「住院医师」前情回顾 Previously on The Resident...
沃斯医生 如果你愿意 Dr. Voss, the CEO job
首席执行官的职位就是你的了 is yours if you want it.
你对我的评价太对了 You're damn right I do.
没人有能力做双手移植手术 No one has the skill set for a double hand replacement.
我也许能找到合适人选 I might have someone.
杰克·王医生 Dr. Jake Wong,
我的前继子 my former stepson.
查斯汀医院希望你正式留在这里 Chastain wants you here permanently.
你觉得怎么样 What do you say?
我很期待 I'll be looking forward
再次与你合作 沃斯医生 to working with you again, Dr. Voss.
我的O1签证过期了 My O-1 visa is expiring,
所以提早申请了续签 and so I applied way in advance.
昨天我发现申请被拒绝了 Yesterday, I found out it was denied.
凯恩是倒下了 但他绝对清醒 Cain may be down, but he's definitely not out.
他不能待在这里 会被送到哪里 Can't stay here. Where is he being taken?
只有一个选择 There's only one option.
你醒了 Hey, you're up.
你听到了吗 You hear that?
我什么也没听到 I don't hear anything.
没错 Exactly.
寂静 Silence.
等我们的孩子出生 就跟这寂静说拜拜吧 Once our baby comes, you can kiss that goodbye.
我想我们能应付她给我们的所有难题 I think we can handle whatever she throws at us.
当然 但是 Yeah, sure. But you know...
喂奶 哭闹 换尿布 feedings, crying, diapers--
那只是开始 that's just the beginning.
我在儿科轮过两次班 I did two rotations in Peds.
那你需要应付做噩梦吗 Oh, did you have to deal with nightmares?
「妈妈 爸爸 我能跟你们睡一起吗」 "Oh, Mom, Dad, can I come sleep in the bed with you?"
然后突然之间 她就成了少女 Then, suddenly, she's a teenager
出去和朋友玩 直到凌晨一点才回来 and she's out with her friends till 1:00 in the morning
而你却睡不着 因为你的心跳得厉害 and you can't sleep because your heart's pounding so hard.
我没想到那些 I didn't think about that.
我只是想说我们最好 All I'm saying is let's just
趁着现在好好享受宁静 enjoy the peace while it lasts.
严格来说 你还是个恢复期的病人 Technically, you are a recovering patient.
或许今天我该待在家里陪你 Maybe I should stay home with you today.
去吧 Go.
-喂 -霍金斯 - Hello? - Hawkins.
太好了 你接了电话 Man, I'm glad you picked up.
队长 我们周五的喝酒计划不变吧 Hey, Captain, we still on for drinks on Friday?
那看情况了 Well, that depends.
你还和搜救队合作 对吧 You still work with Search and Rescue, right?
对 怎么了 Yeah. What's wrong?
我想玩玩徒手攀岩 Decided to do some free-climbing.
这么说吧 结果不尽如人意 Let's just say it didn't go my way.
你的受伤情况如何了 Okay, what are we looking at in terms of injuries?
还记得罗德理兹受的弹片伤吗 在实战 Remember the shrapnel injury that Rodriguez took during the live...
实战射击练习的时候 live fire exercise?
-这么严重吗 -比那更糟 - That bad? - It's worse.
我想着你能让搜救队来找我 I figured that you could, uh, get SAR moving
因为你认识他们 'cause you know 'em personally.
我联系了搜救队 Well, I called Search and Rescue.
他们在定位他手机电池耗尽前的最后位置 They're trying to track his cell signal before his battery dies.
帮他止住了血 但听上去 Helped him stem the bleeding, but it sounds like
他需要做手术 he's gonna need an OR.
这家伙是谁 And who is this guy?
希尔队长 This is Captain Hill,
我在阿富汗的指挥官 my commanding officer in Afghanistan.
你跟我讲过的所有故事中 Of all of the stories you've ever told me,
从没提到过希尔 you never mentioned a Hill.
我知道 我跟他好多年没说过话了 I know. I haven't spoken to him in years.
几周前 他打给了我 A few weeks ago, he calls me,
说想聊聊 says he wants to talk.
你有什么没告诉我 What aren't you telling me?
我保证之后会告诉你更多 I promise I'll tell you more later.
相信我 好吗 Just trust me, please?
好 Okay.
我爱你 I love you.
他呼吸急促了 He's in respiratory distress!
好了 这也许会有点不舒服 All right, this may be uncomfortable.
让我呼吸 Let me breathe!
他 他在呼吸了 He's-he's breathing.
原创翻译 双语字幕
最新连载海外影视剧下载 翻译·时间轴招募 yysubs.com 仅供交流学习 禁止商用盈利
翻 译 苏葵 无序脚印 PolarisYy
翻 译 焦原 witbat 东北克拉克
住 院 医 师 第四季 第七集
翻 译 朱朱i猫咪 小女孩jojo
校 对 夕橙
希尔的手机信号显示他在这附近方圆一百米内 Hill's cell signal puts him within 100 meters from this point here.
时间轴 知之 三水
这里是山区 所以我们分头行动 It's hilly terrain, so we split up,
每人负责一块区域 each cover a different sector.
后 期 斯人
在风暴来袭前救出希尔 Get Hill out before the storm hits.
接下去几小时很关键 Next few hours are critical.
总 监 夕橙
搜救队
给 Here you go.
四倍加浓 加倍少奶 Four shots, extra dry cap.
没有甜味剂 No sweetener.
这不是我期待的反应 Not the reaction I was expecting.
因为你还在担心你的移民状态 Because you're still thinking about your immigration status.
我的律师还没来电话 My lawyer hasn't called yet.
她会的 好吗 你就耐心点 She will. All right? Just... just be patient.
耐心是说给幼儿园老师听的 Patience is for kindergarten teachers.
他们已经拒绝了我的签证续签 They already denied my visa renewal,
所以这次申诉是我最后的机会 so this self-petition is my last shot.
知道吗 要是有一个 You know, if only there were a...
今天有个一辈子只能遇见一次的手术 a once-in-a-lifetime surgery happening today
让你不去想这些事就好了 to take your mind off things.
或许是 我说不好 Maybe something like, I don't know...
一台四重心脏瓣膜置换术 a quadruple heart valve replacement?
全世界只有二十位外科医生做过 One only done by 20 surgeons in the entire world
现在我们就要做了 and now us.
我整周都在想着那四十下缝合 I have been dreaming of those 40 sutures for weeks.
我知道 Oh, I know.
昨晚睡梦中你都在咕哝着瓣膜 Last night you muttered the valves in your sleep:
主动脉瓣 肺动脉瓣 三尖瓣 aortic, pulmonary, tricuspid...
我没有 I did not.
有吗 Did I?
威廉姆斯女士 我是普瓦什医生 Ms. Williams, I'm Dr. Pravesh.
我看这里写着你因镰刀型细胞贫血病 I see that you're experiencing some hip pain
感到髋部疼痛 from sickle cell.
就像我和你们的护士说的 Like I told your nurse,
我需要盐酸氢吗啡酮 静脉注射两毫克 I need Dilaudid. Two milligrams IV.
只有那个有用 It's the only thing that helps.
我看到你 I see that you've been
在过去几个月中去过五家急诊 to five different ERs in the past few months.
每次都静脉注射了止痛药 IV opiates each time.
我不是骗药的 I'm not drug seeking.
你知道镰状细胞危象是什么吗 医生 Do you know what a sickle cell crisis is, Doctor?
你的红细胞扭曲变形了 Your red blood cells become misshapen,
成了镰刀状而不是球状 like a sickle, not a sphere,
会阻碍器官和骨骼的供血 and it blocks blood flow to your organs and bones.
对 你知道病理 Yes, you know the science.
但你知道它是什么感觉吗 But do you know how it feels?
尖锐的刺痛 在我的背部 Sharp, stabbing pain in my back,
我的肩膀 甚至我的颧骨 my shoulders, even my cheekbones.
当疼痛发作的时候 那种极度的痛 And when they come on, they're more excruciating
你是无法理解的 than you can understand.
威廉姆斯女士 那不是为什么我不 Ms. Williams, that is not why I'm not...
我不想来这 I don't want to be here.
如果你不准备帮我 那 And if you're not going to help me, then...
也许我该离开 maybe I should leave.
刚才你动那一小下就疼吗 Did that little movement hurt you?
再跟我多说说你的疼痛 Tell me more about your pain.
我的髋部就像是火烧一样 My hip feels like it's on fire,
就算我不动也疼 even when I'm still.
和我平常的危象痛不同 It's not like my usual crisis pain.
而我一动 And when I move...
痛得就好像 it tears through me,
我的血管里有碎玻璃划过一样 like shards of glass in my veins.
来 Here.
停停停停 Stop. Stop, stop, stop.
好 这样吧 Okay. Tell you what.
我会把你所需的给你 I will give you what you need...
如果你让我拍一张你髋部的X光 if you let me take an X-ray of that hip,
然后搞清楚到底是怎么回事的话 and figure out what's going on.
成交吗 Deal?
希尔队长 Captain Hill!
找到他了 Found him.
我们在多点溪西北一百米处 We're a hundred meters northwest of Many Point Creek.
收到 Roger that.
坚持住 队长 Hang in there, Captain.
让我们看看情况 好吗 Let's have a look, shall we?
很深的腹部伤口 Ah, deep gash through the abdomen.
看来穿过腹膜了 Looks like it's gone through the peritoneum.
你们还有多远 How far out are you?
十分钟 Ten mikes.
来不及了是吗 That's not soon enough, is it?
你体内在出血 You're bleeding internally,
流入了你的腹部 很可能也流入了胸腔 into your abdomen and likely into your chest.
我要死在这了 I'm gonna die out here.
有我在不会的 队长 Well, not on my watch, Cap.
我们得给你争取些时间 We need to buy you some more time.
完全不知道你在弄什么 No idea what you're making there,
但我猜会很疼对不对 but am I correct in guessing that it's really gonna hurt?
对 恐怕是的 Yeah, afraid so.
这是我在培训时学到的一个老办法 This is an old trick I learned back in training.
-你受得了的 -对 - You can handle it. - Yeah.
我会在这开个小口 I'll make a slight incision.
好了 准备好了吗 All right. You ready?
尽管来吧 Do your worst.
上了 一二三 Here we go. One, two, three.
好多了 That's better.
都还好吗 Hey, everything all right?
找到他了 我们会飞回查斯汀 Found him. We're going to airlift back to Chastain.
好 我们那里见 Okay, I'll meet you there.
帮我呼叫奥斯汀 Page Austin for me.
让他在急诊等我们 I want him to meet us in the ER.
继续推 用最大劲 Keep pushing. As hard as you can.
巴雷特 Well, Barrett,
对一个今早刚下呼吸机的人来说 you're doing quite well for someone
你恢复得很不错 who just came off the vent this morning.
手术中的伤害呢 What about the damage in surgery?
臂丛内索完全断了 The medial cord was completely severed.
侧面有部分撕裂 Partial laceration of the lateral.
都进行了一期修复 Both primarily repaired.
抱歉 I'm sorry,
但你的手最多只有五成机会 but the chances of you regaining full function of your hand
能完全恢复 are 50% at best.
我将来还能做手术吗 Will I ever operate again?
手的活动功能和力量能恢复 I expect your strength and mobility to return,
但需要进行几周 也许几个月的理疗 but it will take weeks, maybe months of PT
你才能算是跨出了重回手术台的第一步 before you can even think about operating again.
这将是个痛苦且辛苦的过程 It will be painful and strenuous.
我能受得了疼 I can deal with the pain.
能忍痛是次要的 More than pain tolerance,
这个过程中更需要耐心 what this process requires is patience.
不谈了 We're done here.
我该回查斯汀了 I should get back to Chastain.
告诉新的首席执行官 我想和他聊聊 Tell the new CEO I want to talk to him.
刚刚谈过 You just did.
我听一些护士说 So, I overheard some nurses saying
你昨晚在「蔚蓝」大出风头了 you stole the show at Waylan's last night.
他们埋伏我 It was an ambush.
事先没人告诉我要唱歌 They didn't tell me it was karaoke night
结果我跟放射科一半的人 and I ended up singing "I Want It That Way"
一起唱「我想要那样的生活」 with half of Radiology.
我很高兴你交到了朋友 Well, I'm glad to see you're making friends.
谢谢 但我已经不是 Thank you, but it's not like
刚进新学校的十二岁小孩了 I'm 12 years old, starting a new school.
♪ Are you okay sleeping through the silence ♪
BGM: Bonafide by Emotional Oranges (feat. Chiiild)
♪ Give me space and time ♪
♪ Allow us to become whole again ♪
♪ We deserve to try ♪
♪ Step beside your body ♪
♪ Got to think about that somethin' inside ♪
♪ We all need something ♪
♪ A little breakthrough ♪
♪ ♪I won't let you down, no ♪
♪ I don't want to leave you ♪
♪ No matter what comes our way ♪
♪ We gonna make due ♪
♪ When the river runs dry, I won't give up on you... ♪
今天似乎特别适合 Well... this seems like the perfect day
做十小时的瓣膜置换 for a ten-hour valve replacement.
准备分流 Ready for bypass.
♪ I won't give up on you ♪
♪ Give up on you ♪
你每次危险期 这里的镰状红细胞 So every time you have a crisis, the sickled blood cells
就会阻碍血液流向这里的髋骨 block blood flow to the hip bone right here.
时间一长 这块骨头就会坏死 Over time, that bone starts to die.
我们称为缺血性坏死 We call it avascular necrosis.
所以你才会这么疼 It's why you're in so much pain.
好 那我们应该止疼 Okay, so we treat the pain,
让我重新站起来 然后再进行训练 get me back on my feet, I go back to PT.
恐怕疼痛治疗和体育训练都不起作用 Well, I'm afraid pain management and PT aren't gonna cut it,
所以我才找沃斯医生来看你 and that's why I brought in Dr. Voss to see you.
很遗憾 罗斯 I'm sorry, Rose,
你恐怕需要换个股骨头 but you're gonna need a hip replacement.
抱歉 我要接个电话 Sorry, I have to get this.
做出决定后你告诉我 Let me know what you decide.
我不会做这个手术的 风险太大了 I'm not doing the surgery. The risks are too high.
我知道这很可怕 但髋骨置换 I know it's scary, but a hip replacement
是你最好的选择 罗斯 is your best option, Rose.
医生从来不明白 Doctors never get it.
有医学文凭的人是你 You're the ones with the medical degrees,
但我的病还要我来解释 but I have to school you on my disease.
太费精力了 It's exhausting.
我知道根据你的经验 I know from personal experience
有色人种常常不受医院重视 that many patients of color aren't heard.
查斯汀不一样 我不一样 Chastain is different. I'm different.
解释给我听吧 Help me understand.
镰状细胞患者的手术风险更大 Surgery for sickle cell patients is even riskier.
可能你治好了我的髋骨 却留下其他的病症 You could fix my hip but leave me with other issues.
我难道不会出现贫血 Tell me I won't have an anemia crisis
或者心危象甚至更糟吗 or a cardiac crisis or worse.
你承受的疼痛我无法想象 而且我明白 I can't imagine the pain you've endured, and I understand
你为什么觉得长时间待在医院里 why you are reluctant to think more time in a hospital
不是件好事 我懂 would help you. I get it.
不止这些 It's more than just that.
而是关于我想怎么生活 It's about how I want to live my life.
我是个舞者 I'm a dancer.
曾经是 Was a dancer.
当疼痛难以忍受的时候我就不能再跳了 When the pain got to be so bad that I had to stop,
我把所有的积蓄投入一个舞蹈工作室 I put all of my savings into a studio.
教高风险的孩子跳舞 Now I teach dance to high-risk kids.
今晚她们要在演奏会上展示苦练的成果 Tonight they have a recital to showcase all their hard work.
那些女孩是我的生命 Those girls, they're my life.
今晚我想去陪着她们 And I want to be there tonight.
我宁愿一瘸一拐地活着也不想死于 I'd rather limp and be alive than die sooner
一场手术 because of a surgery.
你的髋骨快不行了 Your hip is about shot.
我想今天就做手术 I want to do it today
因为现在你状态相对好些 because it's best that we take advantage
我们要把握这个窗口期 of this window while you're relatively well.
而且在镰状细胞危象时 Because during a sickle cell crisis,
有极高的可能出现 there would be such a high possibility
致命的血管堵塞 of a fatal blood vessel blockage
那时手术会更加危险 that a surgery would be even more dangerous.
所以罗斯 让我帮助你吧 So, Rose, let me help you.
我们会竭尽全力保证你的安全 We will do everything we can to keep you safe.
我保证 That's a promise.
好了 一期缝合就位 All right, first suture's in place.
进入缝合圈 Threading through the suture ring.
血压轻微下降 Slight drop in pressure.
-血容量减少 -继续输血 - Blood volume decreasing. - Keep transfusing.
一定程度的失血是常见的 Some blood loss is not atypical.
电话找奥斯汀医生 The call was for Dr. Austin.
腹部外伤伴血胸 Incoming abdominal trauma with hemothorax.
霍金斯医生亲自找你 Dr. Hawkins is requesting you personally.
康莱德很少这样 Conrad seldom does this.
这个患者一定很特殊 Whoever the patient is must be special.
所以我必须要去 Which is why I have to go.
不过这边进展不错 我要出去一下 But we're fine here. I'll step out for a minute,
处理好那位病患就回来 take care of this trauma and I'll be back the moment I'm done.
出了什么事 他们会问责主治医师 Anything goes wrong, they'll blame the attending.
米娜 你没问题的 Mina, you got this.
男性 38岁 胸腹部贯穿伤 38-year-old male with penetrating injuries to the chest and abdomen.
接诊时低血压 Initially hypotensive.
血氧饱和度急降 现场插入胸管 O2 sat falling despite chest tube placed in the field.
我很久没有这么疼了 It's been a long time since I felt pain like that.
还能说话 说明呼吸道通畅 You're talking, so airway's intact.
需要两个单位的O型血 We need to get two units of O-neg running.
需要一个可移动胸片 尽快 We need a portable chest X-ray ASAP!
听我口令 一 二 三 On my count. One, two, three.
胸腔积液 Hemothorax?
从左胸抽出了约750毫升积液 Drained about 750cc's in the left chest.
横膈膜可能有撕裂 It was likely a rupture to his diaphragm.
这血太多了 That's more blood than we'd like.
我得带他去手术室 I need to get him to the OR.
他的体征稳定 先去做个CT吗 His vitals are stable. Stop by CT first?
好 我们去做X光然后给他固定好 Yeah. We'll get X-ray then we'll pack him.
-我去通知手术室 -谢谢 - I'll let OR know we're coming. - Thank you.
你回来了 You made it.
怎么样 What's going on?
他目前体征稳定 Uh, he's stable at the moment.
我在等胸片 I'm just waiting on the chest X-ray.
好吧 Okay.
我想看看插管情况 I want to see the tube placement.
-这不太对 -除了胸管 - This can't be right. - Apart from the chest tube
和肋骨骨折 看上去没问题 and a few broken ribs, looks clear to me.
说说 哪里不对 Talk to me. What's wrong?
内特的胸片 不该是这样的 Nate's chest, it shouldn't be clear.
-为什么 -他脊柱旁边应该有颗子弹 - Why? - There should be a bullet next to his spine and...
-但是没有 -好吧 那你觉得子弹 - there isn't. - Okay, so, the bullet that you're talking about,
可能转移到其他部位了吗 you think it migrated to another place in his body?
对 我得帮他们找到 Yeah, and I need to help them find it
因为内特为了救我中了枪 'cause Nate got shot saving my life.
我和内特在桑金谷 Nate and I were approaching a target
接近一个目标时 in the Sangin Valley.
被伏击了 We got ambushed.
寻找掩护 Take cover!
我们被包围了 They got us surrounded!
内特命令我们撤退 Nate ordered us to pull back.
侧翼包抄 Flank up!
但是 But...
我以为在前面的路上中枪的一名 I thought one of our Marines who got shot up
我方海军队员还活着 所以 on the road ahead was still alive, so...
霍金斯 留在原地 这是命令 Hawkins, stay put! That's an order!
后退 后退 Fall back! Fall back!
我想办法到了路上 I made my way up the road, I get there,
但是他死了 and he's dead.
我开始往回走 回到队伍里 I start to head back, to regroup with my company.
但是我被突如其来的火箭炮袭击了 But I get blindsided by an RPG.
我的肩膀脱臼了 膝盖骨折了 I had a dislocated shoulder, broken knee,
脖子上有弹片 shrapnel in my neck.
我以为就要死在那了 Figured this was it.
然后内特来了 And then Nate showed up.
救了我的命 Saved my life.
就是那时他的胸部中了三枪 That's when he, that's when he caught three in his chest.
但他继续走 直到我们两个都回到掩体 But he kept going, made sure we both got to cover.
医生取出了两枚子弹 Doctors got two of the bullets out,
但是第三枚卡在了他的脊柱旁边 but the third was lodged near his spine
取出的风险太大 and it was too dangerous to remove.
子弹对他影响不大 所以他们就没取 It wasn't giving him any trouble, so they left it there.
而现在子弹不见了 And now it's gone.
这么多年你竟然一直把这件事藏在心里 I can't believe you kept this to yourself all these years.
那是我不太光彩的时刻 It wasn't my proudest moment.
我违抗命令并且差点导致我的 I disobeyed an order and it nearly cost my commander
指挥官兼朋友丧命 and friend his life.
我很 I was...
羞愧 ashamed.
你只是在履行你的职责 You were just doing your job,
而内特回来救你也是 and so was Nate when he came back for you.
小时候 我妈曾经让我练习刺绣 When I was a kid, my mom used to make me practice needlepoint.
我觉得特别烦然后跟她说 And I would get so annoyed and I would tell her
现实生活中没有人再用这个技能了 that nobody uses that skill in the real world.
我今晚要给她打电话 I'm gonna call her tonight
寻求她的原谅 and I'm gonna beg for her forgiveness.
这比刺绣难上千倍 Well, this is needlepoint times a thousand.
如果四十针不能完美协调 If all 40 sutures aren't perfectly placed,
心脏瓣膜就不能吻合 the valve won't fit
心肌就会裂开 我们就得重新开始 or the heart muscle will rip, and we start over.
好了 Okay.
BGM: DYING 4 YOUR LOVE by Snoh Aalegra
♪ 'Cause I was dyin' ♪
♪ For this love, this love ♪
♪ Yeah, I was dyin' for your love, your love... ♪
完美吻合 Perfect fit.
在我准备好植入下一个瓣膜时 Now, by the time I'm ready to insert the next valve,
奥斯汀就该回来了 Austin should be here.
事实是 他来不了 Actually, he won't.
刚才是奥斯汀医生的电话 That was Dr. Austin on the phone.
他处理好了霍金斯医生的病人 He took care of Dr. Hawkins' patient,
但是刚来了一个主动脉破裂的病人 but an aortic rupture just came in.
他想让我继续一个人 He wants me to keep going.
-完成 -他跟你说 - Alone. - He says to tell you
你对心脏的了解即使不比他更好 that you know this heart just as well,
也和他一样好 if not better than him.
你没问题的 You got this.
那我们继续 Then we keep going.
好的 Okay.
抽吸 Suction.
-发生什么事 -给予一升生理盐水 - What's going on? - Get me a liter of normal saline.
沃斯医生 Dr. Voss?
她心动过速 低血压 缺氧 She's tachycardic, hypotensive and hypoxic.
她会不会在出血 Could she be bleeding?
之前是的 但很少量 She was earlier, but it was minimal
我给她输了一单位的血 and I gave her a unit of blood.
给她吸纯氧 然后注射去甲肾上腺素 Let's get her on 100% FIO2 and start norepinephrine.
加油 罗斯 加油 加油 加油 Come on, Rose. Come on, come on, come on.
很好 很好 她在稳定下来 Good, good. She's settling out.
希望我有足够的时间完成 Hopefully long enough for me to finish
并且让你搞清楚发生了什么 and for you to figure out what's going on.
你的前指挥官挺过来了 Your former CO pulled through.
没有并发症 No complications.
我跟你说的那颗子弹呢 And the bullet I told you about?
手术区域没有 It wasn't in the surgical field.
-什么时候做头部和颈部CT -有待决定 - So, when is the head and neck CT? - To be determined.
没有迹象表明子弹 There were no symptoms indicating that the bullet
-在内特的身体里移动 -但确实有一个 - is migrating in Nate's body. - But there is one.
我清楚地记得当时医生说 I specifically remember hearing the doctors say
有一颗子弹他们取不出来 there was a bullet they couldn't remove.
内特有没有告诉你子弹还在那里 Well, did Nate tell you the bullet's still there?
没有 我有大概十年没跟他说过话了 No. I haven't spoken to him in, like, ten years.
我不能给术后病人做CT I can't justify a CT on a postop patient
就为了找一颗可能不存在的子弹 just to look for a bullet that might not be there.
什么时候起我的话对你来说没有分量了 Since when does my word not carry weight with you?
你的话一直很有分量 霍金斯 Your word always carries weight, Hawkins.
但这件事发生在十年前 But the event in question was a decade ago
而病人和你有私人情分 and the patient is personal.
我的情绪控制得很好 My emotions are in check
我的记忆力很好 and my memory's just fine.
-奥斯汀只是尽忠职守 -不 - Austin's just doing his job. - No.
他忽略了重要信息 He's ignoring important information
这个信息可能可以救他病人的生命 that could save his patient's life.
内特正昏迷 我说了算 Nate is unconscious, it's my call.
我们要等病历 We will wait for the medical records
来证实你的话 to confirm what you're saying.
如果他在你咬文嚼字的时候 If he codes while you're dotting your I's
心脏停跳 and crossing your t's...
内特为了救康莱德受了重伤 Look, Nate was badly injured saving Conrad.
-他现在很内疚 -我懂 - He's carrying a lot of guilt right now. - I get it.
他的过往 He gets a pass.
谢谢 Thanks.
我知道你要说什么 I know what you're gonna say.
真的吗 说来听听 Really? Try me.
内疚会影响我们的心智 That guilt can play with our mind,
但事情不是这样的 but that's not what's going on here.
那你为什么不告诉我事情是什么样的 Then why don't you tell me what is going on?
我目睹了医生告诉内特 I was there when the doctors told Nate
他们没法取出最后一颗子弹 they couldn't remove the last bullet.
我听到他们告诉一个第五代海军陆战队员 I heard them tell a fifth-generation Marine
他的军旅生涯结束了 that his military career was over.
他为了救我被迫退伍 He had to retire because of me.
好了 家里见 All right. I'll see you at home.
-好了 再见 -好吗 - Okay. Bye. - Okay?
你好 Hi.
这可能有点...有点奇怪 This, uh, this might...May seem a little strange. Um...
我是伦道夫·贝尔 I'm Randolph Bell.
我知道你是谁 Yeah. I...I know who you are.
-是啊 -你一定是杰克的丈夫 - Yeah. - You must be Jake's husband.
-格雷戈 是的 -是啊 - Gregg, yes. - Yeah.
我只是想自我介绍一下 还有 I just wanted to introduce myself, and, um,
如果你和杰克需要什么 我就在这里 you know, if you or Jake need anything, I'm-I'm here, so...
你想得到我的建议 如何打开局面 You want advice on how to open the door
让你有办法回到杰克的生活中 so you can find a way back into Jake's life.
是的 我当然不会拒绝 Yeah, I... You know, I certainly wouldn't turn it down.
但我不能插手 这是你和杰克之间的事 But I have to stay out of it. This is between you and Jake.
好的 不 我理解 Okay, yeah. No, I understand.
很高兴认识你 It was nice to meet you.
不管怎样 我支持你 For what it's worth, I'm rooting for you.
我的新髋怎么样了 How's my new hip?
陶瓷在聚乙烯表面完美结合 Ceramic on polyethylene perfection.
解除了髋部疼痛 但换来了别的什么 不是吗 I traded hip pain for something else, didn't I?
你的身体对术中输入的血液 Your body had a dangerous reaction
产生了危险的反应 to the blood that you received during surgery.
因为我平生输的那么多血吗 Because of all the transfusions I've had throughout my life?
你体内产生的抗体我们实验室无法检测 You've developed antibodies that our labs can't easily test for.
我们在手术室给你输血的时候 When we gave you blood in the OR,
你的身体攻击了它 your body attacked it
然后开始分解你自己的血液 and started to break down your own blood.
你严重贫血 You're severely anemic.
我们没有匹配的血液给你 We don't have compatible blood to give you.
我们在和红十字会合作 We're working with the Red Cross.
我们会找到你身体能接受的血液 We'll find blood your body will accept.
在那之前呢 And until then?
你的心脏在努力 Your heart is working very hard to keep up.
我们会给你补充氧气 We're giving you supplemental oxygen.
如果额外的氧气不够 And if the extra oxygen isn't enough,
我会器官衰竭而死 对吧 my organs will fail and I'll die, right?
请你离开 Please leave.
很高兴你感觉好多了 但你的事业 Glad you're feeling better, but your career is still
仍有危险 in jeopardy.
作为你的律师 我必须重申 As your lawyer, I have to reiterate that
即使你的身体恢复了 even if you manage to recover physically,
你伪造了一个病人的档案 you falsified a patient's file.
这可是刑事犯罪 That's a criminal offense.
你可能会失去一切 You could lose everything.
是因为查斯汀有人和马林斯说我撒谎 Because someone at Chastain told Mullins I lied to him
骗他进手术室 好让他感染新冠病毒 to get him to the OR, putting him at risk for COVID.
正是 并且这个告密者要在庭审时 Exactly. And now that whistleblower's gonna testify
举证指控你 against you at trial.
查清楚他们是谁 Find out who they are.
我要知道他们的一切信息 I want to know everything about them.
我话放在这里 偷偷见我老公 Hey. Just to be clear, blindsiding my husband?
你太过分了 Totally out of line.
不不 我本意并非如此 Well, that-- look, that was, that was never my intention.
-我只是想表现得友好 -什么 - I just wanted him to feel welcome. - Oh, my God.
你记不记得之前你说要是我来查斯汀 Do you remember when you said if I came to Chastain,
我们的关系我说了算 it'd be up to me if we had a relationship?
你说一切都按我的想法来 You told me you'd follow my lead.
-你自己说的 -是的 - You said that. - Y-Yeah.
当然 我只是 Of course. I ju-- I'm...
我只是想说 如果你需要的话我与你同在 Look, I'm here if you need me.
得了吧 这不是我需不需要 是你 Oh, please. This isn't about me, it's about you.
一直都是你需不需要 It's always about you.
我希望我们能冰释前嫌 I guess I was hoping we could turn the page.
我最不希望的就是和你疏远 The last thing I want to do is drive you away.
但我 确实 But I-- y-yeah.
越界了 我向你道歉 I overstepped, and I'm sorry.
行 但 Okay, um...
我有一个家 I have a family.
你并不是其中一员 And you are not in it.
好 Yeah, okay.
-你的入职合同 -是的 - That's your contract. - I know.
-你还没签 -是的 - It's unsigned. - I know that, too.
-你需要笔吗 -不 我需要重新思考 -Well, do you need a pen? -No, I need a do-over.
我不应该接受这份工作 It was a mistake to take this job.
我没法和贝尔在同一个屋檐下工作 I can't work under the same roof as Bell.
-能知道原因吗 -他试图抹掉过去 - Can I ask why? - He's trying to erase the past
我不同意 他就不停地纠缠我 and I won't let him, and now he's basically stalking me.
你可能不知道 You may not know this,
伦道夫以前坐在我这个位置上 but Randolph used to have my job.
他怎么丢的这饭碗 How did he lose it?
老板发现他非常混蛋吗 Did his boss figure out what a colossal jerk he is?
恰恰相反 Quite the opposite.
他们让他告发一位同行 They asked him to turn on a fellow doctor.
他拒绝了然后辞职了 He refused and resigned on his own.
伦道夫维护好人因为他也是好人 Randolph stood up for a good man because he is also a good man.
现在我也要维护他 And now I'm standing up for him.
我不知道你们之间发生了什么 I don't know what happened between you
但我知道人都是会变的 but I do know people can change.
也许你应该再给他一次机会 Maybe you should give him a second chance.
说不定这对你们俩来说都是好事 Who knows, it could be the right thing for both of you.
至少和他说说你内心的顾虑 At least share your reservations with him.
他可能会给你惊喜 He might surprise you.
太好了 谢谢 Great. Thank you.
红十字会找到了和罗斯匹配的血液 The Red Cross has a blood match for Rose.
他们加急送过来 They're gonna put a rush on it.
这是好消息 对吧 You know that's good news, right?
如果当时我没有逼她做手术 It wouldn't be necessary
就不会这样 if I hadn't pushed her to do the surgery.
不 普瓦什 这不是你的错 No. Hey, Pravesh, this isn't your fault.
她本来不想做手术的 She didn't want the surgery.
她知道会有意想不到的并发症出现 Okay? She knew there would be an unexpected complication
现在真的有了 and now it's happening.
如果她挺不过去 Dude, if she doesn't make it...
是罗斯 她现在情况不稳定 It's Rose. She's unstable.
等血液送来我会送上去的 等下 I'll run the blood up when it arrives. Hey.
你听了她的话 并且认真地治疗她 You listened to her and took her seriously.
别的医生可能不会这样 Another doctor might not have.
不管发生什么 你对罗斯做的都是对的 Whatever happens, you did right by Rose.
不稳定心搏过速 Unstable tachycardia.
150毫克胺碘酮和抢救车 I need an amio 150 and a code cart.
-我觉得不对劲 -你的心脏正在超负荷工作 - I don't feel right. -Your heart is working overtime
来给你的身体供血 导致心跳过快 to bring blood to your body, and it's working too fast.
坚持住 罗斯 Hang on, Rose.
你的血到查斯汀了 马上就来 Your blood just got to Chastain. It's on the way up.
我的胸好疼 救我 My chest. Help me.
挺住 挺住 Hold on, hold on.
心脏电除颤 I need to cardiovert.
120焦 120 joules.
罗斯 会有点疼 Rose, this is gonna hurt.
离手 Clear.
我很抱歉 罗斯 I'm so sorry, Rose.
但你的心率在上升 Your heart rate's rising.
-可能要再次电击 -不 不要 - I might need to shock again. - No. No, not again.
-拜托 -时间可能不够了 - Please. -There may not be enough time.
来了 Here it is.
-救命血 我来挂上 -这是他们能找到的 - Lifesaver. I'll hang it. - It's the closest match
最接近的 但戴文 不是完全匹配 they could find, but, Devon, it isn't perfect.
-她可能会溶血 -嗯 - She could hemolyze this, too? - Mm-hmm.
我愿意冒这个险 I'll take the risk.
你好 Hey.
你好 队长 Hey, Captain.
手术很顺利 Surgery went well.
不过修养一段再去远足吧 Though hold off on hiking for a while?
好的 没问题 Yeah, I can do that.
我得问问 你胸腔里那枚子弹 I have to ask you, that bullet in your chest,
取出来了吗 did they ever get it out?
没有 他们没取出来 No. They never did.
我去找奥斯汀医生 马上回来 I'm gonna call Dr. Austin. I'll be right back.
妮珂 你给他说一下 Nic, can you fill him in?
子弹可能已经迁移到 We think the bullet may have migrated
你身体其它地方了 to another part of your body.
-听起来不妙啊 -别担心 - Well, that doesn't sound great. - Don't worry.
我们都在关心你的状况 我们会找到它的 We're all over your case and we'll find it.
听着 我知道你为康莱德做了什么 Look, I know what you did for Conrad.
这是他永远也还不清的债 It's a debt he'll never be able to repay,
但我知道他在努力 but I know he's trying.
你知道吗 我有些后悔 You know, I have some regrets...
我对待康莱德的方式 ...about the way I've treated Conrad.
他这些年来一直想联系我 但是 He's reached out to me, uh, over the years, but, uh,
我却一直「封锁」他 懂吗 I've just been like a blockade, you know?
我很难受 Feel... feel real bad about it.
但我觉得我 But I think I'm...
我觉得我现在准备好解开心结了 I think I'm ready to clear the air now.
抱歉 可以 Sorry, could...
你可以打开灯吗 could you turn up the lights?
这里有点暗 It's a little dark...
内特 你还好吗 Nate, are you feeling okay?
-我有点头晕 -你能捏捏 - Little light-headed. - Hey, can you squeeze
-我的手吗 -我的脸 - my hand? - My face...
我感觉不到我的脸颊了 I can't feel the side of my face.
我之后再回电给你 好吗 I got to call you right back, okay?
他出现中风的症状 He's showing signs of a stroke.
我们需要带他去拍CT We need to get him to CT.
好 All right.
我没看到他的颈部或脑部有任何异物 I don't see any foreign bodies in his neck or brain.
-只有蛀牙 -对 但你有看到那个吗 - Just dental cavities. - Yeah, but-but you see that?
内特的补牙处有条纹状伪影 The streak artifact from Nate's dental work
使影像扭曲了 is distorting the images.
你看扭曲区域外面 Look outside the distorted area.
几乎很难看到 You can barely see it.
那里有某个东西的清晰轮廓 There's a sharp outline of something.
有可能就是那颗子弹 It could be the bullet.
有可能 Could be.
它位于颈动脉分叉 这能解释为何有小中风 It's at the carotid bifurcation; explains the mini-stroke.
如果它移位 即使只是几毫米 If it shifts position even just a few millimeters,
都有可能上行到他的脑部 it could travel up to his brain.
这会阻塞血流 使他出现严重中风 Blocking the blood supply, giving him a massive stroke.
奥斯汀需要尽快把它取出来 Austin needs to get it out as soon as possible.
太好了 Ooh. Yes.
循环中的血量再次迅速下降 Blood volume in the circuit is dropping again fast.
术野内没有失血 There's no blood loss in the field.
地板上也没有血 And there's no blood on the floor.
他一定在某个我们看不到的地方 He must be bleeding somewhere
持续失血 we can't see.
-为什么他要醒了 -他的麻醉剂量没问题 - Why is he waking up? - He's been dosed appropriately.
我不知道为什么他对药物没反应 I don't know why he's not responding to the meds.
血量接近临界水平了 Blood volume approaching critical levels.
快不能维持正常脑灌注了 Brain perfusion is at risk.
我们要找什么 奥卡福医生 And what are we looking for, Dr. Okafor?
-你成功了 -我们成功了 - You fixed it. - We fixed it.
血液一定正在注入肺腔 The blood must be emptying into the lung cavity.
我需要做个切口 Need to make an incision
进入左侧胸膜 into the left pleura.
腔静脉被中心静脉置管穿刺了 The vena cava has been punctured by the central line.
他不仅出血进入胸膜腔内 Not only has he been bleeding out into the pleural cavity,
所有麻醉药物也在那里 but all of the anesthesia medication has been
流失了 lost there, too.
好 听我号令 慢慢 Okay, on my mark, slowly
抽回你的中心静脉置管 pull back your central line catheter.
我需要一条滑线 I need a Prolene suture.
现在抽回你的中心静脉置管 Pull back your central line now.
然后停 And stop.
好 现在推注药物 Okay. Push meds now.
血量稳定了 Volumes are stable.
你觉得怎样 How are you feeling?
对于一个刚从脖子取出子弹的人来说 Well, for a guy who just got a bullet taken out of his neck,
不算太糟 not half bad.
好 我让你休息吧 明天再聊 All right, I'll let you rest. Let's catch up tomorrow.
不 No.
你应该坐下来 You should sit.
我想要好好谈谈这件事 I need this to sink in, okay?
我没事了 I'm good.
我请奥斯汀医生帮我把它留下来 I asked Dr. Austin to save it for me.
这个东西一直是我的 This thing has been my...
永久同伴 constant companion.
但我发觉 这些年来一直背负这个东西的 But I realized I wasn't the only one carrying it around
不只是我而已 for all these years.
所以我才打给你 That's why I called you.
当时发生的事 What happened--
我做的选择 the choice that I made...
是我们为彼此做的事 ...is what we do for each other.
你也做了一模一样的选择 You made the exact same choice.
所以 So...
帮我个忙 do me a favor.
把这个丢掉吧 Throw this away.
因为当你丢掉它 'Cause when you toss it,
我希望你也丢掉那股罪恶感 I want you to toss away the guilt,
跟羞耻感 and the shame
还有任何其它你挥之不去的东西 and anything else that you've been holding onto.
你有一些高层朋友嘛 Hey, you have got some friends in high places.
首席执行官为你说了好话 The CEO put in a good word for you.
好的 Okay.
我欠你一个解释 And you deserve an explanation.
我无法给你第二次机会的理由 The reason that I can't give you a second chance
是因为我丈夫和我正在 is because my husband and I are...
领养小孩 adopting.
哇 这样啊 Wow. Well...
-真是太好了 -对啊 - that's, that's great. - Yeah.
我即将成为家长 绝对不会像你那样 I'm gonna be a parent, one that will never bail
-弃之不顾 -杰克 我 - the way that you did. - Jake, I...
没 没事儿 It... It's fine.
我已经是个成年人了 I'm a grown man.
但是我最不愿意看到的 But the last thing I'm gonna let happen
就是当你成为一个令人爱戴的爷爷时 is for you to become some beloved grandpa,
你又同样消失在我孩子的生活里 only to pull the same vanishing act on my kid.
我明白了 Well, I get that.
真的 I really do.
但是我哪儿也不会去 But I'm not going anywhere.
谢谢你 米格尔 很高兴你过来 Thank you, Miguel. I'm so glad you came.
我们下周再聊 Let's talk again next week.
-这是什么 -这是聆听他人的 - What's this? - This is what happens
成果 when you listen to the people.
这些想法都是来自于我们的员工 They're ideas from our staff
主要是关于如何扭转目前的困境 on how to turn this place around.
比如说 我们准备开展胰岛素邮寄服务 For example, we'll be starting an insulin-by-mail service
这样可以减少在药房的等待时间 to decrease wait times at the pharmacy.
我将组建一个工作小组来解决 I'll be assembling a task force to address
手术后的入院时间 post-surgical admission times,
目前这个时间是远高于平均水平的 which are far longer than average.
最重要的是 每月将举行不止一次的 And most importantly, tri-tip sandwich day
烤牛肉三明治日 will be more often than once a month.
好吧 听起来你今天不错 Well, sounds like you had a great day.
我感觉我好像不是唯一一个过得不错的人 And do I get the feeling I'm not the only one?
我和我的前继子约了杯咖啡 I-I scored a coffee date with my former stepson.
就在这 明天 同时我 Here, tomorrow. And I...
我听说你可能和这件事有关 I hear that you might've had something to do with it.
或许有关系吧 I may have.
无论怎样 谢谢你 Well... thank you.
你没有必要谢我 You don't have to thank me,
不过你倒可以请我喝一杯 but you do have to buy me a drink.
-在这 -我可以请你喝两杯 - Oh. - I'll make it a double.
你是从哪儿获得这些血液的 青春之泉吗 Where did you get this blood from, the fountain of youth?
我这一年都没有感觉过如此得精力充沛 I haven't felt this good in a year.
太棒了 这就是我想听到的 Yeah, that's what I like to hear.
那么 我们要去哪儿 So... where are we going?
罗斯 我告诉过你 Well, Rose, like I told you,
这是个惊喜 it's a surprise.
我讨厌惊喜 Mm, I hate surprises.
那不应该在我的病历里吗 Wasn't that in my patient file?
不过我觉得你肯定会喜欢的 Well, I think you're gonna like this one, though.
因为我上网搜了一下 'Cause I looked you up online,
-还打了几个电话 -哦 - I made some phone calls. - Oh.
并且 And...
砰 bam.
BGM: Quartet No. 1 in D Mvt 2 by Joseph De Bologne De Saint George
不是吧 No, you didn't.
你参加不了演奏会 You couldn't make the recital,
所以我们就在这为你办一场演奏会 so we brought the recital to you.
你不知道这对我来说简直意义非凡 You don't know how much this means to me.
谢谢 Thank you.
还沉浸在独立完成手术的喜悦之中 Basking in your own surgical glory.
-一点点 -我认为 - A little bit. - I don't think
在你成为世界一流的外科医生之前 you need to fear being deported
你不需要担心被驱逐出境了 before becoming a world-class surgeon.
因为你今天的表现证明你已经是了 Because today you have proven that you already are one.
今天不仅证明了 Not only does today mark
你已经晋升成为一名高级外科医生 your accession to the upper echelon of surgeons,
也代表着今天是我作为你导师的最后一天 but it also marks my last day as your mentor.
你真的这么想吗 You really think so?
没错 你现在并不需要一个副手 Yeah, you don't need a copilot.
你已经完全可以独当一面了 You are more than capable of flying solo.
所以 So...
今晚 我会准备 tonight I am preparing
一顿特别的晚餐 a very special dinner,
除了一些东西以外 among other things.
这顿饭有没有 Does this meal include...
-巧克力蛋奶酥 -嗯 - a chocolate soufflé? - Mmm.
你怎么猜到的 How'd you guess?
确实有 Indeed it does.
好 好 好 Okay, okay, okay.
还有一些其他的东西 And the other things?
没错 Ooh, well...
你只需要拭目 those you will just have to wait
以待 and see.
你和内特聊得怎么样 How was your talk with Nate?
挺好的 It was good.
真的挺好的 It was really good.
我很高兴见到他 I'm glad I got to meet him.
我也是 Me, too.
作为父母 You know, as parents,
无论遇到什么困难 we're gonna need to lean on each other
我们都要相互依靠 in all kinds of different ways.
我会的 I do.
我多希望我早就告诉你 I wish I would've told you
我和内特之间的事 about what happened with Nate sooner.
我只是 I just...
我做不到 很抱歉 I couldn't and I'm sorry.
没关系 It's okay.
我懂的 I get it.
-你一会上来吗 -对 我随后就到 - You coming up? - Yeah, I'll be right there.