闹钟 再睡一会 停止
闹钟 停止
今天不是周六 Today is not Saturday.
你为什么给我摊煎饼 Why did you make me pancakes?
这是新开始煎饼 They are fresh start pancakes.
就像是每年开学第一天 Like the first day of school every year
你都要穿一身新衣服一样 when you get to wear a brand-new outfit.
不是每个人都穿新衣服 Well, not everyone wore a new outfit.
但这房子里的规矩是 But the rule in this house
当生活翻开新篇章 is that when you start a new life event,
你就吃煎饼 you get pancakes.
我 不想要新开始 I...don't want a fresh start.
我想呆在外科 I want to stay in surgery.
我明白 I know.
我真的很替你感到骄傲 And I am really proud of you
这事你能处理得如此 for handling it all so...
医生 请再给我一分钟 Doctors -- please give me one more minute.
教堂里有一位副牧师 We have an associate pastor at the church,
但克拉伦斯喜欢自己写布道词 but Clarence likes to write the sermons.
-抱歉 -没关系 - Sorry. - Please.
虽然这也很重要 Although this is important too.
手术分为两步 The surgery consists of two steps --
首先我们需要用融合术稳定脊柱 first we fuse the spine to stabilize it,
然后移除肿瘤 and then we remove the tumor.
因为癌细胞已扩散到你的淋巴结 Because the cancer has spread to your lymph nodes,
你依然需要做后续化疗 you'll still have to follow up with chemo.
克拉伦斯 你疼吗 Clarence, are you in pain?
的确挺疼 但没事 Quite a bit actually, but I'm fine.
疼痛是因为 Well, since what's causing your pain
肿瘤压迫着脊柱 is the tumor pushing against your spine,
脊柱融合术将减轻对你神经的压迫 the spinal fusion will ease pressure on your nerves
并且应该能止疼 and should eliminate your pain.
我 我需要这种疼痛 Please, I, uh... I need this pain.
你们不能直接进行第二步移除肿瘤吗 Can't you just do the second part and remove the tumor?
如果不进行脊柱融合 If we don't fuse the spine,
移除肿瘤的难度会大大增加 it'll make removing the tumor a lot more difficult.
虽然更难 但是依然能做到对吗 More difficult, but it can be done?
可以 但我不建议这么做 It can. But I recommend against it.
尤其是没有理由不这么做 Especially since there's no reason not to.
我做了一件 I did something...
不可饶恕的事 unforgivable.
这疼痛就是对我的惩罚 This pain is my punishment.
我可以问一下你做了什么大坏事吗 Can I ask what you did that was so bad?
我杀了一个人 I killed someone.
良 医
第二季 第十六集
我和我姐姐爬完惠特尼山当时正准备回家 My sister and I were coming home from climbing Mt. Whitney.
我们在挑战攀登美国五十座山峰 We're doing the State 50 climbs.
是爬山时出现麻木感的吗 The numbness started during the climb?
先是我的手 然后是脚 First my hands, and then my feet.
-出现头疼吗 -对 - You have a headache? - Yeah.
高海拔会造成头疼 High altitude causes headaches.
脱水会使其加重 Dehydration compounds it.
现在开始要慢点爬 From now on just... climb slower.
多喝水 And drink more.
告诉他们那件事吧 Tell them about the other thing.
在出发去爬山前 Before leaving for the mountain,
我有一种奇怪的感觉 I had this weird sensation like...
一种恐惧 dread.
无法摆脱 I couldn't shake it.
当人们感觉大祸将至时 Well, when people describe a sense of impending doom,
通常只是精神紧张 it's usually anxiety.
不 这像是一种预兆 No, it was like a premonition...
预示我快死了 that I was going to die.
-我确定这只是 -朴医生会做脑部扫描 - I'm sure it was -- - Dr. Park will run a brain scan,
然后给你做些化验 and we'll do some lab work.
肖恩 Shaun.
你好 莱瓦医生 Hello, Dr. Lever.
叫我卡莉就好 Carly is fine.
欢迎来到病理科 Welcome to pathology.
和你一起共事会很棒的 It is going to be great working with you.
你觉得如何 What do you think?
我明白你一时很难适应 I know it's a lot to take in.
就像你第一次去迪士尼乐园一样吧 It's kind of like your first time at Disneyland, right?
我从没去过迪士尼乐园 I've never been to Disneyland.
我带你到处转一圈 Let me give you a tour.
细胞病理学 法医学 Cytopathology, forensics,
基因组学 微生物学 genomics, microbiology.
我们可以验出微生物 We get to identify organisms,
解析细胞形态 interpret cell morphology,
进行基因测序 sequence genes.
这是个D300e型 Is that a D300e
病原体杀菌生物打印机吗 pathogen antibacterial bioprinter?
这台可是新的 It's new.
你在进行对新兴微生物的 You're working on antibiotic resistance
抗生素耐药性研究吗 in emerging microorganisms?
现在是我们了 肖恩 It's "We" now, Shaun.
的确 Yes, we are.
你想试试看吗 Do you want to play with it?
很想 Very much.
去吧 Go ahead.
这差不多就是你的工作了 It's kind of your job now.
我们是侦探 We are the detectives.
外科医生只是巡警 Surgeons are just the beat cops.
最可能成功的方案是试着从脊柱上分离肿瘤 Our best bet is to try to separate the tumor from his cord,
然后进行切除 and then resect it.
好吧 太扯了 Okay, this is insane.
你们知道他是怎么「杀人」的吗 You know how he "killed" a person?
当时来找他咨询的那名信徒自杀了 He was counseling a parishioner who committed suicide.
那肯定对他造成了创伤 That must have been traumatic.
创伤 没错 谋杀 不存在 Traumatic, yes. Murder, no.
我知道这很愚蠢 但他有自主权 Hey, I know it's stupid, but he has autonomy.
我没说愚蠢 我说的是「太扯了」 I didn't stay stupid. I said "Insane."
你想因为他有信仰就无视他的意愿吗 You want to override his wishes because he's religious?
约九成的美国人相信上帝 Something like 90% of Americans believe in God.
我就是其中之一 难道我们脑子都有问题吗 I'm one of them. Are we all mentally impaired?
你会因为不喜欢我们的选择而无视我们吗 Should you ignore us all if you don't like our choices?
只有把肿瘤当成神的旨意的人才会 Only those getting divine messages from their tumors.
-他没有疯 -好吧 你是对的 - He's not crazy. - Okay, you're right.
他只是愚蠢 但我们难道没有义务给他解释吗 He is just stupid. But don't we have a duty to educate him?
-你想说服他放弃信仰 -不 - You're gonna talk him out of his religion? - No.
你告诉他这样做手术更危险 You told him the surgery was more dangerous this way.
我觉得他没有意识到有多危险 I don't think he appreciated how much more dangerous.
好主意 Good idea.
他认为自己没被原谅前就死会下地狱 He thinks he'll go to hell if he dies before he's forgiven.
确保他了解手术可能会发生这种情况 Make sure he knows it can happen on the table.
给焦虑症患者做核磁共振 An MRI for anxiety?
这可与减少不必要的医学检查背道而驰 It does fly in the face of reducing unnecessary medical tests.
当我还是住院医生时 When I was a resident,
有位病人来急诊室就诊 I had a patient come through the E.R.
35岁女性患者 Female. 35 years old.
轻微咳嗽 轻微甲状腺功能衰退 Slight cough. Slightly hypothyroid.
生命体征正常 Normal vitals.
我觉得她很爱抱怨因为她一直说 I labeled her a whiner because she kept insisting,
「我要死了」 "I'm gonna die."
我让她回去了 I sent her home.
然后她死了吗 And she died?
不是 她一直回来 No. She kept coming back.
一次又一次 Over and over again.
给她做了核磁共振 证明她一切正常 We do this test, we prove there's nothing wrong with her,
让她放心地回家 we send her home reassured.
该死 Damn.
核磁共振显示你患有晚期脑膜瘤 The MRI showed a high grade meningioma.
这是种晚期肿瘤 生长于包裹大脑的 An advanced tumor that grows in the tissue layers
组织层之间 that cover the brain.
它的特征与恶性肿瘤一致 Its features are consistent with it being malignant.
这些肿瘤通常具有侵略性 These tumors tend to be aggressive
而且几乎不能完全切除 and impossible to fully resect.
那你们 你们能做什么 Um, so what -- what can you do?
缓和治疗 Palliative care,
用药物控制病情 symptom control with medications.
你可能面临脊柱损伤 You're risking spinal damage,
瘫痪 以及死亡 paralysis...death.
如果这是上帝的选择 那就是祂的意志 If that's what God chooses, then that is His will.
如果你患癌症是因为祂想让你患癌症 If you have cancer because He wants you to have cancer,
那你为什么来医院 接受治疗 why are you here? Getting treatment?
我来是因为我相信科学 I'm here because I believe in science.
而我对上帝的信仰成就了我这个人 I am who I am because I believe in God.
所以你认为所有生病的人 So do you think all people who are sick
都被上帝惩罚了吗 are being punished?
楼下大厅有个八岁的小孩 I mean, we have an eight-year-old down the hall
得了骨癌 with bone cancer,
你想告诉她上帝讨厌她吗 you want to go tell her God hates her?
我相信那个女孩不是因为受惩罚而生病 I'm sure that girl is not suffering as a punishment.
她的病痛让其他人能有机会 She's suffering so others may have a chance
向她伸出援手 to show her mercy,
表示同情 让她能因此受启发 to show her compassion, so she can inspire.
我不知道祂的计划 I don't know His plan,
但我知道不像你以为的那么简单 but I know it's not as simple as you would --
不 不简单 No. No, it's not simple.
除了你的疼痛 Except for your pain.
他的名字叫迈克尔 His name was Michael.
他的妻子发现了他的尸体 His wife found his body.
你不知道会这样 You had no idea.
我知道他抑郁 I knew he was depressed.
但你以为他正在逐渐恢复 But you thought he was getting better.
我没有接他的电话 I didn't take his call.
因为我在喝酒 Because I was having a drink.
因为翻新的事忙活了一整天 It'd been a long day dealing with the renovations,
所以我在喝酒 and I was having a damn drink.
肖恩 Hey, Shaun.
卡莉 Hey, Carly.
我开始给赛迪·巴恩斯用抗癫痫药物了 I started Sadie Barnes on anti-seizure medication,
得让你们测一下苯妥英峰值 need you to run a peak phenytoin level.
送样品的人肯定很开心 现在外科医生 The couriers must be happy that the surgeons
都自己来交化验样品了 are doing their own specimen deliveries.
你在这感觉如何 How you doing down here?
卡莉说病理学家是侦探 Carly says pathologists are the detectives,
外科医生只是巡警 surgeons are just the beat cops.
肖恩 你在这开心吗 Shaun, are you happy here?
你什么时候给病患用负荷剂量的 When did you give the patient her loading dose?
大约一小时前 One hour ago.
肖恩 如果你开心 那很好 Shaun, if you're happy, that's great.
但如果你不开心 But if you're not,
你要告诉韩你的感受 you have to tell Han how you feel.
你得让他知道你在乎 You need to show him you care
而且你对自己有信心 and that you believe in yourself.
你着急要这个结果吗 Do you need this done STAT?
不用 她还没有临床症状 No. She's asymptomatic.
-只是为防止癫痫 -好的 - It's just for seizure prevention. - Good.
卡莉说在病理科 Carly says that in pathology
你可以随时休息 you can take a break whenever you want.
我想现在休息 去散个步 I want to take a break now. I'm going for a walk.
他不应该在病理科 He shouldn't be in pathology.
-他是位优秀的外科住院医师 -你说得对 - He's a good surgical resident. - You're right.
-那你会把他调回来吗 -不 - Then you'll move him back? - No.
这点你错了 他应该待在病理科 You're wrong about that part. He should be in pathology.
但他的确是优秀的外科住院医师 But he was a good surgical resident.
那为什么... Then why --
因为他成不了优秀的外科医师 Because he'll never be a good surgeon.
你觉得三年后没有人在旁边指导他 How do you think he'll do in three years
他会变成什么样子 when no one's looking over his shoulder?
当他在指导别人的时候 When he's looking over someone else's shoulder?
到时他得指导新来的住院医师 带领他们大查房 Supervising new residents, leading grand rounds,
教他们多关注易损病患 advocating for vulnerable patients.
他能在没有协助的情况下独立完成吗 Do you see him doing any of that without a safety net?
我们可以帮助他达到你的要求 We can help him get there.
仅仅因为他想要做外科医师 Just because he wants to be a surgeon,
仅仅因为你想让他做外科医师 just because you want him to be a surgeon,
这并不意味着他真的能梦想成真 doesn't mean he gets to have that dream come true.
你有没有想过 Has it occurred to you that maybe
我们也许比你更了解肖恩呢 we know Shaun better than you do?
那你有没有想过这可能 Has it occurred to you that
是你有问题呢 that might be your problem?
因为你喜欢他而影响了你对他的看法 That your view of him might be distorted because you like him?
你有没有想过也许 Has it occurred to you
他在病理科比现在更好呢 that maybe he's better off in pathology?
也许他会喜欢这样呢 That maybe he'll even like it?
你在乎吗 Do you care?
我觉得你会在乎 I thought you might.
腹部再多露出来点 We need better ventral exposure.
再钻削掉些椎弓根和椎骨体 Drill off more of the pedicle and vertebral body.
扎紧发出神经根 Ligate the exiting nerve root.
我们把它跟肿瘤一起切除 让切缘更宽 We'll take it with the tumor for a wider margin.
我看不到 I can't see it.
肿瘤导致脊椎向我们的方向弯曲 The tumor's causing the spinal cord to be bowed up to us.
露出部分得更多才能绕到前面去 We need more exposure to get around and in front of it.
椎骨断裂得太厉害而且移位了 The vertebrae is too fragmented and displaced.
没有固定措施的情况下 We can't get a complete resection
我们没办法完全切除 without stabilization.
他快不行了 He's tanking.
可能是对脊椎的拉力导致了脊髓休克 Probably spinal shock from tension on the cord.
我们得停止手术 We need to abort.
好 我数三下 一 二 三 All right, on three. One, two, three.
你把我治好了 You fixed me!
-不 不 -我的疼痛感怎么没了 - No, no. - What happened to my pain?!
-住手 -我们没治好你 - Stop! ? - We didn't fix you.
出现了并发症 我们给你打了麻药 There was a complication. We injected anesthetic.
效果会慢慢减退的 It'll wear off.
我们在切除肿瘤之前 We had to stop the surgery
就不得不停止手术 before we could remove the tumor.
因为你休克了 You went into shock.
心率和血压都快速下降 We lost your heart rate and blood pressure.
我们提醒过你如果不做融合术 We warned it would be a trickier surgery
这个手术就会很麻烦 without the fusion.
什么都没变 麻药会失效 Nothing has changed. The anesthetic will wear off,
疼痛的感觉会回来 而且会更厉害 the pain will come back, but worse.
什么时候能再做手术 When can you try again?
再做 我们失败了 Try again? We failed.
我们没理由相信下次就会成功 There is no reason to think we will succeed next time
但你们知道问题在哪里 But you know what the issues are, --
除非我们做融合术 unless we do the fusion
-并从中吸取教训 -为什么你不呢 - you learned -- - Why haven't you?
你觉得上帝想让你死吗 Do think God wants you to die?
求你们了 Please.
再做一次 Try again.
氰化物中毒 Cyanide poisoning.
这是阿特林那个病例的死因 The cause of death on the Atlin case.
你知道我怎么发现的吗 You know how I found it?
我闻出来的 有杏仁味 I smelled it -- almonds.
朴医生的病人 Dr. Park's patient.
我标记了她的嗜酸性粒细胞计数 I flagged her eosinophil count --
跟申请单上写的 it doesn't match up with the diagnosis
晚期脊膜瘤的诊断不符 of advanced meningioma listed on the requisition.
很好 干得漂亮 Great. Nice work.
我去跟利姆医生谈谈这件事 I'm going to talk to Dr. Lim about it.
别去 肖恩 等等 Whoa there, Shaun. Hold up.
那不是你的工作 You don't need to do that.
住院医师只需要注意那些标记 The attendings are on the lookout for the flags.
-有人会处理后面的事 -我想处理 - They'll run with it. - I want to run with it.
你也曾是信息的接收方 You've been on the receiving end --
你知道事情的运作方式 you know how it works.
事情的运作方式是我发现了不正常的情况 How it works is I see something abnormal
然后我去和团队讨论 and then I discuss it with the team,
我们一起商量如何进行治疗 and we plan how we'll fix it.
一起完成治疗 We run with it.
肖恩 完成一个化验后 Shaun, once a test is done,
我们就会开始下一个化验 we move on to the next one.
我想去走一走 I'd like to... take a walk.
你要走去利姆医生那边 Are you going to walk to Dr. Lim
跟她讨论病情吗 肖恩 and discuss this case, Shaun?
这不是我们的工作 That's not what we do here.
我们进行化验 写报告 We investigate, report,
然后开始下一个化验 and then we move on.
你能做到吗 Are you gonna be able to do that...
继续化验 move on?
我不知道 I don't know.
但是我会非常努力 But I will try very hard.
下次吧 Next time.
布朗医生 Dr. Browne.
是因为病人的事找我吗 Is this about a patient?
不是 No.
进来吧 Come in.
我听过你很多事 I've heard a lot about you --
我知道你曾经反对过你的上司 I'm aware you stood up to a supervisor.
现在又是同样的情况吗 Is that what's happening now?
我整理了一份病例清单 I put together a list of cases
莫菲医生对这些病例的治疗功不可没 which Dr. Murphy contributed to.
方法独特 Uniquely.
你是个忠诚的朋友 You're a loyal friend.
我详细说明了他的想法... I've specified the ideas he had --
其他人都想不出的东西 ideas that no one else around here could have --
你认为我讨厌他吗 Do you think I hate him?
不 No.
但我认为 But I think
你或许因为他的病症 you might be biased against him
对他有偏见 because of his condition.
所以他没有交流障碍吗 So he doesn't have communication issues?
-是我错判了吗 -没有 但是他 - I'm wrong about that? - No. But he --
如果他得了流感 我会叫他待在家里 If he had the flu, I would tell him to stay home
直到病情好转 until he got better.
他有自闭症 He has autism --
我本可以叫他待在家里直到病情好转 I could tell him to stay home until he gets better.
但我还是给他找了个能帮助我们的去处 Instead I found a place for him to help us,
帮我们拯救生命 to save lives.
你应该知道我对忠诚有着复杂的感情 And you should know I have rather mixed feelings about loyalty.
好了 给你 All righty. There you go.
你好 Hello.
亚伦 Aaron.
见到你真好 It's good to see you.
我也是 Yeah. The feeling is mutual.
能给我一块吗 Can I have one of those?
-巧克力屑玛芬吗 -当然 - The chocolate chip muffin? - Yes, please.
有特殊情况吗 Special occasion?
是的 Yes.
截止今天 我不用再往身体灌输毒物了 As of today, I am no longer injecting toxins into my body.
当然巧克力屑除外 Except, of course, with chocolate chips.
你结束化疗吗 不可思议 Oh, you're done with chemo? Wow. That's amazing.
-恭喜你 -谢谢 - Congratulations. - Thank you.
我准备今晚出去庆祝一下 I was thinking of going out tonight and celebrating
这个好消息 what may be very good news.
如果你有空 我请客 If you're free, my treat.
对不起 亚伦 I -- I'm sorry, Aaron.
我有约了 I have a-another commitment.
那明天呢 Oh. Um, tomorrow then?
这个礼拜都挺忙的 This week is really crazy.
你猜怎么着 下周每天晚上 You know what? I am not doing chemo
我都没有化疗 我每晚都有空 所以 every night next week, so I am free every single night, so --
亚伦 我在和别人约会 Aaron, I'm seeing someone.
对不起 I'm sorry.
没什么可对不起的 Nothing to be sorry about.
见到你很开心 It was good to see you.
密切注意血压和心率 Keep an extra close eye on blood pressure and heart rate.
额外的静脉推注 升压药 I have extra fluid, vasopressors,
还有强心剂都准备好了 and inotropes ready.
为什么不信上帝呢 Why no God?
入乡随俗 You follow in the tradition that you're handed.
我们家庭不信教 我们从不去教堂 My family wasn't religious. We never went to church.
我每个礼拜天都去 I was there every Sunday.
早上八点去做天主教弥撒 8:00 a.m. for Catholic mass.
我父母最终被条条框框弄累了 My parents eventually got tired of all the rules
转变成路德教了 and turned Lutheran.
结果他们觉得无聊又变回天主教 They found that dull and went back to Catholic.
这是我的家俗 That's my tradition.
你想过你死后会怎么样 What do you think it'll be like when you die?
跟我出生前没两样吧 Probably like it was before I was born.
一片虚无 A whole lot of nothing.
又到这一步了 We're there.
回到上次出错的那一步了 Where we were when everything went wrong last time.
我们需要移除肿瘤并确保不给脊椎 We need to remove the tumor without putting any pressure
增加任何压力 不然他会出现脊髓休克 on his cord at all, or he'll be back in spinal shock.
我们需要从脊椎体摘除更多肿瘤 And we need more tumor release from the vertebral body.
近末端延伸截骨 Extend your osteotomies proximal and distal.
很好 Good.
我找到一处可用的平面了 I think I got a free plane...
从脊椎向外再拉一些 Retract it from the cord a little more.
-好了 -现在 摘除肿瘤时 - I got it. - Now, when you remove it
小心不要弄碎了 careful not to morselize it.
你能举着吗 Can you hold that up?
雷兹尼克医生 粗略估计下 Dr. Reznick, give me a measurement.
最长为四点五厘米 Max length is 4.5.
给我术前扫描成像 Get a pre-op scan up.
图像显示肿瘤有八厘米 That says the tumor's eight centimeters.
在两周没有放疗的情况下 How does a tumor shrink from 8 centimeters to 4.5
肿瘤怎么会从八厘米缩成四点五厘米 without radiation in two weeks?
它并没有 It doesn't.
为什么叫我 肖恩 你怎么在放射科 Why the page, Shaun? And why are you in radiology?
我们靠化验标记做出诊断 We rely on flags.
你需要依靠开处方的医生 You have to count on the ordering physician
在你忙其他事时帮你盯着点 seeing it while you move on to something else.
-好的 -我不同意赛迪·巴恩斯的诊断 - Okay. And... - I don't agree with Sadie Barnes' diagnosis,
我认为她的肿瘤应该做活检 and I think her tumor should be biopsied.
-肖恩 我 -韩医生想我远离病患 - Shaun, I -- - Dr. Han wanted me away from patients.
病患不应该进入查片室 Patients are not allowed in the viewing room.
所以我没做错什么事 So I'm not doing anything wrong.
两位放射科医生都说了 Two radiologists said
那是恶性脑膜瘤 it was a malignant meningioma
位于岛皮层中 缠住了大脑中动脉 in the insular region and encasing the MCA vessels.
它确确实实在那 That's exactly where it is.
她的诊断成像也完全符合 And her clinical picture matches perfectly --
四肢麻木 arm and leg numbness.
靠着硬脊膜的肿瘤并略微有些不规则 The tumor attachment to the dura is slightly anomalous.
岛皮层也有点不规则 And the insular region is slightly atypical, too.
你有什么高见 What differential diagnoses are you proposing?
我需要和病人交流 I need to speak to the patient.
我要征得韩医生的同意吗 Should I ask Dr. Han for permission?
肖恩 我 Shaun, I...
会把你对于扫描成像的疑问 ...will bring your concern about the scan
传达给放射科主任 to the head of radiology.
但我劝你不要去找韩医生 But approaching Dr. Han? Don't do that.
我已经和他谈过把你调回来的事 Now, I already talked to him about your reassignment.
我不知道是否会有所改变 I don't know if it'll make any difference --
如果我是克莱尔 你会让我去找韩医生 If I were Claire, would you let me approach Dr. Han
谈谈涉及到我的事吗 about something that concerned me?
可能会 Yes. I probably would.
是因为克莱尔跟病患沟通时 Is that because Claire doesn't make mistakes
不会犯错吗 when she's communicating?
是的 Yes.
那你认为韩医生送我去病理科 Then do you think Dr. Han made the right decision
是正确的决定吗 by sending me to pathology?
不 No.
淋巴节也萎缩了 The lymph nodes have shrunk, too.
这是两周前正电子扫描的图像 This is a PET scan from two weeks ago.
当时已经肿大并癌化了 Enlarged and cancerous.
可现在呢 Today... ?
全都消退了 They've all regressed.
记录在案存在自行消退的有 Spontaneous regression has been reported
黑色素瘤 肾细胞瘤 in melanomas, renal cell carcinomas,
神经母细胞癌 和某些类型的血癌 neuroblastomas, and some types of blood cancers.
在已经转移的肉瘤中 In a sarcoma that's metastasized?
如果其他病患出现过 现在这个也有可能啊 No. But if it happened in those others, why not?
因为都不可能 Because none of them make sense.
当我看到癌症消失的病例时 When I read about disappearing cancer,
我一直觉得是医生漏掉了什么 I always think some doctor missed something,
忘记了什么 forgot something,
搞砸了什么 screwed up something.
其中的理论在于人体以某种方式 The theory is that the body somehow triggers
触发了对癌症的免疫反应 an immune response against the cancer.
就像莫名其妙触发了导火索 Something somehow lights a fuse.
理论认为是感染点燃了导火索 The theory says the fuse is lit by an infection.
他的化验结果证明他没得癌症 His lab work proves he hasn't had one.
在这一点上 最可信的解释是 At this point, the most credible explanation is --
你是想说「奇迹」吗 Are you gonna use the "m" word?
你真的不相信吗 You seriously can't say it?
我只相信1980年美国冰球队的那次奇迹 Only when referencing the 1980 U.S. hockey team.
继续化验 任何你们能想到的 Keep testing. Anything you can think of.
分子标记 T细胞 PD-L1 Molecular markers, T-cells, PD-L1.
PD-L1 程序性细胞死亡蛋白-1配体
我们需要病患的许可 We'll need permission from the patient.
这也引出了另一个问题 Which raises another issue --
接下来我们该采取哪些医学措施 what are we gonna do next, medically?
他应该下周开始化疗 He was supposed to start chemo next week.
不 这会摧毁他的免疫系统 No, it'll wipe out his immune system,
而免疫系统可能就是杀死癌症的真正原因 which may be what's actually killing his cancer.
如果我们他病患好转的原因 If we don't know what's making him better,
就不知道要阻止什么 启动什么 we don't know what to stop, what to start.
那我们什么也不做 So we do nothing?
相信上帝可以治好他 Just trust God to fix him?
我们相信目前能持续治疗他的东西 We trust whatever is currently fixing him, to keep fixing him.
如果他昨天八点服用的泰诺 If he took a Tylenol yesterday at 8:00,
那今天也八点服用泰诺 he takes a Tylenol today at 8:00.
密切监测他 不断给他做扫描 Monitor him. Closely. Scans constantly.
你好 格拉斯曼医生 Hello, Dr. Glassman.
感谢你的到来 Thank you for coming.
他已经这样做了两小时 He has been doing this for two hours.
肖恩 Shaun.
你在忙什么 What are you up to?
按字母排序我们的罐头 Alphabetizing our canned goods
检查所有的保质期 and checking all the expiration dates.
总要有人去做 Well, somebody's got to do it.
-有什么问题吗 -没有 - Is something wrong? - No.
-好吧 -好 我认为 - Okay. - Okay. I think
利姆医生的病患的诊断是错误的 Dr. Lim's patient's diagnosis is wrong,
但是没有资料我无法证明 but I can't prove it without information,
而且我不允许和病患交谈 and I'm not allowed to talk to patients.
肖恩 Shaun.
我想参与进去 I want to run with things.
我想治疗病患 I want to fix people.
你能帮我再当上外科住院医师吗 Can you help me become a surgical resident again?
我不行 肖恩 No. I can't, Shaun.
-我不是院长 -你可以 - I'm not president - Yes.
我不是院长了 肖恩 I'm not the president of the hospital anymore, Shaun.
即使我是 And even -- even if I was...
这件事与我不相关 ...it's irrelevant.
你要站出来维护自己 You have to stand up for yourself.
你知道吗 如果你不能 And you know what? If you can't,
那么新的外科主任 他就是对的 then the new Head of Surgery, the Chief, he's right.
我可以跟他说他错了 Now, I can go tell him he's wrong.
但也无济于事 It won't do any good.
或者你可以向他证明 Or you can go show him.
我正在做关于赛迪·巴恩斯的研究 I'm doing research concerning Sadie Barnes.
她睡了 She's asleep.
很好 我不允许和她说话 Perfect. I'm not allowed to speak with her.
我正在找她的妹妹杰斯 I'm looking for her sister Jess.
我没看见她 对不起 I haven't seen her. Sorry.
你在做什么 What are you doing?
你能解释为什么 Can you explain why,
你没有按照要求待在病理科 instead of remaining in pathology as directed,
而是在病人房间里 you were in a patient's room,
找她的钱包 going through her purse?
我没有和她说话 她睡了 I didn't speak to her. She was asleep.
莫菲医生 对于把你调出外科这事 Dr. Murphy, any reticence I had
我得跟你说点什么了 about removing you from surgery just vanished.
你不应该和病患接触 You shouldn't be in contact with patients.
或者他们的家人 或者他们的东西 Or their families. Or anything they own.
你明白吗 还是逼迫我解雇你 Do you understand, or am I gonna be forced to fire you?
从赛迪社交媒体主页可以看出 Sadie's social media says that
她靠做自由美食评论 she finances her climbing travel
为自己登山旅行攒钱 by working as a freelance food critic.
她评论了一家日本餐厅 She reviewed a Japanese restaurant that used to have
之前的餐厅卫生评分是A a Restaurant Grading System Score of "A,"
现在掉到了C 说明那里的食物 but then it dropped to a "C," which corresponds
非常不卫生 to very bad food safety practices.
坏掉的寿司会导致蠕虫 但并不常见 Bad sushi can lead to worms, but it usually doesn't
因为胃酸几乎总会把鱼类寄生虫消化掉 because stomach acid almost always kills fish parasites.
但如果这个人在服用酸阻滞剂就不一样了 But not if someone is taking an acid blocker,
而约六千万美国人都在服用酸阻滞剂 which 60 million Americans are.
我在她包里看到了药瓶 I saw a bottle in her purse.
赛迪可能有囊封蠕虫引起的裂头蚴病 Sadie could have sparganosis with an encapsulated worm
引起的症状类似脑膜瘤 that is mimicking a meningioma.
不错的想法 That's a good idea.
好极了 我去告诉病患 Excellent. I'll tell the patient.
我会去告诉病患 I will tell the patient.
我会跟她说我们要做活检 I'll tell her we're doing a biopsy
来确认初步诊断 to confirm the initial diagnosis.
-但我们 -它会告诉我们 - But we're -- - It will tell us
初步诊断是否正确 if the initial diagnosis is correct.
你的理论成立的几率很低 Your theory is a real long shot.
让她徒生希望就太不负责了 It would be irresponsible to get her hopes up.
手术很成功 The surgery went well.
我们在没有并发症的情况下完整摘除了肿瘤 We were able to extract the entire tumor without complication.
谢谢你们 Thank you.
什么时候开始化疗 When can we start chemo?
我们得先做一些后续检查 There are a few follow-up tests we want to run first.
之后我们想要重新梳理一下病史 And we want to retake your history.
确保所有使用过的药物 Make sure we have a proper list
正确记录在案 of all medications you've been taking.
你们要重新梳理病史 在手术之后 You want to take his history? After the surgery?
发生什么事了 你们在隐瞒什么 What's going on? What are you not telling us?
-哪里出错了吗 -没有 - What went wrong? - Nothing.
事实上 手术进行得 The fact is, the surgery went...
比我们预期还好 better than we'd hoped.
你的癌症似乎 Your cancer seems to be...
像自己消失了一样 going away on its own.
我们会继续做化验 We'll run our tests.
我们确信会有个合理的医学解释 We're confident that there is a medical explanation.
克拉伦斯 Oh, Clarence.
-你好 -你好 亚伦 - Hi. - Hi, Aaron.
我之前 Um, what I...
我之前告诉你 我在和别人约会 What I told you earlier, that I'm seeing someone...
其实没有 I'm not.
我的意思是 我有约会过一次 I mean, I-I-I had one date,
-但并没有 你知道 -好 - but it wasn't, you know... - Okay.
我们 我们并不是一对理想搭配 We're -- we're just -- we're not a good match.
我就是想和你说这个而已 That's what I wanted to tell you.
那么说不对 你知道的 That's not true, you know.
你知道的 不对 You know, that's not true.
你喜欢我 非常喜欢 You like me. A lot.
而我更喜欢你 And I like you even more than that.
所以怎么了 So what is this?
我根本就不想提这事 You know, I'd really rather not get into it.
-你来我家找我 -就是来告诉你那句话 - You came to my house. - To tell you what I told you,
-就是刚刚跟你说的 -好吧 你想说实话 - which I just told you. - Okay, you came here to be honest,
但你只说了一半实话 and you're only gonna be honest halfway?
-你不是害羞吧 -不是 - You're not timid. - No.
好吧 怎么回事 Okay. Then what?
上次我来你家的时候 The last time I was here,
我们上楼去了 we were headed upstairs...
是的 Yes, we were.
你摔了 You fell.
对 Yes, I did.
我想帮你 你却把我推到一旁 I tried to help you, and you pushed me away.
-我很窘迫 -你生病了 - I was embarrassed. - You were sick.
-你需要帮助 -我病好了 - You needed help. - And I'm not sick anymore.
可能吧 所以我想出去 去庆祝 Maybe. And I want to go and celebrate.
和你一起 特别是和你一起 With you. Specifically with you.
因为我们在一起很开心 'Cause we have fun.
你 你让我 你总逗我笑 You -- you make -- you make me laugh.
你让我非常高兴 You make me feel good.
我喜欢和你在一起 I like being with you.
听起来真无趣呀 Sounds horrible.
但坏事总会发生的 But bad things are gonna happen.
亚伦 世事总不可能只是开心 Aaron, i-it can't just be about having fun together.
我们其中一人总会生病的 One of us is gonna get sick,
总会有一个人需要被照料 one of us is gonna need to be taken care of --
等等 等会儿 我只是想出去 Wait, wait, wait. I just want to go out
和你吃一顿晚餐 and have a nice dinner with you.
不是私奔到里诺 找一个扮成猫王的牧师 Not to run away to Reno, find a priest in an Elvis suit.
那我们该怎么做 亚伦 What are we gonna do, Aaron?
开车到风景如画的山丘 温存入夜 Just drive to a hill with a view and neck till prom?
我回到家 期盼着你的电话 And then I'm gonna come home and hope you call?
我只是来道歉的 Yeah, uh, you know, I just came to apologize.
对不起 I'm sorry.
我非常高兴 And I'm really glad...
非常高兴你的化疗成功了 I'm -- I'm glad you're finished with chemo.
然后 And...
你会 战胜疾病 you're gonna -- you're gonna beat this thing.
你的免疫球蛋白很正常 Your immunoglobulins are normal.
所有检查都很正常 Everything is normal.
我们没法找到一个科学的解释 We can't find a scientific explanation.
我们的祈祷 这是个神迹 Our prayers... it's a miracle.
无论是不是奇迹 Miracle or not,
看起来我们意见统一了 it seems we're on the same page now.
根本不需要做脊柱融合 There is no reason not to do the spinal fusion
来减轻你的疼痛 to eliminate your pain.
继续做化验 Do more tests.
-克拉伦斯 -不需要再做化验了 - Clarence. - There are no more tests.
肯定有 肯定有个解释的 T-t-there must be. There must be an explanation.
重做化验 做新的化验 Redo your tests. Find new tests.
「让所有痛苦和愤怒 "Let all bitterness and wrath
气焰 喧嚣 与诽谤 and anger and clamor and slander
远离你」 be put away from you."
《以弗所书》第4章31节 Ephesians 4:31.
我以为你不是教徒 I didn't take you for a believer.
我不再是了 I'm not, anymore.
我觉得你也不是 I'm not sure you are either.
上帝直接与诺亚 God speaks directly to Noah,
摩西 约伯 所罗门对话 Moses, Job, and Solomon.
显然现在祂选拔出了 And now apparently He has singled out
圣何塞的克拉伦斯牧师 Pastor Clarence of San Jose
加入到先知的行列 to join the ranks of the prophets.
抱歉 但除非有燃烧的荆棘出现 I'm sorry, but unless there is a burning bush
不然认为祂让你成为 it is narcissistic to think that God
祂的个人资产就太自恋了 has made you his personal project.
上帝与我们每个人对话 God speaks to every one of us,
-你倾听就好 -是你没在听 - you just have to listen. - You are not listening.
总会有人得癌症 People get cancer all the time.
一般来讲那会导致疼痛 Often that results in pain.
这很寻常 Those things are not unique.
不寻常的 What is unique
是侵略性的转移癌 is having an aggressive metastatic cancer
毫无缘由地开始消失 start to disappear without any rational explanation.
不是因为上帝 The issue isn't God.
你得原谅自己 You have to forgive yourself.
我做的事... What I did --
无法挽回 Cannot be undone.
但你的疼痛可以 But your pain can.
克拉伦斯 Clarence.
你的痛苦 Your pain...
你的痛苦不能给任何人带来好处 Your pain does no one any good.
好吧 Okay.
给我骨凿和骨锤 Osteotome and mallet.
你说自己从没去过教堂是骗人的 You lied when you said you never went to church.
-怎么回事 -我不想讨论这个 - What happened? - I didn't want to have this conversation
-就是怎么回事 -我不是评判你 - is what happened. - I'm not judging.
我哥休学一年到处旅行 My brother took a year off school to travel
回来就变成无神论者了 and came back a non-believer.
那你去问他 So ask him.
感到自由了 Was it freeing,
还是感到空虚 or did you feel empty?
把一号多轴椎弓根螺钉递给我 Hand me the first polyaxial pedicle screw.
感觉像失去了所爱之人 It was like losing a loved one.
真相时刻 The moment of truth.
跟我来 Follow me.
我们的初步诊断是错的 Our initial diagnosis was wrong.
你没有脑膜瘤 You don't have a meningioma.
你是大脑里有虫子 You have a worm in your brain.
虽然听上去有些恶心 And while that sounds fairly gross,
但是完全可以治愈 it is completely curable.
所以那种濒死的感觉 是错的 So, the sense of doom, it was -- it was wrong?
-也是那感觉救了你 -莫菲医生也救了你 - It saved your life. - As did Dr. Murphy.
他就是发现你有一项化验异常的病理科医生 This is the pathologist who noticed an abnormality in one of your tests.
才让我们得到了这个结果 That led us to this discovery.
我能给你个拥抱吗 莫菲医生 Can I give you a hug, too, Dr. Murphy?
不能 No.
只要我的团队做手术取出虫子 You and your sister will be free to conquer
你们姐妹就可以继续征服 whichever of the remaining 50 peaks you choose
你们选中的那五十座山中剩下的山峰 as soon as my team surgically removes the worm.
-谢谢你 -应该的 - Thank you. - Oh! Of course.
没有几位医生能做到 There are not a lot of doctors who would have made the leap
你今天所达成的飞跃 肖恩 that you made today, Shaun.
干得漂亮 Good work.
是的 我做得非常棒 Yes, it was excellent work.
大多数人会回「谢谢你」 Most people would say "thank you,"
但严格来说这不是错误回答 but technically that's not an incorrect response.
祝你今晚愉快 这是你应得的 Have a good evening. You've earned it.
我不想去散步 I don't want to go on walks.
我不想做完化验 I don't want to move on from cases
就换去别的化验 after the tests are done.
我不想做病理科医生 I do not want to be a pathologist.
韩医生 你得让我重新做一个外科住院医师 Dr. Han, you need to make me a surgical resident again.
我很感激你告诉我这些 I appreciate you telling me that.
我还在想你是否有胆量 I was wondering whether you had it in you
为自己争取 to advocate for yourself.
但事实是 肖恩 But the truth is, Shaun,
你今天所做的 what you did today,
证明了我是对的 it proved I'm right.
你的技术惊人 Your skills are tremendous.
而你的弱点 Your weaknesses...
同样很严重 equally significant.
你可以成为一个非常棒的病理科医生 You could be a great pathologist.
想想还有那么多赛迪们 Just think of all the Sadies out there,
等着你去救 waiting for you to save them.
布朗医生 雷兹尼克医生 Dr. Browne, Dr. Reznick.
手术很成功 你的脊椎很稳定 The surgery went well. Your spine is stable.
我害怕 I'm scared.
在你的恢复过程中仍可能有残余疼痛 但... There may still be some residual pain as you heal, but --
不 我... No, I...
我一直在想 I keep wondering,
如果我违背了上帝的旨意呢 what if I disobeyed God?
你要有信念 You have to have faith.
但你已经没有了 But you lost yours.
我没有奇迹帮我度过黑暗时刻 I didn't have a miracle to help me through the dark times.
BGM: Muddy Waters by LP
♪ In the muddy water we're falling ♪
♪ In the muddy water we're crawling ♪
♪ Hold me down ♪
♪ Hold me now ♪
♪ Sold me out ♪
♪ In the muddy water we're falling ♪