Previously, on The Good Doctor…
前情提要
Glassman found movement in my psoas and glutes.
格拉斯曼医生 发现已经转移到腰和臀部了
He and Murphy found an endoscopic solution.
他和墨菲找到了用内窥镜的治疗方案
Can I make you dinner?
我可以请你吃饭吗？
Sounds good.
好啊
-It's a date, then. -A date.
-那就是约会了 -是约会
Audrey, will you marry me?
奥德瑞 你愿意嫁给我吗？
Shaun.
肖恩
I'm pregnant.
我怀孕了
My OB told us it isn't safe for me or the baby.
我的产科医生说 我和胎儿都不安全
Danny! Oh, no!
丹尼！不是吧！
Danny? Danny!
丹尼？丹尼！
-Good morning. -Morning.
-早安 -安
I'll get the coffee.
我来冲咖啡
This is my third stay in a week.
我这周来住三次了
I no longer require guest-level service.
不需要拿我当外人的
I want the practice.
我想多练练
Two cups,
咖啡两杯
no cane… no guarantee how long it will take.
没拿拐杖…也不保证你要等多久
When it comes to you, my patience is boundless.
对于你 我有的是耐心
One of the many things I adore about you.
这正是我很喜欢你的一个原因
It's been three months. The man's a saint.
都三个月了 那哥们是个圣人啊
I've been recovering from a major surgery and re-learning to walk.
我做了个大手术 处于康复期 还在重新学习走路呢
Your recovery is remarkable.
你恢复得非常好
So is your procrastination.
拖延症也恢复得不错
I'm taking the time to consider the biggest decision of my life.
这是我这辈子的重大决定 我需要时间想清楚
-Clay's fine. -No man, no person is fine
-克莱挺好的 -这何止是好
waiting this long for an answer to that question.
等一个答案居然等了这么久
You ever done one of… whatever this is before?
你以前…接触过类似的情况吗？
No. You?
没有 你呢？
I've been clean for 92 days.
我戒毒92天了
I went to rehab for two months, and I go to meetings every single day.
我去了戒毒所两个月 每天都去会谈
Don't know if you can ever trust me again,
我不清楚你们还能不能再信任我
but I'm willing to do whatever it takes to earn back my place here.
但我愿意不惜一切代价 重回岗位
And we'll do everything we can to support you in your recovery.
我们也会在你痊愈的过程中 全力协助你
But our number one obligation is to our patients. For their safety and yours,
可我们要先对患者负责 出于对他们和你的安全考虑
we need to put some guardrails in place.
我们需要设置一些条条框框
You'll be on probation for six months.
你会有六个月的试用期
You cannot prescribe or administer controlled substances.
不可以开处方药 不可以开管控药物
You'll have random drug tests,
会随时面对药检
and every step of your patient care will be supervised
你对患者的所有护理
by the Senior Resident on your case.
都要有高级住院医师来监督
Today that is Dr. Allen. You okay with those terms, Dr. Perez?
今天是艾伦医生负责 你同意这些条款吗 佩雷斯医生？
Absolutely. I'm just happy to be here.
没问题 让我回来工作 我就很开心了
How are you?
你还好吗？
Better. A lot better.
好多了 好太多了
I hadn't heard from you.
你一直没联系我
Which is totally understandable.
我完全理解
-I just wasn't sure… -I didn't know what to say.
-我不确定… -我不知道该说什么
You're not the reason that… that happened.
出的这事与你无关
As your supervisor on the case, I'll oversee
我是你的监管 我会监督
your charting, your patient interactions,
你给病人填病例、你和病人的互动
double-check your med orders.
仔细检查你的医嘱
And this…
还有这个…
Fetal movement is good.
胎动不错
Heart rate is normal at 150.
心率150 很正常
I've been monitoring the heart rate daily. It ranges from 146 to 163bpm.
我每天都在监测心率 在146到163之间
-Her last emesis was three weeks ago. -The nausea's getting better, great.
-她上次呕吐是三周前 -反胃的症状越来越轻 很好
And the fatigue. Less improvement on the constant state of terror.
也没那么累了 但是还是担惊受怕的
You made it through the first trimester. You're doing great.
头三个月熬过去了 你做得很好
You two want to know the sex of the baby?
你们想知道宝宝的性别吗？
-Yes-- -No. Don't look.
-想… -别说 别看
It'll be a fun surprise.
到时候会很有意思 很惊喜
It is fun to be prepared.
有准备才有意思吧
What's going on?
怎么了？
There's a small, thinning area on your uterine wall.
子宫壁上有一小块变薄了
It is slightly hypoechoic, likely a result of the scar tissue
回声略低 可能是疤痕组织
from your prior surgery and Asherman's syndrome.
因为你做过手术 得过阿佘曼综合症
Is that bad? It sounds bad.
这很糟吗？听着不妙
If it progresses,
如果继续这样发展
your uterus could rupture and we would lose the baby.
你的子宫可能会破裂 宝宝就保不住了
But it's very possible the lining will remain stable
但子宫膜极有可能保持稳定
and your pregnancy will progress normally.
你的孕期会正常进行
What happens now?
现在怎么办？
We'll put you on bed rest
你要卧床休息
and monitor you closely.
我们会对你密切监测
You're wrong.
你说的不对
There may be a surgery that can fix this.
或许手术可以解决这个问题
I need to talk to Dr. Lim and Dr. Glassman.
我要和格拉斯曼医生和利姆医生谈谈
Hello. I have admitted Lea for close monitoring, and a follow-up MRI
你们好 我同意丽接受密切监测 之后做了核磁共振
which detected free fluid in the abdomen,
检测到腹部有积液
plus a decline in the hematocrit,
血细胞比容下降
increases the likelihood of rupture by 3-5 percent…
子宫膜破裂的几率 因此提高3%到5%
Shaun… I'm so sorry. How are you and Lea holding up?
肖恩 我很难过 你和丽还好吗？
Fine. I found a surgery to fix it.
还好 我找到了手术的治疗方案
I have spent the last three months
这三个月
researching Asherman's syndrome.
我都在研究阿佘曼综合症
I discovered an experimental procedure
我找到了一个实验性质的手术
to reinforce the uterine lining with collagen fleece
它用胶原蛋白羊毛贴片加固子宫内膜
that will expand as the uterus grows.
它会随着子宫的增长而扩大
I have studied the technique, and I will teach you how to do it.
技术层面我研究过了 我教你怎么做
How many times has this been done?
这个手术进行过几次？
Five. Three had good outcomes and the babies were carried to full term.
五次 三次成功 胎儿都足月出生
The odds are better because you're above-average surgeons…
鉴于你们的水平超出普通外科医生 手术成功几率会更高
Shaun, I don't need to remind you,
肖恩 我想你知道
but this procedure can induce labor and can cause major bleeding.
这个手术可能诱发催生 导致大出血
You could lose the baby.
孩子可能就没了
If we wait and the uterus ruptures, we will definitely lose the baby
如果干等 子宫破裂 我们肯定会失去孩子
and Lea could suffer a catastrophic hemorrhage.
而且丽还可能会血崩
Due to the size of the uterine window, it probably won't.
要看子宫壁最薄的地方有多大 也许不会血崩
No. With Lea's prior surgery and the significant scar tissue,
不对 丽之前的手术 留下明显的疤痕组织
I put the likelihood of rupture at close to 65 percent.
我认为子宫破裂的可能性接近65%
Those chances,
可能性
not good.
不小
Lea's body, her call.
丽的身体 让丽作主
Drew Dewitt. Has recurrent desmoid tumors caused by Gardner's Syndrome.
德鲁德威特 患加纳综合症引起的复发性硬纤维瘤
The one on his liver is benign, but hasn't responded to chemo.
肝脏上的是良性的 但化疗没有见效
It's encroaching on the stomach, spleen has to come out.
它侵蚀了胃 脾脏得切掉
Thus, the surgical consult.
因此来咨询外科的意见
He has almost no small intestine.
他几乎没有小肠
He needed a major resection a year ago.
一年前 他需要进行一次大型切除手术
He's been living off IV nutrition ever since.
自那以后 他就靠静脉注射营养液过活
I've treated him for post-op infections and pain management.
我帮他治疗了术后感染 还帮他缓解了疼痛
I've never seen this much scar tissue.
第一次见这么多疤痕组织
How many surgeries has he had?
他做过几次手术？
Twenty, plus 16 rounds chemo and 34 hospital stays.
20次 另外 化疗16次 住院34次
Unfortunately, we have to add one more surgery to that list.
很遗憾 你这数据上得再加一次手术
Will this surgery affect his place on the transplant list?
这次手术 会影响他在移植名单上的排序吗？
We've been waiting over a year for a small bowel.
等小肠已经等了一年多了
Apparently, I'm "too healthy" to move to the top.
显然 我还是“太过健康” 没办法排在前面
It shouldn't, barring long-term infection or other organ damage.
没影响 长期感染或其他器官受损才会
When you're ready, we can take you to pre-op.
你准备好了的话 我们就可以带你去做术前准备
-You got this, D. -You know it.
-你行的 -当然
I… have no idea.
我…不知道
Would you like us to go over the risks and benefits again?
需要我们把利弊再给你讲一遍吗？
No. I know everything that can go wrong, it's all I can see.
不用 我只知道 怎么做都可能是错的
You don't have to decide now.
你不用马上给答复
-We can continue to monitor you-- -If we wait,
-我们继续监测… -再等下去
the uterine window could expand and make the surgery more risky.
子宫最薄的地方会扩张 会给手术增加风险
Now is the safest time.
现在做是最安全的
Don't pressure her, Shaun.
别逼她 肖恩
Okay. I know I trust you.
好吧 我知道我信任你
If you think surgery is the right decision,
如果你认为应该做手术
then we should do it.
那就做手术吧
On one condition…
我有个条件
I want you in the O.R.
你要进手术室
Not for me.
不是为了我
But, if something were to go wrong and we lose our baby,
但是 如果有什么万一 孩子没了
I need you to be with her.
你要陪在闺女或者儿子
Or him.
身边
With my guidance, I think there is a very good chance our baby will be fine.
有我从旁指导 我觉得胎儿没事的几率很大
Forceps and Metz.
镊子、解剖剪
How's it feel to be in the O.R. again?
重回手术室 感觉如何？
Very good, sir.
非常好 先生
We're all very glad to have you back.
你能回来 我们都很高兴
We've exposed the surface of the liver.
肝脏已经露出来了
The tumor's invaded the liver capsule and parenchyma.
肿瘤侵入肝包膜和实质
It's twice the size it appeared on imaging.
实际大小是影像中的两倍大
If we take out all of the tumor, he'll only have half a liver left.
切除肿瘤的话 就只剩半个肝脏了
We don't have a choice.
没别的办法了
Ultrasonic dissector for resection.
给我用来切除的超声剥离器
Make sure to approximate the edges so it overlaps with the uterine window.
一定要尽可能贴边儿 覆盖在子宫膜最薄的上面
I internalized that the first three times you told me, Shaun.
前三次你跟我说的内容 我都消化了 肖恩
I'm sorry you and Lea are going through this.
你和丽要面对这些 我很难过
Dr. Lim was able to place the fleece patch seven seconds faster.
利姆医生放贴片能比你快7秒
But your laparoscopic suturing technique is superior.
但你的腹腔镜缝合技术更胜一筹
You will be in charge of that.
你来做缝合那步
Practice it now. Please.
请开始练习吧
Shaun, I've done it a million times.
肖恩 我缝过无数次了
You have never done them on my wife.
你没给我太太缝过
Fair point.
有道理
Because we had to take more of your liver than we'd hoped,
因为要切除的肝脏部分比预想的多
your liver function is declining.
你的肝功能正在下降
Getting your nutrition through an IV is tough on your body.
你的身体很难通过静脉注射获取营养
The T.P.N. that's keeping me alive is also killing me.
全胃肠外营养这个方法 让我活命的同时也在要我的命
That's… gnarly.
这太…狠了
So what's the alternative to T.P.N.? How do we get him nutrients?
那有什么替代方法吗？ 怎么才能让他获取营养？
We're looking into it. For now, we'll manage your symptoms
我们还在研究 目前来看 我们会控制你的症状
and keep you stable until a small bowel becomes available.
在没有小肠参与之前 让你的状态保持稳定
There's no way those organ cops can say I'm too healthy now.
这下那些管器官的 不会再觉得我非常健康了吧
I'll order Cholestyramine for itching
我会开消胆胺来止痒
and liver function testing.
做肝功能检测
I'll call UNOS and do whatever I have to…
我会联系器官捐献组织 尽我所能…
To get him moved up the list.
让他早些接受移植
Where are you sneaking off to?
你要溜哪去？
I'm walking down the hall, in plain sight.
我行走在都是人的大厅里
The alarms, the pills, the classic Morgan evasion techniques…
手机铃声、药丸 经典摩根逃离技巧…
You're getting your embryos implanted, aren't you?
你要植入你的受精卵 对不对？
Congrats on cracking that already wide open case.
恭喜你破解了一个不是秘密的秘密
I have to give myself a time sensitive injection now,
我得去给自己打针了 有时效性的
-then yell at transplant people. -Why didn't you tell me? I can help.
-然后再去吼器官移植的负责人 -何必瞒着我呢？我可以帮忙
I'll refer you to the minutes of our previous meeting.
上次见面 你原话是这么说的
"We need boundaries."
“我们需要划清界限”
I remember you put on my hospital socks for me last time, too.
我记得上次 也是你给我穿上了医院的袜子
I hate that we have a routine.
我不喜欢这样的惯例
This time is different.
这次不一样
Hi.
嗨
I love you.
我爱你
How are you? Do you need anything?
感觉怎么样？有什么需要的吗？
There's cake in Pede's for Nurse Hawk's birthday.
皮德那有个蛋糕 是给护士霍克过生日买的
You want me to get you a piece?
要给你拿一块吗？
Just this is great.
你们来就很好了
Please leave.
出去吧
Having visitors increases the risk of peri-operative infection
会客会提高围手术期的感染风险
and can raise blood pressure
会让血压升高
which increases the risk of intra-operative complications.
这会增加术中并发症的风险
I need to do your pre-op exam.
我给你做术前检查
He just doubled-over.
他突然缩成一团
My gut is trying to kill me.
我肠子疼死了
Please. Can you give him something?
拜托 能给他点什么药吗？
I'll up his morphine. Check the site for infection.
我给他调高吗啡量 你检查感染的地方
Hang on. You're gonna be okay.
忍住 没事的
Dr. Allen, his wound dehisced.
艾伦医生 他的伤口裂开了
What does that mean?
那是什么意思？
His muscles couldn't hold the stitches. It tore open.
他的肌肉把线崩开了 伤口裂开了
Move the patch three millimeters to your right.
把贴片往右移三毫米
It should overlap the wound margin.
要盖住伤口边缘
-Got it? -Yes.
-对吗？ -对
There. That is good.
就那 很好
Dr. Wolke, take the scope, please. Sutures.
沃尔克医生 请拿镜子 缝线
5-0 prolene sutures in the myometrium defect
用5-0丙烯缝合线 在子宫肌膜缺损的地方
need to be placed exactly one millimeter apart.
一定要放在距离一毫米的地方
Dr. Murphy, take one more step, I'm going to have to ask you to leave.
墨菲医生 你再往前走一步就出去
Applying the glue…
涂胶…
No, no, that's too far.
不行 太远了
-The view is obscured. -Shaun. A little to your left…
-图像模糊了 -肖恩 你往左一点…
She's bleeding.
她在出血
No signs of rupture.
没有破裂的迹象
You may have placed the sutures too deep because you didn't have a clear view.
你的视线不清楚 线可能缝深了
-The sutures are fine. -I should take over.
-缝线没问题 -应该让我来
Shaun.
肖恩
There. A small bleed underneath the patch.
在那 贴片下面有个小出血点
We must've nicked a vessel.
一定是切到血管了
I'll clip it.
我来夹住
Suction.
吸
Okay. We can continue to close.
好了 可以继续缝合了
Yes. Lea and the baby are fine.
太好了 丽和胎儿都没事
In spite of the avoidable errors.
尽管存在一些可避免的错误
His abdominal wall is too weak and damaged from prior surgeries to hold the sutures.
腹壁本身太薄弱 加上手术的损害 让它无法承受缝线
We covered the wound, but we need to take him back to the O.R.
虽然包扎了伤口 但还是要再进行手术
-and close him up. -The tissue will just tear open again.
-重新缝合 -皮肉组织会再裂开的
His skin and muscles need time and nutrition to heal.
他的皮肤和肌肉 需要时间和营养才能恢复
I have a small bowel for Drew.
我给德鲁争取到了小肠
Drew's wound dehisced.
德鲁的伤口裂开了
We can't take that organ.
没办法移植了
I'm not turning it down. This is Drew's only chance.
我不会放弃的 这是他唯一的机会
Tell UNOS we need to run some more tests.
跟器官捐献组织说 我们需要再进行几轮测试
Buy us a few hours.
争取几个小时的时间
That's how long we have to figure out how to stitch this kid back together.
在此期间 得想办法把他的伤口缝起来
What about component separation?
组织分离手术呢？
That could weaken the tissue even more.
会让皮肤组织更薄弱
All right.
好吧
Maybe a four-step Fabian procedure.
也许可以用四步法比安手术
Except Drew doesn't have time for four steps.
但是德鲁的时间不够做这个
Hi.
嗨
I'm here to check Lea's post-op vitals.
我来给丽检查术后体征
I also brought supplements.
我还给你带了精神食粮
Your post-op ultrasound looks good.
你的术后超声未见异常
Fetal movement and heart tones are great.
胎动和胎心良好
Thank God.
谢天谢地
When can I go home?
我什么时候可以回家？
You need to be here for monitoring for several more days.
还需要再住院观察几天
I can't go days like this, Shaun.
我受不了这样的日子 肖恩
I hate it here.
我讨厌这里
You are here for work every day.
你每天都在这里工作
Not in this room,
不是在这个病房里工作
in this bed. Thinking about everything.
也不是在病床上 一直胡思乱想
Jerome and I can visit on our lunch break.
杰罗姆和我可以在午休的时候来看你
We could take
我们可以做测试
the "What Yankee Candle are you?" Quiz. It's on page 17.
《你是什么味道的洋基蜡烛？》 在第17页上
Rest will help you recover faster, so you don't have to be here anymore.
休息会让你好得快一些 你就不用待在这了
Her ultrasound does look good. Thank you. You can go.
她的超声图像确实很好 谢谢 你可以出去了
Thank you.
谢谢
Hey, UNOS called again. I told them we have to re-run
器官捐献组织又来了电话 我跟他们说我们要再做一次
the liver function test and get a CT scan.
肝功能检测 拍个CT
-I bought us an hour, at most… -What about a Sure-Closure device?
-争取了一个小时 最多了… -用伤口闭合装置怎么样？
High risk for hernia, which could lead to
疝气风险很高
needing to resect his large intestine,
那就可能要切除他的大肠
leaving him even worse off. I already played it out.
情况就更糟了 我已经排除了
For your embryo thing, whenever that is,
对于受精卵的事 任何时候
I can give you a ride if you need one…
只要你有需要 我可以送你去
I'll get an Uber.
我打车去
Go to the most important appointment of your life
赴这辈子最重要的约
with a stranger in a Camry?
你就搭个陌生人的凯美瑞去？
I've chosen to do this alone.
我决定一个人干这事
I'm fine with it.
我无所谓
And I'm trying very hard not to care about what anyone else thinks about that.
我非常努力不去想别人对此事的看法
So having you imply how sad it is that I have to take a cab
所以你暗示我自己打出租车
to a doctor's office is not helpful.
去看医生多可怜那套没什么用
He threw up, and his pain is getting worse.
他吐了 越来越痛了
He's maxed out on morphine. Overriding.
他的吗啡使用量已达最大值
There's redness and swelling on the edges. Signs of infection.
伤口边缘出现红肿 是感染的迹象
I love you, Mom.
我爱你 妈妈
-You're going to be fine. -It's okay.
-你不会有事的 -没事
We knew we'd get here someday.
我知道早晚会这样
I'm ready.
我有准备
No.
不要
I am not giving up on you.
我不会放弃你
Don't give up on me, D. Please.
你也别放弃我 小德 求求你
Hey, I will take those.
花交给我吧
They're from all the nurses.
所有护士一起送的
We just want you both to know we're thinking about you.
希望你们知道我们都很惦记你们
I will pass that along.
我会把话带到的
But not these. Baby's breath has a strikingly unpleasant odor.
但是花就算了 满天星有一股难闻的味道
Is there anything you need?
需要帮忙吗？
We're fine.
没有
502's family is on their way in. Heads up,
502房的家人一会到 给你提个醒
they're a loud bunch, excited to be taking Meemaw home.
他们很吵 要把老人家带回家 他们可激动坏了
I don't think Lea's fine. She's lonely and bored
我觉得丽不太好 她又孤独又无聊
and being back in that room is bringing up a lot of painful memories.
待在那个病房里 会让她想起很多痛苦的回忆
And I know you're just-- You're trying to protect her. But…
我知道你只是…尽力保护她 但…
It's making you kind of a pain in the ass.
这让你招人恨
Your wife, who's carrying the tiny human, she needs her loud bunch.
你的老婆 怀着孩子 她需要吵吵闹闹的朋友
People asking how she is doing
别人的关怀、担忧
and being worried will only make Lea worry more.
只会让丽更加担心
That is not helpful.
这些于事无补
Not for you.
是你觉得于事无补
But I think Lea needs more than just you right now.
可我觉得丽现在需要的不仅仅是你
She needs lots of people showing concern and love.
她需要很多人的关心和爱护
And maybe you do too,
也许你也需要
more than you think.
你自己还没意识到
Question for you.
问你个问题
Does it bother you that this has been sitting here for three months?
在这坐了三个月 你会烦吗？
No.
不会
-Does it bother you? -No.
-你烦了？ -没有
I'm… feeling…
我…觉得…
-a little pressured. -I've barely brought it up.
-有点压力 -我没怎么提到这个话题
And I appreciate that.
我很感激
But it-- sitting here is, kinda, pressure.
但…坐在这里有点压力
It was meant to be a cute gesture.
这本来是个可爱的举动
A subtle…
一个微弱的…
Not-so-subtle reminder that the offer is still "on the table,"
也没那么微弱的提醒 我的提议还在“桌面上”
which has clearly overstayed its welcome.
看来这个行为没那么受欢迎
And the last thing I want is for it to come between us.
我俩之间 这是我最不想看到的局面
Are you un-proposing?
你不求婚了？
No. I'm un-pressuring.
不是 不想给你压力
I love you,
我爱你
and I'm not going anywhere.
我也不会离开
When you're ready, we'll put it back on the table.
等你准备好了 再拿回桌面谈
What about a Velcro-biocompatible patch?
用生物相容性魔术贴片呢？
It would facilitate his granulation tissue growth.
会促进肉芽组织生长
How do we keep it from adhering to other organs?
如何防止它和其他器官粘连？
Yeah.
对
This should be turmeric chicken with asparagus.
应该是姜黄鸡配芦笋
That's what I was going to make you for our date.
约会的时候本来想给你做这个菜的
And after work, all I had to do was go to the store and…
下了班 我应该直接去超市
get some chicken.
买鸡肉的
But instead I…
可相反 我…
I texted my dealer.
联系了我的毒贩
For a thousand reasons. None of which excuse nor explain anything.
说一千道一万 都没办法解释得了
You don't owe me an explanation.
你不必跟我解释
I do.
我需要
And I wish I could give you one.
我希望我能给你个好理由
Every day for the past 92 days, I've asked myself,
过去的92天 我每天都在问自己
"Why didn't I just go get the chicken?"
“为什么不直接去买鸡肉呢？”
And we would have had a great dinner.
我们会吃一顿丰盛的晚餐
I mean, you would have been funny,
我是说 你会谈笑风生
beautiful…
美丽动人
and I would have tried way too hard to be charming.
我会努力散发魅力
And then,
然后
who knows…
谁知道呢…
I'd give anything to go back,
我愿意付出任何代价回到那时候
start over.
重新来过
Give us a clean slate.
给我们一个新的开始
Me, too.
我也是
What if we did that for Drew?
针对德鲁 这个办法如何？
What if along with a new bowel, we gave him a whole new abdominal wall?
和新的肠子一起 给他一个新的腹壁？
A clean slate.
一个全新的开始
Has it ever been done before?
有人这么干过吗？
Not exactly.
并没有
I'm going to look down and see someone else's abs?
我一低头 看到的是别人的腹肌？
Replacing it is the only way to get you a new small bowel.
只有换腹壁 才能给你移植新的小肠
You'll be able to eat again.
你就可以再度吃饭了
You'll get stronger…
会变强壮…
What are the chances it'll work?
成功的可能性有多大？
It's never been done in tandem with another transplant.
和其他器官移植同时进行 这之前是没做过的
There are increased risks of rejection or infection.
会增加排异和感染的风险
But both organs are in great shape and a good match.
但两个器官的形态和适配度很好
It's our best shot to save your liver, and give your body time to heal.
这是拯救你的肝脏 让你身体康复最好的办法
Thank you so much.
太感谢了
Okay.
好吧
Let's do this.
就这么办吧
（肖恩 你可以来看看丽）
（限时十分钟 禁止过分喧哗）
If we don't keep quiet,
我们千万要小点声
Shaun's going to come down on us with the hammer of Thor. Okay?
不然肖恩会冲进来 拿雷神之锤砸我们 明白吗？
It's so nice to laugh.
能笑笑真好
Enter Shaun with a chest plate and red cape with a Mjollnir.
肖恩会穿着胸甲 披着红色斗篷 手拿雷神之锤登场
I don't want to get kicked out before I know. Boy or girl?
我不想忽然被踹出去 男孩女孩？
I'd start scoping out the latest baby fashions.
我好开始研究目前最时髦的婴儿装扮
I don't know.
我不知道
I don't want to know.
我不想知道
Last time when we found out we were having a girl,
上次 当我们知道是个女孩时
Shaun and I were choosing her name.
肖恩和我开始选她的名字
I liked Sage. And Skylar. And Sofia.
我喜欢赛奇、斯凯拉、索菲亚
Something with an "S," after my grandma Susie.
名字开头要是s 随我外婆苏西
And then she was gone.
之后她就没了
And I can't do that again.
我不想再来一次了
Maybe you should tell Shaun about this?
也许你该把顾虑跟肖恩说说？
He's already so worried, no matter what he says.
他嘴上没说什么 但他已经够担忧的了
And what if talking about it…
要是说到这个…
I have something for you.
我有东西给你
My faith… Not just in God.
我的信心…不止是对上帝
I have faith in the surgery you had.
我对你的手术有信心
I have faith in you and Shaun,
对你和肖恩有信心
and that your baby,
还有对你的宝宝
whatever it is, is going to be okay.
无论如何 都会好的
Your ten-minute visit has run over.
十分钟访问时间结束了
I have to scrub in anyway.
我也该去准备手术了
Pencil me in for the next ten-minute opening, Thor.
给我安排下个十分钟的会面 雷神
Thank you, I needed that.
谢谢 我需要这个
But not that. I kind of feel nauseous.
但不需要这个 这让我觉得反胃
We should do another ultrasound.
我们应该再做一次超声检查
This surgery could buy you a year, maybe more,
这个手术可以让你多活一年 也许更久
give you back some quality of life.
能重新提高你的生活质量
But…
可是…
it should be what you want.
应该尊重你的决定
You're 17,
你17岁
and you've suffered more than some people their whole lives.
可你受的苦比一些人一辈子都多
No one would fault you for deciding you're done.
别人不能因为你的决定而谴责你
I can't.
我没办法
Your mom is giving you all the support in the world.
你的母亲全力支持你
But this is your fight.
可这是你自己的战斗
Do you want to keep going?
你要继续吗？
The worst part about all of this is knowing,
大家都知道最坏的结果是什么
one day it will end, and my mom will be alone.
有一天我会离去 独留我妈妈一人
She's been with me through all the hardest parts of my life.
我这辈子所有艰难的岁月 她都一直陪在我身边
And I won't be around when she has to go through the hardest part of hers.
但是她最难的时候 我却没办法陪着她
If I can put that off,
如果我能多陪陪她
if even for a little bit, then I'm going to do that.
哪怕时间不多 我也会去做的
And hope that makes the days she'll face alone
希望这能让她一个人的时候
a little easier.
活得轻松些
You're all set. We'll take you to surgery soon.
都准备好了 我马上送你去做手术
I love you.
我爱你
And whatever happens, you don't need to worry about me.
无论结果如何 你都不用担心我
I'll be okay.
我没事的
I love you, too, Mom.
我也爱你 妈妈
She was feeling nauseous,
她觉得反胃
so I did an ultrasound, detected fluid in the abdomen,
所以我做了超声检查 发现腹部有积液
but then she lost consciousness. It is almost certainly internal bleeding.
然后她晕了过去 基本可以确定是内出血
-I'll scrub in right away. -You can't come in.
-我马上准备手术 -你不能进
This is likely a complication from the first surgery.
这可能是第一次手术的并发症
It is my fault. And I need to fix it--
都怪我 我需要解决…
Shaun, if we can't stop the bleeding,
肖恩 如果止血失败
we may have to take Lea's uterus in order to save her life.
为了挽救她的生命 我们可能要切除丽的子宫
If we get there, we're going to decide quickly.
要是到那一步 我们必须迅速抉择
And with medical factors only. No emotion.
并且要从医学角度考虑 排除个人情感
Lea would want me in there in case we lose the baby.
如果保不住孩子 丽会希望我在她身边的
If that happens… If that happens, I will come back and get you.
要是真到那时候 我会让你进来的
I promise.
我保证
The surgical site looks good. The patch is intact.
手术部位看起来不错 贴片完好无损
No signs of acute placental abruption.
胎盘没有急性早剥迹象
Bladder's clean. No blood coming from the ovaries or the fallopian tubes.
膀胱干净 卵巢或输卵管未出血
Bowel's intact.
肠子完好
It's gotta be coming from the uterus.
出血点一定在子宫里
If we clamp the uterine vessels, we may slow down the bleeding.
夹住子宫血管 可能会减慢出血速度
Though we put the baby at risk.
但胎儿就危险了
If we don't stop it soon, we're going to put Lea at risk.
但不尽快止血 丽就危险了
I'll clamp the internal iliac on the side of the bleed,
我会夹住出血一侧的单侧内肠动脉
buys us some time. Give two more units of blood.
争取一些时间 再输两单位的血
Retractor.
牵开器
If the site is hemostatic, they will look for placental abruption.
如果该部位可以止血 他们会检查胎盘早剥
Next, they will check the bladder,
接下来 他们会检查膀胱
ovaries, and fallopian tubes.
卵巢和输卵管
Shaun.
肖恩
They can't clamp the uterine vessels without hurting the baby.
不伤害胎儿是不可能夹住子宫血管的
But they can place an atraumatic vascular clamp
但他们可以放置一个无创血管夹
on the internal iliacs which will slow down the bleed
在单侧内肠动脉 这能减缓出血
while they try to locate it.
同时 他们可以找出血点
Once they stop the bleed,
一旦止血
they should be able to repair it and be done by…
他们会开始修复 结束时间是…
（怀孕 子宫破裂 5点12）
…5:26.
…5点26
Surgery went really well.
手术很顺利
You can start eating real food again in a few days.
几天后 你就可以吃正常食物了
Better make sure my new six-pack is looking good.
我得看看我的新腹肌是不是很好看
The abdominal wall is holding together, no signs of infection.
腹壁缝合在一起 没有感染迹象
We'll see how long that lasts.
看看这次能撑多久
One step at a time, D.
一步一步来 小德
We'll let you get some rest.
你先休息吧
No alcohol in that new gut of yours.
你的新肠子里可不能有酒精
Not for four more years.
后面四年都不能有
One step at a time, Mom.
一步一步来 妈妈
I don't want to help because I feel bad for you.
我不想帮忙是因为我为你难过
I feel bad for me.
也为我难过
You're going to be an amazing mom because you're amazing
你会成为出色的妈妈 因为你本身想做什么
at whatever you put your mind to.
都能做得很好
And I'm a little conflicted, I guess, because I won't be a part of it.
我有点纠结 因为这事跟我没关系
Making my single mother IVF journey about you is uncharacteristically self-absorbed.
让我的单亲试管母亲之旅与你 产生联系算是一反常态的自我行为
I'm impressed.
让人五体投地
You changed me.
你改变了我
Doing things alone isn't sad.
一个人做事并不可悲
Still doesn't mean you have to do them that way.
依然不代表你要独断独行
From here on, I'm going to request not to be supervised by you.
从现在起 我要申请换个监管人
Why?
为什么？
I didn't OD because of you.
我没过度磕药是因为你
Or us.
或者说因为我们
But I knew I couldn't be with you if I wasn't okay…
但我知道 如果我觉得我不行 我就不能和你相处
So, I convinced myself I was.
所以我说服我自己可以
Jordan. If I let myself get close to you, I will fall for you.
乔丹 如果我放任自己靠近你 我会爱上你的
Again. And…
再爱上 而且…
I will want so badly to be okay,
我会非常希望一切都好
to be ready for us.
非常想为我们做好准备
I can't risk that.
我不能冒这个险
I wouldn't want you to.
我不希望你这么做
I can't believe how much I'm going to miss somebody
我居然对一个每天都见面的人
I'll still see every day.
牵肠挂肚
Lea's in emergency surgery.
丽在做紧急手术
Two more units, right away.
马上再输两个单位
Removing the packing over the uterus. Suctioning.
去除子宫上的填塞物 吸
Fetal heart rate, 101. Intermittent decels.
胎心率101 间歇性减慢
No injury to the vena cava.
腔静脉没有受损
Where is this all coming from?
到底是哪里在出血？
Art line BP is 75 over 43 and falling.
动脉管路 高压75 低压43 还在下降
Lea's BP is 67 over 35. She's bleeding out.
丽的血压 高压67 低压35 还在出血
Hysterectomy tray.
准备子宫切除托盘
Clear.
明白
After you ligate the uterine vessels, I'm going to go get Shaun.
你给子宫血管结扎后 我去叫肖恩
I told him I would.
我答应他我会叫他的
Clamping the uterine horn.
夹紧子宫角
Ligated the round ligament.
结扎圆韧带
Preparing to transect. Metz scissors.
准备横切 给我解剖剪
Audrey…
奥德瑞…
（手术室）
Lea and the baby are going to be just fine.
丽和胎儿都没事
Lea's left uterine artery
丽的左子宫动脉
was tethered to some scar tissue.
拴在一些疤痕组织上
As the uterus grew, it ruptured.
因为子宫长大而破裂了
That was inevitable,
那是不可避免的
got nothing to do with your first surgery.
与你的第一次手术无关
Okay.
好的
Had Lea not been in the hospital when this happened,
如果不是恰巧她人正在住院
she might not have survived.
可能就没命了
Shaun, your surgery saved both their lives.
肖恩 你的手术挽救了她们娘俩的命
Okay.
好的
Thank you, Dr. Glassman.
谢谢你 格拉斯曼医生
I got you.
我在呢
Okay.
好的
Okay.
好的
Good morning. Can I get that to go?
早安 我能把咖啡带走吗？
I'm going to stop at my place and grab a shirt.
我要回下家 拿件衬衫
I'm sure you have a minute. Stay.
我确定你不急 先别走
Am I about to be punished for something?
我这是要受罚吗？
No.
没有
I was just thinking…
我只是在想…
I love you.
我爱你
I love you, too.
我也爱你
And I love us.
我爱我们
Same. Always good to hear.
我也是 你这么说 我很开心
And I've decided I want us to move forward.
我决定把我们的关系推进一步
At my own learning-to-walk kind of pace.
以我学走路的节奏推进
Clay Porter,
克莱波特
will you move in with me?
你愿意和我一起住吗？
I would kneel, but I'm not sure I could gracefully get back up again.
我想跪下来着 但我可能没办法再优雅地站起来
It's so sparkly.
好闪啊
I love it.
我喜欢
Audrey Lim,
奥德瑞利姆
you've made me the happiest man alive.
你让我觉得我是世上最幸福的男人
This is a one-time thing.
就找你帮这一次
Don't expect me to drive you to your next colonoscopy.
所以别指望下次 我会送你去做肠镜检查
And here I was looking forward to that.
我原本正期待着呢
Take McLaughlin to William Street, the freeway's backed up this time of day.
走麦克劳林街 再去威廉姆街 这个时间高速都很堵
All right, just don't forget the tip.
好吧 别忘了给小费
The fleece patch is holding well and expanding with the uterus.
羊毛贴片在子宫上固定得很好 在一起扩张
Everything looks great.
一切都很好
Your baby is very cute and squirmy.
胎儿很可爱 扭来扭去的
So… do you want to know what it is?
那…想知道性别吗？
You already know, don't you?
你已经知道了 对不对？
I have been looking at your uterus a lot.
我一直在观察你的子宫
But I can keep a secret.
但我可以保守秘密
The light blue is very--
天蓝色非常…
Heteronormative.
吸引异性
I was going to say pastel. But yes, that too.
我本来想说柔和的 但是 你说的也对
I think he's going to like something in the gray palette.
我想他会喜欢灰色系的
Calming but warm. Elegant yet understated.
平静但温暖 优雅而不失低调
I think our son would like that very much.
我想我们儿子会非常喜欢的
字幕翻译：黄鑫沂