我们不该住在一起 We should not live together.
这没道理 That makes no sense.
我租了那间公寓 I rented that apartment,
我们俩都无法独自负担房租 and neither of us can afford it on our own.
而且公寓有壁炉 It has a fireplace.
我们不该住在一起 We shouldn't live together.
公寓有壁炉 It has a fireplace.
你有没有想过我们 Do you ever think about us
在一起 being together...
像情侣那样 as a couple?
有时候想 Sometimes.
我不想 I don't want that.
你不希望我们成为情侣 You don't want us to be a couple?
还是不想我希望我们成为情侣 Or you don't want me thinking about us as a couple?
都不想 Neither.
如果我们住在一起 If we get an apartment together,
我觉得那就是 I feel like that's a signal
代表我们也许会在一起的信号 that you and I might end up as boyfriend and girlfriend,
但这绝不会发生 and that's not going to happen.
你无法预测未来 You can't predict the future.
感情会改变 Feelings change.
我以前讨厌拥抱 但现在 I used to hate hugs, but now...
有时我不讨厌 sometimes I don't.
但我不希望自己的感情改变 But I don't want my feelings to change.
我喜欢做你的朋友 I like being your friend,
情侣关系变幻莫测 and romantic relationships a-are unpredictable.
有我掺合的感情可能出很多岔子 So much can go wrong, especially when I am involved.
如果我们住在一起 会很尴尬 And if we live together, it's gonna be awkward.
你肯定会撞见我没穿衣服的时候 You're bound to walk in on me when I'm naked
或听见我和无业鼓手做爱时发出的奇怪呻吟 or hear the weird sex sounds I make with some out-of-work drummer
或当鼓手甩了我后发现我在哭泣 or find me crying - when that drummer dumps me,
但我肯定要先甩了他 even though I was totally gonna dump him.
当我们关系不好时 I was so unhappy
我非常不开心 when we weren't getting along.
你也是 对吗 You were, too, right?
对 Yes.
任何威胁到我们友谊的东西都不值得冒险 Anything that puts our friendship at risk isn't worth it to me.
懂吗 肖恩 Okay, Shaun?
好 Yes.
我们的胆囊摘除手术取消了 Our gallbladder removal's off.
病人昨晚吃了安比恩 Patient took an Ambien last night,
醒来后吃着烤鸡 woke up eating a roast chicken.
看看会诊名单上 Let's check the consult list
是否有更有趣的病例 for something a little more interesting.
-你看 胆囊很无聊 -你只是住院医生 - See? Gallbladders are boring. - You're a resident.
没资格说任何手术无聊 You don't get to call any surgery boring.
你看 See?
这挺有意思 This is interesting.
起泡尿液 Fizzy urine.
42岁女性 晕厥发作 42-year-old female, syncopal episode
持续无意识 with persistent loss of consciousness.
来的路上阵发性心博过速 心率180 On the ride, she went into PVT, rate of 180.
我们通过电击才使她恢复窦性心率 We shocked her back to normal sinus rhythm.
我感觉... I'm starting to feel...
又阵发性心博过速了 She's going back into PVT.
-得给她除颤 送去病区 -不不 - We need to shock her. Get her into a bay. - No. No.
酷 不过你可能弄断了她得胸骨 That was cool, but you may have just cracked her sternum.
-带她去二区 -发生什么了 - Get her into bay 2. - What happened?
-你是丈夫 -是的 - You're her husband? - Yes.
你妻子非常瘦弱 Your wife is pretty frail.
你知道是什么原因吗 Any idea what could have caused that?
她自己造成的 She did.
她是厌食症患者 She's anorexic.
良 医
第二季 第五集
我是莫菲医生 这位是朴医生 I'm Dr. Murphy. This is Dr. Park.
我们是为你的尿样而来 We're here about your urine.
你的尿液起泡有多久了 How long has it been fizzy?
我没留意 有问题吗 I hadn't even noticed. Is that a problem?
好些情况会引起此症状 Ah, it can be a symptom of several conditions,
大多数都是小病 many of them minor.
你来看骨科 做右膝关节窥镜检查吗 You're here for ortho -- a scope on your right knee?
我一直在为比赛训练 膝盖很酸 It's been sore. I've been training for a race.
关节疼痛加上起泡尿液 Joint pain plus fizzy urine.
有可能是气性膀胱炎 You could have emphysematous cystitis,
膀胱癌 肾脏问题 bladder cancer, kidney problems --
听起来很严重 我该联系我丈夫吗 Those sound serious. Should I call my husband?
气性膀胱炎是种可治疗的膀胱感染 Emphysematous cystitis is a treatable bladder infection.
你的症状也可能是肾结石 Your symptoms could also be from a kidney stone
或脱水引起的 or dehydration.
有没有可能是因为... Could my issues be caused by...
胃旁路手术 gastric bypass surgery?
看情况 什么时候做的 It depends. When was it?
十五年前 15 years ago.
我之前有171公斤 I used to be 377 pounds.
好重 That's a lot.
你的手术不会引起这些症状 Your surgery wouldn't cause those symptoms,
但需要做个膀胱内窥镜检查才知道 but we need to do a cystoscopy to find out what did.
我去取消骨科门诊 找利姆过来 I'll cancel the ortho and get Lim to sign off.
等等 什么 Hey, wait. What --
什么是膀胱内窥镜检查 So, what is a cystoscopy?
就像膝关节窥镜检查 It's like a knee scope,
只不过窥镜是从阴茎进入 except the camera goes up your penis.
你给她服了胺碘酮吗 You administered amiodarone?
心跳正常 Rhythm's normal.
这是好消息吧 That's good, right?
比你入院时好 It's better than when you came in.
你的心脏在衰竭 Your heart is failing
是由叫二尖瓣闭锁不全的病症引起的 as a result of a condition called mitral regurgitation.
你的一瓣心脏瓣膜不能完全闭合 One of your valves isn't closing all the way.
导致血一直倒流进心房 Blood keeps leaking back into your atrium.
造成晕厥 That's why you fainted
所以我们需要马上修复瓣膜 and why we need to repair that valve ASAP.
你得厌食症多久了 How long have you been anorexic?
从十四岁起我一直断断续续有厌食症 I've had issues with food on and off since I was 14.
二尖瓣问题是长期营养不良的 Mitral valve issues are a frequent complication
常见并发症 of long-term malnutrition.
大约是一年前开始的 This bout started about a year ago...
她开始不吃饭 或骗我们已经吃了 skipping meals, lying about eating,
过量运动 exercising excessively.
我不知道还能做什么 I don't know what else I can do.
我不能二十四小时监视着她 I-I can't monitor her 24 hours a day.
我没让你这么做 I'm not asking you to.
是没有 但你是要饿死自己 No, but you are starving yourself.
妈妈 Mom.
小格 过来 Grahamy, come here.
他怎么来了 What's he doing here?
我到家的时候 听说救护车来过 When I got home, I heard about the ambulance.
我让辛迪带我过来的 I made Cindy bring me here.
我妈妈怎么了 What's wrong with my mom?
她需要进行手术来修复心脏瓣膜 She needs a surgery to repair a valve in her heart.
是因为心脏有问题她才这么瘦吗 This heart thing, is -- is that why she's so skinny?
重要的是 格雷厄姆 Look, what matters, Graham,
这些医生会帮你妈妈的 is that these doctors are gonna help your mom.
好吗 Okay?
你还没有排便 You haven't moved your bowels.
谢谢说出来 肖恩 Well, thank you, Shaun, for that announcement.
省得我昭告天下 Saves me the trouble of tweeting.
护士们已经知道了 他们告诉我的 The nurses already knew. They told me.
他们还说 They also said
你没再和你死去的女儿对话了 you're no longer talking to your dead daughter.
便秘但不疯了 险胜 Constipated, but no longer psychotic. A narrow win.
你第一次排便活动 Your first defecation event
是整个排泄指标里的重要一环 is a vital part of the discharge criteria.
活动 这是术后十项全能运动吗 Event? What is this, the post-op decathlon --
-排便 排尿 走路 说话 -没错 - pooping, peeing, walking, talking? - Yes.
你得在这层楼走一整圈 You have to walk a full lap of the floor.
但你取消了今早的理疗 But you canceled physical therapy this morning.
这些护士嘴巴真大 Those nurses have big mouths.
我取消是因为腿有点酸 I canceled because my leg is a little sore.
那可能是静脉炎 That could be phlebitis
静脉血栓 or a DVT or a --
也可能是给我的脑桥动手术后 Could also be an unsurprising complication
意料之中的并发症 from a surgeon poking around in my pons.
每在医院多呆一天 Every day in the hospital
你感染的概率就上升1.37% increases your risk of infection by 1.37%.
你需要排便 你现在就起来走走 You need to move your bowels, and we should walk right now.
我会慢慢走的 I'll go very slow.
肖恩 你现在 Shaun, is there any chance
是不是需要去忙别的 that you are needed elsewhere right now?
八分钟后 I-I have 8 minutes
我得去给病患做膀胱内窥镜检查 until my patient's cystoscopy.
很好 要早点到 Good. Be early.
尿道很干净 Urethra looks clean.
目前没有病变和结石 No lesions, no stones so far.
我们怎么进一步检查有没有堵塞或结石呢 How do we check for obstructions or stones further up?
膀胱对比造影 Contrast cystogram.
鉴于是你发现的这个患者 Since you found this patient,
就由你来做怎么样呢 how about you do the honors?
你知道这个人曾经约有170公斤吗 You know this guy used to weigh 370 pounds?
穿过导尿管 进入膀胱 Thread the catheter further into the bladder.
减了这么多 他可真行 That's a big drop. Good for him.
他做了胃旁路手术 He did have gastric bypass.
那就不厉害了吗 That makes it less impressive?
-现在注入造影剂 -是啊 - Now infuse the contrast. - Well, yeah,
比起节食和运动 这是种简单的办法 it is the easy way, compared to just diet and exercise.
造影剂散开了 The contrast dye is dissipating.
正常的 It's supposed to.
你说他在为比赛训练 You said he's training for a race.
很显然 他完全改变了自己的生活 Obviously, he turned his life around.
还在扩散 Still dissipating.
胃旁路手术让他 Bypass made it physically impossible
不能想吃多少吃多少了 for him to eat as much as he wanted.
不见了 造影剂不见了 It's gone. The contrast is gone.
-这没道理 -去哪儿了 - That makes no sense. - Where did it go?
他可能有瘘管 He probably has a fistula --
接通了他的膀胱和肠 a tunnel connecting his bladder to his intestine.
往另一个方向移动的空气和细菌 Air and bacteria moving the other direction
导致他的尿液有气泡 caused bubbles in his urine.
她的肝和甲状腺是正常的 Her liver and thyroid are normal,
但她的体内电解质不足 but her electrolytes are off.
她的白蛋白在2.1 Her albumin is at 2.1.
她严重营养不良 She's severely malnourished.
她将会非常脆弱 抵抗不了术后感染 She'll be totally vulnerable to post-op infections.
她要活命就得做这手术 She needs this surgery to survive,
但她太虚弱了 根本撑不过手术 but she may be too sick to survive the surgery.
为了安全进行手术 In order to operate safely,
我们得增加你的热量摄入 we need to boost your caloric intake,
优化蛋白质摄入 optimize protein.
不能通过静脉注射吗 Can't you do that through my IV?
更有效地方法是把营养物质 It's more efficient to pump a nutritional supplement
直接送进你的胃里 directly into your stomach.
我们会用管子从你的鼻子送进去 We use a tube running down from your nose.
我试过鼻胃管 I had an NG tube once.
但不管用 It didn't work.
她受不了那个 She couldn't tolerate it.
因为其实不是因为食物 Because it's not really about food.
而是因为自我控制 It's about control.
你带着这个症状活了几十年 You've lived for decades
比起其他心理疾病 with a condition that has killed more people
它害死了更多人 than any other psychiatric illness.
你不止活下来了 你还有个孩子 You didn't just survive. You had a child.
怎么做到的呢 Can you tell us how?
我怀孕的时候 When I got pregnant,
那就像个令人害怕的奇迹 it was like this terrifying miracle.
一想到会增重很多 And the thought of gaining all that weight, but...
但我太想要他了 I wanted him so much.
我们都是 We both did.
吃饭时我都会把他的超声波图像放在一边 Every meal, I would sit with pictures of his ultrasound,
想象着那些食物直接进入了他的身体 i-imagining the food going directly to him.
你能再做一次吗 Can you do that again?
为了格雷厄姆进食 Eat for Graham?
我们已经确定 We've determined the fistula
你膀胱和肠之间的瘘管 between your bladder and intestine
是由克罗恩病导致的 was caused by Crohn's disease,
一种发炎性肠道疾病 an inflammatory intestinal condition.
一旦我们把你的胃旁路手术复原 Once we reverse your gastric bypass,
-你得 -等等 复原我的胃旁路手术 - you'll need -- - Wait. R-Reverse my bypass?
你确定 Are you sure?
胃旁路术缩短了消化道 Bypass surgery shortens the digestive tract.
有克罗恩病的患者需要利用他的每一寸大肠 People with Crohn's disease need every inch of intestine they have,
否则就会很危险 or they risk critical,
甚至会出现致命的营养不良 even fatal malnutrition.
好吧 但我不想让我丈夫知道 Okay, but I don't want my husband to know,
他就快到了 and he'll be here soon.
没有你的许可 我们不会透露任何信息 Well, we would never reveal anything without your permission,
但是治疗克罗恩病需要你 but Crohn's disease is going to require
做些重要调整 some major adjustments.
好吧 我会告诉斯宾塞我有克罗恩病 Well, I'll tell Spence about the Crohn's,
也会告诉他要在我的膀胱 and I'll tell him I'm having surgery...
动手术 on my bladder.
你丈夫不知道你做过胃旁路手术吗 Your husband doesn't know you had gastric bypass?
那就要先告诉他我以前很胖 That would require him knowing I was obese to begin with.
这不可能 That's not gonna happen.
你丈夫一定很肤浅 Your husband must be very shallow.
即使我不说你复原了胃旁路 Even if I don't disclose
你的伤疤也会泄密的 that I reversed your bypass, your scars might.
这需要做个单独的切口 It requires a separate incision.
那就告诉他出现了并发症 Well, tell him there was a complication.
我们保护你隐私的义务不包括撒谎 Our obligation to protect your privacy doesn't include lying.
而且你不应该独自承受这些 And you shouldn't have to go through this without him.
单孔腹腔镜手术 The single abdominal umbilical port.
单孔腹腔镜手术
我们既可以修复韦德的瘘管 We can repair Wade's fistula
复原胃旁路 and reverse his bypass
全通过单孔完成 all through a single incision.
我们可以帮你向你的丈夫隐瞒 We can help deceive your husband.
亲爱的 我很抱歉 Oh, honey, I'm so sorry.
没事的 斯宾塞 That's okay, Spence.
-我已经尽快赶来了 -真的没事 - Got here... as soon as I could. - It's all right.
既然我丈夫已经被外科医生包围了 And since my husband is surrounded by surgeons,
那到底是什么问题 你们准备怎么处理 what's the issue, what are you gonna do about it,
成功的几率是多少 and how often have you done it successfully?
你还好吗 How are you doing?
我很好 I'm fine.
格雷厄姆 你能把这个装满吗 Graham, would you mind filling this?
你已经吃了一勺金枪鱼 You've had one spoonful of tuna,
两盎司苹果酱 2 ounces of apple sauce.
就这么点吗 That's it?
妈妈 如果我也吃这么点 Mom, if that's all I had,
你根本不会让我下桌子 you'd never let me up from the table.
这不一样 我... This is different. I...
不能吃得太快 can't eat too quickly.
我不相信 I don't believe you.
是真的 It's true.
你妈妈有严重的营养不良 Your mother is suffering from severe malnutrition,
-她已经在尽全力了 -我知道 - and she's trying her best - I knew it.
你太瘦了 所以你才要住院 You're too skinny. That's why you're here.
可能也是你心脏出问题的原因 That's probably why your heart's messed up,
而且你还是不想吃 and you still won't eat.
格雷厄姆 我在努力 Graham, I am trying.
-吃东西能有多难呢 -我觉得很难受 - How hard can it be to eat? - I'm not feeling well.
我和爸爸都很担心你 Me and Dad are really worried about you.
你不在乎吗 Don't you care?
我当然在乎 格雷厄姆 Of course I do, Graham.
-非常在乎 -那就做点什么吧 - So much. - Then do something.
证明你在乎 Prove it.
是你挑起了他们的争吵 You provoked that argument?
是的 我刚刚可能救了我们的病人 Yep, and I may have just saved our patient.
她请求插鼻胃管 She requested an NG tube.
能理解是好 但她更需要能量 Understanding is nice. Calories are better.
他彻底搞砸了 他丈夫很害怕 He's screwing this up. His husband's scared,
他只是想知道到底发生了什么 and he just wants to know what's going on.
没有什么比离婚人士的婚姻建议更不靠谱 Nothing like marital advice from the divorced.
-你也离婚了 -我没有给建议 - You're divorced, too. - And I'm not advising.
我不会根据一个秘密来判断 I'm not judging the health of a marriage
婚姻的健康程度 而且这个秘密 based on a single secret, which is neither shocking
既不令人震惊也不是世界末日 nor a sign of its imminent demise.
难道婚姻中的坦诚被高估了吗 What, truth in a marriage is overrated?
这只是我的想法 不是所有领悟 Well, it was in mine. Not every single insight,
所有观点或念头都需要与人分享 opinion, or impulse needs to be shared.
婚姻听起来如此让人困惑 Marriage sounds confusing.
难怪你俩的婚姻都失败了 No wonder you both failed at it.
情况如何 How's it going in here?
还不算最糟 Not as bad as I remember.
这样疼吗 妈妈 Does it hurt, Mom?
不疼 只是有点不舒服 No, just a little awkward.
插着管子说话很辛苦 Makes it hard to talk.
但是我还行 But I'm okay.
我真为你骄傲 I am so proud of you.
格拉斯曼医生没有排便 Dr. Glassman hasn't defecated
也没有做物理治疗 or done his physical therapy.
我了解 暂时还不用担心 I am aware and yet unalarmed.
-你是谁 -我是肖恩·莫菲医生 - Who are you? - I'm Dr. Shaun Murphy.
对了 Oh, right!
你是格拉斯曼医生的朋友 Your Dr. Glassman's... friend.
请要求他去做物理治疗 再给他 Please order him to do physical therapy
十五毫克番泻苷[泻药] and give him 15 milligrams of ex-lax.
番泻苷是个不错的主意 The ex-lax is a decent idea.
至于物理治疗 当然 他是在拖着 As for the physical therapy, of course, he's stalling.
格拉斯曼要面子 他曾是这里的院长 Glassman's a proud man. He ran this hospital.
他不想在曾经的员工面前 He's reluctant to feel weak and vulnerable
显得脆弱无助 in front of people who used to work for him.
这讲不通啊 That doesn't make sense.
他很虚弱 因为他刚做完脑部手术 He is weak. He just had brain surgery.
不管讲不讲得通 我是这么认为的 Well, sensical or not, that's my take.
他总会走路的 He'll walk eventually.
在医院每多待一天 Every day in the hospital
他的感染风险就增加1.37 increases his risk of infection by 1.37 --
那你把这个告诉他 Well, you tell him that,
说不定他会马上跳下床 and maybe he'll hop right out of bed.
我告诉他了 没用 I did. It didn't work.
如果他对木棒没反应 He didn't respond to the stick.
那换成胡萝卜 实际上 我只是建议 Try the carrot. Although, really, I would just advise --
格拉斯曼医生不喜欢胡萝卜 Dr. Glassman doesn't like carrots.
我该拿木棒做什么 What should I do with the stick?
这只是个比喻 It's a metaphor.
把格拉斯曼比作一头驴 Uh, Glassman, appropriately, is the donkey.
木棒就代表惩罚 The stick signifies punishment.
而胡萝卜则代表... The carrot signifies...
奖励 但是他...他恢复得很好 reward, but he is -- he's recovering nicely,
那你最好对他耐心点 and your best bet is to just be patient with him.
那我应该用奖励 So, I should use a reward
激励格拉斯曼医生去做物理治疗 to motivate Dr. Glassman to do physical therapy.
其实 我想说的是 Actually... what I'm saying
你得有耐心 要多给他支持 is that you should be patient and supportive...
拜托你看一眼吧 ...and please, please answer that.
把门带上 Close the door.
我们刚要做术前准备 他突然开始喷射状呕吐 We were headed to pre-op when he started projectile vomiting.
这是 绿色的 It's...green.
可能是胆汁 意味着有部分肠梗阻 That could mean bile and a partial bowel obstruction.
-我们需要一根鼻胃管 -梗阻 - We need an NG tube. - An obstruction?
是克罗恩病造成的吗 Did the Crohn's cause that?
现在还不能确定 鼻胃管 马上 It's hard to know for sure. NG tube -- stat.
你已经很棒了 You're doing great.
试着睡一下吧 You should try and get some sleep.
我睡不着 I can't.
我脑子里有个声音 There's this voice in my head,
总是停不下来 and it won't be quiet.
它一直在对我说 It keeps telling me that
这包东西里面有60克蛋白质 this bag has 60 grams of protein,
40克脂肪 40 grams of fat,
总共是1200大卡 1,200 calories in total.
它怎么都停不下来 It just won't stop.
试着 想想格雷厄姆和山姆吧 Try...to think of Graham and Sam.
我在想 I'm trying.
我去给你拿点助眠的药 I'll get something to put over that.
露易莎 不要 Louisa, no!
别这样 No!
对不起 I'm sorry.
我不 我只是 I c-- I just --
我受不了 I can't stand it.
我把你的押金拿回来了 I got your deposit back.
为什么 Why?
肖恩 我说过我们不能住在一起 Shaun, I told you that you and I can't live together.
不 No.
你跟我说 You told me
我们不能做情侣 we can't be boyfriend and girlfriend.
我们还是可以做互惠伙伴 We can s-still be friends with benefits.
互惠是说 The benefit is...
我们可以住在一起 we would be living together.
我说得很清楚 I was clear.
-这样太复杂 -你是说得清楚 - It's too complicated -- - You were.
我们不能约会 亲亲或者上床 We can't date or kiss or have sex.
但我以为你还是想和我做朋友的 But I thought you wanted to be friends.
是的 当然了 Yes. Of course.
-还可以待在一起 -没错 - And spend time together. - Right.
那不就很简单 Then it's simple.
她恳求我们重新插上鼻胃管 She begged us to reinsert the NG tube,
一小时后又把它拔掉了 then pulled it out again an hour later.
要不要再试一次插管和限制她的行为 Do we try again with the tube and restraints?
那样我们只会增加她自残 Oh, we'd just be raising her risk of self-injury,
肺炎和血栓的风险 pneumonia, a blood clot.
那重新给她吃固体食物呢 What about going back to solid food?
每天低于1200大卡的能量 Anything less than 1,200 calories a day,
是不会改善她的营养不良的 and her malnutrition wouldn't be improving.
事实上她的体重会一直掉 In fact, she'll keep losing weight.
我们现在应该直接进行瓣膜修复 We should go ahead with that valve repair now.
我想我们能够改善她的营养条件 I think we can improve her nutrition
不用强迫饲喂或静脉输液 without force-feeding or IVs.
我查到个冷门研究 可以通过脑深层刺激术 I found a small study where deep brain stimulation
来治疗厌食症 was used to treat anorexia.
你想用脑部手术来治疗精神疾病吗 You want to use brain surgery for a psychiatric disorder?
外科手术在治疗抑郁症 Surgical procedures have been effective
强迫症和上瘾方面一直很有效果 for, uh, depression, OCD, addiction.
这样的手术可以减轻她在进食方面的焦虑 This surgery could reduce her anxiety around eating.
当她开始进食 她的营养状态就会改善 Once she's eating, her malnutrition will improve
从而减轻瓣膜修复的风险 and reduce the risk of the valve repair.
但还能够导致人格改变 It could also cause personality changes.
这个研究中的六名参与者 And this study covers six subjects
只有一半成功了 with only 50% success.
这可能是露易莎摆脱疾病困扰的 Well, this could be Louisa's only shot
唯一机会 at getting free of this illness.
但研究是在英国进行的 And it was done in the UK.
美国食品药品管理局 DBS isn't FDA-approved
并未允许用这手术治理厌食症 for anorexia treatment here.
那就举行内部审查听证会 So, we call an IRB ethics hearing
申请紧急使用批准 and argue emergent-use approval.
我们靠这么点数据是不够的 Which we shouldn't get off such little data.
你的努力我很赞赏 Nice work digging this up,
但这个办法不可行 but it's not a real option.
我们去和她谈谈瓣膜手术吧 Let's go talk to her about the valve surgery.
有什么需要吗 Can I help you?
我在找胡萝卜味的 I'm looking for a carrot.
17 18 19 17, 18, 19...
抱歉 我们没有胡萝卜玛芬 No, uh, sorry, we don't have any carrot muffins.
要不来个柠檬罂粟籽口味的 肖恩 How about a lemon-poppy, Shaun?
你好 黛比·韦克斯勒 Hello, Debbie Wexler.
是比喻激励一头倔驴 It's a metaphor for moving a donkey.
我要胡萝卜是因为我不想 I need a carrot because I don't want
用棍子打格拉斯曼医生 to beat Dr. Glassman with a stick.
他喜欢蓝莓玛芬 He likes blueberry muffins.
亚伦他 How's Aaron --
格拉斯曼医生恢复得如何了 Dr. Glassman recovering?
他今天早上排便了 He moved his bowels this morning.
但他不想别人觉得他很弱 But he doesn't want to appear weak,
所以他还没去做理疗 so he hasn't done physical therapy.
我要那个蓝莓玛芬 谢谢 I want that blueberry muffin, please.
那个有23颗看得见的蓝莓 It has 23 visible blueberries.
亚伦有次告诉我说 You know, Aaron once told me
他最最喜欢的是巧克力屑口味的 that his absolute favorites were the chocolate chip ones.
你要换成那个味道的吗 Do you want one of those instead?
好的 我就要你说的那个了 Yes, I want one of those instead.
你好 朴医生 Oh, hi, Dr. Park.
关于韦德的手术我有几个疑问 Um, I have a few questions about Wade's surgery.
抱歉 我实在是太忙了 Sorry, I'm pretty busy.
其实我刚要走 Actually, I need to get going.
那边走边说 Uh, I'll walk with you.
我知道韦德的手术安排在今天下午 I know Wade's surgery is this afternoon,
但我查了克罗恩病变的治疗办法 but I've been researching treatments for Crohn's lesions.
没了网络我们是不是就没法治病了 What'd we do before the Internet?
我和两个专家谈了 他们都认为韦德应该 I talked to two experts who felt that Wade should be put
在任何手术干预之前 on Remicade or Azathioprine
用英夫利西单抗或者硫唑嘌呤 before any surgical interventions.
有意思的建议 Interesting recommendations,
但鉴于他们没有看过你丈夫的病历 but considering they haven't seen your husband's chart...
这个医生强烈建议你应该先看看 Well, this doctor felt strongly that you should see
他对药物的反应 how he responds to medication before --
韦德的治疗方案完全适合他的身体状况 Wade's care is completely appropriate for his condition.
但如果治疗他的克罗恩病变 But if his Crohn's lesions could be treated
-不用动手术 -我们治疗的不是那个 - without cutting him open -- - That's not what we're treating.
什么 Excuse me?
去和你丈夫谈谈吧 Go talk to your husband.
我给你买了个巧克力屑玛芬 I brought you a chocolate chip muffin.
我爱巧克力屑 I love chocolate chip.
谢谢 Thank you.
在哪里 Where is it?
在护士站 At the nurse's station.
-你可以走过去拿 -肖恩 你看 - You can walk out to get it. - Shaun, you see,
我还以为你在关心我呢 here I thought you were doing something nice for me.
-我在关心你 -不 你才没有 - I am. - No, you're not.
你在控制我 You're manipulating.
我的腿很酸痛 我还喉咙痛 My leg hurts, and I-I have a sore throat,
而且我不想走路 and I don't feel like walking.
布莱兹医生说你不想在以前的下属面前 Dr. Blaize says you don't want to seem weak
表现得很虚弱 in front of people - who used to work for you.
布莱兹医生错了 Dr. Blaize is wrong.
我不想走路就因为我不想走路 I don't want to walk because I don't want to walk.
而且你这样表现出高人一等 And this is condescending,
很侮辱人 而且很烦人 and it's insulting, and it's annoying.
我应该去帮你拿玛芬吗 Should I get you your muffin?
那样就再好不过了 Well, that would be nice.
有个护理员正在吃 An orderly is eating it.
德利昂先生 有什么事吗 Mr. DeLeon, can I help you?
我的妻子决定不进行瓣膜修复手术 My wife's decided against the valve-repair surgery,
她想先做脑深层刺激手术来治疗厌食症 at least until she's tried the deep brain stimulation for her anorexia.
布朗医生有告诉过你那是个试验性的脑部手术吗 Did Dr. Browne tell you that it's an experimental brain surgery,
可能会永久改变你妻子的性格 which could alter your wife's personality forever?
我们必须得到特别批准才可以进行 That's if we get the special approval required.
所有事项她都说明过了 She's explained all the issues.
我把我们的公寓拿回来了 I got our apartment back.
我不得不多付三百美元押金 I had to pay $300 more as a deposit
因为别人也想租 但没关系 because someone else wanted it, but that's okay.
不 肖恩 No, Shaun!
那里有壁炉 It has a fireplace.
你为什么不听我的话 Why aren't you listening to me?!
你才没有听我的话 You're not listening to me!
如果撞见你没穿衣服 I'll be okay - running into you naked...
或听到不可描述的声音 or hearing sex noises
或看到你和鼓手分手后哭泣 我都没事 or seeing you cry over breakups with drummers.
我知道你认为你可以 但你怎么能确定 I know that you think you can, but how can you be sure?
因为和你住在一起 Because living with you
对我有好处 will be good for me.
让我很开心 It makes me happy.
你记得自己曾说过 肖恩 You remember what you said, Shaun,
没有人可以预测未来 that no one can predict the future
而且感觉是会变的 and feelings can change?
如果我最后又伤害你了呢 What if I end up hurting you again?
我不想因为一间公寓而毁掉 I don't want to risk our friendship
我们的友谊 over an apartment.
你呢 Do you?
如果我们不住在一起 If we don't live together,
你就要自己买电池 you will have to buy your own batteries.
我们仍然可以见面 We'll still see each other.
那会很难 我工作很忙 That will be hard. I work a lot.
会有办法解决的 我们会的 We'll find a way. I know we will.
我要去工作了 I need to go to work.
我会在回家的中途 I'll stop on the way home
去告诉中介 and tell the manager
公寓我们不租了 we don't want the apartment.
不 让我去吧 No, I'll do it.
这个研究中有反应的测试对象 The subjects who responded in this study
体质指数长期都在13到16之间 are all long-term sufferers with a target BMI of 13-16,
长期积极治疗的患者 who actively pursued this treatment,
与我们的患者非常相似 much like our patient.
而且 脑深层刺激手术比开胸麻醉程度更低 Additionally, DBS surgery requires lighter sedation
她的身体承担的压力也更低 and places less strain on her system than an open-chest procedure.
你指的是梅伦德斯医生建议的瓣膜修复手术 You're referring to the valve repair recommended by Dr. Melendez?
是的 Yes.
我建议把那个手术推迟几周 I propose delaying that surgery by a couple weeks,
如果脑深层刺激手术成功了 which would be well worth it
就降低风险而言 in terms of reduction of risk
那样会很值得 if the DBS is successful.
很精彩的演讲 布朗医生 Excellent presentation, Dr. Browne.
非常详细周密 Very thorough.
同意 但基于受实验者群体很小 Agreed, though I do have concerns
对于同意这项手术 about approving this procedure
我还是有一些担心 based on the small subject pool.
但我会再商讨 But I'll confer with --
还有一个人 There is, uh, one more person
我想让你们听听她的想法 患者本人 I want you to hear from -- the patient.
这是内部审查会 不是治疗会 This is an IRB, not a therapy session.
其实有机会表达担忧的患者 Actually, patients who had the opportunity
起诉医院的可能性 to air their concerns are eight times less likely
会少八成 to sue their hospital.
你叫我 You paged me?
你可以出去了 朴医生来了 You can step out. Dr. Park's got this.
抓住床单 Grab the sheet.
你和韦德的丈夫谈过了 You talked to Wade's husband.
我们晚点再说吧 Maybe we should discuss this later.
我可以帮他修复关系的同时让你难堪 I can patch him up while tearing you down.
你侵犯了病人的隐私权 You violated our patient's confidentiality.
我跟他说我们没在治疗的病 I told him what we weren't treating.
我没有侵犯什么 That's not a violation.
而且在他的秘密公开后 And their marriage is better off
对他们的婚姻更有利 for having his secrets out in the open.
你去当婚姻咨询师比当外科住院医师 That'd be meaningful if you were a marriage counselor
会很有意义 instead of a surgical resident.
就算韦德说了实话 Whatever lie blew up your marriage
让你婚姻失败的谎言也不会改变 won't be undone if Wade tells the truth.
我只是想帮助我们的病患 I was just trying to help our patient.
我们的前病患 Our former patient.
韦德申请转院 Wade's demanding a transfer to another hospital.
我试过认知行为治疗法 I have tried cognitive behavioral therapy,
食物心理动力学治疗法 food psychodynamic therapy,
家庭治疗法 family therapy,
住院治疗 门诊治疗 in-patient treatment, out-patient treatment,
抗抑郁药 鼻胃管 anti-depressants, NG tubes,
全胃肠外营养 TPN.
而我照样还是在等死 And yet, here I am, dying.
自我摧残 Killing myself.
我靠自己是没法控制的 And I can't stop on my own.
求求你 Please...
帮帮我吧 help me...to stop.
你知道 Are you aware
脑深层刺激术能导致性格改变吗 DBS has been known to cause personality changes?
也就是说 将电极插入你的伏隔核中 In your case, the electrode would be at the nucleus accumbens --
布朗医生说过所有可能的风险了 Dr. Browne explained all of the risks.
我们必须确定你了解所有风险 It's important we know that you understand.
伏隔核对母系依恋很重要 The nucleus accumbens plays a role in maternal attachment,
当母亲与孩子亲近时会释放出多巴胺 delivering dopamine when moms interact with their children.
如果为了让你恢复饮食健康 Now, what if in trying to overcome your eating disorder...
你将失去爱你儿子的能力 你愿意吗 you lose the ability to feel love for your son?
我的儿子是我的一切 My son is everything to me.
过去的一年 他看着我 For that past year, he has been watching me
活活把自己饿死 starve myself to death.
我愿承受所有代价 I'll risk anything
让他看到我战胜病魔 to keep him from seeing me succeed.
谢谢你 德利昂女士 Thank you, Ms. DeLeon.
我们需要点时间谈谈 We'll need a few minutes to talk.
你不肯告诉我因为你认为我很肤浅 You kept it a secret because you think I'm shallow.
-我也说过这话 -我不告诉你 - I said the same thing. - I kept it a secret
因为「友好的胖子们」 because of "friendly fatties."
转院这事有进展了吗 Any news on my transfer?
旧金山综合医院明天会有空床位 San Francisco General should have a bed tomorrow.
拜托 开玩笑啊 Come on. It's a joke.
-玩笑 -我来给你夹紧鼻胃管 - A joke?! - I'm here to clamp your nasogastric tube.
那对我们认识几年的夫妻吗 About a couple we've known for years?
我们在人家的婚礼上 We were at their wedding,
而你把他们当笑话看 and yet you treat them like a punch line.
-这应该是绿色的 -是你撒谎了 - This used to be green. - You're the one who lied.
-现在变棕了 -如果我知道冒犯到你 - Now it's brown. - If I'd known you were offended --
重点是 这就是为什么我不肯告诉你 The point is, is that's why I didn't tell you.
红绿变棕 Red and green makes brown.
你肠内在出血 Your bowel is bleeding.
你需要手术 呼叫朴医生和利姆医生 You need surgery now! Page Dr. Park and Dr. Lim!
他出现了绞肠 He has a strangulated bowel.
-斯宾塞 -没事的 - Spence. - It's gonna be okay.
立刻准备一间手术室 We need to open up an O.R. now!
二比一的差距 By a margin of 2-to-1,
内部审查委员会决定 this Internal Review Board has decided
同意这场手术 in favor of allowing this procedure.
-做得不错 -谢谢 - Nicely done. - Thank you.
希望手术顺利 Hope the surgery goes well.
用45毫米的金色缝合器 Use the 45 mm gold stapler.
坦白真相并没有帮助到韦德的婚姻 The truth coming out didn't help Wade's marriage.
还需要点时间吧 Hopefully, with some time.
秘密会毁坏一切 Secrets are corrosive.
韦德打从一开始就应该坦白 Wade should've been honest from the start.
也许韦德觉得斯宾塞知道他做了 Maybe Wade thought Spencer would feel
胃旁路术后会跟你一个反应 the same way you did about his bypass --
觉得他减肥太轻松了 that he lost weight the easy way.
好吧 Okay.
是时候了 It's time.
小格 Graham-y.
你是 You are...
我一生的光芒 the highlight of my life.
你知道的 对吧 You know that, right?
是的 我也爱你 Yeah. I love you, too.
这个世界上我最爱你 I love you more than any person on the planet
我没有爱过除了你之外的任何人 ever loved any other person on the planet.
我知道 I-I know.
妈妈 你会没事的 对吧 Mom, you're gonna be okay, right?
当然 宝贝 Of course, baby.
当然 Of course.
我们几个小时后见 We'll see you guys in a few hours.
我爱你 I love you.
巧克力玛芬不管用 The chocolate chip muffin didn't work.
倔驴还是不肯走路 The donkey won't walk.
-我说过格拉斯曼会尴尬 -不 - I told you that Glassman's probably embarrassed. - No.
他并不尴尬 He's not.
我问了他 I asked him,
他说你错了 and he said you were wrong.
这不代表我真的错了 Doesn't mean I'm actually wrong.
他需要人帮助他恢复 He needs help recovering.
我想帮助他 I'm trying to help,
但没有用 but it's not working.
他跟我生气了 He got angry at me.
格拉斯曼医生是你的病人 Dr. Glassman is your patient.
你要解决他缺少活动的问题 You need to fix his lack of mobility.
这是你的问题 This is your problem.
我不知道该做什么 I don't know what to do.
我不知道怎么帮他 I don't know how to help him.
病患很痛苦 Being sick is hard.
陪伴病患也很痛苦 Being around sick people is hard.
我们都想帮助他 We want to help.
但我们都不知道从何做起 We all struggle with what to do.
-你的执着 -好吧 - Your obsession -- - Okay.
不仅仅是一块玛芬或是一次排便 More than a muffin or a bowel movement
或是在病房走一圈 or a walk around the ward,
格拉斯曼需要的是有人陪伴 what Glassman needs is someone to be there for him.
一位有耐心的 支持着他的朋友 A patient, supportive friend.
我知道最适合的人选 I know the perfect person.
醒了 Hey, there.
感觉怎么样 How are you feeling?
我还好 I'm okay.
我感觉 I feel like...
我想吃东西 I want something to eat.
我饿了 I'm hungry.
好的 小伙子 All right, buddy.
我们回家吧 Let's get you home.
让你好好睡一觉 Get you a decent night's sleep.
明早见 See you in the morning.
我帮你拿些吃的 I'll get you some food.
你确定你还好吗 Are you sure you're all right?
确定 Yeah.
我只是 I just...
我想知道对他来说那个拥抱有什么不同 I wonder if that hug felt different for him.
你感觉不同吗 Did it for you?
你丈夫的手术进行地很顺利 Your husband's surgery went well.
他正在恢复中 He's in recovery now.
我想他醒了 I think he's awake.
谢谢你 Thank you.
韦德告诉我到哪可以找到这些 Wade told me where to find these.
这是做胃旁路术之前的他 This is him before bypass?
他说看到这些会帮助我理解 He said that seeing these would help me understand
为什么他从未告诉我 why he never told me.
而 Which...
我说这很荒谬 I said was ridiculous.
他会又变成这副样子吗 Is he gonna end up like this again?
有可能 It's possible.
我希望我不知道 I wish I didn't know that.
什么事 Yeah?
黛比 Debbie, hi.
肖恩说你希望有人来看你 Shaun thought you could use a visit.
还有 Oh, and, uh --
还想来块玛芬 and another muffin.
谢谢 我真希望我知道你要来 Thank you. I wish I'd known you were coming.
我会打扮地更得体一点 I would've slipped into something a little less comfortable.
你 看起来很好 You look -- good.
不大可能 但谢谢你这么说 Unlikely, but thank you.
我很 I am --
抱歉我 sorry that I've been...
失联了 out of touch.
我得了脑肿瘤 Well, I had a brain tumor.
可以理解 我们做得不好 Understandable. We both dropped the ball.
好吧 Okay.
-来吧 -怎么回事 - Here we go. - What's happening?
-我们去散步 -不 不 谢谢你 - We're taking a walk. - Oh, no, no, thank you.
-我的腿痛得 -对 我们要去 - No, my leg hurts a -- - Oh, yes, we are. Yeah, mm-hmm.
没错 所以你需要走一走 Which is exactly why you need to take a walk.
你很擅长这个 You're really good at this.
你确定你从未做过这件事 You sure you haven't done this before?
我曾当过护士 I spent a little time as a nurse.
我一直喜欢夜班 I always liked the night shift.
一切都变得很安静 Everything gets really quiet.
几乎算得上宁静 It's almost -- it's almost peaceful.
刚从露易莎的病房出来 Just came from Louisa's room.
她正在进食 She's eating.
这是好消息 That's great news.
对 Yeah.
希望我们可以在两周内 Hopefully we'll be able to do the valve repair
进行瓣膜修复 in a couple weeks.
我希望你是对的 I hope you're right.
但你不能参与手术 But you won't be a part of the surgery.
或任何我的手术 Or any of my surgeries.
你绕过我 直接接触病人 You went around me, directly to the patient.
我想到了好办法 I had a good idea
而你不把它当回事 that you didn't take seriously.
我考虑过了 I considered it,
然后我决定不对病人实施 and then I decided against taking it to the patient.
而我成功在内部审查会上 And yet, I managed to get Aoki and Andrews
让青木和安德鲁斯同意了 to sign off at the IRB.
你没有得到安德鲁斯的票 You didn't get Andrews.
是你投给我的 You voted for me?
你提出了强有力的例子 You made a strong case.
但你 But you're --
你把我踢出你的手术 you're booting me off your service?
你可以不同意我的看法 Disagree with me all you want.
我期待我的住院医生这么做 I expect my residents to.
我期待他们能在他们的立场上热忱地辩论 I expect them to argue passionately for their position.
我也期望他们接受我的决定 And I expect them to then accept my decision.
即使你是错的 Even when you're wrong?
否则我无法管理我的团队 I can't run my team any other way.
你知道什么是疯狂的吗 You know what was insane,
1928年的鱼雷跑车 it was the 1928 Torpedo Roadster.
搭配紫心木内饰的 With the Purpleheart trim?
还有蜥蜴皮内里 And the lizard-skin interior.
我在怀俄明州的邻居有一辆银剑跑车 My neighbor in Wyoming had a Silver Arrow.
我真希望能亲手开一次 I'd love to drive one just once.
做得好 你让他走路了 Good job. You got him walking.
黛比·韦克斯勒做到的 Debbie Wexler did it.
她是比我更好的激励 She's a better carrot than I am.
她是更好的友人 She's a better friend.
是我 Hey, it's me.
只是确认支票收到了吗 Yeah, just making sure the check got there okay.
好的 好的 Great, great.
我有一个问题 Hey, I have a question...
关于菲尔 about Phil.
我知道 我知道 那是很久之前的事 I know, I know. He's long gone.
我是在好奇 I was actually wondering...
如果我当初没发现你俩在一起 what do you think would've happened
你认为会发生什么 if I hadn't seen you two together?
我找到我的新公寓了 I found my next apartment.
好的 Okay.
有壁炉 It's has a fireplace...
还有自然采光 and natural lighting...
不 不 No. N-n-no.
还有一个非常好的室友 And a really great roommate
恰巧也是我的朋友 who's also a friend.
他工作很多 不住一起就很难见到他 He works a lot, so might be hard to see him otherwise.
肖恩 我指的是你 I'm talking about you, Shaun.
我不想冒任何伤害我们友谊的风险 I don't want to risk anything hurting our friendship.
如果你说你可以处理好我们住在一起 If you say you can handle living together,
我相信你 I trust you.
我们要做室友了 W-we're...going to be roommates?
有一个壁炉 I-it has a fireplace.
是的 有 Yes, it does.
我们要做室友 We're going to be roommates!
我们要做室友了 We're gonna be roommates!
-对 -对 - Okay! - Yes.
-好 -对 - Okay! - Yes.
我们要做室友了 We're gonna be roommates!