这大概是第一个我们感觉对的地方 This might be the first place we've visited that feels right.
很好 That's good.
可是 肖恩 我们真的得 But, Shaun, we really need to
聊些跟婚礼无关的事 talk about something non-wedding related.
完美 Oh, it's perfect.
对 这是唯一符合我们要求的 Yes, and it is the only venue available on our date
并在那天有空的场地 that meets all our criteria.
我站在圣坛 I'll stand at the altar.
你从通道走过来 You walk down the aisle.
好的 Okay.
壁炉的瓦片是原装的吗 The fireplace tile, is that original?
不知道 Uh, I have no idea.
就说是吧 Well, let's say it is.
你要是着急卖 If you want to up the curb appeal,
或许重新上一遍漆 做做绿化 maybe a fresh coat of paint, some landscaping...
就这样挺好的 "As-is" Is just fine.
最快什么时候能卖掉 How soon can we sell the place?
第一天就会有几个人出价 We'll get multiple bids on day one.
很好 Oh, great.
你好 亚伦 Hi, Aaron.
莎莉·卡罗尔 伊桑雷地产 Shelly Carroll, Ethan Ray Realty.
伊拉娜·里维斯 前妻 Ilana Reeves, ex-wife.
明天得把协议和支票一起送去 We should drop off this agreement with our deposit check tomorrow.
只要我向牧师解释清楚问题 Once I explain the issue to the pastor,
他肯定会把有问题的木地板换掉的 I'm sure he will replace the problematic floorboards.
肖恩 我真的有点事要说 Shaunie, there's something I really need to tell you.
停车 S-Stop!
我打911 I'll call 911.
你好 我是肖恩·莫菲医生 Hello, I'm Dr. Shaun Murphy.
你哪里疼 Where are you hurt?
手疼 It's my hand.
无名指和小拇指骨折了 Your fourth and fifth fingers are broken.
要是没有其他部位受伤 If you have no other injuries...
肖恩 这边 Shaun! Over here!
你好 我是肖恩·莫菲 你受伤了吗 Hello, hi, I'm Dr. Shaun Murphy. Are you injured?
我的腿被卡住了 My leg's trapped.
呼吸的时候很疼 My chest hurts when I breathe.
你怀孕多久了 How far along is your pregnancy?
二十六周 Twenty-six weeks.
我的宝宝没事吧 Do you think my baby's okay?
目前无法得知 I have no way of knowing...
但是你心动过速并且颈静脉有膨胀 ...but you have tachycardia and your jugular is distended,
这是心脏填塞的征兆 which are signs of a cardiac tamponade.
要是不抽出来 你会等不到急救员来 If I don't drain it, you'll die before the paramedics arrive.
良 医
第五季 第七集
抱歉这里很乱 Sorry about the mess.
黛比劝你重新开始吗 Uh, Debbie talk you into a fresh start?
没 没有 No, no.
我们确实不太和 Um, we didn't exactly work out.
我很遗憾 Oh, I'm sorry.
我也是 Yeah, me, too.
不过我要搬到蒙大拿州的一个小镇 But I am moving to a small town in Montana,
希望会对我有好处 which, hopefully, you know, will be good for me.
亚伦 我需要你的帮助 Aaron, I need your help.
是我丈夫 苏尼尔 It's my husband, Sunil.
他快死了 He's dying.
你叫什么名字 What's your name?
阿尔玛 Alma.
阿尔玛 你好 我是莉亚 Alma. Hi, I'm Lea.
需要帮你联系谁吗 Is there anyone you need me to call?
不用 我男朋友出城了 Uh, um, no. My... My boyfriend's out of town.
你要用那个做什么 What are you gonna do with that?
剑突下心包穿刺术 A subxiphoid pericardiocentesis.
用超声波辅助会好点 An echo-guided one would be better,
不过我没有尖头钢丝或者超声设备 but I don't have a J-tipped wire, or an echo machine.
或许我们应该等急救员来 Maybe we should wait for the paramedics.
阿尔玛 你可以相信他 Alma, you can trust him.
我的胸口 要炸了 My...chest... is...exploding.
好了 扶住 Okay, hold.
人人影视 原创翻译 双语字幕
翻 译 EnsamK 无序脚印 tiiiii
字幕组招新中 请访问 yysub.net 仅供交流学习 禁止商用盈利
时间轴 想念Gallifrey的wholock 知之 后期 斯人
校对|总监 夕橙
你非常幸运 You are very lucky.
我们平常不走这条路去上班 We usually don't drive to work this way.
他的诊断是路易体痴呆 His diagnosis is Lewy Body Dementia.
他有症状多久了 How long has he had the symptoms?
是两年前开始的 It began two years ago.
失眠 肌肉乏力 焦虑 Insomnia, muscle weakness, agitation.
最近他开始一阵一阵的混乱 Recently, he's started having bouts of confusion.
我们找到一个深层脑部刺激的 We found an experimental trial that uses deep brain stimulation
实验性治疗来延缓认知退化 to slow cognitive deterioration.
你能帮忙看一下是否值得一试吗 Would you look at it, see if it's worth it?
有很多在这一领域 There are so many more doctors
比我经验丰富的医生 with more experience in this field than I have.
亚伦 我需要有个人能跟我说实话 Aaron, I... I need somebody who's gonna give me the truth,
好让我们不要浪费最后的宝贵时间 so we don't waste what time we have left.
有多少客户在诊所 How many clients have been referred
被推荐做选择性手术 for elective procedures from the clinic?
四十三位 Forty-three.
那些满意的客户会带来更多人 Those satisfied clients will lead to more.
自动收治筛查能降低8%的人工费用 And the automated intake screens have cut labor costs by 8%.
但是护士们不太高兴 他们觉得会被淘汰 But the nurses don't like it. They think they're next.
搞定他们 他们会克服的 Handle them right, they'll get over it.
你要是有具体的想法 If you have specific thoughts on that,
愿闻其详 I'd love to hear them.
午餐时间如何 Maybe over lunch?
摩根 你善于在热情和谄媚之间 Morgan, you excel at striking the right balance
找到完美的平衡 between enthusiasm and obsequiousness.
谢谢 Thank you.
不在午餐时间聊了 Instead of lunch,
不如你和亚历克斯跟我和马库斯吃个晚餐 how about you and Alex have dinner with Marcus and me?
马库斯 Marcus...
马库斯·安德鲁斯 Marcus Andrews?
会很有意思的 It'll be a hoot.
二十三岁怀孕女性 Twenty-three-year-old pregnant female,
在车祸中受到胸部钝器创伤 blunt chest trauma from a car accident.
我在现场用气体虹吸管 I performed a subxiphoid pericardiocentesis
做了剑突下心包穿刺术 at the scene with a gas siphon.
这么厉害 宝宝 Cool? Is the baby...
宝宝心率正常 无窘迫迹象 Fetal heart rate is normal, no signs of distress.
孕妇在路上血流动力学不稳定 Mother became hemodynamically unstable en route.
她有内出血需要做手术 She needs surgery for internal bleeding.
好了 快点 快点 Okay, keep rolling. Keep rolling!
我们要做些测试 We're gonna do a couple of tests
来了解你的认知水平 to get a sense of your cognitive state,
然后会送你去做核磁共振 and then we're gonna throw you in the MRI,
一个大甜甜圈 很吵 the big donut, very loud,
来看看你是否适合做深层脑部刺激 to see if you're right for the deep brain stimulation.
有问题吗 Any questions?
没有 None.
我是否了解医学 What I know or don't know about the medicine
对结果毫无影响 will not change the outcome.
现在病人觉得自己不比医生懂得多 A patient who doesn't think they know more than their doctors
反而少见了 is rare these days.
我的研究领域是隐性社会契约 Implicit social contracts are my field of study.
就是我们日常会做的契约 They're the agreements we make daily,
甚至都意识不到 often without even realizing.
不过或许那是另外的话题了 But perhaps that's a conversation for another...
你是谁 Who are you?
我们为什么在这里 Why are we here?
苏尼尔 苏尼尔 Sunil? Sunil?
你就在应该在的地方 You're right where you're supposed to be.
深呼吸 Take a deep breath.
他们的名字是什么 Tell me their names.
帕万 Pavan.
里玛 Reema.
还有小拉吉 And little Raj.
很好 Good.
有时候迷糊一阵很快就过去 Some spells pass a little more quickly than others.
我现在应该没事了 I... I think I'm okay now.
苏尼尔 Sunil.
你记得为什么来这吗 Do you remember why you're here?
因为我快死了 Because I'm dying.
开始做测试吧 Let's get started with those tests.
苏尼尔的核磁结果表明 Sunil's MRI shows no contraindication
没有深层脑部刺激的禁忌症 to deep brain stimulation.
初始化验结果都不错 Initial labs look good.
他是很合适的人选 He's a great candidate.
我壁橱里挂着的那件是你的「好」夹克吗 Is the coat hanging in my closet your "Good" Blazer?
是我唯一的夹克 所以是的 It's my only blazer, so, yes.
去干洗一下 Get it dry-cleaned.
为了咱们和安德鲁斯还有萨伦的晚餐 For our dinner with Andrews and Salen.
这个奇怪的组对 As intriguing as that pairing is,
晚餐就算了吧 dinner's a hard pass.
没有选择 Not an option.
不过补偿很公平 But compensation is fair.
我们终于可以去「火线」大吃大喝了 We can finally binge The Wire.
这个补偿并没有让我改变心意 Your first offer doesn't get you off the couch, and...
等等 安德鲁斯和萨伦 Wait, Andrews and Salen?
臭味相投 Game respects game.
有时候还睡一觉 And sometimes sleeps with it.
给你和凯兰买拉斯维加斯终极格斗冠军赛门票 Tickets for you and Kellan to a UFC fight in Vegas.
还是不行 Still no.
不过他生日这主意不错 But save that thought for his birthday.
萨伦和安德鲁斯 Salen and Andrews?
他们俩可能就是一个人 They may have one soul between them.
有运动无力的迹象吗 Any sign of motor weakness?
他得能禁得住头架 He's gonna have to tolerate the head frame.
这是颈椎核磁影像 Here's the cervical spine MRI.
我们可以模拟深层脑部刺激的实验 We could replicate the DBS trial on site.
我很愿意配合 I'd be happy to coordinate.
你真好 Oh, that's very kind of you.
你确定在你把我的诊所改造成 Are you sure you're gonna have time
爱思医疗盈利中心的同时还有时间吗 while you overhaul my clinic into an Ethicure profit center?
顺便说一句 我得要回我的办公室 Oh, and by the way, I'm gonna need my office back.
希望你不介意 I hope you don't mind.
副甲状腺看起来有点问题 Parathyroid looks off. Hmm.
那是异位病变吗 Is that an ectopic lesion?
他得过肾结石 He's had a history of renal stones.
我不... I don't...
他的钙和甲状旁腺激素指数是多少 What were his calcium and PTH levels?
只是有一点点高 They were only mildly elevated.
没有什么值得病情检查的 Nothing that triggered for the workup.
你在想什么 What are you thinking?
我在想这可能不是路易体痴呆 I'm thinking this may not be Lewy Body Dementia.
用普理灵缝线修复心室撕裂 Repairing the ventricular tear with Prolene sutures.
没有其他动脉或大型出血 No remaining arterial or major bleeds.
很好 我不想打开她的下腹部 Good. I'd prefer not to have to open her belly.
希望你们俩能在我的婚礼上穿袜子 I would like both of you to wear socks to my wedding.
不穿鞋 只穿袜子 No shoes. Just socks.
我和莉亚找到一个近乎完美的教堂 Lea and I found a nearly perfect church,
但是地板会吱吱叫 but the floor squeaks.
那得拍点有意思的照片 Should make for some interesting pictures.
不 No.
你不能剥夺我 No way you are robbing me
显摆我的那双新的布鲁诺马利鞋 of a chance to show off my new Bruno Maglis.
而且 又湿又臭的脚不是莉亚梦中的婚礼 Also, wet and stinky feet are not in Lea's dream wedding.
或许是这样的 That's... probably true.
最后一针 Last suture is in.
艾伦医生 宝宝怎么样 Dr. Allen, how's the baby?
心率稳定 Heart rate is stable.
好了 下一步 送她去影像科 Okay. Next step, get her down to imaging.
在骨盆骨折造成出血前 We need a surgical plan for these pelvic fractures
得做好手术方案 before they cause any more bleeding.
亚伦 亚伦 Aaron! Aaron!
我没期待有什么奇迹 不过谢谢 I didn't expect a miracle, but thank you.
他还没脱离危险 He's not out of the woods yet.
他还有个病变 He still has a lesion.
希望是良性的 希望可以摘除 Okay, hopefully benign, hopefully removable.
-我听到你说的了 -真的吗 - I heard you. - Really?
多数人在听到超级糟糕的消息后就不听后话了 Most people stop listening after they hear the very bad news,
在这里 是非常好的消息 or, in this case, the very good news.
今天下午的核研究 我明白 Okay, the nuclear study this afternoon, I got it.
跟黛比怎么了 What happened with Debbie?
为什么我和一个持枪的咖啡师 Why did my impulsive, whirlwind marriage
冲动旋风似的婚姻没能有结果吗 to a gun-toting barista not work out?
-你伤心了 -我看着很伤心吗 - You're hurt. - Do I look hurt?
我刚救了一个人 I just saved a man.
我知道你有多守旧 I know how you hold onto things.
我知道你多喜欢解决问题 And I know how you try to fix things
你想要帮所有人解决问题 and you try to fix everyone.
-我没事 -跟我聊聊 - I'm okay. - Talk to me.
因为我很怀疑你没跟任何人聊过 'Cause I doubt very much you're talking to anybody else.
我展露了最真实的自己 I was myself, and up close and personal,
黛比不喜欢她看到的我 Debbie didn't like what she saw.
她... She...
她说我很有控制欲并且自私 She said I was controlling and selfish.
你有告诉她说得对吗 Did you tell her she was right?
有 因为她说得对 Well, yeah, 'cause she was.
没什么用 It didn't help.
蒙大拿州有什么 What's in Montana?
松树和牛仔靴 Pine trees and cowboy boots and
还有改变 change for me.
在蒙大拿州 没人认识我 In Montana, no one knows me,
我没有过去 and I have no history,
没有人对我有所期待 and no one has any expectations of me.
曼蒂离开后 你这么做过 You've done this before. After Maddie.
这不公平 That's not fair.
我知道 I know.
但我的理疗师一定会说 But my therapist would say you're
你是在自欺欺人 "Pulling a geographic."
你的理疗师见过我吗 Has your therapist met me?
我要去准备苏尼尔的手术了 I have to go prepare for Sunil's procedure.
外固定架是最稳妥的做法 The safest path is external fixation.
我们会用金属支架来固定骨折的骨头 We'd use a metal frame to stabilize the fractured bones
直到你的孩子出生 until your baby is ready to be delivered.
到时候你要卧床休息三周 You'd need three weeks of bed rest,
你可能会得退行性关节炎 and you'll likely develop debilitating arthritis.
而且很有可能 There's a significant chance you will never
你再也没有健全的行动能力了 have full mobility ever again, bu...
我在读研究生 有工作 还有孩子 I have grad school. A job. This baby.
-肯定还有别的办法吧 -确实是这样 - That can't be the only option. - No, it's not.
我刚准备告诉你 如果我们现在做剖腹产 I was going to tell you, if we do a C-section now,
就能做一个内固定架 we could do an internal fixation,
这样可以极大地 which would greatly improve your chances
增加你自主行动的概率 of walking without assistance.
但这也增加了 Though it does increase the risk of complications
早产相关的并发症的风险 associated with premature birth.
所以我要么再也走不了路 So I either never walk right again,
要么就让我孩子冒风险 or I jeopardize my baby's life?
没错 Yes.
你得自己决定 You have to decide.
我男友 My boyfriend,
一开始他不想要我们的女儿 at first, he didn't want to keep our girl.
但他改主意了 But then he came around to it.
我们商量过要一起面对 We said that we'd figure it out together.
但他刚去阿拉斯加湾出差一个月做学术 Then he signs up for this month-long research trip
我就出事了 off the Gulf of Alaska, and here I am.
我无法在我和我的孩子之间做出抉择 I can't choose between myself or my baby.
不 你必须得选一个 No, you have to choose.
我做不到 I can't.
格拉斯曼医生 我很高兴你回来了 Dr. Glassman, I'm glad you're back.
莉亚和我有个问题 Lea and I have a problem.
我听说了 I heard.
地板吱吱地响 The floor squeaks.
教堂的地板 At the church?
就这 Is that it?
不止 我还有个病人无法决定手术方案 No. I also have a patient who won't decide on a surgical plan.
你跟莉亚谈过吗 Have you talked to Lea?
她又不是医生 She is no doctor.
不 我不是说病人的事情 No, I don't mean about the patient.
肖恩 我又不能一直陪着你 Shaun, I am not gonna be around.
我要搬家了 I'm... I'm moving.
我在卖房子 我要搬家了 I'm selling my house, and I'm moving...
去蒙大拿 ...to Montana.
你还会做我的伴郎吗 Will you still be my best man?
当然 Yeah, of course.
那你应该给我点建议 Then you should give me your advice.
肖恩 你不需要我的建议 Shaun, you don't need my advice.
有时候还是需要的 Sometimes I do.
你不想再给我建议了 You don't like to give it to me anymore.
莉亚现在是你的另一半了 Lea and you are partners now.
你可以跟她谈谈 You can... You can talk to her,
莉亚有很多事可以跟你说 and Lea has a whole lot of stuff she's gotta talk to you about.
没有我 你们也能解决的 And you'll work it out, without me.
圣何塞鲨鱼队的票 Sharks tickets.
在一起的默契不应该是 Doesn't being together mean that we have an unspoken agreement
我要一个男伴的时候 你刚好在吗 that when I need a date, you're it?
不是 No.
病灶形状不规则 The lesion has an irregular shape,
正在延伸到颈动脉鞘 and it's extending into the carotid sheath.
这是恶性肿瘤 而且有扩散性 It's a malignant carcinoma, and it's invasive.
我以为你在加班 Hey, I thought you were working late.
我正准备回去 I am going back, but first,
我们得谈谈 you and I need to make a
那个教堂吱吱响的地板 decision about the church and the squeaky floor
还有些别的事 and something else entirely.
格拉斯曼医生说你有事要和我谈 Dr. Glassman said you have things you need to tell me.
几周前我没有出差 Uh, I didn't go on a business trip a couple weeks ago.
我去蒙大拿找格拉斯曼医生 I went to Montana to find Glassman
说服他回来 and convince him to come home.
因为我真的很担心你 Because I was really worried about you.
你担心我什么 What were you worried about?
医院里的变动太大了 There have been so many changes at the hospital,
我知道这对你来说很难 and I know that's been hard for...
-不是因为我的 -我知道 - Not because of my... - I know.
不是因为你的病 而是因为 Not because of your ASD, but because
改变是很难的 change is hard.
还有你病人的那些评论 And then your patient reviews,
我知道你的内心很挣扎 and I knew you were struggling with them.
我以前确实是 但我改进了沟通技巧 I was, but then I improved my interaction techniques,
我的分数提高了 and my scores went up.
并不是这样 肖恩 That's not what happened, Shaun.
我筛除了一些病人的评论 I omitted some of the patient reviews.
那些非常恶毒的评论 Just the ones where people said really mean stuff.
所以你的分数才会提高 That's why your scores went up.
我跟你说过我不想这样 I told you I didn't want you to.
我知道 我很抱歉 I know. I'm so sorry.
我太担心你了 我想保护你 I just got so worried, and I wanted to protect you.
我以为如果我能保护你 我 And I thought, if I could just help you, I...
你大错特错 What you did was very wrong.
我知道 I know.
我真的很抱歉 I am truly so sorry.
不 No.
我不接受你的道歉 Your apology is not accepted.
你脖子上的病变是癌症 The lesion in your neck is cancerous,
病情发展得很迅速 and it has grown very quickly.
我建议不做手术 I am suggesting a non-surgical approach,
用靶向治疗和放疗 one with targeted therapies and radiation.
这样你体征衰弱之前 It should give you a few more good years
还能有几年的健康生活 before debilitating symptoms set in.
我很抱歉 I'm very sorry.
没办法摘除吗 There's no way of removing it?
它与颈动脉相连 It's attached to the carotid artery.
风险太大了 It's too dangerous.
谢谢你 亚伦 Thank you, Aaron.
这已经超过我们来找你之前的预期了 That's more than we hoped for when we came to you.
我和艾伦医生谈了一夜 I was here all night with Dr. Allen.
但我们没有更好的手术方案 We have not come up with a better surgical solution.
你要做的选择和昨天一样 Your choices from yesterday remain the same.
孩子怎么样 How is she?
正常胎动 Normal fetal movement.
心率140 Heart rate is 140.
很好 That's good.
我和马特谈过了 I talked to Matt.
他正在往回赶 但还要等几天 He's making his way back, but it'll be a couple of days.
他说无论我做什么 他都会支持我 He says whatever I decide to do, he will support it.
但现在无济于事了 Which isn't really helpful right now.
确实 No, it's not.
你还是要做出决定 You need to make a decision.
他不该出差的 但我们需要钱 He shouldn't have gone, but we needed the money,
而且也是个好机会 and it was a great opportunity.
但其实我认为 But mostly, I feel like it was
出差只是他远离我的一个理由 a reason for him to be somewhere else.
他言行不一 He says one thing but does something different.
你怎么知道他爱不爱你 How do you know if he loves you?
他就是爱我 He does.
但爱你的人也会让你失望 But someone can love you and still let you down.
这不合理 That doesn't seem right.
确实 No.
说不通 No, it doesn't.
很难搞明白应该对别人抱有什么期待 Knowing what to expect of others is difficult.
人们可能会很靠不住 People can be very unreliable.
所以我一直想当医生 That's why I always wanted to be a doctor.
科学 生物 医学总是很可靠的 Science and biology and medicine are very reliable.
我喜欢这点 I like that.
她可是全靠着我呢 She's relying on me.
我要做最有利于孩子的决定 I need to do what's best for my baby.
就用外固定架吧 Go ahead with the external fixation.
你怎么评价新的自助支付系统 How would you rate the new self-serve, self-pay system?
四颗星 Four stars.
为什么不是五星 Not five?
我很吝啬给满分 I prefer to be stingy with my top rating.
昨晚是五星 Last night was a five.
所以昨晚的体验 So it was even better than
比方便的支付方式更令人满意吗 a convenient way to buy a smoothie?
你在周四晚上准备干什么 Hey, what are you doing Thursday night?
我邀请了摩根和亚历克斯和我们一起吃晚餐 I invited Morgan and Alex to have dinner with us.
四人约会吗 A double date?
我都不知道我们要公开在一起了 I didn't realize we were going public.
我们都是成年人了 We're both consenting adults.
有什么好瞒着的 What's to hide?
作为老板 你可以随心所欲 As the boss, you are free to do what you like.
作为伴侣 你不能这样 As a partner, that's not the way it works.
我很抱歉 I'm sorry.
我应该在告诉别人之前问问你的意见的 I should have asked you before I told anyone.
马库斯 你聪明幽默又仪表堂堂 Marcus, you're smart and funny and almost too good-looking,
你的袜子和毛衣一点都不搭 and your socks don't just match your sweaters,
但却让你更好看了 they elevate your whole aesthetic.
我告诉摩根是因为我喜欢你 And I told Morgan because I'm excited about you.
还有咱俩的感情 About us.
我来订座位 I'll make the reservation.
有手术方案的 对吧 There's a surgical solution here, isn't there?
不 不 不 没有安全的方案 No, no, no. Not a safe one.
但你事业上的名声不就是因为 But you've built your career on doing surgeries
你能做别的医生觉得有大风险的手术吗 that most doctors think are too dangerous.
是 用你的话来说我就是个难以忍受的自大狂 Yeah, because, to quote you, I am an insufferable egomaniac.
我们就是来找你的 But that's who we came to see,
但现在我找到的是一个要跑到蒙大拿 and now I'm getting some surgeon who's gonna run off to Montana
过什么虚伪上等人生活的家伙吗 in the guise of becoming a decent human being?
好吧 骂我吼我随你便 Okay, uh, criticize me, yell at me if you like.
-我知道你很难过 -那些深夜里 - I understand you're upset. - All those late nights
你在处理那些不可能的病例的时候 where you were tackling the most impossible cases,
想尽一切办法 exhausting every possible angle.
你只有在手术的时候才感到活着 You come alive in surgery, more than you did in...
有别的医生和医院 There are other surgeons. There are other hospitals.
我已经尽我所能地帮你和苏尼尔了 I have done everything I know how to do to help you and Sunil.
如果这对你来说还不够 我很抱歉 I am sorry if that's not enough.
我觉得你在害怕 I think you're scared.
怕什么 Of what?
失败 Failing.
或者说又一次让我失望 Of failing me again.
是啊 我倒希望是这样 Yeah, I wish that were true.
是苏尼尔 It's Sunil.
我得离开这 I need to get out of here.
你没看到发生了什么吗 Don't you see what's happening?
苏尼尔 苏尼尔 等等 Sunil, Sunil. Wait, wait, wait, wait. Sunil, Sunil.
准备好镇静剂 Stand by with a sedative.
早就准备了 我在想办法接近他 Ahead of you. Just trying to get close.
你就应该待在这啊 亲爱的 You're right where you're supposed to be, honey.
深呼吸 Take a deep breath.
好 告诉我他们的名字 All right, tell me... tell me their names.
告诉我 告诉我 Tell... Tell me their... Tell me the...
我不认识你 I don't know you!
-你成了吗 -成了 - You got him? - I got him. I got him. I got him.
我来处理他 I got him. I got him.
你没事吧 Are you hurt?
我没事 I'm okay.
我的病人选择优先保护孩子 My patient chose to prioritize her baby.
我们做了外固定架 We did the external fixation.
她在休息 你得把我的分数修正回来 She's resting comfortably, and you need to correct my scores.
我不能修复数据 I can't restore the data.
你很聪明 You are very smart.
你能想出办法的 You can figure out a way.
肖恩 我道歉 Shaun, I apologize,
但覆水难收 but I... I can't undo what's been done.
莉亚 这个分数代表我和我的工作 Lea, the scores reflect my work and me.
不 不是的 No, it didn't.
这个算法忽视了你最大的优点 The algorithm ignored what's best in you.
不 算法是一视同仁的 No, it should be the same for everyone.
数据必须修正回来 The data has to be corrected.
我做不到 肖恩 真的抱歉 I can't, Shaun. I'm sorry.
那你应该告诉萨伦 Then you need to tell Salen.
这是个坏主意 That's a terrible idea.
别无他法 There is no other option.
肖恩 我会丢了工作的 Shaun, I could lose my job.
你破坏了规矩 You broke the rules.
或许你就该被辞退 Maybe you should get fired.
我很好 真的 I'm fine, really.
听话 Humor me.
瞳孔反应正常 Pupil response is normal.
我向之前的事道歉 I'm sorry about before.
我太难过了 I was so frustrated.
我很感激你做的一切 I... I appreciate everything that you've done.
你不欠我们的 You owe us nothing,
也确实别无他法了 and you've gone out of your way to help.
这里是些萘普生 Here's some Naproxen.
可以止疼 It'll help with the pain and soreness.
我再也不怪你了 I don't blame you anymore.
-关于曼蒂 -不 请你 - For Maddie... - No, p...
别说了 No, don't. Please stop.
-别说了 -我要你听我说 - Don't do that. - I need you to hear this.
我责怪了你那么久 For a long time, I did blame you.
我都不敢去看曼蒂的照片 I could barely look at a picture of Maddie
不然我就会想起我当时的愤怒 without being reminded about how angry I was,
你想用肖恩代替她 and how angry I was
对此我有多么地愤怒 at you trying to replace her with Shaun.
肖恩不是用来代替曼蒂的 Shaun wasn't meant to replace Maddie.
天啊 My God.
没人可以代替 Nobody can.
成为苏尼尔家庭的一员给我带来了平静 Becoming a part of Sunil's family has brought me peace.
他们是我们的全部 They're my whole world.
我也很高兴 你找到了肖恩 And I'm so glad you found Shaun.
你说的没错 我是很害怕 You're right, I am scared.
如果我给苏尼尔做手术 他死了的话 If I operate on Sunil and he died,
我会害你失去你爱的人 I'd be responsible for you losing someone you love.
再一次 Again.
我会再看看影像 I'll take another look at the imaging.
我不能保证什么 I can't promise anything.
谁知道呢 也许我这个自大狂会有点什么想法 Who knows, maybe this egomaniac can come up with something.
她腹痛得厉害 She's having severe abdominal pain.
血压73/49 她血压过低 BP's 73 over 49. She's hypotensive.
胎盘早剥导致子宫出血 There's uterine bleeding from a placental abruption.
这是车祸后的延迟性反应 It's a delayed reaction to the crash.
她的选择毫无意义 Her choice was moot.
好的 呼叫林医生到手术室进行紧急剖腹产 Okay, page Dr. Lim to the OR for an emergency C-section.
我们准备好了 We're ready.
-我爱你 -我也爱你 - I love you. - I love you, too.
那是干什么 What are those for?
当这些从自动售货机里消失的时候 I know how mad you were
我知道你有多生气 when these disappeared from the vending machine.
萨伦的健康意识改革 Salen's health-conscious revamp
还是侵犯了某些人的利益 was not a victimless crime.
我开了二十分钟的车去加油站给你买的 I drove 20 minutes to a gas station to get those for you.
这算是贿赂吗 This is the bribe?
不 这只是薯片 No, it's just chips.
顺便声明一下 And a declaration
我会尊重你设定的界限 that I will respect the boundaries you've set.
你不必去吃那顿晚餐 You don't have to do dinner.
我可以的 I'll survive.
我猜应该是萨伦来买单 I assume Salen will be picking up the check?
我不喜欢你的野心 但我爱你 I don't love your ambitious streak, but I do love you.
今晚我会陪你 I'll be your arm candy for the night.
我们还要多久才能开始剖腹产 How long until we have access to start the C-section?
再过一会 A few more seconds.
血压70/55 心率109 BP's 70 over 55. Heart rate 109.
胎儿心音如何 Fetal tones?
能听到 但我们在追踪中看到了D细胞 Present, but we saw D-cells on the tracing.
胎儿受到了挤压 The baby is stressed.
一旦胎儿娩出 我们马上开始 Once the baby is out, we will immediately begin
椎弓根螺钉固定术 an in-fix pedicle screw rod fixation.
她就能正常走路了 She'll walk fine.
我们需要一个2.5毫米的钻头 We'll need a two and a half millimeter drill bit
和钛螺丝 and titanium screws.
-我们准备好了 -氯吡和手术刀 - We're clear. - ChloraPrep and scalpel.
血压和心率均稳定 BP and heart rate stable.
肿瘤就在我的瞄准线上 Carcinoma's in the cross hairs.
就像约翰·伍登常说的「动作要快 但别着急」 "Be quick, but don't hurry," as John Wooden used to say.
开始切除 Starting resection.
抽吸 Suction.
出血太多了 That's a lot of bleeding.
是啊 我们在颈动脉附近切除 Yeah, well, we're poking around the carotid.
这是意料之中的 It's to be expected.
他状态如何 How's he doing?
血压64/42 BP's 64 over 42.
你看到可以夹住的血管出血点了吗 Do you see any vascular feeders you can clip?
没有 No.
肿瘤已经完全侵及动脉 Tumor has completely invaded the artery.
我们得快点 We're gonna have to move fast.
母亲的血压还在下降 50/37 Mother's BP is still dropping. 50 over 37.
再挂两个单位 延长子宫切口 Hang another two units. Extending uterine incision.
好了 她出来了 Okay, here she comes.
莫菲医生 艾伦医生 把胎盘取出来 Dr. Murphy, Dr. Allen, deliver the placenta.
内固定前检查子宫出血情况 Check for uterine bleeding before beginning internal fixation.
林医生 阿普加评分三 Dr. Lim, Apgar's three.
婴儿情况危险 The baby's in distress.
她没有吸氧 我们需要插管 She's not oxygenating. We need to intubate.
莫菲医生 跟我一起 Dr. Murphy, with me.
做血气测量 Get a blood gas.
装袋100%的氧气 Bagging 100% oxygen.
婴儿血液呈酸性 酸碱度为七 Baby is acidotic with a pH of seven.
生命体征和血氧饱和度没有改善 No improvement in vitals or oxygen sat.
检查插管位置 Check the tube's positioning.
气管位置正确 ET tube is in the correct position.
两侧呼吸音一样 Equal breath sounds on both sides.
这说不通 This doesn't make any sense.
血管连接异常
胎粪吸入综合征 低氧 肺动脉高压
鼻后孔闭锁
先天性膈疝 心脏挤压 肺部缩小
其他主要器官系统 肺 泌尿道 心脏
缺陷
婴儿有先天性心脏缺陷 The baby has a congenital heart defect.
未闭动脉导管正在闭合 这会导致缺氧 The patent ductus arteriosus is closing. That is causing hypoxia.
我们得打开导管 给她的血液充氧 We need to open the duct and oxygenate her blood.
马上给药房打电话要前列腺素 Call the pharmacy for PGE, stat.
开始用0.1剂量的前列腺素 Start the PGE at 0.1.
血压61/42 BP's 61 over 42.
肿瘤具有高血管性 Tumor's hypervascular.
我什么都看不见 I can't see a damn thing.
血太多了 There's too much blood.
要不要止血 中止手术 Should we stop the bleeding and abort the resection?
不 No.
导管 透明的整形外科导管 Tubing... clear plastic surgical tubing.
婴儿并没有血色 Baby isn't pinking up.
前列腺素已注入 静脉注射目前正常 PGE is in. IV looks good.
有室速 开始按压 V-tach. Starting compressions.
如果不是心脏缺陷呢 What if it's not a heart defect?
我们要阻塞颈动脉 We're gonna occlude the carotid,
把血堵住 直到我们把那该死的东西割下来 blocking the blood until we can cut the damn thing out.
他会中风的 He'll stroke out.
这就是塑料管的用处 That's what the plastic tube is for.
我要做一个分流旁路 I'm gonna build a shunt bypass,
保持血液流向大脑 keep the blood flowing to the brain.
抽吸 Suction.
用钳子 Apply the clamp.
解剖剪 Dissecting scissors.
丑陋的小东西 Ugly little thing.
好的 准备缝合 Okay. Stand by with the patch.
让我们来清理干净 Let's clean it up.
无明显代谢紊乱 No obvious metabolic disorder.
没有头部外伤或气胸的迹象 No evidence of head trauma or pneumothorax.
气管插管无粘液栓 No mucus plug in ET tube.
不是新生儿短暂性呼吸急促 No transient tachypnea in the newborn.
前列腺素剂量正确 The PGE is the right dosage...
怎么了 What?
肖恩 怎么回事 Shaun, what?
它过期了 It's expired.
打电话给药房 Call the pharmacy.
我们需要更多的前列腺素 但要不同批次的 We need more PGE, but from a different lot.
前列腺素过期了 我们需要 The PGE is expired. We need...
药房说我们没有其他批次的了 The pharmacy says we don't have another lot.
我们所有的库存都过期了 Our entire supply is expired.
准备导管插入术 Prep for catheterization.
我们也许可以用支架保持PDA通畅 We might be able to keep the PDA open with a stent.
等一下 Stop!
前列地尔 Alprostadil!
我们需要用0.1微克的前列腺素 We need to run PGE at 0.1 micrograms.
告诉药剂师 Tell the pharmacist to mix
将十瓶五十微克的前列地尔 10 vials of 50 micrograms of Alprostadil
用十毫升的盐水混合 with 10 milliliters of saline solution.
混合十瓶五十微克前列地尔 Mix 10 vials of 50 micrograms of Alprostadil.
他说药物不对 He says that's the wrong medication.
你要去哪 Where are you going?
我自己做更快 It'll be faster if I do it myself.
你知道这是治疗勃起功能障碍的吧 Uh, you know this is for erectile dysfunction?
知道 Yes.
前列地尔和前列腺素是同一种药物 Alprostadil is the same drug as PGE
但浓度不同 but in a different concentration.
要以每分钟0.056毫升的速度进行静脉注射 We need to run the IV at 0.056 milliliters per minute.
这将以每分钟每公斤0.1微克的剂量注射给婴儿 That will give the baby 0.1 micrograms per kilogram per minute.
推0.1 Pushing 0.1.
重新开始按压 Restarting compressions.
粘膜还是蓝色的 Mucous membrane's still blue.
血氧饱和度没有显示 Oxygen saturation's not registering.
我们需要再等一会 We just need to give it more time.
别按压了 Hold compressions.
脉搏不明显 Pulse not palpable.
不 推0.2的溶液 No, push 0.2 of the solution.
重新按压 Restarting compressions.
莫菲医生 别 Dr. Murphy. No.
推0.2 Push 0.2.
莫菲医生 婴儿的血压在下降 Dr. Murphy, the baby is flatlining.
不 我们无能为力了 No. There's nothing more we can do.
-不 我能救她 -肖恩 - No, I can save her! - Shaun.
死亡时间 18点23分 Time of death, 18:23.
苏尼尔现在恢复得很好 Sunil's recovering very nicely.
只是 别做运动 你懂的 Just, no exercise or, you know,
接下来六周都别做剧烈运动 strenuous activity for the next six weeks.
谢谢你 Thank you.
不要去蒙大拿州了 Don't go to Montana.
你还是需要肖恩 You still need Shaun.
他让你变得更好了 He makes you better.
把电话挂了 Hang up.
我等会再打给你 I need to call you back.
我们刚刚失去了一个孩子 因为本院的准备不足 We just lost a baby, because this hospital wasn't prepared.
我们需要的药物过期了 The medication we needed was expired.
全部都是 没有备用批次 All of it. No back-up batch.
你省下来的钱用来买水墙了吗 Did the money you saved pay for your water wall?
我在这儿的十五年间 In my 15 years here,
从不允许发生这样的事 nothing like this has ever been allowed to happen.
这家医院的重点 你最看重的东西 This hospital's priorities... your priorities
已经主次颠倒 今天 这害死了一个人 are upside down, and today, that killed someone.
那位母亲怎么样 How's the mother?
恢复中 Recovering.
她几个小时后才能苏醒 She won't be conscious for a few hours.
我会确保让一位心理咨询师在她身旁 I'll make sure and have a grief counselor standing by.
也给你的律师打个电话 And call your lawyers, too.
当她发现她的孩子是因为 When she finds out that her baby died
过期的药物而死的时候 because of expired meds...
林医生 在我们进行全面的医疗事故评估 Dr. Lim, until we've done a thorough M&M
并确定所需的改革之前 and identified what changes need to be made,
谨慎行事对每个人都有好处 discretion is in everyone's best interest.
你是在暗示我们别告诉她真相吗 Are you suggesting we not tell her the truth?
我是说我们都有风险 I'm suggesting we all have exposure.
你 住院医师们 You, the residents.
奥德丽 Audrey,
这是惨痛的一天 this is a tragic day.
但我们不能让一件事 But we cannot allow a single event
破坏我们在这里所做的一切 to derail everything we do here.
萨伦削减了预算 Salen made cuts.
我们 我们库存不足 We're... We're behind on inventory.
这只是 It just...
我们疏忽了 It... it fell through the cracks.
过期了 Expired.
过期了 Expired!
全都失效了 They're all useless!
-肖恩 -不 - Shaun. - No!
-肖恩 停下来停下来 -他们都 不 - Shaun, stop, stop, stop, stop! - They're all... No!
这不是你的 It wasn't your...
-这不是你的错 -不 不 求求你 - It wasn't your fault! - N-N... Please! Please! No!
-你已经无能为力了 -不 你骗了我 - There's nothing more you could have done! - No, you lied to me!
我不能相信你 I can't trust you!
我也不能和你结婚 And I can't marry you.
肖恩 肖恩 Shaun. Shaun!
你喘不过气来了 嘿嘿嘿嘿 You're hyperventilating. Hey, hey, hey, hey.
看着我 看着我 Look at me. Look at me.
深呼吸 好吗 Take a deep breath now, okay?
深呼吸 Take a deep breath.
这就对了 There you go.
你可以跟我聊聊 You can talk to me.
格拉斯曼医生 Dr. Glassman,
你 你是一个 you... you are a...
糟糕的伴郎 An awful best man
一个糟糕的导师 and a terrible mentor.
你说你永远不会抛弃我 但那是个谎言 You said you would never abandon me, but that's a lie.
谎言 A lie.
那是个谎言 That is a lie!
为什么每个人都骗我 为什么 Why is everyone lying to me? Why?
医院应该一直由你来管理 You should have been running the hospital!
如果是你 那个婴儿就不会死 If you had, the baby would not have died!
好吧 Okay.
我在这 我在这 I'm here. I'm here.
肖恩 Shaun.
我就在这 I'm right here.
我就在这 我陪着你 I'm right here. I got you.
我陪着你 我陪着你 I got you. I got you.
我陪着你 我就在这 I got you. I'm right here.