早上好 录取率已经出来了 顶尖大学又创新低 Morning. Admissions percentage is out. Top colleges have dropped to record lows.
-你想回去念书? -不是 我在为儿子的未来考虑 - Thinking about going back to school? - No, I'm thinking about our son's future.
比如给花生设立个大学基金? As in starting a college fund for the peanut?
不是 我给花生申请了 麦克莱伦的候补名单 No, I put the peanut on a wait list for prekindergarten at McClellan Hall.
门洛帕克那所? 那不是所很势力的私校吗? Isn't that a snobby private school in Menlo Park?
它是斯坦福大学排名前三的附属学校 It is one of the top three feeder schools for Stanford University.
所以你不仅决定了他要上大学 还帮他选好了要上哪所 So you've decided he's going to college, and picked out which one.
鉴于我们儿子的基因构成 他可能会非常聪明 Given our son's genetic makeup, he will probably be very intelligent
他可能需要具有挑战性的学术课程 and will require a challenging academic curriculum.
他也有可能根本不喜欢学习 Or he may not even enjoy academics.
应该由他自己决定他想做什么 What he ends up doing will be his call.
但是他去哪个幼儿园 将由我们决定 他又决定不了 Whatever prekindergarten he ends up attending will be our call, not his.
没有咖啡 格拉斯还在他的房间里? No coffee. Glassy's still in his room?
-我听到他6点14分就走了 -失去了房子 他特别难过 - I heard him leave at 6:14. - He's been so sad about losing his house.
你怎么知道? How can you tell?
-你有没有注意到他一直很安静? -是的 安静挺好的 - Have you noticed how quiet he's been? - Yes, it's been nice.
我猜他只能靠工作来麻痹自己了 I guess he's just throwing himself into his work.
希尔斯代尔五金店
圣何塞圣博纳旺蒂尔医院
墨菲医生 能过来一下吗 Dr. Murphy, little help here.
给一针破伤风加强剂 用碘伏清洁 Give tetanus booster, clean with betadine.
-管理... -都弄好了 只是... - Administer-- - We got that. It's...
我们想听听别人的意见 We wanted a second opinion.
是维克多想听 Victor did.
对 在这些小年轻 把锯子放在我儿子脚上之前 Yeah, before these young pups take a saw to our son's foot,
我想和主管谈谈 I'd like to talk to a supervisor.
钉子弯了 The nail's bent.
我就是他们的主管 I am their supervisor,
我们拿锯子是要锯钉子 不是他的脚 and we need the saw to cut the nail, not his foot.
你还好吗 瑞奇? Are you good, Ricky?
你们都知道这位 我过去11年里的天使利姆医生 You all know my angel for the past 11 years, Dr. Lim.
嗨 玫瑰粉们 这位是我的住院医生 乔丹艾伦医生 Hey, Roses. And this is my resident, Dr. Jordan Allen.
大家好 Hi.
-“玫瑰粉”? -我的网站叫“超过65朵玫瑰花” -"Roses"? - My website's called "More Than 65 Roses."
我五岁查出这个病的时候就这么叫它 It's what I called it when I was diagnosed at five.
囊性纤维化 65朵玫瑰花 Sixty-five roses. Cystic fibrosis.
-这样啊 -欢迎收看第458号视频博客 - Okay. - And welcome to vlog number 458.
世界各地的朋友们 Going out all around the world.
- DLT是什么意思? -双肺移植 - And what does DLT stand for? - That would be double lung transplant.
你的新肺刚到了 Your new lungs just arrived.
我不该同意让他去的 I never should've agreed to let him go.
你没同意 你只是不再和我吵了 You didn't. You just stopped fighting with me about it.
他在发低烧 100.4度 去哪儿? He's running a mild fever. 100.4. Go where?
去教堂露营 离这不到一个小时的路程 Church camping trip, less than an hour away.
露营可能非常危险 Camping can be very dangerous.
谢谢你 墨菲医生 Thank you, Dr. Murphy.
去年夏天我第一次吃烤棉花糖 I had my first fire-roasted s'more last summer,
所以露营也可以很有趣 so it can also be very fun.
谢谢你 沃尔克医生 Thank you, Dr. Wolke.
请小心点 Be careful, please.
维克多 他是一名医生 Victor, he's a doctor.
-你要试着相信... -相信一切会好起来的 - Just try to trust-- - Trust that things will work out.
是的 我知道 Yep. I know.
你是勇士队的球迷? 你喜欢斯蒂芬库里吗? You're a Warriors fan? You like Steph Curry?
-我喜欢德雷蒙德 -反叛者 我喜欢 - I like Draymond. - A rebel. I like it.
看看这个野兽 Look at this beast.
干得好 瑞奇 Nice job, Ricky.
他的体温刚刚上升了2度 His temperature just jumped two degrees.
给他做血常规、血培养和足部CT Get a CBC, blood cultures and CT of his foot
检查骨骼和肌肉是否受损 to check for damage to the bones and muscles.
帕克医生 谢谢你过来一趟 Dr. Park. How kind of you to join me.
你传呼我 You paged me.
请坐 没错 椅子牌子是赫尔曼米勒 Have a seat. And, yes, they're Herman Miller.
卡布奇诺、摩卡奇诺、浓缩、拿铁... The cappuccino, mochaccino, expresso, latte...
这些都不是为你准备的 None of those are for you.
好吧 我错了 Okay, I was wrong.
这对你来说是完美的工作 This is the perfect job for you.
你的第一项研究有800名患者? Your first study has what, 800 patients?
不过你有整整四天 来雇用所有的临床试验护士 But since you've had four whole days to hire all the clinical trial nurses,
那应该很容易 it should be easy.
进度可能有点落后 目前有13个病人在等 I may be a little behind, may have 13 patients waiting,
但我会处理好的 but I will handle it.
用很多杯卡布奇诺处理吗 With a lot of cappuccinos.
感谢你的支持 Thanks for your support.
需要我帮你吗? Do you want me to give you a hand?
距离我下一台手术还有90分钟 I have 90 minutes before my next surgery.
作为交换 你得让我无限制地使用你的咖啡机 In exchange for unlimited use of your espresso machine.
我们拭目以待 We'll see.
可怜的瑞奇 Poor Ricky.
他可能只是轻微感染 He probably just has a minor infection.
我是指他爸妈 I meant the parents.
他俩有截然不同的育儿观念 Two very different schools of thought on child-rearing.
这样对婚姻不好 对孩子更不好 It's hard on the marriage, but harder on the kid.
每个人都有不同的看法 沃尔克医生 Everyone has different opinions, Dr. Wolke.
这些问题在生孩子之前就该达成共识 Which they need to sort out before having kids.
我大学室友是犹太人 他娶了一个天主教老婆 My college roommate, Jewish, married a Catholic woman.
他们很快就生了三个孩子 They had three children quickly.
开始为育儿不停地争吵 Started fighting about parenting nonstop.
我爸妈从不为我们吵架 我爸不在乎 My parents never fought about us. My dad didn't care.
只要我妈给我和我弟穿好衣服 并按时出门干活 As long as Mom got me and my brother dressed and out in time for chores.
无血肿或脓肿 没找到发热的原因 No hematoma or abscess. No explanation for the fever.
我的脖子 My neck.
好疼啊 It really hurts.
好吧 Okay.
嘿 有我呢 Hey, I got you.
他背上有蜱虫咬的包 He has tick bites on his back.
粉粉的 很丰满 充满弹性 Pink, plump and spongy.
那是什么? What's that?
肺炎? Pneumonia?
双肺都有 In both lungs.
她最多还能撑一周 She's lucky if she has another week.
离体肺充盈 Ex vivo lung profusion.
也许我们可以让肺自行治愈 Maybe we can make the lungs heal themselves.
这通常用于涉及肺水肿的病例 That's usually used in cases involving pulmonary edema.
带上肺 到手术室找我 Get the lungs. Meet me in the procedure room.
蜱虫叮咬? Tick bites?
他的发烧、呕吐 以及脖子酸痛可能是神经性的 His fever, vomiting and sore neck could be neurological.
是在他脑子里吗? It's in his brain?
有可能 验血结果没有定论 Possibly. The blood tests were inconclusive,
所以我们想做一个腰椎穿刺 检查瑞奇的脑脊液 so we'd like to do a lumbar puncture to check Ricky's CSF.
这次露营真是越来越精彩了 This camp just keeps getting better and better.
我们现在能不吵吗? Can we not do this right now?
-我希望这种事再也不会发生了 -我不想? - I want this to never happen again. - And I don't?
我和你一样关心我们的儿子 I care about our son as much as you.
但你总把乐趣置于安全之上 And yet you keep prioritizing fun over safety.
是的 我很看重乐趣 Yes, I care about fun.
还有社会化、自尊、自我表达... And socialization, self-esteem, self-expression--
这些都没有他的安全重要 None of which are as important as his safety.
我实在受不了了 I can't do this anymore.
2号检查室
六个里只有一个有轻微反应 After six, only one with a minor reaction.
-你那边呢? -一样 - You? - Me too.
搞定12个 还差一个 So we are 12 down, one to go.
里格斯先生? Mr. Riggs?
对不起 Sorry.
我打了个盹 I just drifted off.
让您久等了 我的错 My fault for keeping you waiting so long.
那么 除了疲倦之外 您感觉如何? So, how are you feeling, aside from tired?
就是有点疼 Just a bit achy,
特别是我的膝盖和肘部 、臀部 especially my knees and elbows, hips.
还有一些轻微的黄疸 And some mild jaundice.
除此之外 我感觉还行 Other than that, I feel pretty good.
嗨 我们得解决在育儿问题上的分歧 Hello. We should sort out our differences about child-raising.
如果是关于麦克莱伦的 那没什么大不了的 If this is about McClellan Hall, not a big deal.
我列出了37个其他潜在分歧 I've made a list of 37 other potential differences.
我很想一个个讨论 但安德鲁斯刚批了新的电子病历软件 I'd love to discuss them, but Andrews just approved new EMR software
并希望我在24小时内对其进行测试 and wants me to run a beta test on it in the next 24 hours.
-你和格拉斯谈过了? -没有 - Have you talked to Glassy? - No.
他今天没来上班 但我收到了一条短信 他说他没事 He didn't come to work today, but I got a text. He says that he is okay.
他在哪里? Where is he?
还没有结束 It is not over yet.
肺在体内时 Lungs are remarkably resilient organs
是复原力很强的器官 when they are in a body.
所以我们要让它们以为自己还在体内 Which is why we have to convince them they still are.
我们把它们连接到灌注机上 以此来为它们提供血液供应 We give them a blood supply by hooking them up to a profusion machine,
将它们连接到呼吸机来提供氧气供应 an air supply by hooking them up to a ventilator,
通过静脉滴注给它们喂抗生素 IV drips to feed them antibiotics,
我们也许能让它们恢复活力 and we might be able to con them back into viability.
接下来的六个小时至关重要 The next six hours are crucial.
你们怎么知道这对肺还能不能用? How will you know if they're viable?
我们的主要指标是氧合指数的计算 Our main indicator is a calculation called the P/F ratio.
当达到至少400毫米汞柱时... When that reaches at least 400 mm of mercury...
这对肺就可以用了 those lungs are good to go.
妈妈 放松 Mom, relax.
她可是L医生啊 It's Dr. L.
触诊找到第三节和第四节腰椎间隙 Palpate to find the L3-4 interspace.
也许丽和我无法解决我们之间 Maybe Lea and I won't be able to sort out our differences
关于育儿问题的分歧 就会像维克多和雪莉一样开始吵架 about child-raising and become angry like Victor and Shelly.
你和丽跟维克多和雪莉完全不同 You and Lea are nothing like Victor and Shelly.
他们来自完全不同的世界 有着截然不同的观点 They're from completely different worlds, have vastly different outlooks.
丽和我也很不一样 插入腰椎穿刺针 Lea and I are very different too. Insert the spinal needle.
谁知道他们是否相爱 Who knows if they love each other.
而我知道你和丽很爱彼此 这就够了 You and Lea, I know you do, a lot, and that's all that matters.
至少贺曼国际电影台是这么说的 At least according to the Hallmark Channel.
进去了 I'm in.
感染使他的颅内压升高了 The infection has elevated his intracranial pressure.
插管 注射左乙拉西坦 Intubate and load him with levetiracetam
和地塞米松 要赶在他脑疝之前 and dexamethasone before his brain herniates.
脑脊液常规检验证实 是极罕见的福氏耐格里阿米巴虫感染 CSF confirming a very rare infection called naegleria fowleri.
就是这种食脑虫导致了脑肿胀 It's a brain-eating amoeba that's caused cerebral swelling.
我们要给瑞奇注射巴比妥类药物 让他保持昏迷状态 We need to put Ricky in a barbiturate-induced coma
并通过外科手术 在他的大脑中心放置一个注射座 and surgically place a port into the center of his brain.
然后往里注射抗生素 这应该可以减轻水肿 Then we will flood it with antibiotics, which should reduce the edema.
这是蜱虫感染? And he contracted this from a tick?
不 是鼻子接触受污染的水而感染 No, it's contracted via contaminated water through the nose.
所以他因为营地的游泳洞感染的 So he got it from the swimming hole at camp.
这个猜测很有可能 That's a good guess.
瑞奇很怕水 他不敢把头埋进水里的 Ricky's too anxious around water to put his head under,
更不用说让他的鼻子进水了 let alone get water up his nose.
福氏耐格里阿米巴虫 常见于未经处理的游泳池 Naegleria fowleri has also been found in untreated swimming pools,
-鼻腔冲洗器、热水器... -鼻腔冲洗器? - nasal rinses, water heaters-- - Nasal rinses?
如果使用未煮沸的自来水 If unboiled tap water is used.
他去露营那天早上 我给他洗了鼻腔 I gave him a nasal rinse the morning he left for camp.
当时他在流鼻涕 He had a runny nose.
这个猜测可能性更大 That is a better guess.
不好意思 Excuse me.
里格斯的症状有疲劳 关节痛、精神敏锐度受损 Riggs has fatigue, joint pain, impaired mental acuity,
心动过速和轻度肝功能衰竭 tachycardia and mild liver failure.
-谢谢 -他可能有既往症 - Thanks. - Maybe he has a pre-existing condition.
任何合格的远程筛选程序 He should have been eliminated
都该把他淘汰的 by any remotely competent screening process.
这些规程在你接手之前就是这样 Those protocols were in place before you came on board.
当我接手第一天 就要告诉合同研究组织 I'll remind the CRO of that when I tell them, on my first day,
400万美元的试验要失败时 我会提醒他们这点的 that their $4 million trial needs to be trashed.
等血液检查结果出来之后再说丧气话 Save the doomsday predictions until after the blood panel results.
实验室就在通往手术室的路上 Lab's on the way to the OR.
-还不到六个小时吧? -六个小时十五分钟了 - It hasn't been six hours yet, has it? - Six and a quarter.
你需要人陪陪吗? You want company?
谢谢 Thanks.
你好 维克多去哪了? Hello. Where is Victor?
在某处殴打自己 Beating himself up somewhere.
我只是... I just...
要是那样能改变事实就好了 wish that made a difference.
你们爱对方吗? Do you love each other?
爱 Yeah.
当然了 Of course.
我们一直像油和水 我爸是这样形容我们的 We've always been oil and water. That's how my dad describes us.
我在伯克利长大 而维克多在贝尔格莱德长大 Victor grew up in Belgrade. I grew up in Berkeley.
不同的宗教、政治和社会经济地位 Different religions and politics, socio-economic status.
但是当我怀孕时 But when I got pregnant,
我们知道有很多问题需要解决 we knew we had a lot of issues to work out.
我们做到了 And we did.
然后瑞奇出生了... Then Ricky was born and...
我们突然开始各种争吵... we suddenly started arguing over...
他什么时候可以安全地吃坚果? When can he safely eat tree nuts?
他应该在攀登架上爬多高? How high should he climb on the jungle gym?
他什么时候可以和保姆待在一起? When can he stay with a babysitter?
我们在这些小事上永远无法达成一致 Those little things were the ones we could never work out.
但是 是的 我们仍然爱对方 But, yes, we still love each other.
只是... It's just that...
我不确定是否光有爱就行了 I'm not sure love is enough anymore.
还在等 Still waiting.
还有希望 Still hoping.
这就是我们要做的 对吗 玫瑰粉们? That's kind of what we do, isn't it, Roses?
而现在 等待结束了 And the wait is over.
对不起 I'm sorry.
我们已经把你放回名单上了 We've put you back on the list.
你在名单顶部 You're at the very top.
我活该 I deserved this.
我想要那些肺 I wanted those lungs.
我想有人死 I wanted someone to die.
布蕾卡 Brecca.
亲爱的 别录了吧? Honey, should we finish?
不 No.
你好 格拉斯曼医生 Hello, Dr. Glassman.
肖恩 Shaun.
下次你可以试试敲门 You might try knocking next time,
虽然 你知道 这可能有点困难 although, you know, it might be a little tough.
-你在找什么? -你知道... - What are you looking for? - You know...
我的生活 My life.
就想找找我的生活 Just my life.
别 Not yet.
我想再试一会儿 I think I'm gonna keep at it for a bit.
-好的 -不用 我来就行 你可以回家了 - Okay. - No, this is on me. You can head home.
谢谢 Thanks.
我会想念你的大屏液晶电视的 I will miss your big screen LED TV.
它很旧 右侧还有一条像素线 It was old and had a pixel line down the right side.
你爱阿拉娜吗? Did you love Alana?
什么? What?
我爱阿拉娜吗?嗯 当然爱 Did I love Alana? Yeah, of course.
你爱过黛比吗? Did you love Debbie?
是的 我爱过黛比 肖恩 你到底想说什么? Yeah. I loved Debbie. Where is this going, Shaun?
但你的爱不足以让你们克服分歧 That wasn't enough for you to get over your differences.
我怎么知道我的爱是否足够 How do I know if love will be enough
让我和丽克服分歧? for me and Lea to get over our differences?
你不会知道的 You won't know.
我是说 你怎么可能知道? 你没法知道的 I mean, how can you know? You can't know.
我不喜欢为此担心 I do not like worrying about this.
我是说 丽之前有些疑问 I mean, Lea had some doubts just a little while ago.
-但你们都解决了 -是的 - You both got over that. - Yes.
-因为我非常支持她 -那就行了啊 - Because I was very supportive. - There you go.
但关于育儿的差异 似乎比日常差异更大 But differences about child-raising seem to be bigger than normal differences.
是的 我是说 有个孩子是件大事 Yeah. Having a child, I mean, that's big, that's huge.
这是一个转变 会改变一切 婚姻 所有事 It's a shift. It shifts everything. Marriage, everything.
我不想希望我们的婚姻有任何转变 I do not want a shift in our marriage.
也许它会变得更好 Maybe it'll shift for the better.
阿迪的眼睛 Ardie's eye.
我给玛蒂买的第一样东西是土豚娃娃 First thing I ever bought Maddie was a stuffed aardvark.
那天我做了一个21小时的手术 Back in the day, I performed a 21-hour surgery.
我从脑干髓质中 切除了一个星形细胞瘤 I removed an astrocytoma from the medulla of the brain stem.
这手术很难 让我一时名声大噪 It was heroic, it put me on the map.
我的择期手术被约到了一年后 My elective surgeries were booked out for a year.
当时我就像个零差点球员 声名大噪 I was in a zone, like playing scratch golf.
然后伊拉娜怀孕了 And then Ilana got pregnant.
她不想辞职 她有房地产的事业 做得很好 She didn't want to stop work. Had a real estate thing, doing well.
我也不想辞职 我想保持自己的地位 I didn't want to stop. I wanted to stay on the map.
然后 在我们把玛蒂带回家的第一晚 And then we brought Maddie home that first night.
一切都变了 Everything changed.
去和丽谈谈 Go talk to Lea.
我试过 I tried.
她要测试新的电子病历软件 She had to run a beta test on new EMR software.
那你就得等她做完测试 Then you'll have to wait until she's done.
氧合指数
我的硬盘录像机上 只有很多集创智赢家 All I had on my DVR was a marathon of Shark Tank.
我可没心情盯着完美先生的光头看 Can't say I was in the mood to be staring at Mr. Wonderful's bald head.
那么为什么 不看看现场灌注来娱乐一下自己呢? So why not entertain myself by watching some hot line perfusion action?
我可没有变态羞耻 I'm not one to kink shame.
查兹面包店的咖啡和可颂甜甜圈 Coffee and cronuts, from Chaz's bakery.
谢谢你来陪我 I'm happy for the company.
毕竟肺露米不太健谈 Pneumi is not much of a conversationalist.
-肺露米? -我给肺取的爱称 - Pneumi? - My pet name for them.
来自希腊语的“肺” From the Greek word for lungs, pneumonas.
我觉得比“肺比”好听点 I thought it was better than "Lungy."
我神经有点失常了 Yeah, I may be losing it.
可颂甜甜圈 Cronut.
-有什么进展吗? -几乎没有 - Any progress? - Negligible.
我一遍遍做同样的事情 希望会有不同的结果 I keep doing the same thing over and over, hoping for a different outcome.
没错 我肯定是精神失常了 Yeah, I'm definitely losing it.
那就做点不一样的事情 Then do something different.
好的 Okay.
加倍使用抗生素 我们还可以添加类固醇 Doubling up on antibiotics, and we can add steroids.
要么干掉肺炎 要么干掉肺 This will either hammer out the infection or the lungs.
-格拉斯还好吗? -挺难过 很悲伤 - How's Glassy? - Very sore and very sooty.
-我们需要讨论下... -我们之间的37个差异 - We need to talk-- - About our 37 differences?
我又想到了两个 I thought of two more.
肖恩 如你所知 我现在有点忙 Shaun, as you know, I'm kind of busy right now,
如果你需要我的态度才能安心 so you'll have to settle for me agreeing that, yes,
是的 我们会有很多分歧 we'll have many differences.
但假以时日 我们将能够解决它们 But in time, we'll be able to work them out.
维克多和雪莉也是这么想的 That's what Victor and Shelly thought.
现在他们正在讨论分居 And now they are talking about separating.
我不知道维克多和雪莉是谁 I don't know who Victor and Shelly are.
但我至少还有两个小时的工作要忙 In any event, I have at least two more hours of work to do.
好的 Okay.
你在等 对吗? You're waiting, aren't you?
是的 我很有耐心 Yes, I am very patient.
你很有耐心也很善解人意 You are very patient and very understanding.
在我们的产前蜜月时你对我也很好 And you were so good with me on our babymoon.
如果你能找回其中一些... If you could just channel some of that...
产前蜜月时 我以为有爱就够了 On our babymoon, I thought love was enough.
大晚上听到这个 我还挺惊讶的 That's kind of a big thing to drop on me this late at night.
你早上太忙 没时间讨论这件事 You were too busy to discuss it in the morning.
所以我和格拉斯曼医生谈了一下 So I talked to Dr. Glassman about it,
他说生孩子会改变我们的关系 and he said having a child will shift our dynamics.
如果真是这样 我们到时候再讨论就好了呀 If it does, we can talk about it then.
如果我们现在不谈论我们的关系 那我们之间的差异呢? If we can't talk about our dynamics now, how about our differences?
真的?我们有39个 Really? We have 39,
所以我们需要时间认真讨论 而且我们会反复讨论 so we need serious time, and I'm sure they'll keep
因为我们对一起抚养小孩都很认真 because we're kind of committed to having a kid together,
不管是不是有爱就够了 whether love is enough or not.
肖恩 我太累了 Shaun, I'm way too tired
没法现在就讨论这么费脑子的话题 to have a productive conversation about this right now.
-好吗? -好吧 - Okay? - Okay.
该放弃了 It's time to call it.
她第一次进入急诊室时 我还有半小时就要结束值班了 I had half an hour left on my call when she first came into the ER.
当时她在咳血 各项生命指标都很低 Coughing blood, vitals on the floor.
当我们打开她的胸腔时 When we opened her up,
她的肺看起来像已经70岁了 her lungs looked like a 70-year-old's.
我们以为她活不过那个晚上 Didn't think she'd make it through the night.
当时她才八岁 She was eight.
我没法丢下她回家 整晚守着她 I couldn't go home. And stayed with her that night.
然后第二天早上 她睁开了眼睛 And then the next morning, she just opened her eyes,
看着我 说喜欢我的法式辫子 looked at me and told me she liked my French braid.
我要是放弃 Once I call it,
就必须上去告诉她我辜负了她 I have to go up there and tell her I failed her.
拿到了里格斯的最新测试结果 Got Riggs' latest test results.
他确实有既往病史 Turns out he did have a pre-existing condition.
血色素沉着症 Hemochromatosis.
所以这个混蛋为了入选研究撒谎了? So the jerk lied about it to get into the study?
-你是这么想的? -入选后他拿到了三千五百美元 - That's the assumption? - He got 3,500 bucks to participate.
我觉得这么想很合理 不过不管他有没有撒谎 I think it's a pretty sound assumption, but whether he lied or not,
这意味着筛选器不行 it means the screeners are incompetent.
这样可不好 That's got to take a toll.
总是以最坏的可能揣测别人 Expecting the worst of everybody.
我宁愿惊喜也不愿失望 I'd rather be pleasantly surprised than bitterly disappointed.
这就是你想教给未来孩子的世界观? And that's the world view you want to impart to your future child?
假设每个人都是最坏的? Assume the worst of everyone?
救命 快来救救我儿子 Help. We need help in here.
-什么情况? -加入一毫克劳拉西泮 - What's happening? - Add a milligram of lorazepam.
-他在抽搐 -因为他的颅内压有40多 - He's seizing. - Because his ICPs are in the 40s.
脑水肿越来越严重了 Cerebral edema's gotten worse.
如果我们不马上给瑞奇开颅 他会死 If we don't open Ricky's skull immediately, he will die.
去除偏侧颅骨瓣 Removing hemicranial skull flap.
打开硬脑膜 Performing wide dural opening.
看看显示器 脑电波乱七八糟的 Look at the monitor. EEG's all over the place.
他还在抽搐 He's still seizing.
再加一根脑室外引流管 加入异丙酚来加强抑制 Place an additional EVD and increase propofol to burst suppress.
但他的给药量到阈值了 But he's maxed out.
再加异丙酚可能会杀死他 Giving more propofol could kill him.
如果我们不这样做 癫痫发作肯定会要了他的命 If we don't, the seizures will definitely kill him.
好吧 Okay.
我们可以根据术前成像 We can remove the damaged cortex in the left anterior temporal lobe,
来去除左前颞叶受损的皮层 using pre-op imaging to guide us.
切掉他的一部分大脑?那太极端了 Cut out part of his brain? That's extreme.
那是引起癫痫发作的区域 That is the area that's causing the seizures.
-对他的父母来说可能很难接受 -所以到时候你来帮我说 - Might be a tough sell to his parents. - Which is why you will help.
好的 请让他保持稳定 将皮质表面用冰林格氏液 Okay. Please keep him stabilized with eyes to the cortical surface.
“田野飞速后退 "The country flew past,
仿佛是从高速列车窗户里看到的那样 as if they were seeing it from the windows of an express train.
他们越跑越快 Faster and faster they raced,
但没有人感到疲倦或气喘吁吁” but no one got tired or out of breath."
最后一章以后再读吧 We can save the last chapter for later.
没有以后了 There is no later.
L医生在哪啊? Where's Dr. L?
她还没打算放弃你的肺 She wasn't ready to give up on your lungs.
还有希望吗? There's still a chance?
利姆医生是这么认为的 Dr. Lim thinks so.
读完吧 Let's finish.
第16章 Chapter 16.
“再见 影子大地” "Farewell to the Shadowlands."
我们会切下一小块他的大脑皮层 We'd cut out a small piece of his cortex.
因为它已经被感染损坏了 It's already damaged by infection.
移除它可能是让他活着的唯一方法 Removing it may be the only way to keep him alive.
但这对他会有什么影响呢? But how would that affect him?
大脑的某些区域远不如其他区域重要 There are areas of the brain that are significantly less essential than others.
这部分只影响他的言语和记忆 This part only impacts his speech and memory.
而且应该不是长期的 Probably not long-term.
那他可能无法说话或忘记我们是谁? So he might not be able to talk or know who we are?
在他醒来之前 我们无法对他进行全面评估 We wouldn't be able to fully assess him until he wakes up.
瑞奇的头骨还处于打开状态 Ricky's skull is opened.
我们应该这样做 We should do it.
这是一家非常好的医院 This is a very good hospital.
这些都是非常聪明的医生 These are very smart doctors.
一个非常聪慧的人曾经告诉我 And someone very wise once told me that
有时你只需要相信事情会好起来的 sometimes you just have to trust things will work out.
就这样吧 Okay.
血色素沉着症? Hemochromatosis?
直到现在你才注意到这些症状? You never noticed these symptoms until now?
关节疼痛、疲劳、精神模糊? Joint pain, fatigue, mental fuzziness?
我下周就满58岁了 I turn 58 next week.
今天之前 我一直感觉自己还是个二十多的小伙 I haven't felt a day over 30 until now.
你的血色素沉着症不太可能 It's very unlikely your hemochromatosis
在一周内从零增加到60 went from zero to 60 in a week.
你有没有用别人的血参加筛选? Is it possible you gave the screener someone else's blood?
你觉得我作弊?为了钱? You think I cheated? For the money?
不是 里格斯先生 我只是... No, Mr. Riggs. I'm just trying to--
你是20加仑俱乐部的献血者? You're a blood donor in the 20 gallon club?
是的 过去30年定期献血 Yeah. Regular donor the last 30 years.
你最后一次献血是什么时候? When was the last time you donated?
两个月前 就在我开始这项试验之前 Two months ago, just before I started this trial.
而且你在试验期间不被允许献血 And you're not allowed to donate while you're in the trial.
看 这就是参加试验的缺点 See, that's the downside.
我其实挺喜欢那些饼干的 I actually enjoy those cookies.
你想吃多少都行 我向你保证 I'll make sure you get all the cookies you want.
你不觉得该回家了吗? Don't you think it's time to come home?
不觉得 No.
既然如此 我想着给你做点 像你给我们做的那样好吃的东西 In that case, I wanted to make you something delicious like you've made us,
但我厨艺不好 而且到处都打烊了 but I'm not a very good cook and everything's closed,
所以希望你喜欢 so I hope you like
热狗味薯片和坚果威化棒 hot-dog-flavored potato chips and Nutty Buddys.
好吧 Yeah.
-指甲油? -父女时光 - Nail polish? - Father-daughter time.
玛蒂非要把我的指甲涂成闪亮彩虹色 Maddie insisted that she paint my fingernails a sparkly rainbow color.
第二天 我的第一个病人非常不舒服 And the next day, my first patient was very uncomfortable.
那时我才意识到忘记卸掉指甲油了 That's when I realized I forgot to remove the nail polish.
那是一段美好的回忆 That's a nice memory.
坐 来来来 坐下 Sit. No, sit, sit, sit.
这么多的回忆 So many memories.
那个万圣节玛蒂想扮成一条火腿 That Halloween Maddie wanted to go as a ham
因为我们刚看了《杀死一只知更鸟》 because we had just seen To Kill A Mockingbird.
但她希望她的衣服 But she wanted the ham
是由真正的火腿制成的 to be made out of an actual ham.
然后有天晚上风刮得很厉害 把她卧室的门吹得猛得关上了 And then one night the wind was blowing so hard it blew her bedroom door shut.
她觉得是祖母的鬼魂回来看望她了 She was convinced that her grandmother's ghost had come back to visit her.
所以想在之后的两周里和我们睡 Wanted to sleep in our bed for the next two weeks.
你不会是来给我吃垃圾食品吧? You didn't come here just to feed me junk food, did you?
我想你可能需要找人倾诉 I thought you might need someone to talk to.
我很好 I'm fine.
我知道有个人更需要你去和他谈谈 I know someone you should talk to.
我知道 但来这里更容易些 I know. But this was easier.
“热狗”不该被做成一种味道 "Hot dog" should not be a flavor.
“他们在这世上的所有生活 以及他们在纳尼亚的所有冒险经历 "All their life in this world and all their adventures in Narnia
只是扉页上的封面 had only been the cover on the title page.
现在 他们终于开始了第一章 Now, at last, they were beginning chapter one
那是地球上没有人读过的伟大故事 of the great story which no one on Earth has read,
是个不会结束的故事 which goes on forever,
其中每一章 in which every chapter
都比之前那章更精彩” is better than the one before."
我来啦 需要给你注射点吗啡吗? Checking in. Need me to up your morphine?
来一点 Couldn't hurt.
嘿 我改变主意了 Hey, I changed my mind
关于视频博客 about the vlog.
太棒了 Wonderful.
开始吧 Go for it.
嗨 玫瑰粉们 我回来了 Hey, Roses. I'm back.
双肺移植手术没能成功 The DLT didn't really work out,
所以这将是我最后一次更新 so this is gonna be my last update.
我本来不打算更新 我本打算像狄兰托马斯所写的那样 I wasn't even going to do this, I was gonna flip off Dylan Thomas
温和地走进那个良夜 and go gently into that good night.
但是 But...
但我不能不告而别 I couldn't leave without saying goodbye.
难过也没有关系 And that it's okay to be hurt.
我是很难过 I am.
我的生命被缩短了 That my life's been cut short.
但这一切的好处 But the upside to all of this
是我感受到了 我从未想过会有的感觉 is that I feel something I never thought I would.
感恩 It's gratitude.
我很感谢我亲爱的妈妈 I'm grateful to my sweet mother.
还有 And...
那些保持希望不灭的人 to the people who keep hope alive.
比如L医生 比如... Like Dr. L, and...
急救推车 Crash cart.
她完全呼吸衰竭了 She's in full respiratory failure.
-我们需要给她插管 -不要 - We need to intubate her. - No.
我们需要放她走 We need to let her go.
肺露米数值达到402 马上把布蕾卡送到手术室 Pneumi hit 402. Get Brecca to the OR.
肺能用了 我们该插管了 The lungs are good. We should intubate.
好的 Yes.
-瑞奇? -墨菲医生 - Ricky? - Dr. Murphy.
瑞奇?你能听见我们说话吗? Ricky? Can you hear us?
你好 Hello.
你知道自己在哪吗? Do you know where you are?
你知道你的名字吗? Do you know your name?
我是瑞奇帕夫洛维奇 I'm Ricky Pavlovich.
我在医院 I'm in the hospital
因为我在教堂营地踩到了生锈的钉子 because I stepped on a rusty nail at church camp.
但我明年还想去 But I would still like to go back there next year.
欢迎回家 肺露米 Welcome home, Pneumi.
里格斯献了一辈子血 Riggs is a lifelong blood donor.
-这完全消除了他的症状 -直到他开始这个试验 - Which totally eliminated his symptoms. - Until he started this trial.
因为在结束之前 他被禁止去献血 He's not allowed to donate till it's over.
所以流程没有问题 筛选也没问题 So there was nothing wrong with the protocols. Nobody was incompetent.
里格斯也不是个大骗子 And Riggs isn't a big, fat liar.
事实上 他是一个大英雄 In fact, he's a legit hero.
也许我的世界观确实需要一点调整 Maybe my world view does need a little adjustment.
我更喜欢意大利烤肉 I prefer Italian roast.
知道了 Noted.
准备好试用肺露米了吗? Ready to take Pneumi for a test run?
这是她给你的肺起的名字 That's what she named your lungs.
真是个奇怪的夜晚 It was a weird night.
慢慢来 Start small.
感谢你能来 Thanks for coming.
我们是该谈谈 We should talk.
第39条 饮食限制 Number 39, dietary restrictions.
除了母乳 Other than breast milk.
宝宝踢我了! I felt a kick!
我感觉到... I felt...
这非常令人兴奋 This is very exciting.
来 Come here.
想想看 所有新的回忆 Think of all of the new memories
都在等着你去创造 waiting to be made.
嘿 我们回家吧 Hey. Let's go home.
第39条 除了母乳 Number 39, other than breast milk,
我认为花生在六个月之前 不应该接触任何乳制品 I don't think that peanut should have any dairy products before six months.
没问题 Easy-peasy.
第38条呢? Number 38?
字幕翻译:魏思颖