我太喜欢这里了 I love this so much.
湖泊 杉树 清新的空气 The lake, the fir trees, the fresh air.
很好 你有14分钟的时间享受它 Good. You have 14 minutes to enjoy it.
我们距离度假村还有 4小时10分钟的路程 We are four hours and ten minutes away from the resort,
你的产前按摩和灵气净化 是在5点45分 and your prenatal massage and aura cleansing begins at 5:45.
途中有6个服务区 每个停留8分钟 Given six rest stops, at eight minutes apiece--
你给我的小便时间计时了？ You've timed my pee breaks?
相当慷慨 Generously.
肖恩 我们应该放松一下 日程安排不会让人放松 Shaun, we're supposed to be relaxing. Schedules are not relaxing.
我觉得非常令人舒心 I find them… Very soothing.
好吧 那就14分钟 Okay, 14 minutes it is.
13分钟了 Thirteen.
14分钟也行吧 Fourteen… Is fine.
那只可怜的狗狗 That poor dog.
47岁男性 多处刺伤 神志不清 大量失血 47-year-old male, multi impalement, disoriented, significant blood loss.
超声波 外科胶带 Ultrasound and surgical tape.
这些尖状物 These spikes…
木头和金属？ Wood and metal?
我们正在修剪树木 一把铲子进了碎木机 We were trimming trees, and a shovel got sucked into the wood chipper.
-你和他一起工作？ -是的 有时 我是他儿子 -You work with him? -Sometimes, I'm his son.
我数了一下 有20块 气道畅通 脉搏良好 I count 20 pieces. Airway's patent and he's got good pulses.
-拉罗？ -他是我的一个病人 Lalo? He's one of my patients.
-腹部无明显游离液体 -无支气管痉挛或喘息 -No significant free fluid in the abdomen. -No bronchospasms or wheezing.
心包无积液 No fluids accumulating in pericardium.
推出那个尖状物 他会失血过多的 我们需要手术室 You jostle that spike, he could bleed out. we'll have to do it in the OR.
爸爸 你能听到我说话吗 Dad, can you hear me?
不不不 No, no, no.
不要 No!
把他送进手术室 Let's get him to the OR.
-它不可能走得太远 -我们不知道 -He couldn't have gotten far. -We don't know that.
而且地面很不平整 And the ground is very uneven,
经验告诉我们 树林可能很危险 and we know from experience, the woods can be dangerous.
嘿 小家伙 Hey there, buddy.
我们是来帮忙的 We're here to help.
呼吸困难 腿部和多处肋骨骨折 It is having trouble breathing. Leg and multiple rib fractures.
可怜的小家伙 Poor little guy.
我需要减少肋骨断裂 I need to reduce the rib fractures.
抓稳了 Hold it steady.
好的 坚持住小家伙 会没事的 Okay. Hang on, buddy. It'll be okay.
我们需要去动物医院 We need to get it to a veterinary hospital.
文斯 Vince.
-我带你去圣何塞 -我需要你在这里手术 -I gotta get you to St. Bon's. -I need you to do it here.
我只是一年级住院医生 那会是无人监管的手术 I'm a first year resident. That's unsupervised surgery.
我不能去医院 I can't go to the hospital.
那里有一个帮派成员 在那里是违反假释规定的 There was a gang member there. Me being there was a parole violation.
警察拿到那颗子弹 我就回监狱了 Cops get that bullet, I'm going back to prison.
去找你的假释官说实话 Well, just go to your PO. Tell 'em the truth.
刑事司法系统是不公平的 Because the criminal justice system is always fair,
特别是对像我这样的人 especially to guys who look like me.
我终于让我的生活回到了正轨 I finally got my life back on track.
我有一份好工作 I have a good job,
我正在努力解决与维瓦之间的问题 I'm trying to work things out with Viva,
我每周看我的宝宝两次 I'm watching my baby twice a week.
我回到里面 我可能会失去一切 I go back inside, I could lose everything.
丹妮 Danni…
求你了 Please.
子弹离表皮很近 The bullet's close to the surface.
这比普通手术难度更高 It's more a procedure than a surgery.
谢谢你 Thank you.
我得先去拿点东西 I gotta get some stuff first.
策略是什么 What's the strategy?
我们应该从最威胁生命的尖状物开始 We should start with most life threatening spikes.
-胸部的 也许是腹部 -我们不能冒大出血的风险 -These two in the chest, maybe the abdomen -We can't risk a major hemorrhage so soon.
先从简单的开始 为输血争取时间 Do the easier ones, buy time for the transfusions to work.
雷茨尼克医生说得没错 Dr. Reznick's right.
我们从四肢远端开始 我负责他的腿 We start with distal extremities. I'll take his leg.
你负责右手臂 我负责左手臂 You get the pieces in his right arm, I'll take his left.
既然这里有大人 Now that there's an adult in the room…
总是很高兴 我是说你的离开 Always a pleasure. You leaving, I mean.
嘿 Hey.
周三打完篮球后 So, after basketball on Wednesday,
我会向克莱介绍蔬菜包 I'm introducing Clay to the wonders of Su Cai Bao.
-你听到了吗 -应该是食物 当然 -You in? -Assuming that's food, sure.
很好 这是个约会 晚上八点在我家 Great. It's a date. 8:00 p.m., my place.
你不是刚值完夜班吗 Didn't you just finish a night shift?
咖啡喝多了 Too much caffeine.
我在建造一个创伤模拟器 来练习清除异物 I'm building a trauma simulator to practice removing foreign bodies.
你很奇怪 You're weird.
你有一天也许会成为我的领导 You'll probably be my boss someday.
一年级时 我恳求父母给我一只小狗 First grade, I begged my parents for a puppy.
泰莎 巧克力色的拉布拉多 最可爱的小脸蛋 Tessa. Chocolate Lab, sweetest little face.
第二天早上 泰莎在我爸爸的公文包上撒了尿 Next morning, Tessa peed on my dad's briefcase.
他当晚就把它送回去了 He returned her that night.
-听起来不像是好的养育方式 -没错 -That…Doesn't sound like good parenting. -It wasn't.
狗的脾脏受损 肋骨断裂 桡骨骨折 The dog's got a damaged spleen, broken ribs and a fractured radius
还有皮肤撕裂伤 and skin lacerations.
-它需要 -剖腹探查和开胸手术 -He'll need-- -An ex-lap and thoracotomy.
我是圣文德医院的一名外科医生 I'm a surgeon at San Jose St. Bonaventure Hospital.
-我们该走了 -你打算什么时候手术 -We should go. -When are you planning to do it?
没打算 没有预付款我是不会工作的 I'm not. I don't work without upfront payment,
因为我们不知道它的主人 and since we don't know the dog's owners…
-我们会付钱的 -那可能会很贵 -Well, we'll pay. -That… could be expensive.
相当贵 Quite.
我可以在明天早上给它安排手术 I could slot him in tomorrow morning.
我们可以住在汽车旅馆 我们真的应该陪着巴迪 I guess we can stay in a motel. We should really be here for Buddy.
我给它起名叫巴迪 I've named him Buddy.
不管它的真名是什么 Whatever its real name is,
它是一只狗 不是我们的狗 it is a dog, and not our dog,
而且我们要错过你的产前按摩了 and we are going to miss your prenatal massage.
相比我的灵气净化 巴迪更需要我们 Buddy needs us more than I need my aura cleansed, Shaun.
好吧 反正是你的产前蜜月 Okay, it is your babymoon.
准备好了？ Ready?
只是个碎片 It's just a fragment.
子弹肯定是碎了 The bullet must have shattered.
-还在我体内吗 -是的 -It's still in me? -Yeah.
你的腿上有更深的损伤 There's damage deeper in your leg.
除非我进一步切开你的肌肉 否则我找不到子弹的剩余部分 I can't locate the rest of the bullet unless I cut further in your muscle.
那就切 So cut.
我需要第二种意见 I need a second opinion.
-嘿 -问题 -Hey. -Question.
如果一颗子弹卡在股内肌后方 If a bullet's stuck behind the vastus medialis--
-是你的模拟器的练习？ -我正在练习的一个场景 -This for your simulator? -Yeah, it's a scenario I'm practicing.
你如何决定是否留下它 How do you decide if you leave it in?
这取决于成像 It depends on the imaging.
如果你是盲目地去做呢 What if you're going in blind?
这取决于进入的角度 子弹的口径 确切的位置 It depends on the angle of entry, caliber of the bullet, exact location.
好的 我会想办法的 Okay, I'll figure it out.
丹妮 Danni…
告诉我到底发生了什么事 how about you tell me what's actually going on?
移除左侧大腿中部的尖状物 Removing the left lateral mid-thigh spike.
灌洗胸骨附近的尖状物 没有气胸的迹象 Irrigating the spike near the sternum. No signs of pneumothorax.
从肩膀开始 Starting on the shoulder…
没有脉搏 心动过速 Lost the pulse. He's in V-tach.
-除颤仪 -设置好 -Get the internal paddles. -Setting up the internal paddles.
-心脏骤停了 除颤仪在哪 -快好了 -He's coding. Where are those paddles? -Almost ready.
没时间了 开始心脏按摩 There's no time. Starting cardiac massage.
推一毫克肾上腺素 Push one milligram epi.
已经有了窦性心律 血压正在恢复正常 We've got sinus rhythm, blood pressure's normalizing.
干得好 朴医生 Good job, Dr. Park.
-我来取出更多的尖状物 -他的身体受不了了 -I'll do more sharp dissection. -His body can't take anymore.
做全扫描 CT CTA 给他输血 早上继续 Do the panscan, CT, CTA, transfuse him and resume in the morning.
取出了9个 还有11个 Nine spikes down, 11 to go.
肯定是落在了内侧隔间 Definitely landed in the medial compartment.
血流量？ Blood flow?
脉搏良好 腿部的神经功能完好 Good pulses, intact nerve function in the leg.
如果他在手术室 我们会把子弹留在里面 If he was in the OR, we'd leave the bullet in.
知道了 谢谢你 Got it. Thank you.
我会包扎好伤口 送他回家 I'll pack the wound and send him home.
等等 关掉视频吧 Hold on. Can you take me off video?
我不喜欢被骗 Hey, I'm not a big fan of being lied to.
不会再发生了 It won't happen again.
谢谢你 阿舍 Thanks, Asher.
地板上有一块污渍 There's… a stain on the floor.
现在地板上有一个枕头 Now there's a pillow on the floor.
他们应该清洁那块地毯 我打电话给前台 Yeah, they should really clean that carpet. Let me call the front desk.
好粘啊 It's… sticky.
-好吧 也许我反应过度了 -没错 -Okay, maybe I overreacted. -You did.
-我以为你喜欢动物 -我喜欢兔子和鱼 -I thought you loved animals. -I love rabbits and fish.
他们不会流口水 不会跳到你身上 也不会把事情弄得一团糟 They don't slobber or jump on you, or make messes.
肖恩 有人要进入我们的生活 Well, you know, Shaun, someone's about to come into our life
他会流口水 跳到我们身上 弄得一团糟 who's going to slobber and jump on us and make messes?
如果你说的是我们的儿子 If you are talking about our son--
当然我说的是我们的儿子 Yes, of course I'm talking about our son.
对不起 Sorry.
显然我们都感到压力很大 Clearly we are both stressed.
我不认为我有压力 I don't think I'm stressed.
好吧 Fine.
只有我 Only I am.
累了 我要准备睡觉了 And tired. And I'm gonna get ready for bed.
有点不对劲 Something's wrong.
这是被感染的 That's infected.
如果我不把剩下的子弹取出来 你会得败血症的 If I don't get the rest of the bullet out, you're gonna go septic.
但是你可以在这里做 对吧 But you can do it here, right?
我不应该这么做 I shouldn't.
你已经帮我这么多了 求你了 You got me this far. Please.
好的 我需要一些帮助 Okay. I'm gonna need some help.
在手术过程中 我们发现了骶骨和腰椎的骨折 During the surgery, we discovered sacral and lumbar fractures.
那是什么意思 What does that mean?
狗狗以后走路会有困难 而且大小便失禁 The dog will have trouble walking and will be incontinent.
那么第二次手术？ So… a second surgery?
不太可能有效 Unlikely to be effective.
狗仍然有感染 尿路感染 The dog would still be at risk for infections, UTIs,
并且需要持续的照顾 and will require constant care.
安乐死会更人道 Euthanasia would be more humane.
我们把这只狗带到这里是为了救它 而不是安乐死 We brought this dog here to save him, not have him put down.
我要去找它的家人 I'm going to find his family,
如果找不到 我会给它找一个新的家庭 and if I can't, I will find him a new family.
而你要想出一个手术 来解决它的失禁问题 And you're going to find a surgery to fix his incontinence.
辛克莱医生是兽医专家 Dr. Sinclair is the expert in veterinary medicine.
如果他想不出治疗失禁的有效手术 If he cannot think of an effective surgery for incontinence,
可能就是没有 there probably isn't one.
在这种情况下 狗狗被收养的可能性很小 In which case, it's very unlikely the dog will be adopted.
那我们就收养它吧 Then we'll adopt him.
我会想出一个手术方案 I will find a surgery.
-补给品在哪儿 -我没带 -Where are the supplies? -I didn't bring them.
你不应该这样做 这是一个手术 Danni, you shouldn't be doing this. This is straight-up surgery.
回家吧 Go home.
我帮你送他去医院 Let me help you take him back to the hospital.
-不可能的 -为什么呢 -That's not happening. -Why not?
如果你不打算帮忙 为什么要来 If you weren't going to do this, why'd you even come?
因为我不想抛下你 Because I didn't want to desert you.
那就不要 So don't.
我自己去拿物资 I'll go get the supplies myself.
我只需要你和我谈谈 I just need you to talk me through it.
你甚至不必碰他 You won't even have to touch him.
如果这件事传出去 我会承担责任 If this ever gets out, I'll take the fall.
这是他心动过速的原因 This is why he went into V-tach.
他肩膀上的尖状物损坏了这里的 每一个重要结构 The spike in his shoulder damaged every critical structure in the area.
我们需要在拔出它之前 做锁骨下动脉旁路术 We need to do a subclavian bypass before we pull it out.
-冒着再次心动过速的风险？ -对 我们需要移除尖状物 -Risk sending him into V-tach again? -No, we need to remove the spike.
除非我们截掉他的手臂 Unless we remove his arm.
以他目前的状况 风险较小 In his current condition, it's a less risky surgery.
这取决于拉罗愿意冒什么风险 Comes down to what Lalo is willing to risk,
我们不能问他 因为他的身体 太不稳定 无法离开呼吸机 and we can't ask him because he's too unstable to take him off the ventilator.
我们可以问问他的儿子 We could ask his son.
他16岁 无权做出医疗决定 He's 16, he's not authorized to make medical decisions.
但他会更清楚地知道他父亲想要什么 Sure, but he'd have a better idea than us, what his father would want.
跟他谈谈 Talk to him.
巴迪 没关系的 Buddy, it's okay.
我们会找到你的家人 We're gonna find your humans.
你还好吗 Are you okay?
是的 一切都好 Yep. All good.
你是想摸它吗 Were you trying to pet the dog?
不是 No.
你千万不要触摸受伤动物的伤口附近 You should never touch an injured animal near its wound.
我知道 I know.
我要去张贴走失的狗传单 I'm gonna start putting up lost dog flyers.
做切口 Making the incision.
切开肌肉以释放脓液 Dissecting at muscle to free up the purulence.
她叫什么名字 What's her name?
莉拉 Lila.
她是什么样的人 What's she like?
她第一次见到雪 就跑到外面去了 The first time she saw snow, she ran outside.
没有手套 没有帽子 No gloves, no hat.
我不得不在她发青之前… I had to drag her back in before she…
把她拖回来 before she turned blue.
她像我一样 She's like me.
从不听任何人的 Never listens to anyone.
实际上 听起来像鲍威尔 Sounds like Powell, actually.
我知道我可能有点过分 I know I can be a bit much.
我的父母真的很强硬 My parents were really tough.
我在很小的时候就知道 如果我不用力回击 I learned at a young age that if I didn't push back hard,
那么我就会被推来推去 then I'd be pushed around.
这对我很有帮助 特别是在我失去腿之后 It helped me, especially after I lost my leg.
我的医学院导师告诉我 我不应该成为一名外科医生 My med school advisor told me that I shouldn't be a surgeon
因为我无法在手术室里站几个小时 because I wouldn't be able to stand for hours in the OR.
但是我可以 But… I can.
我现在也是了 And I am.
丹妮 你还好吗 我是奥德瑞 Danni, are you okay? It's Audrey.
今早我请假了 I called out of my shift this morning.
就告诉她是家庭紧急情况 Just told her it was a family emergency.
-她一直在打电话发短信 -这可不好 -She's been calling and texting. -This is not good.
我知道 I know.
-等等 你要去哪里 -别出声 -Wait. Where are you-- -Just…
-嘿 -嘿 一切都好吗 -Hey. -Hey, is everything okay?
是的 Yeah.
一个好朋友遇到了一些问题 A good friend is having some issues.
我们正在处理中 We're still in the middle of it.
在佩雷斯的事情发生后 我很担心 After what happened with Perez, I was worried.
我想来看看你 I just wanted to check on you.
谢谢 完全明白 Thanks. Totally get it.
-你明天会在吗 -是的 -You'll be in tomorrow? -Yeah.
那是什么 What was that?
嘿 Hey.
如果我们从你爸爸的肩膀上 取下这块尖状物 If we remove this spike from your dad's shoulder,
这可能会导致并发症 而要了他的命 it could cause complications that would kill him.
可能性有多大 How likely?
也许有5%到10%的可能性 Maybe a five to ten percent chance.
更安全的选择是截肢 The safer option would be to amputate the arm.
所以你们是要我决定 是否截掉我父亲的手臂？ So you're asking me to decide whether to cut off my dad's arm?
不 我们不是 No, we're not.
我们只是想弄清楚 如果你爸爸醒着 他会想要什么 We just want to figure out what your dad would want if he was awake.
你还有提供支持的人际关系吗 家人 朋友帮忙 Do you have any other support system? Family, friends who help out.
没有 Not really.
妈妈死了 Mom died.
而家里的其他人都在萨尔瓦多 And the rest of the family's in El Salvador.
他有没有和其他园丁一起工作过 Has he ever worked with other gardeners?
我在上学前的大多数早晨都会帮忙 I mean, me. I help out most mornings before school.
去年冬天他从屋顶上摔下来 He fell off a roof last winter.
得了脑震荡 Got a concussion.
我接替他工作 还好 I picked up some slack and it was fine.
我知道这不一样 I know this is different.
但他总是说 我们团结一致 会找到办法的 But he always says, "We stick together, we'll find a way."
如果截掉他的手臂意味着他能活下来 If cutting off his arm means he'll live…
那就做吧 then do it.
这是他所希望的 That's what he'd want.
你为什么说要给狗做手术 Why are you talking to me about operating on a dog?
莉亚让我做的 Lea asked me to.
她压力很大 我不知道为什么 She is very stressed and I don't know why.
考虑到她所经历的 你知道吗 Well, considering what she's been through, you know?
但她知道她怀孕现在是安全的 But she knows her pregnancy is safe now.
你不可能在一个星期内 克服这样的事情 You don't get over something like that in a week.
好的 那么她需要多少时间 Okay, so how much time will she need?
我不知道 肖恩 I don't know, Shaun.
也许这都不是主要问题 Maybe this isn't even the main issue, you know?
也许莉亚是在为当妈妈担心 Maybe Lea is worried about being a mom.
她不是第一个 She wouldn't be the first.
当爹了就不愁吗 Aren't you a little bit worried about being a dad?
一点 A little.
哭闹的婴儿可能很吵 Crying babies can be very loud,
他们的排泄物和呕吐物 可能很恶心有异味 and their bowel movements and spit up can be very disgusting and smelly.
但我有降噪耳塞 鼻子下面可以摸薄荷油 But I have noise-reducing earplugs and peppermint oil for under my nose,
我会在家里准备一些手术服 and I will keep a supply of surgical smocks at home.
你已经想得非常周全了 You've certainly gamed that out, huh?
是的 我如何帮助莉亚减少担忧 Yes. How do I help Lea be less worried?
我不知道 肖恩 I don't know, Shaun.
你不知道问题是什么 对吧 You don't know what the issue is, right?
我会和她谈谈 告诉她你注意到 So, I would talk to her and tell her that you've noticed
她最近有压力 问她发生了什么事 she's been a little bit stressed lately and ask her what's going on.
把狗狗的片子发给我 And send me the doggy imaging.
他很稳定 就目前而言 He's stable. For now.
-我很抱歉 -你应该 -I'm so sorry. -You should be.
如果要责怪谁 怪我 If you're gonna blame anybody, blame me.
我会的 这是不道德的愚蠢的 I do. This was unethical, stupid.
如果他死了 可能是犯罪 And if he dies, possibly criminal.
他也许会死于败血症 Vince would have died of sepsis.
-所以叫救护车 -然后呢 -So call an ambulance. -Then what?
-急救人员不能强迫他走 -如果他失去知觉 他们可以 -EMT's can't force him to go to the hospital. -They can if he's unconscious.
到那时他可能已经死了 He could be dead by then.
确保他活下来的唯一方法 就是在这里进行手术 The only way to make sure that he lives is to operate here.
你是一名创伤外科医生 这将是简单和道德的 You're a trauma surgeon. It would be simple and ethical.
这人是谁 Who is this guy?
我告诉过你他是我在海军的朋友 I told you, he's a friend of mine from the navy.
谁在假释 因为什么 Who's on parole. For what?
-这无关紧要 -对我来说很重要 -That doesn't matter. -It does to me.
文斯是第一个到达事故现场的人 他给我的腿扎了止血带 Vince was the first one to the accident. He tourniquetted my leg.
他握着我的手 He held my hand.
他安慰我 He comforted me.
他是唯一一个直视我眼睛的人 He was the only person that day that looked me straight in the eyes.
其他人都太害怕了 太吓人了 Everybody else was just too scared, too freaked out.
太恶心了 Too disgusted.
对不起 I'm sorry.
给我们一点时间 Will you give us a second?
如果我没有在四个月前警告你 不要做那个手术 If I hadn't warned you off of that surgery four months ago,
你可能会变得更糟 或者死在手术台上 you could've ended up worse off or dead on the table.
不管你知不知道 你需要我 And whether you knew it or not, you needed me.
现在奥德瑞 我需要你 And right now, Audrey, I need you.
我会帮助你的朋友 I will help you with your friend.
然后再来处理你所做的事情 And then we'll deal with what you did.
我张贴了大量的传单 I put up tons of flyers,
给所有的庇护所和动物医院打电话 called around to all the shelters and vet hospitals and…
格拉斯曼有什么想法吗 Did Glassman have ideas at least?
有的 我应该和你谈谈 Yes. That I should talk to you.
我注意到你压力很大 我不知道为什么 I've noticed you are stressed, and I don't know exactly why,
也许是因为你在担心做母亲 but maybe it is because you're worried about motherhood.
我指的是关于狗的手术 I meant about the surgery for the dog.
但 But…
我很担心 是的 I am worried, yeah.
你大可不必 You shouldn't be.
你会很棒的 You'll be great.
谢谢 Thanks.
我知道你会成为我们儿子的好父亲 And I know you'll be a great dad to our son.
但是如果 But what if…
作为父母 我们是合不来的 we're incompatible as parents.
我们甚至不能就如何洗碗达成一致 We can't even agree how to wash dishes.
再看看我们和这条狗 And look at us with this dog.
我们在吵架 巴迪讨厌我 We're arguing, Buddy hates me.
我撒了谎 我摸得太靠近伤口 它对我大叫 I lied. He snapped at me after I petted too close to his stitches.
和我想的一致 I thought so.
我们将作为一个团队 想办法解决 We will work as a team and figure it out.
但是如果我们不知道怎么做呢 But… what if we don't know how?
我们都有相当糟糕的父母榜样 We've both had pretty lousy parental role models.
我认为我根本不像我的父母 I don't think I'm like my parents at all.
我也不打算像他们对待我和史蒂夫 那样对待我们的孩子 And I don't plan to treat our children like they did me and Steve.
我可以在我身上看到我父母的影子 我真的不喜欢 I can see my parents in me in ways I really don't like.
我可以像我爸爸一样固执 也可以像我妈妈一样轻率 I can be stubborn like my dad, and flaky like my mom.
我无法告诉你有多少次我是放学后的 最后一个孩子 I can't tell you how many times I was the last kid at after-school
因为她忘了来接我 because she forgot to pick me up.
如果我像他们一样搞砸了怎么办 What if I mess up like they did?
你可能有时会搞砸 You probably will mess up sometimes,
在这些方面 in those ways.
其他方面也是如此 我可能也会这样 Other ways, too. I probably will as well.
但我们会互相支持 But we will support each other.
而且 And each…
（脊柱稳定）
我知道如何帮助狗狗了 I know how to help the dog.
我要注射更多的利多卡因 I'm gonna inject more lidocaine.
打开超声探头 Turn on the ultrasound probe.
你怎么会进监狱的 How'd you end up in prison?
当我从阿富汗回来后 我无法入睡 When I got back from Afghanistan, I couldn't sleep.
我躺在床上 盯着门 等着有人来找我 I'd lie in bed, stare at the door, waiting for someone to come at me.
我在一个酒吧里 我觉得有些人看我的眼神不对 I was in a bar, and I thought some guy looked at me wrong.
你有得到帮助吗 Are you getting help?
我在吃药 I'm on meds.
和治疗 And therapy.
我不想变回过去的样子 I don't wanna be what I was.
我想做一个好人 I want to be a good man.
为了我的家庭 For my family.
我没看到子弹 I don't see the bullet.
一定是移动了 It must have migrated.
深度三厘米 Three centimeters deep,
在股骨内侧的大收肌 and medial to the femur in the adductor magnus.
-那是什么意思 -现在更难了 -And what does that mean? -It's harder to get to now.
我们可以的 We can do it.
这会很痛 This will hurt.
-我们截肢吧 预定手术室 -马上 -Let's amputate. Book the OR. -On it.
我认为我们应该挽救手臂 I think we should save the arm.
你没听到迪伦说的话吗 Did you not hear what Dylan just said?
我听到了有个儿子为了 能让他的父亲活着 什么都愿意做 I heard his son will do anything to make sure his dad lives.
这不一定是父亲想要的 But that's not necessarily what the dad would want.
拉罗是一个贫穷的 没有证件的体力劳动者 Lalo's a poor, undocumented manual laborer.
没有提供支持的人际关系 No support system.
如果他不能工作 那怎么办 If he can't work as a gardener, then what?
迪伦说他们会找到办法的 Dylan told us what. They'll find a way.
辍学来照顾他 And Dylan will drop out of school to take care of him.
他告诉我们他是如何为他的父亲工作 He just told us how he works for his dad most mornings.
在他有脑震荡的时候照顾他 Already took care of him when he had a concussion.
拉罗为他的儿子建造的未来 将会消失 The future Lalo's been building his son will disappear.
你知道还有什么会毁了他的未来吗 父亲过世 You know what else would ruin his future? Having a dead dad.
拉罗会承担这个风险 Lalo would take the risk.
摩根同样听到了 但她想的不一样 Morgan heard everything you did, and came away with a different impression.
她没有为人父母 She's not a parent.
非常自以为是 That's very patronizing.
并不代表他错了 But that doesn't mean he's wrong.
-你有信心你能挽救他的手臂？ -很有信心 -You're confident you can save his arm? -Very.
那我们开始吧 Then let's do it.
多么卑鄙的手段 What a dick move.
我非常厌恶被告知 没有孩子的人无法理解爱 I'm so sick of being told that
先有了爱 然后为人父母 childless people can't understand what it means to love someone.
九个月后 你会明白的 There's love, and then there's being a parent.
（巴迪的手术过程） In nine months or so, you'll get it.
在L4/S1钻孔后 我们将使用咬骨钳 After drilling the lamina from L4 to S1, we'll use a Kerrison punch
每次取出两毫米的碎片 to remove fragments two millimeters at a time.
然后用螺钉和杆支撑脊柱 Then support the spine with screws and rods.
这就是我们解决尿失禁 和腿无力的方法 And that is how we will fix the incontinence and leg weakness.
而我们 我的意思是你 And by we, I mean you...
有点超出了我的能力范围 A little outside my wheelhouse.
这就是为什么他们都准备好了 That's why they call it "in the bullpen."
是的 你是人类专家 Yes, you're an expert. On humans.
-我还是很不确定 -你为什么不能直接做手术 -I'm still very unsure. -Why can't you just do the surgery?
巴迪是一个无辜的小家伙 需要我们的帮助 Buddy is an innocent little guy who really needs our help.
我与肖恩和格拉斯曼博士一起 And I've put in a ton of work with Shaun and Dr. Glassman
想办法救它 to find a way that could save him.
我承认 你的问题很有道理 And I recognize, you have valid questions.
我知道我的荷尔蒙可能不太稳定 And I know my hormones are probably playing a role right now,
我对昨天遇到的一只狗的执着 and my attachment to a dog I met yesterday.
对你来说没有意义 但是是真实的 Probably doesn't make sense to you, but it is real.
我真的需要巴迪没事 And I really need Buddy to be okay.
所以我请求你放下你的顾虑 So, I'm asking you to please set aside your concerns
请帮助我们帮助巴迪 and please help us help Buddy.
谁来买单呢 Who's paying for this?
认真的吗 Seriously?
我需要更长的镊子 I need longer forceps.
快成功了 We're almost there.
文斯 Vince.
很凉 It's cold.
脉搏不畅 Poor pulses.
碎片肯定引起了血栓 The fragment must have caused a thrombosis.
我来打电话 强行输液 I'm calling it. Push more fluids.
我需要一辆救护车 地址是西302号 霍顿路 2A号公寓 I need an ambulance at 302 West, Holden Drive, apartment 2A.
我们会尽力挽救你爸爸的手臂 We're gonna try to save your dad's arm.
-有好转了吗 -没有 -Did something get better? -No.
但我们认为值得冒险 But we decided it's worth the risk.
那为什么还要问我 Why did you even ask me then?
这样我就可以搞砸 并做出错误的决定 So I could screw up and make the wrong decision?
你没有搞砸 You didn't screw up.
他已经六年没有休息过一个周末了 He hasn't taken a weekend off in six years.
他永远穿旧衣服 让我可以穿新衣服上学 He wears old clothes so I can have new ones for school.
他放弃了他的一生来确保我 He's given up his whole life to make sure I'm…
确保我快乐 健康 I'm happy and healthy…
和安全 and safe.
-我只是想帮助他 -你做到了 -I'm just trying to help him and-- -You did.
你给了我们需要的信息 You gave us the information we needed.
行吧 Right.
10号手术刀 Ten blade.
20号会更好 Twenty's better.
你担心有疤痕吗 这是只狗 You worried about a scar? It's a dog.
实际上 狗喜欢伤疤 它们认为这让它们看起来很酷 Dogs like scars, actually. They think it makes them look cool.
兽医学报告的纵观研究表明 A veterinary medical review longitudinal showed
-术后恢复结果 -肖恩 -that post-op recovery outcomes-- -Shaun.
-他知道如何给狗下刀 -但他可能没有读过这份研究报告 -The man knows how to cut into a dog. -But he may not have read the study.
我已经做了切口 I've already made the incision…
用10号刀 with a ten blade.
准备放置3毫米的椎弓根螺钉 Preparing to place the three-millimeter pedicle screw.
5 毫米的更好 A five-millimeter screw's better.
取出子弹 Removing the bullet.
松开近端钳子 我们看看血流情况 Slowly release the proximal clamp and let's look for flow.
血流很好 It's good flow.
血管修复的止血剂 Vascular repair's hemostatic.
我们结束手术 让他恢复健康 Let's finish this up and get him off to recovery.
子弹装袋 作为法医证据 Bag the bullet for forensic evidence.
怎么样 How'd it go?
我们要等到它醒来才知道 We won't know until he wakes up.
你的到来意义重大 Meant a lot that you came.
怎么能对狗说不呢 How can you say no to a dog?
当玛蒂刚出生时 You know, when Maddie was a newborn…
我们还很担心她不会 we were worried that she wasn't…
吮吸母乳 latching on, you know.
但她做到了 But she did.
然后我们又担心她不会爬 结果她也会 And then we were worried that she wasn't crawling, and she did.
接着我们又担心她不会说话 然后… And then we were worried she wasn't talking, and…
你要当妈妈了 You're going to be a mom.
你会担心 这是自然而然的 You're going to worry. That goes with the gig.
99%的情况下 一切都很好 Ninety-nine percent of the time, everything works out just fine.
玛蒂是什么样的人 What was… Maddie like?
玛蒂 Maddie…
她从来不是走路去任何地方 她是用跑的 She never walked anywhere, she always ran.
她很生气 非常生气 She was angry. A lot.
她就是这样的人 That was her Default2.
但她爱得那么深 But she loved so deeply.
就像你是世界上的唯一 It was like you were the only one in the world.
我希望我认识她 I wish I'd known her.
你为什么问我玛蒂的事 Why did you ask me about Maddie?
我只是无法想象要经历 你所经历的一切 I just can't imagine going through what you went through.
而我 好害怕 And I am… So scared…
会是那1%的情况 of that one percent.
玛蒂死后 我不认为我能活下来 After Maddie died, I didn't think that I was going to make it.
有时候我希望自己撑不过来 And there were times that I hoped that I wouldn't.
但我做到了 But I did.
然后我遇到了肖恩 遇到了你 And then I met Shaun, and then I met you.
我每天都很感激因为我爱你们俩 And I'm grateful every single day, because I love you both so much.
你和肖恩有爱 你们对彼此有信心 You and Shaun have love, and you have faith in each other.
如果我是一个赌徒 If I was a betting man…
我会把房子押在你们俩身上 I would bet the house on the both of you.
我们正在全力以赴 去除尖状物 We are on full flow. Removing the spike.
-大脑的血流量低 -脑氧饱和度怎么样 -Low blood flow to the brain. -How's the NIRS?
-61% -一定是移植造成了阻塞 -Sixty-one percent. -Graft must have caused an obstruction.
我可以修复 钳子 I can fix it. Clamps.
11号刀片和 6-0聚丙烯缝线 Eleven blade and 6-0 prolenes.
-脑氧饱和度 -56% 下降速度很快 -NIRS? -Fifty-six percent, dropping fast.
低于50% 他就有脑损伤的风险 Below 50%, he risks brain damage.
结束这个 结扎锁骨下动脉 We should call this off and ligate the subclavian.
不行 我们就差这么一点就能 保住他的手臂了 更多缝线 No. We're this close to saving his arm. More sutures.
-52% -朴医生 -Fifty-two. -Dr. Park.
-朴医生 -准备冲洗 松开钳子 -Dr. Park. -Get ready to flush and unclamp.
快 Go.
-开始冲洗 -松开钳子 -Starting flush. -Unclamping.
-手臂恢复血色了 -脑氧饱和度是70% 还在不断攀升 -Arms pink. -NIRS at 70% and climbing.
还有10个尖状物 Ten spikes to go.
如果手术失败 他还是大小便失禁 If the surgery fails, and he is still incontinent…
我找到了一款防水的狗床 它可能会喜欢 I found a waterproof dog bed he might like.
放我们家吗 For our place?
巴迪是… Buddy is…
非常平静的宠物 very calming to pet.
-我想它要尿尿了 -把它带到垫子上 -I think he has to pee. -We need to get him to the pad.
小家伙 在我们把你送过去之前 你得忍住 Hey, Buddy, you got to hold it in until we get you over there.
-还没有 小家伙 -我们快到了 -Okay, not yet, Buddy. -We're almost there, Buddy.
-不要撒尿 -坚持住 -No pee-pee. -Keep holding it in.
不要撒尿 Not yet. No pee-pee.
快好了 Almost there.
-坚持住 -我们到了 好了 -Keep holding it in. -There we go. All right.
-该排尿了 -去撒尿吧 -Time for urination. -Go pee-pee.
好 Okay.
它做到了 He did it.
我们做到了 We did it.
-我们让它撒尿了 -我们做到了 -We got him to pee. -We did it!
好孩子 Good boy.
我在想在他们的档案中写什么 补救计划 I'm thinking, letters in their records, remediation plans
和两个月的试用期的直接监督 and a two-month probationary direct supervision.
-再走错一步 他们就出局了 -这很好 -One more misstep, they're out. -That's appropriate.
对于阿舍 For Asher.
要在他们所做的事情之间 划清界限并不容易 It's not easy to draw a line between what they did.
阿舍从未拿起过一件器械 直到你监督他 Asher never picked up an instrument until you were supervising him,
鲍威尔表现出不服从的模式 and Powell has shown a pattern of disobedience.
从她的第一次手术开始 Even from her first surgery.
沃尔克自己也犯了错误 Wolke's made mistakes of his own.
他自己清楚 And he knows that.
鲍威尔知道吗 Does Powell?
听着 你的部门 你的决定 Listen, your department, your call.
你差点失去肖恩这个朋友 But you almost lost Shaun as a friend this year,
我担心你的行为是因为 害怕失去另一个朋友 and I'm worried you're acting out of fear of losing another.
血色看起来不错 Color looks good.
桡动脉很强 Strong radial pulse.
尝试动一下你的手指 慢慢地 就动一点点 Try to move your fingers. Very slow, just a little.
-这样可以吗 -太棒了 -Is that good? -It's great.
非常感谢你 医生 Muchas gracias, Doctor.
你救了我的命 You saved my life.
怎么了 What's wrong?
他们问我 你会怎样 They asked me what you would…
决定你的手臂 About your arm.
我告诉他们截肢 I told them to amputate.
我做出了错误的选择 I made the wrong choice.
美乔 Mijo…
无论你做什么 你都在我身边 Whatever you did, you were there for me.
我从未为你感到如此骄傲 I've never been so proud of you.
我也爱你 I love you, too.
我开始寻找遛狗的人 So I started looking for dog walkers.
他们并不便宜 但什么是便宜的呢 They're not cheap, but what is, so…
库珀 Cooper!
你是莉亚？我们刚刚看到了传单 You're Lea? We just saw the flyer.
我们已经找了好几天了 We have been searching for days.
我们会偿还你任何费用 We will of course pay you back for any expenses.
好的 是22563美元 Good. It's $22,563.
我们可以想办法解决 We could work something out.
你救了他的手臂 You saved the arm.
我想你是对的 Guess you were right.
我很幸运 I was lucky.
差点没救活 I almost lost him.
你并没有 Well, you didn't.
我觉得我在这个手术上逼得太紧了 I think I pushed too hard on this surgery.
而且肯定对你说了一些不公平的话 And I definitely said things to you that weren't fair.
上周 凯兰告诉我他不回家过节了 Last week, Kellan told me he wasn't coming home for the holidays.
和室友一起去旅行 Going on a trip with his roommates.
感觉我正在失去他 Feels like I'm losing him.
就像我是个糟糕的父亲 Like I've been a crappy father.
你不是 You're not.
总之 Anyway.
对不起 I'm sorry.
我的植入手术失败了 My implantation failed.
已经九天了？ It's been what? Nine days?
血液测试并不完全准确 Blood tests wouldn't be fully accurate.
我能感觉到 我已经怀孕了 I could feel… I was pregnant.
然而并没有 And… then I wasn't.
我就在这里 I'll be here.
任何时候你需要一个朋友 Anytime you need a friend.
我可能会需要 I just might.
-试用期 -对不起 -Probation. -I'm sorry.
我们要让你离开这个项目 We're letting you go from the program.
文斯呢 What about Vince?
-如果你有任何回旋余地不举报他 -子弹放错地方了 -If you have any leeway not to report him. -Bullet was misplaced.
放错地方了？ Misplaced?
所以我不认为有必要告知警方 So, I don't see the point in alerting the police.
谢谢你 Thank you.
丹妮 这不是一个容易的决定 Danni, this wasn't an easy call.
有时候你得学会妥协 You gotta learn to compromise sometimes.
如果你不这样做 就会伤害你 不仅仅是作为医生 而是在生活中 If you don't it's gonna hurt you, not just as doctor, but in life.
我很抱歉事情变成了这样 I'm sorry it worked out this way.
我不后悔 I'm not.
如果我没这么做 If I had done anything else,
文斯会死掉或者被送回监狱 Vince would be dead or headed back to prison.
无论哪种方式 他的家庭都会被摧毁 And either way, his family would be destroyed.
所以我做了正确的事情 So, I did the right thing.
我会承担后果 I'll live with the consequences.
祝你好运 Good luck.
你也是 You, too.
-我会想念你的 巴迪 -库珀 -I'm gonna miss you, Buddy. -Cooper.
-我每星期都会给你写信 -它不会收到的 -I'll write to you very week. -He won't get it.
我是开玩笑的 I was kidding.
你是个好孩子 You're a good boy.
我知道每个人都这么对你说 但我是认真的 I know everyone says this to you. But I really mean it.
它会没事的 He will be okay.
是的 它会的 Yeah, he will.
我们仍有时间参加 上午11点的自然步行 We still have time to make the 11:00 a.m. nature walk.