该起床了？ Time to get up?
是我该起了 For me.
一大早有部门会议 Early department meeting.
你应该继续睡 You should stay in bed.
你也是 So should you.
我给萝丝莉亚餐厅打个电话怎么样？ How about I put a call into Rosalia's?
早餐卷饼 一大杯拿铁 Breakfast burrito, latte from a big cup.
能省20分钟 20 minutes saved.
如果我回到床上 If I get back in that bed,
20分钟可不够 it'll be for more than 20 minutes.
迟到就迟到吧 I can be late.
我让你穿件夹克的 Told you to put on a jacket.
我说了我不冷 I told you I'd be fine.
你真的不冷吗？ Are you fine?
不是 冷死了 No, I'm freezing.
这里是圣何塞 It's San Jose.
冬天只是一个相对的概念 Winter's a relative term.
谢谢 Thanks.
这不是你昨天穿的衣服吗？ You wear that yesterday?
我睡在她家了 I crashed at her place.
我们很晚才完成一个研究项目 We finished a research project late
他就睡在沙发上了 and he slept on the couch.
你不是有约会吗？ Didn't you have a date?
我改时间了 I rescheduled it.
我得洗个澡 不然我会迟到的 I need to shower or I'll be late.
-再见 -再见 -See ya. -See ya.
-他在给你扔面包屑 -什么？ -He's bread crumbing you. -Excuse me.
他举止暧昧 却不表明态度 He's flirtatious, noncommittal.
只给你足够的关注来吊着你 Giving you attention to keep you hooked.
他在扔面包屑 你永远吃不到完整的面包片 He's dropping crumbs. You'll never get the full slice.
我们只是朋友 我不介意这种关系 We're just friends. I'm fine with that.
或者他丢给你什么你都愿意接 Or maybe you're settling for whatever he'll give you.
胃痛是什么时候开始的？ When did the stomach pain begin?
几周前 Couple weeks ago.
我注射利普安十天了 可能是副作用 I'm on my 10th day of Lupron, it could be the side effects.
我们想尽快进行胚胎移植 Hoping for an embryo transfer soon.
得好好照顾她 Gotta take care of her.
除了疼痛 有没有其他… Other than the pain, any other--
呕吐、发烧、出汗 Emesis, fever, sweats.
有压痛和腹胀 Some tenderness and distension.
右下腹有个伤疤 Scar. Right lower quadrant.
那是第一次约会的纪念品 That's a first date souvenir.
非正式的第一次约会 Unofficial first date.
麦克伯尼氏手术切痕 A McBurney's incision.
你做过开腹阑尾切除术 You had an open appendectomy.
她的阑尾破裂了 A ruptured appendix.
我是一名注册护士 I'm an RN.
就医时的浪漫邂逅 It's a medical meet-cute.
-我很好 -你不好 -I'm okay. -You are not.
右侧骨盆区有一个形状不规则的肿块 There's an irregularly shaped mass in the right side pelvic region.
你必须马上做CT You need a CT STAT.
需要帮助吗？ Can I help you?
你还好吗？ Are you okay?
我摔倒了 撞到了头 I fell and hit my head.
过来 Come here.
可能是头部外伤 Possible head trauma.
你能说出姓名和出生日期吗？ Name and date of birth?
托妮路兹 Toni Rhoades.
1995年8月7日 August 7th, 1995.
瞳孔反应迟钝 Slow reacting pupils.
你有用药或饮酒吗？ Any drugs or alcohol?
没有 No, no, no.
不对 我昨晚喝了几杯酒 Yes, I had a couple drinks last night.
我怎么到这里的？ How did I get here?
需要做头部CT 检查脑出血和颅骨骨折 Head CT. Check for brain bleed, skull fractures.
我的胃… My stomach is…
这是哪来的？ How'd you get this?
她的腹部僵硬肿胀 Her abdomen is rigid and distended.
腹腔内有明显出血 Significant intraperitoneal hemorrhage.
你的脾脏在出血 你需要手术 Your spleen is bleeding. You need surgery.
我检查了你的病人的超声波 I reviewed your patient's ultrasound.
混合回声肿块的出现很不寻常 The appearance of that mixed echogenic mass is unusual.
-是的 我们… -有进展就告诉我 -Yes, we-- -Keep me posted.
去过萝丝莉亚餐厅吗？ Went to Rosalia's?
早餐卷饼配辣香肠 The breakfast burrito with the spicy chorizo.
尝尝融化的辣香肠 Try molten chorizo.
就算我得溃疡也值了 Totally worth the ulcer I might get.
立场很坚定 Hard stand.
我从没去过萝丝莉亚餐厅 I have never been to Rosalia's.
我推荐你试试 I recommend it.
墨菲医生 你的片子准备好了 Your images are ready, Dr. Murphy.
肿块在这里 There's the mass.
病变周围有游离液体 There's free fluids around the lesion.
可能有活动性出血并扩散到邻近器官 Possible active bleeding and invasion into adjacent organs.
她得立即手术切除病灶 She needs immediate surgery for resection of the lesion.
你长这个多久了？ How long have you had those?
我的怪物角？ My monster horns?
几年了 但现在影响我戴眼镜了 Few years, but now they're making it hard for my glasses to stay on.
我的头发可以遮住它们 My hair hides them.
你很漂亮 没有什么好遮的 You're beautiful, nothing to hide.
但是你得戴眼镜 所以我们应该切除这些生长物 But the glasses need to stay, so we should remove these growths.
不用剃光头发或留下大大的疤痕吗？ Without shaving my hair or leaving big scars?
这是其他医生给我的唯一选择 The only options other doctors gave me.
他们不了解我的技术 They don't know my technique.
从这里做一个小切口 Make a tiny incision…here.
它可以最大限度地减少疤痕 It minimizes scars and…
也不用剃掉你的头发 it'll leave your hair intact.
好 Okay.
把格温德琳排进我的日程表 Put Gwendolyn on my schedule.
-谢谢你 医生 -好的 -Thank you, Doctor. -Yes.
托妮的CT结果很不错 没有骨折 也没有颅内出血 Tony's CT came back clean and no fractures or intracranial bleeding.
她可以做手术了 Clear for surgery.
明天你要做研究吗？ Doing research for tomorrow?
我请客吃披萨 I'll spring for pizza.
听说过“面包屑”手段吗？ Ever heard of bread crumbing?
跟鸽子有关系吗？ Does it involve pigeons?
没关系 No.
就是两个人经常一起玩的时候 It's when two people hang out a lot.
其中一个想要超越友谊的关系 而另一个人态度不明 One wants to be more than friends and the other isn't clear.
第一个人应该怎么办？ What should the first person do?
耐心等待还是忘掉对方？ Be patient or move on?
我只想要个朋友 Asking for a friend.
真正的私密关系很少见 Real personal connections are rare.
堪称无价之宝 Invaluable.
不管这种关系是爱情 Whether the context is romantic,
还是柏拉图式的 or platonic.
手术室里见 See you inside.
疤痕组织的触手 已经伸进了每一个器官 There are tentacles of scar tissue, reaching into every organ.
发现多处脓肿和感染负担 Multiple abscesses and infection burden.
我们需要几个排液管 We will need several drains.
已经一百毫升了 感染太严重了 100 cc already. This infection is crazy.
你和利姆之间还是很尴尬吗？ So, things with you and Lim are still sort of awkward?
我和利姆医生保持着以医学为中心的 Dr. Lim and I have a professional relationship
工作关系 centered on medicine.
肿块粘附在骨盆壁 结肠、膀胱和子宫上 The mass is adherent to the pelvic wall, colon, bladder, uterus.
你们以前关系更好 怀念吗？ You were closer, you miss that?
正在切穿更多组织 Cutting through more tissue.
利姆医生是外科主任 Dr. Lim is chief of surgery.
我是一名主治医生 I am an attending,
关注医学才是合乎逻辑 a medical focus is logical,
和富有成效的做法 and productive.
我们已经到达肿块 正在切入囊体 We've reached the mass, cutting into the capsule.
等等 天哪 那是… Wait. Oh, my God, is that…
医用手术巾？ a surgical towel?
准备好我的开腹探查托盘 输血两个单位 Ready my ex lap tray, transfuse two units.
再备两个单位 现在插入导尿管 Stay two ahead. Place catheter now.
她的血细胞比容很低 Her hematocrit is low.
跌倒不应该造成这种损伤 A fall shouldn't cause this damage.
如果她嗑药了 任何事情都可能发生 If she was high, anything could've happened.
先别急着指责她 等毒理报告出来吧 Let's hold judgment till tox results come back.
现在放置动脉管路 Placing arterial line now.
瞳孔呆滞、失忆 Sluggish pupils, memory loss,
意识模糊 她吸毒了 confusion, she's using.
不是指责 只是识别出某些行为 Not judgment, just recognize certain behavior.
更不稳定了 稍后再争论吧 More dynamically unstable. Debate later.
我们必须给她止血 We need to stop the bleed.
艾伦医生 你为什么不插导尿管？ Dr. Allen, why aren't you placing the catheter?
淤青很严重 Severe bruising
骨盆区有创伤痕迹 and signs of major trauma in her pelvic region.
我认为她被强奸了 I think she was raped.
我们修复了你的脾脏 但是… We saved your spleen. But…
你在手术中流了很多血 You bled a lot during surgery.
我们不清楚原因 需要做更多检查 We don't understand why. Need to run more tests.
插导尿管的时候 我们发现你的骨盆区 While placing your catheter, we discovered some bruising
有一些瘀伤和外伤痕迹 and signs of trauma in your pelvic region.
我们担心你遭到了性侵犯 We're worried you've been sexually assaulted.
不 那不可能 No, that's… that's not possible.
你的尿检结果显示氟硝西泮阳性 Your urine testing came back positive for Rohypnol.
它与约会强奸有关联 It's associated with date rape.
不 我… No, I…
我是和一群朋友一起出去喝酒的 I went out for drinks with my friends.
庆祝他找到了新工作 We were celebrating his new job.
我亲眼看着调酒师调了酒 I watched the bartender mix my drinks.
我有点微醺 但没有喝醉 I was tipsy, but I wasn't drunk.
瘀伤一定是我绊倒时留下的 The bruises must be from when I tripped.
如果你说的事情发生了 我会记得的 I would remember if what you're saying happened.
氟硝西泮会造成短期失忆 Rohypnol can cause short term amnesia.
我相信这个消息让你很震惊 I'm sure this information is a shock.
我们都是来支持你的 We're here to support you.
收集相关证据的最佳方式是 The best way to gather evidence as to what happened is…
做一个强奸测试包 to do a rape kit.
不 我不需要那个 No, I… I don't need that.
我和我的朋友在一起 I was with my friend.
他不会让我出事的 He wouldn't let anything happen to me.
你不必马上做决定 You don't have to decide right now.
休息一下 Get some rest.
我们会把检查结果告诉你 We'll let you know results.
遗留的手术用品？ A retained surgical item?
是一条手术巾 手术后留在你体内了 It's a towel, that was left in you after a procedure.
它附着在几个重要器官上 That is adherent to several vital organs.
想要移除它 难免造成不可逆转的… We can't remove it without irreversibly--
是谁留下的？我的医生吗？ Left behind by who, my doctor?
我们先想办法把它弄出来 然后再… Let's focus on getting it out. Then we--
是谁给我做的阑尾切除术？ Who did my appendectomy?
-好像是贝特朗 -海绵和其他物品 -Berter, I think. -The count of sponges
是由首席手术护士清点的 and other items is done by the lead scrub nurse.
你们可以晚点再讨论这个 You may discuss this later.
首席手术护士是谁？ Who was the lead scrub nurse?
也许是戈麦斯 或者克劳斯 我真的不记得了 Gomez, maybe, or Krause. I really don't remember.
但你肯定在场 But you were definitely there.
你在怪我吗？ Are you blaming me?
你是其中一名护士 你没注意吗？ You're one of the nurses. Didn't you notice?
我是巡回护士 不是手术护士 I was circulating, not scrub.
这绝对不是我干的 No way I did this.
你刚才还说不记得 You couldn't remember.
现在又确定不是你干的 Now you're sure you didn't do it.
-我们应该暂时放下… -你为什么攻击我？ -We should move on-- -Why are you attacking me?
我刚发现我的肠道里 有一条感染的手术巾 I just found out I have an infected towel in my gut
需要做大手术 that will require major surgery.
你却让自己变成了主角 You're making this about you.
这不是我的错 It wasn't my fault.
是谁的错都不重要 Doesn't matter whose fault it was.
我们会把手术巾当成肉瘤对待 We will approach the towel like a sarcoma.
进行整块切除 Perform an en block resection,
绕过交织在一起的重要动脉网 bypass intertwined vital arterial structures,
最后进行彻底清创 finish with a thorough debridement.
这是一个合理的选择 That's a reasonable option.
你的意见已经没那么重要了 Right now, your opinion doesn't mean a lot.
给我一点时间 I just need a minute.
我去大厅里等着 I'll be in the hall.
她…没有意识了 She's… not conscious.
她晕厥了 She's syncopal.
她晕过去了？ She fainted?
-纳温 -血压飙升 -Naveen. -BP spiking.
心跳加速 Heart rate's up.
可能有出血或感染性休克 Possible bleed or septic shock.
气道疏通托盘 Crash airway tray.
手术巾上的脓肿腔可能破裂了 An abscess cavity in the towel may have ruptured.
我们得返回手术室 We need to get to the OR.
你找我？ Wanted to see me?
我明天的日程有重叠 Yeah. I'm double booked tomorrow.
你和阿纳尼安医生 一起做格温德琳的手术吧 Scrub in with Dr. Annanian for Gwendolyn's surgery.
她对你印象深刻 She was impressed with you.
她非常期待你能做她的外科医生 She's excited to have you as a surgeon.
我有一场不能错过的会议 It's a meeting I can't miss.
我已经把手术计划 告诉阿纳尼安医生了 晚点我再来 Dr. Annanian has my surgical plan. I'll check in after.
破裂引起了大面积的腹膜炎 Rupture caused widespread peritonitis.
这次感染比之前严重多了 This infection is worse than before.
大量冲洗、清创和吸液 Aggressively irrigate, debride and suction.
我们需要控制感染 We need to control the infection,
把组织、液体送到微生物实验室 send tissue, fluid to the micro lab
以便我们集中力量给她使用抗生素 so we can focus her antibiotics.
血压骤降 心率飙升 Big drop in BP. Heart rate spiking.
她承受不住手术 She isn't tolerating surgery.
我们得再次给她缝合 We need to close her again.
缝线 Sutures.
手术巾怎么办？ What about the towel?
在她的血压和血氧值得到控制之前 我们不能做手术 We can't operate until her BP and O2 sats are under control.
让她保持镇静和插管状态 直到她稳定下来 She's to remain sedated and intubated until she stabilizes.
我们得找一种新方法把手术巾弄出来 We need to find a new approach to removing the towel.
缝合之后 我就可以开始研究 Once she's closed, I can research.
我会咨询利姆医生的 I will consult with Dr. Lim.
我想咨询一台手术的事 I would like a surgical consult.
慕克吉的手术？ The Mukherjee case?
CT上的肿块 是一块遗留在体内的手术巾… The mass on the CT was a retained surgical towel…
引起了急性感染 粘附在重要器官上 It's acutely infected, adherent to vital organs.
病人责怪她的妻子 The patient blames her wife,
她在阑尾切除术中担任外科护士 a surgical nurse during the appendectomy,
巡回 不是手术护士 circulating not scrub.
还是讨论医学问题吧 Stick to the medical.
病人不明白 清点器械不是她妻子的职责 她们争论… Patient didn't understand the count wasn't her wife's responsibility. They argued--
当务之急是手术巾从体内毒害她 The pressing issue is the towel poisoning her from the inside.
你打算如何取出它？ Your plan to remove it?
那… That…
正是我来找你讨论的话题 is what I am here to discuss.
你是主治医生 墨菲医生 You are an attending, Dr. Murphy.
你的病人还需要几个小时 才能稳定下来接受手术 Your patient has a few hours before she's stable for a procedure.
研究遗留手术器械的问题 找你的团队集思广益 寻找解决方案 Research RSI's and brainstorm possible solutions with your team.
在那之后 如果你还需要咨询 我随时欢迎 If you still need a consult, my door is open.
托妮的血小板计数怎么样了？ How's Tony's platelet count?
还在下降 Still dropping.
你有做抗血小板抗体检查吗？ You do an anti-platelet antibody?
正在等结果 Waiting on results.
再预定一次红细胞输血 提高她的血细胞比容 Order another PRBC transfusion to get her hematocrit up.
强奸检测包有进展吗？ Any progress on the rape kit?
她不愿意提这个 She won't talk about it.
我觉得不能怪她 I can't blame her.
那是一项侵入性检查 It's an invasive process that proves
只能证明一件她不记得的可怕的事 a horrible thing she doesn't remember.
她的大脑可能不记得了 但她的身体记得 Her brain may not remember, but her body does.
将来有一天 她很可能会想起来 And chances are eventually, it'll come back.
我们不应该尊重她的意愿吗？ Shouldn't we respect her wishes?
我们不想让她重温遭人侵犯的感觉 Don't want her to feel assaulted again.
否认不能改变事情已经发生的事实 Denying it doesn't change it
是托妮 灰色警报 It's Tony. Code Gray.
不要 求你了 住手 No, please, please. Stop.
她尖叫着醒来 还拔掉了输液管 She woke up screaming and pulled out her IV.
离我远点 Just stay away from me.
我只是想帮你 Just want to help you.
托妮 你没事了 Tony, you're okay.
我们都陪着你 We're here with you.
那不是真的 It's not real.
你能和我一起呼吸吗？ Can you breathe with me?
好的 Okay.
你没事了 You're okay.
你现在没有危险 You're not in danger now.
我做了一个噩梦 I had a nightmare.
她的病号服 Her gown.
我得看看你的伤口 Let me look at that.
好吗？ Okay?
脾脏修复失败了 The spleen repair didn't work.
（三）
在你的职业生涯中 你已经移除了五块常规海绵 Over the course of your career, you've removed five routine sponges
比该地区任何一位外科医生都要多 that is higher than any surgeon in the region.
那是我简历上的长项 就排在杂耍下面 Special skill on my resume, right under juggling.
我的病人体内遗留了一条手术巾 My patient has a retained towel
导致了多器官受累的败血症 that has caused sepsis with multi organ involvement.
我想向你咨询手术事宜 I would like a surgical consult.
找你们科主任吧 A request for your department head.
利姆医生说我应该自己解决这个问题 Dr. Lim said I should tackle the problem on my own.
有意思 That's interesting.
她说得对 She is right.
我是主治医生 I am an attending.
但你在遗留手术器械方面的经验 对这个病例有帮助 But your RSI experience would be helpful on this case.
我会看的 I'll take a look.
维拉纽瓦护士 Nurse Villanueva.
格温的手术怎么还在我的日程上？ Why is Gwen's surgery still on my schedule?
她因为换了外科医生而恐慌 She panicked over a new surgeon.
-她想要… -告诉她 -She wants-- -Tell her
那位医生很厉害 从我的轮班日程上删除她 she's in great hands with Dr. Annanian, take her off my rotation.
不行 No.
你说过你会给她做手术 You said you'd do the surgery.
如果你不做 自己去说吧 You tell her you won't.
微创手术怎么样？ What about a minimally invasive surgery?
将手术巾剪开 通过一个小孔 Cut the towel, remove it in pieces
-逐片取出 -行不通 -through a single port. -Won't work.
从它附着的地方看 被感染的组织使她处于高风险中 Where it's attached, infected tissue puts her at high risk.
大刀阔斧地全部切除 And aggressive gross total resection
被手术巾入侵的器官 和感染的坏死组织 of organs invaded by the towel, plus infected, necrotic tissue
是长期生存的最佳选择… is the best option for long term survival…
手术有大出血的风险 我们必须切除她的子宫 Procedure risks major bleeds. We'd have to remove her uterus.
她们正打算生孩子 她要受孕 They're planning a family. She is to carry the baby.
如果她死了 那也生不了孩子 That will also be impossible if she is dead.
说得委婉一点 It's elegantly put.
病人的妻子来了吧？ The wife of the patient is here, right?
向她解释各种选项 看她想如何进行下去 Explain the options to her, see how she wants to proceed.
她们在她上次手术前发生了争执 They had an argument before her last surgery.
她肯定不想让她的妻子做决定 She won't be pleased with her wife making that decision.
去找她谈谈吧 Just go talk to her.
我们知道你为什么出血了 We know why you're bleeding.
你患上了免疫性血小板减少症 You have a condition known as ITP.
你的免疫系统正在破坏你的血小板 Your immune system is destroying your platelets.
你们能治好吗？ Can you fix it?
有药物可以治疗 There's medication to help.
我们必须切除你的脾脏 We must remove your spleen.
为什么不在之前的手术中切除呢？ Why didn't you do that during my earlier surgery?
还不知道你有免疫性血小板减少症 We weren't aware of your ITP.
创伤可以触发这种病 It can be triggered by trauma.
免疫性血小板减少症 让我们的方法变复杂了 The ITP complicates our approach.
通常 我们会通过腹部 切除脾脏 但是 Usually we'd remove your spleen through your abdomen, but…
那有大出血的风险 that risks a catastrophic bleed.
我们可以通过最小切口 经阴道切除你的脾脏 We can remove your spleen vaginally with minimal incisions.
出血风险比较小 Less risk of bleeding.
好 就这么办 Okay, let's do it.
我希望你能在手术前 做一个强奸检测包 I hope you'll allow a rape kit before the procedure.
我已经告诉你了 不行 I already told you, no.
经阴道手术会毁掉性侵犯的所有证据 The trans vaginal approach will destroy all evidence of the sexual assault.
不做 No.
我不在乎 I don't care.
没有检测包 你就没有证据 Without the kit, you'll have no proof.
你说得对 You're right.
我相信我确实遭遇了可怕的事 I believe that something terrible happened to me.
但我要不要选择大海捞针 都不会改变这个事实 But that is true whether or not I go chase down the Boogieman
有用的 It could help.
怎么做都没用 Nothing will help.
不要让做这件事的人逍遥法外 Don't let whoever did this get away with it.
他已经逍遥法外了 He already has.
做了强奸检测包 也不能让我回到强奸之前 Doing a rape kit is not going to unrape me.
开始手术吧 Go ahead with surgery.
我们需要你来做决定 We need your decision.
有没有办法 在不切除子宫的情况下进行全切术？ Is there a way to do the total resection without removing her uterus?
没有 No.
她一生都梦想着怀孕生子 She's dreamed of being pregnant her whole life.
我没办法替她选择 I can't choose for her.
你可以 You can.
我们明白这有多难选 We understand how difficult this is.
-她永远不会原谅我 -她会的 -She'll never forgive me. -She will.
她显然是爱你的 It's obvious she loves you.
她把现在的事归咎于我 She blames me for what's happening.
如果我夺走她 If I take away her chance
生育的机会… to carry a child…
你说得对 You are right.
你选择全切术 她就会失去子宫 You choose gross resection, she loses her uterus.
她很可能永远不会原谅你 It is likely she will never forgive you.
但那都不相干 这是你的决定 But that is irrelevant. It is your decision.
你必须做决定 You have to make it.
不管接下来会发生什么 Whatever happens next.
做全切术吧 Do the total resection.
好久没在这里见到你了 Haven't seen you here for a while.
我都忘了人际关系 可以吞噬自由支配的时间 Forgot how relationships can eat into discretionary time
听起来不像是抱怨 Doesn't exactly sound like a complaint.
的确不是 It's not.
肖恩来找我咨询手术事宜了 Shaun came to me with a surgical consult.
你的遗留手术器械记录 Your RSI record.
-很聪明 -他来找我是因为你把他打发走了 -Smart. -Did it because you sent him away.
主任的工作职责包括 赋权他们的主治医生 Part of the chief's job is to empower their attendings
找到自己的解决方案 to find their own solutions.
听起来他做到了 Sounds like he did.
有很多方法都能赋权主治医生 A lot of ways to empower an attending.
我选择了其中之一 And I chose one.
因为你还在生气？ Cause you're still angry?
-好吧 -你还要气多久？ -Okay. -How long will you do that?
我想气多久就气多久 As long as I want?
好吧 随便你怎么生肖恩的气 Okay. You be as mad at Shaun for as long as you need to be.
谢谢许可 Thanks for the permission.
但你要知道 这是有害的 Just so you know, it's toxic.
伤害的不仅仅是肖恩 Not just for Shaun.
得了吧 除了肖恩 你不关心任何人 Spare me. You're not concerned for anyone other than Shaun.
我得回去工作了 Must go back to work.
安德鲁斯医生 Dr. Andrews.
我把财务会议改期了 I rescheduled my finance meeting.
但是以后 我需要一位 But in the future, I'm requesting a scrub nurse
尊重我这个外科医生 和医院院长的手术护士 who respects my role as surgeon and hospital president.
我住院的时候 你坐在我的床边 When I was in the hospital, you sat at my bedside.
在我都不确定想不想康复时 你帮我康复了 You helped me recover when I wasn't sure I wanted to.
对我来说意义重大 That meant a lot.
对患者的个人关怀始终很重要 Personal attention with patients is always important.
腹腔镜脾切除术 The laparoscopic splenectomy
可以完美替代经阴道手术… is a great alternative to the trans vaginal--
手术安排在今晚 Surgery's scheduled for this evening.
而且她要求你退出她的治疗 She wants you removed from her case.
她可能会终生后悔 她没有对此采取行动 She may regret not taking action on this for the rest of her life.
那由她说了算 That's her decision.
而不是你 Not yours.
我收到你的信息了 有什么急事？ I got your message. What's so urgent?
我已经把你加进了纳温的手术团队 I have added you to Naveen's surgical team.
请准备在30分钟后参加手术 Please get ready to scrub in in 30 minutes.
你已经有了手术计划 肖恩 You have a surgical plan in place, Shaun,
你完全有能力执行那个计划 perfectly capable of executing that plan.
作为主治医生 我有责任 It is my responsibility as attending
创造最有可能产生 to create the conditions likely to result
-积极成果的条件 -你已经创造了 -in a positive outcome. -Which you've done.
其中包括邀请具有 遗留手术器械经验的外科医生在场 Which include the presence of a surgeon with RSI experience.
肖恩 你在手术室里向来很自信 Shaun, you've always been confident in the OR.
这次是怎么回事？ What is this about?
我只是让一位 具有相关经验的外科医生在场 Having a surgeon with relevant experience present
以防我需要建议 in case I need advice.
-如果我很忙呢？ -你不忙 -What if I'm busy? -You're not.
这个案例到底有什么让人担心的？ What exactly about this case is so concerning?
你在遗留手术器械方面的经验 比这家医院的任何外科医生都丰富 You have more RSI experience than any surgeon in this hospital.
所以我希望你在场 That is why I would like you in there.
拜托？ Please?
好 我会去的 All right, fine. I'll be there.
麻烦你去换衣服 Please get changed.
够不到最高点 Can't reach the highest point.
我们可以把她的疤痕 藏在她的发际线内 We can hide her scar above her hairline.
我们得剃掉她的头发 We need to shave her hair.
也许不用 Maybe not.
谁来给我一把梳子 Someone give me a comb.
开始进行子宫切除术 Moving on to the hysterectomy.
请夹紧子宫角 Please clamp the uterine horns.
把腹股沟内侧中间的韧带拉紧 Clasping around ligament midway to the internal… inguinal.
子宫壁肌层感染减少了 Infection of the muscular layer of the uterine wall has reduced.
也许我们可以保住她的子宫 Maybe we can save her uterus.
肖恩 Shaun.
肖恩！ Shaun. Shaun!
跟着计划走 Stick to the plan.
你保不住她的子宫 You cannot save the uterus.
好 Okay.
你说得对 坏死太严重了 You are right. Necrosis is too advanced.
穿刺、缝合和止血夹 Transfixion, sutures and hemoclip.
嘿 Hey.
我想来看看你怎么样 Wanted to see how you're doing.
纳温恢复得很好 Naveen is recovering well.
手术有了预期效果 Surgery turned out as expected.
你在手术室里犹豫了 怎么回事？ You hesitated in the OR. What was that about?
我想保住她的子宫 I wanted to save her uterus.
你为什么坚持不做子宫切除术？ Why'd you get stuck on not doing the hysterectomy?
病人想受孕生子 Patient wants to carry a child.
这么做很有同理心 It's very empathetic.
你产生了个人感情？ You developed a personal connection?
卢娜的决定很正确 Luna made the right decision.
即使她的妻子永远不会原谅她 Even if her wife will never forgive her.
你担心这会破坏她们的婚姻？ Are you worried that this will hurt their marriage?
这不重要 知道吗？重要的是 It doesn't matter. Okay? It doesn't matter. What matters…
她还活着 is that she is alive.
我们救了她的命 We saved her life.
这是一件很重要的事 That is one thing that matters.
失去个人感情也很重要 So is losing a personal connection.
-医学是… -肖恩 The medicine is…
这是因为利姆吗？ Is this about Lim?
她怎么了？ What about her?
我不知道 I don't know. It's…
利姆还在生你的气 Lim is still upset with you.
你会因此而烦恼吗？ She's still mad at you. Does that bother you?
利姆医生和我只是工作关系 Dr. Lim and I have a professional relationship.
才不是呢 No, you don't.
你得修复关系 你们两个必须解决这个问题 You need to fix that. You two need to sort that out.
你想让我做什么？ What do you want me to do?
我想让你们两个谈一谈… I want you two to talk…
她不想和我说话 She doesn't want to talk to me.
那得看你要说什么了 Depends what you have to say.
我无话可说 I have nothing to say.
肖恩 利姆很伤心 Shaun, Lim is hurting.
知道吗？ Okay?
你也很伤心 You are hurting.
告诉她 Tell her that.
也许她会原谅你 也许她不会 我不知道 Maybe she'll forgive you. Maybe she won't. I don't know.
但是你们两个必须解决这个问题 But you two have to resolve this.
这对你们、对我都有好处 For both of your sakes and mine.
利姆医生和我只是工作关系 Dr. Lim and I have a professional relationship.
我不需要找她谈 I do not need to talk to her.
我必须完成我的手术记录 I have to finish my op note.
我也从来没有那样做过脾切除术 I've never done a splenectomy that way either.
手术很酷 Cool surgery,
但是情况不太酷 not the coolest circumstances.
病人经历了一些可怕的事情 She went through something awful,
我的反应却是指责她 my reaction was to judge her.
和大家指责我的方式没两样 The same way people judge me.
不要苛责自己 Don't beat yourself up.
你又不知道 You didn't know.
你是一个好朋友 You're a good friend.
我知道 I know
但是… But…
我一直在等着突破友谊的界限 I've been waiting to be more than that.
我不该再等下去了 I shouldn't do that anymore.
我要取消研究并重新安排我的约会 I'm going to cancel research and reschedule my date.
我觉得那很好 I think that's good.
你配得上幸福的生活 You deserve to be happy.
我去帮托妮做好准备 I have to prep Tony.
我欠你一个道歉 I owe you an apology.
我不该向你施压 For pressuring you.
当年我没做强奸检测包 I didn't do a rape kit.
而我一直为此后悔 And I've always regretted it.
我不想让你有同样的感觉 And I didn't want you to feel the same.
当时我在医学院念书 I was in medical school.
他是一个朋友的朋友 He was a friend of a friend.
不知什么时候起 他变成了一个跟踪狂 Somewhere along the way, he became a stalker.
一天晚上 他出现在我所在的一家酒吧 One night he showed up at a bar I was at.
他跟着我回家了 He followed me home.
我讨厌被人视为受害者 I hated the idea of being seen as a victim.
所以我从来没有告诉任何人 So I never told anyone.
我放过了那个变态 I let that creep go.
可是现在 我永远不会知道 And now, I'll never know
他伤害了多少其他女人 how many other women he hurt.
但这是我的遗憾 But that's my regret.
硬套在你身上是不公平的 It's not fair to put that on you.
我知道他喜欢我 I knew he liked me.
我早就应该 I should have…
让他知道这不是一次约会 made sure that he knew it wasn't a date.
我不该喝酒 我… I shouldn't have had a drink. I…
我甚至不知道 I don't even know…
我有没有让他停下来 if I told him to stop.
如果我没有呢？ What if I didn't?
那不是你的错 It is not your fault.
他剥夺了你的选择 He took away your choice,
你现在必须做对你最有利的事 and now you have to do what's best for you.
不管那是什么 Whatever that is.
托妮 Tony,
该去做手术了 time for surgery.
等一会 Not yet.
还是有点肿 There's still a little swelling,
但你的疤痕会很小 but you'll have minimal scarring.
它们不见了 They're gone.
现在你可以戴眼镜了 Now the glasses will stay.
你给我编的辫子很好看 Nice job with my braids.
不是我编的 Wasn't me.
我想要一个女儿 所以学过编辫子 I wanted a daughter, I learned to braid.
或许你能找到一个不错的副业 Might find a nice side hustle.
谢谢你 安德鲁斯医生 Thank you, Dr. Andrews.
不客气 You're welcome.
你可以继续了吗？ You okay to continue?
是的 Yes.
你可以继续了吗？ You okay to continue?
是的 Yes.
你可以继续了吗？ Are you okay to continue?
纳温 在取出手术巾的过程中 Naveen, in the process of removing the towel,
我们不得不摘掉你的子宫 we also had to take your uterus.
我们很抱歉 We're so sorry.
没有别的办法吗？ There was no other way?
有 但我让他们… Yes, but I told them…
我让他们摘掉了 I told them to do it.
我需要你活下来 I needed you to survive.
你是我的一切 You mean everything to me.
我在我最重要的工作上失职了 And I failed at my most important job,
那就是保护你的安全 keeping you safe.
五年前 我在手术室里让你失望了 I failed you five years ago in the OR.
昨天我又让你失望了 And again yesterday.
我只顾着为自己辩解 I was so focused on defending myself.
没想过你有多害怕 I wasn't thinking about how scared you were.
我真的真的很抱歉 And I'm so, so sorry.
你想要什么都行 Whatever you need.
你想让我留下来 陪你走过每一步 或者 If you want me here every step of the way or…
从你的生活中彻底消失都可以 out of the picture completely.
你最好陪我走完每一步 You'd better be here every step of the way.
因为我爱你也胜过一切 Because I love you more than anything too.
她怎么样了？ How's she doing?
手术很顺利 Surgery went well.
血小板计数恢复了 Platelet count is good.
那就好 Good.
身体以外呢？ And beyond the physical?
现在还不好说 Too early to tell.
恢复是需要时间的 Recovery is a process.
我们在一起的时候 When we were together,
你为什么不告诉我？ why didn't you tell me?
我不需要任何人的怜悯 I don't need anyone's pity.
包括你的 Yours included.
这都过去了 It's in the past.
你为托妮做的事 What you did for Tony,
真的很勇敢 that was really brave.
我在这里 I'm here.
我可以为你勇敢 If you need someone to be brave.
谢谢你 Thank you.
我需要跟你谈谈 I need to talk to you.
关于你的手术 About your surgery.
我无法改变已经发生的事 I can't change what happened.
而且我不需要跟你道歉 And I do not owe you an apology.
-墨菲医生 -但是 其他事情上 -Dr. Murphy. -But, I am sorry,
我很抱歉 for other things.
在我今天的遗留手术器械手术中 In my RSI surgery today,
医学上的选择很明确 the medical choice was clear.
但我不想继续 因为我知道后果是什么 I didn't want to proceed as I knew what the consequences would be.
在你的手术中 In your surgery,
医学上的选择很明确 我也继续了 the medical choice was clear and I did proceed.
但我不知道会有什么 But I did not know what the consequences
后果 would be…
我救了你的命 但是 I saved your life, but…
我的决定 my decision…
也给你造成了伤害 also caused you harm.
当我看到你 When I saw you,
受伤流血时 hurt and bleeding,
就像是看到了 我兄弟斯蒂夫临终的样子 I saw my brother, Steve, when he died.
我以为我可能会像失去他一样失去你 I thought I might lose you the way I lost him.
我不想那样 I did not like that.
对不起 I am sorry.
这件事 This…
对你来说很难接受 has been very hard for you.
保持“纯医学”关系 A "medicine only" relationship is…
并不轻松 我… is not easy. I…
这不是我想要的 It is not what I want.
我想念你的友谊 I have missed your friendship.
我想念你 I have missed you.
这件事 This has been…
让我很难受 really hard.
我现在的生活很好 My life is in a good place now.
我很快乐 I'm happy.
但是 But…
有时还是会愤怒 still angry sometimes.
我可能需要一段时间 It may take a while.
才能放下 To let that go.
但是 But…
我也想念你 肖恩 I've missed you too.
我喜欢当老板的感觉 You know, I love being the boss,
但与病人建立感情是我学医的原因 but connecting with patients is why I got into medicine.
你让我想起了这一点 You made me remember that.
谢谢你 Thank you.
不客气 You're welcome.
我能请你喝一杯 Could I buy you a drink
算是为我的傲慢无礼道歉吗？ as an apology for being a pompous ass?
不能 No.
除非加上鸡翅和薯条 Unless you throw in wings and fries.
很强硬的谈判人 Tough negotiator.
你知道的 You know it.
肖恩来见我了 Shaun came to see me.
我们谈过了 We talked.
谢谢你 Thank you.
别客气 You're welcome.
一起喝一杯？ 我相信我们能在附近某个地方 Join me? I'm sure we could find some…
找到一杯黄瓜水 cucumber water around here somewhere.
我约了克莱共进晚餐 Late dinner with Clay.
晚安 Goodnight.
嘿 嘿 -Hey. -Hey.
晚安 Goodnight.
这算什么？ What was that?
我不知道 I don't know.
你回来了 You're back.
是的 你说过 我是在另一个办公室隔离自己 Yes. You told me I was isolating myself in my other office.
有件事应该让你知道 Something you should know.
利姆坐在椅子上调整她的位置时 Lim, when she was in her chair and adjusted her position,
腰大肌和臀大肌有屈曲和旋转 there was flexion and rotation in the psoas and glutes.
它们活动起来了 There was movement.
她有可能重新站起来 She could walk again.
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