自闭症是一种以沟通障碍 语言障碍 Autism -- a mental condition
和抽象概念障碍为特征的精神状态 characterized by difficulty in communicating.
这样的人也能当外科医生 Does it sound like I'm describing a surgeon?
你救了他 You saved his life.
我是肖恩·莫菲医生 I'm Dr. Shaun Murphy.
永远记住 你是最聪明的 Never forget, you're the smart one
我为你骄傲 肖恩 and I'm proud of you, Shaun.
我的弟弟在我眼前... My brother went to Heaven...
...去了天堂 ...in front of my eyes.
他有严重的缺陷 He's got a serious deficit.
我们录用肖恩 We hire Shaun,
让有缺陷的人看到希望 and we give hope to those people with limitations
看到这些缺陷并不能定义他们的人生 that those limitations are not what they think they are,
他们仍有机会 that they do have a shot!
如果肖恩没有展示出我认为他能达到的水平 If Shaun doesn't live up to everything I know he can do,
我也会辞去医院院长的职务 I will resign my position as president of this hospital.
去哪 Where to?
圣何塞圣文德医院 San Jose - St. Bonaventure Hospital.
我是一名外科住院医生 I'm a surgical resident.
今天我第一天正式上班 Today is my first full day.
我是说去几楼 I meant floor.
一楼 Oh, ground floor.
我坐公交去 I'm taking the bus.
良 医
第一季 第二集
这位是米切尔·普兰德 55岁 This is Mitchell Brand, 55 years old,
根治性前列腺切除术后第一天 post-op day one - from a radical prostatectomy.
早上好 米切尔 Morning, Mitchell.
我是梅伦德斯医生 I'm Dr. Melendez.
这是住院医师布朗医生和卡卢医生 These are my residents Dr. Browne and Dr. Kalu.
你的手术很成功 Your surgery went perfectly.
是吗 Yeah.
我还能走路吗 Am I ever gonna walk again?
当然能 Yes. Of course.
这位是米切尔·普兰德 This is Mitchell Brand.
我看了他的病历 I reviewed his chart.
55岁 来自芝加哥 He's 55 years old from Chicago,
离异 育二子女 divorced with two children.
昨天你们给他做了根治性前列腺切除术 You did a radical prostatectomy on him yesterday.
可能会有多种并发症 There are many possible complications
但都与运动神经无关 but none related to motor neurons.
你绝对可以走路的 There is no chance you won't be able to walk.
他担心的不是他的腿 He -- he wasn't worried about his legs.
哦对 Oh, yes.
阳痿的几率很大 There's a significant chance of impotence.
莫菲医生 你迟到了 Dr. Murphy, you're late.
不 是公交迟到了 No, the bus was late.
时刻表很清楚 The schedule was clear.
放到网上了 They post it online.
但4路公交迟到了所以 But the 4 bus was late which meant --
-你迟到了 -才五分钟 我们都... - You're late. - Five minutes, we've all been --
还是第一天上班 On your first day, no less.
你有责任按时到 It is your responsibility to be here.
如果没有 If you are not,
你就没有尽到你的责任 you have failed in your responsibility,
就是你的错 which makes it your fault.
怎么会是我的错 Okay, how can it be my fault?
我什么都没做错 公交 I did nothing wrong. The bus --
好吧 这真是太棒了 Yeah. This is gonna work out great.
董事会录用你真是个正确的决定 The board clearly made the right choice in hiring you.
谢谢 Thank you.
梅伦德斯医生 Dr. Melendez,
急诊有请 紧急会诊 we've got an emergent consult in the E.R.
你休息几天就会没事了 You should be fine if you can leave it alone for a couple days.
连续四天消化不良 Four days of indigestion,
腹胀 便秘 恶心 bloating, constipation, and nausea.
显然还很疼痛 And a lot of pain, apparently.
-给她注射吗啡了吗 -注射了十毫克 - Did you give her morphine? - Yeah, 10 milligrams.
疼痛未好转 Hasn't touched her pain.
做了CT吗 You have time to get a CT?
做了 这就是我请你来的原因 Yeah. That's why I called you.
好大啊 That's very big.
没错 Yes, it is.
那是什么 What are we looking at?
毗邻腹主动脉和左肾 It's definitely abutting the aorta and the left kidney.
肾血管平滑肌脂肪瘤 Renal angiomyolipoma?
-有看到血供增加吗 -没有 - Do you see an extensive blood supply? - No.
可能是某种神经源性肿瘤 Maybe some kind of neurogenic tumor.
也可能是淋巴瘤 Or maybe a lymphoma.
是肉瘤 是恶性肿瘤 She has a sarcoma, a malignant tumor.
恶性 Malignant?
-会要我的命吗 -对 - That means it's killing me, right? - Yes.
不一定 现在只是猜测 Not necessarily. We're just speculating right now.
不 绝对是恶性的 No. It's definitely malignant.
要不是恶性的 If it weren't malignant --
请别再说「恶性」了 Please stop saying "Malignant".
我们去外面聊聊 Should we talk outside?
再给她注射些吗啡 需要多少注射多少 Give her more morphine. As much as she wants.
你吓坏她了 You scared her.
不必说得这么直接 Didn't need to be so blunt.
为什么 Why?
不立即干预 她的预后就是晚期 Her prognosis is terminal without immediate medical intervention.
这不可怕吗 Isn't that scary?
可是 Well --
害怕对她没好处 That fear does her no good.
她得的是恶性肉瘤吗 Does she have a malignant sarcoma?
我们要剖腹探查吗 Are we gonna be doing a laparotomy?
我们得术中取病理 We need intra-operative staging for the biopsy,
广泛剥离腹膜后腔 extensive dissection of the retroperitoneum,
切除边界宽而清晰的肿物 and excision of the mass with wide, clear margins.
我想上台 I want in.
你知道你在流口水吗 You do know you're drooling, right?
这可是给一个四十岁的女性开刀 About cutting open a 40-year-old woman.
大活人 就在门后面 Real person. Right behind that door.
我只听过「临床态度」 It's called bedside manner --
没听过「门外礼仪」这一说 no such thing as outside-the-door manner.
这令人兴奋 克莱尔 It is exciting, Claire.
一边救人 一边学知识 We'd be saving a life, and we'd be learning.
听听 See?
布朗医生 你做一助 Dr. Browne, you're my number two.
恕我直言 医生 With all due respect, doctor --
言多必失 Comments that start that way rarely come across that way.
-我只是想说这主意不错 -谢谢 - I was going to say that's an excellent call. - Thank you.
杰瑞德 安排手术人员 Jared, prep the surgical team.
先生 我做什么 Sir, what do I do?
打杂吧 Scut work.
什么是打杂 What's scut work?
今天我需要我的医生们全神贯注 Today, I'm gonna need my surgeons to have no distractions.
你就去处理那些让他们分心的事 So I'm gonna need you to handle those distractions.
他们每天讨厌干的活 All the work they do every day that they hate doing,
都交给你来做 you're handling it for them.
务必要告知他们一定要签同意书 Make sure they know we still need a consent on that one.
我是因为什么受处罚了吗 Am I being punished for something?
不是 No.
好的 Okay.
就这样吗 So that's it?
你就这样相信我的回答了 You just accept my answer at face value?
为什么 Why?
你很自负 You're very arrogant.
自负的人通常认为自己没必要说谎 Arrogant people don't think they need to lie.
你这么做肯定是想教我东西 So you must be doing this to teach me.
我很期待从打杂中学到东西 I look forward to learning from scut work.
说「啊」 Say "Ahh."
还要多久 How long will this be?
七分钟 Seven minutes.
如果没有并发症 Without any complications,
正确的出院检查需要七分钟 it takes seven minutes to do a discharge examination properly.
邓斯缪尔医生已经同意他出院了 Dr. Dunsmuir has already cleared him to go
-我们需要这个床位 -好的 - and we need the bed. - Okay.
但医院规定也要经过外科的同意 Protocol requires that the surgical department also clears him.
你有耳部感染 You have an ear infection.
对 所以他才来医院 Yes, that's why he's here.
我的耳朵有点听不清 My hearing's been a little muffled,
还有耳鸣 and I've had some ringing.
他们给他开了阿莫西林 They gave him amoxicillin.
正要送他出院 And we're sending him home.
所以才让你来这 Which is why you're here.
送他回家 To send him home.
我要给他做脑部和内耳道的核磁共振 I'd like an MRI of the head and internal auditory meatus.
我不出院了吗 I'm not being discharged?
你觉得是什么病 What do you think is wrong?
等我明确了再告诉你 I'll tell you when I know for sure.
我可不想吓到你 I don't want to scare you.
肖恩 Shaun.
你在这干什么 What are you doing down here?
我在等她放屁 I'm waiting for her to fart.
肠胃胀气 Flatulence.
但在病患面前用「放屁」 But I'm using the word "Fart" in front of the patient
会显得更随意 to be more casual.
而你是院长 But you're the president of the hospital,
所以对你用「肠胃胀气」 so I'll say "Flatulence" to you.
谢谢 Well, I appreciate that.
可你为什么做这个 Why are you doing that?
她做了鼻中隔偏曲修复手术 She had her deviated septum repaired.
在放她出院前 Before we can release her,
我们得确保她没有术后肠梗阻 we have to be sure she isn't suffering from post-operative ileus.
梅伦德斯医生觉得 This is what Dr. Melendez feels
这就是你今天的用武之地吗 you'll be most useful doing today?
等人家放屁 Waiting for farts?
我不只要等人放屁 I'm not just waiting for farts.
谢天谢地 Thank Goodness.
所有杂活我都得做 I'm doing all the scut work.
好吧 Well...
欢迎来到你的外科住院医师生活 Welcome to your surgical residency.
谢谢 Thank you.
来了 我放屁了 There. I think that was it.
没有 I don't think so.
我再等会儿 I'll wait a little longer.
这很重要 This is important.
这个手术叫剖腹探查 The procedure is called a laparotomy.
好 心音正常 Yeah, your heart sounds good.
我们会在你腹部正中做个切口 So, we make a long incision down the middle of your abdomen,
暴露肿瘤 expose the tumor --
我会死吗 Am I going to die?
梅伦德斯医生是我认识的外科医生里最好的 Dr. Melendez is the best surgeon I have ever seen --
手术能缓缓吗 Can this all wait?
你的情况很严重 You have a very serious condition.
我们不建议你... It's not advisable to --
就等几周 我儿子下周末要结婚了 Just a couple of weeks. My son is getting married next weekend.
他们看上去很幸福 They look very happy.
在做第一个切口之后... After the initial incision --
他们筹备几个月了 They've been planning this for months.
要是必须重新安排... If they have to reschedule --
这是一台复杂的手术 Well -- well, this -- this is complicated surgery,
但如果一切顺利 but if all goes well,
很容易恢复 recovery is pretty easy.
不必重新安排什么 No need to reschedule anything.
要是结果不好呢 And if it doesn't?
要是不顺利呢 If it doesn't go well?
我丈夫几年前 My husband died in a car accident
出车祸死了 a couple of years ago.
马克是我们的独子 Mark is our only child.
我不能在他婚礼前死 I can't die - right before his wedding.
我不能 I can't.
你不会死的 You're not gonna die.
你一定能参加他的婚礼 You will be at the wedding.
漂漂亮亮地 Looking beautiful.
好了 Okay.
你不该做这种保证的 布朗医生 You're not supposed to make promises like that, Dr. Browne.
我只是说了她想听的 Yeah, I told her what she needed to hear.
医院法务部门的官方规定是 Officially, our legal department's policy is --
告诉患者真相 越真越好 tell the ugly truth -- the uglier the better.
你做到了吗 Is that what you did?
我认为你没有 I don't think that's what you did.
这是个愚蠢的规定 Yeah, well, it's a dumb policy.
她需要做这个手术 She needs to have the surgery.
让她害怕不会有帮助 Scaring her would change nothing.
说的对 因为更好的规定应该是 Right, because a much better policy
对所有患者撒谎 would be to lie to all of our patients
只要这能安慰你自己 whenever it makes you feel better.
不 这不是为了安慰我 No, it doesn't make me feel better.
是为了安慰她 It makes her feel better.
我真可悲 I'm pathetic.
什么 What?
我真可悲 I am pathetic.
我有话想对你说 And here's my thinking, so just --
请你别生气 just bear with me,
因为这可能会冒犯到我们两个人 because it kind of insults both of us.
你一个小时前才认识这个女人 You met that woman an hour ago,
就对她撒了一个谎 and you lied to her.
一个善意的谎言 因为你关心她 A pity lie because you obviously care about her.
这个谎言对你没有任何好处 A pity lie that has absolutely zero upside for you,
而我却无法让如此心软的你 but I can't make you, the world's softest touch,
对我施舍一点点关心 care about me.
我需要你来会诊一下 I need a consult.
怎么 你对这张片子有疑问 What? You have a question about this?
这个患者很健康 This patient is perfectly healthy.
这些片子甚至连一点伪影都没有 There's not even any artifact in these images.
是啊 所以我想问个有趣的医学问题 Yeah, which in turn raises an interesting medical question --
为什么这位患者会做核磁共振 why the hell did this patient get an MRI?
我对此一无所知 I don't know anything about this.
你团队里的人预约做的检查 Yeah. Someone on your team ordered it.
你的团队由你负责 所以就是你的错 It's your responsibility, which makes it your fault.
什么 你怎么 What -- How did you --?
这是我的科室 我需要了解一切 It's my department. It's my job to know everything.
那既然我为你工作 Well, then, since I work for you,
这是不是都算你的错 doesn't that make all of this actually your fault?
不好意思 我只听到「我为你工作」 Oh, I'm sorry, I stopped listening after "I work for you."
这里疼吗 Does that hurt?
疼 Yes.
这里疼吗 Does that hurt?
疼 Yes.
这里疼吗 Does that hurt?
我们这次花了多少钱 How much we pay for this?
她就是肚子疼 She has a tummy ache.
-肚子疼很正常 -嘘 - That's what they do -- they ache. - Shh.
她就是不想去学校 不是第一次了 She's just trying to get out of school. Again.
你以为她是跟谁学的 Where do you think she learned that from?
你以为她没听到你为了打高尔夫球 You don't think she hears you calling in sick to work
打电话请病假不去上班吗 right before you go golfing?
我喜欢学校 I like school.
我也是 Me too.
你昨天晚餐吃什么了 What did you eat for dinner last night?
麦片 Cereal.
-我以为你昨天做了肉饼 -我做了 - I thought you made meatloaf. - I did.
我们等你等到肉饼都冷了 And it got cold while we were waiting for you.
验D-二聚体 乳酸和淀粉酶 I want D-dimer, lactate, and amylase --
你要给她开什么化验 What tests are you ordering?
D-二聚体 乳酸和淀粉酶 D-dimer, lactate, and amylase.
就因为肚子痛 For a tummy ache? Hmm?
对 Yes.
我担心可能会是 I'm concerned it may be...
我们要不出去说吧 Shall we talk outside?
我就说有问题 I told you something was wrong.
她生病了你很高兴吗 You're happy she might be sick?
我高兴的是你错了 I'm happy you're wrong.
好 我们出去说 Yeah. Let's talk outside.
他们两个一直在那斗嘴吗 Have they been bickering like that the whole time?
我没注意 他们又没生病 I didn't notice. They aren't sick.
他们就是所谓的带菌者 Yeah, they're what we call a vector.
传病媒介 致病因素 A carrier. A cause of disease.
-你是说这对父母吗 -对 - You mean the parents? - Yeah.
那个小女孩肚子痛 That little girl has a tummy ache
是因为爸爸妈妈一直争吵 because mommy and daddy won't stop fighting.
这不是真的生病了 让他们出院 This isn't a medical issue. Send them home.
她有可能是肠旋转不良 Could be intestinal malrotation,
可能很快会致命 which could quickly become fatal.
医院的所有病人还都可能有疟疾呢 And every patient in this hospital could have malaria,
但这并不代表我们要排查所有人 but that doesn't mean we're gonna go around testing
可能出现的所有情况 for every condition we think they could have.
比如你给耳朵感染那位患者 For example, that MRI you ordered
开了核磁共振 on the guy with the ear infection?
真是做得好 天才 Nice call, genius.
谢谢 Thank you.
我是在讽刺你 I was being sarcastic.
结果正常 他很健康 It's normal. He's healthy.
让他也出院 Send him home, too.
你笑什么 Why are you smiling?
因为你说得对 Because you're right.
所以你明知道他在犯错 So you thought he was making a mistake
却什么也没说 and didn't say anything?
在他浪费大家时间的时候 Just stood by watching, taking notes
你就在一边若无其事做记录 while he wasted everybody's time?
这就是你的工作吗 Is that your job?
以我的经验来看 In my experience,
医生是不会听护士的话的 doctors don't listen to nurses.
他们只会在我们 And they only talk to us to lecture us
搞砸了的时候教训我们 when they figure we screwed something up.
现在开始 任何没必要的检查都不许开 From now on, you don't run any tests you don't have to run.
不做检查我怎么知道有没有必要开呢 How do I know if a test is needed until after I run it?
她会告诉你的 She'll tell you.
今天她就是你的领导 Today, she's your boss.
我在手术前都不能吃东西 I could never eat before surgery.
就怕会吐 Puke? I could do that.
我不吃东西会变得脾气暴躁 I get cranky if I don't eat.
-我听说肖恩做医嘱了 -嗯 - I hear Shaun made the call. - Mm.
他是一名出色的诊断专家 He's an excellent diagnostician.
你应该让他去放射科工作 You should get him a job in radiology.
他不想当放射科医生 He doesn't want to be a radiologist.
他想当外科医生 He wants to be a surgeon.
我们是招他来做外科医生 That's what we hired him to be.
我这么辛苦就为招他来做外科医生 That's what I worked damn hard to hire him to be.
而不是一个空有其名的打杂 Not a glorified orderly.
每个住院医生都得打杂 Every resident does scut work.
所以你对他们是一视同仁吗 So you're treating him like anybody else?
-那你呢 -我当然是 - Are you? - Yes, yes, I am.
他是通过自己的努力来到这里的 He more than earned the right to be here.
他前进的每一步都要经历 He has had to get past people like you
你这种人和你们的偏见 and their prejudices every step of the way.
-偏见 -对 偏见 - Prejudices? - Yeah, prejudices.
你知道他今天把多少病人吓得要死吗 You have any idea how many patients he's scared the crap out of today?
开了多少没用的检查 How many wasted tests he ordered?
那你就教他 So teach him.
我正在教 I'm doing that.
我想教给你们两个的是他不属于这里 I'm teaching you both that he doesn't belong.
好吧 Okay.
你逼我动用职权 我就动给你看 You're gonna make me pull rank, I will pull rank.
这是我的医院 This is my hospital.
但这是我的团队 But it's my team.
你不能干涉我如何管理我的团队 You can't tell me how to run my team.
你还好吗 How are you doing?
为什么要讽刺别人 What's the point of sarcasm?
有时这是一种批评人的方式 Like, sometimes, - it's a way of critiquing people
用幽默的方式 in a way that's funny
不会让人太难受 so they don't feel quite so bad.
那不是撒谎吗 Isn't it just lying?
也不算撒谎 Well, it's not lying,
因为别人知道你说的不是真的 because people know you're lying.
我不擅长这个 I'm not good at that.
去年我们见过 你还记得吧 You may remember me from last year.
我们每年都会售卖巧克力棒 We sell chocolate bars every year
以支付我们班去拉石茂山的旅行费用 to pay for our class trip to Mt. Rushmore.
哦 Okay.
但今年我们不去拉石茂山了 But this year we're not going to Mt. Rushmore,
因为肯尼去不了 because Kenny can't go.
他得癌症了 He's got cancer.
于是萨曼莎提出 So, Samantha had the idea
如果肯尼不能去 大家就都不去了 that if he can't go, none of us would go,
我们都觉得这是个好主意 and we all thought that was a great idea.
所以我们会在医院为他办一个派对 So, we're gonna have a party at the hospital for him.
你们班有两个肯尼 There are two Kennys in your class.
你说的是肯尼·L还是肯尼·M Is it Kenny L. Or Kenny M.?
没人生病 No one's sick.
你撒谎了 Well, you lied?
-你不应该撒谎 -是啊 - You weren't supposed to lie. - Yeah.
你和我还不应该饿死呢 And you and me aren't supposed to starve.
我们需要钱来买吃的 We need money for food.
你刚才说的有一句真话吗 Was any of that true?
有 Yeah.
我们不会去拉石茂山 We're not going to Mt. Rushmore.
如果我认为患者有可能患病 I can't discharge people
我就不能让他们出院 if I think they might still be sick.
当然 为什么这么说 Of course not. Why would you?
梅伦德斯医生今天让弗莱德护士做我领导 Dr. Melendez made Nurse Fryday my boss today.
我需要跟格拉斯曼医生说吗 Should I speak to Dr. Glassman?
不用 No.
你认为作为这份工作是干什么的 What did you think this job was?
救死扶伤 To save people's lives.
不 No.
有时我们也救人 I mean, yeah, - sometimes we do save lives.
但这份工作 But the job...
就是要服从梅伦德斯医生的命令 It's doing whatever Melendez asks us to do.
呼叫布朗医生 Paging Dr. Browne.
呼叫布朗医生 请到手术室 Paging Dr. Browne to the O.R.
我是克莱尔·布朗医生 I'm Dr. Claire Browne.
今天的一助 I'm first assist today,
现在进行术前核对 and I'll be leading the timeout.
-患者姓名 -斯蒂芬妮·威利斯 - Patient's name? - Stephanie Willis.
手术名称 Scheduled surgery?
未定型腹膜后肿瘤切除术 Excision of an indeterminate retroperitoneal tumor.
本次手术预计不会有任何并发症 We don't anticipate any complications with the surgery.
谢谢 布朗医生 Thank you, Dr. Browne.
给我十号刀 Ten blade.
十号刀 Ten blade.
我们来切除这个肿瘤吧 Let's remove a tumor.
抱歉 Excuse me.
不行 No.
可能感染了 It might be infected.
没有 It's not.
有些变色了 There is some discoloration.
他已经82岁了 He's 82 years old.
所有部位都变色了 Everything is discolored.
当我们通过肌肉层后 Once we get through the muscle layer,
要小心处理 proceed carefully.
血压120/70 Blood pressure, 120 over 70.
心率60 Heart rate 60.
她的情况稳定 She's holding steady.
我已经打开了筋膜 I've opened the facia.
你保存了你的呕吐物 You kept your puke?
对 我觉得你们会想看 Yeah, I thought you'd want to see it.
看起来就是呕吐物而已 It looks like puke.
不不不 通常不是这个颜色的 No. No, no. It's not the regular color.
你的呕吐物还有通常的颜色 Your puke has a regular color?
对 Yeah.
看起来颜色不太正常 It is a bit of an unusual color.
我们可以化验... We could order some...
你可以回家了 I'm sending you home.
你确定 You sure?
我回家没事吗 It -- It's safe for me to go home?
我不知道该怎么说 I don't know what to say.
你会知道的 You'll learn.
做就是了 By doing.
我弟弟说有个叫肯尼的孩子 My brother said there's a kid named Kenny,
他病了 他可能... and he's sick, and there might --
你得给我们点儿钱 you should give us money.
我没事吧 So, am I okay?
我 我没事吧 Am -- Am I okay?
根据医院的规定 According to all hospital rules
和我收到的指示 是的 and direct instructions given to me, yes.
我们需要更充分地暴露肿瘤 We need a better exposure of this tumor.
放个深部拉钩 Let's get the deep Balfour in here.
深部拉钩牵引器 Deep Balfour retractor.
把这里拉开 Let's get this thing open.
我得看从哪里切除 I've got to see where it's safe to cut.
这肿瘤上我找不到没有动脉的地方 I can't see anywhere where this tumor hasn't encased her arteries.
克莱尔 你找到了吗 Claire, tell me you got something.
没有 I've got nothing.
这个肿瘤比CT扫描里看到的大得多 This tumor is way bigger than it looked on the scans.
我连她的腹主动脉都找不到 I...I can't even see her aorta.
这下麻烦了 That's a problem.
这是那个父母一直在吵架的女孩吗 Is that the girl with the bickering parents?
我们不是四小时前就让她回家了吗 Didn't we send her home four hours ago?
莫菲医生 Dr. Murphy,
梅伦德斯医生的手术需要你 Dr. Melendez needs you in surgery.
不必了 That won't be necessary.
肿瘤完全被粗大的腹部动脉包住了 The tumor's entirely encased the large abdominal arteries.
那糟透了 That's very bad.
如果肿瘤长在动脉壁上 If it's in the artery walls,
切除肿瘤就会要她的命 it's going to be impossible to cut out without killing her.
你应该做个活检明确边缘 You should get a biopsy to determine where the margins are.
谢谢 Thank you.
不客气 You're welcome.
我还是在讽刺你 I was being sarcastic... again.
我知道了 因为我说的你都已经知道了 I-I see, because you are already know everything I said,
并且已经送去病理实验室活检了吧 and you already sent a biopsy to the lab?
对 因为我也是医生 Yes, 'cause I'm a doctor, too.
是的 但你需要我 Yes. But you need me?
对 我需要你跑去病理实验室催一下 Yeah, I need you to run down to the lab and hurry them along.
我是肖恩·莫菲医生 I'm Dr. Shaun Murphy.
外科住院医 I'm a surgical resident.
梅伦德斯医生送来一个活检样本 Dr. Melendez sent you a biopsy.
什么时候可以出结果 When will the results be ready?
我拿到结果的时候 When I get to it.
它非常重要 It's very important.
所有结果都重要 They're all very important.
让我看看其他检查申请 Let me see the other test orders.
我可以告诉你哪个更重要 I'll tell you which ones are most important,
然后你可以按重要次序来 and you can do them in that order.
我会诚实公平的 I'll be honest and fair.
这不是我们的办事流程 That is not the way that it works.
去等着吧 Now go wait your turn.
再来一次 Do it again.
-给我快滚 你个傻子 -我们走 - Get the hell away from me, you moron. - Let's get out of here!
等等 等等 Wait, wait, wait, wait!
如果你想在生活中得到什么 肖恩 If you want to get anything in life, Shaun,
你就得做到一点 there's one thing you got to do.
永远不要害怕 Never be afraid.
你才是傻子呢 You're the moron!
如果你们不马上做梅伦德斯医生的检查 If you don't do - Dr. Melendez's test right now,
我就用石头砸烂你的窗户 I will throw a rock through your window.
好吧 我不想那样 Well, I wouldn't want that.
去坐吧 Go have a seat.
十五分钟后出结果 Your results will be ready in 15 minutes.
你有空吗 You got a minute?
我还有个患者躺在手术室里 I have a patient lying in the O.R.
等病理结果 waiting for lab results,
而我坐在这里想 and I'm sitting here trying to figure out
接下来应该干嘛 what the hell I'm gonna do next,
而我不喜欢任何一个选项 and I don't like any of my options,
所以 是的 很不幸我有空 so...yeah, unfortunately it seems I do.
好吧 我们可以下次再谈 Okay, we can talk another time.
格拉斯曼跟你谈过了 Glassman talked to you?
我对自闭症医生没意见 I don't have a problem with an autistic doctor.
不 你对为你工作的那个就有意见 No, you just have a problem with one working for you.
是吗 这是你对我的看法吗 Really? That's how you see me?
能不能不要掺杂个人情感 Let's not make this personal.
你在指责我有成见 You're accusing me of prejudice.
我是对交流有困难的医生有意见 I have a problem with the doctor who has a problem with communication.
好吧 那就掺杂个人情感 Okay, let's make this personal.
你在这家医院里尊敬谁 Who do you respect at this hospital?
你和格拉斯曼 You and Glassman.
不尊敬谁 And who do you not respect?
仿佛进错了团队的感觉 And does it bother you
会让你烦恼吗 that it looks like - you're on the wrong team?
如果肿瘤没有侵入动脉壁 If the tumor hasn't invaded into the arterial walls,
我们可以做一个剥离面 we could create a plane of dissection.
如果是非浸润性脂肪肉瘤 Well, if it's a noninvasive liposarcoma
我们可以从外面切掉它 we can work it off from the outside.
用钝性剥离和组织钳 Blunt dissection and tissue forceps --
逐片剥脱 peel it off piece by piece.
是个平滑肌肉瘤 It's a leiomyosarcoma.
太糟糕了 Well, that sucks.
对 真让人悲伤 Yes, it's sad.
手术是不可能了 The surgery's impossible.
也许现在要叫醒她 Well, might as well wake her up --
告诉她还能活三个月 let her know she has three months to live,
进行姑息治疗 offer palliative care.
手术也不是不可能 The surgery isn't impossible --
只是非常非常非常困难 just, very, very, very difficult.
是啊 鉴于我们是盲切 Yes, in the sense that we'll be operating blind.
对 因为左肾很碍事 Yes, because the left kidney is in the way.
健康的左肾 The healthy left kidney.
两个肾都很健康 杰瑞德 Both kidneys are healthy, Jared.
她需要一个就够了 She only needs one.
没有了左肾 理论上可以 Without the left one, it's theoretically possible
够到并移除肿瘤 to access the tumor and remove it.
你是说要为了暴露手术视野 You're suggesting we cut out a perfectly healthy organ
-切掉一个完全健康的器官 -是的 - just to get a better view? - Yes.
-但是她可能会死 -对 很可能 - But she might die anyway. - Yes. Quite probably.
我得走了 我有个脓肿要切 I have to go. I have a boil to lance.
我是说 这是个绝妙... I mean, it's a brilliant...
但又非常非常糟糕的主意 very, very, very terrible idea.
缝合 然后唤醒她 Close her up and wake her up.
谁想和我一起去告诉她 Who wants to join me when I tell her
她只能活六周了 she has six weeks left to live?
还有一种可能 There is one possibility.
如果我们移除左肾 If we removed the left kidney,
就能获得足够清晰的视野 we might be able to get a good enough view
以成功移除肿块 to successfully remove the mass.
摘除一个健康的肾 Take out a healthy kidney
来获得更好的视野 to get a better view?
疯了吧 That's insane.
良好的视野是手术成功的一半 A good view's half the battle in any operation.
最可能的结果是 Most likely outcome is
我们会剥夺她本来就所剩无几的生命 we'd be depriving her of what little time she has left.
但是如果我们成功了 But if we succeed...
不 No --
你想这么做是因为这很令人兴奋 You want to do this 'cause it's exciting.
你想当英雄 You want to be a hero.
但是如果你失败了 But if you fail, this woman dies.
她就参加不了她儿子的婚礼了 She misses her son's wedding.
这才是问题所在 不是吗 Well, that's the issue, isn't it?
你向她保证她会没事的 You promised this woman she'll be okay.
她是必须动手术 She had to do this surgery.
但我也可以对她说暖心的话 I might as well tell her good things.
我们不对病患做承诺 The reason we don't make patients promises
不仅仅是因为法律 isn't just for legal.
杰瑞德是对的 你做评判时妥协了 Jared's right. Your judgment is compromised.
-我还是觉得 -你不客观 - I still think -- You're not objective.
谁客观啊 Who the hell is?
我们至少应该叫醒她 We should at least wake her up,
解释清楚我们发现了什么 想做什么 explain what we found, what we're hoping to do,
签署新的同意书 and get a new consent.
我们想做的 What we're hoping to do
跟你告诉她的完全一致 is exactly what you told her we were going to do --
就是摘除肿瘤 remove that tumor.
我们唯一需要解释的是 The only thing we'd be explaining is
你为什么低估了风险 why you undersold the risks.
手术我们要做 We're doing the surgery.
杰瑞德 你是我的新一助 And, Jared, - you're my new number two.
梅氏解剖剪 Mayos.
我要打开筋膜暴露肾脏 I'm going to open the fascia and expose the kidney.
你夹住肾门 You clamp the renal hilum.
血管钳 Clamp.
我们刚刚切断了完全健康肾脏的血供 We just cut off the blood supply to a perfectly healthy kidney.
如果我们需要解说 If we needed color commentary,
我聘请的会是杰夫·范甘迪 I would have hired Jeff Van Gundy.
肖恩 你应该见过特雷弗 Shaun, I believe you've met Trevor.
是的 我允许他回家了 Yes. I sent him home.
对 但他没有回家 Yes, well, he didn't go home.
其实他来找院长了 He actually came to the president of the hospital instead.
他说你虽然认为他有病 H-He said you sent him home
却还是准许他回家了 even though you thought he was sick.
准确说 我从来没这么说过 I specifically never said that.
-我保证过不这么说 -不不 - I made sure not to say that. - No. Oh.
他 他到底什么意思 What -- what the hell does that mean?
-什么意思 肖恩 -我健康吗 - What does that mean, Shaun? - A-Am I healthy?
-也许 -你是医生 - Probably. - You're a doctor.
你应该知道的 You're -- - you're supposed to know.
不 不是 没人可以确定任何事 No, we're not -- Nobody knows anything for sure.
任何人任何时间都可能突发心脏病而死 Anybody could drop dead of a heart attack at any time.
这家伙是谁 Who is this guy?
我会得心脏病吗 Am I -- Am I gonna have a heart attack?
肖恩在某些社交方面有些困难 Shaun has some difficulty with certain social interactions,
-但如果他说 -我才不信他的鬼话 - but if he says that - - I don't give a crap what he says.
你怎么说 W-What do you say?
我健康吗 Am I healthy?
我看了你的病历 I've reviewed your chart,
我可以完全肯定 and I can say with complete confidence
你正处于健康巅峰 that you are in peak physical condition.
感谢上帝 Thank God.
肖恩 人们需要得到保证 Shaun, people need reassurance.
我告诉过他可以回家了 I told him he was safe to go home.
-我说得很清楚 -但你的说法 - I was very clear. - W-With your words --
你的行为表达的意思完全不同 Your actions said something completely different.
不 没有 No, they didn't.
我的行为完全没有表达任何意思 My actions were completely silent.
当你向人做保证时 对方得听进去才行 When you reassure someone, they have to receive it.
你必须揣度出 You have to gauge
他们真的得到了保证 whether they actually are reassured.
明白了吗 You understand?
你什么时候看特雷弗的病历了 When did you review Trevor's chart?
我没有 I didn't.
这不算撒谎 It's not really a lie.
如果你说他可以回家 If you say - that he is safe to go home,
我就认为他真的可以回家 then I know for a fact that he's safe to go home.
今天我让一个女孩回家了 I sent a girl home today.
有多少人会因为大脑问题 How often do people develop stomach issues
导致胃部疾病 because of their brain?
根据我的个人经验 Based on my personal experience?
每天都有 Every single day.
我要为一个十岁女孩玛蒂娜·拉达夫 I want D-dimer, lactate, and amylase
做D-二聚体 乳酸和淀粉酶化验 for a 10-year-old girl, Martine LaDuff.
她肚子痛可能是因为压力 She might have a tummy ache caused by stress.
也可能不是 Or she might not.
你好 肖恩 Hi, Shaun.
你好 卡莉 Hi, Carly.
一个胃不适要做这么多化验啊 That's a lot of tests for an upset stomach.
你可能会惹麻烦的 You could get in trouble.
一点没错 That's definitely true.
切除肾脏 Remove the kidney.
好的 取出来了 All right. It's coming out.
好了 OK.
抽吸一下 克莱尔 Let's get in there with some suction, Claire,
这样手术视野更清晰一点 so we can get a better view of what we're dealing with.
好了 There it is.
一团乱麻啊 It's a mess.
是的 Yes, it is.
不过现在是看得到的一团乱麻 But now it's a mess we can see.
所有指标都在正常范围内 Everything is within normal range.
乳酸和淀粉酶轻微升高 Slightly elevated lactate and amylase,
她年纪很小 and she's very small.
正常值应该低些 Normal should be lower.
你觉得她有什么病 What do you think she has?
谢谢你 Thank you.
搞什么 都凌晨一点多了 W-What the hell? It -- it's after 1:00.
我做了化验 I ran tests.
化验结果不太明确 The results were ambiguous.
我认为玛蒂娜患有肠旋转不良 I think Martine has intestinal malrotation
而且出现了肠扭转 and that a volvulus has occurred.
这是不明确的化验结果告诉你的 Ambiguous tests told you this.
这是一种遗传病 It's a genetic condition.
症状很像压力过大 The symptoms - are very similar to stress.
早上给我们打电话吧 Call us in the morning.
好 但早上她可能就死了 Okay, she may not be alive in the morning.
你上司知道你在这里吗 Does your boss know you're here?
不 我觉得他会因为我来这里而生气 No, I think he'd be upset with me for being here.
我女儿明天还要上学 我不会大半夜 I am not waking my daughter up in the middle of a school night
因为某个怪胎叫她起来 because of some freak.
另外你早上不用给我打电话了 And you don't need - to call me in the morning,
因为我会打给你上司 because I'll be calling your boss in the morning.
你是在讽刺我吗 Were you being sarcastic?
-打发个人这么难吗 -我跟他说了 - How hard is it to get rid of someone. - I told him --
你是对的 我是怪胎 You're right. I'm weird.
我的怪异之处包括我有持续症 Part of my weirdness is that I perseverate.
也就是说我会一直想同一件事 That means I keep thinking about things.
所以我会一直敲你的门 So I will keep knocking on your door
直到我确定玛蒂娜没事 until I know Martine is okay.
玛蒂娜 Martine.
玛蒂娜 你得赶紧醒过来 Martine, you need to wake up!
-亲爱的 -玛蒂娜 - Honey? - Martine?
她吐了 She vomited.
我叫不醒她 I-I can't wake her!
我去打911 I'll call 911.
不行 来不及了 N-No. There's no time.
-你有车吗 -有的 - Do you have a car? - Yeah.
肖恩 Shaun...
怎么了 ...what's wrong?
怎么了 What's wrong?
你给我打电话了 出了什么事 You called me. What's wrong?
看着我 看着我 Hey, look at me. Look at me!
出了...你不用从头开始说 明白吗 What's -- You don't have to say the whole thing, okay?
只说一件事就好 Just one thing, okay?
-一件事 -我弟弟 - One thing. - My -- my brother.
坚持住 肖恩 坚持一会 Hold on, Shaun. Hold on now, hold on.
她的脉搏太弱无法保证器官灌注 Her pulse is too weak to perfuse her organs.
什么 什么意思 What? What does that --
杰瑞 Jerry!
请开快点 Please hurry.
十岁女性患者 Patient is a 10-year-old female.
心动过缓伴低血容量性休克 She has bradycardia with hypovolemic shock.
-需要吸氧 静注肾上腺素 -快去 - She needs oxygen, IV adrenaline... - Go!
一升生理盐水 ...and a liter of saline.
-大开口 -借过 - Wide open, please! - Coming through!
脉搏强点了 需要超声 Her pulse is better. She needs an ultrasound.
好了 That is it.
我觉得你把肿瘤完全切除了 I think you got it all.
-你「觉得」 -不 你确实做到了 - You "Think"? - No. You definitely did.
我只是不太敢相信 I just can't quite believe it.
这是你的主意 It was your idea.
你应该更有信心些 You should have more confidence.
干得好 医生 Nice work, Doctor.
在那 There.
小肠拧住了肠系膜上动脉 The small bowel is twisted around the superior mesenteric artery.
玛蒂娜需要立即手术 Martine needs surgery immediately.
我们得跟梅伦德斯医生确认一下 We need to confirm with Dr. Melendez.
不 梅伦德斯医生正在做手术 N-No. Dr. Melendez is in surgery.
玛蒂娜一部分小肠已经坏死 Part of Martine's bowel is dying
-危及她的生命 -不行 - and killing her with it. - No.
你不能自己做这种决定 You cannot make these calls on your own.
梅伦德斯医生说得很清楚 Dr. Melendez was very clear.
他是说得很清楚 He was very clear.
现在已经过了午夜 也就是第二天了 It's past midnight, which means it's tomorrow,
也就是说你已经不是我的上司了 which means you're no longer my boss.
这是手术调度中心吗 Is this the O.R. scheduler?
是的 我是莫菲医生 Yes, this is Dr. Murphy.
请为手术准备一间手术室 Prepare an O.R. for surgery.
十号刀 Ten blade.
我来接手 I'll take it from here.
诊断得不错 修复工作由我来吧 Nice diagnosis. I'll handle the repair work.
斯蒂芬妮没事了吧 Is Stephanie okay?
是的 Yes.
杰瑞德出了个很棒的主意 她会没事的 Jared had an excellent idea, and she's gonna be fine.
-打灯 -打灯 - Light. - Light.
你愿意让我协助吗 Would you like me to assist?
这手术很简单 Mm, pretty basic --
我一个人可以搞定 I think I can take this one on my own.
回家吧 睡会儿觉 Go home. Get some sleep.
让他留下吧 Let him stay.
安德鲁斯医生 我想我们对于 Dr. Andrews, I believe our opinions
录用莫菲医生的意见... on the wisdom of hiring Dr. Murphy --
那场争论我们输了 That battle is lost.
肖恩已经在这里了 我们必须接受这一点 Shaun is here, - and we have to accept it,
我们要对他和其他住院医一视同仁 and we will treat him like any other resident.
先生 这是我的团队 Sir, it's my team.
但这是我的科室 And it's my department.
莫菲医生 Dr. Murphy.
过来抽吸 恭喜 Back on suction -- congratulations.
我要去喝一杯 I am gonna get a drink.
我太兴奋了根本睡不着 I'm way too wound up to sleep.
你要一起吗 You care to join me?
喝酒或睡觉 For either?
不要 Don't think so.
不是吧 Seriously?
我们刚刚经历了那么棒的事 We were just part of something amazing.
我们深入病灶 治好了她 We reached into that woman, and we healed her.
然后你怎么了 And you're what?
耍脾气了 Cranky?
也许你可以从我这里学到东西 Maybe you could learn something from me.
学到什么 Like what?
抢功劳吗 To steal credit?
偷走肖恩的主意 让自己当英雄 Make yourself a hero with Shaun's idea?
不 但这是我争取来的 No, but I fought for it.
我替他铤而走险 I went out on a limb for him.
这功劳是我应得的 I deserve credit for that.
你为什么不在我提出他主意时立即告发我 Why didn't you rat me out as soon as I brought it up?
那不重要 It seemed beside the point.
不 你没告发我 No, you didn't rat me out
是因为你觉得那个办法很疯狂 'cause you thought the idea was crazy.
你想让我代他受过 You were letting me take the fall.
这公平吗 Is that fair?
失败了就是我的主意 成功了就是肖恩的 My idea if it fails, but Shaun's if it succeeds?
不过话说回来 But I'll tell you what --
我承认你说得对 I'll accept that you're right.
我会向全组道歉 I'll apologize to the whole team
前提是你要向我证明你不是伪君子 if you prove to me that you're not a hypocrite.
我怎么证明这种事 How am I supposed to prove something like that?
我们的患者麻醉要醒了 Our patient's about to come out of anesthesia.
告诉她真相 Tell her the truth.
等她醒来听到我们做的事 When she wakes up and hears what we did,
我们如何奇迹般地拯救了她的生命 how we miraculously saved her life,
坦白告诉她是谁的功劳 be honest with her -- about credit.
告诉她你本不想那么做 Tell her - you didn't want to do it.
告诉她你想让她回家等死 Tell her that you wanted to send her home to die.
我听说你不让肖恩打杂 让他回了外科 I hear you got Shaun off scut and back into surgery.
我听说你尝试过 I heard you tried.
不客气 You're welcome.
只是友情提示 Just a friendly warning --
我知道你没兴趣帮肖恩 I know you have no interest in helping Shaun.
你以为你给他一点权力 You figure you'll give him a little authority,
他就会捅出篓子 he'll screw something up,
这样你好处置他 and then you'll be done with him,
然后还可以对付我 and then you'll be done with me.
你对我的说法没错 You're right about me.
我是老了 I am getting old
也许还有点感情用事 and maybe a little emotional.
也许我是承诺过多 Maybe I over-committed.
但你把肖恩想错了 But you're wrong about Shaun.
无论你推给他什么事 他都能做好 He's gonna handle anything you throw at him.
不管怎么说 如果他成功了 Either way, if he succeeds,
我曾助他一臂之力 I'm the guy who just backed him.
如果他失败了 我就是院长 And if he fails, I'm the president.
手术一切顺利 Everything went great.
谢谢 谢谢你 Thank you. Thank you.
-谢谢你 -之前情况是很复杂 - Thank you. - There were complications --
-但我没事了对吧 -是的 但是手术 - But I'm okay? - Yeah, but the surgery --
我不在乎的 I don't care.
你们救了我 谢谢你 You saved me. Thank you.
我儿子马上要来了 My son's going to be here soon.
我告诉过他你说会没事的 I told him - you said it would be okay,
但他还是飞过来了 but he flew in anyway.
你们救了我 You saved me.
你会是一位漂亮的新郎妈妈 You're gonna be a beautiful mother of the groom.
过去受他们一谢吧 Go on and take a bow.
你自己赢来的 You've earned it.
为什么功劳归谁那么重要 Why does it matter who gets credit?
那是因为获得功劳的人 It matters because - the people who get credit,
BGM: Take Care by Beach House
不用做杂活 they don't have to do scut work.
莫菲医生 太感谢你了 Dr. Murphy, thank you so much.
谢谢 Thank you!