
♪ 大概一英里 ♪ ♪ For about a mile ♪
♪ 我要启程前往小城里 踏上别具一格的旅途 ♪ ♪ I'm headed to town, town, town in style ♪
♪ 身披我最爱的颜色 是的先生 ♪ ♪ With all my favorite colors. Yes, sir ♪
♪ 身披我最爱的颜色 ♪ ♪ All my favorite colors. Right on ♪
♪ 我的姐妹兄弟 ♪ ♪ My sisters and my brothers ♪
♪ 觉得无与伦比 ♪ ♪ See 'em like no other ♪
♪ 我最爱的颜色 ♪ ♪ All my favorite colors ♪
你的「不储存日期」卡 Your "Unsave-the-date" card.
你...不打算邀请我们参加你的婚礼？ You're... uninviting us to your wedding?
我们决定不举行婚礼 We decided there will be no wedding
在可预见的未来都不会 for the foreseeable future.
我们已经取消了一切 We've canceled everything.
你微笑的样子 The way you're smiling,
我觉得我应该向你表示祝贺 I feel like I should be congratulating you.
我们很高兴 我们只是想享受快乐 We're happy. We just want to enjoy being happy.
我们的生活中已经有了足够的压力 We've had enough stress in our lives.
我们应活在当下 We're living in the moment.
大家早上好 Good morning, everyone.
感谢你的到来 Thanks for coming.
作为新任主席 我想确认一下 As the new President, I'd like to acknowledge
我们已经经历了一个充满挑战的时期 we've been through a challenging time,
但圣邦从来就不是为了一个标志 but St. Bon's has never been about a logo
或花式咖啡的选择 or a fancy coffee selection.
我们一直都是以这个房间里的人为中心 We've always been about the people in this room
以及我们如何能够帮助那些通过这些门户的人 and how we can help the people who come through these doors.
所以我们要回到我们一直以来最擅长的领域 So we're gonna get back to what we've always done the best,
而这就是把病人放在第一位 and that's putting patients first.
你知道一个世界级的手术中心需要什么吗？ You know what a world-class surgical center needs?
它需要一个世界级的外科主任 It needs a world-class Chief of Surgery.
这就是为什么我恢复了奥黛丽林医生的职务 And that's why I am reinstating Dr. Audrey Lim.
我还将招聘三名新的肿瘤学护士 I'll also be hiring three new oncology nurses,
所以 如果你知道一些好的人 so if you know some good people,
让我知道 好吗？ let me know, okay?
你能接受这一切吗？ You okay with all this?
不再有董事会会议 你在开玩笑吗？ No more board meetings. Are you kidding?
此外 我还能有更多时间与诊所打交道 Plus, I get a lot more time with the clinic.
瑞兹尼克、格拉斯曼医生 Doctors Reznick, Glassman,
我可以和你们两个谈谈吗？ can I have a word with you two?
我们失去了一份诊所合约 We lost a clinic contract.
我们最大的 Our biggest.
感谢你对边缘性渎职行为的忏悔 Thanks to your confession of borderline malpractice
对管理他们的健康计划的人 to the person who runs their health plan.
尼拉有权利知道真相 Nira had the right to know the truth.
你很幸运 那是一个实验性的程序 You're lucky it was an experimental procedure.
她没有追究诉讼 She's not pursuing a lawsuit.
但我要关闭诊所 But I'm closing the clinic.
我很抱歉 I'm sorry.
我只是无法证明保持开放的费用是合理的 I just can't justify the expense of keeping it open.
人们需要一种方式来获得医疗保健 People need a way to get healthcare
否则他们无法负担 they otherwise can't afford.
这个理由如何... How's this for justification...
我们可以 所以我们也应该 正是如此 - We can, and so we should. - Exactly.
我已经安排湾区医疗机构接管他们的治疗 I've arranged for Bay Area Medical to take over their care.
我可以和你谈一谈吗？ Can I talk to you for one second?
如果我可以看一下预算 If I can just take a look at the budget,
我可以想办法让这个诊所继续营业 I can figure out a way to keep this clinic open.
我担心你在手术室里会很忙 I'm afraid you're gonna be busy in the O.R.
亚伦 你是一个有天赋的外科医生 Aaron, you're a gifted surgeon.
这家医院需要这些技能 This hospital needs those skills.
哇 好的 Wow. Okay.
呃 让我们来谈谈交易 Uh, let's talk trade.
我每周给你 20 个小时 I'll give you 20 hours a week,
我们想出一个办法来保持这个诊所的运作 and we figure out a way to keep this clinic open.
所以你可以继续冷冻跖疣？ So you can keep freezing plantar warts?
看到了吗？ See?
有人一定需要一个非常好的神经外科医生 Someone must need a really good neurosurgeon.
一家三口遭遇迎面碰撞 Family of three in a head-on collision.
另一辆救护车在我们后面 Another ambulance is behind us
是另一车辆的乘客 朴 你和我一起 with the occupant of the other vehicle. Park, you're with me.
布莱恩-刘 40 岁 Bryan Liu. 40 years old.
在野外有低血压 昏迷指數十级 Hypotensive in the field. GCS ten.
腹部瘀伤 Abdominal bruising,
有些胀痛 内部出血 some distention, internal bleeding.
那条腿看起来怎么样？ How's that leg look?
我们也许能挽救他的手臂 We might be able to save his arm.
我需要一个血管钳 I need a vascular clamp.
伊莱恩的头撞到了仪表盘上 Elaine hit her head on the dash.
昏迷指數15 呕吐了两次 GCS 15. Vomited twice.
伊莱恩 我是格拉斯曼医生 Elaine, I'm Dr. Glassman.
你的头痛有多严重？非常糟糕 - How bad was your headache? - Really bad.
我的女儿还好吗？ Is my daughter okay?
她当时系着安全带 她的胸部有疼痛和瘀伤 She was wearing her seatbelt. She has pain and bruising in her chest.
我就在这里 亲爱的 脾脏破裂了 I'm right here, honey. - Spleen's ruptured.
他的腹部有大约两升的血 He's got about two liters of blood in his abdomen.
我爸爸怎么了？ What's going on with my dad?
请不要说话 Please don't talk.
那些医生正在照顾他 Those doctors are taking care of him.
她的左侧呼吸音减少 She has decreased left-sided breath sounds.
我们需要插入一个胸管 We need to insert a chest tube.
为什么？怎么了？ W-Why? What's wrong?
一根断裂的肋骨刺穿了她的肺部 A broken rib punctured her lung.
左边的瞳孔放大了 Left pupil's dilated.
硬膜下？ Subdural? -
伊莱恩 你的大脑周围可能有一些出血 Elaine, you may have some bleeding around your brain.
我们得把你送到手术室去 We're gonna have to take you to the O.R.
妈妈？我...我很好 亲爱的 - Mommy? - I-I'm okay, sweetie.
我们都会好起来的 We're all gonna be just fine.
你只需要... You just need to...
嗷 Oh!
他的血压在下降 His BP's tanking.
我们必须马上把他送到手术室 We have to get him to the O.R. now.
妈妈 Mommy.
爸爸 Daddy.
第五季 第十一集
良 医
双语/调轴/Subhd：James丶xz 翻译：sunnyyylai
钳住脾门 Splenic hilum is clamped.
他的压力在维持住 His pressure's holding.
膝下截肢完成 Below-knee amputation is complete.
桩被覆盖 状况良好 The stump is covered and healthy.
开始动他的手臂 Start working on his arm.
我无法让他的手有任何血液循环 I'm not getting any circulation to his hand.
我们可以使用安德鲁的血管重建技能 We could use Andrews' vascular reconstruction skills.
尝试减少骨折以恢复血流 Try reducing the fracture to restore blood flow.
这没有帮助 It's not helping. -
我有太多的出血 无法帮助 I've got too much bleeding to help.
试着做筋膜切开术以缓解压力 Try fasciotomies to relieve pressure.
上游的损失太大 There's too much upstream damage.
传呼安德鲁 Page Andrews.
她有一个病窦综合症撕裂 She has an SSS tear.
我们必须开启她的头骨才能找到解决办法 We'll have to open up her skull to find a fix,
这是我不想做的 which I do not want to do.
我可以用硬脑膜瓣来止漏 I can stop the leak with a dural flap,
等到肿胀消退 wait till the swelling goes down,
找到一个更好的解决办法 find a better fix.
压力仍在下降 Pressure's still dropping.
我找到了一个紧密的密封 没有渗漏 I got a tight seal. No leaks.
也许我们找错了地方 Maybe we're looking in the wrong place.
我听到了早期舒张期杂音 I hear an early-diastolic murmur.
这是她的心 It's her heart.
给我一个回声 Get me an echo.
联络社会工作 Contact social work.
确保女儿今日有人陪 Make sure the daughter's not alone today.
她可能会失去她的双亲 She may be losing both her parents.
他们有多坏？ How bad are they?
我们不会肯定地知道任何事情 We won't know anything for sure
直到你的父母从手术中出来 until your parents get out of surgery.
胸腔插管很成功 The chest tube was successful.
那位医生说我妈妈是脑出血 That doctor said my mom was bleeding in her brain.
他阻止了吗？ Did he stop it?
他们正在努力 They're trying.
她拥有本州岛最好的神经外科医生之一 She has one of the best neurosurgeons in the state.
他们修复了我爸爸的腿吗？ Did they fix my dad's leg?
我还不知道 I don't know yet.
我理解这一定是多么可怕和混乱的事情 And I understand how scary and confusing it must be
无法拥有所有的答案 not to have all the answers.
我只想知道发生了什么 I just want to know what's happening.
你父亲的腿很可能无法恢复 Your dad's leg is likely unsalvageable.
他也有严重的脾脏损伤 He also had a severe splenic injury
导致灾难性的内出血和低血容量休克 that caused catastrophic internal bleeding and hypovolemic shock.
切除他的脾脏可能会止血 Removing his spleen may stop the bleeding,
但如果不是 他们可能还需要切除他的肾脏 but if not, they may need to remove his kidney, as well.
他还可能失去他的下臂 He may also lose his lower arm.
莫菲医生 也许艾拉和我 Dr. Murphy, maybe Isla and I
应该单独聊上几分钟 should chat alone for a few minutes.
没关系的 你可以留下来 It's okay. You can stay.
你可以走了 You can go.
感谢你跟我说话 Thank you for talking to me.
你确定吗？ Are you sure?
好的 Okay.
我稍后再来 I'll check in later.
你可以随时让护士呼唤我 You can always have a nurse page me.
我的父母会不会...死？ Could my parents... die?
现在说这些还为时过早 It is too soon to say
谈他们中的任何一个人能够在受伤后幸存下来 if either of them will survive their injuries.
我去巡视阿希尔的病人 I'll run outs her's patients,
和夜班护士说琼斯先生已经准备好出院了 and the night nurse said Mr. Jones is ready for discharge.
我在 4C 的肠梗阻 他有没有通过气体？ Um, my bowel obstruction in 4C, did he pass gas?
你认为护士们为什么要让他出院？ Why do you think the nurses want him discharged?
我很饿 I'm hungry.
护士给了我一个三文治 但里面有腌菜 The nurse gave me a sandwich, but it has pickles.
他们很恶心 They're gross.
它们是 They are.
我想吃点别的东西 感谢 I'd like something else, please.
我得在 4C 中排出你的风袋 I gotta discharge your windbag in 4C.
护士 Nurse.
你会为这个病人 Will you find this patient
找到没有腌菜的东西可以吃吗？ something to eat without pickles?
当然 Sure.
她不仅仅是饿了 She isn't just hungry.
她很害怕 She's scared.
她想与你共度时光 She wants to spend time with you
这样她就不会感到孤独 so she doesn't feel all alone.
医生需要保持专业界限 Doctors need to maintain professional boundaries.
很方便 因为你不希望 Convenient, since you don't want
接近病人 to get close to patients.
我认为这是我们工作中最有价值的部分 I think it's the most rewarding part of our job.
哦 不 Oh, no.
微创的微血管手术 Minimally invasive microvascular surgery
是最有意义的部分 is the most rewarding part.
我已经治疗了她的气胸 她很好 I already treated her pneumothorax. She's fine.
锁骨下动脉也受损 Subclavian artery's also damaged.
是的 臂丛神经也是如此 Yeah, brachial plexus nerves, too.
我还以为你会对再次成为主任而感到更兴奋呢 Thought you'd be a little more excited about being Chief again.
很难为得到一份我一开始就 Hard to get too jubilant about being given a job
不应该失去的工作而过于欢欣鼓舞 I never should have lost in the first place.
堂你你很乐意踏入 One you were happy to step into.
血压正在稳定下来 BP's stabilizing.
这只手臂是个烂摊子 This arm's a mess.
没有远程血液供应 There's no distal blood supply,
神经拍摄 手部有缺血的迹象 nerves shot, hand showing signs of ischemia.
我想我可以拯救它 I think I can save it.
我需要开启他的胸部 I need to open up his chest,
进入近端血管进行移植搭桥 get access to proximal vessel for graft bypass.
这是一个大而漫长的手术 That's a big, lengthy surgery
具有灾难性的出血风险 with a catastrophic risk of bleeding.
是的 这可能会挽救他的手臂 Yeah, which may save his arm.
他的其他伤口已经失血过多了 He's already lost too much blood from his other injuries.
我们必须要截肢 We have to amputate.
对不起 打断一下 Sorry to interrupt.
林医生 伊莱恩的心脏瓣膜有重大损伤 Dr. Lim, there's major damage to Elaine's heart valve.
我们需要一名创伤外科医生 We need a trauma surgeon.
走吧 朴医生可以关闭腹部 Go. Dr. Park can close up the abdomen.
在手臂残肢上放置一个伤口真空装置 Put a wound vac on the arm stump
并在术后使用抗生素 and run antibiotics post-op.
你在做什么？ What are you doing?
练习正念 Practicing mindfulness.
我...不知道这是什么意思 I... don't know what that means.
它帮助你放手 而不是自我迷恋 It helps you let go, not be self-obsessed,
压力过大 完全以事业为重 stressed out, utterly career-driven.
我还是不明白 I still don't understand.
你现在就在用心 You're being mindful right now.
通过放开你的婚礼计划 By letting go of your wedding plan.
与莉亚「在当下」 - Being "in the moment" with Lea. - Oh.
不--不 莉亚和我还是要结婚 N-No, Lea and I are still getting married.
我们现在只是在暂时「享受这一刻」 We're only "enjoying the moment" for now.
你真好 Good for you.
我不擅长「当下」 I suck at "the moment."
我喜欢制定计划 I like making a plan,
拥有一个计划... having a plan...
遵循一个计划 Following a plan.
你想要我的苹果吗？ Do you want my apple?
你的行为非常奇怪 You're acting very strangely.
艾拉的血红蛋白降至 9 Isla's hemoglobin dropped to nine,
而且她的胸管里有血 and there's blood in her chest tube.
这可不好 Oh. That's not good.
我们会拍几张照 找出问题所在 We'll take a few pictures to find out where the problem is.
完全不痛 Won't hurt at all.
然后你就可以止血了？ Then you can stop the bleeding?
可能是这样 Probably.
但这很可能需要一些确实会痛的东西 But it will likely require something that does hurt.
你需要在做 M.R. 血管造影前把它拿掉 You need to remove that before the M.R. Angiogram.
不 我不能 No. I can't.
这是一个口香糖包装纸 It's a gum wrapper.
我爸爸给我的 My dad gave it to me.
我想要我的出生石 蓝宝石 I wanted my birthstone, sapphire.
但我们买不起 所以我爸爸给我做了这个 But we couldn't afford it. So my dad made me this.
他称这是一个占位符 He called it a placeholder.
这真的很贴心 That's really sweet.
核磁共振成像是一个强大的磁铁 An MRI is a powerful magnet.
它将破坏你的口香糖包装环 It will destroy your gum-wrapper ring,
而且可能会烧伤你的手指 and it could burn your finger.
保证你不会丢失它？ Promise you won't lose it?
我保证 I promise.
好的 Okay.
她的主动脉瓣受损 She damaged her aortic valve.
我们需要把她开启 We'll need to open her up.
CP 旁路一般不是脑出血的好追兵 CP bypass is generally not a good chaser to a brain bleed.
她需要一个功能性阀门 She needs a functional valve.
你需要想办法给她一个 You'll need to figure out a way to give her one
而不把她变成一个植物人 without turning her into a vegetable.
我带你来是为了你的专业知识 I brought you here for your expertise.
还是你想让我为你弄清楚？ Or would you rather I try to figure it out for you?
举手投足 让别人来做 Throwing up your hands and making someone else
解决问题不是领导 solve the problem is not leadership.
我猜我们不是在谈论心脏瓣膜 I'm gonna guess we're not talking about a heart valve.
当Ethicure集团接手后 When Ethicure took over,
你就这样走出去 走向天堂 you just walked out, headed for Paradise.
我知道你正在经历一个艰难的时刻 I know you were going through a rough patch,
但我们在这里也经历了这种情况 but we were going through it here, too.
而你却不屑于站出来 And you didn't bother to step up
直到它成为肖恩的一个问题 until it became a problem for Shaun.
你想让我为我 You want me to apologize
对肖恩的承诺道歉？那是不可能的 for my commitment to Shaun? That's not gonna happen.
我绝不会要求你这样做 I would never ask you to do that.
我只是没有意识到我们其他人对你来说 I just didn't realize how little the rest
是多么的不重要 of us matter to you.
我可以插入一个主动脉泵来支持她的心脏 I can insert an aortic pump to support her heart.
这应该为我争取一些时间来修复她的阀门 That should buy me some time to fix her valve.
胸部的创伤损坏了她的肺动脉分支 The chest trauma damaged a branch of her pulmonary artery.
血已经止住了 The bleeding has stopped,
但她的动脉随时都可能重新出血 but her artery could re-bleed at any time.
我们怎么去到这里呢？ How do we get to it?
它被重要的器官所包围 It's surrounded by vital organs.
切开胸腔 从近端到远程肝脏进行解剖 Thoracotomy, dissect from proximal to distal hilum,
隔离容器 并重建容器 isolate the vessel, and reconstruct the vessel.
对于一个小伤来说 这是个大手术 That's a big surgery for a small injury.
这几乎和重新破裂的风险一样大 It's almost as risky as a re-rupture.
我们需要一个更安全的计划 We need a safer plan.
我没有 I don't have one.
我需要时间来搞清楚 I need time to figure it out.
我需要 24 小时监测她的情况 I'll need to monitor her around the clock
以防她再次出血 in case she bleeds again.
看起来伊斯拉与莫菲医生 Looks like Isla's getting some QT
毕竟还是得到了一些 QT with Dr. Murphy after all.
我们完成了吗？ Are we done?
我很无聊 I'm bored.
你的朋友是哪位？ - Who's your friend?
- 她不是我的朋友 她是我的病人 - She's not my friend. She's my patient.
刘艾拉 10 岁 女性 Isla Liu, 10-year-old female
患有节段性分支的假性动脉瘤 with a pseudo-aneurysm of a segmental branch
左肺动脉的 of the left pulmonary artery.
我需要密切监视她 I need to monitor her closely
以确保她不会失血过多 to make sure she does not bleed out.
这是我的未婚妻 莉亚 This is my fiancee, Lea.
她是信息科技部的负责人 She's Head of the I.T. Department.
我需要你和她谈谈 I need you to talk to her
当我想出如何修复她时 while I figure out how to fix her.
她说了很多 She talks a lot.
我是的 I do.
你的戒指呢？他说你是他的未婚妻 Where's your ring? He said you were his fiancee.
我向他求婚 I proposed to him,
这只是一时兴起的事情 所以没有戒指 and it was a spur of the moment kinda thing, so no ring.
非常现代 嗯 - Very modern. - Mm.
我约了我的上一个男朋友 但没有成功 I asked out my last boyfriend, but it didn't work out.
你的婚礼是什么时候？ When's your wedding?
我们没有订日子 你选了一个蛋糕吗？ - We don't have a date. - Did you pick a cake?
我姨妈吃的是红丝绒 它真的很好 My aunt had red velvet. It was really good.
而且她的长袍超级长 他们称之为「火车」 And her gown was super long. They call it a train.
你有一个这样的东西吗？ Do you have one of those?
「火车」会导致绊倒和骨科伤害 Trains can lead to tripping and orthopedic injuries.
我不想要一件有裙裾的衣服 I don't want a dress with a train.
你没有蛋糕 没有戒指 You have no cake, no ring,
没有礼服 也没有日子？ no dress, and no date?
我们有一个蛋糕 We have a cake.
那你怎么是他的未婚妻？ Then how are you his fiancee?
这不就是 男朋友和女朋友吗？ Isn't it just, like, boyfriend and girlfriend?
什么是 I.T.？ What's I.T.?
嗯 I.T 代表「信息科技」 Well, I.T. stands for "information technology,"
所以我和很多计算机打交道 so I work with a lot of computers.
增加 P-8 的流量 给她的心脏做个 CT Increase the flow to P-eight and get a CT of her heart.
我们需要准确的阀门测量 We need exact valve measurements.
得到了一些好消息 Got some good news.
我使布莱恩的手臂恢复了血流 I restored blood flow to Bryan's arm.
你本该截肢的 You were supposed to amputate.
我没有开启他的胸部 I didn't open his chest.
我从锁骨下重建了他的血管 I rebuilt his vessels from under the clavicle.
仍然有一个大的组织缺陷 Still got a large tissue defect,
但我可以用纤维覆盖 but I can cover that with a tissue flap.
我认识一个很好的神经外科医生 I know a great neurosurgeon
负责神经修复 for the nerve repairs.
还要做手术吗？他可能会再次出血 More surgery? He could bleed again.
我可以处理这个问题 I can handle that.
那么 潜在的 And what about the potential
针对输血后的凝血问题？ for post-transfusion clotting issues?
切除他的手臂是唯一的方法 Removing his arm is the only way
以保证我们拯救他的生命 to guarantee we save his life.
失去两个肢体将是毁灭性的打击 Losing two limbs would be devastating.
为了避免一个相对较小的风险付出太高代价 It's such a high cost to avoid a relatively small risk.
但对那个小女孩来说 这并不小 But it's not small to that little girl,
你可以成为孤儿 为你自己的自我服务 whom you could orphan to serve your own ego.
相当严厉的评估 Pretty harsh assessment,
特别是考虑到我刚刚 especially considering I just rescued you and our colleagues
从你的自杀任务救了你和我们的同事 from your suicide mission.
你想为在最后可能的时刻找到 You want a medal for finding your moral compass
你的道德指南针而获得奖章吗？ at the last possible moment?
在关键时刻 我在那里 I was there when it counted.
你听从她的吩咐 甚至在孩子死后也是如此 You did her bidding, even after the baby died,
然后利用这种情况 and then leveraged the situation
所以你就出来负责了 so you came out in charge.
我是负责人 I am in charge.
我在拯救这个人的手臂 I'm saving this man's arm.
你现在是在从儿童偷窃吗？ Are you stealing from children now?
这东西一直在这里 This stuff's been in here
从我住院的第一年开始 since my first year of residency.
你不是应该参加同行评审吗？ Aren't you supposed to be in peer review?
我被这个外伤案件缠住了 I'm tied up on this trauma case.
我想你可能想为我旁听一下 I thought you might want to sit in on it for me.
法伯医生在领导它 Dr. Farber's leading it.
执行行动委员会主席 Chair of the Executive Ops Committee.
如果有一天你想经营一家医院... If you want to run a hospital one day...
得走了 Gotta go.
但感谢你对我的思念 But thanks for thinking of me.
怎样才能切除假性动脉瘤？ How can I resect a pseudo-aneurysm
而不切断上叶的血流？ without cutting off blood flow to the upper lobe?
动脉搭桥呢？ What about arterial bypass?
艾拉已经 10 岁了 Isla's 10 years old.
绕过的动脉不会随着她的肺部生长 The bypassed artery wouldn't grow with her lungs.
你是否认为莉亚和我 Do you think Lea and I
只是男朋友和女朋友吗？ are just boyfriend and girlfriend?
不是？ No?
我也不 Me neither.
但是 如果我们不打算举行婚礼 But if we're not planning a wedding,
那么我们在做什么呢？ then what are we doing?
我们在向后退吗？ Are we moving backwards?
肖恩 婚礼只是一个象征 Shaun, a wedding is just a symbol.
一个非常漂亮、非常昂贵的 A very nice, very expensive one,
但真正的稳定来自于每天对彼此的承诺 but real stability comes from committing to each other every day.
我应该怎么做？ What should I do?
呃 你和莉亚需要想办法解决这个问题 Uh, you and Lea will need to figure that out.
我年纪越大 大家似乎越不知道 The older I get, the less everyone seems to know.
这可能是真的 That's probably true.
哦 你有没有考虑对艾拉的假性动脉瘤 Oh, have you considered an endovascular embolization
进行血管内栓塞？ for Isla's pseudo-aneurysm?
你的医学建议比你的个人建议好得多 Your medical advice is much better than your personal advice.
自持式牵开器 Self-retaining retractor.
请不要靠近我的神经领域 Stay out of my nerve field, please.
我需要更好的容器接触 I need better vessel exposure.
这块肌肉需要一条神经 This muscle needs a nerve.
我对关闭诊所感到很难过 I feel bad about closing the clinic,
但我们不能帮助任何人 but we can't help anyone
如果我们不能保持灯火通明的话 if we can't keep the lights on.
这不是为了帮助任何人 It's not about helping anyone.
这是关于确保你能把你的脚放上去 It's about making sure you can put your feet up
在这栋楼里最大的桌子上 on the biggest desk in the building.
你看不起我 因为我想做大工作 You look down on me 'cause I want the big job,
但正是你对它的冷漠 使我们对Ethicure集团 but it was your apathy towards it that made us vulnerable
变得脆弱在先 to Ethicure in the first place.
神经是连在一起的 Nerves are attached.
重建动脉毁了 Reconstructed vessel's blown.
你想让我...不 我来好了 - You want me to... - No, I got it.
栓塞的时间会很短 The embolization will be short.
它应该能防止你的胸部进一步出血 It should prevent further bleeding in your chest.
朴医生认为你错了 Dr. Park thinks you're wrong.
莉亚仍然是我的未婚妻 Lea is still my fiancee
而婚礼只是一个象征 and a wedding is just a symbol.
象征超级重要 Symbols are a super big deal.
它们提醒我们什么是重要的 They remind us what's important.
这是我妈妈在我想要 That's what my mom said when I wanted
归还我的确认十字架 to return my confirmation cross
并用这些钱给我穿上耳洞的时候说的 and use the money to get my ears pierced.
躺下 我需要注射麻醉剂 Lie down. I need to inject the anesthetic.
我讨厌针头 I hate needles.
我打针时仍然让我妈妈握着我的手 I still make my mom hold my hand when I get shots.
你可以随心所欲地捏我的手 You can squeeze my hand as hard as you want.
我在莉亚怀孕时进行了练习 I practiced when Lea was pregnant.
你们俩有孩子了？ You two have a baby?
没有 No.
为什么不呢？ Why not?
脐带里有一个血块 There was a clot in the umbilical cord.
孩子死了 The baby died.
我正在注射麻醉剂 I'm injecting the anesthetic.
你现在可以放开我的手了 You can let go of my hand now.
这几乎完全不痛 That hardly hurt at all.
你非常擅长你的工作 You're very good at your job.
艾拉 医生们仍在照顾你妈妈 Isla, the doctors are still taking care of your mom,
但你爸爸的手术已经结束了 but your dad's out of surgery.
他失去了他的腿 He lost his leg,
但他会好起来的 but he's gonna be okay.
你一做完就可以见他 You can see him as soon as you're done.
我不想看到他 I don't want to see him.
流体在伊莱恩的大脑中倒流了 Fluid's backed up in Elaine's brain.
75 甘露糖醇 希望这能减轻压力 75 mannitol. Hopefully, that'll take the pressure off.
伊莱恩需要进行分流 她的心脏能承受吗？ Elaine needs a shunt. Can her heart take it?
仅仅靠泵维持她的生命是不行的 Not with just a pump keeping her alive,
但她有另一个问题 but she's got another problem.
她的气管上有一个大的裂口 She's got a big tear in her trachea
而且她随时可能失去呼吸道 and she could lose her airway any minute.
知道有什么气管重建方面的专家吗？ Know of any experts in tracheal reconstruction?
是时候给主席打电话了 Time to call the President.
这是唐纳德．阿德勒 This is Donald Adler.
过去几周 他一直有胸痛 He's had chest pain for the past few weeks.
我很好 I'm fine.
我儿子要带我去看医生 My son's taking me to the doctor.
那个已经推迟了三次的人？ The one who's postponed three times already?
我试图联络他的全科医生 没有运气 I tried to contact his GP. No luck.
我们需要排除冠状动脉疾病 We need to rule out coronary artery disease.
他是你的病人吗？ Is he your patient?
她是我在家里的棋友 She's my chess partner at the home.
我连续三次击败了她 I beat her three times in a row.
令人印象深刻 她总是轻松击败我 Impressive. She always kicks my ass.
他比你强多了 He's much better than you are.
这要花多长时间？ How long is this gonna take?
我们今晚有艺术和手工艺 We're having arts and crafts tonight.
她在教我们如何做装饰画 She's teaching us how to decoupage.
让我们 给你做个心脏 CT Let's, uh, get you a cardiac CT.
帮助阿德勒先生穿上长袍 Help Mr. Adler into a gown.
你看起来很像我的女朋友 You look a lot like my girlfriend,
但她并不做装饰画 but she doesn't decoupage.
她嘲弄那些做装饰画的人 She mocks people who decoupage.
她听起来像一个真正的作品 Well, she sounds like a real piece of work.
嘿 我为艾拉准备了这个 Hey. I got this for Isla.
她怎么样了？你好 - How is she? - Hello.
我正在等待化验结果 看是否进行了栓塞治疗 I'm waiting on labs to see if the embolization
修复了她胸部的动脉 repaired the artery in her chest.
我的意思是在感情上 I meant emotionally.
她拒绝见她的父亲 She's refusing to see her father.
我们不知道为什么 We don't know why.
那么 你不应该问下吗？ Well, shouldn't you find out?
我在等待实验室结果 乔丹正在和她说话 I am waiting on labs. Jordan is talking to her.
我想我们应该为我们什么时候 I think we should pick a date
再开始计划我们的婚礼 选择一个日期 for when we're going to start planning our wedding again.
6 月 8 日？ June 8th?
享受当下怎么了？ What happened to enjoying the moment?
我并不喜欢它 I'm not enjoying it.
好的 Okay.
我们有一个计划 We had a plan.
现在 我们没有一个计划 Now, we don't have a plan,
而你可以接受 但我不可以 and you're okay with that, but I'm not.
我们会想出办法的 小尚 We will figure it out, Shaunie.
如何？ How?
我还不知道 I don't know yet.
没有人有好的建议了 No one has good advice anymore.
艾拉没有和我说话 Isla's not talking to me.
我们应该呼叫社会工作者 We should page the social worker.
她不会向社会工作者敞开心扉 肖恩 She's not going to open up to the social worker, Shaun.
艾拉信任你 Isla trusts you.
我可以使用经颈椎的方法 I can use a transcervical approach
以重建气道 to reconstruct the airway.
如果你在她的颈部上使用牵引器 If you use a retractor in her neck,
我将从她的大脑中失去排水功能 I'll lose drainage from her brain.
我需要让她开始服用肝素 I need to start her on heparin
这样我就可以开始动她的心脏了 so I can get working on her heart.
在我放置分流器之前 你不能使用肝素 You can't use heparin until I've placed the shunt.
当我在她的颈部上工作时... Not while I'm working on her neck.
只要走错一步 她就需要终生使用气管 One wrong move, she'll need a lifelong trach.
如果她的矢状窦再次出血 If she bleeds again from her sagittal sinus,
她就会脑死亡 she'll be brain dead.
如果她有灾难性的心脏衰竭 她就会死--死了 If she has catastrophic heart failure, she'll be dead-dead.
好的 气道是第一优先 Okay. Airway's priority one.
一旦安全了 你就可以固定阀门了 Once it's secure, you can fix the valve.
你又要推翻我的判断了？ You're overruling my judgment again?
否决权？我们... Overruling? We...
伊莱恩的泵失败了 Elaine's pump failed.
她完全处于心脏衰竭状态 She's in total heart failure.
我正在准备一个手术室 I'm prepping an O.R.
那是一幅非常准确的马的画 That is a very accurate drawing of a horse.
这是我的狗 阿比盖尔 It's my dog, Abigail.
她必须看起来像一匹马 She must look like a horse.
我爸爸是不是很痛苦？ Is my dad in a lot of pain?
没有 No.
他正在服用非常强烈的麻醉剂 He is on very strong narcotics.
你为什么不想见他？ Why don't you want to see him?
他的残余肢体被严重包扎 His residual limb is heavily bandaged,
所以你将无法看到任何... so you won't be able to see any...
血液或组织或骨骼 Blood or tissue or bones.
我并不害怕这个 I'm not afraid of that.
好的 Okay.
我当时踢了一下椅背 I was kicking the back of the seat.
驾驶员的座位 我爸爸讨厌这个座位 The driver's seat, which my dad hates.
他错过了我的合唱团音乐会 这让我很生气 He missed my choir concert, which made me mad,
所以我踢了他的座位 so I kicked his seat.
他还让我停下来 And he told me to stop,
但我一直在踢来踢去 but I kept kicking and kicking,
然后他转过身来 and then he turned around,
告诉我停下来 told me to cut it out,
然后我听到妈妈的尖叫声 and then I heard Mom scream,
并有警笛声 然后我们就到了 and there were sirens, and then we were here.
他将会恨我 He's going to hate me
因为我很自私和愚蠢 这都是我的错 because I'm selfish and stupid and it was all my fault.
那是... It was...
我哥哥史蒂夫的死是我的错 My fault my brother Steve died.
但这也是史蒂夫的错 But it was Steve's fault, too.
躲在火车顶上是他的主意 It was his idea to hide on the roof of the train.
他倒下了 He fell.
他的颈部断了 He broke his neck.
你爸爸把目光从路上移开 Your dad took his eyes off the road,
和一辆汽车闯红灯 安全气囊没有展开 and a car ran a red light and the airbags didn't deploy.
这些事情不是你的错 Those things are not your fault.
而且即使是这样... And even if it were...
你的父母可能仍然会爱你 Your parents would probably still love you,
因为你们有共同的经验 结合 because of your shared experience in combination
与父母结合的荷尔蒙催产素 with the parental bonding hormone oxytocin.
虽然 在我的情况下 这还不够 Although, in my case, it wasn't enough.
我的父母不喜欢我 My parents didn't like me.
对你哥哥的事我很遗憾 I'm sorry about your brother.
还有你的父母 And your parents.
还有你的宝宝 And your baby.
你已经有很多坏事发生在你身上了 You've had a lot of bad things happen to you.
我也有很多好事情发生 I've had a lot of good things happen, too.
好的 Okay.
我想去看看我爸爸 I want to go see my dad.
艾拉？ Isla?
我需要一个快速反应小组 立即 I need a rapid response team, stat.
她的胸口在流血！ She's bleeding in her chest!
触诊时血压为 65。再给一个单位的血 - BP is 65 over palp. - Give another unit of blood.
我们必须把她开启 肖恩 We have to open her up, Shaun.
我们可能会伤到她的支气管 We could injure her bronchi
并导致慢性呼吸衰竭 and cause chronic respiratory failure
或使她的肺动脉断裂 or rupture her pulmonary artery.
她可能会失血过多 She could bleed out.
如果我们现在不做手术 她就会死 If we don't operate now, she's gonna die.
准备好手术室的胸腔解剖 并呼叫林医生 Prep an O.R. for stat thoracotomy, and page Dr. Lim.
这个老家伙需要做血管成形术和支架 The old fart needs angioplasty and a stent.
你可能刚刚救了这个人的命 You may have just saved this guy's life.
我的艺术和手工课要迟到了 I'm gonna be late for arts and crafts.
这与尼拉有什么关系吗？ Does this have anything to do with Nira?
嘿 你做了一个错误的决定 Hey, you made one bad call.
你不是一个坏人 You're not a bad person.
你上周不是这么说的 Uh, that is not what you said last week.
我可能反应过激了 I may have overreacted.
我一生中每天早上都会醒来 I've woken up every morning my whole life
想征服世界 然后我伤害了某人 wanting to conquer the world, and then I hurt someone,
而我几乎失去了... and I almost lost...
我几乎失去了一切 I almost lost everything.
所以现在 我打算培养良性的意图 So now, I am going to cultivate virtuous intentions
而且...一般不会那么可怕 and... generally not be so awful.
如果你想打坐和做志愿者 If you want to meditate and volunteer
并拯救随机的老家伙 请继续 and save random old guys, go ahead.
但不要成为一个完全不同的人 But don't become a totally different person.
我会想你的 I would miss you.
世界需要那些每天早上醒来 The world needs people who wake up every morning
想征服它的人 wanting to conquer it.
这类人在月球上登陆 Those kinds of people land on the moon
并治愈癌症和... and cure cancer and...
将脾气暴躁的老人拖入急诊室 Drag grumpy, old men into the E.R.
并沿途践踏无辜的灵魂 And trample innocent souls along the way.
是的 不要做这部分 Yeah, don't do that part.
我会在旁边提醒你 I'll be around to remind you.
我将为老屁准备一个套房 I'll prep a suite for Old Fart.
花更多的时间 她就会心脏骤停 Take much longer and she'll have a cardiac arrest.
气切是安全的 去吧 Trach is secure. Go ahead.
将导管推进到升主动脉 Advancing the catheter to the ascending aorta.
扳倒她的二氧化碳 Bring down her CO2.
缩回颈部肌肉 所以有... Retract the neck muscles so there's...
是的 不 我知道了 Yeah, no, I got it.
那个婴儿的死亡让我彻夜难眠 The death of that baby kept me up at night.
它仍然是这样 It still does.
我当时就应该表态了 I should have taken a stand then,
但莎伦告诉我 这也让她彻夜难眠 but Salen told me it kept her up at night, too.
她承诺会做出改变 She promised to make changes
以确保它永远不会再发生 to ensure that it never would happen again,
而我相信她 因为我关心她 and I believed her because I cared for her.
非常 A lot.
但我的眼睛是闭上了 But my eyes were closed,
而我应该更早地站出来 and I should have stepped up sooner.
因为这个地方是我的家 Because this place is my home,
而你们这些讨厌的家伙 就是我的家人 and you pains-in-the-ass are my family.
我们一起可以修复这个女人的心脏 Together, we can fix this woman's heart,
她的大脑 和颈部 her brain, and neck.
我们可以为我们所有的病人做伟大的事情... We can do great things for all our patients...
如果我们不先杀死对方 If we don't kill each other first.
分流通过 Shunt's through.
你可以继续进行气管修复 You can go ahead with the trach repair.
她崩溃了 She's crashing.
凯恩医生将在 20 分钟后到这里 Dr. Cain will be here in 20 minutes.
我们没有 20 分钟 We don't have 20 minutes.
我现在必须开启她的胸部 I have to open her chest now.
让一个主治医生离开手术室 Get an attending out of surgery.
她有严重的心动过缓 She has critical bradycardia,
但阀门的状况很好 but the valve is well-positioned.
每分钟排出两毫升的 CSF Drain two cc's of CSF every minute.
这应该能为我争取到十分钟的时间 That should buy me ten minutes.
我将卸下输送阀 I'll remove the delivery valve.
我将投入一个临时的起伏器 I'll put in a temporary pacer.
但我仍然不知道是什么让她的心率下降 But I still don't know what's tanking her heart rate.
我知道 I do.
气管损伤压迫了她的颈动脉 The tracheal injury compressed her carotid.
它正在降低她的心率 It's lowering her heart rate.
试着取下牵引器 Try removing the retractor.
推动阿托品 Push atropine.
不太好 No good.
心率在 30 左右 她要停止心跳了 Heart rate's in the 30s. She's gonna arrest.
将尝试对颈动脉球进行减压 Gonna try to decompress the carotid bulb.
肖恩需要你们中的一个到三号手术室 Shaun needs one of you in O.R. three.
艾拉的肺部血管破裂了 Isla's pulmonary vessel ruptured.
他正在敲打开她的胸部 He's cracking her chest.
我需要 10 分钟 I need ten minutes.
告诉肖恩使用他的每一点肖恩本色 Tell Shaun to use every bit of his Shaun-ness
让她活着 直到我到达那里 to keep her alive till I get there.
安德鲁可以在 10 分钟内到达这里 Andrews can be here in ten minutes.
我已经找到了出血的血管 I've located the bleeding vessel.
如果我的钳子离肺动脉太近 If I clamp too close to the pulmonary artery,
我把伤势扩大 她就会失血过多 I'll extend the injury and she will bleed out.
如果我太接近脐部 If I get too close to the hilum,
我可能会造成肺梗塞 I could cause a pulmonary infarct.
她的余生都需要呼吸机 She'd need a ventilator for the rest of her life.
我需要安德鲁的帮助 I need Andrews' help.
她要休克了 She's going into shock.
你可以做到的 肖恩 You can do this, Shaun.
我需要药品、留置缝合线和一个打针器 I need Metz, stay sutures, and a needle driver.
血压在攀升 BP's climbing.
做得好 莫菲医生 要我来接手吗？ Well done, Dr. Murphy. Want me to take over?
是的 Yes.
我们都会好起来的 We're all going to be okay.
除了严重的胸痛 Except for the severe chest pain
你们都将经历几个星期的时间 you will both experience for several weeks.
而且有 1% 的机会出现复发的假性动脉瘤 And there is a 1% chance of a recurrent pseudo-aneurysm.
但是 是的 你很可能会好起来的 But yes, you will most likely be okay.
感谢你 莫菲医生 Thank you, Dr. Murphy.
我们会给你们大家一些时间 We'll give you all some time.
我没有整不见它 I didn't lose it.
感谢你 莫菲医生 Thank you, Dr. Murphy.
人际关系也不是那么糟糕 是吗？ Personal connections aren't so bad, are they?
不 Mm. No.
它们并不那么糟糕 They are not so bad.
但我不想再这样做了 But I do not want to do it again.
我得回家了 I have to go home.
我想我可以拯救这个诊所 I think I can save the clinic.
瑞兹尼克医生 今天真是漫长的一天 Dr. Reznick, it's been a long day.
我说话很快 老人 I talk fast. Old people.
他们最需要关怀 They need care the most
而且他们的机会最少 and they have the least access.
为疗养院提供远程医疗服务 Telemedicine services for nursing homes.
我刚刚带来一个需要 10 万美元 I just brought in a patient
血管造影的病人 who needed a $100,000 angio,
完全由 Medicare 支付 entirely paid for by Medicare.
仅此一项就可以支付 That alone would cover the cost
为三个没有保险的诊所病人费用 of three uninsured clinic patients.
这是个好主意 但主意不是你的问题 It's a good idea, but ideas aren't your problem.
我知道 我犯了一个错误... I know. I made a mistake...
并紧接着又说了一句 And followed it up with another.
你从各个方向都搞砸了你的机会 You've bungled your opportunity from every direction.
我知道 I know.
这就是为什么 Which is why
格拉斯曼医生应该负责诊所的工作 Dr. Glassman should be in charge of the clinic.
我还没有准备好 但我会准备好的 I'm not ready, but I will be.
有朝一日 Someday.
而你将需要像我这样的人 And you're gonna need people like me
如果你要拯救这个地方 if you're gonna save this place.
而且你知道我是对的 And you know I'm right,
因为你每天早上醒来 because you wake up every morning
也想征服世界 wanting to conquer the world, too.
♪ BGM: Part Of Me By:Gold Brother ♪
♪ 我在我想留住的过去之间左右为难 ♪ ♪ I'm torn between the past that I wanna keep... ♪
这些都是什么？ What is all of this?
我有东西给你 I got you something.
♪ 我拼尽全力让自己振作起来 ♪ ♪ Try to hold myself together while I risk it all... ♪
我自己做的 I made it myself.
♪ 我抱着你等着坠落 ♪ ♪ And I'm holding onto you Waiting for the fall ♪
♪ 我希望你一路上伴我左右 ♪ ♪ I want you by my side along the way... ♪
莉亚．迪拉罗... Lea Dilallo...
你是否愿意 will you
使共同的经验和催产素成为一种纽带... make a bond of shared experience and oxytocin...
与我相爱 共度余生？ and love with me for the rest of our lives?
当然了 Of course.
♪ 他们说感情只是一种感情你无法存活 ♪ ♪ They say the feeling's just a feeling and you won't survive ♪
♪ 爱只是一束会随着时间消失的光 ♪ ♪ And love is just a light that will fade in time... ♪
这是个占位符 It's a placeholder.
这很完美 It's perfect.
♪ 你永远属于我 ♪ ♪ You will always have this part of me ♪
我在这里的某个地方留下了一瓶苏格兰威士忌 I left a bottle of Scotch around here somewhere
在你第一次偷了我的工作之后 after the first time you stole my job.
你把我的汽水喝光了吗？ Did you drink all my fizzy water?
后面还剩下一个黄瓜味的 他们很恶心 There's a cucumber one left in the back. They're disgusting.
它是清爽和美味的 It's refreshing and delicious.
同意不同意 Agree to disagree.
是的 Yep.
找到了 Found it.
为什么不呢？ Why not?