- 駐院醫師前情提要 - 媽 得送你回切斯汀 -Previously on The Resident... -Mom, we need to get you back to Chastain.
你母親得了肺癌 Your mother has lung cancer. You cannot come
你不能跟我去尼日利亞 to Nigeria with me.
- 我確實想要你的職位 - 我也不會找一個不想要的駐院醫師來 -I do want your job. -I wouldn't want a resident who didn't.
大家同根生 沒什么見不得人的目的 We're cut from the same cloth. No hidden agendas.
基因治療有了一些進展 There have been some developments in gene therapy.
最近的臨床試驗結果良好 Recent clinical trials with good outcomes.
這些都是未知領域 These are uncharted waters.
很多醫院不愿意冒險進行我們的試驗 A lot of hospitals won't risk hosting our trials.
這條路 道阻且長 It's gonna be a long, hard road.
- 不能保證任何事 蘿絲 - 但我有機會嗎 -And nothing is guaranteed, Rose. -But I have a chance?
你有的不僅是一個機會 Well, you have more than just
是一個很好的機會 a chance, you have a damn good chance.
* It's been so long *
-* I think I might * -Hey.
- -* Write you a letter *
* I can't be mad... *
你不是在寫購物清單嘛 Thought you were making a shopping list.
是的 但同時也在看迷人風景呢 I am. I was also just enjoying the view.
好的 Okay.
但是你做美甲的預約 But your mani-pedi appointment
和你孕期按摩地方可是一個大南頭一個大北頭啊 is on the other side of town from your pregnancy message.
如果一天要全部弄完需要計劃一下的 We got to plan it out if we want to hit everything today.
你剛剛值完夜班 You just finished a night shift.
確定不會很累嗎 Are you sure you're not too tired?
跟我容光煥發的妻子 To knock out a pre-baby bucket list
完成孩子出生前想做的事嗎 with my glowing wife?
永遠不會累 -Never. -Mm.
你也可以拒絕 畢竟今天是關于你 You can say no if you want, because it's your day.
但我們可以在家稍作停留嗎 But what if we make a pit stop at home?
有人說 等孩子出生之后 Someone told me alone time will be hard to come by
我們就不得閑了 -once the baby is born. -Hmm.
我絕對會考慮一下的 I will definitely consider it.
好的 Mm, good.
那我們趕緊走吧 Then let's get the hell out of here.
要不要看孩子的新照片 Oh, you want to see the new baby picture?
當然 Of course.
有事聲波圖啊 Aw, another sonogram.
我看看 -Let me see. -
一個胖乎乎的小土豆 Aw, it's a fat little potato
還長著拳頭 with fists.
你是說我孩子是胖胖的小土豆嗎 Did you just call my child a fat little potato?
是可愛的 胖胖的小土豆啊 A cute, fat little potato.
謝謝你啊 Thank you.
這不是夸贊吧 I don't think that's a compliment.
不 我是謝謝她幫我們計劃這一天 No, I was thanking her for helping
這家美甲店超棒的 -plan our day. -A fabulous nail studio,
還有很舒緩的按摩 而且我幫你們上了 a massage to die for and I got you off the wait list
馬力諾牛排館的等待名單 八點就會有桌子了 at Marino's Steak House. You have a table at 8:00.
你最好了 You are the best.
你去找我們唄 Why don't you come meet us?
不了 康拉德要獨享你呢 No way. Conrad wants you all to his lonesome.
沒錯 -Yes, I do. -
- 我到半夜之前都會在這 - 天啊 -And I'm here till midnight. -Oh, God.
玩的開心 Have fun.
- 不不不 我們要走了 - 怎么了啊 -No, no, no, no, no, no, we're leaving. -Wait, what's up?
我下班了 你在休產假 My shift is over and you're on maternity leave.
等下 什么情況 Hang on, what's going on?
哥德森先生今年已經是 Mr. Goldense canceled his appointment,
第三次取消了 third time this year.
我們打過電話 但都是留言 And I've called, but it only goes to machine.
他只跟你講話啊 You're the only one he'll talk to.
妮可 別 Nic, don't do it.
你知道的啊 皮特·哥德森啊 Oh, come on, you know, Pete Goldense.
心房纖顫過 他的心臟 History of A-fib. He has cardiac meds
需要嚴密監控的 that need close monitoring.
我們去看一眼 問題不大的 We can go check it out. It's not a problem.
真服了你 You're impossible.
一下就好啦 It'll take two seconds.
好吧 Okay.
到時候是不是也沒辦法拒絕女兒 - -I wonder if it'll be this hard to say no to our daughter.
估計是咯 -Probably. -Yep.
問題是啊 沃斯醫生 Here's the problem, Dr. Voss.
我們的赤字仍舊很大 We're still far in the red,
還差2500萬 north of $25 million.
數字正朝著正確的方向發展啊 Well, the numbers are trending in the right direction.
我接手的時候 虧3500萬呢啊 When I took over, we were $35 million in the red.
沒人想給救死扶傷明碼標價 No one wants to put a price on saving lives.
但你是總裁 你不得不 But as CEO, you must.
我跟其他總裁不一樣的 I am not like other CEOs.
所以你們才雇我啊 Which is why you hired me.
而現在我們覺得是不是 And now we're beginning to question the wisdom
找了一個毫無經驗的人來掌舵了 of putting someone with no business experience at the helm.
你得削減更多預算 沃斯醫生 You need to find more cuts, Dr. Voss.
而且不是小錢 BOARD MEMBER: And we don't mean pennies.
得要幾百萬那種的 We mean millions.
這不是我本人以及董事會的意思 凱特 This isn't coming from me or the board, Kit.
政府已經給我們壓力了 We're getting pressure from the state.
統籌 老y
他們規定我們 其實是你 They have given us-- and by "us," I mean you--
兩周之內給出解決辦法 two weeks to come up with big solutions.
片源 耐卡網
特效 老y
翻譯 一江春水向西流
沒事吧 You okay?
你來看看這個 Come take a look at this.
翻譯 廿八
這是我媽四期胸膜轉移的時候 This was the scan from my mother's diagnosis,
翻譯 蓮子米 小黑俠客
拍的片子 when she was stage IV with pleural mets.
校對 一江春水向西流
這個 And this...
合作洽談Q：864413459
是今天的 is today.
怎么惡化的這么快 Wow, that much progression?
她的肺癌惡化的很嚴重 Her lung cancer is highly aggressive.
抱歉 我 So sorry. I, um...
她開始化療了嗎 Has she started chemo?
她眼看著她父親死于癌癥的 She watched her father die of cancer.
她記得那時候每天就是持續不斷的惡心 嘔吐 She remembers vomiting and constant nausea.
他痛苦了幾個月才死去 He was in pain for months until he died.
她很害怕化療 She is terrified of chemo.
現在可以更好的 Well, they do much better
控制化療的副作用了 managing side effects these days.
不能手術 Surgery's not an option.
只剩一個辦法了 There's only one hope left.
定向治療 Well, targeted therapy.
如果我媽是候選人 可以給她幾年時間 It could buy my mother years if she's a candidate.
我們在等基因結果 We're waiting for the genetics now.
好的 有情況跟我說 Well, just, it's-- Keep me updated.
給你帶了生日禮物 I've got a birthday present for you.
6月份才是我生日 Mm. My birthday isn't until June.
這是你的新生日 Well, this is your new birthday.
5億個轉基因細胞 500 million genetically modified cells
即將通過在你的體內 ready to change your life
制造健康的紅細胞 來改變你的人生了 by making healthy red blood cells in your body.
如果我們幸運的話 If we're lucky.
我知道這是實驗性的 而且沒有保障 I know it's experimental and there are no guarantees, but...
但我還是不敢相信自己有機會了 I can't believe I have this chance.
有沒有人你想打電話 Is there anyone you want to call
或者視頻一下 分享這個好消息的 or FaceTime for the big moment?
家人朋友 Friends? Family?
沒有 No.
凱恩醫生 Dr. Cain?
他 He, um...
很久沒來了 hasn't been by for a while.
肯定很忙吧 I'm sure he's busy.
這是件大事 Well, this is a really big deal.
你經歷了很多才走到現在 You went through a lot to get to this moment.
沒有你就沒有我 I wouldn't be here without you.
蘿絲 Rose...
請吧 ...would you like to do the honors?
一定要管用啊 Please work.
駐 院 醫 生
我們一小時前開始了她的基因治療 We started her gene therapy an hour ago.
現在就等著 Now we wait.
她堅強嗎 準備好了嗎 Is she strong? Is she ready?
她經歷了一次大規模的化療 She's been through a massive chemo blast
破壞了她很多的骨髓 that devastated her bone marrow.
她很惡心 她的計數在下降 She's nauseous. Her counts are dropping.
她的口腔潰瘍很厲害 幾乎不能吞咽 Her mouth sores are so bad she can barely swallow.
所以她沒那么堅強 So is she strong? No.
但她是我見過最勇敢的人 But she is the bravest person I've ever known,
并且她準備好了 and she's ready.
哥們 南方生物快瘋了 Look, man, Bio South is running on fumes.
我們需要投資 如果蘿絲的結果不好 Uh, we need cash, and we won't get a new investor
就不會有新的投資人了 if Rose has a bad outcome, so...
一切都指望她了 Everything is riding on this.
如果成功了 就能拿到食品藥品管理局的批準 Look, if this works, we stand to get FDA approval.
然后突破極限 And then sky's the limit.
成千上萬的鐮狀細胞病患者 Thousands of other patients with sickle cell disease
會排隊接受這種治療 would line up for this treatment.
那如果失敗了呢 And if it fails?
公司倒閉 The company will shutter.
我破產 I will be bankrupt.
蘿絲也白白冒了險 And Rose will have risked her life for nothing.
你把我推薦給了威利醫生 You recommended me to Dr. Wylie.
對 她正找一個不錯的住院醫生 Yeah, she was in the market for a... promising resident.
但你說我可以跟你一起的 But you said that I could work with you,
我們是一對 that we were a pair,
同根生 cut from the same cloth.
你還需要更多聯系 You need more practice.
而我在專注于恢復 And I'm focusing on my recovery.
你躲在辦公室里 醫術是不會有長進的 You're not gonna get your skills back hiding in this office.
我是謹慎為先 I'm being cautious.
我上次進手術室 The last time I was in the OR,
還得讓你進去給我擦屁股 you had to step in there to save my ass.
我無法忘懷 Can't ignore that.
所以你先拿壘球開始練手啊 So you start with a softball,
做一下你閉著眼睛都能做的簡單手術 something simple you used to do in your sleep.
不可以再出錯了 Can't afford another fumble.
凱特會讓我滾蛋的 Kit's gonna send me packing.
我回歸的時候 I have to know that, when I come back,
必須能做到完美 my work is gonna be perfect.
威利醫生根本比不上你 Dr. Wylie is nowhere near the surgeon you are.
我想跟最優秀的人學習 I want to learn from the best.
你謹慎的樣子一點不帥 Caution's not a good look on you.
萬一你不記得了 皮特可不好相處 In case you don't remember, Pete's not the easiest guy.
他可是壞脾氣奧運會的冠軍呢 Took the gold medal in the curmudgeon Olympics.
如果用不了太久 還是可以按計劃來的 Well, if it doesn't take too long, we can stay on schedule.
皮特 我是妮可 Hey, Pete! It's Nic
切斯汀醫院的 我跟霍金斯醫生一起來的 from Chastain. I'm here with Dr. Hawkins.
我們來看你的 Came to check on you.
我們擔心你錯過了預約啊 We're worried that you missed your appointment.
死不了 - -I'll survive.
你知道你的心臟藥物需要監控的 You know your cardiac medication needs monitoring.
皮特 我們快速檢查一下 Come on, Pete. We'll do a quick check
你就不用去醫院了 and then you won't have to go to the hospital.
帶上口罩和手套 Put those masks and gloves on.
好的 Okay.
如果你去打了疫苗 You know, if you'd get the COVID-19 vaccine,
就不用擔心來的人不健康了 you wouldn't have to be so nervous about guests.
不需要 I have no need.
我沒有被暴露的風險 -I have no risk of exposure. -
我誰也不見 I see no one.
中土世界 It's Middle-earth.
需要一條惡龍 Needs a dragon.
沒事吧 You all right?
嗯 Yeah.
你多久沒出門了 CONRAD: How long since you've been out of your house?
一年多 PETE: Over a year.
感覺如何 皮特 CONRAD: How you feeling, Pete?
我剛睡醒 有點迷糊 I just woke up from a nap, so a little groggy.
好消息是我想啥時候睡就啥時候睡 The good news is I can take naps whenever I damn well please.
我能看出來你們不贊同 也間接證明了我的觀點 I see the judgment in your faces. Proves my point.
不鎖門就永遠體會不到真正的自由 You've never known real freedom till you lock your door.
無意置評 Look, no judgment.
我們只是擔心你 -CONRAD: We're just worried about you. -
你有點喘不過氣 You're a little out of breath.
讓我們檢查一下 NIC: Why don't you let us check you out,
以確保你安然無事 好嗎 just make sure nothing serious, okay?
好 Okay.
- 好的 - 但先讓我 -All right. -But first,
拿點喝的 let me get something to drink.
- 我渴了 - 不用起來 -I'm thirsty. -NIC: No, no, that's okay.
我給你拿點水 I'll-I'll get you some water.
冰箱快空了 Fridge is close to empty.
心律不齊 心跳太快 CONRAD: Pulse is irregular and rapid.
肺底有濕啰音 Crackles at the bases.
嘿 Hey.
穿鞋困難嗎 CONRAD: You having trouble wearing shoes?
如果哪兒都不去 還穿什么鞋 When you don't go anywhere, you don't need shoes.
頸部血管膨脹 Distended neck veins.
抱歉 皮特 我們還是要 CONRAD: Sorry, Pete, but we're gonna
把你送去切斯汀檢查 have to get you to Chastain after all.
不去 No.
- 你不能強迫我去 - 嘿 -You can't make me go. -NIC: Hey, hey, hey, hey, hey.
皮特 CONRAD: Pete?
- 打911 - 皮特 -NIC: Calling 911. -Pete?
如果戴雙合適的手套 速度會快些 AUSTIN: You'd work much quicker if you had gloves that fit.
這是什么 闊腿牛仔褲醫院聯名版嗎 What is this, the JNCO jeans of surgical wear?
抱歉 戴薇醫生 給你手套拿錯尺寸了嗎 JESSICA: Oh, I'm sorry, Dr. Devi, did we get you the wrong size gloves?
沒關系 LEELA: It's totally okay.
有關系 AUSTIN: It is not totally okay.
要敢于表達自己的意見 Speak up for yourself.
麻煩下次拿六號半的手套 A six and a half would be great next time.
好的 可能是因為我們習慣了為 You got it. I think we're just so used to prepping the OR
奧斯丁和奧卡福醫生做術前準備 for Dr. Austin and Dr. Okafor...
你怎么會認為她和米娜戴一樣大的手套 AUSTIN: And how would you think that she could even fit in Mina's gloves?
看看這個單手結 Look at this one-handed tie.
打好了也邋遢 Sloppy at best.
打不好就是犯罪 Criminal at worst.
每次我們做搭橋手術 And whenever we would do a bypass,
我和奧卡福醫生會用打結的方式 Dr. Okafor and I chose the pedicled approach.
也就是說需要收個尾 That means there is a bit to clean up,
所以我會再縫一針而米娜則會剪斷縫線 so I would throw a stitch and Mina would cut my suture.
不是那兒 高點 Not there. Higher.
太高了 低點 No, that's too high. Lower.
這樣嗎 LEELA: Like this?
把手穩住行嗎 戴薇 Would you steady your hands, Devi?
這不是尸體 是三個孩子的父親 This is not a cadaver. It's a father of three.
靠了 你把血管切斷了 Damn it! You cut the vessel I needed.
對不起 奧斯丁醫生 LEELA: I'm sorry, Dr. Austin.
道歉安慰得了他的 AUSTIN: Is an apology gonna console
孩子們嗎 his children?
小號血管鉗和8號縫線 Small vascular clamp and 8.0 Prolene.
別給她 給我 Not to her. To me.
我得練習 I have to learn.
要不留下看 要不走人 You stay, you watch... or you leave.
隨你 It's your call.
應該這樣 Like this.
沒什么比教年輕住院醫生重要事務 Nothing more satisfying than teaching the important stuff
更讓人心滿意足的了 to young residents.
今天不順 The day isn't going great.
我跟猛禽一起做手術 搞砸了 I messed up in the OR with Raptor,
他又朝我吼來著 and he yelled at me, again.
你導致病人死亡了嗎 Did you kill someone?
- 沒 - 那就甭擔心 -No. -Then don't worry about it.
我不喜歡被羞辱 I don't like to be humiliated.
我保證 他不是針對你 It wasn't about you, I promise.
他現在壓力很大 家務事 He's under a lot of pressure right now, a family thing.
相信我 他現在這個狀態是有原因的 Believe me, he's on a razor's edge for a good reason.
抱歉 I'm sorry.
醫院總裁在這兒干嘛呢 So what's the hospital's CEO doing in here, anyway?
今天對我來說也是具有挑戰性的一天 Bit of a challenging day on my end, as well.
當你無計可施的時候 The supply room is a known resource
補給室是個好去處 when you're at your wit's end.
安靜 私密 枕頭還多 It's quiet, private, lots of pillows.
好了 跟我來 我給你換個手術室 Come on, come with me. I'll get you into another OR.
奧斯丁醫生可不是切斯汀唯一優秀的外科醫生 Dr. Austin isn't the only fine surgeon at Chastain.
沃斯醫生 Dr. Voss?
有機會的話我想和您一起工作 I would love to work with you sometime.
只要我沒被炒魷魚 會有機會的 Well, if my ass isn't fired shortly, we'll arrange it.
來吧 Come on.
嘿 辛迪 怎么了 你呼我 Hey, Cindy. What happened? You paged?
她體溫升高 37度8 She has an elevated temp. 100.1.
- 而且心動過速 - 對的 -And she's tachy. -Yeah.
嘿 蘿絲 Hey, Rose?
現在感覺怎么樣 Can you tell me how you're feeling?
累 有點熱 Tired, a little hot.
給她打一克醋氨酚 Let's give her a gram of acetaminophen
和一升乳酸林格氏液 and bolus her a liter of lactated ringers.
好的 Okay.
哪兒都不疼 It doesn't hurt anywhere.
不像之前能感覺到疼 It's not like a pain I've felt before.
但我并不舒服 But I don't feel good.
不會是基因療法的原因吧 It couldn't be the gene therapy, could it?
目前還不清楚 I don't know yet.
我們會給你輸液 再訂一套血液培養液 We'll give you some fluid and order a set of blood cultures.
我還以為沒什么能嚇到我了 I thought there was nothing left that could scare me.
不管發生什么 我們都會處理好的 Whatever happens, we'll manage it.
不是那意思 It's not that.
我知道生病是什么樣 I know what it is to be sick.
但希望的感覺 But hope?
當我按下那個按鈕時 When I pressed that button,
我感受到了希望 it's what I felt.
我已經很久沒有這種感覺了 And I haven't felt that in so long.
我不想失去它 I don't want to lose it.
65歲男性 昏厥 腹部創傷 65-year-old male with syncope and blunt abdominal trauma.
好的 把他送到二號室 IRVING: All right, let's put him in Bay Two.
血壓90/50 心跳130 心律不齊 BP 90/50, heart rate 130 and irregular.
血氧飽和度95% 02 sat 95%.
我從椅子上摔下來了 那又怎樣 PETE: I fell on a chair. So what?
我還以為你倆今天不用看病人呢 I thought you two were spending a day away from sick people.
計劃不如變化 Well, best-laid plans...
- 一 二 三 - 三 -One, two, three. -Three.
這樣不會有好下場的 Nothing good can come of this.
說什么來著 - -Told you.
我會安排心電圖和實驗室檢查 I'll order an EKG and labs.
濕啰音升到中段 Crackles halfway up.
- 立刻做X光檢測 - 好的 -I need an X-ray stat. -Yeah.
- 也許需要插管 - 好的 -And I might have to intubate. -Okay.
皮特 - -CONRAD: Pete,
這說明有問題 我們得治好它 this isn't good, and we have to fix it.
右上部輕壓有疼痛感反饋 Tenderness and guarding in the right upper quadrant.
糟了 自由流體 Damn it. Free fluid.
他脫離監控期間擅自服用了血液稀釋劑 He's on blood thinners that weren't being monitored.
導致現在腹腔出血不止 And now he's bleeding into his abdomen.
威利醫生已經帶了三名住院醫了 Dr. Wylie already has three residents.
對 我告訴過你我不想干這活 BILLIE: Yep. And I told you I didn't want the gig.
我需要你 也只有你能陪我練壘球 I need you and only you, for a softball.
帶上動脈瘤夾 7號手術室 15分鐘后 Aneurysm clip, OR 7, in 15 minutes.
威利醫生 Dr. Wylie?
我不參加了 I'm gonna have to pass.
凱恩醫生要我過去 Dr. Cain has requested me.
嘿 蘿絲怎么樣了 Hey. What's going on with Rose?
體溫上升 Elevated temps.
心動過速 She's tachycardic.
血壓下降 Her blood pressure is dropping.
我叫了腫瘤醫生來會診 I called in her oncologist to examine her.
- 情況如何 - 藥物起作用了 -How is she? -Responding to fluids.
暫時穩定 Stable for now.
如果這是細胞源發性 If this is a systemic inflammatory reaction
全身炎癥反應 我們會幫她頂過去 from the cells, we support her through it,
她很快就會好起來 and she should improve soon.
好的 我會密切關注她 Okay. I'll keep an eye on her.
好 我得去看別的病人了 Okay, I have to see another patient,
如有任何變化都告訴我 but tell me if anything changes.
謝謝 Thank you.
伊 如果你不坐下 Yee, if you don't sit down...
你的癌癥越來越嚴重 Your cancer is getting worse.
等下一步治療方案一出來 我就坐 When we know the next steps, I'll sit.
- 那之前 - 你爸冷靜不下來 -So, until then... -Your father has zero chill.
- 看得出來 - 現在 -Tell me about it. -And at the moment,
我也無能為力 -mine is in limited supply, too. -
你好 卡羅爾 伊 很高興見到你們 Hello, Carol. Yee. Lovely to see you.
奧立佛醫生 不用客套了 Okay, Dr. Oliver, we can dispense with the niceties.
- 有人都要死了 - 沒錯 -We're dying here. -Literally.
- 卡羅爾 - 我長話短說 -Carol. -OLIVER: This will be short
是好消息 and very sweet.
很高興的告訴各位 I am happy to say
卡羅爾因癌癥突變 that Carol's cancer has a mutation
使她有資格接受靶向治療 that qualifies her for targeted therapy.
謝謝 Thank you.
聽到了嗎 媽 AUSTIN: You hear that, Ma?
太不可思議了 This is incredible.
傳統的化療手段較之前已經改進許多 Conventional chemo is better than it used to be,
但仍是個鈍器 but it's still a blunt tool.
靶向治療方式正如其名 Targeted therapy is exactly what the name says.
只攻擊癌癥細胞內協助其 It attacks only the changes in the cancer cells
生長擴散的那部分且不傷害正常細胞 that help it grow and spread while sparing your normal cells.
對我而言意味著什么 And what does this mean for me?
我知道這并不代表治愈 但 I mean, I know it's not a cure, but...
你仍會處于癌癥四期 OLIVER: You still have stage IV cancer,
但我們在爭取時間 but we are buying time.
癌癥終會復發 The cancer will eventually come back,
但屆時 可能就會有新的 更好的治療方案 but by then, we could have new and even better treatments.
媽媽 Mom.
媽媽 這是好事 Mom, this is great news.
CT結果顯示肝臟三級缺血 So, the CT you ordered showed a grade III liver lac.
- 他最近的血紅蛋白數值是多少 - 12.2 -What's his most recent hemoglobin? -NIC: 12.2.
第二份檢測結果應該很快就出來了 The second one should be back any minute.
你知道他昏倒的原因嗎 Any guesses why he passed out in the first place?
- 不知道 太突然了 - 不合理 -No idea. It was so abrupt. -BELL: Doesn't make sense.
是什么導致了呼吸衰竭 So, what accounts for the respiratory failure?
也不知道 It's all a mystery.
心電圖和超聲波 His EKG and echo show evidence
顯示他右側心臟勞損導致嚴重的肺動脈高壓 of severe pulmonary hypertension with right-sided heart strain,
但那是一年前的片子了 and that's all new from a year ago.
我們之前以為是肺栓塞 We thought it could be a P.E.,
但他一直服用血液稀釋劑 but he's been on his blood thinners,
- 所以應該不是 - 嚴重的肺動脈高壓 -so it's unlikely. -BELL: Severe pulmonary hypertension?
所以不能給他上麻醉 So we don't want to put this guy under anesthesia.
最好別上 Not if we can help it.
實驗室剛打過來說數值已達臨界值 Lab just called with a critical value.
重復血紅蛋白值7.2 Repeat hemoglobin 7.2.
他在出血 我們別無選擇 He's bleeding out. We don't have a choice.
好的 送手術室 叫血庫備血 Okay, yeah. Pack him up. Get blood on hold.
- 大量血 我去做術前準備 - 收到 -Lots of blood. And I'll meet him in the OR. -On it.
蘭道夫 Randolph.
- 幫個忙唄 - 成 說快點 -A favor? -Yeah. Sure, but quickly.
我得準備做手術 I have to prep a patient for surgery.
有個第一年的實習生 I have a first-year surgical intern
需要新導師 in need of a new mentor.
他跟別人鬧翻了 He have a falling-out with someone?
是個女的 算是鬧翻了吧 She. Yes, and sort of.
AJ在他手術室里對她發火 AJ let her have it in his OR.
可以理解 AJ現在壓力很大 That's understandable. AJ's under a lot of stress.
沒錯 所以如果你今天能讓她跟你做手術 He is, which is why I would be eternally grateful
我會不勝感激 if you could have her in your surgeries today.
是嗎 她厲害嗎 Yeah. Is she any good?
你自己看 Judge for yourself.
技術過硬 速度也快 Solid technique. Fast.
堅決果斷 Clearly determined.
也很聰明 She's whip-smart, too.
她叫利拉·戴薇 Her name's Leela Devi.
戴薇醫生 我是蘭道夫·貝爾 Dr. Devi? I'm Randolph Bell.
來我手術室做縫合怎么樣 How'd you like to throw some of those in my OR?
我愿意 I would love to.
很好 走吧 Great. Let's go.
蘿絲 蘿絲 Rose, Rose,
你得安靜下來 you've got to settle down.
我覺得不舒服 I don't... feel good.
蘿絲 別急 Rose, steady.
深呼吸 Deep breaths.
- 怎么回事 - 她本來好好的 - What happened? - Well, she was holding her own,
結果血壓驟降到70 40 and then her blood pressure plummeted to 70/40.
好 再加一公升輸液 開到最大 Okay, give her another liter, wide open.
注射腎上腺素 And start her on norepi.
- 我好熱 - 那是因為你發燒了 - I'm so hot! - That's because you have a fever.
我要給你再做個檢查 好嗎 I have to examine you again, okay?
發燒 Fever.
低血壓 腹痛 Hypotension, abdominal pain.
我覺得不是基因療法的原因 I don't think this is from the gene therapy.
蘿絲 化療抑制了你的免疫系統 Rose, the chemo has suppressed your immune system.
我覺得你的腸道可能嚴重感染 I think you have a bad infection, likely from your gut.
那現在怎么辦 So what... happens now?
我們會給你打適合的抗生素 We're gonna get you on the right antibiotics.
你只要好好休息就行 All you have to do is get some rest.
繼續抱有希望 You stay hopeful.
知道嗎 Okay?
動脈瘤夾 Aneurysm clip.
近端和遠端夾子已就位 Proximal and distal clips in place.
現在我要結扎動脈瘤 Now I'll ligate the aneurysm.
動脈瘤卡住了 Oh, I trapped the aneurysm.
我肯定剛才做對了 I'm certain I did that correctly.
這到底是怎么回事 I don't... I don't understand why this is happening.
找到支線血管 Find the feeder vessel...
我不需要住院醫師的指導 I don't need instruction from a resident.
腦灌注壓正在下降 Cerebral perfusion pressure is falling.
趕緊恢復狀態 否則這將是你接觸的最后一個大腦 Get back in there, or this'll be the last brain you ever touch.
抽吸 Suction.
得看清要處理的是什么問題 Need to see what we're dealing with.
找到支線 夾子 There's the feeder. Clip?
干得好 凱恩醫生 Nice work, Dr. Cain.
別假惺惺了 Yeah, please.
我差點失手 I almost whiffed a softball.
你來縫合 我完事了 You close. I'm finished here.
也許他確實完事了 Maybe he is finished.
若真是這樣 沒人會想念他 If so, no one will miss him.
雖然他的手恢復了 His hands are back.
但外科醫生一向傲慢 But surgeons thrive on hubris.
現在問題在他腦袋里 The problem now is in his head.
我收到你的呼叫 I got your page.
不是基因療法的原因 Hey, it wasn't the gene therapy.
蘿絲的血液培養呈陽性 她得了敗血癥 Rose's blood cultures came back positive. She's septic.
- 她現在怎樣了 - 我們已經及時 - And how's she doing? - We started her on the right
給她注射了抗生素 目前情況穩定 antibiotics early. She's stable now.
但腎臟受到影響 看這 But her kidneys took a hit. Take a look.
她排尿了嗎 Is she making urine?
尿素氮含量高
給她輸了很多液 還沒有排尿 I have flooded her with fluids, but no.
鉀含量在上漲 Her potassium is climbing.
若想挺過這場危機 蘿絲需要做透析 Rose needs dialysis if she's gonna make it past this crisis.
給我紗布墊 Lap pad to me.
做過肝撕裂手術嗎 Have you ever operated on a liver lac?
沒做過第一助手 但讀過很多這方面的書 Never as first assist, but I've read a lot about it.
那好 告訴我肝臟供血情況 Okay, well, then tell me about the blood supply of the liver.
再來個紗布墊 Another lap pad.
肝臟有兩個血液供應渠道 Liver has dual blood supply--
門靜脈和肝靜脈 portal vein and the hepatic.
好吧 戴薇醫生 All right, Dr. Devi.
肝臟彌漫性出血 該你了 Diffuse bleeding from the liver. You're on.
- 你想怎么做 - 人工壓迫 - What do you want to do? - Manual compression.
用手抓住肝臟 擠壓它 I take the liver in my hand, and squeeze it.
好 做吧 Okay, now do it.
沒用 他還在流血 It's not working. He's still bleeding.
那下一步怎么做 So what's your next move?
鑒定出血點并縫合 I identify and suture the bleeder?
貝爾醫生 患者 Dr. Bell, our patient
- 不喜歡這個教學時刻 - 我覺得 - isn't enjoying this teaching moment. - I think
- 你應該接手 - 不 沒必要接手 - you should take over. - No, there's no need
我們是一個團隊 to take over. We're a team.
給戴薇醫生3號縫線 3.0 Prolene to Dr. Devi.
我見過你做得很完美 I saw you do this perfectly.
就是肌肉記憶 直接動手 不要多想 It's muscle memory. Just do it. Don't think.
如果遇到問題 有我在 And if you have trouble, I'm right here.
抽吸 Suction.
干得好 戴薇醫生 Well done, Dr. Devi.
現在 希望妮可和康拉德能診斷出 Now, let's hope Nic and Conrad can diagnose
皮特的根本問題 Pete's underlying problem.
感染
手術中情況危急 It was touch and go in surgery.
他目前服用兩種增壓藥 He's on two pressors now.
- 喝水 - 謝謝 - Water. - Oh, thank you.
貝爾修復了他的肝撕裂 So, Bell fixed his liver lac,
但這不是最關鍵的問題 but that's still the least of his problems.
他的風濕病研究結果出來了嗎 Did his rheumatological studies come back?
出來了 一切正常 Yep. All normal.
紅斑狼瘡類風濕性關節炎
他需要做右心導管 He'll need a right heart cath
來測量肺動脈壓 to measure his pulmonary pressure.
我去跟心肺科確認一下 I'll check with Cardio on that and schedule
做個胸部血管造影CT a chest angio with CT.
如果我們找不到他肺動脈高壓的 If we can't figure out the underlying cause
根本原因 of his pulmonary hypertension...
有很多治療方案 There are treatment options,
我們得逐個觀察 但是 and we'll have to start looking into them, but...
這樣他可能會死 he could die.
等下 Wait.
當我給皮特送水的時候 When I went to get Pete water,
我看到他廚房只有米和豆子 all I saw in his kitchen was rice and beans.
只有米跟豆子 Only rice and beans.
沒有蔬菜 水果 No vegetables? No fruits?
沒有 None.
的確很不可思議 I mean, I know it seems crazy,
雖然可能性微乎其微 但是 a one-in-a-million case, but...
皮特患有維他命缺乏癥 Pete's suffering from a vitamin deficiency.
想想看 因為新冠他一直被關在家里 Think about it. He's been shut in from COVID this whole time.
這樣肺動脈高壓就解釋的通了 That explains the pulmonary hypertension.
妮可 你可能救了他的命 Nic, you may have just saved his life.
透析 Dialysis?
我的腎開始衰竭了嗎 My kidneys are failing?
我有家人做過透析 I've had family members on dialysis,
過程非常痛苦 and they were miserable.
我知道這個結果讓人難以接受 It's devastating news, I know,
但我覺得這只是暫時的 but I think it's gonna be temporary.
知道嗎 真的 Okay? I-I really...
我真的這樣覺得 蘿絲 I really do, Rose.
我們得給你腎臟恢復的時間 We have to give your kidneys time to recover.
如果恢復不了呢 And if they don't?
記得嗎 蘿絲 Remember, Rose,
我們要抱有希望 we're focusing on hope.
看著我 Look at me.
我就快沒希望了 I am about out of hope.
什么都快沒了 I am out of everything.
拜托直接回答我的問題 Just answer the question, please.
如果你的腎臟不能恢復 If your kidneys don't recover,
你下半輩子都要靠透析維生 you will be on dialysis for the rest of your life.
死于腎衰竭很痛苦嗎 Is dying from renal failure painful?
- 不痛苦 但那不是 - 聽我說 - No, it is not, but that's not where... - Look,
我很感激你和沃斯醫生為我做的一切 I appreciate everything that you and Dr. Voss have done,
但我太累不想繼續了 but I am too tired to go on any further.
蘿絲 別這樣 Rose, no.
蘿絲 你不是一個人 Rose, you're not gonna be alone.
我會全程陪著你 I'm going to be with you the whole time.
我一無所有了 I have nothing left.
不要透析 什么都不要 No dialysis, no anything.
蘿絲 放棄解決不了問題 Rose, giving up is not the answer.
你要抗爭 抗爭到底 You have to fight, you have to fight this
等一切結束后 and hold on to what your life could be
堅持繼續你的生活 when this is behind you.
我已經沒有斗志了 I don't have any fight left.
求你讓我善終吧 Call in hospice... please.
我盡力了 I gave it my best shot.
都結束了 It's over.
我再也受不了了 I can't do this anymore.
我說過不想來這 結果像死魚一樣 I told you I didn't want to come here. They filleted me
任他們宰割 如今像個 like a dead fish, and now I'm farting
十歲的拉布拉多一樣放屁 like a ten-year-old Labrador retriever.
皮特 如果貝爾醫生不做手術你會死的 Pete, if Dr. Bell hadn't operated, you would have died.
這么說是我的錯 是我沒吃對東西 So the blame's on me? I didn't eat right.
藥補不如食補 簡直一派胡言 Food as medicine. What a crock.
不是胡扯 飲食中 It's not a crock. Not having
維他命C攝入不足可能危及生命 enough vitamin C in your diet can be life-threatening.
會增加從心臟到肺部的 It can increase the pressure in the vessels
血管壓力 leading from your heart to your lungs,
導致肺動脈高血壓 causing pulmonary hypertension.
正好解釋了你的心臟壓力 And that explains the strain on your heart.
正是這個原因導致氣短 腫脹 Which caused shortness of breath, the swelling.
維他命C缺乏也解釋了為什么有瘀傷 The lack of vitamin C also explains the bruising.
我明白了 I get the gist.
你們想要我感激你們 You want the big dose of, uh, gratitude.
好 聽著 Okay, here it goes.
非常感謝 Big thanks.
妮可 拿來了 Here's the bag, Nic.
- 謝謝 - 這就是我的維生素C - Thank you. - That's my vitamin C?
怎么不是咀嚼片 What about a nice chewable tablet?
我給孩子吃的那種 The kind I gave my kids?
如果我們是對的 就能在數據上 If we're right about this, we should see a change
看到立竿見影的變化 in the numbers immediately.
我可不抱指望 I'm not holding my breath.
這么說你有孩子 So you have kids?
又一件讓人失望的事 One more disappointment.
你懷孕了 我有眼睛看得見 You're pregnant. I have eyes.
以為這樣就夠了 只要親親抱抱 You think it's gonna be all, uh, hugs and kisses
說什么 媽媽我全心全意愛你 and "I love you, Mommy, with all my heart."
告訴你 他們會長成青少年 變得叛逆 News flash: they become teenagers, and they turn on you.
然后他們下半輩子都會因為 Then they spend the rest of their lives griping
那一個沒滿足要求的生日派對而抱怨 about that one birthday party that didn't meet expectations.
看到我看見的嗎 You seeing what I'm seeing?
肺動脈壓 Pulmonary artery pressure
還是比預期高 is still higher than we'd like to see,
但已經開始下降了 but it's coming down.
感覺好多了嗎 皮特 Feeling better, Pete?
也許吧 一點點 Maybe. A little.
很好 我們就當是好評了 Okay, great. We'll take that as a rave review.
妮可在休產假 不過我們會來看你的 Nic's on maternity leave. I'll be back to check on you, though.
盡量控制你的沖動別來 Control that impulse as much as possible.
待會見 皮特 We'll see you later, Pete.
今天不像我們所期待中的那樣 Not the day we hoped for.
但這正是我們存在的意義 Eh, but the kind we live for.
不管有沒有脾氣暴躁的病人 Grumpy patient or not.
也不需要被感激 Gratitude not required.
卡羅爾 Carol.
你的新藥剛到 Your new meds have just arrived.
一天一次 用水送服 Once a day with a glass of water.
我很高興我能活著看到這一天 I'm glad I lived to see this day.
我們希望以后的日子還長 媽媽 And we hope there'll be many more, Mom.
長到下一個奇跡發生 Enough to find the next miracle.
科學致勝 Science wins.
謝謝你 奧利弗醫生 Thank you, Dr. Oliver.
給你 親愛的 Here, honey.
謝謝你 兒子 Thank you, son.
聽著 我得 先完成幾件事 Listen, I got to, um, finish up a couple of things,
但我會回來送你們出去的 好嗎 but I'll be back to walk you guys out, all right?
- 謝謝你 - 沒事 - Thank you. - Of course.
- 你好 - 晚上好 - Hey. - Evening.
我聽說了關于你媽媽的好消息 Hey, I got the good news about your mom.
我很為你高興 I'm happy for you.
非常感謝 Thank you.
醫學之神正微笑地看著我們 The medicine gods were smiling down on us.
- 是的 我喜歡那種感覺 - 我也是 - Yeah, I love when that happens. - Whew. Me, too.
順便說一下 戴薇醫生今天幫我 Hey, by the way, uh, Dr. Devi assisted me
做了一次肝移植手術 在混亂的情況下 on a liver lac today and did some very good work
完成得很好 in a messy situation.
所以 如果你不介意的話 So, you know, if you don't mind,
我想把她留在我的手術室 I'd like to keep her in my OR.
好啊 Yeah.
當然行 她是你的了 Sure, she's all yours.
- 這是個好消息 - That's good news.
謝謝 伙計 Thanks, man.
蘿絲拒絕做透析 Rose is refusing dialysis.
- 她為什么拒絕 - 我試圖說服她 - Why would she do that? - I tried to convince her
繼續抗爭 但她不聽 to keep fighting, but she won't hear me.
我想也許她會聽你的 I thought maybe she'd listen to you.
你能和她談談嗎 Will you talk to her?
那是什么 What's that?
降鉀藥 Meds to lower your potassium.
打住打住 別再吃藥了 Oh, stop, stop. No more medication.
- 蘿絲 - 我拒絕一切治療 - Rose... - I'm refusing all treatment.
別管我 Leave me alone.
我知道你要說什么 I know what you're gonna say.
別費口舌了 Don't bother.
德文說你正經歷一段艱難的日子 Devon said you're having a rough time.
艱難的日子 Rough time?
我知道什么是艱難的日子 I know about a rough time.
這是 This is...
一個人的忍耐度是有限的 There's a limit to what a person can endure,
而我到了我的極限 and I found it.
是的 我明白 Yeah, I understand.
我明白了 I get it.
我出事后 一直靠呼吸機度日 After my accident, I was on a vent.
特別絕望 非常孤獨 Hopeless. Totally alone.
我也想過死 I wanted to die, too.
但我很高興我沒有 And I'm glad I didn't.
我也不想你死 蘿絲 I don't want you to die, either, Rose.
這個透析 This dialysis...
不 我不要 不 No, I don't want it. No.
透析可能是暫時的 沒有理由不去嘗試 Dialysis may be temporary. There's no reason not to try.
誰也說不準 There's no guarantee.
這很可能行不通 It probably won't work.
希望渺茫 The odds...
且長路漫漫 so long.
我不行 我不行 I can't. I can't.
蘿絲 你可以的 Rose, you can.
你可以的 You can.
我相信你 蘿絲 I believe in you, Rose.
你是我認識的最堅強 最勇敢的人 You're the strongest, bravest person I know.
你要拼盡全力 為了最后一場戰斗 You just got to dig deep, just for that last fight.
去拼吧 Just dig.
我向你保證 蘿絲 I promise you this, Rose.
如果什么都不管用 If nothing works...
我不會讓你受苦的 I won't let you suffer.
這一幕似曾相識 * I think I've seen this film before *
我只好黯然退場 * So I'm leaving out the side door *
- 就這樣走出來吧 - 我保證 -* So step right out * -I promise.
我再也不會 * There is no amount of crying *
我們現在可以開始透析了嗎 Can we start dialysis now?
為你流淚 * I can do for you *
一直以來 * All this time *
我們步履維艱 * We always walked a very thin line *
你沒有聆聽我的傾訴 * You didn't even hear me out *
甚至沒讓我說清楚 * You didn't even hear me out *
你從未給過我半點信號 * You never gave a warning sign. *
那么 我們在多米妮可家慶祝媽媽接受靶向治療 So, how about we celebrate Mom getting targeted therapy
- 怎么樣 - 太好了 -at Dominick's? -Ah, my favorite.
兒子 你不知道我們有多為你驕傲 Son, you have no idea how proud we are of you.
對所有的病人進行手術 Operating on all those patients
還有時間照顧你媽媽 and still finding time to look after your mother.
照顧得這么好 Such good care.
這么善良 So compassionate.
你就是醫生里的 You are a shining example
光輝榜樣 of what a doctor should be.
AJ AJ...
你為米娜傷心之后 you're heartbroken over Mina.
仍平靜體面地做著你的工作 You still do your job with grace and dignity.
我真為你驕傲 I'm so proud of you.
謝謝你們 Hey, thanks, guys.
我剛意識到 You know, I just realized
在我離開之前還有一件事要做 there's one more thing I need to do before I leave.
我們在多米妮可家見 I'll meet you guys at Dominick's.
- 好嗎 - 好 -All right? -Okay.
戴薇醫生 Dr. Devi.
奧斯丁醫生 Dr. Austin.
在你再沖我吼之前 Before you yell at me again,
我知道我的靈巧度不夠 I know my dexterity wasn't up to par.
我正在努力改善自己 I'm working to change that.
好吧 這是個良好的開端 聽著 Well, that's a promising start. Listen...
對不起 我還沒說完 Excuse me, but I'm not finished.
我知道你上一個實習醫生是超人 I understand your last resident was superhuman.
很抱歉你找了我這個差勁的替代者 I'm sorry you find me a poor replacement.
我會努力工作的 I will work as hard as I can,
但毫無疑問我是個凡人 but there is no doubt I'm mortal.
你會看到我做錯事 You will witness mistakes.
罵我也無濟于事 Verbal abuse won't help.
建設性的批評能讓我做得更好 I do better with constructive criticism.
如果你不樂意 And if that doesn't work for you,
貝爾醫生愿意接替你做我的導師 Dr. Bell has offered to take your place as my mentor.
他不能帶你 Well, he can't have you.
沒錯 你在靈巧性方面需要接受批評 True, your dexterity needs a little bit of love,
但是你的決心和職業道德 but your determination and your work ethic
很令人欽佩 are quite admirable.
現在 如果可以的話 Now, if I may...
我回來道歉 I came back to apologize.
我不能指望你按我希望的方式做事 I can't expect you to do things the way I want them done
除非我花時間演示給你看 對嗎 if I don't take the time to show you, right?
所以明天早上 我要做主動脈瓣移植手術 So tomorrow morning, I have an aortic valve replacement
早上8點 at 8:00 a.m.
要機靈點 還要早來點 "Bright" and "early" are the key words.
你愿意加入我嗎 Will you join me?
我會機靈地早早地來見你的 I will see you bright and early.
很好 Good.
你這么晚還在這里 You're still here this late.
蘿絲怎么樣了 How's Rose doing?
她好多了 She's better.
她在可能會感染 但 She was brewing an infection, but, um...
她的腎臟受了傷 但她沒事 Her kidneys took a hit, but she's okay.
所以不是治療細胞的問題 So it wasn't the therapy cells?
- 不 不是 - 總算放心了 - No, it wasn't. - Ah, that's a relief.
我們都放心了 For all of us.
不過她需要做透析讓我們不太高興 Though we're not thrilled she's on dialysis.
- 我認為這是暫時的 - 又是個好兆頭 - I think it's temporary. -PHILLIP: Another good sign.
謝謝你 普拉維什 謝謝你能堅持下來 Thank you, Pravesh, for hanging in.
非常感謝 It's much appreciated.
蘿絲也是我的首要任務 Yeah. Rose is my priority, too.
馬歇爾 Marshall.
這是菲利普·邦德曼 This is Phillip Bondman,
南方生物實驗室的創始人 我們合作過 the founder of Bio South Labs, the company we partnered with
鐮狀細胞的臨床試驗 for our sickle cell clinical trial.
凱特對你有很多好話要說 Mm. Kit has great things to say about you.
請坐 Please, have a seat.
馬歇爾是查斯坦公司的董事長 Marshall is chairman of the board at Chastain.
普拉維什醫生告訴我的 Dr. Pravesh told me
你在找天使投資人 you're looking for an angel investor
以換取公司的股份 in return for a stake in the company.
凱特提議查斯坦成為天使投資人 Kit has proposed that Chastain become that angel investor,
我也贊成 and I'm interested.
我們可以馬上向南方生物實驗室注資 We could inject cash into Bio South right away,
醫院會分擔你的風險 and the hospital would share in your risk
以及分享潛在的回報 as well as the potential returns.
你了解南方生物實驗室的風險嗎 You understand the risk is real with Bio South?
這是投機性的 We are still speculative.
切斯汀急需新的收入來源 Chastain needs new sources of revenue badly.
是的 這是一項風險投資 Yes, it's a risky investment,
但如果我們想要利用風險獲取收益 but if we are going to spend our risk currency,
就要投資給向世界行善的人 it will be on someone who's looking to do good in the world.
你的產品看起來很有前途 That, and your product seems promising.
有了足夠的現金 我們相信你能做得更多 With enough cash, we believe you can do more.
這聽起來像是天賜之物 This-this sounds like a godsend.
可能是一個完美的伙伴關系 Could be a perfect partnership.
你不必這么做 你知道的 You don't have to do this, you know.
我不會違背對我妻子的諾言 I do not break promises to my wife.
我答應過要 You were promised
給你做水療 a spa day...
你就一定會得到一次水療 and you will get a spa day.
好 Okay.
我調查過 I researched.
很明顯 水療中心在他們的水里 And apparently, the spas put fruits and vegetables
放了水果和蔬菜 in their water.
這很滋潤 That's a very nice touch.
非常感謝 Thank you.
好的 All right.
好的 我們有 Okay, we have got...
深情桃色 Passionate Peach...
芭比粉色 Baby-Oh-Baby Pink...
還有極致紅色 ...and Redder than Red.
我覺得芭比粉色看起來很合適 I mean, I think Baby-Oh-Baby seems appropriate.
芭比粉色來了 Baby-Oh-Baby it is.
沒什么能吵醒我的 * Nothing's gonna wake me up *
我睡著了 你躺在我旁邊 * I'm falling asleep with you lying next to me... *
沒什么能吵醒我 * Nothing's gonna wake me up *
連雷聲都不能 * Not even the thunder... *
我告訴過你我愛你嗎 Have I told you that I love you?
不經常講 You know what, not often enough.
我愛你 Well, I love you.
我睡著了 * I'm falling asleep *
你躺在我旁邊 * With you lying next to me... *
沒有什么能吵醒我 * Nothing's gonna wake me up... *
你不能弄到皮膚上 You're not supposed to get the skin.
所以我當不了外科醫生 This is why I'm not a surgeon.
還不錯 That's not bad.
連閃電都不行 * Not even the lightning. *