那是谁啊 So, who was that?
管家 A housekeeper.
早上七点才从你家出来 Leaving your place at 7:00 in the morning?
我在面试她 I was interviewing her.
你住单间公寓都要请管家 You're hiring a housekeeper for a studio apartment?
我不会请她 I'm not hiring her.
她的着装不合格 Her clothes don't match.
好吧 Right.
你太混球了 肖恩·莫菲 You're such an asshat, Shaun Murphy.
今天我们梦想成真 Today we realize a dream --
我们的国际人道主义项目终于开花结果 seeing our international humanitarian program come to fruition.
我们的心胸外科医生 尼尔·梅伦德斯医生 Our cardiothoracic surgeon, Dr. Neil Melendez,
与首席心脏科医生艾威·梅达协商 in consultation with our head cardiologist, Dr. Avi Mehta,
评估了坦桑尼亚 马拉维和几内亚的儿童 evaluated children from Tanzania to Malawi to Guinea.
他们筛选了百余名候选者 They screened over 100 candidates,
每个孩子都需要进行救命的手术 each of them needing life-saving surgeries.
我们最终选中了一位格外鼓舞人心的小男孩 Ultimately, we decided on a particularly inspiring young boy
他叫加布里尔 named Gabriel,
来自刚果民主共和国 who hails from the Democratic Republic of Congo,
他有严重的先天性心脏畸形 with severe congenital heart anomalies.
我们有三位完全符合要求的候选者 We identified three perfect candidates --
-都是我能真正救治的孩子 -谢谢 - children I can actually help. - Hi. Thank you.
-加布里尔不在其中 -算是吧 - Gabriel wasn't one of them. - Yes and no.
我赞同你的选择 I signed off on your choices.
但鉴于我看到的超声心动图 But I wouldn't have necessarily eliminated Gabriel
我是不会剔除加布里尔的 based on the echo I saw.
非外科医生人员竟然 A non-surgeon undermining a surgeon
否定真正外科医生的手术决定 on his selection of surgical candidates.
同事间就各自的决定提出意见是好事 It's healthy when colleagues challenge each others' decisions.
简直是乱来啊 It doesn't make any sense.
我们选好了手术候选者 We gave you good candidates.
你又不是医生 You're not a doctor.
你怎么就不按照单子来呢 Why wouldn't you stick with the list?
有一些不可控因素 There were several intangibles.
给梅伦德斯医生打招呼 Can you say hi to Dr. Melendez?
我想某个不可控因素就是孩子很可爱 One of those intangibles, I'm guessing, is cuteness.
良 医
第一季 第九集
战争害他们流离失所 Family displaced during the war.
母亲一直照料着丈夫 Mother took care of her husband
直到丈夫死于黄热病 until he died of yellow fever.
他在家血流而亡 He bled out at home.
一个月后 加布里尔出生了 A month later, Gabriel was born.
当一件事不仅看着高尚 而且有新闻效应时 People tend to give more when the cause is not only noble,
人们才愿捐更多 but photogenic,
可爱的孩子和可怜的母亲或许能打动捐赠者 Adorable kids and sympathetic moms may work on donors,
但对我来说没用 but they won't work on me,
也肯定过不了超声心动图这关 and they certainly won't work on echo results.
起码过得了我这关 Kinda working on me.
在你说不行之前 至少做一下病情检查 Before you say no, at least do your own work-up.
妈妈 怎么不带我去 Mommy, why can't I come?
医院担心小孩会带来细菌 The hospital's worried that children bring in germs.
不会的 妈妈 我保证 I won't, Mommy. I promise.
我知道 宝贝 但这就是规定 I know, boo. It's just -- It's the rules.
宝贝 我得挂了 Okay, baby. I have to go now.
听玛吉阿姨的话 晚点打给你 好吗 Do what Aunt Maggie says. I'll call you later, okay?
我对你的爱长到月亮 I love you to the moon...
还要再回来 And back.
跟三岁的孩子聊语音放松不太容易吧 I can't imagine voice rest could be very easy with a 3-year-old.
没错 对我的播客听众也不太有用 Yeah. Not very effective for my podcast audience either.
对了 我也是你的忠实粉丝 Of which, by the way, I'm a huge fan.
很讽刺吧 Grim irony, though, right?
播主失声 A podcaster who loses her voice.
伊丽莎白 这肯定是个良性肿瘤 Elizabeth, I'm sure the nodule will be benign
这只会启发你又创作出一集精彩的节目 and this'll be nothing more than an inspiration for another great episode.
要不是良性呢 伊莎贝尔 If it's not benign, Isabel?
别想太多了 Let's not get ahead of ourselves.
今天就专心摘除结节 Today we're just focused on removing the nodule
然后做活检 and doing the biopsy.
你已经尽力了 And you've done everything you could do.
而且你一发现声音嘶哑了 And when the hoarseness started,
就来最好的医院求治 you sought early care from the best.
我也派了最好的医生 And I sent you to the best.
你俩是完美搭档 You work perfectly together,
就像左右手一样配合完美 kind of ping and pong-ish.
很好 It's nice.
很多医生夫妻档 A lot of doctors who are married
更像是彼此的保险 are more like miss and match.
邦格乌拉夫人 这是莫菲医生和卡卢医生 Mrs. Bangura, this is Dr. Murphy and Dr. Kalu.
他们来帮我给加布里尔做些检查 They're gonna help me run some tests on Gabriel.
听说你和加布里尔 I heard that you and Gabriel
之前从没出过远门 have never been away from home before.
但愿这能让他感到我们的友好 I was hoping that these would make him feel welcome.
是啊 你真好 Yes. You are kind.
我也给自己买了一个 I brought one for myself, too.
我们来检查一下吧 How 'bout we all do some medicine?
他真的需要我们帮忙 He really needs our help.
「他需要我们帮忙」 "He needs our help"?
他的胸口听着像装了个吹风机 He sounds like he's got a blow dryer in his chest.
没错 所以他需要我们帮忙 Exactly. Which is why he needs our help.
这就是心脏科医生的毛病 This is the problem with cardiologists --
你们真的很擅长通知病患哪里有问题 You're really good at telling people when something's broken,
却搞不清楚什么时候无法救治 not so good at knowing when they can't be fixed.
只有等完全确定那孩子救不活了 If that kid is dying, I'm not gonna tell his mother that
我才会通知他母亲 unless I'm damn sure.
你听到心音了 You heard that heart.
我也听到了 I heard that heart.
心音很糟糕 And it sounded like crap.
在做经食管超声心动检查之前 But until we do a transesophageal echo,
一切都是未知 I don't know anything.
做经食管超声心动检查 Do a transesophageal echo.
她有社会学博士学位 She has a master's degree in Sociology,
信誉完美 推荐信很优秀 impeccable credentials, excellent references,
你却因为「她的着装不合格」而拒绝她 and you turned her away because "Her clothes didn't match"?
关系可大了 It's relevant.
要是生活技能指导选不出配套的衣服 If a life-skills coach can't select a complementing wardrobe,
那就是生活无能 they lack life skills.
但她不会给你搭配衣服啊 But she's not gonna pick out your clothes for you.
她又不是保姆 She's not a nanny.
她只是来帮你解决 She's there to help you with problem-solving,
经济和社交问题的 financial, social interactions.
你这么做是因为我没处理好 You're doing this because I did not react well
我在逛商店时遇到的持枪抢劫 to a man with a gun robbing a store I was in.
从统计上看 我不太可能再遇到那种事了 Statistically, that is very unlikely to ever happen to me again.
你会一次又一次地遇到社交互动 Social interactions will happen again and again and again.
这是统计学都不能否定的 It's statistically irrefutable.
如果你学会如何更好地跟人打交道 And if you learn how to get along with people
你的人生会更充实 更快乐 a little bit better, you'll have a fuller life. A happier life.
你要是不喜欢她 再找就是 If you don't like this woman, we'll find somebody else.
我很快乐 I am happy.
你可以更快乐 You could be happier.
我不觉得 I don't think so.
我的邻居莉亚 My neighbor, Lea.
她要是遇到火灾 肯定最先被救出去 If she were ever in a fire, she'd be rescued first.
为什么 Why's that?
梅伦德斯医生说有魅力的人有优势 Dr. Melendez says attractive people have advantages.
梅伦德斯医生说的吗 Dr. Melendez says that, does he?
有什么好笑的 Why is that funny?
不知道 只是 I don't know. It's just, um,
有人觉得梅伦德斯医生很有魅力 some people consider Dr. Melendez attractive.
你跟莉亚情况如何 So, how's it going with Lea?
她不喜欢我 She doesn't like me.
何出此言 Why do you say that?
-她说我是个混球 -是吗 - She said I was an asshat. - Yeah?
她说这话时有什么动作 What was she doing when she said that?
-打了我一下 -她是在撩你呢 - Touching me. - She was flirting with you.
有时人们会故意说反话 Sometimes people say the opposite of what they mean.
他们用开玩笑的语气 They use teasing as a way
说出一些违心的话 of saying something they don't mean
而不会说出真想表达的意思 instead of saying something that they do.
我还没遇到把说反话 I haven't seen any data on the use of antonyms
当成调情技巧的情况 as a flirting technique.
好 注意看哈 Okay. Well, um, here's what to look for.
-准备好了 -好了 - You ready? - Yes.
好 矫揉造作的笑 Okay. The pretentious giggle.
扭动身体 The, uh -- the squirm.
还有撩头发 And the hair sweep.
这叫做撩骚三重奏 I call it the flirting trifecta.
动物和人都会摩挲毛发 克莱尔 Hair scuffing is used in both animals and humans, Claire.
头皮和毛皮上都有分泌腺 Secreting glands are located in the scalp and fur.
摩挲毛发会把荷尔蒙释放到空气中 Scuffing sends hormones out into the environment
以便告知潜在对象自己有兴趣 to let a potential mate know they're interested.
也可能是皮癣 Or it could be ringworm.
好吧 Yeah.
看来你非得把那种可能归为原因之一 I suppose you have to factor for that possibility.
有品位 Nice touch.
美貌增加幸福值 Beauty increases happiness.
幸福值提升颜值 Happiness improves outlook.
还要及时行乐 Still on Mission Carpe Diem.
你要不要试试 You might want to try it.
不用了 I'm doing fine.
我们在水槽边吃晚餐 We're having dinner at the sink.
不 我们是在水槽边享受晚餐 No, we're enjoying dinner at the sink.
但如果你继续那样说话... Although if you keep talking like that...
我是安德鲁斯 Andrews.
那就再找找 肯定在那 Well, look again. It has to be there.
好的 Yeah. Okay.
谁的电话 Who was that?
化验室 The lab.
他们找不到伊丽莎白的样本了 They misplaced Elizabeth's specimen.
-天呐 -别担心 他们会找到的 - Oh, my God. - Don't worry. They'll find it.
满意了 Satisfied?
-肯定在哪里 -反正不在这儿 - It's somewhere. - Somewhere else.
你们手术室的人就喜欢把责任推给化验室 I love how everyone in surgery is so fast to blame the lab.
多检查几遍总不为过 Well, double-checking can't hurt.
那可说不准 Actually it can.
你该多检查几遍手术室 Because you are here
但你却跑来这里 when you should be double-checking surgery.
我亲眼看到样本放进样本盒里了 I saw the specimen go in the container.
那就说明样本应该在这里 It means it has to be here.
不 那只能说明样本被放进样本盒里了 No, all that means is that it was put in a container.
可是不能说明样本盒 It doesn't mean that that container
被放进手术室的冰柜里了 was actually put in the surgery refrigerator
也不能说明送检员拿到了样本 or that it was actually picked up by the courier.
他的病情比我们想象的还要严重 He's even worse than we thought.
是啊 Yeah.
肥厚型梗阻性心肌病 Hypertrophic obstructive cardiomyopathy,
房间隔缺损 atrial septal defect,
二尖瓣瓣膜异常插入 abnormal insertion of the mitral valve leaflet.
我还从没见过一颗心脏能出这么多毛病 I've never seen so many anomalies in one heart.
很抱歉我要求做了些额外的检查 I'm sorry I pushed for additional testing.
那是他妈妈所希望的 That only got his mother's hopes up.
有什么药物可以使用 Any medication that'll help?
β受体阻滞剂 Beta blockers.
或许 美托洛尔 Maybe metoprolol.
这些药物无法帮他重返足球场 It's not like they'll get him playing soccer,
但至少可以让他到球场边看看比赛 but they might help him get to the field to watch.
反正他只有几年可活了 For a couple of years, anyway.
总比明天死在手术台上要好 Better than dying on a table tomorrow.
你来告诉青木 You tell Aoki.
我去告诉他妈妈 I'll break it to the mom.
利普曼医生请到整形外科手术室 Dr. Lippman to plastic surgery.
这叫卡拉 是我们部落的萨满送的 It's called sakara, given by our shaman.
他的心跳 His heartbeat...
随这乐声而动 it follows the sound.
确保在你们修补好之前 心脏还能跳动 It reminds it to beat until you fix it.
邦格乌拉夫人 检查已经全部做完了 Mrs. Bangura, I've completed all the tests.
很抱歉地告诉你这一趟... And I'm sorry that you've come all this way --
加布里尔在我肚子里的时候 When Gabriel was in my belly,
恶灵降临到他身上 evil spirits came to him.
侵蚀他的心脏 Invade his heart.
我们部落的萨满试图将恶灵驱逐 Our village shaman tried to rid them.
但他失败了 He could not.
之后他看到了一幕幻象 Then a vision came to him.
一个强大的医者将会来临 A stronger healer would come.
就是你 You.
你会拯救加布里尔 You will save Gabriel.
我不知道什么恶灵 I don't know about evil spirits.
我只知道你的儿子有先天性心脏病 All I know is that your son was born
而且我无法医治 with a heart that I can't fix.
我很抱歉 I'm sorry.
如果我不相信 我根本不能撑到现在 I would not have come so far if I did not believe.
我们会给他药物治疗缓解他的痛苦 We'll give him medicine to make him feel better.
之后你可以带他回家了 And then you can take him home.
我们说我们很抱歉 We tell her we're sorry,
到现在仍然没有进展 然后 we have no news yet, and then --
不行 你不能这么说 Nope. You can't say that.
这个词不能轻易说出口 It's an expensive word.
-「抱歉」吗 -你可以表现得很抱歉 - "Sorry"? - You can act sorry.
你可以感到抱歉 You can feel sorry.
事实上 你应该为此感到抱歉 In fact, you should feel sorry.
但你就是不能说出来 You just can't say it.
好吧 「我们很遗憾 Okay, uh, "I feel bad for you
-因为我们犯了个错误」 -不行 - because we made a mistake and --" - Nope.
这难道不是错误吗 A mistake isn't a mistake?
这是「由预计的行为所造成的意想不到的结果」 Well, it's "An unanticipated outcome of an expected action."
你不能用语言暗示出这种行为该受到谴责 You can't use language that implies blameworthy conduct.
但如果我们真的弄丢了样本 这不是错误吗 But if we did lose the specimen, isn't it actually a mistake,
我们难道不应该为此抱歉 为此受到谴责吗 and aren't we sorry, and aren't we blameworthy?
应该 Yes.
但这可不能让我们轻松搞定她的律师 Doesn't mean we can make it any easier for her attorney.
你好 伊丽莎白 Hello, Elizabeth.
我是风险管理部门的杰西卡·普莱斯顿 I'm Jessica Preston from Risk Management.
你怎么样 How are you?
这个职位听起来不太妙 I don't like the sound of that.
我知道 我的确需要一个新的 新的头衔 I know. I really need a new -- a new job title.
我们似乎遇到了一些意料之外的情况 Seems that we've encountered an unexpected occurrence.
化验室找不到你的组织样本了 The laboratory has been unable to locate your tissue specimen.
我们不想引起你不必要的惊慌 We don't want you to be unnecessarily alarmed,
但我们希望你能充分了解事情的进展 but we want you to be fully aware of what's going on.
但是 如果你们找不到样本 But ho-- How will I know if I have cancer
我怎么知道我是不是患了癌症 if you don't find it?
我们正在四处寻找 We are looking everywhere.
我们会找到的 We will find it.
只要样本还泡在福尔马林里或还在冰柜里 As long as it's in formalin or a refrigerator,
就没事 everything will be fine.
可以存放多久 For how long?
至少24小时 甚至36小时 At least 24 hours. Maybe even 36.
那你们最好给我找到 Well, then you better find it.
如果因为有人搞砸了 Because I will be damned
而导致我的声带被切除 if I'm gonna have my voice box removed
我绝不原谅 just because somebody screwed up.
我实施了一项积极的教育计划 I've implemented a proactive educational plan.
那很好 肖恩 Well, that's terrific, Shaun.
为什么你在这里提这个 Why are we talking about that here?
我可不傻 I'm not stupid.
我没说你傻 肖恩 I didn't say you were stupid, Shaun.
没人说你傻 Nobody said you were stupid.
只是有时候你缺乏常识 But sometimes you lack common sense.
打扰到你我很抱歉 I'm so sorry to have bothered you.
这位患者听不到 This patient is deaf.
我昨天上了调情课 I started flirting lessons yesterday.
调情课 Flirting lessons.
要是我年轻的时候有这样的课就好了 Wish they'd had that when I was young.
是的 我学了撩骚三重奏 Yes, I learned about the flirting trifecta.
包括矫揉造作的笑 There's the pretentious giggle.
肖恩 你在说什么 Shaun, what are you getting at?
调情 Flirting,
首先需要非语言性的交流 it requires primarily nonverbal interactions.
洞察感知某一社会层面 Being perceptive in one social dimension
然后再将其翻译成其它的社交技巧 translates well to other social skills.
你在学习撩妹 You're studying flirting.
你觉得孤单吗 肖恩 Are you lonely, Shaun?
你知道现在有很多网站 在那上面你可以... 'Cause you know there are... There are websites now where you can --
我喜欢一个人 I like being alone.
好 但一个人和孤单是两回事 Yeah, well, being alone and being lonely are two different things.
有时我们很孤单 但自己却浑然不知 Sometimes we're lonely, and we don't even know it.
那我怎么能知道 How would I know it?
孤单 是一种阴郁的... Well, uh, loneliness, it's kind of a dull...
就像是黑暗的... It's like a dark...
你孤单吗 Are you lonely?
有时候 Yeah, sometimes.
有时候非常孤单 You know, sometimes very much.
那你应该学学撩骚三重奏 You should learn the trifecta.
我们在找一份丢失的样本 We're looking for a lost specimen
我很确定它不在手术室 that I am positive left the O.R.
我也很确定它没有被送到化验室 And I'm positive it didn't make it to the lab.
既然你是连接这两个地方的纽带 And since you're the link between the two,
所以我们想问问你昨天下午三点送的那趟 we wanted to ask you about your 3:00 run yesterday.
所以 你是不是 So, you took everything
把放在手术室冰箱里的所有东西都拿走了 that was in the refrigerator in the O.R.?
在冰箱里的 不在冰箱里的 In the refrigerator, out of the refrigerator.
所有该拿走的我都拿走了 Everything that's meant to go, I took.
-你有在路上停留吗 -没有 - Did you stop on the way? -No.
按照规定 直接从手术室送到化验室了 Straight from the surgery to the lab, just like the rules say.
你有没有去卫生间 Well, did you stop at the restroom
或者 咖啡机 咖啡厅 or the -- the coffee machine, the cafeteria?
不管你们信不信 You know, believe it or not,
我可以走完三十分钟的路程 I can go a whole 30 minutes
中途不会停下来吃奶油泡芙 without stopping for a cream puff.
我们走投无路了 We're just desperate.
我们关心的就只有样本 All we care about is the specimen
以及避免上级全面调查 and avoiding a full-on investigation.
调查 Investigation?
是的 是的 是的 Yeah. Yeah, yeah.
如果我们找不到的话 I-I-I-If we don't find it,
法务部门就会介入 then the legal department gets involved.
每个接触过的人 Everyone who was in contact with it,
每个可能接触过的人 who might have been in contact with it
都会被调查 goes under a magnifying glass.
我可不想这样 I'm not looking forward to it.
你想这样吗 她反正不想 You looking forward to it? She's not looking forward to it.
他们会查看你的社交媒体 你的电脑 They're gonna check your social media, your computer.
-血检 -血检 - Blood tests. - Blood tests.
但如果你在那之前找到的话 But if you find it before then...?
一切如常 Then life goes on.
日子就和以前一样 The same as it always has.
我的确停下了 I did stop.
在食堂 At the cafeteria.
收银员太性感了 The cashier is smokin'.
我可能愣了会神 I might have been distracted for a little while.
好的 Okay.
谢谢 Thanks.
水 Water.
总是有更多的水 Always more water.
甚至更多 Even more.
我知道 很可怕 I know. It's scary.
你和孩子们处得很好 You are good with children.
你当爸爸了吗 You are father?
没有 No.
希望以后会 One day, I hope.
叫快速反应小组过来 快 Page rapid response team, STAT.
药物应该提高自己的心律失常 不让情况变得更糟 The meds should've improved his arrhythmia, not made it worse.
也许还有其他问题 Maybe in addition to his other problems,
他有心内膜炎吗 Has he developed endocarditis?
超声检查显示他的瓣膜和心内膜 His echo didn't reveal vegetations on his valves or...
没有赘肉瘤 endocardium.
他没有发烧 He has not developed a fever.
还是小心为好 做个血培养 Let's be sure. Get blood cultures.
两次 十五分钟 Order them times two, 15 minutes.
放错地方了 It's in the wrong place.
放错地方了 It was in the wrong place.
好吧 Okay.
两次 隔十五分钟测一次 Times two. 15 minutes apart.
伦纳德说他过来看你了 Leonard says that he stops by here to see you.
是的 Yeah.
他假装要路过食堂 He pretends the cafeteria is on his route.
好像我不知道化验室在哪似的 Like I don't know where the lab is.
昨天三点左右 格温 Yesterday around 3:00, Gwen.
注意到有哪个食物托盘里面放的不是吃的吗 Notice anything on the food trays that wasn't food?
三点左右 Around 3:00?
和往常一样 Just the usual --
特百惠杯子 太阳眼镜 手机 一个避孕套 Tupperware, sunglasses, cellphones, a condom.
四点左右 我找到了个玻璃假眼 Around 4:00, I found a glass eye.
你有看到一个生物危害袋吗 You see a biohazard bag?
上面有红圈的自封袋吗 The ziplock bag with the red circles?
是的 Yeah.
跟我来 C'mon.
你可以动二尖瓣 You can move the mitral valve.
谢谢你的直观教具 Thanks for the visual aid.
你不能动二尖瓣 You can't move the mitral valve.
如果土豆先生有个房间隔的鼻子 Now, if Mr. Potato Head had an atrial septal nose
-和肥大性阻塞性心肌 -我相信 - and hypertrophic obstructive -- - I believe --
-我相信二尖瓣附着异常可以... -停 - I believe the abnormal insertion of the mitral valve can be -- - Stop.
跟我来 Follow me.
我很确定昨天我在这里看到个生物危害袋 Pretty sure I saw a biohazard bag in here yesterday.
你们很幸运现在过来找 You're lucky you came when you did.
因为两个小时后这些就会被倒掉 It's due to get dumped in two hours.
假牙 那最恶心了 Dentures. They're the worst.
每个病人都有一个标有名字的假牙杯 You know, every patient gets a denture cup with their name on it.
所以为什么他们的假牙从来都不放到杯子里 So, tell me, why are the dentures never in the cup?
就算放了 也是放错了杯子 And if they are, it's the wrong cup?
真是一大谜案 One of life's mysteries.
看到生物危害袋了 Biohazard bag sighting.
用生物危害袋当零钱袋 A biohazard bag for a coin purse?
认真的吗 Really?
最后 室间隔肌切开术 Finally, a septal myectomy
可以切开流出道 will open the outflow tract,
二尖瓣就可以被植入到 and the mitral valve can be re-implanted
一个更加正常的位置 into a more normal position.
谢谢 这是我的想法 Thank you. That's my idea.
你能在加布里尔身上做这个手术吗 Can you do this procedure on Gabriel?
不能 No.
这个主意很糟糕 没有用的 It's a terrible idea, and it won't work.
所以这是在演哪出 So, what was the point of this dog and pony show?
因为看起来你很热衷于替我做医学决定 'Cause you seemed keen on making medical decisions for me.
所以只是反抗而已 So just insubordination?
反正我们最后还是得来找你 And we were probably gonna wind up coming to you anyway.
一旦莫菲医生有一个想法 他都会坚持己见 Once Dr. Murphy gets an idea, he stays with it,
无论别人说什么 regardless of what anyone says.
是可以的 This can work.
是的 是可以的 Yes, this can work.
如果那孩子能活两小时 那真是个好主意 And it would be a great idea if the boy had two hours to live.
害怕失败是不这么做的一个好理由吗 Is fear of failure a good reason not to do this?
不 No.
但你知道什么是吗 But you know what is?
他本可以多活几年的想法... The thought that he might have a few more birthdays...
或是交一个最好的朋友 or make a best friend.
我不知道 我不能让他死 I don't know. I'm not sending him home in a box.
我们得走了 We got to go.
加布里尔的心律不齐 越来越严重了 Gabriel's arrhythmia, it's gotten worse.
你还没找到 You still haven't found it?
我可以让普莱斯顿小姐来回答所有问题 I can get Ms. Preston to address any questions --
她没有参加手术 你参加了 She wasn't in the surgery. You were.
她负责所有的医疗事故 She is the point person for all therapeutic misadventures.
你在逗我吗 Are you kidding me?
我可能会毫无理由失声 I may lose my voice for absolutely no reason,
你却在用什么术语搪塞我 and you are using canned jargon.
样杯里的不是牙膏 That sample cup doesn't have toothpaste
袜子或者防晒霜 好吗 or socks or sunblock in it, okay?
是我的命啊 It has my life!
对不起 I'm sorry.
谢谢 Thank you.
-干得漂亮 -是啊 - Good for you. - Yeah, right.
-我刚刚违反了大概八条规定 -也许吧 - I just broke about eight rules. - Maybe.
我不会告诉「普莱斯顿小姐」的 "Ms. Preston" won't hear about it from me.
不过你应该把样本找到 You should go find that sample, though.
谢了 Thanks.
药不起作用 为什么 The meds aren't working. The question is why.
也许心律不齐只是 M-Maybe the arrhythmia is just another manifestation
加布里尔机能障碍的另一个表现 of Gabriel's L.V. Dysfunction.
我们至少还应该把这看成他异位的下降 We should still be seeing at least a modest decline in his ectopy.
也许他的梯度变化曲线不太好 Maybe his gradient is worse.
我们可以试试钙通道阻滞剂 We could try calcium channel blockers.
还有个更简单的解释 There's a much simpler explanation.
关于他的心内膜炎有个好消息 Good news about his endocarditis --
心脏炎症 heart inflammation.
他的检查很正常 His tests are normal.
但是我们还是很担心 But we still are concerned.
出于某种原因 他的药没起作用 For some reason, his medication isn't helping.
最好的解释就是... Our best explanation is...
他没有吃药 he hasn't been taking his medication.
我是想救他的命 I am trying to save his life.
通过不给他吃药吗 But withholding his medicine?
通过把他留在这 By keeping him here.
如果他吃了药 变好了 If he takes the medicine and becomes better,
你是在送他去死 you send him to die.
但是我们只能做到这了 But there is nothing else that we can do for him here.
你不知道我生活的地方 那是什么样子 You do not understand where I live, what it is like.
我不了解你的村子 I don't know your village.
但是我知道穷是什么样的 But I do know what it's like to be poor.
我小时候家里很穷 I grew up with nothing.
我妹是残废 My sister was disabled.
我父母负担不起她的药物和治疗 My parents couldn't afford her meds or treatments.
看着她痛苦 And it killed them,
简直要了我父母和我的命 and me, to watch her suffer.
但是当没有办法的时候 真的是无能为力了 But when nothing can be done, nothing can be done.
你成为了一名医生 You became a doctor?
你没有安于贫穷 You did not accept being poor.
不 No.
那你一点都不了解 Then you do not understand at all.
我们什么都没有 食物 We want for everything -- food.
和平 药 Peace. Medicine.
但是我们最想要的是希望 But our greatest want is hope.
如果我们离开了 就没有希望了 If we leave here, we leave hope behind.
好吧 Okay.
我会尽力的 I'll do what I can.
我来看一下伊丽莎白 I dropped by to see Elizabeth.
毫不奇怪 她很沮丧 Not surprisingly, she's very upset.
我也不知道怎么安慰她 There wasn't much I could offer in the way of comfort.
要是人们都能各司其职就好了 If only people did their jobs.
什么人 Which people?
护士 送检员 化验室技术人员 Scrub nurses, couriers, lab techs...
这真是个奇怪的清单 That's a curiously limited list.
我的手术过程没有出错 I did the surgery correctly.
同样 我不认为要求别人做好自己的 I don't think it's too much to expect others
本职工作是一件过分的事情 to do their jobs correctly, as well.
所以 不是你的错 你没有问题 So, not your fault, not your problem.
你想做什么 让我觉得内疚吗 What are you trying to do, make me feel guilty?
是的 我希望你感觉很糟糕 Yes. I want you to feel horrible.
那是唯一会让你改变的事情 That's the only thing that's gonna make you change.
-变成什么 -我嫁的那个人 - Into what? - The guy I married.
那个关心病人大过于关心政治斗争的人 The guy who cared more about patients than politics.
我懂了 Okay, I get it.
你说的是我竞争医院院长的事情 This is about me vying for president of the hospital.
我们已经详细讨论过了 Which we discussed at length,
你也说你会百分之百支持我 which you said you were 100% behind me on.
我没意识到我落后你多远了 I didn't realize how far behind.
你认为我把你抛在身后了吗 You think I've left you behind?
周二 Tuesday --
「资本输出会议延迟了 我会晚到」 "Capital expenditures meeting delayed. Will be late."
-周四 -伊兹 关于我的工作 - Thursday -- - Iz, there are things about my job --
没错 Right.
「不是你的错」 "Not your fault."
病理学
你好 Hello.
你知道福尔马林的样本都被送到同一个地方吗 Did you know that specimens in formalin go to one place,
除了其他地方的样本 exempt specimens somewhere else,
好氧和厌氧在不同的地方培养 aerobic and anaerobic cultures two different places?
放射性的 医疗设备 radioactive, medical device,
法医标本 都在不同地方 forensic specimens -- all different?
并且都被不同的员工处理 And all handled by different staff?
你知道吗 Did you know that?
知道 Yes.
我也做了一个表 I made a chart, too.
把你教我的东西做了一个定性观察日志 A qualitative observation log of what you taught me.
我教你的什么 What did I teach you?
调情 Flirting.
每次见到有人调情 我都记录下来 Every time I saw someone flirt, I noted it
然后对主客体以及非言语手势进行交叉对照 and cross-referenced the subject, object, and nonverbal gestures.
我就知道 I knew it.
收银的格温 Gwen, the cashier.
她声称都是送检员主动的 但 She made out that it was all the courier, but --
那是我的名字 That's my name.
是的 你也做了撩骚动作 Yes. You made flirting gestures.
-不 我没有 -你有 - No, I didn't. - Yes, you did.
你把头发往后撩了 You brushed your hair back.
用右手 单边撩 Right hand, side sweeping.
对梅伦德斯医生 At Dr. Melendez?
不 我不这么认为 肖恩 No, I don't think so. Shaun.
-我没有 -你有 - No. - Yes.
你在护士站 You were at the nurses station,
然后他说 「干得漂亮」 and he said, "Good for you,"
然后你说「是啊 我刚刚违反了大概八条规定」 and you said, "Yeright. I just broke about eight rules,"
然后你咯咯笑了 接着把头发往后撩 and smiled and giggled and brushed your hair back.
我不会告诉「普莱斯顿小姐」的 "Ms. Preston" Won't hear about it from me.
也可能你得了皮癣 It's possible you have ringworm.
肖恩 有时候人们撩头发 Shaun, sometimes people toss their hair
只是因为头发挡住脸了 just 'cause it's in their face.
莫菲 Murphy.
我想让你详细说明一下你的想法 I'd like you to elaborate on your idea.
我糟糕的想法 My terrible idea?
就是那个 That's the one.
你可以移动瓣膜的前叶 然后重新接上 You can move the anterior leaflet of the valve and reattach it.
不 我们不能 No, we can't.
这是那个孩子心脏的精准复制 This is an exact replica of the kid's heart,
没有固定点可以用来重新接上 and there's no anchor point to reattach it.
所以你的那部分想法还是很糟糕 So that part of your idea is still terrible.
好吧 Okay.
但是剩下的呢 But the rest of it?
我们在处理一个巨大的隔膜 We're dealing with a huge septum --
有25毫米 25 millimeters.
对一个健康的孩子来说是多大 What would that number be in a healthy kid?
大约8毫米 About 8.
如果我们想接近8毫米 If we go anywhere near that number,
对瓣膜来说就没有足够的支撑 we won't have enough support for the valve.
但是如果说我们减小到20毫米 But let's say we took that down to 20...
那对于减轻出口梗阻来说就会不够了 That won't be enough to relieve the outflow obstruction.
好吧 Okay.
18毫米 18.
好 Okay.
仪器
我们岔开他的旁路 Let's take him off bypass.
旁路
他死了 He's dead.
再来一次 16毫米 Again. 16.
我真的好累 I'm really tired.
我曾经想过 I used to think that
我要成为史上最好的外科医生 I wanted to be the best surgeon in history.
但我新的目标 But my new goal?
只是希望不要在实习期就被刷掉 Is just not to get washed out of my residency.
你现在有手术吗 You have a surgery now?
没有 No.
我来看看有什么需要帮忙的 I'm here to see how I can help.
外科主任来参加搜寻派对 The Chief of Surgery joining the search party?
我是不是应该来个自拍 Should I take a selfie,
给我的朋友们看看发生了什么 show my friends that this really happened?
这是团队的问题 This is a team problem.
所以应该团队一起解决 It should be a team solution.
你是怎么有这么好的领导的 How do you get a boss like this?
现在我们知道什么 What do we know so far?
我们岔开他的旁路 Let's take him off bypass.
血液流出量在13毫米的时候很完美 His outflow is perfect at 13 millimeters.
但当左房室瓣没有足够的支撑 Which is irrelevant when the mitral valve...
去关闭时 这无关紧要 ...doesn't have enough support to close.
他死了 He's dead.
再一次 Again.
布朗医生 Dr. Browne.
关于你代表医院承担责任并告诉伊丽莎白你很抱歉 Any reason you assumed responsibility on behalf of the hospital...
这件事有什么解释吗 told Elizabeth you were "Sorry"?
因为我确实抱歉 Because I was.
希望这样做不会付出什么代价 Well, I hope we don't see the price tag on that.
并且你没有时间了 And I think you're out of time.
我们岔开他的旁路 Let's take him off bypass.
旁路
成功了 Yes.
14毫米 14 millimeters.
精确的 Exactly.
是的 Yeah.
精确 Exactly.
我们的误差幅度极低 Our margin of error is exceedingly low.
运气好 Good luck.
你相信运气吗 You believe in luck?
这是人们在很困难的情况下会说的 It's something people say in difficult situations.
我也不信 Neither do I.
再来一次 Again.
事实是 即使我们现在找到了你的样品 The reality is, even if we found your specimen now,
很可能已经没有活性了 it's unlikely that it'd still be viable.
你不知道我是否得了癌症 You don't know if I have cancer,
也没有办法能知道 and there's no way to find out.
所以我的选择就是去做我可能不需要做的手术 So my choices are surgery I may not need...
可能会让我无法说话 ...that will leave me without speech,
或者什么都不做 然后可能死去 or I do nothing and maybe die.
很不幸 是的 Unfortunately, yes.
BGM: Ancient Light by Allman Brown
♪ That ancient light, weigh ♪
♪ On your shoulders ♪
♪ And the river of time ♪
♪ Love is all that's left to lose ♪
♪ Lust, love ♪
♪ I'm not alone anymore ♪
♪ Lust, love ♪
♪ I'm not alone anymore ♪
♪ This ancient life ♪
刀 Knife.
三小时三十分钟 3 hours, 30 minutes.
我们得把搭桥时间控制在五个小时以内 You didn't want him on bypass any longer than five hours.
诗歌集
维肯和布林肯是两只小眼睛 "Wynken and Blynken are two little eyes,
诺德是一颗小脑袋 and Nod is a little head,
驶向天空的这只木鞋子 and the wooden shoe that sailed the skies
是一个小不点的小矮床 is a wee one's trundle-bed.
所以闭上眼睛吧 当妈妈唱着 So shut your eyes while Mother sings --
看起来如何 莫菲医生 How's it look, Dr. Murphy?
14毫米 14 millimeters.
正好 Exactly.
很完美 Perfect.
他的隔膜组织 His septal tissue...
比预期还要僵硬 It's stiffer than I anticipated.
我想没法支撑到充足的外流结束 I don't think this is gonna be enough for adequate outflow.
我要把隔膜降到13毫米 I'm taking the septum down to 13.
好 瓣膜在13毫米时没撑住 Okay, the valve wasn't supported at 13.
病患死了 The patient died.
那是模拟 不是真的病患 That was a model, not a patient.
我们已经用了五小时三分钟 We're at five hours and three minutes.
降到十三米 We're taking him down to 13.
执行 Field.
大家先听我说 All quiet for the time-out.
病患叫伊丽莎白·迈凯伦 Patient is Elizabeth McLaren.
无已知过敏史 No known allergies.
我们要用U形切口 We'll be doing a total laryngectomy
做全喉切除术 with a Gluck Sorenson U-shaped incision.
大家都同意吗 Is everyone in agreement?
打抗生素了吗 Antibiotics in?
已输了一克的氨中噻肟头孢菌素 One gram of cefotaxime has been infused.
在等样本 We anticipate a specimen.
已要求打印标签 I've requested labels be printed.
笔 Pen.
准备插管 Prepare to intubate.
假牙 Dentures.
先别动手术 You've gotta hold the surgery.
稍等我一下 Just give me a little time.
已经13毫米了 That's 13.
该死 Dammit.
太薄了 Too thin?
瓣膜没足够的支撑 The valve doesn't have adequate support.
不能缝合 It won't be able to close.
我错了 I was wrong.
这有复位点 There's a reattachment point.
在14毫米时没看到 We must not have seen it at 14
肯定是因为被瓣膜下的组织遮住了 'cause it was obscured by the subvalvular tissue.
可以以此为锚点 移动瓣膜 We can use that as an anchor point and move the valve.
你的疯狂点子这下好多了 Your terrible idea just got a hell of a lot better.
缝合 Stitch.
5小时23分钟 5 hours, 23 minutes.
假牙 Dentures.
总会装错杯子 They always end up in the wrong cup,
所以才很难交到主人手上 which is why they're so hard to get back to the owner.
-对吧 -对 - Okay. - Right.
要是样本上的标签错了呢 What if the label on the specimen was wrong?
如果结节装到容器里 What -- what if the nodule is here,
但容器的标签贴错了呢 but the container has the wrong name on it?
好 我把操作记录 Okay, I'm reconciling the operative records
还有手术安排和样本做比对 to the surgery schedule to the specimen.
我去看看病例 检查一下容器 I'll read the cases, check the containers,
现在说你的话就太混蛋了 and feel like a jerk for judging you.
我要是对的 你才是混蛋 Well, you're only a jerk if I'm right.
泵送时间 Pump time?
6小时48分 6 hours, 48 minutes.
叫梅达进来 Get Mehta in here.
切断他的体外循环 Let's take him off bypass.
12秒 12 seconds.
要去拿电极板吗 Should I get the paddles?
等等 Not yet.
加油啊 加布里尔 Come on, Gabriel.
他体外循环多久了 How long has he been on bypass?
几乎超时两小时 得助推启动... Nearly two hours too long. We need to jump-start --
等等 Not yet!
好 Yeah.
太好了 Yes!
莫菲医生 缝合吧 Dr. Murphy, close him up.
BGM: Sons And Daughters by Allman Brown
♪ And I will hold you tight ♪
♪ Like the moon in the arms of the sky ♪
♪ And I will keep you warm ♪
♪ I will build a fire in this house ♪
他的自主心跳很正常 It's beating just fine on its own.
♪ And I'll build a fire ♪
♪ You fetch the water ♪
♪ And I'll lay the table ♪
♪ And in our hearts ♪
♪ We still pray for sons and daughters ♪
马库斯 Marcus.
♪ And all those evenings out in the garden ♪
♪ The red, red wine ♪
♪ These quiet hours turning to years ♪
在你手术前手术室有个样本杯 There was a specimen cup in the O.R. prior to your surgery.
原本是取子弹时要用的 It was supposed to be used for a bullet removal,
结果子弹留在了体内 but they left the bullet in the body,
然后杯子不小心用来装你的样本了 and the cup was used accidentally for your specimen.
不仅把样本泡在了福尔马林里 Not only was it in formalin,
还被冷冻起来 十分鲜活 but it was refrigerated and fresh as a daisy.
伊丽莎白 你没得癌症 Elizabeth, you don't have cancer.
谢谢 Thank you.
医生 Doctor.
♪ And I'll build a fire ♪
♪ You fetch the water ♪
♪ And I'll lay the table ♪
♪ And in our hearts ♪
♪ We still pray for sons and daughters ♪
♪ And all those evenings out in the garden ♪
不可捉摸 Intangibles.
♪ The red, red wine ♪
♪ These quiet hours turning to years ♪
你好 Hello.
我今天过得很不错 I had a very good day today.
是啊 没错 Yes, you did.
手术太精彩 That was a hell of an operation.
对 Yes.
我还看到克莱尔撩骚 And I caught Claire flirting.
撩你吗 With you?
肖恩 我想你可能误... Shaun, I think you might be mis--
撩梅伦德斯医生 With Dr. Melendez.
梅伦德斯医生 Dr. Melendez.
我进行了观察 I conducted observations,
读懂了 然后记录了下来 successfully interpreted them, and logged them.
电子表上的浪漫 Romance in a spreadsheet.
我喜欢 I love it.
克莱尔没读懂的暗示我却读懂了 I was aware of the cues even when Claire wasn't.
我想她需要生活技能指导 I think she needs a life-skills coach.
推断 Extrapolating.
我也喜欢 I like that, too.
很好 肖恩 That's great, Shaun.
你在观察周围 在学习 You're paying attention. You're learning.
等给你找到懂时尚的生活指导 And when we find you a life coach, one with a fashion sense,
你就能学得更好 then you're gonna be learning better,
你会学得更快 you're gonna be learning faster.
你要放弃我了吗 Are you giving up on me?
什么 What?
不 我没有放弃你 No. I haven't given up on you.
我不要陌生人帮我 I don't want a stranger helping me.
我知道 肖恩 但... I know, Shaun. But...
我不能... And I can't...
我不能一直陪伴你 我... I can't always be there. I-I..
我不能一直给予你你需要的帮助 I can't always help you the way you need to be helped,
你应该得到的帮助 the way you deserve to be helped.
我不要陌生人帮我 I don't want a stranger helping me.
恭喜 Congratulations.
你也是 You too.
你疯狂的侦探技术 On your mad sleuthing skills.
如果对外科腻烦了 还有这个退路 Something to fall back on if this surgery thing gets old.
你做得很棒 克莱尔 You did a nice job, Claire.
-谢谢 -这是我们的代价 - Thanks. - And here is our price tag.
我们收到传票了 We've been served.
但我们找到了 伊丽莎白没事 But we found it. Elizabeth's fine.
我知道 I know.
但我们让她痛苦了两天 But we put her through two days of hell,
她想确保别人不会有这种遭遇 and she wants to make sure it doesn't happen to anybody else.
她干得好 I mean, good for her.
这是什么 What is this?
加布里尔的起搏器 Gabriel's pacemaker.
我听说你今天又发光了 I heard you were brilliant again today.
我运气好 I got lucky.
如果我养刺猬做宠物 楼管会杀了我吗 Do you think Armen would kill me if I got a pet hedgehog?
我看书写它们其实挺... I mean, I read that they're actually pretty --
-莉亚 -怎么了 肖恩 - Lea. - Yes, Shaun?
这毛衣不太适合你 You look absurd in that sweater.
我有苹果 I have apples.
你要吃苹果吗 Do you want an apple?
好 Yeah.