「良医」前情回顾 Previously on "The Good Doctor"...
回到加利福利亚州 和你住在一起 Coming back to California and moving in with you --
压力比我预期要大得多 it's been harder than I anticipated.
郝尔希镇对我来说就是一切 肖恩 Hershey meant - everything to me, Shaun.
我下了人生最大的赌注回到那里 I took the biggest chance of my life going back there.
但是它变样了 And then it just went away.
脑深层刺激术 Deep brain stimulation
可以用来治疗厌食症 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?
美国食品药品管理局并未允许用此治疗厌食症 DBS isn't FDA-approved for anorexia treatment here.
这个办法不可行 It's not a real option.
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 at least until she's tried the deep brain stimulation.
你不能参与手术 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.
你把我踢出你的手术 You're booting me off your service?
BGM: I Feel It All by Feist
♪ I feel it all, I feel it all ♪
它很 亲近人 He's... very affectionate.
是啊 Yeah.
♪ The wings are wide, the wings are wide ♪
♪ Wild card in sight, wild card in sight ♪
猫很聪明独立 Cats are smart and independent.
我觉得我的第一只宠物 I don't think my first pet
最好别让我过敏 should be something I'm allergic to.
你知道蟒不会绞杀它们的猎物吗 Did you know constrictors don't crush their prey?
是通过造成动脉循环崩溃杀死猎物的 They induce arterial circulatory collapse.
♪ I feel it all, I feel it all ♪
♪I feel it all, I feel it all ♪
它就叫休伯特吧 He looks like a Hubert.
酸碱度应保持在 The PH should be maintained
7.1至7.3之间 within a range of 7.1 to 7.3.
我们应该加三滴除氯灵 And we're supposed to add 3 drops of Klor-out
中和自来水中的酸 to neutralize the tap water.
别担心 休伯特 Don't worry, Hubert.
爸爸表达爱的方式不同而已 Daddy just shows his love in a different way.
你一个月没来 以为用店里买的派 No. You don't come by for a month, and then you think
就可以蒙混过关吗 a store-bought pie is gonna make it all right?
这是从农贸市场上买的 It's from the Farmer's Market.
好吧 给我 Fine. Hand it over.
快进来 Bring it in.
谢谢你能来 Thanks for coming.
她怎么样了 How is she?
你怎么不告诉我情况这么糟了呢 Why didn't you tell me things were getting so bad?
-不然我早就来了 -你很忙 - I would have come. - You're busy.
为了你我总是有时间的 凯 I will always make time for you, Kay.
那好 我们没喝完 Good, 'cause you're not leaving
这瓶梅洛红酒 你就别想走 until the three of us finish a bottle of Merlot.
你联系那个肿瘤科医生 Did you call that oncologist
一种能影响癌细胞自我复制方式的医学用剂
去试新的卵巢癌PARP抑制剂吗 doing the new ovarian cancer PARP-I trial?
收治我的医生说我的肿瘤标志物不对 The intake doctor said I don't have the right tumor markers.
那你需要再去找你的 Then you need to go back to your hos--
我的 My --
我的诊疗团队上周把我安排到临终关怀了 My team put me on hospice last week.
你要一剂吗啡吗 Do you want a dose of morphine?
没事 能忍住 No. I got it.
过一会儿就好 Just give it a minute to pass.
她的医生不停增加剂量 Her doctors keep upping the dosage,
但现在已经没有用了 but it's not helping anymore.
所有都没用了 Nothing is.
良 医
第二季 第七集
我的大学室友一年前 My college roommate was diagnosed
被诊断出卵巢癌晚期 with stage 4 ovarian cancer a year ago.
她已经进行了六轮卡铂-紫杉醇化疗 She's had six cycles of Carbo-Taxol
由于病灶弥散没有进行肿瘤细胞减灭术 without cyto-reductive surgery due to widespread disease.
化疗不起作用后就没再做了 They stopped chemo when she stopped responding.
她最多还有一个月 She has a month at most.
非常抱歉听到这个消息 克莱尔 Wow. I'm so sorry to hear that, Claire.
我也是 As am I.
我想你不是来寻求同情的 And I assume you're not here just seeking sympathy.
我又看了一遍她的片子 她无法被治愈 I have reviewed her scans and she can't be cured,
但她的疼痛主要来源于这个 but this metastatic lesion extending through her diaphragm
穿透她横膈膜的转移病灶 is causing most of her pain.
由于血管情况复杂 她的主刀医生 Her surgeon has ruled out removing it
已经排除了手术移除 due to vascular complexity.
但我觉得或许可以做腹腔镜减瘤术 But I think laparoscopic debulking is possible.
很难 但是有可能 Difficult, but possible.
我知道你对我很生气 I know you're upset with me,
但她 她是我朋友 她很痛苦 but sh-she's my friend and she's in pain.
我需要你的帮助 I need your help.
我今天会看她的 I'll take a look at her today.
谢谢 Thank you.
需要外科医生 We need a surgeon over here!
他从工地的楼梯上摔下 He fell down the stairs at a construction site
手里拿着射钉枪 while holding a nail gun.
立即做床边头部X光 有其他伤处吗 Portable head X-ray, stat. Any other injuries?
没有 把它拔下来贴个创可贴就行 Nah. Just yank it off and slap a Band-Aid.
-有感觉无力吗 -没有 - Any weakness? - No.
好 听我指令 All right. On my count.
一 二 三 One, two, three.
现在给你贴创可贴吧 Let's get you that Band-Aid.
在家用老虎钳就可以拔出来 We could have done that for free at home
还不需要花钱 with a pair of vise grips.
你们不是为我们的设备花钱 You don't pay for our equipment.
而是花钱让我们告诉你们他很走运 You pay for me to tell you that he got lucky.
只是表面伤 It's superficial.
他的血压在下降 His pressure's dropping.
-感觉晕吗 -感觉哪里受伤了 - You feeling faint? - A little banged up.
他还有别的伤 All right, something else is going on.
把他侧着翻过来 Let's log-roll him.
我哥哥怎么了 What's wrong with my brother?
肋部有一处刺伤 I see a puncture wound in his flank.
他的腹腔也有一颗钉子 There's a nail in his abdomen, too.
把他送去手术室 Let's get him up to the O.R.
有多痛 How bad is the pain?
也许是六级吧 Maybe a six.
她在说谎 She's lying.
她藏得很好 She, uh, hides it well,
但她一直都在忍受剧痛 but she's in terrible pain all the time.
但克莱尔说在梅伦德斯医生 But Claire said you're not out of options
说没办法前就还有希望 until Dr. Melendez says you are.
那我有希望吗 So, am I?
我觉得我们能减轻你的疼痛 I think we can make things a little easier for you.
什么时候 How soon?
我和朴医生今天就给你动手术 Dr. Park and I will do it today.
那克莱尔呢 What about Claire?
因为她我才来这的 I came here because of her.
朴医生非常优秀 Dr. Park is excellent.
请放心 You're in very capable hands.
当我的医生都放弃我时 克莱尔找到了办法 When my doctors gave up on me, Claire found a way.
我信任她 没有她我不做手术 I trust her. I won't do this surgery without her.
朴医生和布朗医生会一起为你做手术准备 Dr. Park and Dr. Browne will prep you for surgery.
再试一次 Now try that again.
教我 Show me.
-伸直 -伸直 - Straight. - Straight.
伸直 对 Straight. Yeah.
差点成功了 Oh, almost.
现在收回来 And pull back up.
很好 That's good.
谢谢 Thank you.
钉子完全刺破了肾脏 The nail completely ruptured the kidney.
肾门也破了 Renal hilum's blown, too.
持针器穿4-0的缝线 4-0 on a driver.
没用 夹住肾血管 This isn't working. Clamp the renal vessels.
只能移除这个肾了 He's gonna have to live without it.
把另一个肾露出来 Expose the other kidney,
确保它是完好无损的 make sure it's got that new-car smell.
肾上腺位置很低 The adrenal gland is low-lying.
在那是找不到左边的肾脏的 You won't find the left kidney there.
你觉得是在右边吗 You expect her to find it on the right?
不 肾上腺低位 No. The most likely reason
最大可能是单侧肾发育不全 for the gland to be lower is unilateral renal agenesis.
他生来就只有一个肾 He was born with one kidney.
那是腔静脉吗 Is that the vena cava?
那里有太多肿瘤了 There's so much tumor in there,
很难分清任何东西 it's hard to tell what anything is.
我得清理这段 但不能剪断那条血管或... I need to free this segment without nicking that vein or...
朴 小心取出那一段 Park, pull on that fragment very carefully.
好了 Got it.
好 克莱尔 你得转动... All right. Claire, I need you to tilt --
没错 Exactly.
肿瘤已蔓延至血管壁了 The tumor's invaded the vessel wall.
我觉得你搞定了 I think you got it.
为什么肿瘤组织没有穿过她的隔膜 Why isn't there tumor tissue penetrating her diaphragm?
CT扫描显示 The CT scan showed --
我们切除的那段使隔膜上移 The segment we removed was displacing the diaphragm upward,
导致了胸部浸润的假象 giving the appearance of chest infiltration.
如果癌症只在她的腹部 If the cancer's just in her abdomen,
那她可以接受腹腔热灌注化疗 she could be a candidate for HIPEC treatment.
化疗 Treatment?
不是抑制疼痛吗 Not pain relief?
我们也许能够让她多活一阵 We may be able to give her a little more time.
治疗方法叫作腹腔热灌注化疗 It's called HIPEC surgery.
切除尽可能多的肿瘤组织 I'd remove as much tumor as possible,
然后将化学试剂灌入你的腹腔 and then we'd infuse your abdomen
持续大约九十分钟 with a chemotherapy solution for 90 minutes.
能使你再活六个月 It could give you another six months.
但手术风险也大 It comes with a big risk.
这是个大手术 而你的身体虚弱 This is a major operation, and your body's frail.
你可能死在手术台上 You could die on the table.
我想让她多活一段时间 I-I want more time.
但现在她的疼痛得到了控制 But her pain is finally manageable.
我怕我们太贪心了 I-I'm afraid to press our luck anymore.
拿你生命的最后几周赌一把的想法 The thought of gambling away your last few weeks
也让我很害怕 但这不是在碰运气 terrifies me, too, but this wasn't luck.
梅伦德斯医生已经证明了不管癌症会造成 Dr. Melendez has proved that despite all of the challenges
多大风险 他都能确保腹部手术的安全 of your cancer, he can safely navigate inside your abdomen.
我觉得你可以再信任他一次 I think it's worth putting your trust in him again.
好的 Okay.
先做全面的正电子发射计算机断层显像 We'll start with a complete PET-CT scan
然后再制定手术方案 so we can plan our approach.
他的静脉血栓很严重 He has extensive vein thrombosis.
这里有很清晰的一段 There's a clear segment we can use
可以用于房室透析移植 for an AV dialysis graft.
它很短 但我们可以把它接到肱动脉上 It's short, but we can attach it to the brachial artery --
莉亚 你好 Hello, Lea.
对不起 我现在没空 I'm sorry, but I can't talk right --
休伯特有点问题 There's a problem with Hubert.
好吧 Oh, okay.
是的 PH值正好7.2 Yeah. The PH is exactly 7.2,
温度是22.8℃ 一切都很完美 temp's 73, everything is perfect.
太棒了 Perfect.
但他看起来有点无聊 He looks bored.
无聊 Bored?
他不会无聊的 He can't be bored.
他是条鱼 He's a fish.
他就在水里漂浮 没事做 He's just floating there with nothing to do.
我以为你今天去上班了 I thought you were working today.
我在上班 在家办公 I was -- from home.
我现在和休伯特一起磨洋工 Now I'm procrastinating with Hubert.
你应该工作 You should work.
好 你能不能帮他选个小城堡 Okay, can you pick up one of those little castles?
好吧 Okay.
我都分不清你们谁是宠物 I'm not sure who's being domesticated --
是你还是那条鱼 you or the fish.
是的 我还在 Uh, yes, I'm still here.
有任何变化请给我们打电话 Call us if anything changes.
鉴于他的组织类型 Due to his tissue type,
器官资源共享网络没法及时找到匹配者 UNOS doesn't expect to locate a match in time.
我们得找一个活体捐赠者 We'll need to find a living donor.
你今天做得很棒 You did a great job today.
你想靠那个得到奖励和一盒果汁吗 You want some pirate booty and a juice box with that?
你让我一直等了好几个小时 You keep me waiting for hours on end.
现在至少我有点事做 Now at least I have something to do.
是癌症让你等待 Cancer is keeping you waiting.
-没错 -轮到你了 - Yeah. - We're ready for you.
-还给你 -你可以留着 - Here you go. - Oh, you can keep that.
谢谢 Oh, thank you.
再见 Bye.
那个故事不会有好结局 对吗 That story is not gonna end well, is it?
溜溜球已经有1400年左右的历史了 You know, the yo-yo has been around
中国古代就有了 for 1,400 years, since ancient China.
看着 Watch this.
我不是只有你一个病人 You're not my only patient.
记忆和玩这些小把戏有助于 Remembering and executing these tricks
恢复我的持续性记忆能力 will help with my sequential memory
并保护我的大脑免受放疗的侵害 and protect my brain against your radiation.
有了最新的靶向疗法 我可以更集中地 With this new targeted therapy, I can better focus
瞄准你脑袋里我想要打中的东西 on just knocking the things out of your head that I want to.
当然我还列了个小小的心愿单 Of course I'm also - making a little wish list
包括了其他我想一起清除掉的东西 about other things I might want to get rid of.
我很担心 I'm worried.
是不是明天或者几个月之后 Whether it's tomorrow or a few months from now,
达什就会失去我 Dash is gonna lose me.
他会被这件事击垮 And he'll be devastated.
他是一个很棒很爱我的丈夫 He's an amazing, loving husband.
我希望你能陪他走出阴影 I want you to go out with him.
什么 What?
你俩合得来 You two get along.
你们之间有化学反应 You even have chemistry.
不可能 我们是朋友 No. We're friends.
如果达什要继续生活下去 If Dash is gonna move on with his life,
他需要有个目标 he needs something to live for.
我觉得你可以是那个目标 I think that could be you.
我们现在要开始了 We need to begin now.
好 Okay.
别说话 Don't say a word.
这不关我的事 It's none of my business.
-达什看起来是个好人 -闭嘴 - Dash seems like a nice guy. - Shut up.
跟你完全匹配 You're a perfect match.
-很好 -只要你签署知情同意书就行 - Great. - We just need you to sign the consent forms.
捐赠器官有以下风险 Donation carries several risks,
包括血栓 感染 内出血 including blood clots, infection, hemorrhage,
肺萎缩 而且有可能死亡 lung collapse, and possibly death.
还有一些伴随终生的风险 There are also lifelong risks,
比如高血压 可能会导致心脏病 such as high blood pressure, which can cause a heart attack,
会造成蛋白质丧失性肾病 and protein-losing nephropathy,
会伤害你的另一个肾 which can impair your remaining kidney,
导致你最后也需要移植肾 leading to the need for a transplant yourself.
确实是重大捐赠 It's a big ask.
是的 Yes, it is.
签之前我还有个条件 I'm happy to sign the forms on one condition.
我不会卖公司的 I'm not selling the business.
我都跟你说十遍了 I told you 10 times.
不能接受那个提案 We're not taking that offer.
卖了或者以同样的价格买下我的产权 Either sell or buy me out at the same price.
你知道我买不起 You know I can't afford that.
我啥钱都没有 I can't afford anything.
爸爸让你管公司 Look, Dad left you in charge,
但我的钱都投进去了 but all of my money is tied up in it.
我有投资的机会 I got investment opportunities.
我有我喜欢的东西 I got things that I'm excited about.
爸让我来管是因为那时很艰难 Dad left me in charge because when things got tough,
你上大学时我们在重建公司 you took off to college while we rebuilt.
-现在你想兑现 -我们都会兑现的 - And now you want to cash in? - We'll both cash in.
我谈好的价格远超过市场价格 The deal I negotiated is way over-market.
我不管是多好的买卖 I don't care how good the deal is.
-我喜欢我所做的 -我也喜欢我的肾 - I like what I do. - And I like my kidney.
看起来我们都必须做出牺牲 It seems we both need to make a sacrifice.
我不卖公司 I'm not selling.
凯拉回病房了 Kayla's back in her room.
我们给她做完检查了 We finished her staging,
一切都符合我们之前的手术方案 and everything supports our operative plan.
对她接下来要做的手术 你有要问的吗 Do you have any questions about her upcoming surgery?
凯有提什么吗 Did Kay bring up anything about, uh...
关于我俩的 us?
老天 真不好意思 Oh, my God. I'm so sorry.
我让她别那样 I told her not to do that.
我是说 I mean, it's, uh --
这很疯狂 对吧 it's nuts, you know?
感觉有点受辱了 Well, that's a little insulting.
我开玩笑的 I'm kidding.
是很疯狂 It's insane.
我们就 Just, you know --
就忘了她说的那些吧 we'll just forget she mentioned it, okay?
她会忘吗 Will she?
我是说 我们都拒绝了 I mean, we've both said no.
她还能做什么呢 What's she gonna do?
你们结婚八年了 You've been married to her eight years.
你都不知道吗 You still ask that question?
我们还有另一个选择 Well, we, uh, do have one other choice.
你们这有个小教堂 对吗 You guys have a chapel here, right?
他在利用他哥哥的病情 He's exploiting this situation.
是的 他有权这么做 Yes. He's entitled to.
你觉得器官捐赠不该是无私的吗 You don't think an organ donation should be an altruistic act?
真能无私吗 Can it be?
大量的捐献者这样做 A majority of donors do it
是为了让他们自己的生命更有意义 to make their own lives more worthwhile,
近四分之一的捐献者这样做 and almost a quarter do it
是为了弥补之前的过错 to relieve guilt over a past mistake.
确实有自我救赎和追求生命的意义 都不是为钱 Redemption, meaning, sure, but not money.
那你从未以牺牲别人为代价 So, you never take an opportunity to get ahead
来获得自己成功的机会 at someone else's expense?
我是在竞争 又不是卖器官 I'm competing, not trafficking organs.
我需要阿曼多的肾 I need Armando's kidney.
我不想它陷入家庭纷争的闹剧中 And I need it without getting dragged into their family drama,
所以我才需要住院医师 which is why I have residents.
你俩想办法让他捐出肾脏 So you two find a way to make it happen.
这条中心静脉导管在明天的手术中 This central line will allow us to monitor your heart
可用于监测你的心脏 during tomorrow's surgery.
你考虑过我的提议没 Have you considered my proposal?
我更关注你的手术 I have been more focused on your surgery
而不是勾引你的老公 than seducing your husband.
老样子 Typical.
你懂我 You got me.
我不会和我即将摆脱癌症的朋友的老公约会 I'm not dating my cancer-riddled friend's husband
因为我不喜欢承诺 because I have commitment issues.
自我认识你 你就逃避男人 You've been sprinting away from men as long as I've known you.
是的 Yeah.
该来的时候会来的 I will find the time when I have the time.
永远没有合适的时候 It will never be the right time.
你怕受伤害 You're afraid to get hurt.
我已明白人生短暂 I know how short life is.
不想你错过人生最美好的部分 I don't want you to miss out on the best part of it.
都好了 All done.
我该怎么感谢你对我的心理咨询呢 What do I owe you for the therapy session?
和我老公约会 Date my husband.
你知道这听起来多荒谬吗 Do you know how stupid that sounds?
我想有人能照顾我爱的这个男人 I want someone to take care of the man that I love.
-听起来很傻吗 -是的 非常傻 但 - Does that sound stupid? - Yes, very, but...
求你了 Please.
拜托 你能别提这件事了吗 Please, would you just drop this?
只要你和他出去一次 我就不提了 I will drop this. If...one date.
吃一顿晚餐 仅此而已 One dinner. That's all.
正式的 不是在咖啡厅里喝杯拿铁 But a real one, not a latte in the café.
一顿有头盘 主菜 红酒的正式晚餐 I want a real date -- appetizers, main course, wine.
-我要值班 -那不喝红酒 但要有蜡烛 - I'm on call. - No wine. But candles.
我希望是烛光晚餐 I want candles.
就约一次 以后我再也不提了 One date. I will never mention any of this again.
用有价值的东西交换人类器官 It's a federal crime to barter a human organ
属于联邦犯罪 for anything of value.
我没有卖任何东西给圣迪亚哥 I'm not selling Santiago anything.
你从第三方收钱 You're receiving money from a third party
用来交换你的肾脏 in exchange for your kidney.
他从第三方收到钱是在做生意 He's receiving money from a third party for his business.
他的哥哥也是 So is his brother.
他足够爱他就不会 He should love him enough to not --
我足够爱他才会给他一个肾脏 I love him enough to give him a kidney.
他足够爱我就会接受一个 He should love me enough to accept an offer
能改善我生活的提议 that would improve my life, too.
这比得到一个重要器官简单得多 I mean, it's a much lower ask than a vital organ.
你没有资格要求任何事情 You're not allowed to ask for anything.
你是说如果他同意 Are you saying that if he agrees
你不会给他做手术吗 you're not gonna perform the surgery?
-他不同意 -他会同意的 - He doesn't agree. - He will.
生活中每件事都是交易 Everything in life is transactional,
在这场交易中 所有的筹码都在我手里 and in this case, I've got all the leverage.
-筹码 -就是你有别人需要的东西 - Leverage? - It's what you have that they need.
如何在一场交易中最大化自己的利益 It's how you shift a deal in your favor.
你们没有筹码也没有办法 You guys have no leverage and no cards to play.
我们有 Yes, we do.
我不相信你愿意让你的哥哥死 I don't believe you're willing to let your brother die.
一个优秀的谈判者不会虚张声势 A good negotiator doesn't bluff.
如果你开始威胁 那你就失去了可信度 If you cave on a threat, you lose all credibility.
圣迪亚哥知道我是个优秀的谈判者 And Santiago knows I'm a good negotiator.
所以他不会死 So he won't die
恰恰因为我就想要他死 precisely because I'm willing to let him.
我会和你哥哥谈谈的 I'll talk to your brother.
可以 Okay.
我们还要呆多久 How long do we have to stay?
她说的晚餐 我想应该到我们吃完 She said dinner, so I assume till we're done eating?
好吧 Okay.
-要甜点吗 -你想吃吗 - Dessert? - Do you want any?
-还好 -不用了 - Not really. - I think we're good.
-好的 -好的 - Okay. - Okay.
看看那个旧钟 Look at that old clock.
和校外梅林餐厅那里的一样 It's the same as the one that they had at Meline's, off campus.
对啊 Oh, yeah.
还记得那次我们两对去那里约会吗 Hey, remember that time we went there on that double date?
你帮我和你的英语助教牵的线 You set me up with your English T.A.
是的 凯说那是个馊主意 Yeah. Kay said it was a bad idea.
我就记得他一直在碎碎念 I just remember him droning on about
德莱顿对十八世纪文学史的影响 Dryden's influence on 18th-century literature.
如果你不打断他 If you hadn't stepped in,
我可能会用沙拉叉子捅他 I think I might have stabbed him with my salad fork. -
凯总是更懂这些 Ah, Kay always knew better.
是啊 她帮我撮合了三次 Yeah. She fixed me up three times.
最后放弃了 Then she gave up.
直到现在 Until now.
你应该卖掉你的公司 You should sell the business.
你说什么 Excuse me?
你才会活下来 You would live.
而且你可以拿到收益然后自己重新创业 And you could take the proceeds and start a new business
不和你的弟弟一起 without your brother as a partner.
那笔交易不错 It's a good deal.
贝尼特斯建筑公司是我父亲的遗产 Benitez Builders is my father's legacy.
他白手起家创立了公司 He built it from nothing.
他全心投入 努力工作 廉洁体面 He was committed, hardworking, honorable.
他希望我们传承一样的精神 He expected the same thing from both of us.
我爸爸是个很伺候的人 My dad was difficult to please.
我努力工作就是为了让我父亲骄傲 I worked hard to be someone that my father could be proud of.
我是那个得到他信任拥有控股权的人 And I'm the one he trusted with the controlling share.
我宁愿死都不愿让他失望 I'd rather die than let him down.
影响你了吗 Is that bothering you?
是的 有一点 Yeah. A little bit.
移植没有成功 The graft is failing.
怎么了 What's happening?
注射肝素 他的血液高度易凝 Infusing heparin. He's hypercoagulable.
输入导管会像移植一样凝结成块 The tunnel catheter is gonna clot off just like the graft.
这让他的筹码更少了 That gives him even less leverage.
应该能说服圣迪亚哥接受他弟弟的提议 It should convince Santiago to accept his brother's offer.
圣迪亚哥 为什么是他 Santiago? Why him?
我在谈判 I'm negotiating.
你挑错人了 With the wrong brother.
导管已经开始堵塞了 The catheter's already obstructing.
无论如何 Whatever we're doing,
这几天内必须要移植了 it needs to happen in the next couple of days.
我们可以搞个活体捐献征集活动 We'll do a live donor drive.
好吧 Okay.
十万分之一的机会 One in 100,000 chance of success,
总比为他的葬礼做准备好了 but better than planning his funeral.
我觉得几率比你说的大 I think the odds are better than that.
我们不需要找到配型 We don't need to find a match.
我只需要找到他家愿意无私捐赠的亲戚 We just need the parade of selfless family members
让阿曼多感到羞愧 to embarrass Armando
从而做出正确的事 into doing the right thing.
晚上好 室友 Evening, roomie.
休伯特死了 Hubert is dead.
是啊 Yeah.
奇怪了 That's odd.
我不确定是不是喂多了 I'm not sure if I overfed him
还是因为我为了清洗鹅卵石换了水 or if it was when I changed the water to clean his pebbles,
但是没错 的确是死了 but, yeah, definitely dead.
我们可以再买一条 We can get another fish.
不用了 We don't need to.
海里有很多鱼 There are many fish in the sea.
我说了不 I said no.
你想要个宠物 You wanted a pet.
我有过了 I got one.
非常短暂的 Very briefly.
-我明天去 -不 - I'll go tomorrow and -- - No!
你在哭吗 Are you crying?
你难过吗 Are you sad?
我很难过 I'm sad.
而且生气失望沮丧 And I'm angry and frustrated and upset.
我们应该再买一条 We should get another fish.
问题不在这条鱼 The fish isn't the problem.
在我 I am.
我太可悲了 I'm pathetic.
我回到郝尔希镇 I went home to Hershey
是因为我对自己的生活不满意 because I was unfulfilled with my life.
我以为我能帮助我那个顽固的兄弟 I thought I could help my bullheaded brother
拯救他的店 save the shop,
做一些我真正热爱的事情 be a part of something I was really passionate about.
然而我们最后却搞砸了 Instead, we ended up tanking it together,
我们也闹僵了 along with our relationship.
我回来是为了让生活走上正轨 I came back here to get my life back on track.
如果我连条鱼都养不活 How am I supposed to do that
又怎么能做到呢 if I can't even keep a damn fish alive?
我会挺过去的 I'll make it through this.
觉得害怕是正常的 It is okay to be afraid.
你和达什的晚餐如何 How was your dinner with Dash?
别提了 Forget about that.
你怎么样 How are you?
如果我没熬过去 你得和达什 If I don't make it, you have to give this thing
-认真尝试一次 -凯拉 别说了 - with Dash a real shot. - Kayla, please stop.
答应我 你会这么做 Promise me. You have to.
不 No.
你不能把这强加给我 You can't put that on me.
没错 克莱尔从来不会拒绝她的朋友 That's right. Claire never turns her back on a friend,
除非有让她伤心的危险 as long as it doesn't put her heart at risk.
这不公平 That is not fair.
你要求我做的 What you're asking...
我在请求你相信我的判断 I'm asking you to trust my judgment
-关于你们的 -不 你是在对我施压 - about the two of you. - No, you're trying to pressure me
逼我做我不想做的事 into something that I don't want.
-你总是这样 -你需要逼一逼 - Like you always do. - You need pushing
因为你总是不知道什么对你来说是最好的 because you've never known what's best for you.
所以你当时才逼我参加新生锻炼周 So, is that why you dragged me out
让我被校园里的所有女生联谊会拒绝 to pledge week to be rejected by every sorority on campus?
或者是背着我 Or -- or went behind my back
邀请我妈妈去毕业典礼 and invited my mother to graduation?
至少你试过了 At least you tried.
-你去冒险了 -不 - You put something at risk. - No.
饶了我吧 Give me a break.
这些根本不是为了我 This was never about me, none of it.
你总是要按你的想法来 You always have to have it your way.
你是个神经质的控制狂 You are a neurotic control freak
你认为你有权力支配每个人 who thinks she has the right to dictate
告诉他们该如何生活 how everyone else should live their lives.
到时间了 It's time.
我准备好了 I'm ready.
凯拉 Kayla...
我想你肯定认出拉斐尔了 I'm sure you recognize Rafael,
你在奥克斯纳德的二堂兄 your second cousin from Oxnard.
他听说后立马开车过来了 He drove up as soon as he heard.
要么我们走运 而你会被视作混蛋 Either we get lucky here and you look like an ass,
或者我们不走运 而你会成为害死哥哥的混蛋 or we don't and you look like an ass with a dead brother.
他不会为了区区一家承包公司不要命的 He won't give his life for a contracting company.
他不是为了公司死 He's not dying for the company.
他是为了你父亲送命 He's dying for your father.
为什么这么说 What makes you think that?
他宁愿死也不要让你父亲失望 He would rather die than let your father down.
他就是这么揣度父亲的心思的 He thinks that's what Dad would want?
圣迪对老爸言听计从 Santi did everything the old man asked of him,
拼了命工作 worked twice as hard,
取得的成就也比老爸好很多 did everything twice as well as Dad ever could,
但老爸却总觉得不够好 but nothing was ever good enough for our father.
不管我们做什么 他总是爱在 No matter what we did, he was always right there
鸡蛋里挑骨头 to point out where we had gone wrong.
你知道他临死前和我说了什么吗 You know what he told me on his deathbed?
他说他不为圣迪感到自豪 He said that he wasn't proud of Santi
尽管他已经子承父业 for following in his footsteps --
反之 父亲对他安于现状很失望 that he was disappointed that he settled.
你该把这话对你的哥哥说 You should tell your brother that.
会是一张好牌 It's a good card to play.
他错了 He was wrong.
你是我见过最忠心 最刻苦 You are the most loyal, hardworking,
最自律的人 and principled guy I've ever known.
你值得被父亲看重 And you deserve Dad's respect.
你这个贪婪的撒谎精 You greedy, lying snake.
你为了达到自己的目的可以无话不说 You will say anything to get what you want,
甚至要来糟蹋我对父亲的记忆 even trying to ruin - the memories I have of Dad.
你对父亲的记忆 Your memories of Dad?
他是个烂人 你知道的 He was horrible. You know that.
给我滚 Get the hell out.
-圣迪 我不是要 -滚 - Santi, I'm not trying to -- - Get out!
把知情同意书给我吧 Give me the consent forms.
我父亲告诉我他宁愿没生我 My father told me he wished I hadn't been born.
我不值得他为我努力付出 I wasn't worth the trouble.
但我知道我是值得那些付出的 But I knew I was worth the trouble
因为我的弟弟总在关心我 because my brother always looked out for me...
即便那意味着他活得更艰辛 ...even when it made his life harder.
5-0普理灵缝线 5-0 prolene.
把肾脏放在盆骨里 Position the kidney in the pelvis.
莫菲医生 Dr. Murphy.
你提交的快速细菌培养 Your stat cultures came back positive
小瓜虫检测结果显示阳性 for ichthyophthirius multifiliis.
谢谢 Thank you.
不是这个病人的 It's not for this patient.
你要去处理一下吗 Do you need to deal with it?
太迟了 It's too late.
你这里的安保措施出问题了 You have a security problem.
我马上去拿警徽和枪 I will get my badge and my gun.
有人从柜子里偷了我的钱包 Somebody stole my wallet out of the locker.
你确定是放在柜子里了吗 Are you sure you left it there?
是的 我确定 Yes. I'm sure.
你之前担心钱包被偷 You were worried about it getting stolen,
就在今天治疗开始前把它交给我了 so you gave this to me before your session today.
是我的 Mine.
抱歉 Sorry.
我傻了 Stupid.
千万别过度解读 Don't read anything into this.
她怎么样了 How is she?
我们切除了大部分的肿瘤 We removed a lot of the tumor
她现在正在做化疗浴 and she's having the chemotherapy bath now.
目前来看她的情况不错 So far, she's doing well.
好 Okay.
-凯拉希望你好好吃饭 -好 - Kayla would want you to eat. - Yeah.
-好的 -她肯定会这么想的 - Yeah. - Of course she would.
她自己忘吃了 She'd forget to eat herself.
天啊 我真是太讨厌这样的等待了 Man, I-I really hate all --all this waiting.
我懂 坐好 Okay. Just sit.
深呼吸 Breathe.
凯拉经受了那么多 Kayla's dealt with so much
探针 恶心 prodding and nausea,
乏力 还有那么多的痛苦 fatigue...and so much pain.
我只希望她能让我为她做些事 I just wish she would let me do something for her to
让她好受些 make things easier.
我想保护我的妻子 I want to protect my wife.
然而我只能干坐着等待 Instead, I'm just sitting here, waiting...
等待着她的死亡 waiting for her to die.
达什 我很抱歉 Dash, I'm sorry.
我得回手术室去了 They need me back in the O.R.
再推60个单位的呋塞米 Push another 60 of lasix.
平均动脉压26 MAP is 26.
她已经心肺衰竭了 She's in cardiopulmonary collapse.
插第二根胸管 Second chest tube in.
血氧饱和度还在快速下降 SATS are still dropping on 100%.
一定是心力衰竭 It has to be heart failure.
我们得赶紧给她做体外膜肺氧合 We need to crash her onto ECMO.
心脏指数正常 Her cardiac index was fine.
一定是身体对化疗产生了炎症反应 It must be toxic inflammatory reaction to the chemo.
她受不住 She's intolerant.
暂停化疗 Stop the chemo.
假如积液不是化疗浴引起的呢 What if the fluid buildup isn't a reaction to the chemo bath?
会不会就是化疗浴 What if it is the chemo bath?
她的胸腔纵膈在扩张 Her -- her mediastinum is widening.
如果她的横膈膜穿孔了 If her diaphragm perforated,
液体就会进入胸腔从而压迫心脏 fluid could be leaking into her chest, compressing her heart.
我们昨天移除的肿瘤紧挨着她的横膈膜 The tumor we removed yesterday was clinging to her diaphragm.
如果我们堵上穿孔她就可以完成治疗 If we close the hole, she can finish her treatment.
重新切口 Let's re-open her incision.
我只是想看看你怎么样了 I just wanted to see how you were doing.
肾脏移植很成功 His kidney numbers are starting to improve.
带我回病房吧 医生 Take me back to my room, Doc.
曼尼 Manny...
谢谢你把肾移植给我 thanks for the kidney.
不客气 You're welcome.
别再两手空空 Just don't come looking for another one
来问我要另一个肾脏了 without a big check in your hand.
混蛋 Jerk.
真好 That's good.
来得正好 享用些庆祝的冰片吧 You're just in time for some, uh, celebratory ice chips.
-凯 对不起 -没关系 - Kay, I'm sorry -- - Don't be.
不都是你的错 You weren't entirely wrong.
我 I --
我有点喜欢摆布他人 I can be a little manipulative.
不 No.
不 是我的错 No, I was wrong.
你不会因为觉得自己胜人一筹 You don't try to control everything
就想控制所有事情 because you think you know better than everyone else.
你这样做是因为你是个贴心的朋友 You do it because you're a caring friend.
你付出所有努力 You focus all your energy
为了让我们免受痛苦 trying to protect us from pain and suffering, and --
到最后你都顾不上你自己 and that lets you not think about your own.
但你必须顾及自己 But you have to.
你要死了 凯拉 You are dying, Kayla.
我知道 I know.
你要死了 You're dying...
这不公平 and it is not fair.
死亡又痛苦又恐怖 And it is painful and scary.
-你好似一直在自己扛着 -别说了 - And it feels like you're all alone with it. - Please, stop.
但你不是一个人 But you're not.
达什陪着你 Dash is here.
我也陪着你 So am I.
感谢你做的一切 Thank you for everything you did.
应该的 Of course.
我对凯拉说的全部发自内心 I, um -- I meant what I said to Kayla.
你是我共事过最棒的外科医生 You really are the most gifted surgeon I have ever worked with.
你今天做得很好 You did well today.
谢谢 Thanks.
我明天一早会向利姆医生汇报情况 I'll report back to Dr. Lim in the morning
如果你想要的是这个 if that's what you want.
是的 也许这样最好 Yeah, that's probably for the best.
肖恩 我不需要一条新鱼 Shaun, I don't need another fish.
我不想要一条新鱼 I don't want another fish.
我想 I do.
我们的金鱼死了 Our goldfish died.
你得给我们换一条 You need to provide a replacement.
店铺规定 一旦鱼离开店铺 Store policy -- once a fish leaves this store,
所以责任均由 all responsibility for its well-being falls up--
休伯特患有多毛鱼虱 Hubert had ichthyophthirius multifiliis,
宠物店中最常见的一类金鱼寄生虫 a common goldfish parasite picked up in pet stores.
你没有筹码 也没辙了 You have no leverage and no cards to play.
选条鱼 Pick a fish.
BGM: This Is the Day by The The
休伯特不是你弄死的 You didn't kill Hubert.
它本身就有缺陷 He was defective.
我们再养条新的 We'll try again.
谢谢你 肖恩 Thank you, Shaun.
♪ Well, you didn't wake up this morning ♪
♪ 'Cause you didn't go to bed ♪
♪ You were watching the whites of your eyes turn red ♪
照顾一条鱼解决不了我的问题 Caring for a fish won't sort out my problems.
♪ You pull back your curtains ♪
♪ And the sun burns into your eyes ♪
那条好可爱 That one's pretty cute.
♪ You watch a plane flying ♪
剑尾鱼很厉害的 Platies are a very hardy fish.
♪ Across a clear blue sky ♪
很难养死的 They are difficult to kill.
♪ This is the day ♪
♪ Your life will surely change ♪
♪ This is the day ♪
♪ When things fall into place ♪