前情提要 Previously on The Good Doctor…
我一直在想 我们不能继续这样一起喝咖啡了 I've been thinking, and I need a break from our coffees.
如果你不重视护士的工作 If you don't value what the nurses do,
那你能有多在乎我？ how much can you care about me?
这是我的病人 This is my patient.
我是你的老板 And I'm your boss.
要么按我说的做 You can either do this with me
要不我就换个听话的 or I'll find someone who will.
如果你不信任我 If you don't trust me,
那就开除我吧 fire me.
如果你信任我 And if you do,
就别干涉我 then stay out of my way.
你要挑选胚胎吗？ You trying to pick your embryo?
我想要个女儿 I'm leaning towards a girl.
我有本剧本可以参考 I have a playbook to work from.
我没有过量用药是因为你 因为我们 I didn't OD because of you. Or us.
乔丹 如果继续和你走这么近 Jordan, if I let myself get close to you,
我会爱上你 I will fall for you.
我不能冒险 I can't risk that.
你值得有人为你投入所有 You deserve somebody who's ready to fully commit,
值得一个让你快乐的人 somebody who makes you happy.
你的脑癌可能已经复发 Your brain cancer may have returned.
-婴儿床需要组装 -去吧 -The crib needs to be assembled. -Go.
这里我来就行 I got this.
少了两颗螺丝 There are two screws missing.
格拉斯曼医生脑癌没有复发 Doctor Glassman doesn't have brain cancer,
他的脑子出别的问题了 but there is something wrong with his brain.
丽忘了加蓝莓 Lea forgot to add the blueberries,
但可以把它们加在最上面 but we can still put them on top.
对不起 Sorry.
没关系 Not a problem.
放下面、上面、侧面 哪都行 Underneath, on top, on the side.
这里能吃 那里能吃 哪都能吃 I can eat them here, I can eat them there, I can eat them anywhere.
看来你们没看过苏斯博士的作品 Not Dr. Seuss fans.
我们需要讨论一些非常重要的事情 We need to discuss something very important.
吃完后再说 After we eat.
别担心 我很好 宝宝也没事 Don't worry, I'm fine. The baby's fine.
肖恩只是想讨论些小事 Shaun just wanted to have a bit of a discussion.
你装婴儿床时漏了两个螺丝 You forgot two screws when you built the crib.
然后呢？ Okay?
好了 肖恩 慢慢说 至少让大家先坐下 Okay. Shaun, slow down. Let's at least take a seat first.
我们要讨论婴儿床？ We're gonna have discussion about a crib?
你的脑脊液脱氧核糖核酸检测 显示你的脑癌没有复发 Your CSF DNA test showed your brain cancer has not returned,
但显然有东西在影响你的神经功能 but there is clearly something impacting your neurological function.
肖恩 Shaun.
婴儿床有差不多一百个不同的部件 The crib has like a 100 different parts
没有任何文字说明 and instructions without any words,
只有全是各种箭头的图片 just pictures with arrows going in all directions.
还好我帮你修正了错误 Thankfully, I was there to correct your mistake,
但我不可能每场手术都这样帮你 but that won't always be possible in the OR.
手术？ The OR?
是的 Yes.
我想给你做更多检查 I would like to do more tests.
不要 That's not gonna happen.
而且应该告知利姆医生 Dr. Lim should be notified.
绝对不行 That's absolutely not going to happen.
如果你的执行功能下降 If your executive function is down
-即使是一小部分… -肖恩… -even a small percentage… -Shaun…
停 你先听我说 Ten secconds, just stop for a second.
就因为两个螺丝？ Two screws?
我的脑子没有问题 There's nothing wrong with my brain.
我身体的任何部位都没有问题 There's nothing wrong with any part of my body.
我身体如何也跟你没关系 Not that that concerns you.
为这事去找利姆 你不觉得可笑吗？ You go to Lim and you're gonna look ridiculous.
-格拉斯… -讨论到此结束 -Doctor-- -That's the end of the discussion.
我不吃了 And breakfast.
他说得没错 He's right.
没事 你只是想… It's okay. You are just trying--
没有确凿的医学证据 我不能去找利姆医生 I can't go to Dr. Lim without conclusive medical evidence,
或者 也许他是对的 Or, maybe he was right.
这只是个婴儿床 他很着急 It is just a crib. And he was in a rush.
谁都会忘记一些事 我就忘了放蓝莓 Everyone forgets things. I forgot the blueberries.
我不用给他做检测 Instead of tests,
我可以通过直接观察来收集数据 I can gather data through direct observation.
那是什么意思？你要监视他吗？ What does that mean? Are you going to spy on him?
请把我的煎饼放进冰箱里 我晚餐时再吃 Please put my pancakes in the fridge. I will eat them for dinner.
早上好 Good morning.
介意我加入你们吗？ Mind if I join you?
当然介意 Sure.
手术情况如何？ How are things in surgical?
挺好的 Great.
挺好的？是真的好 还是为了应付院长 Great? As in actually great, or great as in I'm saying the right thing
刻意说挺好？ because he's the hospital president?
两者皆有 Both.
有任何想反馈的 都可以随时来找我 Any feedback you have, you can always come to me.
抱歉打扰了 我有个门诊病人 Sorry to interrupt. I have a clinic patient
需要外科会诊 who needs a surgical consult.
是你以前的病人埃迪里克特 It's a former patient of yours, Eddie Richter.
埃迪？ Eddie?
我已经很多年没见过他了 I haven't seen him in years.
他因胃肠道疼痛和胃酸反流而来 He came in with GI pain and acid reflux.
超声波显示 他的十二指肠上有一个小肿块 Ultrasound reveals a small mass on his duodenum.
需要手术才能将其移除 He'll need surgery to remove it.
我想我可以安排时间 跟我一起吧 I think I can fit that in. Join me.
利姆医生安排了 我们今天跟着帕克医生 Dr. Lim scheduled us with Dr. Park today.
帕克和利姆医生会理解的 这是个独一无二的案例 Doctors Park and Lim will understand. This is a unique case.
十二指肠小肿块？ A small duodenal mass?
我也不明白 I don't know.
埃迪 Eddie.
好久不见 Long time no see.
我倒希望更久不见 没有冒犯你的意思 I wish it were longer. No offense.
没想到今天会是外科医生来给我看病 I wasn't planning on seeing a surgeon today.
能理解 Yeah, fair enough.
我带了艾伦和沃尔克医生来协助我 I brought along with me doctors, Allen and Wolke, to assist.
-你好 -很高兴认识你 -Hi. -Nice to meet you.
虽然他们努力掩饰了 Judging by the astonishment
但从他俩震惊的表情来看 你没有告诉他们我的具体情况 both are trying hard to hide, you didn't tell them about me.
确实没有 I did not.
住院医生很少有机会 能看到疣状表皮发育不良 Very few residents get to see Epidermodysplasia Verruciformis
一般只能在书上看到 所以我认为这会是 outside of a textbook, and I figured this would be
一个很好的学习机会 a good learning opportunity.
但他们对待病人的态度这部分要扣分 Definitely failed the bedside manner part.
-对不起 -没事 -I'm sorry. -Yeah.
布拉德皮特和我这样的万人迷习惯了 Heartthrobs like me and Brad Pitt are used to it.
这里有没有内部的疼痛或压痛？ Any deep pain or tenderness here?
有一点 A little.
你生意怎么样？ How's business?
好得很 感谢上帝 Fantastic. Thank the Lord.
埃迪是位了不起的木匠 他给我和伊丽莎白打造了一张 Eddie is an amazing carpenter. He built Isabel and I this
令人惊叹的桃花芯木活边餐桌 stunning mahogany live edge dining table.
我不知道那是什么 但听起来很厉害 I have no idea what that is, but it sounds delightful.
弹吉他不太行 但我还是可以用电动工具的 And not much good for guitar. But I can still wield a power tool.
用颈动脉脉搏监测仪 用大腿上部测量血压 Use a carotid pulse monitor and upper thigh for BP.
好的 Got it.
疣体痛吗？ How painful are the growths?
这得看情况 I mean, that depends.
其实只是巨大的疣 脸上不太痛 手上有点痛 Basically, just huge warts, so face not much, hands a little.
脚上非常痛 Feet a lot.
我很幸运了 I'm blessed.
上帝知道 漂亮的脸蛋 只会给手艺人带来麻烦 Lord knows that a pretty face can only get a handyman in trouble.
雷兹尼克医生 用超声给我们提供了非常好的视野 Dr. Resnick gave us a really good view with her ultrasound,
但我想用核磁共振和活检 来更好地评估病变 but I'd like an M.R.I and a biopsy to better assess the lesion.
得让我的钱花得值啊 Might as well get my money's worth.
很高兴见到你 埃迪 It's good seeing you, Eddie.
队医太保守了 不过是个曲线球 The team doc's playing it safe. It was a damn curveball.
即使是AA级比赛中的曲线球 时速也能达到130甚至140公里 You know, even a damn double A curveball comes in at what, 80, 85?
都会造成一些伤害 不管戴了头盔没有 Could still do some damage, helmet or no.
脑震荡观察持续两周时间并不长 Two weeks isn't long to be in concussion protocol.
但我没有脑震荡 Okay, well, I didn't have a concussion.
我甚至几乎没有头疼 所以… I barely even had a headache. So…
墨菲医生 有什么需要帮忙的吗？ Can I help you Dr. Murphy?
我是来围观的 请继续 I came to observe. Please continue.
你的撞击评分比基线低一点 Your impact scores are a bit worse than baseline.
好吧 这只是一项检查 所有其它检查我都没问题 Okay, that's one test. I mean, I passed all the others,
但队医就是不肯给我放行 but the Doc still won't clear me.
谨慎行事并不是件坏事 Not a bad idea to play safe, though.
我们讨论的毕竟是你的大脑 It's your brain we're talking about.
你是个外场球员 虽然现在你用不上脑子 但是… You're an outfielder, so you don't need one now, but…
你总有一天要退休的 you are going to retire someday.
如果我不尽快回到赛场 我连工作都没了 还谈什么退休 If I don't get back on the field ASAP, I won't have a career to retire from.
否则我就不会 来看镇上最好的脑科医生了 I wouldn't have come to the best brain doc in town otherwise.
好吧 我们来看看 All right, we'll take a look.
做个神经测试 再做个核磁共振 Do a neuro and get me an M.R.I.
脑震荡做核磁共振？ M.R.I for a concussion?
是的 他的左瞳孔有些扩散 Well, he's got some dilation of his left pupil.
可能不是什么大事 Probably not significant.
但如果我们要推翻队医的诊断 But if we're gonna override the team doctor,
最好还是确定一下 you better be sure.
-这就去 -核磁共振是个好主意 -On it. -The M.R.I is a good idea.
我没都注意到瞳孔放大 I did not notice the dilated pupil.
谢谢 很正常 因为这不是你的案例 Thank you. Not a problem, since it's not your case.
但这是一个有趣的案例 But it's an interesting case,
虽然我来这里的时候并不知道 though I didn't know that when I came here.
既然我清空了日程表 我想继续观察… Since I cleared my schedule, I'd like to continue observing--
你把真正有疾病的患者都推掉了？ Schedule of people with actual ailments?
行吧 想怎么观察都行 Okay, fine. Observe all you want.
我会的 I will.
同时观察你和案例 Both you and the case.
你的腹股沟没有出血或血肿 There's no bleeding or hematoma in your groin,
这说明你很棒 which means you're doing fantastic.
她的气色变好了 Her color looks better.
一切都变好了 Everything looks better.
我刚和负责伊登的社工通了电话 I just got off the phone with Eden's Social worker.
没有人愿意寄养 She's having trouble finding foster parents
一个患有特纳综合症的孩子 willing to take a baby with Turner syndrome.
养她又不难 It's not difficult.
她的慢性症状可能没有那么严重 Her chronic symptoms may not be that severe.
尽管如此 伊登还是需要特别照顾的 Still, Eden will always need special care.
利多卡因需要一分钟才能生效 It'll take a minute for the lidocaine to take effect.
当示波器进入喉咙时 你可能会感到有些不适 You may feel some discomfort when the scope goes down your throat.
知道了 Got it.
你应该已经与安德鲁斯医生讨论过 通过手术切除疣体的事了吧 I assume you've discussed surgical removal of your growths with Dr. Andrews.
是的 他想试试 Yeah, no, he wanted to try it.
但存在神经损伤的风险 But there's the risk of nerve damage.
再说了 切了它们也会长出来的 Plus, they would just grow back.
我长成这样是天意 This is how I was meant to be.
上帝的旨意捉摸不透啊 Lord works in mysterious ways.
但外科医生不一样 But surgeons don't.
神经损伤的风险其实很小 The risk of nerve damage is actually quite small
而且 手术后你生活会更轻松 不会痛 and, I imagine, easier to live with than the pain
-不会不能出门 不会… -令人反感 -and lack of mobility and… -Repulsiveness.
不 我… No, no, I--
没关系 It's all right.
我知道自己长什么样 I know how I look.
我见多了受惊的孩子 嘲笑我的人 和盯着我看的人 I see the frightened kids, people laughing, staring.
我只能尽力睁开眼 张开双臂 接受上天赐予我的一切礼物 I just try my best to keep my eyes and arms open to all of God's gifts.
无法想象脑袋 被时速130公里的棒球击中 Cannot imagine taking an 80-mile-an-hour baseball to the dome.
有大满贯赛选手 投出过时速超160公里的球 Some guys in the majors throw over a 100.
我没有看到任何血肿或水肿的迹象 I don't see any edema or evidence of a hematoma.
我也没看到 瞳孔大小不等可能没问题 Neither do I. The anisocoria's probably harmless.
实际上 20%的人一个瞳孔比另一个大 20% of people actually have one pupil larger than the other.
你做运动吗？ You play any sports?
我在高中时踢过足球、打过棒球 I played football and baseball in high school.
问这干什么？ Why?
我有一个朋友 为高危青少年做了个体育项目 I have a friend who runs a sports program for at-risk teens.
我一直在帮着她指导室内足球 I've been helping coaching some indoor football… Soccer.
她一直在寻求榜样的帮助 She's always looking for help from positive role models.
我以前从来没有教过孩子 Hey, I've never coached kids before.
只用确保他们玩得开心并远离街头 Just making sure they have fun and stay off the streets.
我那朋友超级酷 My friend's super cool.
她也很可爱 She's cute, too.
帮助孩子听起来不错 但是… Well, helping kids sounds great, but…
我想先缓一年 再开始约会 I'm trying to get a year of recovery before I start dating.
妈呀 我错了 Damn, my bad.
没什么大不了的 我只是… It's no big deal. I just--
我说的是瞳孔不等 I mean the anisocoria.
这个绝对不是无害的 Definitely not harmless.
也不是脑震荡 Or a concussion.
你有多个脑动脉瘤 You have multiple cerebral aneurysms,
会让你有脑出血的危险 which puts you in danger of a brain hemorrhage.
所以现在怎么办？ So what now?
我们要绘制出涉及的具体血管 We're going to map the precise vessels involved,
拍一些你大脑内部的照片 take some pictures of the inside of your brain.
这个过程叫… It's called a…
脑血管造影 Cerebral angiogram.
我们将通过你手腕上的动脉 将一根导管送入大脑 We'll feed a catheter into brain through an artery in your wrist.
你会被麻醉 是无伤害的 You'll be sedated. It's harmless.
一旦得到结果 我们就会制定一个手术计划 As soon as we get the results, we'll map out a surgical plan.
脑部手术？ Brain surgery?
你都说了我是镇上 最好的脑科医生 对吧？ Hey, best brain, doc in town, right?
情况越来越糟 Just keeps getting worse.
肿瘤严重损坏了胆管 The tumor's significantly damaged the bile duct.
需要做个切除手术 可能还需要做消化道重建的大手术 He's gonna need a surgical resection or possibly a major GI reconstruction.
可怜的家伙 得了一种罕见的 毁灭性疾病还不够吗？ The poor guy, as if one rare devastating disease wasn't enough.
手术是可行的 我认识埃迪很多年了 The surgery is manageable. I've known Eddie for years.
他完美体现了何为 杀不死你的苦难会让你更强 He's the embodiment of what doesn't kill you, makes you stronger.
但躺在上帝慈爱的怀抱中时 谁还需要力量呢？ But who needs strength when you're cradled in the Lord's loving arms?
鉴于这种情况 你不认为他的 Given the situation, don't you think his
“我只想感谢上帝”的态度很疯狂？ "I'm just thankful to God" attitude is crazy?
我认为他从信仰中汲取力量 非常鼓舞人心 I find the strength he draws from his faith very inspiring.
但信仰却让他 不去做真正能帮到他的事… But faith has inspired him to not do something that'd actually help--
做个奥曲肽显像来确认 Get an octreoscan to confirm
他的肝脏、胰腺 和淋巴结没有受到影响 that his liver, pancreas and lymph nodes aren't involved.
这就去 On it.
你或许应该去… You should probably go and--
监督？ Referee?
协助 Assist.
放射性标记的示踪剂 会照亮所有被肿瘤浸润的区域 The radiolabeled tracer will light up any areas infiltrated by the tumor.
我会获得蜘蛛侠的力量吗？ Will I get Spidey strength too?
我可以让你平躺下来进行扫描吗？ Can I get you flat on your back for the scan?
这样不会太痛吧？ That won't be too painful?
当然 没事的 Sure, I'll be all right.
你有想联系的家人吗？ Any family you'd like to contact?
没有 就我自己 No, it's just me.
我一个人住 I live alone.
有个问题介意我问一下吗？ If you don't mind my asking,
疣状表皮增生症是遗传病 E.V. is genetically inherited?
你父母中的一方肯定有吧？ It must have affected at least one of your parents.
是的 他俩都有 Yeah, they both did.
他们也反对手术治疗？ Did they both also decide against surgical treatment?
我的父母是马戏团演员 靠脸吃饭 My parents were circus performers, made a living off their appearance,
所以 我觉得他们没想过要治 so, I doubt they wanted treatment.
但我不确定 我刚出生就被他们抛弃了 But I can't say for sure, they gave me up right after I was born.
我觉得他们是想保护你 不让你过他们那种生活 I'm sure they were trying to protect you from the life they had.
不是 据我所知 他们觉得全家都这样 No. From what I found out, they thought a family act
会太可悲 会毁掉演出 所以他们不想把我养在身边 would be too sad and ruin the gigs. So they didn't want me around.
太糟了 That's horrible.
一点也不 Not at all.
我在寄养家庭长大 其中一个妈妈是牧师 I grew up in foster homes. I had one mom who was a minister,
向我介绍了上帝的力量 introduced me to the power of the Lord.
然后等我长大点后 我遇到一个木匠爸爸 And then when I was older, I had a dad who was a carpenter.
教会了我赖以生存的手艺 Taught me everything I know.
我一直很幸运 I've always been blessed.
推进导管以评估后循环 Advancing the catheter to assess posterior circulation.
墨菲医生 你介意我问一下吗？ Dr. Murphy, do you mind if I ask?
你为什么要观察我们？ Why are you observing us?
我不介意你问 I don't mind.
那你为什么要观察我们？ Why are you observing us?
我不是在观察你们 I am not observing you.
我正在观察这个案例 因为它很有趣 I am observing this case because it is interesting.
也因为这是格拉斯曼医生的案例 他可能会在过程中表现出更多症状 Also because it is Dr. Glassman's and he may show more symptoms
这将有助于诊断他恶化的执行功能 that'll help diagnose his deteriorating executive function.
所以你担心 是因为他例行收尾时忘记缝了一两针 You're worried because he forgot a few stitches on a routine close.
停下 Stop.
第三个动脉瘤位于基底干低位 The third aneurysm is low lying at the basilar trunk.
这将很难夹闭 That will be very difficult to clip.
而且很危险 And dangerous.
绝对是一个非常有趣的案例 Definitely a very interesting case.
安静呀 小宝贝 什么也别说 Hush little baby, don't say a word
妈妈会给你买一只反舌鸟 Mama's gonna buy you a mockingbird
你确定你该这样做吗？ You sure you should be doing that?
换绷带还是唱歌？ Changing bandages or singing?
两个都是 Both.
她很快就要出院了 She's gonna be leaving soon.
我会没事的 I'll be fine.
不是 我没有反应过度 No, I'm not overreacting.
他身上长满了树瘤状赘生物 但拒绝接受手术 He's covered in these tree-like growths, but refuses surgery.
其他人却都表现得 像他很鼓舞人心一样 But everyone acts like he's so inspiring.
这是一个勇敢的选择 It's a brave choice.
不 这是一个愚蠢的选择 No, it's a stupid choice.
他要孤独生活 忍受不必要的痛苦 全都因为他坚信自己 Living in isolation and unnecessary pain, all because of his belief
在经历宗教神奇的神秘之旅 in the magical mystery tour that is religion.
鉴于你的家族史 我明白为什么这个病人会触动你 Given your family history, I see why this patient is triggering you.
我没有被触动 I'm not triggered.
这与我的家人无关 This has nothing to do with my family.
宗教是大众的鸦片 Religion is the opiate of the masses.
马克思很多观点都错了 但关于这点他是对的 Marx got a lot wrong, but not that one.
我们可以谈谈别的吗？ Can we talk about something else?
看看恐怖主义 Look at terrorism.
无数的战争、三K党、基地组织 The countless wars, the KKK, Al-Qaeda,
被炸毁的堕胎诊所 对女性权利的侵犯 bombed abortion clinics, the assault on women's rights,
更不用说对LGBT群体的猖獗迫害 not to mention the rampant persecution of the LGBT community.
你要么就把头埋在沙子里 You either have to have your head in the sand
要么就当个看不清现实的白痴 or be a complete moron not to see that.
这个做好了 你能拿下沙拉吗？ This is done. Can you grab the salad?
抱歉 我正在找冥想的地方 Sorry, I was looking for a place to meditate.
没关系 It's okay.
我是想在回家之前来这里减减压 I came here to decompress before I head home.
乔丹 Jordan.
那天晚上 在卡拉OK 我不应该试图 The other night, at karaoke, I shouldn't have tried
给你关于情感的建议 to give you relationship advice.
我的意思是 你不需要我那样做 I mean, you don't need me for that.
也不需要我做任何事 Or anything else really.
你很完美 You're everything.
谢谢 Thanks.
对不起 我得走了 Sorry, I gotta go.
他开始吐血 然后失去了知觉 He started vomiting blood and then lost consciousness.
拿两组红细胞 预备两组 置入鼻胃管 Get two units PRBC, stay two ahead and place an NG tube.
埃迪 能听到吗 埃迪？ Eddie, can you hear me, Eddie?
肿瘤导致十二指肠溃疡 和上消化道出血 The tumor's caused duodenal ulcer and hemorrhaging in his upper GI tract.
如果不能止血 我们就不能切除 We can't excise if we can't stop the bleed.
我们可以分两步完成 We could do it in two steps.
用内镜止血 用十二指肠切除术切除肿瘤 Endoscopy to stop bleeding, duodenectomy to remove the tumor.
但是先做内窥镜再切除肿瘤 But it'd be safer to debulk the tumor after the scope
然后跟进化疗 这样会更安全 and follow up with chemotherapy.
化疗会加速疣体的增长 Chemo would speed up the EV growths.
反正他无所谓 Doesn't bother him.
可我们也不能主动恶化情况 We shouldn't make it worse.
总比在手术室流血而亡好 Better than bleeding out in the OR.
他不会流血而亡的 He's not going to bleed out.
我们既能解决胃肠道出血 又能完全切除肿瘤 We can solve both the GI bleed and totally excise the tumor
用胰、十二指肠切除术 with pancreaticoduodenectomy.
在病人出血的时候做惠普尔手术？ A Whipple while the patient is hemorrhaging?
这更危险 还不如边做内镜边… That's even more risky than combining the scope and--
我知道 I'm aware of that.
但我和你们的部门主管不一样 But unlike your department chief,
我不在乎住院医生是否赞同我的决定 I'm not interested in whether residents approve my decisions.
给他做好术前准备 Get him prepped.
将从左侧开颅 夹闭所有三个动脉瘤 Will approach all three aneurysms from a left sided craniotomy.
即使颈内动脉瘤在右侧？ Even though the ICA aneurysm is on the right side?
是的 Yes.
我们先处理基底动脉 因为那是最具挑战性的 We'll go after the basilar first, as that is the most challenging.
同侧后交通动脉呢？ What about the ipsilateral PCOM?
它压迫着第三条神经 可能会破裂… It's pressing the third nerve and may rupture--
你能让我说完吗？ If you let me finish.
第二步就是处理后交通动脉 Step two will be the PCOM,
在那之后 and after that,
我们将穿过内部 处理颈内动脉 we will cut across the infield and go after the ICA.
你有没有考虑过… Have you considered--
肖恩 能别说了吗？你能别这样吗？ Shaun, will you stop? Will you just please stop?
我很好 我知道我在做什么 我的记忆完好无损 I'm fine. I know what I'm doing. My memory is intact.
是否有人对手术计划有反对意见？ Does anyone have an actual objection to the surgical plan?
-没有 -没有 -Nope. -No.
谢谢 Thank you.
创口太大 It is extensive.
并且可能会让瑞奇 面临未来癫痫发作的风险 And could put Ricky at risk for future seizures,
你的咆哮则表明你可能缺乏冲动控制 and your rant could indicate a lack of impulse control,
这是执行功能障碍的症状 which is a symptom of executive dysfunction.
在我们说话时 我已经表现出了非凡的冲动控制能力 I am exhibiting extraordinary impulse control as we speak.
至于风险 As to the risks,
我夹闭过两千多个动脉瘤 I have clipped over 2000 aneurysms.
明天早上 我要再夹闭三个 Tomorrow morning, I'm going to clip 3 more.
把瑞奇手术时间安排好 Put Ricky on the schedule.
回家吧 好好睡一觉 Go home, get some sleep.
不是牛奶和饼干 但你现在只能将就下了 It's not milk and cookies, but it'll have to do for now.
抱歉 本来应该是我来照顾她的 Sorry. I was gonna take care of that.
为什么？ Why?
帕克让你来的吗？ Did Park tell you to?
帕克医生？不是 我刚休息完… Dr. Park? No, I just got off my break and--
好消息 Great news.
我刚刚和她的社工通了电话 I just got off the phone with her social worker.
给她找到了寄养家庭 She found a foster family.
幸运的姑娘 你有家了 Lucky girl. You've got a home.
我知道你晚餐想吃煎饼 I know you were hoping for a pancake dinner,
但我在想 也许 but I was thinking maybe
我们可以去巴洛尼餐厅 我真的很想吃肉丸子 we could go to Barone's instead. I'm really craving a meatball.
嗯 格拉斯曼医生不仅经验丰富 Yes, Dr. Glassman is not only highly experienced,
他的智力也高于平均水平 he has above average intelligence.
我不知道 但他是奥克兰运动家队的粉丝 I don't know. He is an A's fan.
我没有注意到任何 严重到需要提醒利姆医生的症状 I have not noticed any symptoms significant enough to alert Dr. Lim.
但即使执行功能下降 But even with a declining executive function,
也可能不会表现出严重的缺陷 you might not show serious deficits.
我认为我们应该 边吃炒洋蓟边讨论这个问题 I think we should discuss it further over sauteed artichokes.
我不饿 I'm not hungry,
但我会一边工作一边陪你 but I'll come and keep you company while I continue to work.
如果格拉斯还能做脑部手术 而且你也没有发现任何严重的缺陷… If Glassy can still do brain surgery and you haven't seen any serious deficit…
他的脑子肯定有问题 There is definitely something wrong with his brain.
他老了 每个人都会遇到这种情况 He's getting older. It happens to everyone.
这不仅是因为衰老 我了解格拉斯曼医生 This is not just aging. I know Dr. Glassman.
你认为格拉斯曼 会给他的病人造成危险吗？ Do you think Glassman is a danger to his patients?
不会 No.
目前不会 Not yet.
那我们先去巴洛尼餐厅 吃肉丸和鸡翅吧 Then let's go to Barone's and eat some meatballs and chicken wings
在消化不良之前 我要享受几个小时的快乐 that I will enjoy for a few glorious hours until the indigestion kicks in.
你说得对 You are right.
肉丸 这就去 Meatball, stat.
这是最后一次吻合 取下止血钳 That's the last anastomosis. Remove the clamp.
看上去缝线很成功 Looks like the sutures are holding.
真不敢相信 我们在六小时内完成了惠普尔手术 I can't believe we did a Whipple in under 6 hours.
创造记录了 It's gonna be a record.
更重要的是 肿瘤没了 出血性溃疡也没了 More importantly, no more tumor, no more bleeding ulcer.
比我预期的还要好 Went even better than I hoped.
他的信仰得到了回报 Gotta give the Good Lord his due.
埃迪真的很幸运 Eddie is truly blessed.
在胃部用4-0线多缝几针 再加两根外科导管 Need a few more 4-0 prolenes on a Castro and two surgical drains.
嗨 你准备好今晚的装备了吗？ Hey. You got your gear for tonight?
准备好了 Yep.
找出了旧足球钉鞋 Dug out the old football cleats.
太棒了 Awesome.
萨米拉真的很期待见到你 Samira's really looking forward to meeting you.
不用担心 我尊重你想缓一缓 我不是要陷害你 Don't worry. I respect your recovery, not trying to set you up.
谢谢 Thank you.
乔丹还告诉我 如果我敢做任何事 来引诱你偏离正道 她就会杀了我 Jordan also told me she'd kill me if I did anything to tempt you off your path.
你和艾伦医生说起了我？ You and Dr. Allen were talking about me?
对 她只是想让我知道你在面对什么 Yeah, she's just making sure I knew what you were dealing with.
她真的很关心你 She's definitely looking out for you.
我的头要疼炸了 My head. It's gonna explode.
他有雷击样头痛和复视 He has a thunderclap headache and double vision.
他的左眼皮下垂了 His left eyelid's drooping.
看起来像第三神经麻痹 Looks like third nerve palsy.
左瞳孔对光没有反应 Left pupil not reacting to light.
一定是颈内动脉瘤破裂了 需要立刻送他去手术室 PCOM aneurysm must've ruptured. Need to get him to the OR stat.
呼叫格拉斯曼医生 Page Dr. Glassman.
解剖刀 Scalpel.
颅内压正在下降 Intracranial pressure is dropping.
他暂时是没事了 Bought him some temporary relief.
看看CT扫描结果吧？把新的给我 Can we see the CT scans? The new ones, please.
鉴于蛛网膜下腔出血 Given the subarachnoid hemorrhage,
原手术计划的风险增加了 the risk of the previous surgical plan has increased.
我们还是可以 先夹闭两个较小的动脉瘤 We can still clip the two smaller aneurysms
然后结扎并避开破裂的那个 and ligate and bypass the ruptured one.
我们应该考虑 先对破裂的动脉瘤进行弹簧圈栓塞 We should consider coil embolization of the ruptured aneurysm.
现在就放弹簧圈 等瑞奇康复后再处理另外两个 We treat that now, come back for the other two once Ricky recovers.
然后每六个月 他就得来做一次血管造影 Then every six months, he comes in for an angiogram.
削弱他的肌肉 破坏他的协调能力 Weakening his muscles, damaging his coordination,
彻底结束他的职业生涯 这就是你的建议？ effectively ending his pro career. That's your recommendation?
这个方案更安全 The treatment is a much safer option.
他才19岁 He's 19.
除了棒球 还有很多其他方面要考虑 There's lots of life to consider after baseball.
我对我的承诺充满信心 我可以兑现 I'm confident in what I promised and that I can deliver it.
你的经验能减轻开颅手术增加的风险 Your experience mitigates the increased risks of the craniotomy,
但不能消除这些风险 but does not eliminate them.
应该由病人决定 The patient should decide.
行吧 Fine.
叫醒他 并提出这两个方案 Let's wake him up and present both plans.
手术进行得比我们预期的要好 The surgery went better than we could've hoped.
我们切除了肿瘤 We removed the tumor,
你的肝脏和胰腺现在很健康 and your liver and pancreas are working great.
那我什么时候可以回家？ So when do I get to go home?
我们需要让你留观几天 We need to keep an eye on you for a couple days.
我冒昧地给你准备了些东西打发时间 I took the liberty of getting you a few things to help pass the time.
谢谢 Thank you.
非常感谢你们所有人 I'm so grateful to you all.
我一个人待了太久 我都忘了有人关心自己 I spend so much time on my own, I can forget how wonderful it is
这种感觉有多美好 to have other people who care about you.
嗨 对不起 我昨晚有点暴躁 Hey, sorry. I got a little aggro last night.
我们家很喜欢晚餐时辩论 My family was big on dinner debate time.
好吧 Okay.
你说完了？ That's all you have to say?
我要去抽血 所以… I have a blood draw to do, so…
那只是个哲学讨论 不是吵架 对吧？ Just a philosophical discussion. Not like we got into a fight, right?
当然不是 No, we didn't.
-太可怕了 -太糟了 -It was awful. -Terrible.
某人心情很好啊 Someone's in a good mood.
确实 Indeed I am.
这是埃迪效应 我们的病人带来了正能量 It's the Eddie effect. Our patient radiates positivity.
传染性意外的强 It's oddly contagious.
这让我开始思考 It's got me wondering
为什么我总是执着于选择正确的道路 why I'm always so focused on choosing the right path instead of
而不是欣然接纳上帝的礼物 just being open to God's gifts.
对不起 Sorry.
我的礼物就是胃里全是气 My gift is using my stomach as a speed bag.
我不知道哪个更糟 无法活着离开医院 I don't know what's worse, that I might not walk out of here
或者能活 但再也不能打球了 or walk out knowing I'll never play ball again.
是啊 Yes.
但你必须做出选择 That is the question you need to answer.
不要预想最坏的情况 Don't get stuck on worst case scenarios.
我非常努力才得到大家的信任 I worked real hard to get here, and I got people counting on me.
别这样 Hey, hey, hey.
别乱想 Shut out the noise.
别人总会有意见的 Other people will have opinions.
不管你是三振出局 还是没能打出长打 Whether you swing 3 and O, or you don't take the extra base.
重点在于你自己 你做出的决定就是正确决定 Whatever decision you make, that's going to be the right decision.
在我们那 You know what, there's a saying,
有一种说法 back in the DR,
“不要走着离开这座岛” "You can't walk off the island."
得大摇大摆起来 You gotta take big swings.
一次性解决所有动脉瘤吧 Let's fix all the aneurysms now.
好决定 Good call.
你们需要保持伤口部位清洁干燥 You'll need to keep the wound site clean and dry.
一定要密切监测她的卡路里摄入量 Be sure to monitor her caloric intake closely.
患有特纳综合征的婴儿会吞咽困难 Babies with Turner syndrome have difficulty swallowing
舌头也有功能障碍 and tongue dysfunction.
特纳综合症？ Turner Syndrome?
她需要额外的手术吗？ Will she need additional surgeries?
需要 但要过几年 Yes, but not for a few years.
对于这样的事情 最好一步一步来 With things like this, it's best to take it one step at a time.
我们本希望先寄养再收养 We were hoping to foster to adopt.
但这些长期的医疗问题 And these long term medical issues,
很严重 they're significant.
关于医学的问题 When it comes to medicine,
搜谷歌帮助不大 Google is not your friend.
帕特里克 安妮 Patrick, Annie,
我知道这听起来很吓人 I know it all sounds scary
你们感到紧张是很正常的 and you have every right to be nervous.
但你们可以做到的 But you can do this.
伊登需要你们 Eden needs you.
如果找到更有资质的人 对伊登难道不是更好吗？ Wouldn't it be best for Eden if you found someone more qualified?
我会告知社会服务部门的 I'll let social services know.
分数是多少？ What's the score?
还行不？我的执行职能 How am I doing? My executive function.
得了多少分？ What's the score?
没有分数 It's not a score.
只有数据 我还没准备好下结论 It is data and I am not ready to draw my conclusions.
你在浪费时间 You're wasting your time.
你应该关注那些真正需要你的人 You should focus on people who actually need you.
我很好 I'm fine.
但我很关注你 I am focused on you.
因为在我生命的大部分时间里 你一直在替我留神 Because for most of my life, you've watched out for me.
没有人要求你这样做 No one asked you to do it.
是你选择这样做的 You chose to.
虽然有时候我不想让你替我留神 Sometimes when I didn't want you to.
但我很高兴你依然这么做了 I'm very glad you did.
所以不管任何人 包括你 说什么 So no matter what anyone, including you, says,
我都会替你留神的 I am going to watch out for you.
你在说什么呢？这太棒了 What are you talking about? It's fantastic.
真的 非常赞 These are incredible, seriously.
我不是故意打扰的 I didn't mean to interrupt.
没有 达理希给我看了些水彩风景画 No, Dalisay was showing me her watercolor landscapes.
她是一位出色的画家 She's a wonderful painter.
真的吗？我之前不知道 Really? I had no idea.
杰克逊普拉特引流管的输出物变多了 There's increased output in his JP drains.
正常 是因为你有疣状表皮增生症 That's not surprising, considering your E.V.
把样品送到实验室 安全起见 Send a sample to the lab and add meropenem
在他的抗生素治疗基础上 增加美罗培南 into his antibiotic regimen just to be safe.
你正在慢慢康复 Your recovery looks to be on track.
另外 自你上次咨询以来 And we've made significant advances
我们整形外科技术方面有了重大进展 in plastic surgery techniques since your last consult.
我毫不怀疑这一点 Yeah, I don't doubt it.
但我们都知道疼痛不会消失 疣体也还会长回来 We both know, it would still be painful and would just grow back anyway.
我从房屋租赁业务中学到了一件事 There's one thing I've learned from the home rental business.
没坏的东西就别去修 If it ain't broke, don't fix it.
古老的谚语 Proverb for the ages.
我是来和她道别的 I wanted to say goodbye.
原养父母反悔了 她正忙着找新的 The foster parents backed out. She's scrambling to find someone else.
我手头没有别的候选家庭了 I don't have another family lined up.
你能再给我点时间吗？ Can you give me more time?
不必了 No.
伊登需要一个家 而我知道抚养她的最佳人选是谁 Eden needs a home, and I know the perfect person to foster her.
我 Me.
搞定一个 还有两个 One down, two to go.
已经五个小时了 你需要休息下吗？ It's been five hours. Do you need a break?
不必 早点做完 早点去喝那瓶30年的麦卡伦陈酿 Not when I have a 30-year-old MacCallan waiting for me at the finish line.
开窗动脉瘤夹 Fenestrated aneurysm clip.
手术期间破裂 Intra-op rupture.
出血量很大 Bleed is massive.
你俩一起抽吸 Suction, both of you.
保证这部分视野清晰 Keep this field clear.
我们要不要试试球囊阻断？ Shall we try balloon occlusion?
或者转向支架？ Or a flow diverting stent?
不用 我们应该调整动脉瘤夹 No, we should adjust the clips
以获得更好的近端和远端控制 并转用薄纱包裹 to get better proximal and distal control and pivot to a muslin wrapping.
推入六毫克腺苷 Push 6 mg boluses of adenosine.
我们要让心脏停止跳动 We're going to stop the heart.
请推注 Push it, please push it.
动脉瘤夹 Aneurysm clips.
太有新意了 That is very innovative.
触发短暂心脏骤停 会减少流向动脉瘤的血流量 Inducing a brief cardiac arrest reduces blood flow to the aneurysm.
给我们时间施行夹闭 Gives us time to apply the clips.
好了 Okay.
让我们再进行一次载瘤血管重建 Let us proceed with the parent vessel reconstruction one more time.
开窗动脉瘤夹 Fenestrated aneurysm clip.
谢谢 Thank you.
太令人兴奋了 That was exciting.
他室颤了 对胸部按压和肾上腺素都没有反应 He's in Vfib, not responding to chest compressions or epi.
需要电击 充电到200 We need to shock him. Charge to 200.
再推一毫克肾上腺素 Push another milligram of epi.
-肯定是血栓 -让开 -Must've thrown a clot. -Clear.
死亡时间 Time of death,
7点34分 7:34.
他的基础疾病削弱了他的免疫系统 His underlying illness weakened his immune system
并使他的血液更容易凝结 and made his blood more susceptible to clots.
我们尽力了 There's nothing we could have done.
你知道你在哪家医院吗？ Do you know what hospital you're in?
圣博纳旺蒂尔 Saint Bonaventure.
你为什么在这里？ And why are you here?
因为动脉瘤 Aneurysms
应该由你们治好的 that you're supposed to fix.
治好了 而且结果很好 Which we did, and we did quite well.
事实上 如果你坚持康复 In fact, if you stick to your rehab,
你也许能在赛季中期回到球场上 you might be back on the field by mid-season.
谢谢你 格拉斯曼医生 Thank you, Dr. Glassman.
能帮我做个帮我 击中曲线球的手术吗？ You got a surgery that can help me hit a curveball?
试下击蝴蝶球 Try hitting a knuckleball.
等别人反应过来时…为时已晚 You don't know what it is until… it's too late.
太老派了吧 That's old school.
我在赛场上见都没见过 I've never even seen one in a game.
实话实说 我以前真扔出过蝴蝶球 I used to throw a knuckleball actually, back in the day,
（光滑表面 粗糙边缘）
…然后 你根本不知道它会往哪飞 因为… …and then you have no idea where it's going to go, 'cause it had just a…
有轻微的旋转 just a slight amount of spin.
你听说了？ You heard?
谢谢你来看我 Thank you for checking on me.
安德鲁斯是对的 我们已经尽力了 Andrews is right. There's nothing more we could have done.
关于你的病人我很遗憾 但我… I'm really sorry about your patient, but I…
但其实我是来告诉你 我今晚要去见一些朋友 actually came to tell you that I'm meeting up with some friends tonight.
然后我要回自己住的地方 I'm going to go back to my place after.
好的 Okay.
怎么了？ What's wrong?
没什么 Nothing.
我早就想和他们聚一下了 而且… I've been meaning to see these folks for a while, and…
我们会在我家附近聚 这没什么 we're meeting near my place. No big deal.
但听起来像是有什么 It's starting to feel like one.
你显然是生气了 请告诉我 我做错了什么 Clearly you're mad. Please tell me what I did.
有时候和你聊天 Sometimes having a conversation with you,
感觉像在吵架 feels like combat.
我只是陈述我的看法 I was just stating my opinion.
不是 你否定所有其他意见 包括我的 No, you were obliterating all other opinions, including mine.
还在这个过程中说我是白痴 And calling me a moron in the process.
我从来没有这么说过 I have never said that.
我的家庭并不会在晚餐时 讨论宗教或引用马克思的话 I didn't grow up discussing religion or quoting Marx at dinner.
但这并不代表我不重视你的意见 Doesn't mean I don't value your opinion.
但你并不重视 Doesn't seem like it.
你对所有意见的态度都很决绝 You take a sledgehammer to all arguments.
我可以给你举一百个例子… I can give you 100 examples--
你又开始为了赢而跟我争论了 This is not another argument for you to win.
我得去吃晚饭了 I have to get to dinner.
我很抱歉 I'm so sorry.
如果你需要陪伴 If you want some company,
或想找个人聊聊 or someone to talk to.
没关系 我会没事的 It's all right. I'll be okay.
我知道 I know.
但是 but,
如果你改变主意了 我会陪着你的 you change your mind, I got your back.
就像你之前陪我一样 Like you've had mine.
谢谢 Thank you.
你… You…
真的理解我了 really see me.
我想也许你和我可以 I think maybe you and I could be
把彼此当做一个礼物 gifts to each other.
我们应该对此持开放的态度 And we should be open to that.
我不知道我们向前一步会是什么样子 I have no idea what it looks like for us to move forward.
但我们会搞清楚的 We'll figure it out.
达理希 Dalisay.
安德鲁斯医生 Dr. Andrews.
你的风景画 Your landscapes.
你在埃迪…之前给他看了 You showed Eddie before he…
我想你和他分享是因为他心胸开阔 I think you shared them with him because he was so open-hearted.
回顾我这一生 我一直相信 See my whole life, I believed
要想成功 就要一直努力向上 that success only came from constant striving.
对自己所处的位置 和取得的成就一直不满意 Constant dissatisfaction with where I was or what I had accomplished.
知足是自满的表现 Contentment was a sign of complacency.
那这样的人生是无以为继的 That's no way to go through life.
我知道 I know.
我知道我没给你 And I know I didn't show you
足够的尊重 enough respect.
我也没付出足够的努力去从你的角度 And I didn't make enough effort to see things
来看这个世界 from your point of view,
但我想改变 But I wanna change.
我想珍惜我在乎的 I wanna value the people I care about.
也许也在乎我的人 And who might care about me.
如果事情还没被我搞得无法挽回 And if I haven't screwed up too badly,
那么也许有一天我也值得你 then maybe one day I'll be worthy enough to
给我看那些风景画 see those landscapes.
要一起吃晚餐吗？ How about dinner?
星期六7点半来接我 You pick me up at 7:30 Saturday.
我们可以试试那个菲律宾饭店 We can try that Filipino place.
你怎么会那么说？ Why would you say that?
-你知道的 -天啊！ -You know. -Oh man!
在这种情况下你还能说什么？ What else do you say in that situation?
我想 我同意他的观点 我认为…我不觉得他疯了 I think, I agree with the guy. I think… I don't think he's insane.
你是对的 You were right.
我总是想着 I have a tendency to go
在讨论中争个对错 因为我只想着赢 scorched earth in a debate because I just want to win.
而忽略了重要的事情 因为我… I lose sight of what's important because I'm…
我是个白痴 I'm a moron.
但是今天我意识到 But today I realized
我不应该 把任何事或任何人视为理所当然 I shouldn't take anything or anyone for granted.
你让我明白了什么是真正的归属感 You showed me what it truly means to belong.
让我明白了不能成为孤岛 To not be an island,
能出现在你生命中 我感到很幸运 and I just feel so blessed to be in your life.
你们该跟他一样点生牛肉片 超好吃 And you should order the same carpaccio. It's delightful here.
就像黄油一样 It's like butter.
你男朋友这么激情吗？ 还是说他有点疯疯癫癫的？ Is your boyfriend really that passionate, or is he a little insane?
都有点 Both.
嗨 Hi.
我正好路过 来看看你和伊登安顿好没 I thought I'd stop by. See how you and Eden are settling in.
目前为止都挺好 至少我这么认为 We're fine so far. I think.
我很确定 我备好了伊登需要的一切 I'm fairly sure I have everything Eden needs.
不过儿科那边可能会发现 他们这个月的库存少了点东西 Though peds might find a few things missing from their inventory this month.
儿科可没有这个 I don't see one of these.
伊登会喜欢的 Eden will love it.
谢谢 Thank you.
玩具、连体衣、还需要一辆婴儿车… Toys, onesies, I need a stroller…
你能处理好的 You'll handle it.
在你有自己的孩子前 这是一次很好的演练… It's the perfect practice run for when your own comes along…
我打算不吃体外受精的药了 I'm going off my IVF meds.
下个周期我不打算做了 I'm not doing another cycle.
伊登 Eden.
就是我一直在等待的宝宝 She's what I've been waiting for.
她是我的女儿 She's my daughter.
就是这个蝴蝶球骗过了我 This is a knuckle ball, and it fooled me.
我以为是格拉斯曼医生的癌症复发了 I thought it was Dr. Glassman's cancer returning,
但其实是轻微中风引发的大脑损害 but it is damage to Dr. Glassman's brain as a result of a mini stroke.
如果真是这样 该区域的边缘应该是光滑的 If that were the case, the area would have smooth edges.
通常是这样 但这里 Usually, yes, but representations
可能会有异常 比如这些粗糙的边缘 can show abnormalities like these rough edges,
尤其是当患者接受过放射治疗时 particularly when the patient has had radiation treatment,
这解释了为什么他的记忆受到了影响 It explains why his memory has been impacted.
尤其是在需要高度集中注意力 Especially during periods of intense focus involving
且步骤多的场景中 many sequential steps.
这是永久性的 It is permanent.
他不应该再做手术了 He shouldn't be doing surgery anymore.