骑士走到F6格 三步之内就将军 厉害 Knight F6, then you got me in three. Well done.
我保证不会一整天都下棋 Listen, I don't spend all day playing games.
塞布丽娜 我家街区一家餐馆 Sabeena, there's a restaurant
还有几周就要开张了 要不要去看看 in my neighborhood opening up. You wanna check it out?
我很乐意 I'd like that.
迈克尔 我不能让我的医药代表 Michael, I can't have my medical reps
在手术时推销产品 upselling during a procedure.
我没办法接受他再来我的手术室 I can't welcome him back to my O.R.
让你支持我一下 Would it be too much to ask
这很过分吗 for you to back me up just a little?
我在考虑重新联系我女儿 I'm thinking about reconnecting with my daughter.
儿童与家庭服务部有个项目 There's a program that helps parents
能帮助亲生父母找到之前送去领养的孩子 track down the children they put up for adoption.
过去二十多年了 It's been over 20 years.
她可能不想和你相认 She may not want to reconnect.
早上好 Oh, hey, good morning. Hey.
看来今天某人心情很好 Somebody woke up on the right side of the bed.
因为某人晚上找到人看孩子了 Well, somebody got a sitter for tonight.
也就是说她打算带吃的去你家 And that means she's gonna bring food to your house.
你想吃什么 What do you wanna eat?
你想吃的我都想吃 什么都行 Oh, whatever you want. It's all good with me.
你每次都这么说 我想知道你爱吃什么 You always say that. I wanna know what you like.
我喜欢泰式菜 印度菜 Well, I like Thai, Indian,
披萨 汉堡 我都喜欢 pizza, burgers-I like it all.
我们已经在一起这么久 我都记不清了 You know, we have been dating now for I don't know how long,
但我对你还是知之甚少 and I still know so little about you.
你知道我喜欢泰式菜 印度菜 Well, you know I like Thai, Indian...
-快闭嘴吧 -披萨 汉堡... - Oh, get out of here. - Pizza, burgers...
走开 Go away.
然后他就看着我说 And then he looked at me and said,
"你这么了解内窥镜检查 "You know so much about endoscopy,
不如你来代表这条产品线吧" why don't you just rep the line yourself?"
所以你要负责 So you're gonna be in charge
整整一系列新仪器吗 of a whole new series of devices?
没错 而且我告诉你 这批仪器特别好 That's right, and I'm telling you, Mom, they're awesome.
对于栓塞 硬化治疗 支架和瓣膜放置 Increased success rates on embolization, sclerotherapy,
成功率都提升了 stent and valve placement.
一定能够帮到很多人 Really gonna help a lot of people.
那真是太好了 迈克尔 恭喜你 Oh, that's fabulous, Michael. Good for you.
谢谢你 不过说实话 我有点赶时间 Thank you, but to be honest, I am on the clock.
不能浪费时间跟你聊天了 Can't waste any more time talking to you.
-那你快去忙 -好的 - Well, have at it. - All right.
-麦基 -莎伦 - Hey, Maggie. - Hey, Sharon.
-你还好吗 -没事 - You okay? - Mm-hmm.
信到了 我女儿的 It's here. About my daughter.
收养家庭
你找到她了 Wow. You tracked her down.
你打算怎么做 What are you gonna do?
我还没准备好打开 I'm not ready to open it.
如果需要我 就联系我 好吗 Well, if you need me, call, okay?
我得承认 我以为干掉骑士之后 I have to admit, I thought I had you
就稳赢你了 when I took your king's knight.
这就是我让你得手的原因 Which is why I let you take it.
我就知道你要玩麦克林变招 I knew you were about to play the Mecking Variation.
因为很微妙且灵活吗 Because it's subtle but brilliant?
因为你总用麦克林变招 Because you always play the Mecking Variation.
好吧 我今晚得跟你再来一局 Oh, all right, well, I'm gonna need a rematch tonight.
看看我能不能想出什么奇招 See if I can come up with some surprises.
我看看 I'll see.
我有两个测试患者检查要做 I have two more trial patient exams
还有一份进度报告要写 and a status report due.
我的天哪 妈妈 Oh, my God! Mom!
去推轮床来 发生什么事 Get a gurney. What happened?
她最近一直心悸 She's been having palpitations,
但直到今天才让我带她来医院 but she wouldn't let me bring her in until today.
我也是医生 Hi, I'm a doctor too.
你妈妈有什么心脏疾病吗 Does your mom have any cardiac conditions?
据我所知没有 但是她怀孕了 Not that I know of, but she's pregnant.
我们现在送你去急诊室 All right, we're gonna get you up to the ED
进行一些检查 好吗 and check you out, okay?
你需要我们帮你联系什么人吗 Is there anyone you'd like us to call?
-她老公 -不 加里已经过世 - Her husband? - No--Gary's passed.
还有其他人吗 孩子的父亲 Anyone else? Baby's father?
孩子是我的 还有我丈夫的 No, the baby's mine. And my husband's.
你的 Yours?
我妈妈怀着我们的孩子 My mother's carrying our baby.
芝加哥医院 第六季第十集
又见面了 情况如何 Hello, again. Where we at?
丹尼尔斯女士怀孕22周 Ms. Daniels is a 22-week
替她女儿代孕 pregnant surrogate for her daughter.
我发现了心房颤动的迹象 And I am seeing signs of atrial fibrillation.
介意我问一下你多大吗 Okay, do you mind me asking how old you are?
54岁 54.
我知道这么大年纪怀孕很辛苦 I know that's pretty old to carry a baby,
但凯特问我的时候 我实在是... but when Katie asked me, I just couldn't--
他很忙 妈 He's busy, Mom.
他应该只希望你回答问题 I'm sure he just wants you to answer the questions.
以前出现过这种情况吗 So, has this ever happened before?
没有 No.
你有其他医疗病史吗 And any other medical history we should know about?
我对贝类过敏 I'm allergic to shellfish.
我之前得过肾结石 And I had a kidney stone once--
她是个酒鬼 She's an alcoholic.
抱歉 妈 这是事实 I'm sorry, Mom. It's true.
我正在戒酒 Recovering alcoholic.
我已经两年半没有喝酒了 I haven't had a drink in two years, six months--
你觉得这是原因吗 Do you think that's why this is happening?
我和我老公 我们知道可能会有医学问题 My husband and I--we knew there might be medical issues.
但是我们请不起专业代孕 We couldn't afford a professional surrogate.
让我们做几项测试 Okay, let us do a few tests,
查清楚到底是怎么了 and we'll figure out exactly what's going on.
同时 我们会努力让你的心脏 And in the meantime, we'll try to get your heart
恢复正常的心率节奏 好吗 back into a normal rhythm, okay?
失陪 Excuse us.
你觉得怎么样 What do you think?
她不稳定 我们需要使用复率器 She unstable. We need to cardiovert.
麦基 做心回波图和100毫克的氟卡尼 Mags, order an echo 100 milligrams of flecainide.
我们看看她一个小时左右的情况 We'll see how she does over the next hour.
等等 如果这是酒精性心肌病 Well, hold up, if this is alcoholic cardiomyopathy,
我们可能应该使用电疗 we may wanna do it electrically.
但我们不想影响到胎儿的心率啊 But we don't wanna affect the baby's rhythm.
-药物会更安全 -但效果更差啊 - Meds would be safer. - Well, but less effective.
病情拖得越久 情况就会越糟糕 I mean, the longer this goes on, the worse it could get.
那么我到底要怎么办 So what do you want me to do?
氟卡胺是标准的医护方法 Flecainide is standard of care.
我们就用它吧 We'll go with that.
什么情况 What have we got?
病人是阿拉什·迈赫迪 腿部中弹 I've got Arash Mehti, shot in the leg.
现场打了两针吗啡 体征稳定 Two of morphine in the field, vitals stable.
迈赫迪先生 我是马塞尔医生 Okay, Mr. Mehti, I'm Dr. Marcel.
我们会好好照料你 We're gonna take good care of you, okay?
我不想来这 I don't want to be here.
我们要给你看一下 好吗 Okay, well, we're just gonna take a look at you, all right?
我们照个X光 Let's get an X-ray in here.
这些私立医院收费太高了 带我去个急诊诊所吧
爸爸 你中枪了 你得来这里看
来吧大家 听我口令 动作轻一点 Okay, here we go, guys. On my count, nice and easy.
一 二 三 One, two, three.
求你们了 不要 No, please.
我付不起钱 我要去别的地方 I can't afford this. I'll go somewhere else.
把他的头抬起来 Bring his head up.
听我说 迈赫迪先生 Okay, listen to me, Mr. Mehti.
你需要到医院治疗 You need to be in a hospital.
我不想让你的腿再经受不必要的移动了 I don't want your leg moving any more than it has to.
请你冷静下来 不要乱动 So please stay calm, okay? Nice and still.
我们后退 Let's move back.
他们做的所有工作都会进账单的
爸爸 别动
你不该让他们把我送这来 你就是不听我的
迈赫迪先生 看起来子弹 Okay, Mr. Mehti, it looks like the bullet
击中了你的一根大血管 hit one of your large vessels.
我需要进行手术来止血 I need to operate in order to stop the bleeding,
并取出子弹 没问题吧 and remove the bullet. Is that okay?
-手术 -对 - Operate? - Yes.
不 No.
跟他说 我不需要手术
爸爸 恐怕你没得选 Dad, I don't think you have a choice.
告诉他
迈赫迪先生 你儿子说得对 你还在出血 Mr. Mehti, your son's right. You're still bleeding.
如果我们再拖下去 你就会失血过多了 If we wait much longer, you'll lose too much blood.
你会死掉的 You will die.
爸爸 就让他给你治吧 Dad, just let him fix you.
-不 -求你了 - No. - Please.
迈赫迪先生 Mr. Mehti.
那好吧 Fine.
给血库打电话 通知手术室我们要上去了 Call the blood bank. Let O.R. know we're coming up.
好的 You got it.
等下见 I'll see you soon, okay?
艾米丽 我是曼宁医生 Hi, Emily. I'm Dr. Manning.
今天发生了什么 What happened today?
我去健身房的路上被人抢了 I was on my way to the gym, and I got mugged.
天啊 我很遗憾 Oh, my God. I'm so sorry to hear that.
-没事 -我能... 谢谢 - It's okay. - You mind if I--thanks.
没事 但他甩我甩得很用力 It's okay. But he threw me pretty hard.
好吧 All right.
看起来是骨折了 Yeah, well, it appears to be broken,
但我还是需要做个X光来确认一下 but I do wanna do an X-ray to confirm.
谢谢 能给她点药不让她那么疼吗 Thanks--and could she get something for the pain?
她想要表现得勇敢 但... She's trying to be brave, but--
对不起 这位是我丈夫布莱恩 I'm sorry. This is Brian, my husband.
幸会 Nice to meet you.
没问题 我们可以给你点药 And yes, we can get you something.
你报警了吗 Did you make a police report?
没有 那家伙跑得飞快 No, the guy got away so fast.
你应该考虑报个警 Well, you should think about filing one.
你可能想不到 I mean, you'd be surprised
他们经常还是会抓住疑犯的 at how often they find the suspect.
算了吧 No, it's fine.
我连他长什么样都没看清 I didn't even get a good look at him.
别这样 小艾 Come on, Em.
我们反正也是坐在这 待着也是待着 We're just sitting here anyway. We might as well.
我的头疼 好像疼得很厉害呢 My head hurts, and it seems like such a pain.
宝贝 那家伙把你胳膊弄折了 Sweetie, the guy broke your arm.
那好吧 Okay.
太好了 我去叫个人来 Great. I'll send someone in.
与此同时呢 And in the meantime,
我们会把药给你拿过来 we will get you those meds, okay?
我有个病人在三号治疗室 她刚刚被人劫了 Hey, I have a patient in three who was just mugged,
她好像有些不愿意接受现实 and she seems like she's in a little bit of denial.
你能和她聊一聊吗 Would you mind talking to her for a minute,
确保她没事 just make sure she's all right?
-当然可以 -谢谢 - Not at all. - Thanks.
我都等了好一阵子了 I've been on hold for a while.
你们人在哪里 他流血很厉害 Where are you guys? He's bleeding bad.
-我能帮忙吗 -你是医生吗 - Can I help? - Are you a doctor?
不是 我是护士 No, I'm a nurse.
那也行了 来吧 Good enough. Come on.
金属板弄伤了他的腿 Sheet metal got his leg.
我们想给伤口周围系个带子 We tried to tie a belt around it,
但它老是滑脱 but it just keeps slipping.
我叫艾普尔 Hey, my name is April.
我要尽力帮助你 I'm gonna try to help you, okay?
你好艾普尔 我叫拉塞尔 Hey, April. I'm Russell.
拉塞尔 坚持住 Hey, Russell, just hang in there.
谢谢 好吧 Thank you. All right.
这位置用止血带太高了 Hey--oh, that's too high for a tourniquet.
你得用力压在这里 You gotta press right here. Yeah.
用力压住 再用力 And press down hard. Harder.
那个工具箱里有什么 What's in that toolbox?
挺住 拉塞尔 Hang on, Russell.
让我看看 Okay. Let me see.
那个急救包里有酒精吗 Does that first aid kit have any alcohol in it?
-好 -给你 - All right. - Here you go.
这会很疼 好吗 准备好了 This is gonna hurt, okay? Get ready.
好 Okay.
我知道 我知道 好 I know, I know. Okay.
坚持住 Hang in there.
用力点压 用全身的重量 好吗 Press down harder. Use all your weight, okay?
你能按住他的腿别让他踢吗 Can you hold his leg so he doesn't kick?
我知道 拉塞尔 I know, Russell.
我要夹住你的动脉 I gotta clamp your artery.
压住 Just keep pressing.
好 夹住了 Yeah. Got it.
慢慢松开 Ease up, slowly.
他会没事吗 Is he gonna be okay?
应该会 I think so.
-什么情况 -拉塞尔·伯德 26岁 - What do we got? - Russell Byrd, 26,
股动脉撕裂 失血严重 lacerated femoral artery with significant blood loss.
血压90/55 心率115 路上输了一升生理盐水 BP 90/55, heart rate 115. Got a liter saline en route.
怎么 你们是在水槽里换管子吗 What, were you repiping in sink?
我们当时在建筑工地里 We were at a construction site.
-别无选择 -居然是锯齿状的 - I had no choice. - Serrated teeth, no less.
整个动脉壁都成碎牛肉了 Ugh, the whole artery wall's ground beef.
好吧 你去把自己清理干净 Okay, go get yourself cleaned off.
不 没事的 我能行 No, it's okay, I got it.
你已经做得够多的了 好吗 Look, you've done enough, okay?
-南茜 -抱歉 - Nancy. - Sorry.
让手术室挂上万古霉素和庆大霉素 And tell the O.R. to hang vanc and gent
等我们过去 when we get there.
希望这家伙出来时还能保住一条腿 And hopefully this guy's still got a leg when he gets out.
我跟这位病人 诺里斯女士 谈过了 So I talked with your patient, Ms. Norris.
我知道你可能会有点震惊 And I know there could be a little residual shock here,
但我说不好 只是 有些事不太对劲 but I don't know, I just-- something's not adding up.
我总觉得 You know, I can't escape the feeling
我们不了解事情的全部 we're not getting the whole story.
-怎么会这样 -伙计们 - How so? - Hey, guys.
警局查过了三个街区内的所有摄像头 Station checked all the cameras in a three-block area.
说他们找不到任何袭击的视频 Said they couldn't find any footage of an attack.
谢谢 Oh. Thanks.
手术室准备好给她的手上夹板了 O.R.'s ready to plate her arm.
好 Okay.
我想问你几个问题 I just have a couple of questions.
你说你早上六点被攻击了 对吗 So you said you were attacked at 6:00 A.M., yeah?
-算是吧 -你当时是在人行道上 - Give or take, yeah. - And you were on a sidewalk?
不是在巷子里或什么别的地方吗 Not in an alley or anywhere else?
有什么问题吗 Is there something wrong?
因为警察也问了我们相同的问题 Because the cop asked these same questions.
不 他们只是很难找到 No, they're just having a hard time
事故的视频 没别的 finding video of the incident, that's all.
看 我说过这是浪费时间 See, I told you this was a waste of time.
他们只想帮忙 They just wanna help.
我知道 但我又冷又疼 I know, but I'm cold, and hurt,
我只想快点结束这一切 and I just want this to be over with already.
-我们给她拿个毯子 -不用 没事 - Let's get her a blanket. - No, it's okay.
给你 Here.
我们会挺过去的 然后就回家 好吗 We're gonna get you through this and go home, okay?
你需要我们帮你包扎一下吗 Whoa, whoa, hey, you want us to dress those for you?
我没事 Oh, I'm fine.
那些看着像手指甲抓的 对吗 Those look like fingernail scratches, yeah?
没错 Yeah, they did.
也许我得跟诺里斯先生谈谈 Maybe I need to have a little chat with Mr. Norris.
你知道 我们今天早上都没喝咖啡 You know, we never did get that coffee this morning.
在一小时的试验调查问卷之后 Well, after an hour of trial questionnaires,
我保证你会需要喝一杯的 I'm sure you could use it.
丹尼尔斯女士还是有心房纤维颤动 Hey, Ms. Daniels is still in A-fib.
看到了 Saw that.
我觉得我们应该改用心脏电复律 I think we should switch to electrocardioversion.
我还是想坚持用药 增加剂量 I'd rather stick to meds and up the dose.
能让我看看吗 我也很有兴趣 Okay if I observe? I'm invested.
当然可以 Yeah, of course.
伊森 她的心率只会越来越糟 Ethan, her heart rate's only getting worse.
我真的觉得我们应该改变治疗方案 I really think we should change course.
好 Okay.
你好 丹尼尔斯女士 Hi, Ms. Daniels,
我们给你静脉注射一点镇定剂 we're putting a little sedative into your IV,
所以你应该只会感觉到轻微的晃动 so you should only feel a small jolt.
这样不会伤害宝宝 对吗 And this won't hurt the baby, right?
妈妈 别妨碍他们工作 Mom, just let them do their job.
玛丽 我们会很小心的 Mary, we'll be very careful.
凯特 拜托 Kate, please.
-好 我们开始吧 -就是这样 - Okay, here we go. - Right here.
充电到50 Charging to 50.
一 二 三 And one, two, three.
没反应 Nothing.
丹尼尔斯女士 你还好吧 好 Ms. Daniels, you okay? Good.
再一次50 50 again.
一 二 三 And one, two, three.
没用 我们加大药量吧 It's not working. Let's increase her meds.
不 加到100 No, let's go to 100.
一 二 三 And one, two, three.
她出现室颤了 She's in v-fib.
-没有脉搏 -充电到200 - No pulse. - Charging 200.
怎么回事 What's going on?
电流使她出现了更严重的心律失常 The current flipped her into a more serious arrhythmia.
-我们只能用电击让她恢复 -离手 - We have to shock her out of it. - Clear.
天哪 Oh, my God.
还是没脉搏 Still no pulse.
注射一毫克肾上腺素 Push a milligram of epi.
再次充电到200 Charging to 200 again.
-肾上腺素注射完毕 -离手 - Epi's in. - Clear.
窦性心律 Sinus rhythm.
脉搏回来了 Pulse is back.
玛丽 Mary?
发生什么事了 What happened?
你的心脏问题还没有得到控制 Your heart issue is still not under control.
我很抱歉 但现在 And I'm sorry, but at this point
我们必须做好准备以免再次发生这种情况 we have to be prepared for this to happen again.
再做一次12导联心电图 Get another 12-lead.
有变化就打电话给我 Call me if anything changes.
好了 血管修复了 止血钳准备出来 All right, vessel's repaired, clamp's coming off.
只要夹住子弹取出来就行了 Just gotta grab that bullet and take this thing home.
玛雅 帮我把动脉移开 Maya, help me pull the artery over.
已经尽可能地移开了 It's over as far as it'll go.
移到另一边 Huh. Try the other way.
马塞尔医生 Dr. Marcel?
我找不到子弹 I can't find the bullet.
X光片显示就在这 It was right here in the X-ray.
谁去检查一下他的床 All right, somebody check his bed.
-确保没有掉出来 -我去 - Make sure it didn't fall out. - On it.
你确定你看对了吗 You sure you read it right?
腿部片子 容易看反 Leg film, easy to turn upside down.
不 马蒂 没有看反 No, Marty, it wasn't upside down.
子弹不在这里 The bullet's not in here anywhere.
床上没有 Bed's clean.
有人从急救室到这里的路上动过他的腿吗 Okay, did anybody touch his leg between the ED and here?
因为如果子弹没有掉出来 Because if it didn't fall out,
我不知道还能在什么地方 I don't know where else it could be.
快拿一张X光片过来 All right, get me an X-ray here, stat.
快去 Move.
是 医生 Yes, Doctor.
我听说你在考虑插入移植 So I heard you're thinking of doing an interposition graft?
你在干什么 What are you doing?
准备做手术 我和护士长说了 Scrubbing in. I spoke with the charge nurse.
我有团队 谢谢 I got a team. Thanks.
我明白 但是我陪这位病人入院的 I understand, but I came in with this patient,
我想全程看着手术 and I'd like to see it through.
艾普尔 我欣赏你的热情 April, I appreciate your enthusiasm,
但你是急救室护士 but you're an ED nurse.
我想你应该去帮那边的人 I'm sure you could be of help to someone down there.
-诺里斯先生 -你好 - Mr. Norris. - Hey.
-你来了 -她从手术室出来后 - There you are. - Will she have her phone
会拿到她的手机吗 when she gets out of surgery?
我想给她发点信息 I like to send her little messages.
-从手表吗 -是的 - Oh, from the watch? - Yeah.
很酷 我这几年也戴着这个 Yeah, that's cool. I had this thing for years.
我还没抽时间弄明白怎么发信息 I still haven't gotten around to figuring that part out.
当然 我们会保证她醒来时 Yeah, absolutely, we can make sure she has it
拿到手机的 when she wakes up.
听着 So, look.
你妻子今早在街上被人袭击了 Your wife gets attacked on the street this morning.
你觉得她接下来会怎么做 What do you think she does next?
她会给你打电话 Does she call you up,
还是会走回家 还是 or does she just walk home, or...
她可能打了 She might've called.
我不知道 I don't know.
事实上 军乐队才能在早上 Truth is, it would take a marching band
把我叫醒 to wake me up in the morning.
-是个夜猫子吗 -不 - Bit of a night owl? - Uh, no.
我最近似乎睡不太好 I just can't seem to get good sleep lately.
你觉得为什么呢 比如是不是 Well, why do you think? You got, like,
工作上压力大之类 what, stress at work or something?
不 其实我退役了 No, I'm actually retired.
-真的吗 -是的 - Really? - Yeah.
-从哪退役的 -军队 - From what? - Army.
第173号特种部队 在阿富汗 173rd Special Troops, Afghanistan.
回来三个月了 Been back three months.
阿富汗 Afghanistan, that--
很艰苦吗 Was that rough?
不算太糟糕 Ah, wasn't so bad.
你睡不太好 Well, anyway, you not getting sleep--
我是说 那是在你出事时吧 I mean, that's when you have accidents, right?
你说你干了什么来着 I mean, how did you say you did that again?
我不知道 I don't know.
可能是庭院劳动 Maybe yard work.
我不知道 I have no idea.
艾米丽快要出来了 Anyway, Emily should be getting out soon.
我能去恢复室等她吗 Can I go wait for her in recovery?
好啊 我可以安排 Yeah. I can totally arrange that.
这东西也能帮你弄清 You know, these things can also help you figure out
你为什么睡不好 what's going on with your sleep too.
-你知道吧 -知道 我想艾米丽可能 - You know that, right? - Yeah, I think Emily might've
给我在上面装了这种软件 put one of those apps on here for me.
我们来看看 Oh. Let's have a look.
听听这个 Hey. So get this.
诺里斯先生曾是军人 Mr. Norris is ex-military.
三个月前才从阿富汗回来 Just back from Afghanistan three months ago.
我们都知道 And we all know how complicated
回归平民生活有多复杂 those transitions back to civilian life can be.
但在我看来 But for what it's worth,
他没有显出施暴者的特征 he's not throwing off an abusive profile for me.
看看这个 Well, take a look at this.
这是她在东慈爱医院的诊疗记录 Those are her medical records from East Mercy.
上个月她去了两次 She's been there twice in the last month
胸腔上有挫伤 鼻子流血 for bruising in her rib cage and a bloody nose.
她被施暴了 She's being abused.
这是一小时内她第三次呼救 It's third time she's coded in an hour.
胎儿让她的心脏 The fetus is putting
承受太多的负担 too much strain on her heart.
我们没法接生 她才22周大 We can't deliver. She's only 22 weeks.
我们得按照程序来 We have to stick with the playbook
寄希望于大剂量用药 and hope the higher dose of meds works.
-或者我们试试其他的 -什么呢 - Or we try something else. - Now what?
-丁卡因 -你在逗我吗 - Tetracaine. - Are you kidding?
我们应该用它注射 We should give it as an infusion,
阻断钠离子通道 重设她的心率 block her sodium channels, and reset her rhythm.
这只有几次先例 It's only been tried in a handful of cases.
没有硬数据 There's no hard data.
是的 这很前沿 但或许会成功 Yes, it's cutting edge, but it could be a home run.
或者会引发心搏停止 置她于死地 Or it could cause asystole and kill her.
我明白 但我们不能继续这样 I understand, but we can't keep going like this.
我们对她做的每次电击 Each shock we give her
都会增加胎儿心律不齐的几率 increases the chance of fetal arrhythmia.
我也想保护胎儿 I wanna protect the fetus as well,
但我们的职责是先考虑患者 but our duty is to our patient first.
-伊森 -你已经造成很大的损失了 - Ethan-- - You've already done enough damage as it is.
我们继续用药 We're sticking with the meds.
我知道 我很笨手笨脚 I know, I'm such a klutz.
一次是我在健身房绊倒了 摔在了杠铃上 One time I tripped at the gym and landed on some weights.
还有一次 撞上了门 And the other time, I ran into a door.
布莱恩陪你一起去了诊疗室吗 Did Brian go to the ED with you?
我很难为情 没有告诉他 I didn't tell him. I was embarrassed.
你们似乎很亲密 Huh. You guys--you seem so close.
我不知道你为什么难为情 I don't get why you'd be embarrassed.
这是怎么了 What is going on?
艾米丽 如果你有话想和我们说 Look, Emily, if there is anything you wanna tell us--
等等 你们是不是在暗示 Wait, you're not suggesting
这些伤和他有关系 that he had anything to do with this?
这三次伤情 All three injuries have happened
都是布莱恩从军队退役后发生的 since Brian's been back from deployment.
布莱恩是个好男人 Look, Brian is a good man.
他是个经历过战争的好男人 He's a good man who went through combat.
我想你知道 人会... And as I'm sure you know, people can--
他们可能会带着某些问题回来 they can come back with issues.
这对他来说不容易 Well, it wasn't easy for him.
他当时见到的 What he saw there.
但他现在回来和我在一起了 这才是最重要的 But what matters now is that he's back and we're together.
好吧 但无论他在那里经历了什么 Okay, but no matter what happened to him over there,
如果他伤害了你 这也是不行的 it is not okay if he's hurting you.
你根本不知道自己在说什么 You don't know what you're talking about.
艾米丽 我们只是想 Emily, please. We're just--
我觉得你们应该走了 I think that you should leave.
我 好吧 Look, I-- okay.
她在保护他 She's protecting him.
典型的受虐妇女综合征 It's classic battered woman syndrome.
很有可能 但我不确定 You know, very possible, but I don't know.
有些情况还是不对劲 Something still-- it's just not adding up.
这些受伤和就诊的记录 All of these ER visits, all these injuries,
都是在清晨发生的 are taking place very early in the morning.
好吧 那就是在上午施暴 Okay, so they fight in the morning.
但如果他没有施暴呢 But what if he's not fighting her at all?
如果他是在和别人动手 What if he's fighting with something else,
而她正好在场呢 and she just happened to be there?
小娜 难怪他不记得 Nat, no wonder he can't remember
这些抓痕是怎么造成的了 where these scratches come from.
我觉得这可能是在他睡着的时候发生的 I think that this might all be happening when he's asleep.
你怎么证明呢 How do you prove that?
我有办法了 I have an idea.
你们弄丢了子弹 You lost the bullet?
我们没弄丢 这叫弹头栓塞 We didn't lose it. It's called a bullet embolism.
通过你血管上的弹孔 It got pulled through the hole in your vein
转移到了肝部 and traveled up to the liver.
就堵在血管里 It's lodged inside the vessel there.
天哪 这不可能
迈赫迪先生 我们也不希望这样 Look, Mr. Mehti, this is not what we wanted.
但我们会处理好的 好吗 But we're gonna get this taken care of, okay?
不过 既然你今天已经接受过麻醉了 However, since you've already been put to sleep today,
我想等两天再重新给你动刀做手术 I do wanna wait two days before opening you back up again.
-两天 -没错 - Two days? - Yeah.
看 我就说不该来 你一次次地让我失望
爸爸 我们得按他们说的做
安静
你们单独谈吧 I'll give you guys some space.
-马塞尔医生 -怎么了 - Hey, Dr. Marcel. - Yeah?
我代我爸爸道个歉 Look, I'm sorry about my father.
-没关系 -如果能让你好受点 - Oh, it's okay. - Well, if it helps,
他其实是冲我发火 his anger's actually directed at me.
别担心 Don't worry about it.
他放弃了一切来到美国 He gave up everything to come to America,
为了给我机会 to give me opportunities.
我做了什么 坚持成为一名音乐家 What do I do? I insist on being a musician.
他说我永远养活不了自己 He says I'll never earn a living.
他讨厌我的音乐 He hates my music.
他的失望远远比一颗子弹要多 His disappointment's over a lot more than a bullet.
我理解你 I understand you.
你不用担心我的感受 And you don't have to worry about my feelings.
我们会治好你父亲 好吗 Let's just get your father fixed up, okay?
-好 -那就行 - Yeah. - All right.
-马塞尔医生 -怎么了 - Dr. Marcel? - Yeah?
我不想插手 但我无意间听到你们谈话 I don't mean to butt in, but I overheard you talking,
我觉得有个办法可以避免在做一次手术 and I think there's a way you could avoid another surgery.
-怎么样 -我有一个新型的内窥镜装置 - How's that? - I've got this new endoscopic device
用于安撞人工心脏瓣膜的 to deploy artificial heart valves.
它通过延伸机械手指释放瓣膜 It extends mechanical fingers to release the valve.
你觉得可以逆向操作 You think that it could work in reverse?
没错 抓出子弹 Exactly. Just grab the bullet.
但这还没有被批准 But it's not approved for that.
必须在批准范围之外使用 是吗 This would have to be off-label, right?
是的 It would.
但如果你想避免再做一次手术 But if you're trying to avoid an open surgery...
好吧 Right.
这主意其实很不错 It's actually a pretty good idea.
好吧 就这么办 All right. Let's do it.
麦基问你需不需要 Maggie's just wondering if you would need
别人替你一会 someone to cover for you.
不用 我一会就下去 No, I'll be down in a minute.
你没事吧 Hey, you okay?
如果这害他丢了一条腿 或是更糟呢 What if I cost this man his leg, or worse?
艾普尔 别陷入这种情绪 April, don't get caught up in that.
我相信你肯定已经竭尽所能了 I'm sure you did everything possible.
她怎么样 How's she doing?
还是会时不时地心动过速 Still in and out of v-tach.
伊森给了她标准用药 Ethan's giving her the standard meds,
这或许是最好的选择 which maybe is for the best.
但你有更好的想法 But you have something better in mind?
丁卡因 Tetracaine.
风险很高 说不定没用 It's risky, and may not even work.
但我们怎么能 But how do we sit here
坐在这里袖手旁观 连试都不试一下呢 with an ace up our sleeve and not even try?
我支持你 I'm with you.
我在印度行医的时候 When I practiced medicine in India,
每次我直视病人的双眼 every time I looked a patient in the eye,
知道他们的生命随时会有危险 knowing their life was on the line,
在我竭尽全力之前 我是不会放弃的 I couldn't stop till I knew I did everything I could.
总之 我说起来很容易 Anyway, easy for me to talk.
是一种未经验证的药 It's a medicine that's unproven,
但是可以永久性改变你的心律 but could reset your rhythm for good.
现在的问题是 也有一点可能 Now, the problem is, there's also a small chance
会让你的心跳完全停止 it could stop your heart completely.
-天哪 -我明白 - Oh, my. - I know.
所以我不逼你这样做 And that's why I'm not pushing you to do it.
但是我不确定你的心脏 But I'm not sure how many more rounds
还能承受几次除颤 of defibrillation your heart can handle.
所以如果你想对这个信息了解更多 So if this sounds like something you wanna know more about...
如果我心跳停止 If my heart stopped,
宝宝会怎么样 what would happen to the baby?
他还太小 It's too small,
所以离开你的身体活不了 so it wouldn't be able to live outside of you.
明白了 I see.
但是如果我没挺过去 But if I don't make it,
有办法让宝宝继续在我体内活着吗 is there a way to keep the baby alive inside?
别 丹尼尔斯女士 先别讨论这个 Oh, no, Ms. Daniels, let's not go there yet--
不是 我读到过 把某种机器 No, I read about this-- some kind of machine
和我连接 宝宝就可以继续成长 you hook me up to, so the baby can keep growing?
能做到 但是这个很复杂 Yeah, we could. But it's a complicated issue.
你要不要等你女儿 Maybe you wanna wait for your daughter--
不要 No.
这是我的决定 This is my decision.
我没有给过凯特关爱 I was never there for Kate.
我 I...
总是醉醺醺的 was too drunk.
她爸在外地工作 Her dad traveled for work,
所以她自己走路上学 so she had to walk herself to school,
自己解决晚饭 自己上床睡觉 find her own dinner, put herself to bed.
我知道我永远不能弥补这些 And I know I can never make up for that.
但是现在 她最想要的就是孩子 But now, she wants a child more than anything.
希望有个完整的家 To finally have a family.
如果这种药最有可能帮她实现这一愿望 And if this medicine is my best chance to give her that,
那么我愿意 then I want it.
玛丽 Mary.
这是个重要决定 This is a big decision.
你确定不想再考虑考虑吗 You sure you don't wanna take some time to think about it?
谢谢你 麦基 Thank you, Maggie.
但是我清楚自己的答案 But I know my answer.
我不会让我女儿再失望一次 I'm not gonna let my daughter down again.
好的 Okay.
我来安排 I'll set it up.
威尔 威尔 Will. Will.
我们是不是该等凯特来 问问她的意见 Shouldn't we wait for Kate to be part of this decision?
你听到了 You heard her. Okay?
她努力在弥补过去 She's trying so hard to make up for the past,
对女儿缺少关爱 not being there for her daughter.
给她这个机会吧 Let's give her that chance.
威尔 你背着我劝她接受这种药物 Will, you talked her into this infusion behind my back?
我没有劝她什么 Yeah, I didn't talk her into anything.
是她自己想要 It's what she wants.
你怎么回事 你应该先来问我 What is wrong with you? You needed to come to me first.
我试过 Hey, I tried.
你坚持用一种无效的治疗方案 You're too stuck on a treatment that isn't working.
所以你就让她冒生命危险 So you're just gonna risk her life?
不是 我和病人都认为这是最好的办法 No, I'm doing what both I and our patient think is best.
妈 太荒唐了 绝不可能 Mom, this is crazy. There's no way.
我已经决定了 I've made my decision.
不行 太蠢了 太草率了 No, this is stupid and reckless.
我得做点什么 I have to do something.
每次电击 都让宝宝陷入危险 Every time they shock me, it puts the baby in danger.
-我不在乎 -你当然在乎 - I don't care. - Of course you care.
宝宝意味着一切 This baby means everything.
-不是的 -凯特 - No, it doesn't. - Kate.
你等这一天等了太久 You've been waiting for this forever.
妈 Mom.
宝宝没有你重要 This baby doesn't mean as much as you do.
丹尼尔斯女士 你出现心律不齐了 Ms. Daniels, you're starting to throw irregular beats.
你希望我们怎么做 What do you want to us do?
你让我做吧 Please, let me do this.
妈 不要 Mom, no.
我爱你 宝贝 I love you, sweetheart.
我准备好了 I'm ready.
开始注射吧 Start the infusion.
他怎么样 How is he?
他未受损的动脉足够进行修复 Well, there was enough artery left to repair,
灌注也做得不错 所以他应该会没事 and he's perfusing well, so I think he's gonna be fine.
谢天谢地 Thank God.
艾普尔 Hey, April.
我之前没想到他失血这么多 He lost a lot more blood out there than I realized.
所以你不但救了他的腿 还救了他的命 So you didn't just save his leg, you saved his life.
就一个护士而言很厉害 Pretty good for a nurse.
你应该学医的 You should've gone to med school.
为什么还要我们留在这 Is there a reason why we're still here?
骨科医生说以她的情况可以出院了 The orthopedist said she's medically cleared to leave.
是的 但是我们想先和你谈谈 Yes, but we would like to speak with you first.
布莱恩 我认为你得了一种创伤后应激障碍 Brian, I think that you are suffering from a form of PTSD.
-什么 -行了 够了 - What? - Okay, this is enough.
病人又不是他 He's not even the patient here.
请给我们一点时间 Please, just bear with us for a moment.
我认为你正经历一种叫 I think that you're experiencing
创伤后应激障碍噩梦的东西 something called PTSD nightmares.
噩梦这个词容易让人误会 Now, the word nightmares is misleading.
其实更像是夜惊症 They're actually much more like sleep terrors.
区别在于 The difference being,
人们通常不记得夜惊 people often don't remember them.
但你的身体还是经历了这些 But your body still very much experiences them,
程度可以强烈到 to the point that on certain nights,
让你在某些晚上 the intensity leads you to
在肢体上将其表现出来 literally act them out physically.
你则施加给了艾米丽 In this case, on Emily.
不会的 No. I...
在今天之前 她因为受伤两度进医院 She's been to the hospital for injuries twice before today.
什么 What?
没什么 没事的 It's nothing. It's fine.
我们只是希望他得到必要的帮助 Please, we're trying to get him the help that he needs.
不是 你们是想把这事当作家暴上报 No, you're trying to report this as domestic abuse
然后把警察扯进来 and get the police involved.
听我说 我们应该依法上报这件事的 Listen, we are legally obligated to report this,
但我向你们保证 but I guarantee you,
正是由于本病例的特殊性 because of the specifics of this case,
布莱恩他不会被起诉的 that Brian-- he's not gonna be prosecuted.
但是这件事还是会被记录在案 He'd still end up with it on his record.
然后会怎样 去做心理健康诊断吗 And then what? A mental health diagnosis?
这些事是要跟你一辈子的 These things follow you your whole life.
小艾 也许我们应该谈谈这件事 Em, maybe we should talk about this.
不 不管是军队 还是医院 No. The army, the hospital.
他们都不会保护你的 They won't protect you.
我是唯一一个会保护你的人 I am the only one who will protect you.
艾米丽 我和布莱恩之前在讨论他的睡眠 Emily, Brian and I were discussing his sleep.
你可以再打开那个软件吗 Do you mind bringing up that app again?
可以 Yeah.
他的手表可以监测他的睡眠模式 The watch tracks his sleep patterns.
大部分人睡眠效率都在85%左右 Most people have a sleep efficiency of around 85%.
这代表了长时间的深睡眠 较少移动 That means a lot of deep sleep, very little movement, okay?
你可以看到 布莱恩的睡眠效率 As you can see, Brian's sleep efficiency,
平均在50%以下 it averages around 50%.
而且在你去医院的那几天 And on the days that you went to the hospital,
-他的睡眠效率降到了10% -那又怎样 - it was down to 10. - So what?
你看这里 You see right here,
在凌晨的时候 监测到的移动 early in the morning, all that movement?
那些都是夜惊现象 Those are night terrors.
艾米丽 是我干的吗 Emily, did I... do this?
不是 No.
艾米丽 你今天来的时候手臂都骨折了 Emily, you came in here today with a broken arm.
下一次也许会更糟 Next time, it could be far worse.
小艾 和我说实话 I mean, Em-- tell me the truth.
布莱恩 Brian...
我有没有伤害你 Have I hurt you?
-布莱恩 -亲爱的 拜托你 - Brian-- - Honey, please, I--
我不知道该怎么忍受我自己 如果我真的 I couldn't live with myself if I--
-你不是故意的 -我的天啊 - You didn't mean to. - Oh, my God.
-你不是故意的 -对不起 对不起 - You didn't mean to. - I'm so sorry, I'm so sorry.
-对不起 -没关系 - I'm so sorry. - It's okay.
没关系的 这不是你的错 It's okay. It's not your fault.
这不是你的错 It's not your fault.
我们可以帮助你 We can help you.
我什么都愿意做 I'll do whatever it takes.
开始输液 Starting infusion.
她的心律紊乱 这个撑不了多久 Her rhythm's erratic. It's not gonna hold for long.
妈妈 你还好吗 Are you okay, Mom?
血压下降 她要发生室颤了 BP's falling. She's having runs of v-tach.
-我们得用起搏器了 -不 我的孩子 - We need to cardiovert. - No, the baby.
-女士 -等一等药效起作用 - Ma'am. - Give the medicine a chance.
你的血压跌下危险值了 Your pressure's dangerously low.
-玛丽 -妈妈 - Mary? - Mom?
拜托了 让他们动手吧 Come on, let them do it!
我们再等等 Let's give it a minute.
丹尼尔斯女士 我们没有时间了 Ms. Daniels, we're running out of time.
-丹尼尔斯女士 -妈妈 - Ms. Daniels. - Mom!
别让她死 Don't let her die!
她室颤了 She's in v-tach.
-充电至200 -伊森 - Charging 200. - Ethan.
充电 离手 Charge. Clear.
麦基 离手 Mags, clear.
-我知道 -麦基 - Okay. - Mags.
离手 Clear!
麦基 Maggie.
窦性心律 Sinus rhythm.
起作用了 It worked.
谢谢你 Thank you.
我们就是在这儿放置设备的 This is where we deployed the device,
但正如你所见 but as you can see,
当我们试图抓住子弹时 它就滑走了 when we tried to grasp the bullet, it slipped away.
所以它从血管壁处离开了 Which dislodged it from the vessel wall,
导致了现在的状况 and into the current.
我们再一次试图去寻找子弹 We tried to go after it again,
但是血液流动太强了 but the blood flow was too strong.
它被冲走了 It got swept away.
冲走了 那现在在哪儿呢 Swept away? So where is it now?
现在在右心房 It's in the right atrium of the heart.
他们现在做完心超了 They're finishing up the echo now.
使用非正规的设备 你是怎么想的 Using a device off-label? What were you thinking?
我是试图避免再来一次开腹手术 I was trying to avoid another open surgery.
虽然结果不尽如人意 但子弹是安全的 Look, while the outcome wasn't ideal, the bullet is safe.
所以我们明天按照之前的计划开腹 So we'll go in tomorrow, same as we would've done.
通过未经批准的用途来推销你的产品 Promoting your products for unapproved uses?
这个产品是合理的 它本该有用的 It made sense. It could've worked.
古德温女士 我是记录的外科医生 Ms. Goodwin, I'm the surgeon of record.
这不是他的错 It's not his fault.
这远远超出了职业行为的界限 This is far beyond the bounds of professional conduct.
-马塞尔医生 -怎么了 - Dr. Marcel? - Yeah?
你得来看看这个 You need to see this.
抱歉 Excuse me.
这是什么 What is it?
他有心室中隔缺损 He's got a ventricular-septal defect.
他的心脏两侧中间有个洞 A hole between the two sides of his heart.
-你之前不知道这个情况吗 -不知道 - Didn't you know about this? - No.
没人知道 他的病历里没有这一项 Nobody did. It wasn't in his history.
对于病人来说会有什么影响 What does it mean for the patient?
如果那颗子弹 If the bullet passes through
从心脏右侧进入左侧 from the right side into the left,
可能会直接射进他的脑子里 it could shoot up into his brain,
导致严重的中风 cause a massive stroke.
把他送进手术室 马上 Gotta get him into the O.R.. Now.
情况如何 How's it looking?
有些高压血线 Got some high line pressures.
他出现了凝血现象 最好快点继续 He's getting coagulogenic. Better move it along.
好的 子弹不在右侧 Yeah, right side's empty.
在X光之后 子弹肯定通过了缺口 Bullet must've passed through the defect after X-ray.
-咱们打开左侧吧 -等一下 - Let's open the left. - Hang on.
-血氧饱和量下降至92 -怎么回事 - Sats are down to 92. - What's going on?
氧合器管被凝块堵住了 Oxygenator line is clotted off.
注射肝素 咱们快点结束吧 Giving heparin. Let's get out of here.
-还不行 -84 - No, not yet. - 84.
如果没有 我们就得结束了 If it's not there, we have to go.
如果没有的话 他的问题就更严重了 If it's not there, he's got bigger problems than his sats.
关掉 Shut it off.
-下降到79了... -关掉 - We're down to 79-- - Shut it off.
拜托 Come on.
-马塞尔医生... -等等 - Dr. Marcel-- - Hold on.
最后一处了 One last place.
在瓣膜下面 Under the valve.
在这啊 There you are.
-找到了 -太棒了 - There it is. - Yes!
好了 缝合吧 All right, let's close him up.
5-0缝合线 5-0 prolene.
那是宝宝的心脏吗 Is that the baby's heart?
是的 Yes, it is.
看起来很强壮 也很健康 It looks very strong. And healthy.
太美了 It's beautiful.
伊利诺伊州领养家庭服务部
我已经和州检察官谈过了 I have already talked to the state's attorney,
他向我保证 布莱恩不仅不会面临任何指控 and he assured me that not only will Brian not face any charges,
还不会留下任何案底 好吧 he won't even have a record, okay?
至于逮捕的事 我很抱歉 And as for the arrest, I'm sorry.
只是走个流程 It's just pro forma.
那他们送他去了精神病院... And the psychiatric facility they're sending him to--
要待多久 for how long?
很难说 Well, it's hard to say.
也许几周 几个月 Maybe a couple weeks, a few months.
有一些尖端的新疗法 You know, there are some cutting edge new therapies
需要用到亚甲二氧基甲基苯丙胺 氯胺酮 involving medications like MDMA, ketamine,
可以大大缩短他的住院时间 that could shrink that time considerably.
然后他就又能恢复正常了 And then he'll be my Brian again?
我觉得可能性很大 I think there's an excellent chance of that.
真的 Really, I do.
我爱你 小艾 I love you, Em.
我爱你 I love you.
背着我 满嘴万福玛利亚 Going behind my back, throwing up Hail Marys?
我们今天赢了 We got the win today,
但你我之间还没完 but you and I have a problem.
迈赫迪先生 你感觉如何 Hey. Mr. Mehti, how you feeling?
他很好 He's doing well.
但他有事要告诉你 But he has something he wants to tell you.
好啊 Okay.
-医生 -怎么了 - Doctor. - Yeah?
我想向你道歉 并谢谢你 I want to apologize and thank you.
不客气
你会说波斯语
我两岁的时候全家搬来了这里
我们在家里说波斯语
那你听懂我和我儿子说的话了
不用担心
没关系的 It's okay.
我...
我的梦想是...
希望他像你一样
成为专业人才
我只希望...
他能比我强
我明白
我曾经也像你儿子一样
我父母为了带我们来这里付出了很多
辛勤工作 背负压力
我们也对他们有期望
我们最终找到了自己的职业道路
现在 他也有自己的兴趣...
音乐
这是艺术
激励着他
支撑着他
谢谢你 医生 Thank you, Doctor.
不客气 My pleasure.
我一会儿再来看你 好吗 I'll check on you in a bit, okay?
好的 Okay.
我不知道你说了什么 但不管是什么 I don't know what you said, but whatever it was,
似乎让他感觉好些了 it seemed to make him feel better.
是的 Yeah.
是 我告诉他 他有个好儿子 Yeah, I told him he had a good kid.
他应该给他个机会 He should give him a chance.
准备好了吗 You ready?
你以后都点这家吧 因为这米饭太好吃了 You need to order every time, because this rice is amazing.
太好吃了 It's so good.
烦人的是... So, annoyingly enough...
煮得刚好 叫做米饭 Properly cooked, it's rice.
煮糊的时候 底部会脆一点 When you burn it, get it crispy at the bottom?
-叫做锅巴 -锅巴 - Tahdig. - Tahdig.
对 你都学会了 Yeah, look at you.
-很高兴能学习到 -是吗 - Good to know. - Yeah.
所以 你的名字 So, your name.
克罗特·马塞尔 听起来不太像波斯语 Crockett Marcel. Doesn't sound very Persian.
是 我的本名是达尤什 Yeah, my birth name is Darioush.
-达尤什·贾汉巴尼 -达尤什 - Darioush Jahanbani. - Darioush.
我父母给我和我妹妹改了名字 My parents changed me and my sister's name
好让我们上学时不会太麻烦 to make it easier on us in school.
他们取马塞尔是因为这姓在新奥尔良很常见 Yeah, they picked Marcel 'cause it was popular in New Orleans.
克罗特呢 又有什么来源 and Crockett? Where does that come from?
我爸是《迈阿密风云》的忠实粉丝 My pops was a big fan of "Miami Vice."
桑尼·克罗特 Sonny Crockett.
真事 True story.
-你还想再来点锅巴吗 -好的 谢谢 - You want some more tahdig? - Ah, yes, please.
没问题 Absolutely.
好吃 谢谢 Yum. Thank you.