我给你做了蓝莓煎饼 难道你宁愿啃花椰菜? I made you blueberry pancakes. Would you prefer cauliflower?
不 肖恩 这是我们的宝贝 我36周了 No, Shaun. That's our baby. I'm 36 weeks.
宝宝有一个菜花头那么大 The baby is the size of a head of cauliflower.
我们的宝宝不会这么不平整 Our baby will not be this bumpy.
我很...高兴 I am very... happy.
我也是 Me too.
我们的宝宝要出生了 We're having a baby,
我有很棒的工作 你当上了主治医生 I have an amazing job, you're an attending.
我们有辆新的家用车 格拉斯曼医生已经搬到了这一层 We have a new family car. Dr. Glassman has moved down the hall.
贾里德要回到医院工作 Jared is coming back to work at the hospital.
他回来真是太好了 It is great that he's back.
但是 你知道 情况可能会有点改变 But, you know, the dynamic might be a little different.
研究表明与朋友一起工作时 Research has shown that when working with friends,
能在更短的时间内完成更多工作 并从工作中获得乐趣 you get more done in less time and have fun on the job.
但贾里德会为你工作 而不是和你一起工作 But Jared will be working for you, not with you.
当你管你朋友时 情况可能会有所不同 It can be different when you have to manage a friend.
原则可能变模糊 可能会很难 Lines can get blurred, and that can be hard.
原则一点也没模糊 清楚得很 The lines are not blurred. They are very clear.
嗨 小可爱 跟我说说 Hey there, lover boy. Give me the details.
你和杰罗姆交换钥匙了吗 还是说你们要一起搬到新房子去? Are you and Jerome exchanging keys or getting a new place together?
-他没说让我和他一起住 -那他跟你说了什么? - He did not ask me to move in. - What did he want to talk to you about?
我不想再提了 I don't want to talk about it.
现在我更想知道了 我对你的审讯会一直持续到... Now I wanna know even more, and my interrogation will continue until--
你是来俱乐部的还是来上班的? You going to the club or work?
我还得花点时间才能适应早班 These early calls need some getting used to.
肯德里克的歌拿来提神简直完美 Kendrick is the perfect pick-me-up.
-谁能听着他的歌生气呢 -就是 - Never mad at Kendrick. - Yes.
-衬衣真好看 汤姆福特? -是的 我的幸运品牌 - Nice shirt. Tom Ford? - Yeah, my good luck charm.
第一天回来上班穿它准没错 Figured it couldn't hurt on my first day back.
700美元的衣服能带来的可不止好运 For $700 it should give you more than luck.
有时确实如此 医院见 On occasion it has. See you guys in there.
车有点浮夸了 但时尚感不错 The car is a bit much but the fashion is lit.
好了 暴躁先生 你到底怎么了? Now, Mr. Grumpy, what's going on with you?
再见 Goodbye.
卡鲁医生不是你的同级 也不是你的朋友 Dr. Kalu is not your peer, not your friend.
他是你的员工 你是他的老板 He is your employee and you are his boss.
我相信贾里德会做得很好 I am confident that Jared will do a good job.
我想说的正是这点 他不是贾里德 而是卡鲁医生 That's what I mean. He's not "Jared," he's "Dr. Kalu."
我并不总是用头衔来称呼大家 I do not always call people by their titles.
-有时我给艾伦医生打电话... -墨菲医生 - Sometimes I call Dr. Allen-- - Dr. Murphy.
如果你和卡鲁医生间的对话不够正式 An informal communication style with Dr. Kalu
他可能会有受到特殊待遇的错觉 could create a perception of special treatment.
我不打算给贾里德特殊待遇 I do not plan to give Jared special treatment.
那并不意味着卡鲁医生没有这种期待 That doesn't mean Dr. Kalu isn't expecting it.
如果我看到了 对你们俩都不好 And if I see it, it won't be good for either of you.
她有瘀伤和疼痛 即使是被动运动范围也是如此 She has bruising and pain even with passive range of motion.
学校里有几个恶霸追她 她从楼梯上摔了下来 Some bullies at school chased her. She fell down the stairs.
事情不是这样的 That's not how it happened.
我们就该坚持在家上学 她非要去学校 看看发生了什么 We should've stuck with home-schooling. She insisted. Look what happened.
你需要保持静止 You need to be still.
你的肩膀骨折了 给病人做超声检查 Your shoulder is fractured. Ultrasound the patient.
-你为什么要笑? -她忍不住 - Why are you laughing? - She can't help it.
雅拉患有妥瑞症 所以别人打她... Yara has Tourette's. It's why she had the fight--
妈妈 他问的是我 你从来不让我自己说话 Mom, he was asking me. You never let me speak for myself.
没人打我 It wasn't a fight.
有些孩子觉得 指着我、盯着我看会很有趣 Some kids thought it would be funny to point and stare at me.
所以我觉得 往他们储物柜扔鸡蛋也会很有趣 Thought it'd be funny to egg their lockers.
然后这烦人的抽搐害我没跑掉 Then my stupid tics messed up my getaway.
有明显的组织肿胀 There's significant tissue swelling
和肱骨近端大量血肿 and massive hematoma at the proximal humerus.
骨折引起了急性筋膜室综合征 The fracture has caused an acute compartment syndrome.
你需要马上手术 You need surgery right away.
当你开始头晕时 你在做什么? What were you doing when you started getting dizzy?
我坐在体育教室里 然后房间开始转了起来 I was sitting in gym class and then the room started to spin.
然后我吐了 但我当时没在练习旋转 And then I threw up. But I wasn't doing it.
我刚给卡特看过《神奇女侠》动漫 I just introduced Carter to the Wonder Woman comics.
-他一直在努力练习旋转 -不是你的错 旋转变身最酷了 - He's been trying to learn the twirl. - I don't blame you. The twirl is awesome.
-我的小家伙呢? -嗨 E妈妈 - Where's my little guy? - Hey, Mama E.
嘿 卡特G Hey, Carter G.
-你本该马上给我打电话 -伊莱恩是我妈妈 - You should have called me immediately. - Elaine's my mom.
带他来医院不需要经过你的许可 I don't need your permission to bring him here.
事实上 你需要 我才是他的法定监护人 Actually, you do. I'm his legal guardian.
-他怎么了? -他的心率很低 - What's wrong with him? - His heart rate is quite low.
什么意思? What does that mean?
卡特控制心跳的电信号异常 Carter has an abnormality of electrical signals controlling his heartbeat.
我们需要做一些检查 做超声心动图和电生理学检查 We need to run some tests. Echo and electrophysiology study.
-浪子回来了 -很高兴见到你 雷茨尼克医生 - The prodigal resident returns. - Lovely to see you as well, Dr. Reznick.
卡鲁家族会给医院捐一栋新楼吗? Will the hospital be getting a new wing in the Kalu family name?
我的家人都很好 谢谢 My family are doing well, thanks.
我被招募回来 是因为我受过的训练 And I was recruited to return based on my training,
丰富的经验 和接受重当首年实习生的意愿 breadth of experience and willingness to take a demotion back to a first-year.
被新手使唤会很糟糕吧 It's gonna be hellish being bossed around by newbies
被曾和你一级的人使唤更糟 把最上面架子上的那个盒子拿给我 and people who used to be your peers. Grab me that box on the top shelf.
我也想你 I missed you too.
离开医院后 我学会了解读情绪能量 While I was away, I learned how to read emotional energy.
你这人 打是亲骂是爱 And snapping at people is your love language.
知道你还在关心我 我很高兴 Happy to know you still care.
-祝你好运 新手 -谢谢 - Good luck, newbie. - Thanks.
我得去做手术了 你自便 I've got to get to surgery. Enjoy.
你对骨干部分的控制非常精确 Your control of the shaft segment is very precise.
谢谢 Thank you.
棕色牵开器 Brown retractor.
没有棕色牵开器 No brown retractor.
我好像把它放在你的托盘上了 I thought I put it on your tray.
我的工具必须单独挑选、消毒 My tools must be individually selected, sterilized
并在我开始手术前放在我的托盘里 and placed in my tray before I begin the surgery.
好的 明白了 Understood. Got it.
这个可以 进一步露出肱骨近端 That will do. Further expose the proximal humerus.
缝合肩袖 让肱骨头能动起来 Place sutures in rotator cuff to mobilize humeral head.
很抱歉没放好你的工具 新手失误 Sorry for dropping the ball with your tools. Rookie mistake.
别担心 你是老板的好朋友 对吧? Don't sweat it. You're BFFs with the boss, right?
我对每个住院医生一视同仁 I treat every resident the same.
艾伦医生 将斯氏针放在靠近二头肌肌腱的位置 Dr. Allen, place Steinmann pins proximal to biceps tendon.
卡鲁医生 你负责抽吸 Dr. Kalu, you are on suction.
导管置入腋静脉 Catheter placed in axillary vein.
我为卡特的妈妈感到难过 I feel bad for Carter's mom.
我无法想象抚养孩子的时候 I can't imagine trying to raise a kid
母亲在背后指挥自己的一举一动 with my mother backseat-driving my every move.
好吧 如果比安卡告诉伊莱恩 她要带卡特去医院 Well, maybe if Bianca told Elaine she was taking Carter to the hospital,
她可能会更信任她 she would trust her more.
起搏线 Pacing wire.
比安卡可能在做她认为最正确的事情 Bianca was probably doing what she thought was best.
隐瞒信息从来都不是正确的 Withholding information is never for the best.
推进到右心室 Advancing to the right ventricle.
-你们两个还好吗? -我们很好 - Everything okay between you two? - We're fine.
不对劲 That can't be right.
注入造影剂 明确在荧光透视中看到的东西 I need contrast to clear up what I'm seeing on fluoroscopy.
大动脉左向襻转 L-transposition of the great arteries.
心室是...倒置的 The ventricles are... inverted.
他的心脏...是反的 His heart is... backward.
你的手术很顺利 Your surgery went well.
我们缓解了你的筋膜室综合症 We decompressed and released your compartment syndrome
固定了肱骨骨折处 and stabilize your humerus fracture.
-好极了 我什么时候可以回学校? -几天后 一定要系好你的吊带 - Great. When can I go back to school? - A few days. Be sure to wear your sling.
-你不能回学校 -为什么不能? - You're not going back to school. - Why not?
不安全 我不会把你送回去让他们伤害你的 It's not safe. I'm not sending you back so they can hurt you.
我不是小孩子了 我能照顾好自己 I'm not a baby. I can take care of myself.
我需要测量你的生命体征 I need to take your vitals.
如果你能照顾好 我们就不会在医院了 If you could, we wouldn't have ended up in the hospital.
上学是我唯一能做的正常的事情 Going to school is literally the only thing I do that's normal.
我不想... I don't want to be--
我不想和你待在家里 你从不让我自己做任何... I don't want to be stuck at home with you. You never let me do anything by--
-雅拉 -她癫痫发作了 - Yara. - She's having a seizure.
需要两毫克劳拉西泮 准备核磁共振 马上! We need two milligrams of lorazepam and MRI, stat!
她睡得像个婴儿 She's sleeping like a baby.
你应该用异丙酚 而不是盐酸咪达唑仑当镇静剂 You should've used propofol instead of Versed to sedate her.
盐酸咪达唑仑比较老派 同样的作用 不会过量 Versed is old-school. Same effects, none of the overshooting.
-你为什么要改我的设置? -儿科患者 - Why are you changing my settings? - Peds case.
短期成像序列能让时间减半 Shorter duration imaging sequences cuts the time in half.
这是你的第一天 记得吗? It's your first day, remember?
在尝试捷径之前 你可能需要先复习一下 You could probably use a refresher before trying a shortcut.
我可能是缺点经验 但我有技巧 I'm a little out of practice, but I got a few tricks up my sleeve.
-你可是不得不重修的 -哎呀 - Says the guy who has to repeat a year. - Ow.
相信我 肖恩会希望更快拿到雅拉的结果 Shaun will appreciate getting Yara's results back faster. Trust me.
你比我更了解他 You know him better than me.
在开始核磁检查前 患者是否被正确镇静了? Was the patient properly sedated before you began this MRI?
是的 我根据标准儿科方案 用了盐酸咪达唑仑 Yeah. I used the standard pediatric protocol with Versed.
艾伦医生有没有告诉你 我们修改后的丙泊酚方案? Did Dr. Allen tell you about our revised propofol protocol?
告诉了 但根据我的经验 盐酸咪达唑仑能提供更好的... Yeah. But in my experience Versed provides better--
-你应该听艾伦医生的 -肖恩 我会做核磁检查 - You should've listened to Dr. Allen. - I know how to perform an MRI, Shaun.
显然你不会 You apparently do not.
动态下降太多 这些图像不能用 There is too much motion degradation. These images are unusable.
艾伦医生 请重做核磁共振 卡鲁医生 我们需要私下谈谈 Dr. Allen, please go redo the MRI. Dr. Kalu, we need to speak privately.
你不能走捷径 You cannot take shortcuts.
你说得对 对不起 You're right. Sorry.
你不能因为是我的朋友 就觉得会有特殊待遇 You cannot expect special treatment because you are my friend.
我没想要特殊待遇 肖恩 I'm not expecting special treatment, Shaun.
但我也不喜欢被当作实习生对待 But I don't appreciate being treated like an intern either.
严格来讲我是第一年实习 但我当医生的时间不比你短 Technically, I'm a first-year, but I've been a doctor for as long as you have.
我不是你的同级 而是你的老板 而你还有很多东西要学 We are not peers. I am your boss and you have a lot to learn.
安德鲁斯医生说 他会根据你的表现来评判我的表现 Dr. Andrews said he is judging my performance off of your performance,
而你的表现并不好 and it is not good.
清楚了? Okay?
-清楚了 -好的 - Okay. - Good.
你需要去练习基本功 You need to go practice basic skills
并观摩学习 我们当前的标准化核磁共振流程 and observe our current standardized MRI process.
心脏传导阻滞外加心房反位 你有什么想法吗? Heart block plus inverted cardiac anatomy. What's your plan?
静脉起搏器是用不了了 但我们可以通过手术放置起搏器 Intravenous pacemaker is out. We could place it surgically.
但这解决不了心房反位 Doesn't address the anatomy issue.
随着年龄的增长 这可能会导致心力衰竭 It could lead to heart failure as he gets older.
是的 但也许起搏器就能解决他的问题 It could. He might be fine with the pacemaker.
如果他已经出现心律失常 那可不是什么好兆头 If he's developed arrhythmia, not a great sign.
我建议做大动脉双调转重建术 I'd recommend the double switch reconstruction.
将血流重定向到右心室 Redirect blood flow to the right ventricle.
-卡特的心率和心脏检查 -我收到电子版了 - I have Carter's BMP and cardiac labs. - I received them digitally.
但纸质版还是很有用的 But the hard copies are always appreciated.
-你俩吵架了吗? -没有 - Trouble in paradise? - Everything's fine.
他俩在被动攻击彼此 They're in this passive-aggressive fight.
-我们没吵架 -你都不跟我说话 哪吵得起来 - We're not fighting. - That would require you talking to me.
你们可以选择不说 You don't have to share.
但这里可是有两个离过婚的人 But you do have two divorcees
而且很可悲 我们有丰富的经验 with a sadly ample amount of experience between us.
你们中有人和前任联系了? Was one of you in contact with an ex?
在不告诉你的情况下 接受了其他州的工作? Took an out-of-state job without including you?
在一些重要的事上 杰罗姆骗了我 Jerome lied to me about something important.
-我没骗你 -故意不说就是欺骗 - I didn't. - Omission is still a lie.
-没那么简单 -你早该告诉我的 - Not that simple. - Should've told me.
-我想告诉你的 -但你没有 - I wanted to. - You didn't.
我害怕你的反应 I was afraid of how you'd react.
但你是对的 But you're right.
这从来不该是秘密 没有什么可隐瞒的 It never should have been a secret. There's nothing to hide.
我是艾滋病毒阳性 I'm HIV positive.
多亏了服用药物 多年来我的病毒载量低于检测量 Thanks to my meds, my viral load has been undetectable for years.
我的病毒测不出来 I'm poz undetectable.
我不会传播病毒的 I can't transmit the virus.
你应该去和他谈谈 You should go talk to him.
我还有工作要做 I have work to do.
给家属介绍下大动脉双调转术 Present the double switch surgery to the family.
-如果他们同意 手术我来做 -这就去 - If they agree, I'll scrub in. - On it.
不行 怎么一下从起搏器变成重建心脏了? No. How did we get from a pacemaker to reconstructing his heart?
这个手术可能听起来很吓人 The procedure may sound drastic,
但能降低他患心力衰竭的风险 but it will reduce his risk of developing heart failure.
我们不能先只给他装心脏起搏器吗 Can't we give him the pacemaker
如果将来情况恶化再进行手术? and do the surgery if the problem gets worse?
等他出现心力衰竭的迹象后 再重建就晚了 When he shows signs of heart failure, it'll be too late for the reconstruction.
-我们得现在就治好他 -轮不到你做决定 - We should fix it now. - This isn't your decision.
现在你还在因为我17岁犯的错怪我? You're still making me pay for mistakes I made when I was 17?
-还有18岁、19岁、20岁... -我已经回来两年了 - And eighteen, nineteen, twenty-- - I've been back for two years.
如果你不给我机会 我怎么真正当妈妈呢? How can I be a mother when you won't give me a chance?
- 妈妈? - E妈妈?我不太舒服 Mama? Mama E? I don't feel good.
-没事 宝贝 我在呢 -亲爱的 怎么了? - It's okay, baby. I'm here. - Honey, what's wrong?
-我的胸口痛 -心率40 血压73/45 - My chest hurts. - Heart rate is 40bpm. BP 73/45.
我们得在他病情恶化前尽快做出决定 We need a decision soon before his condition deteriorates.
我想为之前的事情道歉 我太不专业了 I wanted to apologize for earlier. It was unprofessional.
用不着道歉...你其实可以不说的 You have nothing to apologize for... and no duty to disclose.
不可检测等于不会传播 Undetectable equals untransmittable.
我很感激你这么说 I appreciate you saying that.
-给阿舍一点时间 -他是个医生 - Give Asher some time. - He's a doctor.
他知道他没有任何危险 He knows there was never any risk to him.
人们的理智和情感 What people know and how it makes them feel
往往是有很大差别的 are often two very different things.
这么多年 你已经接受自己了 阿舍也需要一个接受的过程 You've had years to process your status. Allow Asher to process it too.
-请不要说“我早说过了” -嘴上不说心里说 - Please do not say "I told you so." - I won't. But I'm gonna think it.
你好像有点被宠坏了 You seem a little spoiled.
你不了解我 You don't know me.
你家有钱 你不用努力工作就能获得一切 You come from money and you haven't had to work hard for anything.
你从医学院毕业了 太棒了 You made it through med school. Bravo to that.
你被踢出了这个医院 You got kicked out of this program,
但获得了一份照顾亿万富翁的工作 but landed on your feet taking care of a billionaire.
然后你厌倦了 大家又张开怀抱欢迎你回来 And when you got tired of that, you were welcomed back here.
你开着你的豪车 带着老想法回到医院 You come in with your fancy car and your old tricks
心想着“我是个外科医生” 但你不是 目前还不是 and think, "Ta-da. I'm a surgeon." But you're not. Yet.
你是新来的 肖恩是老板 我有资历 You're the new kid. Shaun is the boss and I have seniority.
你应该听肯德里克的 谦虚点 You should've listened to Kendrick. Be humble.
我只想向肖恩和大家证明我属于这里 I just want to prove that I belong here... to Shaun, to everyone.
-但你是对的 -我知道 - But you're right. - I know.
图像的分辨率仍然不够高 The image is still not high enough resolution.
你完成重新成像了吗? Have you finished redoing the imaging?
是的 一步一步照着规则来的 但图像还是不清晰 Yes, and I followed all the protocols, but the image still doesn't look clear.
图像很清晰...但雅拉的诊断有误 The image is clear... but Yara's diagnosis was incorrect.
她没得妥瑞症 她有脑瘤 She does not have Tourette's. She has a brain tumor.
我没有妥瑞症? I don't have Tourette's?
对 是因为下丘脑错构瘤 你的抽动不是抽动 No. You have a hypothalamic hamartoma. Your tics aren't tics.
而是由大脑肿瘤引起的癫痫发作 They are gelastic seizures caused by the tumor in your brain.
-瘤?是癌症吗? -这个肿瘤不是癌性的 - Tumor? Does that mean cancer? - The tumor is not cancerous.
伽玛刀放射手术 应该可以阻止它生长 并治好癫痫 But a Gamma Knife radiosurgery should stop it from growing and treat the seizures.
能让我不再癫痫发作吗? Will it stop this?
-短时间内不行 -也可能一直不行 - Not immediately. - And possibly not at all.
如果到时候没效果 还有其他选择 There are other options you can consider if you don't see improvement.
或者也可以现在就考虑其他选择 Or we could consider them now.
切除肿瘤可以让癫痫发作立刻停止 A successful resection could stop the seizures immediately.
-那个手术有风险 -但那样我就可以回学校了 - That procedure is risky. - But that means I can go back to school.
我可以学习开车 可以照顾好自己 I could learn how to drive, take care of myself.
妈妈 拜托 我只是想做个正常人 Mommy, please. I just want to be normal.
切除肿瘤可能导致中风 Tumor resection can cause stroke,
部分瘫痪、学习障碍、脑膜炎 partial paralysis, learning deficits, meningitis.
伽玛刀要安全得多 The Gamma Knife is much safer.
-雅拉 对不起 我不能... -你可以 - Yara, I'm sorry. I can't-- - You can.
你就是不让 You just won't let me.
请安排伽玛刀手术 Please go ahead and schedule the Gamma Knife procedure.
你做出决定了吗? Have you made a decision?
我担心手术会给卡特带来更多创伤 I'm afraid of exposing Carter to more trauma.
-什么创伤? -他被妈妈抛弃过 - What trauma? - He was left by his mother.
我把他托付给你了 I left him with you.
指望我来收拾残局 解决所有问题 And expected me to pick up the pieces, fix everything.
我知道他和你在一起 比和我在一起更安全 I knew he was safer with you than with me.
但我不知道 But I didn't know that.
我给了你太多的自由 没管你 看看发生了什么 I gave you too much freedom, wasn't involved enough. Look what happened.
是我的错 不是你的错 My mistakes were mine, not yours.
我本来应该好好保护你 但我把你弄丢了 I was supposed to protect you. And we lost you.
我必须对卡特更好 I have to do better for Carter.
从长远来看 手术对卡特来说是最好的 The surgery is what's best for Carter, long-term.
那个孩子是我的心肝 That kid is my heart.
我相信你能治好他的心脏病 I'm gonna trust you to fix his.
-午餐时间 我饿了 -我不饿 - Lunchtime. I'm starved. - I am not hungry.
不让怀孕的妻子吃午餐是不好的 It's not good to deprive your pregnant wife her lunch.
我以为和朋友一起工作会很有趣 I thought it'd be fun working with a friend.
一点也不有趣 好难 It is not fun. It is difficult.
我不想让大家觉得 我在给卡鲁医生特殊待遇 I do not want people to think I am giving Dr. Kalu special treatment,
因为我确实没有 because I am not.
其实我很坚持原则 因为他已经犯了好几个错误 In fact, I am being very firm because he has already made several errors
我不明白为什么 and I do not understand why.
他是第一天实习的住院医生 He's a new resident on his first day.
总得给他一点时间学习吧 There has to be a bit of a learning curve.
他表现得不像个新住院医生 He is not acting like a new resident.
好吧 他是你的朋友 他知道你对他期望很高 Well, he's your friend, and he knows you expect a lot of him.
如果不知道规则是什么 那谁又能遵守规则呢 No one can follow the rules if they don't know what they are.
房间隔切除 开始静脉重建 Atrial septum excised. Starting venous reconstruction.
可能没有足够的组织 将血流重新定向至三尖瓣 May not be enough tissue for redirection of flow to the tricuspid valve.
我们可以用心包膜做一个挡板 解剖剪刀 We can use pericardium to create a baffle. Metz.
-你和杰罗姆和好了吗? -他辜负了我的信任 - You make up with Jerome yet? - He betrayed my trust.
固定边缘到房间隔 Securing edge to atrial septum.
-你从来没有对他隐瞒过什么? -我从来没有隐瞒过这样的事情 - You've never hidden anything from him? - I'd never hide something like this.
恭喜你赢得美德竞赛 Congratulations. You win the virtue contest.
可选奖品包括分手 Possible prizes include the end of your relationship.
或者 你去和他谈谈 分开主动脉 Or you could just talk it out. Dividing the aorta.
他是那个改变了一切的人 为什么要我来解决这个问题? He's the one who changed things. Why is it on me to figure that out?
问题是你爱杰罗姆的程度 足以让你和他一起改变吗? The question is, do you love Jerome enough to change with him?
将远端主动脉缝合至肺动脉瓣 Suturing distal aorta to pulmonary valve.
冠状动脉很明显 吻合看起来很棒 Coronary arteries are patent. Anastomosis looks great.
我从来没有见过 像你这么想上学的青少年 I never met a teenager who wanted to go to school as much as you.
我讨厌上学 I hate school.
但我更讨厌 无法掌控我生活中的任何事情 But I hate not being able to control anything in my life even more.
往储物柜扔鸡蛋能让你有掌控感? Egging those lockers made you feel in control?
有点 那些混蛋欺负我 我就还手 Kinda. Those bullies messed with me, I messed with them back.
像正常孩子一样 Like normal kids do.
我在高中时经常被欺负 I was bullied a lot in high school.
我骨瘦如柴 戴牙套 口齿不清 简直是所有人的目标 I was scrawny, with braces, a lisp. Basically a target on my back.
但我妈妈帮了我 给了我她的信用卡 让我用披萨和糖果来收买他们 But my mum helped me. Gave me her credit card to buy them off with pizza and candy.
我妈妈太乐于助人了 My mom is too helpful.
她都不让我自己做花生酱果冻三明治 She won't even let me make my own PB
她觉得我会抽动 然后用刀伤到自己 She thinks I'll tic out and hurt myself with the knife.
我要么被身体支配 要么被她支配 When my body isn't controlling me, she is.
当你说可以把我脑袋里的肿瘤切掉时 When you said you can cut this tumor out of my head, for 30 seconds,
那30秒 我在想像自己只因好笑而笑 I could imagine only laughing when something was funny.
-我想我找到了解决办法 -我也找到了解决办法 - I think I found a solution. - I have found a solution as well.
我列了一张边界和规则清单 以改善我们的工作关系 I have made a list of boundaries and rules to make our working relationship better.
你需要研究下 你找到了什么解决方案? You need to study them. What have you found a solution for?
我想我找到了更好的切除技术 I think I found a better resection technique.
风险较低 更接近伽玛刀的风险 Has a lower risk profile, closer to that of a Gamma Knife.
并为雅拉提供更好的手术结果 And offers a better outcome for Yara.
我向病人提出了最安全的选择 她同意了 I presented the safest option to the patient, which she agreed to.
你不应该在没有咨询我的情况下 提出肿瘤切除术 And you should not have presented the tumor resection without consulting me.
这是一个重要的界限 清单第二条 That is an important boundary. Number two on the list.
我以为像你一样思考会让你高兴 I thought you'd be happy I was thinking like you.
-你不是我 你是来学习的 -我是来帮助像雅拉这样的人的 - You're not me. You're here to learn. - I'm here to help people like Yara.
清单第六条 我是你的主治医生 你要尊重我 You need to respect I'm your attending. Number six on the list.
不是主治医生也知道她很沮丧 Don't have to be an attending to know she's depressed.
不能根据患者的情绪做出医疗决定 We cannot make medical decisions based off of the patient's emotions.
有时情绪和医学一样重要 Sometimes the emotions are just as important as medical.
你让我的工作变得非常困难 You are making my job very hard.
第十条 Number ten,
严格按照我的指示完成工作 at work, follow my instructions precisely.
如果不能遵守 你就要离开医院 If you cannot comply, you will be out of the program.
我真的搞砸了 I really messed up.
我应该相信你 将所有事情都坦诚告诉你 I should have trusted you, been upfront about everything.
是的 你应该这样 Yeah, you should have.
确诊后 我花了很长时间才开始约会 After my diagnosis, it took a long time for me to feel comfortable dating,
才能和别人自然相处 or being around people.
我一个人待了很久 I spent so much time alone.
等终于重新开始社交时 我遭到了很多拒绝 And when I put myself back out there, there was a lot of rejection.
他们觉得我的情况太复杂了 Guys just didn't want to deal with my status.
所以当这位可爱又有才华的医生 突然出现在我的生活中时... So when this adorable, brilliant doctor popped into my life...
我非常喜欢他... and I liked him so much...
我太害怕了 不敢告诉他真相 I was too scared to tell him the truth.
对不起 I'm sorry.
-这个医生听起来人不错 -确实不错 - This doctor sounds pretty great. - He is.
我确保了我们一直使用保护措施 鼓励你一直使用暴露前预防药 I made sure we always used protection, encouraged you to stay on PrEP.
一切都是为了确保你的安全 All to make sure that you were safe.
可是这些都是你替我做的决定 That was a decision that you made for the both of us.
你做那些事是为了让自己更好受 You did those things to make yourself feel better,
你夺走了我的选择权 while you took away my choice.
你怎么能声称自己了解我、爱我 How could you have known me and loved me
却认为这是我无法接受的事情? and think that this is something I couldn't accept?
我第一次不得不做这个决定时 我还没爱上你 也几乎不了解你 When I first had to make this decision, I didn't love you. I barely knew you.
现在我不确定自己到底是否了解你了 And I'm not sure I know you now.
我犯了一个错误 但那不会改变我的本质 I made a mistake. That doesn't change who I am.
是的 但也许它会改变我的感受 No, but maybe it changes how I feel.
我很抱歉让你经历了这一切 I'm sorry that I put you through this,
但患病的人是我 生活并不容易 but I'm still the one living with this disease, and it's not easy.
卡特出事了 我得走了 It's Carter. I have to go.
他醒来后边看漫画边大笑 然后就脸色发青了 He woke up and was laughing about his comic book, then he turned blue.
氧饱和度 80% 心率120 血压下降 Oxygen saturation at 80%.120 bpm. Blood pressure's dropping.
给氧气和推注250立方厘米生理盐水 Administering oxygen and 250cc normal saline bolus.
为什么他无法呼吸? 手术不是为了让这种情况不发生吗 Why can't he breathe? The surgery was supposed to prevent this.
导联阻抗正常 起搏器工作正常 Normal lead impedance. The pacemaker is functioning properly.
是其他原因 得做心脏超声检查 马上 Something else is going on. We need a cardiac echo, stat.
卡特重建的心房出现扭结 导致他的心脏出现了血栓 A kink in Carter's reconstructed atria caused a clot in his heart.
他情况稳定了 但需要另一次手术来移除血块 He's stable. But he needs another operation to remove the clot
并修复导管 and repair the conduit.
还有其他选择吗? Are there other alternatives?
我们可以使用导管 通过药物来溶解血栓 We could use a catheter to dissolve the blockage with medication.
但仍然存在再次形成凝块的风险 But that still leaves the risk of a clot forming again.
-我就知道这个决定是错的 -我们都是为了卡特好 - I knew doing this was the wrong decision. - We both want what's best for Carter.
-但我才是对他负责的人 -对不起 我把责任推给了你 - I'm the one responsible for him. - And I'm sorry I put that on you.
我永远不会原谅自己 错过了卡特成长的那些年 I will never forgive myself for losing out on those years of Carter's life,
但我意识到我需要试着放下这些遗憾 but I've realized that I need to try to let go of that, let go of my regret,
并专注于我能做的事 and focus on what I know.
把他留在你身边 曾是对他最好的决定 That leaving him with you was the best decision for him.
那永远不会改变 That will never change.
而这次手术对他来说也是正确的决定 And this surgery is the right decision for him too.
你是他的妈妈 You're his mother.
你知道什么对卡特是最好的 You know what's best for Carter.
我想让我儿子做手术 I want my son to have the surgery.
-你是对的 -我总是对的 - You were right. - I usually am.
所以我到底说对了什么? What was I right about, exactly?
我上班时太不冷静 I came out of the gate too hot,
惹恼了肖恩 把雅拉的事情搞砸了 annoyed Shaun, screwed things up for Yara.
同意 Agree.
-我得想出下一步该怎么办 -下一步该听着 - I gotta figure out my next move. - Listen.
这个案例你一直在投机取巧、走捷径 This whole case, you've been pitching and shortcutting
并努力成为那个能解决一切的人 and trying to be Mr. Fix-it for everything.
别那么蠢蠢欲动...停下听听别人的 Stop flexing... and listen.
妈 让我试试肿瘤切除手术 拜托了 Mom, let me try the tumor resection surgery. Please.
对不起 不行 I'm sorry. No.
-我们已经为你准备好了 -好了 宝贝 - We're ready for you. - All right, baby.
但首先... 我希望你把跟我说的话告诉你妈妈 But first... I want you to tell your mum what you told me.
关于你在面对什么 手术对你意味着什么 About what you're dealing with, what the surgery means to you.
-这我都知道 我每天都能看到 -你听过她的感受吗? - I know. I see it every day. - Have you listened to how it feels to her?
-她不在乎 -我当然在乎 - She doesn't care. - Of course I do.
你只想控制我 You just want to boss me around.
我只是想帮你 I'm just trying to help,
但无论我做什么 你总生我的气 but no matter what I do, you're always so angry at me.
我生气... I'm angry--
我对一切都很生气 I'm angry at everything.
我对自己的身体很生气 因为它不听我的 I'm angry at my body for not doing what I want it to do.
其他孩子太混蛋了 我很生气 I'm angry at other kids for being jerks.
我生你的气... And I'm angry at you...
是因为你表现得像是 没了你的保护我就活不下去 for acting like the only way for me to survive is where you're protecting me.
我觉得自己是别人手里的提线木偶 I feel like I'm a puppet, and somebody else is constantly pulling the strings,
一直被操纵 yanking me all around.
切除这个肿瘤 是我斩断这些线的唯一办法 Getting this tumor removed is the only way for me to cut the strings.
先别带她去 Don't take her yet.
我们需要谈谈 We need to talk.
我需要你和我一起做丘脑错构瘤手术 I need you to scrub in on a hypothalamic hamartoma surgery.
好的 Okay.
我本来打算用伽玛刀 I had planned to use Gamma Knife radiation,
但是卡鲁医生违反了第二条规则 我们只能做他提出的肿瘤切除手术了 but Dr. Kalu violated rule number two and we have to do his tumor resection.
你对贾里德不满 因为他改变了你的计划? You're upset with Jared 'cause he changed your plan?
他在我、病人 和病人的母亲面前越界了 He overstepped with me and the patient and her mother.
肿瘤切除术似乎是个不错的主意 Tumor resection seems like a pretty good idea.
你打算让贾里德参与手术吗? Are you planning on letting Jared scrub in?
-是的 他负责抽吸 -那是一种侮辱 - Yes. He will be on suction. - That's an insult.
他必须学会遵守规则 他让我的工作变得非常困难 He has to learn to follow rules. He has made my job very difficult.
肖恩 坐下 Shaun, sit down.
你当住院医生时 完全按照自己的方式做事 When you were a resident, you did things completely your own way.
你现在也是这样 你的做事方法总会惹恼每个人 You still do. You rubbed everybody the wrong way.
你让大家的工作都变得更加困难 尤其是我的 You made everybody's job more difficult, especially mine.
你真的很让人讨厌 You were a pain in the ass.
但我们给了你学习的空间 同时也向你学习 But we gave you the space to learn, and we learned from you.
而你则证明了自己的价值 现在 你也得给贾里德同样的机会 And you turned yourself into an asset. Give Jared the same opportunity.
好吧 他越界了 Okay, he overstepped.
给他一个学习和证明自己价值的机会 Give him a chance to learn and to prove himself to be an asset.
即使你认为他是个讨厌鬼 Even if you think he's a pain in the ass.
-我会考虑的 -好的 - I will take it into consideration. - Okay.
请准备好做那场手术 Please scrub in for that surgery.
将导管和内窥镜轻轻推进脑室 Advance the catheter and endoscope gently into the ventricle.
抽吸和冲洗力度大一点 这样她才能看清自己在做什么 Suction and irrigate more aggressively so she can see what she is doing.
沿着第三脑室的中线后方底面前进 Proceed along the midline posteroinferior floor of the third ventricle.
-肿瘤在这 可以开始切除了 -双极剪刀 - There's the tumor. We can begin excision. - Bipolar scissors.
钳子 Forceps.
-我把标本拿去病理科 -不行 - I'll take the specimen to pathology. - No.
你要关颅 You are going to close.
你确定? You sure?
这是你提出的手术计划 This was your surgical plan.
如果能获得证明自己价值的公平机会 你将成为更好的外科医生 You will become a better surgeon by getting a fair shot to be an asset.
我去送标本 格拉斯曼医生负责指导 I will take the specimen. Dr. Glassman will supervise.
我饿了 I'm hungry.
这是一个很好的迹象 That's a very good sign.
我去咖啡店给他买吃的 有忌口吗? I'll run to the cafe and grab him some food. Any restrictions?
他想吃多少鸡块就可以吃多少 He can have as many chicken nuggets as he wants.
我去 我会给你也买点吃的回来 I'll go down. I'll get something for you to eat too.
从我们到医院起 你就没有离开过他的身边 You haven't left his side since we got here.
-你是个好妈妈 -我有一位很棒的老师 - Comes with being a good mom. - I had a great teacher.
知道吗 一只小鸟告诉我 You know, a little birdie told me
礼品店刚进了最新的《神奇女侠》 that the giftshop just got in the latest volume of Wonder Woman.
-真的吗?我们能买吗? -如果你妈妈同意的话 - Really? Can we get it? - If your mom is okay with it.
-当然可以 -但还不能旋转 好吗? - Of course. - But no twirling just yet. Okay?
墨菲医生切除了所有肿瘤 Dr. Murphy was able to remove all of the tumor.
-雅拉? -卡鲁医生? - Yara? - Dr. Kalu?
记忆完好无损 Memory is intact.
光没引起癫痫发作 你的抽搐消失了 The light didn't provoke a seizure. And your tics are gone.
-谢谢你 卡鲁医生 -谢谢你 雅拉 - Thank you, Dr. Kalu. - Thank you, Yara.
安德鲁斯医生 Dr. Andrews.
听说了你在菲尔斯案例的表现 很好 Heard about your work on the Fields case. Good job.
谢谢你 我只是来请你帮个忙 Thank you. I just came in to ask you for a favor.
-请不要根据我的表现评价肖恩 -你能回来 肖恩是部分原因 - Please judge me for my work, not Shaun. - Shaun is part of the reason you're here.
为此我很感激他 但我想自力更生 I appreciate him for that. But I want to stand on my own.
如果我失败了 我不想牵连朋友 If I sink, I don't want to take my friend with me.
我已经准备好 证明自己对这家医院的价值 I'm ready to prove myself as an asset to this hospital.
-拭目以待 -谢谢 - I'll be watching. - Thank you.
我是个混蛋 抱歉 I'm sorry for being such a jerk.
你把自己向我敞开 我却拒绝沟通 You opened yourself up and I shut down.
我应该相信你的 我们可以一起解决这个问题 I should've trusted you, that we could figure this out together.
昨天你刚说不了解我 Yesterday you said you didn't know me.
那个可爱的医生有时可能是个混蛋 That adorable doctor can be an ass sometimes.
在你之前我从未谈过恋爱 I've never been in love before you.
我16岁时 我很确定自己 撞到了一只浣熊 When I was 16, I'm pretty sure I ran over a raccoon,
但我没有停下来看 因为棒球比赛要迟到了 but I didn't stop to check because I was running late to a baseball game.
而且... Also...
我喜欢南瓜拿铁 尽管我知道它只是基础款 I love a pumpkin spice latte, even though I know it's basic.
我在肖恩和丽婚礼上戴的袖扣... The cufflinks I wore to Shaun and Lea's wedding--
怎么了 Yeah.
本来是给你买的 但我太喜欢了 就自己留下了 I bought them for you but liked them so much I kept them for me.
难怪呢 That explains so much.
你想用的话我会借给你的 还是算了吧 But you can totally borrow them sometime. Probably not.
我爱你 I love you.
我需要你相信这一点 I need you to believe that.
只是来道晚安 谢谢你 Just came to say good night. And thank you.
你为什么要感谢我? Why are you thanking me?
感谢你对我要求严格 期待特权是我不对 For not going easy on me. I was wrong to expect that.
即使我们是朋友 Even if we are friends.
你是个好医生 You are a good doctor.
我想继续做你的朋友和你的老板... And I would like to continue to be your friend and your boss...
但要有边界 with boundaries.
你说得对 我正在研究你的清单 You're right. And I'm studying your list.
有一项规则不在列表中 There is one rule that is not on the list.
这是针对我的规则 It is a rule for me.
在工作的时候 I will refer to you... as Dr. Kalu
我喊你卡鲁医生 但朋友模式下 我喊你贾里德 when I am being your boss and as Jared when we are in friend mode.
-没问题 肖恩 -很好 - Yeah. Works for me, Shaun. - Good.
贾里德 我想带你出去喝酒 庆祝你回来 Jared, I would like to take you out for drinks to celebrate you being back.
但是 卡鲁医生 我在术后检查雅拉时 But, Dr. Kalu, when I checked on Yara post-operatively,
发现你只缝了八针 而且她还有一点出血 I noticed you only used eight sutures and she had a small bleed.
你应该缝十针的 你需要继续练习你的缝合技术 You should have used ten. You need to go work on your suturing technique.
乐意至极 Happy to practice.
但我只更换了小骨瓣 格拉斯曼医生关闭了帽状腱膜和缝合 But I only replaced the small bone flap. Dr. Glassman closed the galea and skin.
格拉斯曼医生少缝了两针? Dr. Glassman skipped two sutures?
应该是的 Guess so.
-一小时后一起喝酒? -好的 - Meet you for drinks in an hour? - Okay.
字幕翻译:魏思颖