《良医》前情提要 Previously on "The Good Doctor".
-嘿 停车 -丹尼 - Hey! Stop! - Danny!
答应我一件事 Just promise me.
-什么 -不要给我用阿片类药物 What? No opioids.
他让你不要用 He asked you not to do that.
他因为痛苦出现了心动过速 He's tachycardic and hypertensive
还有高血压 他会休克的 because of the pain. He's going into shock.
-他不会 他在恳求你 -他快死了 He's not. He's praying. He's dying.
原谅我 Forgive me.
我要和家人回到德州去 I need to go back to Texas with my family.
昨天的开颅手术你犯了个错 Shaun: You made an error in yesterday's craniotomy.
你缝合的时候只用了八针 You closed with only eight sutures.
可那种尺寸的伤口应该缝十针 The size of the wound required 10.
我们需要弄清楚原因 We need to figure out why.
我中风了 I've had a stroke.
是的 微中风 Yes. A small one.
格拉斯曼医生 请告诉我们下一步该怎么做 Dr. Glassman, please tell us what the next step is.
谁叫一下保安 肖恩 你越界了 Glassman: Somebody please call security. Shaun, you are out of line.
回答 Answer.
是 It's, um...
你在我的手术室里 在我的同事面前 You humiliated me in public in my operating room
当众羞辱了我 in front of my colleagues.
你知道这对我伤害有多大吗 Do you have any idea how much that hurt?
我不知道该怎么做 I don't know what to do.
你可以别再烦我了 You can just leave me alone.
我不认为你应该辞职 Park: I don't think you should resign.
因为你不需要独自抚养孩子 Because you don't have to do it all alone.
你是我每天早上愿意醒来的理由 You're the reason I wake up in the morning,
所以不管未来会发生什么 so whatever there is to figure out,
我唯一想要的就是我们能一家人一起面对 all I want in the world is for us to do it as a family.
我想作为朋友给你个提醒 I wanted to give you a heads- up as a friend.
我决定辞职了 I've decided to resign.
恭喜你们荣升爸爸妈妈 Dr. Glenn: Congratulations, Mom and Dad.
看看我们的宝贝啊 Look at what we made.
你觉得格拉斯曼医生会来吗 Do you think Dr. Glassman is coming?
这是格拉斯曼医生送来的 This is from Dr. Glassman.
他怎么知道孩子会叫史蒂夫呢 Shaun: How did he know his name would be Steve?
因为他了解你 Because he knows you.
手套 Shaun: Gloves.
请开始计时 Start the timer, please.
祝你好运了 宝儿 真是个好主意 Good luck, babe. It's a doozy.
他们每天早上都会在闹钟的响声中起床 ♪ They get up every morning from the alarm clock's warning ♪
坐8:15的车进城 ♪ Take the 8: 15 into the city ♪
上面有个哨子 ♪ There's a whistle up above ♪
人们推推搡搡 ♪And people pushing, people shoving ♪
姑娘们努力打扮的漂亮 ♪ And the girls who try to look pretty ♪
我每天都要照顾生意 ♪And I've been takin' care of business, every day ♪
照顾生意 方方面面 ♪ Takin'care of business, every way ♪
照顾生意 都是我的 ♪I've been takin' care of business, it's all mine ♪
照顾生意 加班加点 ♪ Takin'care of business and working overtime ♪
37秒 37 seconds.
干的漂亮 Good work.
是你最快的一次吧 I think that was your fastest yet.
第二快的 Second- fastest.
15分钟自由玩耍时间开始 15 minutes of independent play is starting now.
我记到小程序里 I will log it into my app.
你确定在走之前不用再 You sure you don't want to get in a few extra snuggles
多抱会了吗 before you leave?
我今早已经抱了10分钟了 Oh, I had 10 minutes of snuggles this morning.
非常好 Very nice.
我还在你手机上安装了小程序 I've also set up the app on your phone.
会提醒你什么时候 It will alert you when it's time
史蒂夫该小憩 吃奶 游戏 for Steve's nap, feeding, playtime- -
避免我忘记看你贴在冰箱上的 Just in case I miss the schedules posted on the fridge,
卫生间的还有我们卧室里的时间表 the bathroom, and in our bedroom.
对 而且我在医院上班时也可以进行追踪 Yes. And I will be able to track it while I'm at work.
史蒂夫和我没事的啦 Steve and I will be fine.
你第一天回去上班就别操心了 Just enjoy your first day back.
等我回家了 We can finish reading the latest
我们可以一起读完最新的一期 Journal of Trauma and Acute Care Surgery
《创伤与急性护理外科杂志》 when I get home.
在这之后 史蒂夫需要至少 After this, Steve should have at least
5分钟的俯卧时间 five minutes of tummy time.
昨天记录了他只有12分钟 Yesterday, he only logged 12 minutes,
这比计划中的少了3 which is three less than- -
我爱你 I love you.
替我跟大家问好 Say hi to everyone for me.
好的 我也爱你 Okay. I love you, too.
我会想你们俩的 I will miss you both.
我不知道你的奶昔里 I don't know why you need three protein powders
为什么需要三种蛋白质粉 for your smoothies.
功能不一样啊 They do different things.
她连3毫升都没喝完 She's barely taken an ounce.
那是因为蛋白粉公司想让你那么以为 That's what the protein- powder companies want you to believe.
-你抱的姿势对吗 -对啊 Are you holding her right? Yes.
她需要保持身体直立 头部得到适当的支撑 She needs to be upright with her head properly supported.
很好 搅拌均匀了吗 Good. And you mixed it enough?
跟以前一样 The same as always.
她就突然不想喝了 She's not interested again.
而且她好像无精打采的 And she seems lethargic.
我去找医生给她看看吧 I'll take her to get checked out.
呃 我也想去 Well, I'd like to come, too.
好啊 你可以帮忙拿这个 Sure. You can carry this.
早上好啊 佩雷斯今早如何 Good morning. How's Perez today?
不知道 Don't know.
都快8点了 It's almost 8: 00 a. m.
严格来说今天已经过了8个小时了 It's been"today"fora whole eight hours.
你们俩还没互发消息呢 You two haven't texted each other yet?
我们俩觉得彼此要给对方空间 We both decided we need space.
他专注于自己的康复 我还要上班 He's focused on his recovery. I've got my life here.
我绝对支持你们这个决定 I fully support that.
而且你的下一篇章今晚就要开始了 And your next chapter begins tonight.
就咱俩 喝酒 听音乐 聊聊有争议的决定 You and me. Drinks, music, questionable decisions.
你和杰罗姆终于可以做手术了 You and Jerome finally got the surgery!
你们不再形影不离了吗 You're no longer joined at the hip?
杰罗姆正痴迷于看运动纪录片 Jerome is obsessed with some docuseries
里面的运动正好又是我不太喜欢的 about one of the many sports that I don't care about.
去嘛 多久没一起出去了 Come on. It's been too long.
我一直很忙 你一直 I've been busy. You've been
闷闷不乐的 mopey.
好吧 喝酒和音乐我同意 Fine. I agree to drinks and music,
至于有争议的决定 看情况吧 but I'm definitely a"maybe"on questionable decisions.
-行吧 那到时再努努力 -好吧 Alright. We'll work up to it. Okay.
我们今晚要出去喝一杯 开始人生新篇章 We're going out tonight for drinks, starting a new chapter.
对 我们称之为 That's right. We're calling it
和好朋友一起做坏决定 Bad decisions with good friends.
我们才不要那么叫呢 We re definitely not calling it that.
要一起来吗 Wanna join?
不了谢谢 No, thank you.
爸爸墨菲 欢迎回归 Papa Murphy, welcome back.
史蒂夫的照片 Pictures of Steve.
我正要问呢 I was just about to ask.
这样 我就不用不停掏手机了 This way, I avoid the disruption of pulling out my phone.
看看这笑容啊 跟他妈一个样 Look at that smile! Just like his mom!
那张他正在拉臭 这张是 准备拉臭 He was pooping in that one. Here he is about to poop
拉臭主题系列 A theme develops.
他的眼睛跟你一样哎 肖恩 He's got your eyes, Shaun
我得去找下林医生 I need to find Dr. Lim.
你们留着吧 我给所有人都备了一份 You may keep those. I made enough for everyone.
马库斯从西班牙发来问候 Marcus sends greetings from Spain.
我还以为他去越南禅修呢 Oh, I thought he was at a meditation retreat in Vietnam.
本来是 现在他正在走圣地亚哥之路 He was, and now he's walking the Camino de Santiago.
他就开心了 How nice for him.
我少了俩外科医师 却没人肯批准再请一个新人 I'm two surgeons down with no one to approve hiring a new one.
我需要董事会任命一名临时主席 立刻马上 I need the Board to appoint an Interim President, stat.
希望不是奥布莱恩 Just as long as it's not O'Brien.
不会的 They wouldn't.
我从一位负责董事会会议的工作人员那里听说 I heard from a staffer who covers Board Meetings
他的名字在候选人名单上 that his name's on the short list.
是最不适合这个职位的候选人 Ugh. Of the worst possible candidates for the position.
早上好 史蒂夫的照片 Good morning! Pictures of Steve.
你不用拄拐了 You no longer have your cane.
嗯 PT说我好了 很高兴见到你回来 Yeah. PT said I was ready. I'm glad to have you back.
我想加入你正在跟的病例 I would like to join your case.
他真可爱 墨菲医生 欢迎回归 He's adorable, Dr. Murphy. Welcome back
肖恩 我很高兴见到你 Shaun, I'm thrilled to see you,
但我不确定作为一个新手父亲来说 but I'm not sure this is the case where you want
这个病例适不适合你 to start as a new dad.
这是个令人激动且有挑战性的手术 It is an exciting and challenging surgery.
谢谢你们这么短时间内就能过来 Thank you for coming in on such short notice.
你们好 我是肖恩·墨菲医生 Hello. I am Dr. Shaun Murphy,
主治医师 也是个男宝的父亲 attending surgeon and father of a baby boy.
他两周大 而今天是我第一天回来上班 He is two weeks old, and today is my first day back,
但这不会影响我作为你们儿子 but that will not affect my performance
医生的专业水准 as your son's doctor.
有适合杰克的心脏这是真的吗 Is it true there might be a heart for Jack?
是的 但是心脏暂时还没准备好 Yes, but the heart isn't available yet,
而且准备好后我们也韦必能拿到 and we may not get it once it is.
我们以前也经历过这种情况 We've been through this before.
心脏暂时还没准备好是什么意思 Why isn't the heart available yet?
捐赠者家人还需要点时间 Well, the donor family is still saying
进行告别 然后才会关闭生命维持系统 their goodbyes before they turn off life support.
杰克跟捐赠者心脏完全匹配 Jack is an excellent match for the donor heart,
他的最新回声显示 and his latest echo indicates
他的心肌病和整体心脏功能 that his cardiomyopathy and overall cardiac function
都变差了 所以他应该排在名单的最前面 has worsened, so he should be at the top of the list.
我只是想多做几项测试 I just want to run some additional tests
确保他其它方面都很健康 to make sure he's otherwise healthy.
这有个问题 There is a problem.
这里有一小块划伤 应该是他指甲挠的 There is a small scratch, likely from his fingernails,
已经发展成蜂窝组织炎和脓肿 which has developed cellulitis and an abscess.
如果感染扩散并发烧 If the infection spreads and he spikes a fever,
杰克就不能接受移植手术了 Jack will be ineligible for the transplant.
我们必须马上解决这个问题 We have to lance and debride it right away.
早 Morning.
这是史蒂夫 我们的儿子 现在已经两周大了 This is Steve, our son, who is now two weeks old.
史蒂夫 这就是住在走廊尽头的那个坏脾气男人 Steve, this is the grumpy man who lives down the hall
你最爱的小毯子就是他送的 and gave you your favorite blanket.
你能猜中他的名字 肖恩深感意外 Shaun was very impressed you guessed his first name.
要试试猜下中间名吗 Wanna take a stab at the middle?
艾伦 Aaron.
我一直想要叫他鲍伊 I was lobbying pretty hard for Bowie,
既然起名为什么不用 because why not name your kid after
史上最酷的人名呢 the coolest person who every lived?
但是肖恩很坚持 But...Shaun insisted.
你有时间应该过来看看他 You should come over sometime.
你们俩可以一起发出哼唧声然后做鬼脸 You two both grunt a lot and make strange faces.
我最近事情很多 所以 I've got a lot going on, so...
我们就住隔壁 你根本就没什么事 We live next door. You have nothing going on.
你只是生气 我明白 You're mad. And I get it.
但你真的打算无视肖恩 史蒂夫和我到永远吗 But are you really gonna ignore Shaun and Steve and me forever?
你是这么打算的吗 Is that the plan?
我没有无视你 I'm not ignoring you.
而且他也很好看 And he's beautiful.
恭喜了 Congratulations.
我试过了 I tried.
吃奶的时候有发绀症状吗 Any cyanosis while eating?
昨晚她的嘴唇是有那么一丝丝发蓝 Maybe a hint of bluishness on her lips last night.
我什么都没注意到 I haven't noticed anything.
但考虑到她之前的手术和特纳综合征 But given her prior surgery and the Turner syndrome,
我觉得我们还是 I thought we should
血流量变少了 The blood flow is reduced.
看起来伊伊登的主动脉狭窄 It looks like Eden's aortic stenosis
发展得比我们预期的要快 has progressed more rapidly than we were expecting.
我们能给她服用β受体阻滞剂吗 Can we put her on beta blockers?
可以试试 但是鉴于瓣膜发育不良 We can try, but given how dysplastic the valve is,
我觉得这样用处不大 I don't think it will do much good.
你可能想多做几项医学成像 但是 You'll want to get more imaging, but...
我认为伊伊登可能很快就需要再做一次手术了 Ithink Eden's gonna need another surgery- - very soon.
心脏核磁证实瓣膜严重狭窄 Cardiac MRI confirmed severe narrowing of the valve,
梗阻和左心室功能障碍 obstruction, and Ieft ventricular dysfunction.
伊伊登需要一个新的主动脉瓣 Eden needs a new aortic valve,
否则她的心脏衰竭会越来越严重 or her heart failure will get worse.
你想用机械的还是冷冻活性同种带瓣主动脉 Are you thinking mechanical or cryopreserved homograft
来代替 for the replacement?
新生儿的机械瓣膜需要建造 Mechanical valve for a neonate needs to be built,
未来需要手术 and it will require future surgeries
还要终身服用抗凝血药 plus lifetime blood thinners.
冷冻保存的瓣膜有退化的风险 Cryopreserved valves risk degeneration down the line,
但这是一个可靠的办法 but it is a solid idea,
尤其是作为主动脉瓣置换手术的一部分 especially as part of the Ross Procedure.
可能的并发症呢 Possible complications?
主动脉瓣功能不全 肺动脉狭窄 Aortic insufficiency, pulmonary stenosis.
我们需要点时间 来讨论一下各种方宰 We can take some time, discuss the different options-
做主动脉瓣置换手术 Do the Ross Procedure.
我让亚设给她做准备 I'lI have Asher get her prepped.
你是时候进场了吧 It's time to get off the sidelines.
我不知道你在说什么 I'm not sure what you're referring to.
你是打算扔球给我吗 Are you gonna throw me a ball?
你之前也管理过医院 You've run the hospital before.
再坚持几个月没有问题 You can handle a few more months.
我是可以 但我为什么要这么做呢 I can, but why would I want to?
-所以你是拒绝咯 -对 That's a no? Yes.
那就准备好迎接临时院长奥布莱恩吧 Get ready for O'Brien.
不可能 They would never.
就像是毛与巴塞尔·弗尔蒂碰面一样不可能 That's like Mao meets Basil Fawlty.
这是晦涩且过时的比喻了 Wow. That's two obscure and dated references.
他们绝对不会让奥布莱恩上的 They're never gonna move on O'Brien.
很明显 他在董事会的候选名单上 Well, apparently, he's on the Board's short list.
只要你下场 他压根没有机会 Throw your hat in the ring, he won't stand a chance.
我还是老实呆着吧 不过我会处理好的 My hat's gonna stay on my head, but I'll handle it.
好的 杰克 Jordan: Okay, Jack.
你知道自己耳朵后面有个小肿块吗 You know that little bump behind your ear?
我们得用锋利的东西戳一戳 We have to poke it with something sharp,
虽然会很痛 但这是必须的 which will hurt, but we have to do it
希望你能得到一颗新的心脏 so hopefully you can get a new heart.
抱抱熊先生来陪你咯 But Mr. Snugglepuff is here to keep you company.
亚设说墨西哥卷外卖车的菜单上加了西班牙辣香肠 Asher said the taco truck added chorizo to the menu,
好吃到爆 and it's bussin'.
找个晚上 我们应该一起点份餐吧 The next late night, we should share an order.
不是我的菜 谢谢 Not really my thing. Thanks.
确证了是片状丘疹 The sheet papoose is secure.
好 卡鲁医生 把孩子抱起来 Good. Dr. Kalu, cradle the baby.
艾伦医生 请给耳朵后部消毒 Dr. Allen, sterilize the area behind the ear.
好了 宝贝 别看 Okay, baby, don't look.
他的眼睛还没法聚集到8到12英寸 His eyes are not yet able to focus beyond 8to 12 inches.
脓肿很深 Kalu: The abscess is pretty deep.
可能需要一段时间才能痊愈 It may take a while to heal.
伤口吸液器怎么样 What about a wound vac?
我们没有那么小的 We don't have one small enough.
没关系 It's okay.
蛆虫 Maggots.
直接用抗生素不是更好吗 How are those better than just using antibiotics?
蛆虫清理坏死组织的速度更快 Maggots work faster to clear necrotic debris
它们的唾液和其他消化分泌物 on account of the antimicrobial nature
还有抗菌的特性 of their saliva and other digestive secretions.
把那些虫子放在我宝宝身上安全吗 It's safe to put those bugs on my baby?
-幼虫而已 -这些是医用蛆虫 Larvae. - These are medical maggots.
已经经过了特别消毒 They've been specially disinfected.
绝对安全 It's completely safe.
在这种情况下 就算是我儿子史蒂夫 我也会用蛆虫 I would use maggots on my son, Steve, in this situation.
虽然不太可能有这种情况 That is unlikely to happen,
但我举这样的例子是为了让你放松 but I hope the parallel puts you at ease.
那就干吧 Go ahead.
你想喝点咖啡吗 You want some coffee?
我在办公室还有一些蛋白质棒 Or I have a stash of protein bars in my office.
不用了 谢谢 I'm fine, thanks.
如果你想吃点什么 去就好了 But if you want something, go ahead.
你的家人为什么来这里 What's your family here for?
心脏移植 希望是给我们的儿子杰克的 A heart transplant, hopefully, for our son, Jack.
他多大了 How old is he?
12周 12 weeks.
我的女儿伊登11周大了 Oh. My daughter, Eden, is 11 weeks.
她现在正在做心脏手术 She's having heart surgery right now.
我会为你们祈祷的 Y'all will be in my prayers.
这是杰克的第一次手甫吗 Is this Jack's first surgery?
他还做过其他手术 He's had other procedures,
但这次是他第一次做心脏直视手术 but this would be his first open heart surgery.
还不一定呢 If it happens.
如果能做上 我建议术后使用比萘芬乳膏 When it happens, I recommend Biafine cream for post- op.
它含有一种叫做三乙醇胺的天然化合物 It contains a natural compound called trolamine.
对伊登的恢复很有帮助 It really helped with Eden's recovery.
你女儿做了几次手术 How many surgeries has your daughter had?
一次 七周的时候做的 Uh, one. At seven weeks.
伊登和我都是老手了 Eden and I are old hands.
你们都是非常坚强的女士 You're two very resilient ladies.
我是凯特·皮尔斯 这是我丈夫欧文 I'm Kate Pierce. This is my husband, Owen.
我是摩根雷·茨尼克 Morgan Reznick.
我是亚历克斯·帕克 Alex Park.
你能不能 Would you like to...
你可以的 来吧 Yeah! You can do itl Come on.
这就对了 你成功了 Oh! There you go! You got it! You got it!
你成功了 You got it!
嗨 爸爸 重回工作岗位感觉怎么样 Hi, Daddy. How is it being back at work?
我刚在一个比史蒂夫大几个月的婴儿身上放了蛆 I just applied maggots to a baby a few months older than Steve.
是史蒂夫吗 Is that Steve?
他应该去睡觉了 He is supposed to be asleep.
他的俯卧训练做得不错 Mm. He's doing well with tummy time.
你昨天说他有点落后进度 And you mentioned yesterday he was behind,
所以我想应该再加几分钟 so Ithought I'd add a few extra minutes.
不 不 No, no.
俯卧训练不应该占用他的睡眠时间 Tummy time should not be extended into his sleep window.
你没有收到应用提醒吗 Did you not get the app alert?
他7分钟前就有应该睡觉了 You are seven minutes into nap time.
没有收到 我可能错过了 Nope. I guess I missed it.
睡眠时间不足会使他过度疲劳 Delaying his nap could make him overtired
也可能影响他下一次进食 or delay his next feeding.
时间安排很重要 The schedule is very important.
我知道了 肖恩 只是几分钟而已 I know, Shaun, I know. It's just a few extra minutes.
八分钟了 这可不算少 都好久了 Eight minutes. That is not a few. It is several.
我该让史蒂夫躺下来了 Uh, I should go put Steve down.
再见 Bye- bye.
好吧 Okay.
我们不得不中止手术 We had to abort the procedure.
伊登其中一个双尖肺动脉瓣 Eden has a bicuspid pulmonary valve.
与主动脉之间的组织连接太少了 There wasn't enough tissue to attach it to the aorta.
我们还观察到瓣膜有泄露 And we observed leaking at the valve.
她心脏衰竭的速度比我们想象的还要快 Her heart is failing even faster than we thought.
很抱歉 I'm so sorry.
我们下一步怎么办 What's our next move?
蛆虫起作用了 Oh. The maggots worked!
杰克宝宝的感染已经清除 Baby Jack's infection has cleared,
心脏已经在来的路上了 and the heart is on its way here.
伊登有两个瓣膜有病变 Eden has two bad valves
并且心力衰竭在快速恶化 and rapidly progressing heart failure.
我们只有一颗供移植的心脏 但有两个婴儿都需要 We have one donor heart and two babies who need it.
我们来决定哪个宝宝能得到这颗心脏 It's up to us to decide which baby gets this heart.
杰克已经等了三个月了 Jack has been waiting for three months.
移植手术是他唯一的选择 A transplant is his only option.
他可以用心室辅助器 直到找到合适的心脏 He could go on a VA. D. until another heart is available.
那可能需要几个月的时间 Kalu: That could take months.
心室辅助器不适合杰克 因为 And a V. A. D. isn't a good option for Jack because of the
摩根 摩根 Morgan. Morgan.
你不能进来 你们两个都不行 You can't be here. Neither of you.
我哪也不去 I can't be anywhere else,
要么你找人给我打镇静剂 要么 so either someone should sedate me or...
也不是不行 Well, that can be arranged.
我和帕克待在这并不是什么问题 It's only a problem that Park and I are here
除非干扰了你们的决定 你们自己做决定就好 if we influence your decision, so don't let us.
我什么也不会说的 I won't say a word.
卡鲁医生 Dr. Kalu?
至于杰克的心室辅助器 他体重过轻 as far as the V. A. D. for Jack, he's underweight,
所以并发症的风险很高 so a high risk of complications,
还可能感染 出血 中风 infections, bleeding, stroke.
这对伊登来说也不是一个好办法 It's not a great option for Eden, either.
我们等机械替代瓣膜的时候 伊登可以 Eden can go on ECMO while we're waiting
先用体外膜肺氧合 for mechanical replacement valves.
体外膜肺氧合是有风险的 尤其是对患有特纳综合征的婴儿 ECMO has risks, especially for a baby with Turner syndrome.
持续的时间越长 并发重症的 And the longer she's on it, the greater the risk
风险就越大 of serious complications.
可能等不及瓣膜来了 The valves may not get here in time.
不说两句吗 墨菲医生 Care to weigh in, Dr. Murphy?
基于体型和血型 杰克和伊登 Jack and Eden are equally good matches to the donor heart
与捐赠的心脏都配型成功了 based on size and blood type.
还有别的吗 Anything else?
直说吧 肖恩 It's okay, Shaun.
没有了这颗心 Without this heart
杰克就会天折 Jack will die.
伊登没有这颗心 也可能死亡 Eden may also die without it.
但她还有别的选择 But she has other options.
虽然有风险的 但仍然有选择 They are risky, but they are options.
那颗心应该给杰克 Jack should get the heart.
今晚我们就给伊登做体外膜肺氧合 We'll put Eden on ECMO tonight.
我会联系艾伯特 And Ill contact Abbott
尽快拿到1毫米瓣膜 about getting the 15- millimeter valves ASAP.
嘿 很抱歉 我们今晚改约好吗 Hey. I'm sorry. Can we rain- check tonight?
我累坏了 杰罗姆答应过 I'm exhausted, and Jerome promised
我们一起看一部精彩的犯罪电影 that we could watch a nice crime procedural.
有时候忙了一周需要好好放松 Sometimes you need a case of the week.
是的 Yeah.
我最喜欢的 Mmm! My favorite!
一份切达牛腩加淡酱 One cheddar brisket with mild sauce
这样小史蒂夫下次吃饭才不尝不出辣味 so little Steve's next meal doesn't burn his mouth.
你真是救苦救难 我饿死了 You are a treasure. I am starving.
谢谢 Thank you.
可怜的伊登 不得不做体外膜肺氧合了 Poor Eden, having to go on ECMO.
还有可怜的摩根和帕克 And poor Morgan and Park.
已经耗一天了 It's...been a day.
佩雷斯不在 你还好吗 And how are you holding up? Without Perez?
在家里或工作中发生的每件事 Everything that happens, at home or at work,
我都想第一个告诉他 he's the first person I want to tell.
而我不能 And I can't.
或者我不应该 Or I shouldn't.
我真的很想念他 I really miss him.
你可以都告诉我啊 You can tell me everything.
如果太过专业 我可能听不懂 If it's too surgical, I may not understand it,
但我会频频点头 表现出感兴趣的样子 but I am excellent at nodding and acting interested.
我会一直在你身边 亚设也是 I'm here for you. So is Asher.
到底怎么了 跟我说嘛 What's going on? Tell me.
但婴儿不会去传八卦 Babies are terrible at gossip.
亚设和我本来约今晚出去玩的 Asher and I were supposed to hang out tonight,
就我们两个人 just the two of us.
你得去看看他吗 Do you need to check on him?
不 如果他看到我 那就不肯撒手了 No. If he smells me, I'll never get out of there.
他会平静下来的 He'll settle back down.
所以你和亚设计划 So you and Asher had plans
他放我鸽子 为了杰罗姆 He blew me off for Jerome- -
因为他为了伊登劳心劳力了一天 这我理解 because he had a hard day on Eden's case, which I get,
但我今天也很辛苦 but I had a hard day, too.
史蒂夫真闹了 Steve's not settling.
他不着急 你今天很辛苦吗 Well, he can wait a minute. You had a hard day, too?
好像每个人都有需要自己的人 除了 It- - It just seems like everybody has someone except- -
去吧 Go.
抱歉 我马上就回来 I am so sorry. I- I will be right back.
我发誓 I swear.
你本可以不用这么做的 肖恩 You didn't have to do this, Shaun.
我比这医院里的任何人都更严谨 I am more thorough than anyone else in this hospital.
体外膜肺氧合开始 Starting ECMO.
我刚收到董事会成员盖尔的一封电子邮件 Lim: I just got an e- mail from Gail on the Board.
我怎么突然成了临时主席的头号候选人 I'm suddenly a top candidate for Interim President?
不客气 You're welcome.
我不想要那个位子 I don't want that job.
试试看呗 你总比奥布莱恩强 It's bet better you than O'Brien.
你是个好经理 You're a good manager, you're- -
你很受人尊重 you're well- respected,
而且 你是个多元化的女性 and, you know, as a diverse woman
人性不是多元化的 People aren't diverse.
我只是属于一个未被充分看见的群体 I'm part of an underrepresented group.
好吧 那就去做一个完美的候选人 Right. That. Makes you an ideal candidate.
看 盖尔喜欢这个主意 Look. Gail loved the idea.
-我恨你 -不客气 I hate you. You re welcome.
很高兴见到你 史蒂夫 Shaun: I am glad to see you, Steve,
但你应该睡着的 but you are not supposed to be awake.
我在他午睡的时候打了个瞌睡 Yeah, I- I fell asleep during his afternoon nap.
我们直到4:30才醒来 We didn't wake up until 4: 30.
你得设个闹钟 时间安排很重要 You need to set an alarm. The schedule is very important.
我知道 我知道 I know. I know.
明天我要在一个12周大的婴儿 Tomorrow I am doing a heart transplant
身上做心脏移植手术 on a 12- week- old baby.
好吧 你需要睡眠 Okay. You need sleep.
的确如此 Yes, I do.
去睡觉吧 今晚我来应付史蒂夫 Go to bed. I'll handle Steve tonight.
这么吵我怎么睡 I- I don't think I can.
没事的 那你的降噪耳机呢 Shh, it's okay. What about your noise- canceling headphones?
我习惯侧身入睡 我戴耳机没法睡 I fall asleep on my side. I cannot do that in those.
不如你去格拉斯曼家过夜 Maybe you could go spend the night at Glassman's?
不 No.
你的办公室呢 你能睡在那里吗 What about your office? Can you sleep there?
心肌病 心力衰竭
诊断 主动脉瓣狭窄 特纳综合征
我们可以用一颗心救两个宝宝 We can save them both with one heart.
这叫做多米诺骨牌移植 杰克的心脏正在衰竭 It's called a Domino Transplant. Jack's heart is failing,
但他的瓣膜是健康的 but his valves are healthy,
所以在杰克接受心脏移植后 so when Jack receives the donor heart,
我们将用他的瓣膜替换伊登受损的瓣膜 we will use his valves to replace Eden's damaged ones.
一个鲜活的同型移植供体意味着伊登不需要进行 A fresh homograft donor means Eden won't need
多次手术或血液稀释剂 multiple surgeries or blood thinners.
一颗心可以救两个孩子 One heart could save both babies.
瓣膜衰竭的几率有多大 What are the chances of valve failure?
很小的 杰克的瓣膜功能很好 Minimal. Jack's valves are very functional
尽管他有心肌病 despite his cardiomyopathy.
成功的几率很高 The odds of success are high.
这是我们最好的选择 对伊登来说 It's the best option we have- for Eden.
那杰克呢 And for Jack?
在取出他的心脏时 我们必须非常小心 We would have to be very careful while removing his heart
以免损坏他的瓣膜 so as not to damage his valves.
这就意味着需要花更多的时间做分流术上 That would mean more time on bypass,
这意味着出血或感染的风险更大 which means a greater risk of bleeding or infection
这是个很难开口的要求 It's a lot to ask.
他们有拒绝的权力 They can always say no.
你觉得呢 What would you say?
你已经24小时没吃东西了 You haven't eaten anything in 24 hours.
我没事 I'm fine.
不管他们怎么决定 我们都会挺过去的 No matter what they decide, we'll get through this.
别 Don't.
什么 别让你宽心吗 What, try to help?
是的 没错 没什么意义 也很烦人 Yes, exactly. It's pointless and annoying.
我知道你还没把伊登也视作我的女儿 You know, I get that you don't think of Eden as mine yet
所以你在她做任何医疗决定时 and that's why you haven't included me
都没让我参与 in any of her medical decisions.
不是说我需要那个 Not that I need that
或者说我不同意你的任何选择 or disagree with any of your choices- -
你这样惹我生气又是为了分散我的注意力吗 Is pissing me off another attempt to distract me?
我不是想找茬 I'm not trying to pick a fight.
我只是想让你知道 我爱那个女孩 I just want you to know that I love that girl
我对她视为己出 而且 like she's my own, and...
我和你一样害怕 I'm as scared as you are.
我希望你能让我帮你 因为 And I wish you'd let me help you because...
我们可以同舟共济 we're in this together.
仅此而已 That's it.
我真的不想看到你晕过去 And I really don't want you to pass out,
所以请吃点东西 或者至少喝点什么 so please eat or drink something.
如果我们的孩子能救你孩子的命 我们不胜荣幸 If our baby can save your baby's life, we'd be honored.
我会永远爱你 "I'll love you forever,
我会永远喜欢你 I'll like you for always.
只要我还活着 你就是我的宝贝 As long as I'm living, my baby you'll be. "
天啊 真是催人泪下 Oh, my God. What a tear- jerker.
我们得找一本爸爸的医学杂志看 We need to find one of Daddy's medical journals.
提醒 Reminder- -
五分钟后小睡 nap time in five minutes.
怎么取消音箱婴儿应用程序的同步播报啊 How do I un- sync the baby app from our speaker?
哦 不 你不应该取消 Oh, no. You should not do that.
我设置这个是为了让你记住日程安排 I set it up so you can remember the schedule.
当白天只有我和史蒂夫在家的时候 When it's just me and Steve home during the day,
我喜欢更 I like to be a little bit more.
灵活一点 随机应变 flexible, go with the flow.
我 我把插头拔掉好了 I'll just I'll just unplug it.
它有内置电池 以防停电 It has a battery in case of power outages.
莉亚 当我工作的时候 Lea, when I'm at work,
我喜欢知道你和史蒂夫在做什么 I like knowing what you and Steve are doing.
这会让我觉得我仍然是他生活的一部分 It makes me feel like I am still a part of his day.
如果史蒂夫不用作息时间表休息的话 And when Steve gets off his sleep schedule,
我就得去医院睡觉了 I have to go sleep at the hospital,
我就会更想你们俩了 and I miss you both even more.
哦 我们也想你 你睡得怎么样 Aw, we missed you, too. How did you sleep?
不很好 但我想到了一个很好的办法 Not well. But I came up with a very good idea
来救两个孩子 to save both babies.
我得去准备手术了 我爱你 I have to go prep for my surgery now. I love you.
林医生 我们有个会议要讨论 Dr. Lim, we have a meeting to review- -
等一下 肖恩 One minute, Shaun.
盖尔 当然 多样性和代表性 Gail, of course, diversity and representation
也应该考虑在内 但鉴于这是 should be considered, but given this is
一个临时职位 我认为最重要的是 an interim position, I think the top priority is
找到一个从第一天起就能立刻开始工作的人 finding someone who can hit the ground running from day one.
所以我们要找有过相关工作经验的人 And that means someone who's done it before.
他太谦虚了 不会自吹自擂 He's too modest to sing his own praises,
但我认为他是最合适的人选 but I think he's the obvious choice.
非常令人信服的论点 谢谢 Hmm. Compelling argument. Thank you.
老年人也是一个代表性不足的群体 And seniors are also an underrepresented group.
墨菲医生和我将在一号手术室从杰克开始 Lim: Dr. Murphy and I will start with Jack in OR 1
亚设 你在隔壁和伊登一起帮她准备 Asher, you'll be with Eden next door getting her ready.
艾伦和卡鲁 你们俩将接受捐赠的心脏 Allen and Kalu you two will receive the donor heart
并为移植做准备 and prep it for transplant.
然后我和林医生会给杰克做分流术 Then Dr. Lim and I will put Jack on bypass
并把他核心体温降温到25度 and start cooling him to 25 degrees.
考虑到他的年龄和潜在的健康状况 Given his age and underlying medical condition,
他的分流术时间不应该超过两个小时 he should not be on bypass for longer than two hours.
植入杰克的新心脏大约需要90分钟 Putting in Jack s new heart will take about 90 minutes.
这样我们就有半个小时的时间来移除旧的那个 That leaves us half an hour to remove the old one.
肖恩在移植新心脏的时候 While Shaun is transplanting the new heart,
我来切除杰克的瓣膜 I will be excising Jack's valves.
我们没有一丁点犯错的余地 We have zero room for error.
让你们的病人做好术前准备 Prep your patients.
真是人兴奋的病例 Jordan: Exciting case.
我们要同时救两个孩子 你就说个对 We're saving two babies at once, and your commentary is"yep"?
我是在同意你的看法 尽量少说话 I was agreeing with you. With as few words as possible,
你过去两周一直在少说话 which you've been doing for the last two weeks.
如果你对我有意见 就直说 If you have a problem with me, just tell me.
好吧 好吧 Okay. Okay
我对你和你处理佩雷斯那个病例的方式有意见 I have a problem with you and how you handled Perez's case.
-那是真的蠢 -是你让我直说的 That's completely stupid. You just said I should tell you.
我又没说你说了我就会同意你的看法 I didn't say I would agree with you.
你无视病人的意愿 You overrode our patient's wishes,
-佩雷斯因此离开了 -佩雷斯因此活了下来 and Perez is gone because of it. Perez is alive because of it.
你不知道如果你听了他的话会发生什么 You don't know what would have happened if you'd listened to him.
你做了你认为最好的决定 You made the decision you thought was best.
不管别人想要的是什么 Didn't matter what anyone else wanted.
我很抱歉 但你无权这么做 I'm sorry, but you don't get to do that
却不承担相应的后果 and not deal with the consequences.
什么相应的后果 The consequences?
我失去了一个我很在乎的人 I lost someone I care about a lot,
我每天都在想他 and I miss him every day.
我真的很努力地在把注意力集中在我生活中的美好事物上 I'm really trying hard to focus on the good things in my life,
我热爱的工作 the job I love,
我以为我拥有的朋友 the friends I thought I had
但感觉每个人都在向前看 留我孤身一人 But it feels like everyone is moving on, and I'm just alone.
所以你可以不用担心怎么惩罚我了 Spare yourself the burden of punishing me.
把她术前准备做好 盖好 然后麻醉 Lim: Get her prepped, draped, and under anesthesia.
希望30分钟后见 I'lI see you in 30 minutes, hopefully.
我有一套备用的 I had an extra set.
你不必是天主教徒 You don't have to be Catholic.
这只是为了提醒你 你并不孤单 They can just be a reminder that you're not alone.
谢谢 Thank you.
有很多疤痕组织需要剖开 Shaun: There is a lot of scar tissue to dissect through.
心肌病导致杰克的心脏增大 The cardiomyopathy has caused Jack's heart to enlarge
并粘连在胸壁上 and adhere to his chest wall.
为了保住瓣膜 This will take longer than planned
我们需要花费比计划更长的时间 in order to preserve the valves.
我们检查了二尖瓣 Kalu: We inspected the mitral valve.
房间隔完好无损 心脏看起来不错 The atrial septum is intact. The heart looks good.
艾伦医生 连接肺静脉 Dr. Allen, connect the pulmonary veins
准备左心房套囊 to prep the left atrial cuff.
卡鲁医生 你和我们一起 Dr. Kalu, you're with us.
好 增加流量 冷却至25度 Okay. Increase flows and cool to 25 degrees.
开始计时 Start the clock.
加油 小花生 Come on, Peanut.
我们随机应变了 但现在是午睡时间 We went with the flow, but now it's nap time.
来吧 安稳点 Come on. Settle.
我们差一点就成功了 小花生 Ohh! We were so close, Peanut.
我需要切开主动脉 Shaun: I need to transect the aorta,
但是主动脉和瓣膜相连的地方有很厚的粘连 but there are thick adhesions where it meets the valve.
你现在只有1小时14分钟来植入新心脏 You now only have an hour and 14 minutes to put the new heart in.
环就在我解剖刀尖 The annulus is at the tip of my dissection.
如果我划伤它 主动脉瓣就没用了 If I nick that, the aortic valve is useless.
前缩 我们没时间了 Anterior retraction. We're running out of time.
杰克的移植手术有很大风险 Jack's transplant is at serious risk.
梅斯 Metz.
墨菲医生 你得中止手术 Dr. Murphy, you need to abort this procedure.
肖恩 伊登仍然可以选择体外膜肺 Shaun, ECMO is still an option for Eden.
-你需要中止 -搞定了 You need to abort- - Got it!
瓣膜完好 The valves are good.
准备好接受捐献的心脏了 Ready for the donor heart.
-她怎么样了 -准备好了 - How is she? - Ready to go.
生命体征很好 Nurse Hawks: Vitals are great.
打开她的胸腔 在我恢复瓣膜的同时 Open her chest and start her on bypass
给她做分流术 while I recover the valves.
手术刀 瓣膜看起来怎么样 Ashen Scalpel. How do the valves look?
比我们在成像上测到的要大一点 A little bigger than we measured on imaging.
这使得吻合很困难 Makes the anastomosis challenging.
但是能正常工作吧 But it can still work?
必须能 It has to.
五分钟后开始喂孩子 Feeding time starting in five minutes.
位置不太好 Lim: It's not seating perfectly.
让我们试试荷包缝合 Let's try a purse string suture.
7-0血管缝合线 Asher: 7-0 Prolene.
搞定 生理盐水 Got it. Saline.
主动脉瓣旁有泄漏 There's a paravalvular leak at the aortic.
要不换个缝合线 How about pledgeted sutures?
这么小的婴儿 这可能会导致血管狭窄 In an infant this small, that could cause stenosis.
我们再试一次 We try again.
7-0血管缝合线 7-0 Prolene.
已经差不多两个半小时了 Jordan: It's been almost two and a half hours.
我们得让他断开体外循环 We need to get him off bypass.
主动脉吻合完全 The aortic anastomosis is complete.
松开主动脉 开始恢复体温 Unclamp the aorta and start rewarming.
现在怎么办 Kalu: Now what?
等 祈祷他的心脏能开始跳动 We wait...and hope his heart starts beating.
都快三个小时了 你觉得是出什么事儿了吗 It's been almost three hours. Do you think something's wrong?
缝合线撑住了 Asher: The sutures are holding.
现在这个小东西只需要跳起来 Lim: Now the little thing just has to beat.
开始给她升温 减少流量 Start warming her up. Decrease the flows.
我们需要电击 Shaun: We need to shock him.
离手 Clear!
再来 Again.
手术很成功 The surgeries were successful.
你俩的孩子都很好 Both your babies are doing very well,
你们很快就能见到他们了 and you can see them soon.
谢谢 Thank you.
你救了我们的女儿 You saved our daughter.
不客气 You are welcome.
我想我的孩子了 我现在要回家了 I miss my baby. I'm going home now.
好吧 我先去洗个澡 Alright. Let me just jump in the shower.
然后我们就走吧 And then I'm good to go.
回家找你男人去吧 Go home to your man.
没关系 It's okay.
谢谢你 明天好吗 Bless you. Tomorrow?
你是对的 这个辣香肠真是 You're right. This chorizo is...
你说它什么 What'd you call it?
好吃到爆 Bussin'.
对 绝对好吃到爆 Right. Definitely bussin'.
我想我们可以一起吃 I thought we could share an order.
告诉我你没忘拿辣酱 Tell me you didn't forget the hot sauce.
你好 Hello. Hm
史蒂夫为什么醒着 Why is Steve awake?
你看起来很糟糕 You look terrible.
谢谢你了 Thank you.
史蒂夫吃过饭 打过嗝 换过尿片 Steve has been fed, burped, changed,
然后被音箱提醒从偶然的小睡中唤醒 and woken from his haphazard nap by a speaker reminder.
伊登怎么样了 How's Eden?
很好 杰克的移植手术很成功 Very good. And Jack's transplant was successful.
为人父母是很难的 Parenting can be very hard.
是啊 我发现了 Yeah. I've noticed.
关于什么效果最好 There are many hard choices
有很多艰难的选择 about what works best.
大家有不一样的需求 People want different things.
我会尽量 I will try to
给你多留点空间 ...make room for your way.
日程安排很重要 The schedule is important,
但我会取消应用程序和音箱同步 but I will un- sync the app from the speaker.
我把它丢在外面的消防通道上了 I put it out on the fire escape.
谢谢 Thank you.
我真的很感激 I really appreciate it.
但我现在唯一需要的空间是卧室 But the only room I need right now is the bedroom.
好吧 晚安 Okay. Good night.
我要借你的降噪耳机一用 I'm borrowing your noise- canceling headphones.
我爱你们俩 I love you both.
你在开玩笑吗 你推荐了我 Are you kidding me? You recommended me? !
我只是在以你为榜样 I was just following your example.
看到了吗 你就是天生的领导者 See? You're a natural leader.
我老了 我累坏了 而且我老了 I'm old. I'm worn out and I'm old.
-你这叫明智 -我还记得用转盘电话的日子 You're wise. I remember rotary phones.
你很重要 你有经验 You're vital. You're experienced.
你是医院里最受尊敬的医生 You're the most respected doctor in this hospital.
亚伦 你有专业知识还有 Aaron, you have institutional knowledge
一种天生的 无法解释的庄重 and a- - and a natural, unexplainable gravitas.
你能不能别犯傻了 赶紧接受这份工作 Will you please stop being an idiot and just take the job?
不要再这么自私和固执 Stop being selfish and stubborn.
我怎么自私了 我 How am I being selfish? Im-
你们都在呢 那我就省得多找一站了 Oh, you're together. That saves me a stop.
你们的推荐使委员会面临 Your recommendations presented the Board
一个非常困难的选择 with a very difficult choice.
所以我们没有 So we didn't-
选 choose.
你们俩现在是圣博纳文蒂尔医院的 You two are the new Interim Co- Presidents
新临时联合院长 of St. Bonaventure Hospital.
恭喜 Congratulations!
日程表不是这样的 史蒂夫 This is not the schedule, Steve.
妈妈需要睡觉 爸爸需要睡觉 Mommy needs to sleep. Daddy needs to sleep.
你需要睡觉 You need to sleep.
好吗 Please?
求你了 我们都很累 Please. We are both very tired.
我不知道该怎么办 I don't know what to do.
我不能进去哄 因为莉亚需要睡觉 I can't go inside because Lea needs to sleep.
我以前总能把他哄睡 I've always been able to get him down before.
有时候婴儿就是需要哭一哭 Sometimes babies just need to cry.
我来吧 why don't I take him?
你去睡一觉 Get some sleep.
没关系 好好休息一下 It's okay. Just get some rest.
我就小睡一会儿 I will just take a short nap.
你想休息多久就休息多久 Take as long as you need.
有我呢 Hey. I got you.
有我呢 有我呢 I got you. Huh. I got you.
我是爷爷 I'm Grandpa...
如果你不知道我是谁的话 in case you were wondering.