你在笑 You're smiling.
为什么笑？ Why?
这是你月经周期的日历 That is your menstrual cycle.
自从我们失去那个孩子后 已经过去一年了 Well, it's been a year since we lost the baby,
我的抗凝剂也吃完了 and I finished my anti-coagulants.
这意味着… Which means…
我们可以再次试着要孩子了 We can try to conceive again.
今天我约了去看温克勒医生 I have an appointment with Dr. Winkler today.
-如果她认为我们可以开始了… -一年只是最少的间隔 -If she gives us the go-ahead-- -A year was the minimum.
积极一点 肖恩 Good vibes, Shaun.
向宇宙散发积极的能量 好事就会降临 Send good vibes into the universe, good things come back.
和我散发积极能量 宝贝 Vibe with me, baby.
我很想和丽要个孩子 I would very much like to have a baby with Lea.
准备好制造宝宝吧 Get ready to make one.
好 我们要造个宝宝了 Okay. We are going to make a baby.
没错 Yeah.
还有23分钟 我就要出发去上班了 I have 23 minutes until I need to leave for work.
我们是不是该把你的“小蝌蚪” 攒到我排卵时再用？ Should we save your swimmy guys until I ovulate?
最近的研究表明 Recent research demonstrated
频繁射精会提高精子活力 frequent ejaculation improves sperm motility.
那好 Okay.
如果能聊 到时候再好好聊 好吗？ 午餐很愉快 If we talk, then we can talk about it, okay? Thanks for lunch.
伊莎贝尔 Isabel.
你有何贵干？ What are you doing here?
吉娜库珀 她是一位怀有六胞胎的孕妇 Gena Cooper, pregnant with sextuplets.
我打电话、发短信给你 都是为了她 That's what all my calls and texts were about,
如果你接了电话 应该早就知道了 so you would already know if you'd answered.
你这么直接出现 向寻常医生一样 邀请我进行会诊？ You show up, ask me for a consult like you're any other doctor?
前妻该以何种形式出现最为妥当 告诉我 我会采纳你的建议 Whatever the appropriate approach is for ex-wives, tell me and I'll take it.
这对夫妻无法怀孕 所以我给他们开了克罗米芬 Couple couldn't conceive, so I prescribed clomiphene.
刚吃了一个疗程 就怀上了六个孩子 简直是中了头奖 Six babies just after one round. They won the lottery.
也可能满盘皆输 其中两个都需要立即进行手术 Or lost. Two require immediate surgical intervention.
两个还是少的 你认识有能力手术的医生吗？ At least. Know any surgeons?
马库斯 这家人需要的帮助 Marcus, this family needs your help.
如果需要的话 我愿意不再参与 给他们另找一个产科医生 If needed, I will step off the case, and I'll find them another OB.
别走 Stay.
这对病人太不公平 Wouldn't be fair to the patient.
你们的每个孩子都会配有 专属的医疗团队 Each of your babies gets their own dedicated team of doctors.
由于所有孩子在出生时 体重都不会超过一千克 Since all of the babies will be under two pounds at birth,
他们需要在我们的新生儿重症监护室 住段时间 得到全方位的照顾和关注 they will all need a lot of care, attention, and time in our NICU
直到他们的肺部成熟 等他们长到足够强壮 maturing those lungs. Once they're feeling strong enough
开始有所需求了 你们就能听到那声动人的啼哭了 to make some demands, you'll hear that beautiful cry.
婴儿的啼哭是好的迹象 这表明他很健康 A baby crying is a good thing. It lets us know the baby's healthy.
等他们哭了 我们知道他们很健康时 再给他们起名字 And that's when we name them. Once they've cried and we know they're okay.
我希望他们能在妈妈的肚子里 待久一点 再长大一些 I wish they could stay inside Mom longer and get bigger.
现在F宝宝气道内的肿块已经导致 Baby F's airway mass is already causing
她的气管变得很窄 情况危急 而且她的肺部发育也不完全 severe narrowing of the trachea, and her lungs aren't developing properly.
再拖几天 她的心脏有可能会衰竭 A few more days and her heart could fail.
-所以今天就要开始分娩 -没错 -So we deliver today. -Yes.
大家准备好了吗？ Everyone ready?
我们会在三分钟内 将A宝宝到E宝宝 全部接生出来 Baby A through Baby E will all be born in under three minutes.
A宝宝 Baby A.
出生后 我们会根据他们的情况 评估阿普加分数 At birth, they'll each be given an Apgar score
如果分数等于或高于七 那我们就可以放心了 to let us know how they are doing. Seven or above is reassuring.
是女孩 It's a girl.
B宝宝 Baby B.
好了 你好 All right. Hello.
-A宝宝 -阿普加指数七 Baby A. Apgar 7.
是个男孩 It's a boy.
小惊喜 单绒双羊双胞胎 Surprise. Mono-di,
B宝宝和C共享一个胎盘 这非常罕见 是同卵双胞胎 B and C share the same placenta. Very rare. Identical twins.
毋庸置疑 另一个也是男孩 Another boy. Obviously.
B宝宝 阿普加指数五 Baby B, Apgar 5.
C宝宝 阿普加指数四 Baby C, Apgar 4.
D宝宝 Baby D.
是男孩 It's a boy.
E宝宝 Baby E.
D宝宝 阿普加指数六 Baby D, Apgar 6.
脊柱裂 Spina bifida.
E宝宝是个女孩 Baby E's a girl.
E宝宝 阿普加指数六 Baby E, Apgar 6.
E宝宝在出生后 会直接送往手术室 进行脊柱裂手术 Baby E will go to the OR for her spina bifida surgery after delivery.
调整F宝宝的位置 以便开展产时子宫外处理手术 Exposing Baby F to EXIT procedure.
等从A宝宝到E宝宝 都进入新生儿重症监护室后 Once Baby A through Baby E are in the NICU,
巴恩斯医生将通过剖腹产切口 把F宝宝的胳膊和头 Dr. Barnes will deliver Baby F's arm and head
先接生到母体外 不切断胎盘的连接 through the C-section incision, leaving the placenta attached.
这样孩子妈妈 你就能继续 将氧气传送给你的女儿 Mom, that allows you to keep providing oxygen to your daughter.
丹宁护士 带孩子爸爸去看其他孩子吧 Nurse Denning, take Papa to check on his other babies.
-这里交给我们 杰克 -利姆医生？ We're all good here, Jack. Dr. Lim?
之后利姆医生会帮她做 产时子宫外处理手术 Then, Dr. Lim will perform the EXIT procedure.
这是首次在多胞胎生产中 实施这种手术 First time it's been done in a multiple birth.
她的能力 你们可以放心 She's got this.
正在穿过口咽腔 Moving through the oropharynx cavity.
F宝宝的脐带看起来很细 很脆 Baby F's umbilical cord looks very thin and friable.
-胎盘还连接在体内吗？ -在 母体提供的氧气很充足 -Placenta's still attached? -Momma's giving all the oxygen she needs.
已到喉部 正在接近气管 At the larynx, approaching the trachea.
看到囊肿了 I've identified the cyst.
现在脉搏非常微弱 The pulse is extremely faint.
囊肿已导致气道完全封闭 拿微型烧蚀器来 The cyst is causing total obliteration of the airway. Microblator.
-完全检测不到脉搏了 -一分钟后开始分娩 -I've completely lost pulse of the cord. -Less than a minute to deliver.
-很难看清基底 -也许是还没到位置 -Having trouble seeing the base. -Not there yet.
再进去一点 -Probing deeper. -Keep going. Little more.
我看到了 你还差两厘米 I see it. You're 2 millimeters away.
搞定 Got it.
囊肿已减压 气道畅通 放置气管导管 Cyst is decompressed. Airway is open. Placing ET tube.
终于出来了 Finally.
F宝宝 是女孩 Baby F. It's a girl.
干得很好 Good work.
F宝宝 阿普加指数五 Baby F, Apgar 5.
谢谢你接下这个手术 Thank you for taking this on.
最难的部分才刚刚开始 Hard part's just beginning.
A宝宝出生后一和五分钟的 阿普加指数？ Baby A's one and five-minute Apgar?
-分别是七和九 -孩子妈妈也快醒了 -Seven and nine. -Mom should be coming to,
带她去和她父母见面吧 take her to meet her parents.
把B宝宝和C放在一起 Keep B and C together.
-我们有足够的重症监护室病房 -两个孩子都没哭 -We have two different NICU rooms. -Neither boy is crying
睡在一起对他俩的情况都会有帮助 and co-bedding them can be beneficial for both.
这个理论完全未经证实 风险包括体温调节偏差… That's anecdotal. Risks include poor thermoregulation--
就这么做吧 -Increased… -Just do it.
D宝宝还没有哭 Baby D is not crying,
此外 他还有一颗新生儿红斑 羊水胎粪污染 plus he has nevus simplex, meconium-stained fluid.
进行足跟抽血 送去检验室加急处理 Get the heel stick, and go tell the lab it's stat.
脊柱裂口已铺上无菌湿敷料 Spinal lesion covered with sterile wet Telfa.
-正要前往二号手术室 -随时跟我同步情况 -Heading to OR 2. -Keep me posted.
我们的重点关注对象 F宝宝怎么样了？ And how's the star of our show, Baby F?
还没哭呢 但气道畅通 Not singing yet, but airway is clear.
带她去新生儿重症监护室吧 希望她能尽早哭出来 Take her to NICU, hopefully she cries soon.
嘿 嗨 Hey. Hi.
你是我的英雄 My hero.
我的宝宝们呢？ Where are my babies?
他们现在都在新生儿重整监护室 They're in the NICU now.
不过A宝宝来了 Except for Baby A here.
她是她的兄弟姐妹中情况最先转好的 She got a head start on her siblings.
听听她的肺有多健康 Listen to those healthy lungs.
她是第一个啼哭的 很了不起 First to cry. She's an overachiever.
你觉得阿比盖尔这个名字怎么样？ What do you think about Abigail?
永远的A宝宝 Forever Baby A.
我很喜欢这个名字 还有她 I love it. And her.
B宝宝 感觉怎么样？ How about it, B?
你的肺要尽快强壮起来 好早点把你转移到呼吸机上 好吗？ Can we get those lungs strong enough to move you to a CPAP?
你看过早产双胞胎同床的研究吗？ You read those studies on co-bedding preemies?
没看过 C皮肤发绀 他呼吸急促 有回缩现象 No. C's cyanotic. He's tachypneic and retracting.
检查他的肝脏 Check his liver.
这项研究充满了证实偏差 The research is totally shaded by confirmation bias.
可触及肋骨缘下三厘米 Palpable three centimeters below the costal margin.
如果你的态度更坚决一点 我们就不用被迫待在一起了 If you'd been more assertive, we wouldn't be stuck together.
有心缩杂音 Systolic murmur.
为什么你不能更坚决一点？ Why weren't you more assertive?
如果我是外科主治医师 我会的 If I were a surgical attending, I would've been.
我就连加入这个病案 都是靠自己争取的 你得做个声影… I had a fight just to be on this case. You're gonna need an echo--
还有X光 脑钠肽 全血细胞计数 来确定是否是充血性心衰 我知道 X-ray, BNP, and CBC to confirm congestive heart failure. I know.
我们约定一下吧 只和对方展开医疗上所需的对话 Let's make a deal. We only talk to each other when medically necessary.
行 Fine.
将针插入髂后嵴 Insert the needle into the posterior iliac crest.
待会我要陪丽和妇产科医生见面 Later I have to accompany Lea to an OBGYN appointment.
安德鲁斯医生会代替我管理你几小时 Dr. Andrews will supervise you for a few hours.
-一切还好吗？ -还不知道呢 -Everything okay? -We don't know yet.
去年 她在怀孕22周时流产了 你下针很准 Last year, she miscarried at 22 weeks. Good precision.
D宝宝刚出生时 你愣了一下 就是因为这个？ When Baby D was first born, you kind of took a moment. That why?
对 Yes.
-我觉得我已经刺进骨头了 注射？ -不 还没有 -Think I've penetrated the bone. Syringe? -No, you haven't.
你会听到 并感受到“砰”的一下 在那以后 再刺深一点 You will hear and feel a pop. When you do, go a bit deeper.
佩雷斯医生 你需要变得更坚定 更主动 Dr. Perez, you need to be firmer, more aggressive.
继续 Go ahead.
注射器？ Syringe?
-现在可以吗？ -开始吧 -Now? -Yes.
作为外科医生 你必须要果断 具有进攻性 As a surgeon, you must be decisive and aggressive.
开始吸出骨髓 Aspirating the bone marrow.
非常好 把它送去化验室做显微分析 Very good. Get it to the lab for microscopic analysis.
祝你们和妇产医生见面一切顺利 你一定会是一个好爸爸 Good luck with the appointment. You'll make a great dad.
你不是相关权威 没有做出这种预测的资格 You are not qualified to make that prediction.
快速从神经j基板外侧切入上皮 Incision immediately lateral to the neural placode into the epithelium.
切口紧贴基板 Incision tight to the placode,
这种方法能避免将上皮细胞 留在闭合处 that method avoids leaving epithelials in the closure.
你有必要解说每一个步骤吗？ Is the play-by-play really necessary?
我大声念出来时 学得更好 It helps me to learn if I say it out loud.
如果你不念 我的手术能做得更好 Helps me to do the surgery if you don't.
你可以说话 别像文斯科利那样就行 You can talk, just not like Vin Scully.
-文斯科利是谁？ -给我出去 -Who's Vin Scully? -Scrub out.
我开玩笑的 I'm kidding.
也不完全是 Mostly.
孩子们的父母 吉娜和杰克 他们真是英雄 The parents, Gena and Jack? Heroes.
如今英雄这个词有点被滥用了 We throw that word around a little too easily.
想想他们冒了多大的风险 才将六个小生命带到世上来 Think of the risk they took, bringing six new lives into the world.
若非当初拒绝选择性减胎 也不会造成今天这种情况 Refusing to selectively reduce is what got us here in the first place,
早产11周风险太大了 delivering 11 weeks pre-term is a little bit less than ideal.
就像安德鲁斯医生说的 我们要 变不可能为可能 救下所有宝宝 Like Dr. Andrews says, "We're going to beat the odds and save them all."
不过如果这次手术成功 我们就真的算是英雄了 Well, if we pull that off, then we are the heroes.
氧饱和下降到90以下了 Oxygenation drop below 90.
我们不能给她翻身 检查或治疗 她肺部的问题 甚至连拍片都不行 We can't turn her over to assess or treat her lungs. We can't even do imaging.
我们得去通知她的父母 让他们做好心理准备 We're gonna have to tell the parents. Prepare them.
我去吧 I'll do it.
你确定吗？ Are you sure?
别试图粉饰她的状况 You can't sugarcoat it.
预防性地给予两毫升表面活性剂？ Administer 2 mls surfactant, prophylactically?
没有呼吸窘迫综合征的迹象 No indication of RDS.
她的仪器调至最低值了 She's on minimal settings.
我打算减少生命维持装置 移除呼吸机 I'd actually like to decrease support and remove CPAP.
-是吗？ -如今 -Yeah. -No reason
她的气道已经畅通了 她没理由不能自主呼吸 she can't breathe on her own, now that her airway's clear.
加油 F宝宝 深呼吸 Come on, Baby F. Deep breaths.
你那位篮球死敌克雷 跟我发短信了 约我出去 Your basketball rival, Clay, texted me, asked me out.
不会吧 我向你保证 他是想跟你来一场真正的约会 Get out. I assure you, this guy knows it's a real date.
如果我去的话 If I go.
你一定要去 You're going.
这才是我们的好姑娘 That's our girl.
E宝宝的肺部充满了液体 她目前处于心衰早期 Baby E's lungs are filled with fluid, and she's in early heart failure.
她可能需要重新插管 She may need to be reintubated.
如果插管 就要让她仰躺 Which would mean placing her on her back.
这样她的手术伤口就更难愈合了 That would make it harder for her surgical wound to heal.
这情况听起来不乐观 That doesn't sound good.
她现在病得很重 She's very sick.
她有可能活不下来 It's possible she may not survive.
那我们就祈祷奇迹发生 We'll pray for a miracle.
这不是首个降临在我们身上的奇迹 It wouldn't be our first.
如果你们需要的话 我可以叫医院的牧师过来 I can arrange a visit from the hospital chaplain
-给宝宝做洗礼 -不行 -if you'd like. You can baptize the baby. -No.
你这是让我放弃她 我还没准备好 You're asking me to let her go, I'm not ready to do that.
你们也不能放弃她 And you can't either.
拜托了 Please.
当然 Of course.
氧饱和度在提高 O2 sats improving.
干得好 B宝宝 你很快就能哭出来了 Way to go, Baby B. You'll be shouting in no time.
-你不会在玩Tinder吧 -你违反了 -Tell me you're not on Tinder. -You're in violation
你提出的“非医疗问题不交流”约定 而且我也没在玩Tinder of the "medicine only" agreement that you proposed. And I'm not on Tinder.
我负责的宝宝正在好转 心脏出问题的是你负责的那个 My baby's on the mend. Yours is the one with a heart problem.
需要帮忙就直说 Don't be afraid to ask for help.
那你的屏幕上为什么有那么多帅哥？ Then what's with all the handsome dudes' faces you're scrolling through?
你的手机屏反射在窗户上了 Your screen is reflected in the window.
虽然这不关你的事 但我看的不是约会对象 Not that it's any of your business, but they're not dates.
-是捐赠人 -你终于打算移植一颗良心了？ -They're donors. -Organ donors? Finally getting a heart?
是精子捐赠人 Sperm.
很好 说个“哦”就够了 Yeah, "Oh."
胸腔X光片上有雪人征 Snowman sign on the chest X-ray.
可能是完全性肺静脉移位引流 也可能是大血管转位 Could be TAPVR, transposition of the great vessels,
三尖瓣下移畸 或肺动脉闭锁 Ebstein anomaly, or pulmonary atresia.
没有差异性紫绀的迹象 I don't see differential cyanosis.
这就排除了大血管转位 That rules out transposition of the great vessels.
-也没有靴型心情况 -或是奔马律 -No boot-shaped heart either. -Or gallop.
所以是完全性肺静脉移位引流 So it is TAPVR…
这是可以修复的 which we can fix.
我去征求父母的同意 马上预约手术室 I'll get the parent's consent and book an OR right away.
谢谢你的帮忙 Thanks for the help.
-幸好我是匹配的 -是啊 -Lucky I was a match. -Yes.
作为D宝宝的父亲 骨髓匹配的几率 As Baby D's father, there was only a 38.5% chance
只有38.5% 你们怎么来了？ you'd be a bone marrow match. Why are you here?
站起来走动能促进血液流通 而且她想来陪着她丈夫 Being on your feet promotes blood flow and she wanted to be with her husband.
能帮上忙 我真的很高兴 我们家的“重担” 都是吉娜承担了 I'm just glad I can do something. Gena's handled all the heavy lifting for our family.
你们不知道这种事有多难 You have no idea how hard this kind of stuff can be.
我知道 我妻子和我为了要孩子 也经历了一番磨难 I do. My wife and I have also struggled to have a child.
现代医学就是奇迹 希望你们和我们一样幸运 Modern medicine's a miracle. Hope you'll be blessed like us.
希望如此 但也不必这么幸运 I hope so, too. But not as blessed.
现在我要把大孔针插入你的臀部了 I will insert the large bore needle into your hip now.
我太讨厌针了 I hate needles.
-你们俩是怎么认识的？ -他是我毕业舞会的舞伴 -How'd you two meet? -He was my prom date.
-自那之后 就一直在一起吗？ -不是的 -Been together ever since? -No.
吉娜跑去纽约 加入了城市芭蕾舞团 在那里待了十多年 Gena ran off to New York for a decade to join the City Ballet.
直到我摔断了脚踝 职业生涯泡汤 于是我回了家 Until I broke my ankle, ended my career, and came home.
我们在高中毕业十年的同学会上重逢 We reconnected at our ten-year high school reunion.
-就像我们从来没分开过一样 -我从没忘记她 -It was like no time had passed. -I never forgot her.
我也从未忘记你 I never forgot you either.
好了 Done.
一旦开始喋喋不休地聊吉娜 我甚至没注意到 Get me yammering on about Gena, and I barely even notice
-针刺进了我的骨头 -你表现得很好 -a needle going into my bone. -You did great.
我们马上就把它送进化验室 然后尽快输送给D宝宝 We'll get this to the lab and then transfuse it into Baby D right away.
手术做得很好 C宝宝应该很快就会哭了 Nice work in there. Baby C should be crying in no time.
你确定你想自己抚养孩子吗？ Are you sure you want to raise the baby on your own?
因为我太看重事业 没法做好妈妈吗 就像你之前说 Because I'm too careerist to be a good mom? Like I was
-我野心太甚 没法做一个好女友？ -不是 -too ambitious to be a good girlfriend? -No.
你对孩子的爱 会胜过一切工作或伴侣 You'll love your kid more than any job or partner.
我知道你一定会 但如果你是在没有伴侣时生下了孩子 I sure do. But if you don't have the guy when you have the kid,
之后你可能很难再找到伴侣了 he might be tough to find.
你是说有了孩子就很难再找到男人了 所以我不该要孩子？ I shouldn't have a kid because I may never find a man.
好吧 山顶洞人 Okay, caveman.
我没说我不会和单身妈妈约会 我只是为你担心 Never said I wouldn't date a single mom, but I am remarkably sensitive.
我想要孩子 而且我不想再等下去了 I want a kid. And I'm done waiting.
新生儿重症监护室再见 See you back in the NICU.
她的情况越来越好了 开始饿了 She's improving, and hungry.
准备好来一点初乳了 All ready for some colostrum.
你给克雷回短信了吗？ You text Clay back yet?
喝完这个 我们就可以给他用上安抚奶嘴了 After this, we can start introducing a pacifier.
在失去我的腿后 我整整17个月没有做爱 I didn't have sex for 17 months after I lost my leg.
后来当我又开始做爱时 我想 And then when I did, I thought,
“没错 我记得这种感觉 真是太棒了” "Oh, yeah, I remember this. It's awesome."
这只是第一次约会 我压根没往做爱上想 It's a first date. I'm not even thinking about sex.
说谎 Liar.
轮椅是用来滑行 They make these chairs that glide
和向前向后顶的 它没有对你的性生活判处死刑 and wedges. This is not a death sentence to your sex life.
好吧 我会给他回短信的 主要是为了堵上你的嘴 Okay. I will text him back, mostly to stop this conversation.
但是 我们只是吃个晚餐而已 But it's just dinner.
以后就说不准了 For now.
该死 她的身体承受不了初乳 Damn, she's not tolerating the colostrum.
我还没给她喂呢 I haven't started it yet.
你们打算继续备孕吗？ So you guys ready to start trying again?
没错 今早我们已经挂好备孕日历了 Yes. We put up a calendar this morning.
也练习过了 And practiced.
你说得太具体了 肖恩 I think she gets it, Shaun.
可以看到子宫壁了 Visualizing the uterine wall.
那是疤痕组织 That's scar tissue.
听上去不是好事 That sounds bad.
这是胎儿镜手术和流产后的清宫手术 留下的疤痕 It's from the fetoscopic surgery and D&C after your miscarriage.
你应该做个子宫镜检查 以去除粘连 You should do a hysteroscopy to remove the adhesions.
谢谢你的建议 墨菲医生 Thank you, Dr. Murphy.
他说得没错 我们可以试试这个办法 但是… He's right. We can attempt that, but--
你患有子宫腔粘连综合征 You have Asherman's Syndrome.
很有可能是这样 Most likely, yes.
好吧 那我们能继续备孕吗？ Well, can we still start trying?
我不建议这么做 I wouldn't advise it.
那我们还要等多久？ How much longer do we have to wait?
我建议你们继续避孕 I recommend continuing birth control.
现在怀孕对你和孩子都有危险 Getting pregnant right now wouldn't be safe for you or the baby.
那什么时候才会不危险？ When will it be safe?
大概一年 或两年后 Maybe another year. Maybe two.
也可能永远都不行 Maybe never.
我们猜得没错 严重水肿 肺部积液 但没有阻塞 Severe edema, fluid in the lungs, but no obstructions, just as we expected.
这就排除了脑部 脊柱 腹部 和任何先天性的问题 So we've eliminated brain, spine, abdomen, anything congenital.
我就不该让你去和他们的父母谈 “奇迹” 搞什么？ I shouldn't have let you talk to them. Miracles, really?
-我说了实话 而且很直白 -这是哪门子实话？ -I was direct and honest. -How is that being honest?
他们认为孩子还有希望 They think there's a chance here.
只有她呼吸没停 心跳没停 大脑还在运作 As long as she's breathing, her heart is beating, her brain is functioning,
-就还有希望… -这个婴儿体重不足一公斤 -there's still hope-- -This infant is under two pounds,
早产了11周 伴有重大出生缺陷 11 weeks premature, with a major birth defect.
她太小 太虚弱 病得太重了 很难活下来 She's more than likely too small, too weak and too sick to survive.
别再扮演啦啦队长了 做好医生的角色吧 Stop being a cheerleader, start being a doctor.
氧饱和度和心率越来越好了 O2 sats and heart rate are improving.
加油 伙计 为我哭一声吧 Come on, dude, cry for me.
你可以的 You got this.
谁最厉害呀？ Who's the star?
是B宝宝 他可以脱离人工呼吸器了 没错 接下来你很快就会哭了 Baby B is. He's coming off the vent. Yes, you are. And then you're gonna wail.
你之前在挑选的那些男人 Those guys you were looking at earlier,
你对他们的了解程度能有多深？ how much do you really know about them?
-比你想象的要深 -除了他们的身体数据 -You'd be surprised. -Besides their physical attributes
和携带的疾病之外 幽默感和价值观 and what diseases they carry. Genetics can also determine
也是可以遗传的 your sense of humor, your values.
你想要精子银行让每一个捐赠者 写一个冷笑话 You want the sperm bank to ask them all to write a knock-knock joke
-再让他们回答电车难题吗？ -问我也行 -and an answer to the trolley problem? -Or ask me.
我不是说我想当孩子的爸爸 我只是想帮忙 没有附加条件 I'm not suggesting I'd be the kid's dad. I just want to help. No strings attached.
B宝宝开始用呼吸机了 氧饱和度正在提升 很快就会哭了 Baby B's on CPAP, O2 sats rising. Hope to hear a cry soon.
太好了 C宝宝也还没哭吗？ Excellent. Still no cry from C either?
给他做个检查 完全肺静脉移位引流 可能会导致声带麻痹 Scope the baby. TAPVR repair may have caused vocal cord palsy.
没有之前遗漏的或新的阻塞问题 上呼吸道畅通 No missed or new obstructive issues. Upper airway's clean.
-那她的氧饱和度为什么大幅下降？ -可能是某种瘘管 -Then why are her O2 sats plummeting? -Could be some sort of fistula,
或是支气管肺发育不良 bronchopulmonary dysplasia.
也可能是呼吸窘迫综合征 或是神经性的问题 RDS. Or could be neurological.
她太脆弱了 没法经受盲目的测试 She's too fragile to start testing blind.
我来陪着她 给她重新接上呼吸机 I'll stay with her. Put her back on CPAP.
-我来整理一份完整的差异表 -做的时候 别忘了吃东西 -I'll put together a full differential. -Eat something while you're at it.
神经移植似乎有效果 Marrow transplant seems to be working,
但我没法把胃管插入胃部 but I couldn't pass the NG tube into the stomach.
你们看妇产医生的结果如何？ How'd the appointment go?
不太好 Not well.
你还好吗？ Are you okay?
不好 No.
他流了多久的口水？ How long has he been drooling?
我没数 我以为这是正常现象 I don't know. I thought that was normal.
这不是 It's not.
胃管插好了吗？ Any luck with the NG tube?
没有 这是一种症状 No. That is a symptom.
这个宝宝无法吞咽 This baby cannot swallow.
他患有先天性气管食管瘘 He has a congenital tracheoesophageal fistula.
我们需要马上手术 We need to operate.
镜头已到位 Camera is in position.
瘘管位于远端食管和气管之间 你说得没错 Fistula's between the distal esophagus and the trachea. You were right.
那当然 现在重新连接食管 I know. Now reconnect the esophagus.
手术钳 Forceps.
正在重新定位胸腔镜 Repositioning thoracoscope.
搞定 将食管移动至气管的高度 Got it. Mobilizing the esophagus to the level of the trachea.
-你已经将瘘管单独隔离出来了吗？ -对 -Have you already isolated the fistula? -Yes.
我没叫你那么做 I didn't tell you to do that.
你该先移动食管的近端囊袋 You should have first mobilized the proximal pouch of the esophagus.
-抱歉 -你可能已经阻断了供血 -I'm sorry. -You may have interrupted the blood supply.
现在吻合口渗漏和组织破裂的风险 更高了 The risk of anastomosis leaks and tissue breakdown are greater now.
把工具给我 Give me the instrument.
退后 Step back.
让开 Move.
拿着镜头 Take the camera.
缝合 Suturing.
他会没事吗？ Is he gonna be okay?
我也不知道 I don't know.
我答应你共进晚餐时 指的不是今晚 When I said yes to dinner, I didn't mean tonight.
耐心不是我的强项 Patience is not my greatest virtue.
我正在治疗一个早产儿 I'm in the middle of this preemie case.
在治好病人前你要禁食？ So you fasting till it's done?
我带了你的最爱过来 烤鸡 Brought your favorite. Roast chicken.
你第一次约我出去时吃的东西 Like the first time you asked me out.
她在自主呼吸了 She's breathing on her own.
真好 Nice.
我一点也不羡慕要和六个婴儿 共处一室 挣扎入睡的人 I don't envy anyone who has to try to sleep in a house with six infants.
-不管这些婴儿有多可爱 -就算只有一个 我也忍不了 -No matter how cute they are. -I feel that way about one.
你不喜欢孩子吗？ Are you opposed to kids?
政治角度来说 并不讨厌 I mean, not politically.
但是呢 But…
我不确定我想要自己的孩子 I'm not sure I want any of my own.
这是坏事吗？ Is that bad?
我家有四个孩子… Being one of four…
我总觉得自己也会有一个大家庭 I always saw myself with a big family.
我家有八个孩子 这也是为什么我不想要孩子 Being one of eight, pretty much why I don't want one.
“冰块” 盖伊费里 汤姆汉克斯 Ice Cube, Guy Fieri, Tom Hanks.
没人不爱汤姆汉克斯 Everybody loves Hanks.
-汤姆汉克斯可不行啊 -突袭者队粉丝团有深度 又包容 -Not Tom Hanks. -Raider Nation is deep and eclectic.
我保证不会在脸上画队标 季后赛除外 I promise I don't paint my face, unless it's the playoffs.
所以也就是每十年一次 So only one day per decade?
好吧 你们对岸的人完全不懂 所以他们才会建一座桥 Okay. Opposite sides of the Bay. That's why they have a bridge.
我真不敢相信那次载入史册的接球 发生时 你就在现场 I can't believe you were actually there for "The Catch."
克拉克接住那一球时 你就坐在球场的那头吗？ Were you sitting on that side of the field where Clark caught it?
好吧 你的心思不在这里 Yup, you're distracted.
你想跟我捋一遍这个病人的情况吗？ You want to walk me through your case so far?
先天高气道阻塞综合征 做了产时宫外手术 囊肿减了压 EXIT procedure for CHAOS. Cyst was decompressed,
我们让她脱离了呼吸机 氧饱和度上升了 然后马上开始下降 we weaned her off CPAP, O2 sats improved, then started crashing.
不知道究竟是为什么 把地狱辣酱递给我 可以吗？ Not sure why. Pass me the ghost pepper sauce, would you?
我感觉这东西会把我的胸腔 辣出一个洞来 I feel like that stuff's gonna burn a hole in my chest.
如果这个早产儿的呼吸问题 不是源自上方 而是出在下方呢？ What if your preemie's breathing troubles aren't from above? What if it's from below?
膈疝 Diaphragmatic hernia.
这会让婴儿的下部气管侵入胸腔 挤压她的肺部 Could allow the baby's lower organs to protrude into her chest, crowd her lungs.
如果一开始的缺陷很小 看超声波时很容易漏掉 If it started as a small defect, we could easily miss it on ultrasound
毕竟当时子宫里又乱又挤 with all the crowding in that womb.
聪明 帅气 还给我带了饭来 Smart, handsome, and you brought me food.
我可能真的答应和你来一场 真正的约会 I might actually let you take me out on a real date.
这就是真正的约会 等到我们接吻就是了 This is a real date. I mean, it will be once we kiss.
那我们或许现在就该接吻 Then we should probably do that now.
英雄所见略同 My thought exactly.
谢谢你的提议 Thank you for your offer.
但是呢？ But…
每次看我的孩子 都会看到你的影子 这太痛苦了 It would hurt too much to see you every time I looked at my kid.
子宫黏连综合征经过治疗后 The live birth rate in pregnancies
怀孕后的活产率为67% 她应该跟你讲清楚这一点的 after Asherman's treatment is 67%. She should have mentioned that.
是啊 应该说的 Yeah, I guess so.
而且做子宫镜检查 And hysteroscopy
会提高受孕的几率 improves the odds of conception.
经过干预后 我们怀上孩子的几率可能还是很高 Our prognosis for conception may still be very good.
我在向宇宙散发积极的能量 祈求好事的降临 I'm sending good vibes into the universe so good things come back.
谢谢你 肖恩 Thank you, Shaun.
不过待会再积极吧 Maybe later.
现在我太难过了 Right now, I'm just very sad.
我懂 I know.
氧饱和度在下降 我需要 O2 sats are falling. I need
抽吸和一台人工呼吸器 呼叫安德鲁斯 她开始心动过缓了 suction and a ventilator. Page Andrews. She's bradycardic.
她缺氧了 She's not getting enough oxygen.
因为男孩不哭 'Cause boys don't cry
我试着一笑而过 I tried to laugh about it
用谎言掩盖一切 Cover it all up with lies
我试着一笑而过 I tried to laugh about it
掩饰我眼中的泪水 Hiding the tears in my eyes
因为男孩不哭 'Cause boys don't cry
氧饱和度开始上升了 心率恢复正常 O2 sats are rising. Heart rate's normal.
她没事了 She's fine.
她只是忘记呼吸了 Just forgot to breathe.
在这么小的孩子身上 这时有发生 It happens when they're this little.
-我要回家了 -你是要放弃吗？ -I'm gonna go home. -You giving up?
我是接受现状了 I'm accepting the situation.
还是有希望的 There's still hope.
别再搞希望那套了 可以吗？ 这对这孩子没有任何帮助 Stop with the hope already, will ya? It's not gonna save this child.
睡眠临界态 Hypnagogia.
托马斯爱迪生认为 人们在即将入睡时 Thomas Edison believed the thoughts generated as we drift off to sleep
取得突破的几率是最高的 were the most likely to generate a breakthrough.
托马斯爱迪生 门洛帕克的奇才 Thomas Edison, the Wizard of Menlo Park,
他还认为如果他坐在一颗鹅蛋上 the same guy who believed that if he sat on a goose egg,
也能让那颗鹅蛋孵化 he could actually make the goose egg hatch.
《科学》杂志上发表过一个实验 There was an experiment published in Science,
让受试者在深夜 努力去解决一个数学难题 subjects tried to solve a difficult math problem
同时抱着一个重物 late at night while holding something heavy.
当他们陷入睡眠时 重物掉落 当他们再度醒来 难题成功被解决了 When they went to sleep, they dropped it. When they woke up they solved the problem.
今晚我入睡前 会一手抱着一个杠铃 Okay, when I go to bed tonight, I'll cuddle with a barbell
一手拿着一颗灯泡 你满意了吗？ while holding a light bulb. How's that?
这边有什么进展吗？ Any breakthroughs on Baby E?
我们已经没有任何办法了 所以只能进入“观察与等待”阶段 We've exhausted all our options, we're moving on to "watch and wait."
我们正在聊睡眠临界态 We were just talking about hypnagogia.
《科学》杂志上 那个爱迪生的睡觉理论？ The Edison sleep theory from Science magazine?
我们打算在这里待一夜 轮流叫醒对方 Thought we might stay all night and take turns waking each other.
-好吧 这… -荒唐？愚蠢？ -Well, that's-- -Absurd? Silly?
可笑？ Ridiculous?
我本打算说 这总比“观察与等待”好 I was gonna say that's better than "watch and wait."
你说得没错 F宝宝患有膈疝 You were right. Baby F has a diaphragmatic hernia.
最初的X光片没有照出来 很容易遗漏 It didn't show up on the initial X-ray. Anybody would've missed it.
-这是克雷想出来的 -幸好我给他发短信让他给你送晚餐 -It was Clay's idea. -I'm glad that I texted him to bring you dinner.
-竟然是你出的主意 -是我 -You did not. -I did.
干得好 Well played.
等我们取得父母同意后 你进手术室来 帮我一起治好她 After we get consent, you can scrub in, help me make that little girl all better.
睡眠临界态！ Hypnagogia!
什么？ What?
-腹股沟 -什么？ -The groin. -What?
-什么？ -你说什么腹股沟？ -What? -The groin?
虽然我们对婴儿的胸腔束手无策 但我们可以检查腹股沟 If we can't access the baby's chest, we can check the groin.
如果她的股骨脉搏是有力跳动的… If she has bounding femoral pulses--
那就证明动脉导管未闭 It would indicate a patent ductus arteriosus.
这样她肺部积液和心力衰竭的症状 就说得通了 Which would explain the fluid in her lungs and the heart failure,
而这个问题 是可以通过小型封堵器解决的 which could be fixed with a Piccolo Occluder.
去征求父母的同意 再给我拿片阿司匹林 Go get consent, and an aspirin.
等等 Wait.
怎么了？ What is it?
既然没法让婴儿仰躺 我们要怎么插入装置呢？ If we can't put the baby on her back, how are we gonna insert the device?
我开始睡了 这次轮到你来吼醒我 I'll get comfortable. You scream in my face this time.
他开始吞咽了 He's swallowing now.
但还是没有哭 But still not crying.
准备好给你弟弟示范一下了吗？ Ready to show your brother how it's done?
你很讲礼貌嘛 等你哥哥先哭你才哭 Very polite of you to wait for your brother.
也许那个同床研究真的有些道理 Maybe there was something to that shady co-bedding research.
也许你的懦夫行为 反倒招来了好运 Maybe you being a wuss was a blessing in disguise.
我也会很心痛 That would've hurt me, too.
如果和你有一个孩子 却无法参与你的生活 Having a kid with you and not being part of your lives.
通过脐血管进入 这个点子非常有启发性 Gaining access through the umbilical vessels was inspiring.
-这都归功于托马斯爱迪生 -应该的 -I credit Thomas Edison. -As you should.
说真的 谢谢您接纳我疯狂的主意 格拉斯曼医生 Seriously, thank you for humoring my crazy idea, Dr. Glassman.
谢谢你教会我不要放弃希望 Thank you for helping me to not give up on hope.
来吧 伙计 让我听听你的哭声 Come on, buddy. Let me hear that cry.
心率110次每分钟 呼吸65次 Heart rate 110 bpm. Respiratory 65.
真的很抱歉 I'm so sorry.
我以为那是果断的表现 I thought I was being decisive.
那确实是 只不过你果断的地方不对 You were. It was the wrong decision.
他没事了 He will be okay.
你应该感到愧疚 但不必太愧疚 You should feel bad, but not too bad.
六胞胎是非常罕见的 Sextuplet births are incredibly rare,
它发生的几率只有四十亿分之一 one in almost four billion.
而百分之百的存活率就更低了 And the odds of a 100% survival are even rarer.
但如今我很开心地宣布 这六个宝宝非常健康 But I'm happy to report all six babies are healthy
他们都准备回家了 and all six babies will be going home.
这不是容易的事 但多亏了所有人 我们做到了 It wasn't easy, but because of all of you…Because of your hard work, we were able to do it…
我们在媒体界的朋友们… …some of our friends from the press…
这人的胸毛太浓密了 That's a thicket of chest hair.
他的后背很大几率也… Chances are, his back…
帮我选几个可以接受的潜在人选 我请你吃早餐 Breakfast on me if you help me make a list of acceptable prospects.
所以也要谢谢大家 还有孩子的父母 吉娜和杰克 I wanted to personally thank you and the parents, Gena and Jack.
也要谢谢你们 And want to thank you as well.
现在该开始庆祝了 This is a time to celebrate.
他好胜心很强 凡事都要抢在他弟弟前面 He's competitive. He likes to do everything before his brother.
C很懂会共情 非要等到他哥哥没事了 才开始做自己的事 C is an empath, waited until he knew his brother would be okay before doing his thing.
拜伦和克里斯托弗？ Byron and Christopher?
好 Yeah.
EJ E.J.
我们要叫她EJ Her name is E.J.
代表亚伦乔丹 It stands for Erin Jordan.
谢谢你们俩 Thank you both.
来见见F宝宝 Meet Baby F.
叫她弗朗西斯卡吧 Francesca.
不过吉娜和杰克毕竟是 要带六个宝宝回家的 But Gena and Jack are first time parents
新手父母 所以他们会需要很多帮助 who'll be bringing home six babies, so they're gonna need lots of help.
我们当中 如果有人愿意 在宝宝们回家后 Now, for those of you who are willing to continue
继续照顾他们 手术办理台上有一张志愿报名表 once the babies are at home, there's a volunteer sign-up sheet
有意者可以过去报名 我相信吉娜和杰克 at the check-in desk. I'm sure Gena and Jack
会非常感激你们施于的援手 would be grateful for any help you're willing to give.
你有个哥特妈妈？ So you had a goth mom?
她会唱着《男孩不哭》哄你睡觉？ She sang "Boys Don't Cry" as a lullaby?
是啊 她来学校接我时 还会大声唱着“Joy Division”的歌 Yeah. She picked me up at school blasting Joy Division, too,
当时我觉得丢人得要命 但她是个好妈妈 humiliated me at the time. But she was a good mom.
我爸生前常唱《我们独一无二的神》 是集会上唱得最响亮的那个 My dad used to sing "Ein Keloheinu" louder than everyone in shul.
我很讨厌这首歌 不过这大概也是他这么做的原因 I hated it. Which was probably the point.
让我们的孩子尴尬得无地自容 应该也挺好玩的 Could be fun to embarrass our kids someday,
在非常非常遥远的未来 far, far in the future.
谢谢你 好的 Thank you. Okay.
我很庆幸我带着这个病案来找你了 I'm glad I brought this case to you.
我也是 Me too.
马库斯 我很抱歉 Marcus, I'm sorry.
抱歉我放弃了我们的感情 抱歉我出了轨 For giving up on us. For cheating.
这是我犯下的最糟糕的错误 It's the worst mistake I ever made.
这不全是你的错 It wasn't all you.
我不知道自己当时有没有放弃 但我确实对你缺乏关心 I don't know that I gave up, but I certainly didn't pay enough attention.
吉娜和杰克曾经渐行渐远 分道扬镳 但最终 他们又回到了彼此身边 Gena and Jack grew apart, but they found each other again.
这是个美好的故事 That's a nice story.
是啊 Yeah.
很美好 Nice.
好了 Derek.
说六次“烤奶酪三明治” Say "grilled cheese" six times.
烤奶酪三明治 Grilled cheese.
但我只是 继续笑着 But I just keep on laughing
隐去眼中的泪水 Hiding the tears in my eyes
因为男孩不哭 Because boys don't cry
男孩不哭 Boys don't cry
字幕翻译： 孟奇