有的医生与众不同 有的医院也是
照片不错 It's a nice photo.
我没同意那个广告牌 I did not approve that billboard.
员工合同的第二十五条允许雇主 Section 25 of your employment contract allows
以推广和宣传的用途使用你的照片 use of your image for publicity and marketing purposes.
我不想成为你广告宣传的主角 I do not want to be the star of your ad campaign.
你为你的自闭症而感到羞愧吗 Are you ashamed of your ASD?
-没有 -很好 - No. - Good.
你的成就很神奇 It's amazing what you've accomplished.
想想你能激励多少神经多样性的患者 Think of all the neurodiverse people you'll inspire.
广告牌不会激励人 The billboard will inspire no one.
用我的照片不公平 It is not fair to use my picture,
我的照片被翻转了 and it inverts my image.
我的头发方向不对 My hair part is on the wrong side.
-你是感情用事 -我是对的 - You're emotional. - I'm right.
从一到十随便选个数 Pick a random number between one and ten.
你是选了七吗 Did you pick seven?
我不明白这能证明什么 I do not understand what you think that proves.
我们并不如想象中的那么理性 We're not nearly as rational as we think...
看世界的方式 Not in the way we see the world,
和世界观都不理性 not in the way we think about the world.
我经常重新思考之前的决定 I am constantly revisiting earlier decisions.
那你应该重新思考一下 Then you should revisit your decision
放置广告牌的那个决定 to put up the billboard.
我会的 I will.
但你也得重新思考 But you need to do the same.
48小时内 咱们多方面探索一下这件事 Let's take 48 hours, explore all sides of the issue.
用理智而不是情感 Use reason, not emotion.
然后我们再聊 Then we'll talk.
作为代表很重要 肖恩 Representation's important, Shaun.
只有百分之四的医生是黑人 Only 4% of doctors are Black.
我会尽可能地抛头露面 I get my face out there whenever I can.
这不是代表 This isn't representation.
就只是表面工夫 It's tokenism. Nah.
她没有要聘用更多差异化的医生 She's not hiring more diverse doctors.
她只是利用了已经在这工作的医生 She's just exploiting the ones who already work here.
「你知道有26种认知偏差 "Did you know there are 26 cognitive biases
和知觉失误能影响经济吗」 "and perceptual errors that affect the business community?"
据说医生最容易受到 It says doctors are especially
第五种 susceptible to number 5...
锚定偏见的影响 Anchoring Bias.
对患者情况的第一印象 Initial impressions of a patient's condition
会让我们忽略反面证据 can make us ignore contrary evidence.
莫菲医生 有位患者父亲想要见你 Dr. Murphy, there's a new patient's dad asking to see you.
确切地说是要求见你 And it's more like demanding.
糟了 Oh, no.
如果你叫我来是因为广告牌 If you asked for me because I was on a billboard,
那不是一个选医生的好标准 that is not a good metric for picking a...
不 我的标准是看到你署名了23篇论文 No, my metric is that you co-authored 23 papers,
八篇关于儿科手术 四篇关于消化问题 eight on pediatric surgeries, four on GI issues.
这是我女儿 霍莉 This is my girl, Holly.
四年来经常呕吐 眩晕 Four years of puking, nausea,
上厕所时会出血 blood when she goes to the bathroom.
我确定是内脏肌病 Now, I'm sure it's visceral myopathy.
你看过十九位医生 You've seen 19 doctors.
有人诊断过是内脏肌病吗 Have any diagnosed visceral myopathy?
他们说是炎症性肠病 但并不是 They said inflammatory bowel, but it's not.
她的情况越来越糟糕 She keeps getting sicker and sicker.
腹部肿胀 Hmm, your abdomen is distended.
你有呕吐吗 Have you been vomiting?
比之前更严重 Worse than ever.
这不太像是外科病例 This doesn't seem to be a surgical case.
我会把你收到内科病房 I'll admit you to internal medicine...
我做了很多功课 这就是内脏... I've done a lot of reading. It's visceral...
她的症状不完全符合内脏肌病 Visceral myopathy doesn't fit her symptoms well,
在网上查病特别不可靠 and looking up diseases on the Internet is very unreliable.
肠道活性低 Bowel is hypoactive.
有很严重的梗阻 She has a serious obstruction.
现在是外科病例了 This has now become a surgical case.
良医
第五季第四集
你这样咳嗽有一个月了吗 You've had this cough for a month now?
是 越来越严重 Yeah, kept getting worse.
上周我有点喘不上气 Last week, I had a little shortness of breath.
我觉得该飞回来看看 Figured it was worth flying back.
从印度回来 你去干什么了 From India. What brought you there?
寻找生命的意义 Meaning of life.
我没在开玩笑 I'm actually not kidding.
我是市里的簿记员 我只是 I was a bookkeeper for the city, and I just...
需要更多的东西 Needed something more.
我环游世界直到找到为止 I traveled the world until I found it.
-宗教吗 -更多是精神满足 - Religion? - Mmm, more like spirituality,
不过是通过公共服务和行善来获得 but through service and charity.
我的生活很简单 I live a very simple life.
村子很小 Small village.
尽可能地多做好事 Just try and do as much good as I can.
深呼吸 Deep breaths.
今天感觉不是特别难受 You know, I don't feel too bad today.
希望我不是反应过度 Ugh, I hope I didn't overreact.
并不是 You didn't.
你的左肺没有任何空气流动 You're hardly moving any air in your left lung.
根据上次重装化油器的时间 Depending on when you last had your carburetor rebuilt,
你得决定一下需要换什么零件 you will need to determine which parts need replacing.
显然你得更换 Obviously, you're going to be replacing
所有封口和所有指针 all of the seals and all of the needles.
你不接电话 You haven't been answering your phone.
减震器和浮漂 ...the damper and the float.
一旦你选择好了 Once you're happy with your choice...
奇怪 手机明明就在你旁边 Odd, seeing how it's a foot away from you.
要是没有 请看我其他... If you're not, please look at my other...
咱得聊聊我给你安排的 Let's talk about the press interviews
媒体采访 I scheduled for you.
是你给我安排的 That you scheduled for me.
看出来问题在哪了吗 You see the problem there?
经验告诉我前任管理者的支持 In my experience, support from the old regime
对于平稳过渡很重要 is essential for a smooth transition.
你说好了支持我的 We agreed I'd have yours.
说好的是我站那微笑点头 What we agreed on was that I'd smile and nod.
你觉得采访是什么 What do you think an interview is?
就说点爱思医疗的好话 就完事了 Just a few nice thoughts about Ethicure, and you're all done.
我没有什么好话 I don't have a few nice thoughts,
不过我能告诉你我的真实想法 but I can give you the thoughts I do have.
我帮你写好稿子了 I've scripted them for you.
谢谢 不过我要专注于 Thank you, but I'm gonna focus on things
真正值得我关注的事情 that actually need my attention.
谢谢你来看我 But thanks for stopping by.
梗阻的两端都夹住了 Both sides of the obstruction are clamped.
伦东医生 请切除梗阻的肠道 Dr. Rendon, please resect segmented bowel.
直线切割闭合器 GIA stapler.
给你十块钱和伦东医生分 I'm going to give you $10 to share with Dr. Rendon.
随你怎么分配 Divide however you like.
如果他同意分配方式 术后我会给你们钱 If he approves the split, I'll pay you both after surgery.
好吧 那要是他不同意呢 Oh, okay. And if he doesn't?
那你们就什么都得不到 Then you both get nothing.
好吧 Okay.
我要留八块钱 给马蒂奥两块 I'm gonna keep eight and give Mateo two.
不要 Pass.
两块钱比没有强 Two dollars is better than nothing,
这样最后你们什么都得不到 which is what you've ended up with.
努力增加世界的公平 There's nothing irrational about trying to increase
没有什么不合理的 the amount of fairness in the world.
这是萨伦列表上的第十二种 Number 12 on Salen's list.
「不公平厌恶偏见」 "Unfairness Aversion Bias."
这不是「偏见」 为什么要奖励贪婪 It isn't a "bias". Why reward greed?
肠壁有点薄 Colon wall's a little weak.
送病理科 I'll send samples to path.
不过梗阻已清除 But obstruction's been cleared.
你得了特发性肺纤维化 You have idiopathic pulmonary fibrosis.
你的左肺布满瘢痕 Uh, your left lung is heavily scarred.
右肺还能用 The right is functioning,
但也有损伤 but it's damaged, too.
能治好吗 Can you fix this?
我们可以给予你一些帮助呼吸的药 We can start you on medicine to help you breathe,
同时把你列入等待肺移植的名单 and we can list you for a lung transplant.
如果不移植的话...我还能活多久 How long do I have without the... the transplant?
一两个月 A month or two.
好吧 Okay, um...
我得告诉我儿子 Oh, I should tell my son.
你没有登记他的信息 You didn't put him on your paperwork.
我走之后就再没见过他 I haven't seen him since I left.
他当年 He was...
十二岁 12 years old.
第六种 「创新前偏见」 Number 6, "Pro-Innovation Bias."
萨伦认为广告牌是好主意只是因为它新 Salen may believe the billboard is good just because it's new.
好吧 很难知道她在想什么 没事 Okay. Hard to know what she believes, but fine.
第八种 「损失规避」 Number 8. "Loss Aversion."
人们在放弃一件物品时所要求的 People demand much more to give up an object
远远超过他们为获得它而愿意付出的 than they are willing to pay to acquire it.
她可能过高地估计了撤掉广告牌的 She might be overestimating the negative impact
负面影响 of losing the billboard.
你究竟有多少条论据 How many of your points
最终会变成支持萨伦的论点 end up supporting Salen's point of view?
没有 None.
你可能理解错了你的任务 You might have misunderstood the assignment.
我觉得不是为了证明她是错的 I don't think it's about proving her wrong.
她想看到你重新审视自己的论点 She wants to see you re-examine your own assumptions.
霍莉的病理结果 Holly's pathology results.
内脏肌病 Visceral myopathy.
她爸爸是对的 Her father was right.
你的氧饱和度下降的比预想的快 Your oxygen saturation is decreasing faster than we expected.
我需要增加... I'm gonna increase the...
亨利 Henry.
这么高了 So tall.
对啊 Yeah.
十二岁还在长个 12-year-olds tend to grow.
我听说你结婚了 我在网上看到了照片 I heard you got married. I saw photos online...
我为什么 抱歉 我为什么来这 Why am I... Sorry, why am I here?
我的肺部有点问题 There's something wrong with my lungs.
你会死吗 Are you dying?
恐怕会 Probably.
你一直等到生命即将终结才联系我吗 You waited until you were dying to call me?
-然后呢 原谅你 -不是 - And, what? Forgive you? - No.
你对你的所作所为有任何愧疚吗 Do you even feel bad about what you did?
对于伤害你吗 For hurting you?
有 当然有 Yes, of course.
我曾想和你保持联系 I wanted to keep in touch with you.
你说太痛苦了 You said it was too painful.
-你现在是在怪我们 -不 - Are you blaming me now? - No.
移植协调员说可能有匹配肺源 The transplant coordinator says there's a potential match.
你怎么在这 Why are you here?
沃尔特花了四年的时间研究霍莉的疾病 Walt spent four years researching Holly's illness,
比哪个医生都在行 outsmarted every doctor.
高中都没读完 但每天只睡五个小时 No high school degree, but slept five hours a night
然后在专科学校上所有的医学预科 while taking every pre-med course at a junior college.
我爸爸是我见过最好的医生 My dad's the best doctor I've seen.
沃尔特 你为什么考虑内脏肌病 What made you think it was visceral myopathy, Walt?
我上周想到的 Well, I figured it out last week.
霍莉开始有排尿困难 Holly started having trouble peeing, and...
这只是一项指征 还不足够 That's just one data point. It's not enough.
并且她妈妈生下她几天之后就去世了 And her mom died a couple of days after childbirth.
死于肠穿孔的并发症 Complications from her bowel perforating.
而内脏肌病有遗传基础 And visceral myopathy is genetically based.
把沃尔特当做医学顾问吧 Treat Walt like a consulting physician.
让他参与所有的医疗讨论 Involve this man in all medical discussions.
让他观看手术 Let him watch surgeries.
算了 给他一个健康追踪仪 Hell, give him a fitness tracker.
失陪 Excuse us.
他不是医生 Oh, he is not a doctor.
二十个医生驳回了我非常有效的问题 20 doctors dismissed me and my very valid questions
我才被诊断为硬皮病 before I was diagnosed with scleroderma.
好想法就是好想法 英雄不问出处 Good ideas are good ideas, no matter the source.
我们应该内部讨论之后再让他加入 We should involve him after we talk among ourselves
所有病人家属都是这样的 like we do with all patients' families.
除了进一步推崇医生的精英主义 I don't see any advantage
我看不到任何好处 other than further enshrining doctors' elitism.
我可不想在讨论那个女孩预后的时候 I don't want to have to pull my punches
还得斟酌措辞 when discussing that girl's possible outcomes.
他陪女儿经历过生死的 He's been through hell with her.
我们可以直言不讳 We can be honest with him.
我们还可以通过推特分享一个振奋的故事 And via our Twitter feed, we can share an inspiring story
一个父亲如何补充了我们医生的专业知识 of how a father's expertise supplemented our doctors'...
他不是专家 He's not an expert!
我们还没找到他的知识盲区 Just because we haven't found his blind spots
但不意味着他没有 doesn't mean we won't.
这是第十九种 「外推偏见」 That's Number 19... "Extrapolation Bias.."
但也不代表他有 But it also doesn't mean you will.
第二十条 Number 20.
我一点也不喜欢这样 I do not like this at all.
这是上司的直接指示 所以我计划喜欢它 It's a direct order from our boss, so I plan to love it.
旧金山综合医院说器官摘取在一点钟完成 San Francisco General says organ procurement's at 1:00.
肺部会在四点到达 Lung should be here by 4:00.
很好 过几个月吉娜就可以重新下地走路 Great. Couple months, Gina'll be back on her feet
然后再次成为一个糟糕的母亲了 and being a terrible mother again.
这么说不好吧 Uncool.
-你在为她辩护吗 -我理解她 - Are you defending this woman? - I feel for her.
我也理解他儿子 I feel for her son, too.
因为你们都是圣母 Because you're all about empathy.
她一生做了很多好事 She has done a lot of good in her life.
也许她不应该因为一个错误 Maybe she shouldn't be condemned to the walk of atonement
就走上赎罪之路 for one mistake?
一个持续十七年的错误 One mistake for 17 years.
所以妈妈们就应该为了孩子付出一切吗 So, moms should give up their whole lives for their kids?
确实是的 爸爸们也应该 Actually, yes. Dads, too.
你抛弃凯兰来这里实习的时候 Is that what you were doing when you ditched Kellan
就是在实践这一理念吗 to do your residency here?
我犯过很多错误 I made plenty of mistakes
让我抱憾至今 that I still feel guilty about.
但不同于这个女人 我很努力 But unlike this woman, I tried hard,
非常努力地参与我儿子的人生 really hard, and stayed in my son's life.
谢谢 Thank you.
你们是第一个让我... You're the first doctors who've shown me any kind of...
我们需要切除右半结肠 We need to do a right hemicolectomy
然后将回肠和横结肠吻合 with an ileotransverse anastomosis.
你准备切除她一半的大肠吗 You want to throw away half her large intestine?
我也认为这有点极端 I agree it's a bit drastic.
分段切除 Segmental resection.
我们在内镜活检的指引下 We go in using the interop biopsies as a map,
切除受损最严重的区域 we'd resect the most damaged areas.
不 我们只需要让她的肠道恢复活力 No, we just need to get her intestinal motility going again.
但如果她再次梗阻... But if she experiences more obstruction...
我不想把我女儿的肠子切下来一大段 好吗 I don't want to rip out a large chunk of my girl's bowels, okay?
现在 我们再想想其他办法 Now, let's just keep thinking about other ideas.
你打响指有什么原因吗 Is there a reason you're snapping your fingers?
帮助我思考 It helps me think.
一点也不能帮助我思考 It does not help me think at all,
而我的思考很有用 and my thoughts are useful.
我们可以给她用利妥昔单抗 We could put her on Rituximab.
我只听过用于治疗癌症 I've only heard it used for cancers
和自身免疫病 and autoimmune disorders.
但研究表明它能使儿童的运动性 But it's been shown to increase motility in kids
提高百分之三十 by 30%.
很有意思的想法 It's an interesting idea.
这不是好主意 It's a bad idea.
她可能会有严重的输液反应 She could have a severe infusion reaction,
造成更大的损伤 cause more damage,
导致之后进行更大的手术 leading to a much more drastic surgery later.
或者可以减轻她的症状 Or it will alleviate her symptoms
而不用降低她一辈子的生活质量 without her having to compromise her entire life.
-我们用利妥昔单抗吧 -什么 - We'll go with the Rituximab. - What?
这是一个合理的处置 It's a reasonable option.
不 我的想法更好 No. My idea was better.
你的也是 So was yours.
但这位患者的父亲不会同意 But the patient's father is not going to approve
我们俩的想法 either of our ideas.
他们在检查捐献者的肺时 They found a cancerous lesion in the donor's lung
发现了癌变病灶 during retrieval.
唤醒她 Wake her up.
你母亲的肺动脉高压越来越严重 Your mother's developing severe pulmonary hypertension.
再过几天 她就不再是移植的合适人选了 In a few days, she'll no longer be a transplant candidate.
在那之前你们没有机会再找到一个新捐献者吗 And there's no chance you'll get a new donor before then?
现实地说 没有 Not realistically, no.
你可以成为捐献者 You could be the donor.
我们可以将你妈妈的 We could remove your mom's
坏肺摘除 bad lung and replace it
并用你的一片肺叶代替 with a lobe from your lungs.
活体供体肺移植 A living donor lung transplant
在美国已经十年没做过了 hasn't been done in the US for a decade.
这在日本经常做 It's done routinely in Japan,
并且这是挽救她生命的唯一办法 and it's the only way to save her life.
手术并发症的风险很高 And there's a high risk of surgical complications.
你一辈子都会呼吸困难 You'll have a lifetime of labored breathing,
疼痛 耐力下降 pain, decreased endurance...
仅在出了问题的情况下 Only if things go wrong.
朴医生技术非常棒 You'd be in great hands with Dr. Park.
我 我需要考虑一下 I just... I need to think it over.
我们把这个放进去来帮助你用药 We put this in to help give you the medication.
-这叫做 -中心静脉置管 我做过几个 - It's called a... - A PICC line. I've had a few.
一直待在医院一定很难受吧 Must be tough being in hospitals all the time.
生病很难受 但我挺喜欢逃学的 Being sick is tough, but I love skipping school.
我总是要跑去洗手间 I was the girl who always had to run off to the bathroom,
或者吐在桌子上 who threw up on her desk.
你可以想象其他孩子说了些什么 You can imagine what the other kids said.
我们是怎么说那些孩子的 宝贝 Mmm, what did we say about those kids, baby?
去他们的 Screw 'em.
这就对了 That's right.
这种药是我爸爸的主意 对吧 So, this medicine's my dad's idea, right?
是的 Yes.
但这不是个好主意 But it's not a good one.
我知道这有点可怕 I know it's scary,
但我们会挺过去的 就像以前一样 but we'll get through this just like we always do.
你要相信你的爸爸 You trust your dad.
它会有效果的 It'll work out.
但如果没有 But if it doesn't,
它会把你害死 it could kill you.
关键是喷嘴要超级干净 Key is to get the jets super clean.
你弄干净了 对吧 You did clean them, right?
你看了我给你发的照片吗 You saw the photo I sent you?
事实上 我看过实物 I actually saw the real thing.
肖恩很生气吗 Shaun's furious?
是的 他直接跑去找萨伦 Yeah, he ran right to Salen.
很显然 不太顺利 Obviously, that didn't go so well.
否则你不会来这儿 Otherwise, you wouldn't be here
主动提出帮我修理汽化器 offering to help with my carburetor.
没错 他们正在考虑这件事 Yeah, they're thinking it over.
我认为她在给他下套 I think she's setting him up.
他怎么想 What does he think?
他认为他可以说服她 He thinks he can talk her into it.
好吧 也许他可以 Okay, perhaps he can.
无论怎样 他不能一直要求老板向他屈服 Either way, he can't keep asking his boss to bend to him.
她会怎么做 解雇他吗 What's she gonna do, fire him?
她都把他贴在海报上了 She put him on a poster.
你能 你能和他谈谈吗 Will you... Will you just talk to him?
试探他一下 Feel him out.
看看我是不是错了 See if I'm wrong.
他会没事的 He'll be just fine.
但是你为什么还在城里 But why are you still in town?
工作 显然不是 Work? Obviously not.
见朋友 显然不是 Seeing friends? Obviously not.
酿造葡萄酒 Grape-stomping?
那你应该在托斯卡纳 而不是车库 Mmm, you'd be in Tuscany, not your garage.
你是为了肖恩留下的 You're here for Shaun.
那你为什么不帮他 So, why are you not helping him?
氧流量到上限了 Maxed out on oxygen.
我们会给你用双相气道正压通气呼吸机 We're gonna put you on BiPAP.
我愿意做活体移植 I'll do the living donor transplant.
我要把我的一片肺叶给你 I'm going to give you a lobe of my lung.
不 No.
谢谢你 但是不行 Thank you, but no.
我不会允许的 I'm not going to allow it.
我绝不会让你为了帮我而伤害自己 I would never let you hurt yourself to help me.
尤其是在我 Not after I...
我宁愿死 I would rather die.
所以 现在 So, now?
现在你关心我了 Now you care about me?
在乎我的感受了 About my feelings?
我一直都是 I always did.
那你为什么离开我 Then why did you leave me?
我曾经很讨厌我自己 I hated myself.
我带你回家的第一周 我没法让你安静 First week I brought you home, I couldn't get you to latch.
我睡不着 我完全不知所措 I couldn't sleep. I was completely overwhelmed.
但那种感觉 But that feeling...
那种恐慌 That panic...
再也没有消失 It never went away.
我本应该用来爱你的所有精力 And all the energy I should have used loving you...
我都用来努力不让自己崩溃 I used trying to not to fall apart.
所以 我最终选择了 So, I finally just chose...
我自己的幸福 My own happiness.
但是你很坚强 But you were strong,
你的父亲是一个好人 and your father was a good man,
我知道他会非常爱你 而我从未 and I knew that he would love you in a way that I never...
我从未做到 Never could.
我知道你会没事的 I knew you would be okay.
你没有权利告诉我我没事 You have no right to tell me that I'm okay.
每一天我从学校走回家 Every day, I would walk home from school
都祈祷着你会在家 praying that you'd be there.
你不在的每一天 都有我的一部分被摧毁 And every day, a piece of me was destroyed when you weren't.
我那时是一个很爱他的妈妈 I was a little boy who loved his mother...
却认为他的妈妈不爱他的小男孩 Who thought his mother didn't love him back.
现在你告诉我我没事 And now you tell me I was right?
我不能 Oh, I can't...
急性呼吸衰竭 Florid respiratory failure.
妈妈 Mom?
她在吐血 She's puking up blood!
腹部肿胀 板状腹 反跳痛 Distended, firm, rebound tenderness.
她肠穿孔了 我们得送她回手术室 Her bowel's perforated. We gotta get her back to the OR.
我错了 I was wrong.
你妈妈在用呼吸机 Your mom is on a ventilator,
朴医生在给她做体外膜肺氧合 and Dr. Park is placing her on ECMO.
这将为她的血液提供氧气 It will oxygenate her blood
因为她的肺已经不工作了 now that her lungs are no longer working.
你妈妈现在昏迷不醒 她没有生存意志 Your mom is unconscious, and she has no living will.
根据加州法律 你有权利为她做 By California law, you have power of attorney
所有的医疗决定 over all her medical decisions.
他有明显的利益冲突 He's got a clear conflict of interest.
-他想要移植 -他们想要的是一样的 - He wants the transplant... - They want the same thing.
她说 我复述一遍 「我不允许」 She said, and I quote, "I'm not gonna allow it."
她宁愿死 你觉得这有任何歧义吗 She'd rather die. You finding ambiguity in any of that?
她优先考虑的是儿子的幸福 而非自己的 Her priority was her son's happiness, not her own.
做移植手术 Do the transplant.
所以 你就判定她为了自己 So, you're just gonna decide she was wrong
为了她儿子所做的事是错的吗 about what she wanted for herself? For her son?
我没有 I'm not.
她的代理人 她的儿子 来决定 Her proxy is. Her son is.
你们最好希望这行得通 And you'd better hope this works.
我们得按莫菲医生之前的计划来 Uh, we need to do Dr. Murphy's plan from before.
右侧结肠切除术 The right hemicolectomy?
我们已经失去了机会 We missed our chance.
现在我们必须做全结肠切除术 Now we have to do a full colectomy
并切除大部分小肠 and a resection of most of the small bowel.
这是唯一可以防止再次发生肠穿孔的办法 It's the only way to prevent another perforation
这会要她的命 that would kill her.
但我读过一个病例报告 他们用促动力药 But I read a case report where they're using prokinetics
和胆碱酯酶抑制剂来 and.... and acetylcholinesterase inhibitors
增强孩子们的肠动力 to strengthen motility in kids.
这可能有用 但不足以克服 That could help, but it wouldn't be enough
未来的肠梗阻带来的压力 to overcome the pressure from future obstructions.
我们就是要减小压力 We just reduce the pressure!
我是说 我们可以上下都装上管子 I mean, we can put, uh, tubes above and below.
我没听明白 I'm not following.
-因为这不合理 -肖恩 让他说 - Because it makes no sense. - Shaun, let him talk.
上下抽吸 Suctioning above and below
不会减轻局灶性肠梗阻带来的负担 wouldn't reduce the burden of a focal obstruction!
别跟我说我哪里错了 Don't tell me what I'm getting wrong!
帮我找到治疗方法 Help me find a way to do this!
看 这是受影响的肠道 Look, this is the affected part of the bowel.
停下 停下 Stop it. Stop it.
请你停下 停下 Please, stop it! Stop it!
停下 停下 Stop it! Stop it!
我在尽力帮你的女儿 I am trying to help your daughter!
莫菲医生 你必须离开 Dr. Murphy, you need to leave.
不 我没必要离开 他才要离开 No, I do not need to leave. He does!
他让我们用利妥昔单抗 使她病情恶化 He made us give her Rituximab, and it made her sicker!
你为什么会在这里 你根本不是医生 Why are you even here? You are not a doctor!
马上出去 肖恩 Get out of here now, Shaun.
马上 Now.
莫菲医生的方式不妥 但他是对的 Dr. Murphy was inappropriate, but he was right.
让我去告诉她吧 Let me be the one to tell her.
我们可以用4-0普理灵缝线手工缝合 We could hand-suture with a running 4-0 prolene.
不 软骨部分要用间断缝合 No, we need interrupted sutures for the cartilaginous portion.
好 端端吻合术 Okay. End-to-end anastomosis.
支气管大小不匹配 Bronchial sizes don't match up.
行 望远镜式套入缝合 Fine. Telescoping technique.
-不 -为什么 - No. - Why not?
不知道 我就是... I don't know. I just...
不喜欢这样 Don't like it.
你要干什么 What are you doing?
我显然感受到了要确保 I'm obviously feeling some pressure
移植手术安全完成的压力 而且... to make sure the transplant comes off safely, and...
对 这是你做的唯一合情合理的事 Yes, that's the only thing you've been doing that makes sense.
跟这个病例有关的其他事 Everything else on this case,
你都处理得不公平 情绪化 you've been unfair, emotional.
-对不起 -这... - I'm sorry. - This...
这跟你没关系 This has nothing to do with you.
-我不... -闭嘴 - I... I don't... - Just shut up.
我情绪化是因为... I've... I've been emotional because...
我激素失调 而我激素失调 I'm hormonal, and I'm hormonal
是因为我... because I...
我总是偷偷溜出去 I've been sneaking off
在屁股上注射 and injecting my butt
超高剂量的人绒毛膜促性腺激素和排卵针 with insane amounts of HCG and Gonal-F,
这让我觉得自己完全像个疯子 which is making me feel like a total lunatic.
你在冻卵 You've been freezing your eggs.
你为什么不告诉我 Why didn't you tell me?
用来活跃气氛吗 Like an icebreaker?
「我知道我们刚刚在一起 "I know we just got together.
你知道吗 我这两个月都在取卵」 "Guess what, I'm two months into egg retrieval"?
我甚至不... I'm not even, uh...
我甚至不确定自己是否想要孩子 I'm not even sure I want kids, or...
是否能做个称职的妈妈 Whether I'd even be a decent mom.
我肯定不是最无私的人 I'm certainly not the most unselfish person.
而且 谁能说 And, uh, who's to say
我会做出比吉娜更明智的选择 I'd make better choices than Gina?
谁知道会不会有人为我辩护 Who knows if anyone would ever defend me?
我该走了 I should go.
你怎么样 How you doing?
糟透了 Very badly.
我被印在广告牌上 还被踢出了一个病例 I have been put on a billboard and kicked off a case.
好 我跟安德鲁斯医生谈过了 Yeah, well, I spoke with Dr. Andrews,
这事不会记录在你的档案里 and there's not gonna be a note in your file
或者其他文档里 or anything like that.
其他的事怎么样 What about this other stuff?
嗯 萨伦给了我48小时 Yes, Salen gave me 48 hours.
我明天早上要去跟她谈 I'm going to talk to her tomorrow morning.
你打算说些什么 What are you gonna say?
我有30个要点 I have 30 bullet points.
也许我们应该把这些过一遍 Maybe we should talk these through?
也许得删掉几个 Maybe narrow them down a little?
肖恩 Shaun?
我知道我给那女孩提供的治疗方案是对的 I know I was right about that girl's treatment.
但我无论说什么都无法说服她父亲 But nothing I said convinced her father.
我只会让他生气 而她却病得更重 I just made him mad. She just got sicker.
而且 And...
我知道我说这广告牌是个错误也是对的 I know I'm right that this billboard is a mistake.
但我觉得我也无法说服萨伦 But I think I won't be able to convince Salen, either.
我一直都知道自己是对的 I keep knowing I'm right,
但我无法改变任何人的想法 but I can't change anyone's mind.
打扰一下 伙计们 Excuse me, fellas.
抱歉 各位 能让我们单独聊会吗 Sorry, guys. Can we have the room for just one minute?
谢谢你们 Thank you.
没有任何理由 没有 There is no justification, none,
要暴露员工的个人医疗记录 for exposing an employee's personal medical records.
把广告牌拿下来 Take the billboard down.
这能制造话题 为人们提供谈资 It's noisy. Makes people talk.
对 你想过这有多让人难过吗 Yeah, about how awful it is.
还有可能违法 It's also possibly illegal.
你为什么要宠着肖恩 Why are you coddling Shaun?
就没人照顾我的多动症 Nobody made accommodations for my ADHD.
这也很难过 That was hard,
但它让我变得更强大 更聪明 更神通广大 but it made me stronger, smarter, more resourceful.
我们有不同的问题也有不同的优势 We have different problems and different strengths,
但我知道 如果你继续护着他 but I know if you keep patronizing him,
会适得其反 it'll backfire.
你真厉害 That is very impressive.
显然 你的注意力问题让你有能力 Apparently, your attention issues give you the power
了解那些你根本不认识的人 to see into the souls of people you've barely met.
我已经认识肖恩15年了 I've known Shaun for 15 years.
你就像他爸爸 You're like a dad to him,
但有时 当事情涉及到孩子时 but sometimes, parents make the wrong choices
父母也会做出错误的选择 尽管他们爱孩子 when it comes to their kids, despite loving them.
也许就是因为他们爱孩子 Or maybe because they love them.
这样吧 我会接受采访 I'll tell you what... I'll do the interviews.
但如果肖恩来找你 And when Shaun comes to see you,
你要让他觉得是他说服了你 you'll make him believe that he convinced you,
而且你会照他说的做 and you'll do what he wants you to do.
好 Okay.
你的 Your, um...
你的肠道问题真的恶化得很快 Your bowel got sicker real fast.
所以你出现了肠穿孔 And... And that's why you had the perforation.
所以现在我们要切除你的大肠 So now we gotta remove your large intestine
和大部分小肠 and most of your small one.
那我必须带着那个袋子吗 So, I'll have to have that bag attached to me?
是的 Yes.
要带一辈子吗 Like, my whole life?
造口的护理每年都在进步 There's improvements every year in ostomy care.
但我还能正常进食 对吗 But I can still eat, like, normally, right?
我不会需要静脉营养之类的东西吧 I won't need that IV nutrition thing?
宝贝 这个还说不好 Baby, that... that's not clear yet.
不 我爸爸错了 告诉他他错了 No, my dad's wrong. Tell him he's wrong.
很抱歉 霍莉 I'm so sorry, Holly.
你答应过我的 You promised me.
-你说过你会治好我 -我知道 - You said you'd fix this. - I know.
你说过要信任你 You said to trust you.
我知道我说过 I know I did.
但我失败了 But I failed.
我很抱歉 I'm so sorry.
我以为你会不一样 I thought you'd be different.
所以我才请你来治疗 That's why I asked for you.
不是你请我治疗 You did not ask for me.
是你父亲请我 那是因为 Your father did, and that was because...
他有六个中意的医生 He had like six doctors that he liked,
但我看到了广告牌 说必须是你 but I saw the billboard and said it had to be you.
因为你与众不同 Because you were different,
就像我一样 你会有不同的想法 like me, and you'd think different.
而我们正需要这点 And we needed that.
我们已经清除了网膜覆盖物 We've cleared the omentum covering.
继续准备切除手术吧 Let's proceed to prep for the excision.
广告牌的事是我错了 I was wrong about the billboard.
好吧 Okay.
这很好 对吧 That's good, right?
不 不是 No, it's not.
我看到它的时候觉得它简直愚蠢 When I saw it, I thought it was dumb
我的自闭症不会激励任何人 但它做到了 and my ASD would inspire no one, but it did.
激励了我见到的第一个病人 It inspired the very first patient I saw,
如果我对此不理智的话 and if I wasn't being rational about that,
或许我对这个病例也不理智 maybe I wasn't rational about this case.
也许是情绪影响了我 Maybe my emotions got in the way.
我拒绝了他 我不够坦诚 I shot him down. I wasn't open.
-我相信你是公正的 -不 不是 - I'm sure you were fair. - No, I wasn't.
-什么时候 -一直都是 - When? - The whole time.
好吧 肖恩 Okay, Shaun...
我冲他大吼 I yelled at him.
他谈到 I... I yelled at him
结肠受到的压力的时候 我冲他大吼 when he was talking about the pressure in her colon.
但那毫无作用 他还是不知道原理 It made no sense. He did not know how it worked.
-如果这样没作用 那 -这一定起了作用 - Well, if it made no sense, then... - It must have made sense.
在某种程度上 Somehow.
他很聪明 He's very smart.
他一定在想某些东西 某些东西 He must have been thinking of something. Something that...
我要开始切除大肠 I'm going to begin the excision of the large intestine.
什么鬼 What the hell?
你们结扎了任何重要的血管了吗 Have you ligated any critical vessels?
-刚要动手 -很好 - We were just about to. - That is good.
你需要把PC管插入结肠 You need to insert a PC tube to the colon.
喂食管吗 可她没法吸收营养 A feeding tube? She can't absorb nutrients.
不是为了吸收营养 而是作为流出机制 Not to feed her. As an outflow mechanism.
紧急压力阀 Pressure valve for emergencies,.
这能让她的胃肠道保持活力 It'll keep her GI tract viable.
肌肉无力怎么办 What about the muscle weakness?
沃尔特说得对 It's what Walt said.
我们用促动力和乙酰胆碱酯酶抑制剂 We use the prokinetics and acetylcholinesterase inhibitors
增加肠道收缩力和运动 to increase contractility and movement.
沃尔特 我要修改手术计划 Walt, I'd like to revise the surgical plan
并让莫菲医生来手术 and invite Dr. Murphy to scrub in.
好 都行 Yes, to both.
没有流血和瘀伤 也没有感染迹象 No bleeding, no bruising, no signs of infection.
非常谢谢你们二位 Oh, thank you so much. Both of you.
没有你 我们走不到这一步 We wouldn't have gotten here without you.
莫菲医生 你不觉得我爸爸能成为好医生吗 Dr. Murphy, don't you think my dad would make a great doctor?
我不确定 Mm, I'm not sure.
他有一些好点子 也有坏的 He had some very good ideas, but also some bad ones.
但他是个好父亲 He is a very good father, though.
我见过的最好的父亲之一 One of the best I have met.
小心伤口 Hey, careful. The sutures.
怎么了 Oh, what happened?
妈妈 Hi, Mom.
我不想你死 I didn't want you to die.
我要补偿你 I have to make this up to you.
你不用这样 You don't.
我要搬到加州 我会做我能做的一切 I'll move to California. I'll do whatever...
你永远不会幸福 You'll never be happy.
我不配幸福 I don't deserve to be happy.
你不该爱我 You shouldn't love me.
当你离开我们 When you left us...
我确实气急败坏了 ...I really acted out.
我总是和爸爸吵架 I would fight with Dad all the time.
但他总是提醒我 But he would remind me that...
他会爱我的 He was gonna love me
无论我是谁 做了什么 no matter who I was or what I did.
因为他是我爸爸 Because he was my dad.
我会像那样爱你 I'm gonna love you like that.
因为你是我妈妈 Because you're my mom.
我亲爱的孩子 My baby boy.
是的 确实 Yes, uh, well, um... uh, indeed.
我在用我的私人健身追踪器 I am, uh, using my custom fitness tracker
因为健康的医生才能救助病人 because healthy doctors make healthy...clients.
油漆 是吗 Paint? Really?
我们要来讨论油漆吗 Are we gonna be talking about paint?
你能再问别的问题吗 Can you ask me an-- a-another question?
对 与众不同的医生 Yeah... Yeah, well, d-- uh, different kind of d-doctor,
与众不同的医院 different kind of hospital.
非常鼓舞人心 Very inspiring.
是的 Yes.
那个吗 你什么时候看到那个的 That one? When did you see "That one"?
是吗 你知道吗 Really? Um, you know what?
我们得择日再谈了 We're gonna have to do this, uh, another time.
谢谢 Thank you.
有些医生与众不同 有些医院也是
紧急通道 救护车专用
我们说好的 不是吗 不是说好了吗 We had a deal, didn't we? Didn't we have a deal?
本来应该是 What was supposed to happen was,
你把广告牌撤下来 you were supposed to take down the billboard.
-你忘了吗 -冷静 - Did you forget? - Calm down.
我没法冷静 I'm not gonna calm down!
你不能这么对肖恩 You don't treat Shaun like this.
肖恩让我把广告牌留下来的 Shaun's the one who asked me to keep the billboard up.
我不信 I don't believe that.
「亲爱的萨伦 关于广告牌的事我改主意了 "Dear Salen, I have changed my mind about the billboard.
留下它吧」 It can stay up."
「只要你修改照片 "As long as you fix the image
让我的头发在正确的一边」 so my hair part is on the correct side."
虽然我还没时间去换照片呢 Haven't had a chance to do that yet.
没有你他也能处理好这件事 He handled this on his own without you.
他也因此成长了 And he's better off because of it.
好吧 Okay.
事实上我年纪也不小了 The truth is, I'm not young.
我也不会再选择做父亲了 And I never would have chosen to be a dad again.
但我也没选择爱上你 But I also didn't choose to fall in love with you.
现在我要做的是把这段感情维系下去 So, now I'll do what it takes to make this relationship work,
不管你决定要做什么 whatever you decide to do.
证明给我看 Prove it.
我 我打算 关心 I-I-I plan to with, uh, caring, with...
现在证明给我看 Prove it right now.
准备 Buckle up.
你不仅会成为好妈妈 And you wouldn't just be a decent mom.
还会成为一个伟大的妈妈 You'd be a great one, because...
现在别说这个 Not now, please.
对不起 Sorry.
有些医生与众不同 有些医院也是
或许我错了 Maybe I was wrong.
或许我不需要他们把我的头发弄好 Maybe I don't need them to fix my hair.
不 确实看起来怪怪的 Nah, it does look a little off.
有些医生与众不同 有些医院也是
格拉斯曼 我清理了喷气嘴和别的几样东西 莉亚留
BGM: We Don't Know by The Strumbellas
Oh, there's something in my mind that's killing me
There's something that this life's not giving me
Would you say
There's something in my mind that's killing me
There's something that this life's not giving me
Would you say
Oh, we don't know if we leave, will we make it home
But we all know, if there's hope, then we'll be okay