《良医》前情提要 Previously on The Good Doctor...
是你把我变成了这样 我对此真的很生气 You put me here, and I'm really angry about that.
我如今坐在这轮椅上 就是因为那台手术 I am sitting in this chair because of that surgery.
-我很喜欢这次实地考察 -我也玩得很开心 - I enjoyed our field trip. - I had a good time, too.
对不起 我实在是… I'm sorry. I just...
做不到 I can't.
我知道怎么解决了 I know how to fix everything.
有一种手术可以治好利姆医生的瘫痪 There's a surgery that will cure Lim's paralysis.
关键不在于脊髓 It's not the cord.
而是脊柱的畸形 It's a deformity of the spinal column.
即使有脊柱后凸的情况 也不代表… Even if there's kyphosis, that doesn't mean--
从前她的脊柱侧弯为10度 She used to have a 10-degree curve.
如今则是15度 Now it's 15.
你打算怎么做？ So, what do you propose?
我们需要从腹部和胸腔进入 修复畸形 We go through the abdomen and chest, fix the deformity,
运用骨笼、板材和螺钉将脊柱固定 and stabilize the column with cage, plate, and screws.
这样脊髓中的压力被释放后 她的身体就会开始愈合 With the tension in the cord relaxed, her body can heal.
继而从瘫痪中恢复 It will fix the paralysis.
-这或许真的可以 -或许而已 - That might work. - Might.
仅仅是或许是不够的 Might work. Might doesn't cut it,
尤其是这样一来 脊髓周围放置的仪器就太多了 especially with the amount of instrumentation around the spinal cord.
你有可能会在她的肠道或肺部 戳个洞出来 You could poke a hole in the gut or in the lung.
导致脓毒症也不是没有可能 Sepsis is a very real possibility.
我不会戳破任何东西的 I won't poke a hole in anything.
别让我提醒你 你上次也是这么自信 Do I need to remind you how confident you were the last time?
抱歉 但在我看来 成功的几率太低了 I'm sorry, but the odds aren't good enough, not for me.
那就提高成功的几率 Then better the odds.
你们两个 试着找出 我们有足够把握的手术方法 You two see if you can find a surgery in our comfort zone.
谁有异议吗？ Any objections?
没有 No.
那我就要着手准备了 Then I need to get started.
未来一周我有的忙了 I will be very busy this week.
圣何塞圣博纳旺蒂尔医院
在今天之前 你从未有过昏倒的情况 And you never fainted before today?
对 没错 No, never.
其实 我上周好像昏倒过一次 Actually, I guess I fainted last week.
当时是休息时间 I was at recess.
我醒来时躺在地上 I just sort of woke up on the ground.
我怕你们会不让我参加 万圣节选美比赛 I thought you wouldn't let me do the Halloween pageant.
-对不起 -没关系 - I'm sorry. - It's okay.
只要你能好起来 其他不是问题 We just want you to get better.
看起来你扮演的是辛德瑞拉？ So, you're Cinderella.
我负责主要的独唱 唱《没人是孤独的》 I have the main solo. I'm singing "No One Is Alone."
桑德海姆的歌 我超喜欢的 Sondheim. I love it.
你最喜欢的是哪首？ What's your favorite?
你们为什么在唱歌？ Why is there singing?
你怎么变成了绿色？ And why are you... green?
今天是万圣节 It's Halloween.
她的心率仍然保持在38次每分钟 Heart rate's still 38 BPM.
我们应该能让你及时出院 赶上你的独唱表演 Hopefully, we can get you back in time for your solo.
不能出院 We can't.
你心脏中的电传导系统运转不良 The electrical system in your heart is malfunctioning and you risk cardiac arrest.
你随时有心脏骤停的可能 The electrical system in your heart is malfunctioning and you risk cardiac arrest.
今天我们可以很快为你植入起搏器 We can easily implant a pacemaker today
让它恢复正常运转 to keep it functioning normally.
植入成功后 起搏器是非常安全的 Once it's in, a pacemaker is very safe.
她为什么会出现这种情况？ W-Why is this happening to her?
我们会对她进行血液检测 We will do blood work and electrophysiologic studies
以及心脏电生理学检查 弄清病因 We will do blood work and electrophysiologic studies
以及心脏电生理学检查 弄清病因 to find out.
除此之外 还要对你们一家三口 进行基因检测 Plus, genetic workups on all three of you.
如果这是由于遗传导致的 你们也有发病的风险 If it's inherited, you might be at risk, too.
万圣节快乐 Happy Halloween.
我现在经常会头晕 I get dizzy a lot
因为我小时候撞到过头 'cause I banged my head when I was a kid.
他们已经知道了 弟 They know, buddy.
喔 对 Oh, yeah.
有时候我也有点健忘 Sometimes I forget stuff, too.
是克里斯一直在照顾我 Chris is always looking out for me.
他不仅每天都去日托所接我 He picks me up from day care every day.
还给我做晚饭 He cooks me dinner,
让我打电子游戏 and he lets me play video games.
听起来他是个好哥哥 Sounds like a good brother.
跟他们说说 我们经常跟对方说的话 Tell them what we say to each other.
我会说 我会永远陪在你身边 弟弟 I say, "I got your back, little bro."
然而我会说 我也会永远陪在你身边 哥 And then I go, "I got your back, big bro."
伤口边缘正常 Nice approximation of the wound edges.
你们可以走了 奥利 You're good to go, Ollie.
最近我的背总是疼 Back's been bugging me.
人老了就是这样 Joys of aging.
你的裤子看起来有点大了 Your pants are pretty loose.
-最近我瘦了一些 -你上回看医生是什么时候？ Lost a little weight recently.
-最近我瘦了一些 -你上回看医生是什么时候？ When did you see a doctor last?
我不记得了 又要照顾奥利 又要找工作 很难抽出时间… I don't know.
我不记得了 又要照顾奥利 又要找工作 很难抽出时间… Between Ollie and looking for work...
你能不能撩开衣服让我看看？ Mind lifting up your shirt?
为了保险起见 我们会为你安排 做一下化验和CT We're gonna order lab tests and a CT for you,
为了保险起见 我们会为你安排 做一下化验和CT just to be safe.
记得我喜欢的那个实习助理吗 戴鼻环的那个 That potential assistant I liked, with the septum ring?
我看了她的TikTok 现在我开始找新的人选了 Well, I watched her TikTok,
我看了她的TikTok 现在我开始找新的人选了 and now I'm looking for another one.
你是在看你的平板吗？ You reading your tablet?
对 但在研究利姆医生手术的同时 我也在听你说话 Yes, but I'm also listening to you.
对 但在研究利姆医生手术的同时 我也在听你说话 With the Dr. Lim surgery,
我现在必须一心二用 I have to do two jobs.
那你等我们的午餐结束再开始 好不好？ Well, how about you start after our lunch?
这是一个成长的机会 作为上司 你得学会把工作分配出去 This is a growth opportunity.
这是一个成长的机会 作为上司 你得学会把工作分配出去 As a boss, you need to delegate.
你以为我的每行代码 都是我自己写的吗？ You think I write every line of code myself?
可我是外科医生 I am a surgeon. I cannot delegate surgery.
我没法把手术分配出去 I am a surgeon. I cannot delegate surgery.
那就想想 你的工作中 有哪些元素是只有你能做的 So, figure out the elements of your job
那就想想 你的工作中 有哪些元素是只有你能做的 that only you can do and delegate the rest.
然后把剩下的分配下去 that only you can do and delegate the rest.
这是个好主意 That is a good idea.
因为原力与我同在 The Force is with me.
不错 我喜欢 Nice. Love it.
美呆了 Ooh. Gorgeous.
那选海军蓝的连衣裙 还是黑色短裙？ So, the navy blue dress or the black skirt?
两件都很好看 They're all great.
-你的约会对象会被你美到失语 -还不一定是约会对象呢 Your date's gonna be blown away.
-你的约会对象会被你美到失语 -还不一定是约会对象呢 Not necessarily my date.
我家邻居可不会 带我去浪漫的餐厅吃饭 My neighbors aren't taking me
我家邻居可不会 带我去浪漫的餐厅吃饭 to romantic restaurants.
你家邻居是一对90多岁的老夫妻 Your neighbors
你家邻居是一对90多岁的老夫妻 are a 90-year-old couple
还有那个喜欢对着自己的晶洞 说话的隐士 and that hermit who likes to talk to his geodes.
这就是一次约会 对吧？ It's a date, right?
我的楼层到了 This is my floor.
回答得很明智 姐妹 Wise answer, matey.
就是约会 Date.
绝对算约会 Date. Definitely a date.
这样问题就大了 因为这些衣服都太糟糕了 Which is a problem 'cause those outfits suck.
你还有别的衣服吗？ What else you got?
垃圾 过时 放荡 不够放荡 Trashy, frumpy, slutty,
垃圾 过时 放荡 不够放荡 not slutty enough.
天啊 绝对不行 还有别的吗？ God, no. Anything else?
我衣柜里还有一些 In my closet.
在那里会合 晚上8点见 We'll meet there. 8:00 p.m.
尽量别动 克里斯 Try to hold still, Chris.
-只需要几分钟就好了 -好 This will just take a few minutes.
-只需要几分钟就好了 -好 Okay.
我以为你应该是个 挺有万圣节精神的人 I would have thought that you had more Halloween spirit.
是这样没错 但作为一位职业女性 我选择把这种精神留到下班后表达 Oh, I have a lot.
是这样没错 但作为一位职业女性 我选择把这种精神留到下班后表达 But as a professional woman,
是这样没错 但作为一位职业女性 我选择把这种精神留到下班后表达 I express it after work.
有意思 下班后你打算做什么？ - Interesting. - Mm-hmm.
有意思 下班后你打算做什么？ What are you up to?
圣佩德罗广场附近有一条酒吧街 There's a big pub crawl around San Pedro Square.
我们很多人要一起去 A bunch of us are going.
听起来很好玩 That sounds fun.
你想一起来吗？ Want to join?
还是算了吧 但谢谢你的邀请 I think I'll skip. But thanks.
不客气 No problem.
我昨晚的举动好像让我们之间 变得有些尴尬 I think I made things weird between us last night.
没事的 It's fine.
一个3厘米的肿块 部分挤压到胆管了… A three-centimeter mass
一个3厘米的肿块 部分挤压到胆管了… partially compressing the bile duct.
是胰腺癌 Pancreatic cancer.
你要把这身衣服穿进手术室吗 You wearing that in the OR?
基因检测的结果出来了 斯凯勒患有血色素沉着病 I got the genetic testing back.
基因检测的结果出来了 斯凯勒患有血色素沉着病 Skyler has hemochromatosis.
-心脏的问题就说得通了 -没错 你瞧她父母的结果 Explains the heart problems.
-心脏的问题就说得通了 -没错 你瞧她父母的结果 Yes, but look at her parents' results.
她母亲携带这种隐性基因 Mom carries the recessive gene.
但她父亲没有 But not her dad.
他不是她的亲生父亲 Which means he's not her dad.
鉴于他自愿让我们进行测试 他显然对此不知情 And given how he let us test him,
鉴于他自愿让我们进行测试 他显然对此不知情 he doesn't know it.
我们要怎么跟她的父母说？ What are we gonna tell her parents?
如实说基因检测的结果啊 The genetic testing results.
将发电器置于锁骨下肌中 Placing the generator in the infraclavicular pocket.
该怎么说才能不破坏他们的婚姻 你有什么好办法吗？ Any thoughts on how?
该怎么说才能不破坏他们的婚姻 你有什么好办法吗？ Without destroying their marriage, I mean?
这项工作我就分配给你们俩了 I will delegate that task to you two.
这是一个让你们成长的机会 It will be a growth opportunity.
你们还需要告知斯凯勒的生父 他也携带此种基因 You also need to inform Skyler's biological father that he's the carrier.
可我们不知道她的生父是谁 Well, we don't know who he is.
那这就是一个更好的成长机会了 Then it will be an even bigger growth opportunity.
艾德森手术钳和3号缝线 Adsons and 3-0 vicryl.
你现在处于胰腺癌三期 You have stage three pancreatic cancer.
也就是说癌细胞还没有转移 That means it hasn't metastasized yet,
也就是说癌细胞还没有转移 but it's spread to your lymph nodes.
但已经扩散至你的淋巴结 but it's spread to your lymph nodes.
所以…我得做化疗？ So, I'll-- I'll do chemo?
化疗、放疗 加上分子疗法 能够给你八个月的存活时间 Chemo, radiation, molecular therapy
化疗、放疗 加上分子疗法 能够给你八个月的存活时间 would give you about eight months.
有一种非常普及的手术 叫惠普尔手术 There is a very extensive surgery called the Whipple procedure.
这种手术要切除你的胆囊和部分胆管 It involves removing your gallbladder
这种手术要切除你的胆囊和部分胆管 as well as parts of your bile duct, pancreas, and intestines.
胰腺以及肠道 as well as parts of your bile duct, pancreas, and intestines.
好 什么时候做手术？ Okay. When can we do it?
它的成功几率很低 It only has a small chance of success,
一旦手术失败 你存活的时间会更短 而且更痛苦 and if it fails, you'll have less time and more pain.
奥利小时候 我妈时常在家办公 When Ollie was a kid, my mom worked from home a lot.
她总是叫我照顾他 我很讨厌这样 She always had me looking after him, which I hated.
有一天 我在看漫画时 One day, I was reading comics...
他从楼梯上摔了下来 and he fell down the stairs.
当时你也只是个孩子 You were just a kid yourself.
奥利受伤不能怪你 Ollie's injury isn't your fault.
只要能守在他身边 我愿意付出任何代价 I will do anything to be there for him.
我们会开始为你安排 惠普尔手术的术前检查 We'll order the pre-op testing for the Whipple procedure.
我忙着呢 I'm busy.
哪有 你明明在等你病人的耳垢变软 No, you are waiting on your patient's ear wax to soften.
我们可以借助胸腔镜和腹腔镜 We can use a thoracoscopic and laparoscopic approach
配合内窥镜减压术 with endoscopic decompression.
-我要把方案拿给利姆医生看 -不行 I want to present it to Dr. Lim.
这种方法已在肿瘤手术中得到了应用 This approach has been used for tumor surgery.
-你说手术？-不是在聊你的病情 Did you say "surgery"?
-你说手术？-不是在聊你的病情 We're not talking about you!
这比我最初的想法更安全 血管损伤的风险更低 It's less invasive than my initial idea,
这比我最初的想法更安全 血管损伤的风险更低 with a lower risk of vascular injury.
-我说不行 肖恩 -好神奇啊 I said no, Shaun.
就像米花脆在我耳边爆开了 This is wild. It's like Rice Krispies popping in my ear.
我达到了安德鲁斯医生的要求 降低了受伤的风险 I did what Dr. Andrews said.
我达到了安德鲁斯医生的要求 降低了受伤的风险 I lowered the risk of injury.
你没有达到安德鲁斯医生的要求 You didn't do what Dr. Andrews said.
这种方法并没有提高 我们治愈她瘫痪的成功几率 You didn't raise the chance
这种方法并没有提高 我们治愈她瘫痪的成功几率 - that we're gonna fix her paralysis. - Paralysis?
-瘫痪？-不是在聊你的病情 - that we're gonna fix her paralysis. - Paralysis?
-瘫痪？-不是在聊你的病情 - I am not talking about you. - We're not talking about you! Tilt your head.
倾斜脑袋 - I am not talking about you. - We're not talking about you! Tilt your head.
这个方案还不够好 Not good enough.
雅各布很快就会回来 Jacob will be back soon.
我们先跟你聊吧 Let's start with us.
目前起搏器运行得很顺利 The pacemaker is working great.
谢天谢地 Thank God.
但她患有一种 叫做血色素沉着症的遗传病 But she has a genetic disease called hemochromatosis.
导致过量的铁元素在她身体里堆积 Um, excess iron is building up in her body.
所以她的心脏才会出问题吗？ That's why she was having heart issues?
没错 这对她的肝脏 也造成了一点损伤 Yeah.
没错 这对她的肝脏 也造成了一点损伤 And there's a small amount of damage to her liver,
但我们及时发现 阻止了损伤扩大 but it looks like we caught that in time.
铁元素存在于红细胞内 Iron is carried in red blood cells,
所以主要的治疗方法 就是定时抽血 so the main treatment is just regular blood draws.
就这样？ That's it? Great.
由于您签署的那些表格 Because of the forms you signed,
我们本该把检测结果 一同告知您和您的丈夫 we're supposed to tell you and your husband these results together
并向你们解释血色素沉着症 是一种隐性遗传疾病 and explain that hemochromatosis
并向你们解释血色素沉着症 是一种隐性遗传疾病 is a recessive genetic disorder,
也就是说斯凯勒之所以患有这种病 which means that for Skyler to have the condition,
是因为她的父母双方 都携带这种基因 the gene needs to be carried by both parents.
您的确携带这种基因 然而… And then we'd explain that you carry it,
您的确携带这种基因 然而… but... your husband doesn't.
您丈夫并非如此 but... your husband doesn't.
可这不… But that doesn't...
天啊 Oh, God.
是雅各布从前的大学室友 Jacob's old college roommate.
我们夫妇和他们夫妇关系很好 We were really close with him and his wife.
雅各布怀疑过 但我否认了 Jacob suspected, but I denied it.
他是个很好的人 我当时的生活就像一潭死水 He was just so amazing, and I was in a rut.
我和雅各布现在已经和好如初了 Jacob and I are good now.
斯凯勒就是他的女儿 我不希望改变这一点 Skyler is his daughter. I don't want that to change.
我们不能刻意对你丈夫隐瞒检测结果 We can't avoid your husband finding out his test results.
您能把她生父的信息告诉我们吗？ Can you give us the biological dad's info?
我们得告诉他 他是这种基因的携带者 He needs to know he's a carrier.
我不想把他扯进来 I don't want him involved.
我们不会把你和斯凯勒的事告诉他 We can't tell him anything about you or Skyler.
这是违背隐私法的 Privacy laws.
但如果他有其他孩子 他们或许有发病的风险 But if he has other children, they could be in danger.
他叫康米克 Mick Kang.
我还是和我丈夫聊聊吧 I better go talk to my husband now.
难道你想把自己变成一根芹菜吗？ Are you trying to look like a stalk of celery?
这是我从前的必胜单品 My go-to in the before times.
-搭上… -这件路易威登上衣 Pair it with...
-搭上… -这件路易威登上衣 The Louis Vuitton blouse?
很好 再加上这双… - Mm-hmm. - Yes.
很好 再加上这双… And... these.
性感 经典 我真棒 Hot, classic.
性感 经典 我真棒 Well done.
唯一的问题是 这身有点难脱 Only issue--
唯一的问题是 这身有点难脱 They could be hard to get off.
可以是特色 也可以算缺陷 A feature or a bug, depending.
我们暂停一下吧 Let's take a break.
你有什么心事？ What's going on?
我现在和以前不同了 身体也不同了 I'm a different person now, with a different body.
但他显然很喜欢 That he apparently finds attractive.
船到桥头自然直 You'll figure it out.
不止是性爱的问题 It's not only sex.
我担心我只是 急着想恢复正常生活 I worry I'm just racing to start my life again.
我都不清楚我到底有多喜欢他 How much do I even like him?
他是个好人吗？ Is he a nice guy?
绝对是 Definitely.
帅吗？ Cute?
挺帅的 Pretty cute.
我刚失去一个这样的帅气好男人 Having just lost a nice and pretty cute guy,
只能说 慢慢来吧 it goes a long way.
就这身吧 This'll work.
看来我们无法保留幽门了 Doesn't look like we can preserve the pylorus.
我们可以等手术前期重新评估 We can reassess early in the surgery.
那天晚上 是我犯蠢了 I was an idiot the other night.
我差点吻了你 When I almost kissed you.
很显然 我喜欢你 Obviously, I like you.
但我不能越过这条线 But it's a line I can't cross.
是因为我们是同事吗… If this is because we work together...
不是 It's not.
以我现在的状态 不能和任何人恋爱 I can't date anyone right now.
我真心希望 我们能继续做朋友 But I really hope we can keep being friends.
好 Okay.
-如果不做远端手术的话… -等等 - If we don't do a distal, we run the risk of-- - Hold up.
显然我们是两情相悦的 但出于某种你不想说的原因 We clearly both like each other,
显然我们是两情相悦的 但出于某种你不想说的原因 but nothing can happen
我们不能在一起 for some reason you won't share.
然而你还想继续和我当朋友？ But you still want to hang out?
对 Yeah.
我们来研究一下肝总动脉的情况 Let's look at the common hepatic artery.
我们另一个成长机会正在食堂等我们 Our other growth opportunity's waiting in the cafeteria.
你们认为我携带这种基因？ You think I carry a gene for this...
血色素沉着症基因 Hemochromatosis.
-所以如果你有小孩… -我有 So, if you have kids...
两个男孩 一对六岁的双胞胎 Yeah, two boys. Six-year-old twins.
如果出现皮肤呈青铜色 出现肝脏问题 The warning signs would be bronzed skin,
精力不足 关节疼痛就需要注意了 liver problems, lack of energy, joint pain.
没有这些情况 No.
据我所知 他们非常健康 As far as I know, they're totally healthy.
你们怎么发现我是携带者？ How did you find out I'm a carrier?
我从未来过这家医院 I've never even been to this hospital.
很抱歉 由于隐私法规定 我们不能说 I'm sorry. We're limited by privacy laws.
但只要你和你的孩子们没这方面问题 就无须担心了 But as long as you and your kids
但只要你和你的孩子们没这方面问题 就无须担心了 get checked out, you'll be fine.
隐私法 涉及谁的隐私？ Privacy laws? Who-- Whose privacy?
抱歉 我们不能透露更多信息了 I'm sorry. We can't say anything more.
雅各布？ Jacob?
黛西有孩子了？ Daisy had a kid?
嘿 哥们 他们刚把我叫过来 Hey, look, man, um, they just-- they called me in here.
-我不知道… -别这样 - I didn't-- - No!
-我不知道… -别这样 No, no, no, no, no. Don't!
别… Ah!
这个办法一点也不好 Okay, residents, that did not work at all.
你们选了一个糟糕的地点和米克见面 间接害米克的鼻梁被打断 You chose a very bad place to meet Mick,
你们选了一个糟糕的地点和米克见面 间接害米克的鼻梁被打断 and then Mick got his nose broken,
然后米克投诉 你们害他的鼻梁被打断 and then Mick complained that you got his nose broken,
害得安德鲁斯医生训我 没有尽到主治医师的责任 and then Dr. Andrews berated me for not being a good attending
而我只是把这个任务 分配给你们俩而已 when all I did was delegate to the two of you.
是她提议约他在食堂见面的 She suggested meeting him in the cafeteria.
-当时你也没反对 -作为女权主义者 我没法反对 And you didn't object.
-当时你也没反对 -作为女权主义者 我没法反对 As a feminist, it's not my place to--
你们俩做得都很差劲 You both did terrible jobs.
我还得继续研究利姆医生的手术 I have to work on Dr. Lim's surgery.
你们去检查斯凯勒的起搏器 Go check on Skyler's pacemaker.
我看到肝总动脉了 I can see the common hepatic artery.
开始切除它前边的大淋巴结 Resecting the large lymph node anterior to it.
帕克医生 腹壁不太对劲 Dr. Park, the abdominal wall.
这不是局部扩撒 That's not local spread.
是转移了 手术不能继续了 立马给他缝合 Metastasis. We can't finish.
是转移了 手术不能继续了 立马给他缝合 We have to close him up, reverse what we can.
尽力复原刚才所有操作 We have to close him up, reverse what we can.
我们可以从T9L1椎体后进入 We will go in posteriorly at T9-L1.
不用在前部放置任何器械 这样一来 With no anterior instrumentation,
不用在前部放置任何器械 这样一来 she'll be at a lower risk of postsurgical complications,
术后并发症的风险会降低 然后通过后截骨术 she'll be at a lower risk of postsurgical complications,
术后并发症的风险会降低 然后通过后截骨术 and her prognosis will be improved
释放脊髓的压力 她的预后也会好很多 by completing posterior osteotomies
释放脊髓的压力 她的预后也会好很多 to release tension on the cord.
风险还是太高了 你是不是还没给利姆医生道歉？ Still too risky.
风险还是太高了 你是不是还没给利姆医生道歉？ Have you even apologized to Lim yet?
我没什么可道歉的 I have nothing to apologize for.
老天爷啊 肖恩 Oh, my God. Shaun.
你还在因为我没遵循规章制度生气 Oh, you are still mad at me for not following orders.
所以你才不断拒绝我的手术方案 That's why you keep shooting down my ideas.
你没把我的话听进去 You didn't listen to me,
还不想承担责任 and you're refusing to accept responsibility, so yeah, I'm a little mad,
所以对 我是有点生气 and you're refusing to accept responsibility, so yeah, I'm a little mad,
但我拒绝你的手术方案 是因为风险太高了 but I'm shooting down your ideas
但我拒绝你的手术方案 是因为风险太高了 because they're too risky.
我不信 I don't believe that.
好吧 那就别信 Okay, fine, don't believe it, then.
我希望你停止生气 这样你就会像以前一样喜欢我的方案 I want you to stop being mad at me
我希望你停止生气 这样你就会像以前一样喜欢我的方案 so you will like my ideas again.
不是这个道理 Doesn't work that way.
那是什么道理？你还要对我生气多久？ Then how does it work?
那是什么道理？你还要对我生气多久？ How long are you going to be mad at me?
我也不知道 I don't know.
我要去门诊上班了 I'm gonna go finish my clinic hours.
是不是她的起搏器出问题了？ Is there something wrong with her pacemaker?
不是心脏的问题 Her heart is fine.
她的肝脏衰竭了 She has jaundice. Her liver is failing.
心传导阻滞造成的低血压 导致了无法预料的肝脏休克 Hypotension from the heart block
心传导阻滞造成的低血压 导致了无法预料的肝脏休克 caused unexpected shock liver.
她已被列入器官共享联合网络的 移植名单 She has been listed for a transplant on UNOS.
我申请了加速处理 I've asked for an exception to speed it up,
但按照这个速度 她等不到供体出现了 but at this rate, she will die
但按照这个速度 她等不到供体出现了 before a donor liver becomes available.
我们给她母亲做了测试 她的匹配度不高 We tested her mom.
我们给她母亲做了测试 她的匹配度不高 She's not a good match,
她父亲也是一样 毕竟他不是她生父 and her dad isn't either, since he's not her dad.
那她的生父呢？ What about her biological father?
她母亲一直在给他打电话 但他把她拉入了黑名单 The mom's been calling him, but apparently he blocked her.
我们可以试试啊 We could try.
你害他脸上被揍了一拳 You got him punched in the face.
还是我去跟他谈吧 I will talk with him instead.
不可能 之前你说我还能活八个月 No. Y-You said before that I might have eight months.
那时我们不知道癌细胞已经转移了 We didn't know it had metastasized.
我总是说我不会抛下他 I always said I wouldn't do this to him.
你没有抛下他 你只是病了 You're not doing anything to him. You're sick.
他会沦落到集体之家里的 He's gonna wind up in a group home.
也有不错的集体之家 There are good ones.
我们会为你推荐一些 Patient Services can advise you.
需要我们把你弟弟叫来 让你们聊聊吗？ Should we get your brother so you two can talk?
好 Yeah.
-你有时间吗？-没有 - Got a minute? - Not really.
我的一位病人 Patient of mine...
他这一辈子都在尽心尽力照顾 he's devoted his life to taking care of his brother,
他外伤性脑损伤的弟弟 who's got a traumatic brain injury,
但现在因为胰腺癌 他活不了多久了 他很害怕 but he's dying of pancreatic cancer and he's terrified.
-惠普尔手术是唯一可行的… -我不是想寻求手术方面的帮助 The Whipple procedure is the only--
-惠普尔手术是唯一可行的… -我不是想寻求手术方面的帮助 This isn't a surgical question.
我希望你能和他们俩聊聊 I was hoping you'd talk to them.
说说你和斯蒂夫的事 以及他去世后你的生活 About your experiences with Steve,
说说你和斯蒂夫的事 以及他去世后你的生活 and after he died.
为什么？ Why?
让他们看到你如今过得这么好 他们就会放心许多 It would be great for them to see how well you've turned out.
我不知道他弟弟今后会过得怎么样 I don't know his brother will turn out well.
我是自闭症 他是脑损伤 I have ASD, but he has a brain injury.
-我懂 可… -我住在大巴上 - I know, but-- - I lived in a bus.
我不知道他们现在住在哪 但肯定不是大巴上 I don't know where they live,
我不知道他们现在住在哪 但肯定不是大巴上 but it is almost certainly not a bus
否则你早就跟我说了 or you would have already mentioned it.
我还是觉得你能帮到他们 I still think it could help.
我帮利姆医生治愈瘫痪的可能性更大 It's much more likely I can help with fixing Dr. Lim's paralysis.
毕竟你的病人已经没得治了 Your patient is dying anyway.
你为什么在这里办公？ Why are you in this office?
我还约了人 I have a meeting.
你这种态度对肖恩是雪上加霜 你应该明白的 对吧？ You're making this worse with Shaun.
你这种态度对肖恩是雪上加霜 你应该明白的 对吧？ You do realize that, don't you?
你在加剧他的痛苦 You're making him more upset.
他必须为自己的所作所为承担责任 He's got to take responsibility for what he did.
他在努力了 你一直生他的气只会让他更抗拒 He's trying.
他在努力了 你一直生他的气只会让他更抗拒 And you staying pissed at him
他在努力了 你一直生他的气只会让他更抗拒 isn't going to help that process.
所以我打算离他远一点 Which is exactly why I'm gonna stay away.
你不能躲他一辈子 Well, you can't avoid him forever.
-不 我可以 -别闹了 - Yes, I can. - Stop it!
现在你在生他的气 但他肯定不会道歉 You're mad at him.
现在你在生他的气 但他肯定不会道歉 He's not going to apologize.
-总有人要先迈出一步 -你觉得肯定是我 Someone's got to make the first move.
-总有人要先迈出一步 -你觉得肯定是我 And that has got to be me?
对 当然了 Yeah, of course it does.
他是成年人了 而且你是在袒护你丈夫 He's a grown man, and he's your husband.
他有自闭症 而且他是你的儿子 He has ASD, and he's your son.
你女儿的肝脏衰竭了 Your daughter is in liver failure.
她的亲人配型都不符合 但你可能符合 None of her relatives are suitable donors, but you might be.
-你想让我把我的肝给她？-只是一叶而已 You want me to give my liver?
-你想让我把我的肝给她？-只是一叶而已 Just one lobe. The full liver would kill you.
取走整个肝 你也活不了 Just one lobe. The full liver would kill you.
我从没见过她 I've never met her.
我在几天前才得知她的存在 I only heard about her a couple days ago.
好吧 但你是她生物学上的父亲 Okay, you're-- you're biologically linked.
所以你有责任去救她 That gives you responsibility.
我家里还有两个儿子需要我 I have two little boys who need me,
我还在跟我的妻子做伴侣治疗 a wife I'm already in couples therapy with.
我为那个小女孩感到遗憾 I feel sorry for this girl.
真心的 但我不能为了她 毁掉我的家庭 I really do.
真心的 但我不能为了她 毁掉我的家庭 But I cannot destroy my family for her.
我哥哥会好起来的 我们要去旅行了 My brother's going to be okay. We're going on a trip.
奥利 让这位豪克斯护士 Ollie,
奥利 让这位豪克斯护士 how about Nurse Hawks here takes you to the cafeteria to get some ice cream, hmm?
带你去食堂吃冰淇淋怎么样？ how about Nurse Hawks here takes you to the cafeteria to get some ice cream, hmm?
-我可以吃圣代吗？-去吧 Sundae?
-我可以吃圣代吗？-去吧 Go for it.
我在网上找到一家墨西哥的诊所 那里可以治疗胰腺癌 I found a website for a clinic in Mexico
我在网上找到一家墨西哥的诊所 那里可以治疗胰腺癌 that offers a cure for pancreatic cancer.
用免疫疗法、干细胞、补充剂等等 Immunotherapy, stem cells, supplements.
我知道那些诊所 I know these clinics.
它们是专骗绝望之人的诈骗犯 They're scams preying on desperate people.
我还有什么可失去的呢？ What do I have to lose?
你的钱 这是一点 Your money, for one thing.
你去世后 你弟弟需要钱生活 Your brother will need it after you're gone.
但如果他失去我 他是没法活下去的 If he loses me...
但如果他失去我 他是没法活下去的 he'll never make it.
他可以 He will.
你不懂 You don't understand.
从小到大 Growing up, um, my family was really close.
我家里人的关系很好 Growing up, um, my family was really close.
我们一起经营农场 We worked the farm together.
我哥就是我最好的朋友 My brother...
我哥就是我最好的朋友 My brother was my best friend.
有一天 拖拉机翻倒了 One day, the tractor rolled,
在把它扶起来时 我哥的椎间盘突出了 and my brother herniated a disk getting it back up.
医生给他开了羟考酮 Doctor gave him Oxy,
18个月后 他转而嗑上了海洛因 and 18 months later he moved on to heroin.
咨询员跟我、我妈和我爸说 让我们和他断绝关系 Counselors, they, um--
咨询员跟我、我妈和我爸说 让我们和他断绝关系 they told me, my mom, my dad to cut him off,
说他需要跌进谷底才能清醒 that he needed to hit rock bottom.
我们照做了 他也确实跌入了谷底 So we did.
我们照做了 他也确实跌入了谷底 And he did.
那段时间 For a while there,
感觉就像他真的去世了一样 it felt like he was gone.
后来我哥告诉我 My brother tells me now
是我们这些家人的爱 和我父母对他的教导 that our family's love,
是我们这些家人的爱 和我父母对他的教导 everything my parents taught him,
让他撑过了那段时间 that's what got him through.
我们实际上救了他 We saved him,
即使我们没陪在他身边 even when we weren't there.
上个月 正好是 Last month, he actually, um--
他戒毒的五周年纪念日 he marked five years sober.
奥利可以承受的 Ollie can handle this.
告诉他真相吧 Tell him the truth.
刚才是学校打来的 That was school.
你又打苏珊道金斯了？ You hit Susan Dawkins again?
她对我冷言冷语 她总是这样 She was being mean to me, like she always is.
我们聊过这事的 玛蒂 你只需要离她远点就行了 Well, we talked about this, Maddie.
我们聊过这事的 玛蒂 你只需要离她远点就行了 All you got to do is-- is stay away.
是她对我冷言冷语 凭什么要我改变？ Why do I have to change what I do
是她对我冷言冷语 凭什么要我改变？ when she's the one who's mean?
因为打人是绝对不行的 玛蒂 Because hitting people isn't acceptable, Maddie.
在生活中 总是会有人对你冷言冷语 Sometimes in life, people are gonna be mean.
你总觉得所有事都是我的错 You always make everything my fault.
-我没有 -你本该站在我这边的 No, I don't.
-我没有 -你本该站在我这边的 You're supposed to be on my side.
我也想站在你这边 但是你让我很难做到这一点 I'm trying to be on your side,
我也想站在你这边 但是你让我很难做到这一点 but you make it damn near impossible
因为你从不听我的话 because you never listen to me!
你也不听我说话 只会对我发号施令 You don't listen. You just boss me around.
天啊 好吧 回你的房间去吧 Oh, my God. Okay. You know what?
天啊 好吧 回你的房间去吧 Just go to your room.
不要 No.
你说什么？回你的房间去 What did you say to me? Go to your room.
我恨你 I hate you.
我说 回你的房间去！ I said go to your room!
肝性脑病 Hepatic encephalopathy.
如果没有新的肝脏换 她活不过明天 Without a new liver, she'll be dead by tomorrow.
你申请到加速移植了吗？ Did you get the exception from UNOS?
没有 No.
那她就没希望了 Then it's over.
还有希望 她的生父或许会配型成功 It's not.
还有希望 她的生父或许会配型成功 Her biological father could still be a match.
你们俩没能说服米克 我也没能说服米克 First, you two failed with Mick,
你们俩没能说服米克 我也没能说服米克 then I failed with Mick.
这次我们一起来想办法 We need to figure out together this time.
奥利 Ollie...
我们不去墨西哥了 we're not gonna go to Mexico.
你的病好了吗？ Are you better?
没有 No.
你要死了吗？ Are you dying?
对 Yeah.
但我们会一起度过 But we are gonna spend every minute together.
我余生的每分每秒 But we are gonna spend every minute together.
我会给你找一个很好的集体之间 And I'm gonna find you a great group home.
虽然我知道这很难 And I know that's hard.
奥利 我真的很抱歉 Ollie, I am so sorry.
拉詹就住在集体之家 Rajan's in a group home.
拉詹 Rajan.
他是我在日托所的朋友… From my day group.
他说 He says he's got his own bedroom
他有自己的卧室 He says he's got his own bedroom
那里的人也很好 and the people are nice.
他过得挺好的 He's okay.
我会永远陪在你身边 哥 I got your back, big bro.
我也会永远陪在你身边 弟弟 I got your back, little bro.
我能进去吗？ Can I come in?
我的确生你的气了 I am mad at you.
而且我有充分的理由 And for good reason.
但无论我有多生气 But no matter how mad I get,
我对你的爱永远不会停止 I never stop loving you.
当年我没有让玛蒂知道这一点 I didn't tell that to Maddie enough.
我不明白你想借此表达什么 I don't know what you want me to take away from that.
我想表达 我爱你 That I love you.
我也是 I do too.
而且之前我拒绝你那些手术方案 And that I had good reasons,
我是充分理由的 并不是因为我当时太情绪化 non-emotional reasons,
我是充分理由的 并不是因为我当时太情绪化 for shooting down your earlier ideas.
不过我觉得你那个内窥镜的方案 还是有可取之处的 But I think there might be something to that endoscopic plan, maybe.
-你这里有她的CT扫描图吗？-我有很多 Do you have any of her CT scans?
-你这里有她的CT扫描图吗？-我有很多 I have many of them.
先拿一张来看看 Well, let's start with one.
谢谢大家来看演出 Thanks for coming out, guys.
你唱得真动听 That was beautiful.
谢谢 Thanks.
-我叫丽 -米克 - I'm Lea. - Mick.
头次来看我们的演出？ - First time at the show? - Yeah.
对 没错 Yeah.
我可以给你看个东西吗？ Uh, can I-- can I show you something?
当然 Sure.
妈妈无法为你指路 Mother cannot guide you
现在你得靠自己了 Now you're on your own...
哇 她唱得真好 Wow. She's... incredible.
-这是你女儿？-不 Your daughter?
-这是你女儿？-不 N-No.
是你的女儿 Yours.
我们可以从后部进入 We'll go in posteriorly with minimally invasive percutaneous screws
通过微创经皮螺钉 We'll go in posteriorly with minimally invasive percutaneous screws
将脊柱后凸部分 and do a complete vertebral column resection
进行最大程度的彻底切除 at the maximally kyphosed segments,
然后用可扩张的骨笼重建椎体 then reconstruct the vertebral bodies with an expandable cage.
你打算重新造一条新脊柱出来 You're building a whole new spinal column.
要想释放你脊髓中的压力 It's the safest way to remove the tension in your cord
让你的身体自主运转 这是最安全的办法 It's the safest way to remove the tension in your cord
让你的身体自主运转 这是最安全的办法 and let your body do its work.
你想通了？ You came around?
不能说是想通了 只是我觉得这个方案也没那么疯狂 I wouldn't say I came around exactly,
不能说是想通了 只是我觉得这个方案也没那么疯狂 but I don't think it's crazy to say yes.
就现在的情况而言 这已经不是治疗选择了 At this point, it's not a medical question.
而是情感上的抉择 It's an emotional one.
你得扪心自问 你有多想脱离那把轮椅？ You got to ask yourself, how bad do you want out of that chair?
我会好好考虑的 I'll think on it.
你看起来… You look...
我想用一个词来精准概括… I'm gonna use a highly precise term here...
很摩登 snazzy.
我花了好几个小时 才打扮成这副用钱堆砌的时髦样子 Well, I spent hours applying very expensive snazz.
我花了好几个小时 才打扮成这副用钱堆砌的时髦样子 You look great, too.
-你看上去也很帅 -谢谢 You look great, too.
-你看上去也很帅 -谢谢 Thanks.
我用约瑟夫这个名字 订了两人位 Reservation for two under Joseph.
稍等 One moment.
这是餐厅唯一的入口吗？ Is this the only entrance into the dining room?
这栋楼是很早之前建的 实在抱歉 It's an old building. I'm so sorry.
我请了几位服务生下来 A couple of waiters are coming down right now.
他们会帮忙将您和轮椅抬上楼 They'll carry you and the chair upstairs.
这不成问题 It's no problem.
这样吧 我一直都想 在外面那个小院子用餐 You know, I have always loved
这样吧 我一直都想 在外面那个小院子用餐 this little courtyard area out here.
你们能不能把角落的桌子搬出来一张 再加几把椅子 Could you possibly bring down one of those corner tables
你们能不能把角落的桌子搬出来一张 再加几把椅子 and a couple of chairs?
只需一把就够了 我自带椅子来的 Uh, just one, actually. I come equipped.
我来安排 I'll make it happen.
谢谢 Thank you.
《新希望》确实是一部完美的电影 A New Hope is, of course, a perfect movie.
没错 Correct.
但单论近几年新出的这几部… But, talking about the recent ones,
-我觉得其中有一部真的惊艳… -《侠盗一号》？ ah, there's one that, for me, really stands out.
-我觉得其中有一部真的惊艳… -《侠盗一号》？ Rogue One.
对！ Yes! Oh!
-它的结尾… -让人拍案叫绝 Oh, that ending!
-它的结尾… -让人拍案叫绝 Genuinely a stunner.
不仅是《星球大战》系列中 相比那些好莱坞大片 也算鹤立鸡群 Oh, not just for the franchise,
不仅是《星球大战》系列中 相比那些好莱坞大片 也算鹤立鸡群 but for any Hollywood blockbuster.
你说我们看哪一部？ So, what are we watching?
抱歉 I'm sorry.
我没这个意思 I didn't think that, uh...
我是不是该走了？ Should I go?
走吧 Yeah.
看来真的不是约会？ I'm guessing it wasn't a date?
我出事后 也曾把一次阿卡普尔科之旅 If it would help, I could tell you about
错认为是浪漫之旅 你听了可能会好受些 你想听吗？ what I thought was a romantic trip to Acapulco
错认为是浪漫之旅 你听了可能会好受些 你想听吗？ right after my accident.
不想 It wouldn't.
他压根没想到我会以为 那是一场约会 It never even occurred to him that I would think it was a date.
别做手术 Don't do the surgery.
无论墨菲医生提出了什么方案 我敢说你肯定非常心动 Whatever Dr. Murphy is proposing
无论墨菲医生提出了什么方案 我敢说你肯定非常心动 I'm sure sounds pretty good right now.
你知道他提出了什么方案吗？ Do you even know what he's proposing?
关键在于你愿意付出任何代价 回到从前的生活 This is about you wanting your old life back at any cost.
所以我懂你现在的心情 I've been where you are.
我失去这条腿的第一年 我也愿意不惜代价把它换回来 The first year after I lost my leg,
我失去这条腿的第一年 我也愿意不惜代价把它换回来 I would have risked anything to get it back.
但如今 我喜欢我现在的生活 But I like my life now.
也喜欢我现在的样子 I like who I am now.
给自己一些时间 Give yourself time.
斯凯勒 Skyler? Can you hear us?
能听到我们说话吗？ Skyler? Can you hear us?
妈妈 Mommy?
当心 你缝了很多针呢 Oh, careful. You've got a lot of stitches.
发生什么事了？ What happened?
你病得很严重 但这些医生把你治好了 You got really sick, but these doctors fixed you up.
这位先生把他的一部分肝脏给了你 This man gave you part of his liver.
他救了你 He saved your life.
你是谁？ Who are you?
我叫米克 I'm Mick.
周一见 See you on Monday.
戒毒五周年了？ Five years sober, huh?
你真的有哥哥吗？ Do you even have a brother?
有 I do.
但吸毒上瘾的不是他 But, um, he's not the addict.
所以 And...
你的毒瘾 your addiction,
就是我们不能在一起的原因… is that the reason
就是我们不能在一起的原因… why you and I can't...
对 Yeah.
大概半年前 我差点复吸 About six months ago, I had a setback.
我买了一点海洛因 虽然最后 我把它冲下了马桶 但还是很危险 Bought some heroin.
我买了一点海洛因 虽然最后 我把它冲下了马桶 但还是很危险 Flushed it before I took it, but still.
我现在的首要任务是 每天坚持在零点前不吸毒 My first priority is making it to midnight without using.
第二要务是成为外科医生 My second is becoming a surgeon.
我真的没法在不危及这两样的同时 再加一项 And I don't know how to add a third without risking the others.
谢谢你相信我 Thank you for trusting me.
我真的想继续和你做朋友 I really hope we can be friends.
可以 Yeah.
我们是朋友了 We're friends.
我预订了明天下午的手术室 以防… I have reserved an OR for tomorrow afternoon in case--
我决定不做手术了 I've decided against the surgery.
谢谢你们为此做出的努力 Thank you for your work.
为什么？ Why?
她不欠我们任何解释 肖恩 She doesn't owe us an explanation, Shaun.
不 她欠的 Yes, she does.
-我像你说的那样 改进了手术方案 -肖恩… I revised my plan, like you told me.
肖恩… Shaun.
我可以继续寻找风险更低的方案… I can look for less invasive methods.
-肖恩 别说了 -这不公平 Shaun, stop. Shaun, stop. - I-It's not fair.
-如果你担心恢复时间… -你想走就走吧 - If your concern is recovery time... - You know what?
-如果你担心恢复时间… -你想走就走吧 - You don't have to stay for this. I can show-- - Stop!
-我可以向你展示… -够了！ - You don't have to stay for this. I can show-- - Stop!
这不公平 It's not fair.
跟我说说你为什么觉得这不公平 我尽量解释给你听 Tell me the reasons why you think it's not fair,
跟我说说你为什么觉得这不公平 我尽量解释给你听 and I'll try to explain it.
抱歉 I'm sorry.
我听说利姆决定不做手术了 I heard Lim said no to the surgery.
你尽力了 你没做错 You did the right thing trying.
但这都是无用功 It accomplished nothing.
之前我回好时镇 帮助拯救我家的公司时 When I went back to Hershey to help my family's company,
我以为我这么做会救回公司 I thought it would fix the business,
修复我和我哥之间的感情 fix things with my brother
和我父母重归于好 fix things with my parents.
这三个目标我都没有达到 Failed on all three.
但我还是很庆幸我去了 But I'm glad I did it.
这没道理 That makes no sense.
我宁愿尽我所能后失败而归 也不想沉溺在没有去做的后悔中 I'd rather do my best and fail than always regret not trying.
当有人身在痛苦中时 尽力帮帮他们 When people are in pain, try to help them.
即使我觉得怎么帮都无济于事？ Even if you think it won't change anything?
越没希望 越显得你勇敢无畏 That only makes it braver.
谢谢你过来 Thanks for coming.
我是肖恩墨菲医生 I am Dr. Shaun Murphy.
帕克医生希望我来 跟你们讲讲我的经历 Dr. Park wants me to talk to you about my life.
我不知道我能不能帮上你们… I don't know if I can help.
但我还是会尽力一试 But I am going to try.