在极为罕见的状况下 In a rare instance
当患者于连接脑部监测器时过世 when a patient died while hooked up to brain monitors,
医生会在心脏停止跳动的前后，看到脑部活动量增加 doctors saw an increase in brain activity right before and after his heart stopped.
叫救护车 Call 911.
撑住 Come on.
涌动的脑波与做梦 The brain waves that surged were associated with dreaming,
信息处理和回忆涌现有关 information processing and memory recall.
-再打一剂肾上腺素 -拜托你，洁姬 -Push another epi. -Please, Jackie.
仍然没有反应 Still nothing.
来人，拿一台经食道心脏超声波仪过来 Someone get me a TEE right now.
这确认了我们经常听到的说法 It confirms what we often hear
当我们收到心脏骤停的患者时 when we revive a patient in cardiac arrest,
就在他们的心跳停止之前 that right before their heart stopped,
会看到自己的人生走马灯 they saw their life flash before their eyes.
在我们经历了那一切之后 After everything we've been through,
我以为这是不可能的 I thought this was impossible.
我也是，是说我不太记得了，但是… Me too. Not that I remember it all, but…
急诊室呼叫，我得走了 ER. I have to go.
你可以留下来吗？ Can you stay?
我会想办法尽快来找你 I'll look for you as soon as I can.
我没别的地方可以去 I have nowhere else to be.
贝利，你有看到安田吗？ Bailey, have you seen Yasuda?
我十分钟前呼叫过她，毫无回应 I paged her ten minutes ago, nothing.
那是因为她再也不在这里工作了 It's because she doesn't work here anymore.
-她退出了 -发生了什么事？ -She quit the program. -What happened?
待在这个她妹妹丧命的地方 Just being back here where her sister died.
太困难了 It was too hard.
实在让人无法想象 It's just unthinkable.
我希望我能够多帮她一些 I wish there was more I could've done to help her.
她很强悍，好吗？她会找到出路的 Uh, she's tough, all right? She'll… She'll find a way.
我不太确定其他人的状况就是了 Not so sure about the others.
米伦不太能接受 Millin isn't handling it very well.
成为住院医生的第一年，就只能仰赖手下的实习医生 First year of residency, your fellow interns are all you got.
我会好好盯住她 -Mmm. -I'll keep an eye on her.
谢谢 Thank you.
我以为我们不再收创伤患者了 I thought we were closed to trauma.
好的，带进来，走这里 Bring it in this way.
好的，停在那里 All right, hold it right there.
小心，小心 Watch yourself. Watch yourself.
各位，小心背后，小心背后…让路给救护车 Watch your backs, folks. Watch your backs. Make room for the emergency vehicles.
这究竟是怎么回事？ What the hell happened?
沃伦不让我们关闭创伤急诊，后果就是这样 Warren left us open to trauma, so you're looking at the consequences.
听好，我正打算搭建额外的分诊帐篷 Look, I was going to set up an additional triage tent
然后我会再提出一些解决方案 then I was gonna come up with some work-arounds.
我曾是陆军医疗司令部的总参谋 I was chief of staff of the Army Medical Command.
这才不算解决方案，这叫以下犯上，我可以因此解雇你 This is not a work-around. This is a fireable offense.
如果你再因一时冲动，想绕过我径自做决定，别那么做 So if you get the urge to make another decision without consulting me, don't.
我是艾特曼，请说 Uh, this is Altman. Go ahead.
-你做了什么？-现在不是时候 -What did you do? -Not the time.
-班 -好的，那是最后一辆 -Ben! -All right. That's the last one!
我们要关闭创伤急诊了 We are closing to trauma!
亚当斯 Adams!
我没事，不全是我的血 I… I'm okay. It's not all mine.
乔威尔森，38岁女性 Jo Wilson, 38-year-old female.
-威尔森 -乔 -Wilson! -Jo.
我得挂了，等等回电 I'm gonna have to call you back.
-发生了什么事？-这里有人中枪 -What happened? -Got a gunshot wound over here.
对，他叫德米安，28岁男性 Yeah. His name is Damian, 28-year-old male,
右胸中枪，没有穿透伤，在路上已插管 GSW to the right chest. No exit wound. Intubated on the scene.
-他跟你在一起？-他抢了那家店 -He was with you? -He held up the store.
好的，我去，陪着威尔森 All right, I'll go. Stay with Wilson.
送她进去 Let's get her inside.
她在出血 She's bleeding.
-你中枪了？-不，我… -You were shot? -No. I…
我怀孕了 I'm pregnant.
有我在 I got you.
实习医生
我真的很感激你载我回旅馆 I really appreciate you taking me to my hotel.
我知道医院很需要你 I know they need you at the hospital.
泰蒂从外面请来了一堆医生来救急 Teddy hired a bunch of outside doctors to pitch in.
她有很多人手 She has plenty of help.
我不敢相信你还在开皮卡 I can't believe you still drive a truck.
你之前开的是什么车？一台老旧的索罗德？ What was it that you used to drive? An old Silverado?
我只记得它需要占掉两个停车格 I just remember it took up two parking spaces.
对，而且时速最多就73公里 Yeah. And it didn't go over 45 miles an hour.
只有一个握把是好的，那实在不能算是个把妹利器 And only one of the handles worked. It was not what you'd call a chick magnet.
你大可开一台露营车，而我会认为那是世上最性感的皮卡 You could've driven an RV and I would've thought it was the sexiest truck on earth.
什么？你恨死我了 What? You… You hated me.
我爱死你了，我以为你知道 I was madly in love with you. I thought you knew.
等等 Hold on.
好的，你对我很恶劣 Okay, you were mean to me.
你是我闺蜜的哥哥 You were my best friend's older brother,
而我是个青少女，不懂得如何向男孩示爱 and I was a teenage girl who didn't know how to tell a boy I liked him.
这实在是… Wha… Wow.
你没事吧？ Are you okay?
对，我没事，只是… Yeah, I'm fine. It's just, um…
我动手术的部位会痛，有时候会这样 It's pain where I had the surgery. It happens sometimes.
手术是好几周前的事了 You had the surgery weeks ago.
-我要载你去医院 -没有那个必要 -I'm running you to the hospital. -That's not necessary.
任何程度的疼痛都有可能是并发症的前兆 Any amount of pain could indicate a complication.
我们不能冒险 We're not taking any chances.
今天真是美好的一天，对吧？ Beautiful day, isn't it?
气温有42度 It's 108 degrees.
太阳出来了 Sun is out.
每个人都朝着共同的目标努力… Everyone's working together towards a common goal...
美加辞职了 Mika quit.
什么？为什么？ What? Why?
她妹妹死在这里，而她差一点死在这里 Well, her sister died here, and she almost died.
我认为她不在乎天气，但那只是我个人的观察 And I think she wasn't into the weather, but that's just an observation.
你没事吧？你们两个很亲近 You okay? You two were close.
我不是来这里结识毕生至交的，你是吗？ I didn't come here to make lifelong friends. Did you?
不是 No.
人们来来去去，而我还有工作要做 People come and go. And I still have a job to do.
你有看到什么吗？ Do you see anything?
这是怎么回事？为什么她的心脏没有开始跳动，杜古？ What's going on? Why won't her heart start? Ndugu?
就在那里，主动脉根部瘤剥离之后，往下延伸 Right there. The aortic root aneurysm dissected and extended down,
阻塞了左冠状动脉 occluding the left coronary artery.
阻塞导致她的心脏无法开始跳动？ The blockage is keeping her heart from starting?
是撕裂伤造成的大范围梗塞 It's the tear. It caused a massive infarction.
我们得重建她的冠状动脉来恢复血液流动 We need to revascularize her coronary artery to restore blood flow,
再放入主动脉支架 then put in an aortic graft.
准备进行胸骨切开术 Let's prep for a sternotomy.
我知道你想先处理这个问题 I know you wanted to take care of this first,
但我坚持这个决定是对的 but I maintain that this was the right call.
不管怎样，她都可能出现剥离的状况 She could have dissected no matter what.
至少这个状况发生在最安全的地方，我们可以处理它 At least she did it in the safest place where we can treat it.
主动脉剥离绝对跟安全扯不上边 An aortic dissection is never safe.
洁姬的心脏已停止好几个小时了，我们得加快速度，开始吧 Jackie's already been under for hours. We need to move faster. Let's go.
-薛波医生 -不管是什么状况都得等 -Dr. Shepherd. -Whatever it is, it's gotta wait.
是亚当斯医生，他要你知道他没事 It's Dr. Adams. He wants you to know he's okay.
汇报状况 Get us up to speed.
右胸有一处枪伤，没有穿透伤 Single GSW to the right chest. No exit wound.
他缺氧了，右侧血胸 He's hypoxic. He has a right hemothorax.
他的心脏重点式外伤超声波结果呈阴性 His FAST exam on his heart was negative.
我们得准备插胸管 We need to prep for a chest tube.
子弹碎片集中在右胸 Bullet fragments are localized in the right chest.
开立交叉配血和创伤评估 Let's order a type and cross and trauma panel.
-可以让我插胸管吗？-给她一副无菌手套 -Can I do the chest tube? -Get her sterile gloves.
他的血氧正在下降，我们得动作快 His sats are dropping so we need to move quickly.
我打包票当他今天带着枪出门时 I bet when he walked out of the house with a gun today,
绝对料不到他会是那个中枪的人 he didn't expect to be the one getting shot.
准备好了吗？ Ready?
好的，你要在，第四和第五肋骨间开一个切口 You're gonna make an incision between the 4th and 5th rib space.
现在要穿过胸膜 Now you're gonna pop through the pleura.
很好，现在撑开止血钳以扩张切口 Mm-hmm. Good. And now dilate by opening the clamp.
该插管了，对，继续 Time for the tube. Yeah, keep going.
他的出血量很大，我们得安排手术室 All right. He's putting out a lot of blood. We need to call up to the OR.
米伦，做得好 Nice work, Millin.
她的舒张压105、收缩压65 Her BP is 105 over 65.
是个好现象 That's good.
你怀孕几周了？ Uh, how many weeks are you?
16周了，我一周前做过产检，一切都很好 Sixteen weeks. I, uh, had an appointment a week ago and everything looked fine.
你呼叫妇产科了吗？交给我吧 Have you paged OB? I can do it.
不，你不行，你得去做检查 No, you will not. You will get yourself checked.
-沃伦医生 -快，你听到她说的了，快去 -Dr. Warren. -Come on, you heard her. Let's go.
那只是个擦伤，可以等等再处理 I was just grazed. It can wait.
你认为你同事，会想要你看到我帮她做超声波吗？ Do you think your colleague wants you to see me do her ultrasound?
不，快去吧 No. Go. Now.
-盯紧他 -等等，亚当斯 -Don't let him out of your sight. -Wait, wait. Adams.
谢谢 Thank you.
来，走吧 Come on. Let's go.
贝利，我得亲自检查 Bailey, I need to see for myself.
你可不是你的医生 You are not your doctor.
好吗？我们呼叫了妇产科，于此同时… Okay? We paged OB. In the meantime…
好的，胎盘看起来很好 All right. The placenta looks great.
没有早期剥离现象 Hey, no abruption.
怎么没看到… And where is the...
那里出现了强烈的心跳 We have a strong heartbeat right there.
另一个呢？ What about the other one?
还有「另一个」？ There's an "other one"?
好的，我来看看 Okay, let me see.
在那里 There it is.
太好了 Oh, beautiful.
就只有这两个吧？ It's just these two, right?
就我目前所知是这样，对 As far as I'm aware. Yeah.
你还好吧？ -You okay? -Mmm.
不好，好的 No. Okay.
好的，来人帮我送她到妇产科，林肯人呢？ All right. Someone help me get her to OB. And where is Lincoln?
好的，等等，谢谢 All right. Hold on. Thank you.
我们刚动完一台手术 We were finishing a surgery.
-你没事吧？-就只是表面擦伤 -Are you okay? -It's just superficial abrasions.
贴了免缝胶带之后就没事了 Steri-Strips and I'm good.
-我请了一位精神科医生评估你的状况 -我不需要 -I've got psych coming down for an eval. -I don't need that.
医院规定，你得先做完全面性的检查，才能回去工作 Hospital policy. You have to be cleared before you can go back to work.
这很重要，你得消化一下 It's important. You gotta process.
-你打给你妈了没？要我打吗？-真的不用 -You called your mom? Want me to call her? -I really do not.
他们刚刚帮洁姬拔管了 Oh. They just extubated Jackie.
去看你的患者吧，好吗？ Yeah, uh, go check on your patient, all right?
这里早就人满为患了 There's already too many people standing around this bed.
好，你陪着他，术后可以交给关 All right. You stay with him. Kwan can cover post-op.
好的 Okay.
我也得去确认一些事情 And, uh, I also have to go check on… something.
发生了什么事？ What happened?
我和威尔森去便利商店买冰块 Wilson and I went to the convenience store to get ice.
有个人试图抢劫店家 A guy tried to rob it.
我运气好，他正准备动手术 I got lucky. He's on his way up to the OR.
感谢老天你没事 Thank God you're okay.
格瑞弗斯，你去协助米伦，将这名患者送进手术室 Griffith, I need you to help Millin transport this patient up to the OR.
就是他 That's him.
是他… That's…
-不，我没办法，不行 -不，你可以的，他就只是个患者 -No, I can't. No. -Yeah. You can. He's just another patient.
-但他试图朝你开枪 -但他没有 -Except he tried to shoot you. -But he didn't.
他就是个患者 Just another patient.
我得去会诊，在我进手术室之前，帮他做好术前准备 I have to do a consult. Have him prepped by the time I get up there.
主任，我负责支援杜古… Chief, I'm on Ndugu's service...
现在是全员待命的状态 It's all hands on deck.
如果他有不满，老实说，我并不在乎 And if he's got a problem with that, frankly, I don't care.
马克斯医生就快到了 So Dr. Marcus is on his way.
不，绝对不行 No. Absolutely not.
除了他，谁都可以 Literally anybody else.
德露卡在意大利 Uh, well, DeLuca is in Italy,
佩特尔在休假、金凯德在手术室 Patel's on leave, Kincade's in the OR.
马克斯医生不是妇产科住院总医师吗？ Isn't, um, Dr. Marcus the chief OB resident?
那不重要，我不要他帮我做产检 It's doesn't matter. He's not taking a trip down there.
好，我知道要接受 Okay. I know it can be difficult
医院同僚帮你看诊是件不容易的事 to be the patient with someone you usually work with,
但你得让… but you need somebody in...
威尔森，天啊，我刚听说了发生的事，你还好吧？ Wilson. God, I… I just heard what happened. Are you okay?
你是马克斯？ You're… …Marcus?
对，我医学院毕业了 Yes, I finished med school.
我只花了两年就念完了大学部，你是贝利，对吧？ Undergrad only took me two years. It's Bailey, right?
我道歉 I apologize.
双胞胎？热闹罗 Wow, twins? It's a party.
基于初步检查 So, based on the initial workup,
出血有可能是压力造成的 it's likely stress that's causing the bleeding.
好的，好哦，那就好 Okay. Okay. That's good.
那就好 That's good.
她的背也痛得很厉害 She's also having acute back pain.
威尔森，下一步该怎么做？ Wilson, next steps.
开玩笑啦 Kidding.
疼痛和出血也可能表示有其他并发症，所以我想… Uh, pain and bleeding could also indicate other complications, so I'd like to…
我刚刚在处理孩子的事，我尽快赶来了 I was just getting the kids settled. I came as fast as I could.
没关系，我没事 It's okay. I'm okay.
出血是怎么回事？ What about the bleeding?
已经缓解了，但我觉得下体很沉重 It's slowed down, but I'm… I'm feeling heaviness below.
我想帮她做骨盆腔超声波 -I'd like to do a pelvic ultrasound. -Mmm.
你是孩子的爸吧？ I'm assuming you're Dad.
天啊 Oh, God.
让他们独处一下吧 So, let's give them a minute. Mm-hmm.
-不，你就在那里 -嘿 -No, you're right there. -Hey, uh…
需要再给你一些时间，还是… Do you need a minute or…
我儿子正在闹脾气，我前夫要我让他冷静下来 My son is throwing a tantrum, and my ex wants me to calm him down.
希望你有好消息 Tell me you have good news.
你的心电图很正常 Well, your EKG is normal,
但你的白血球数值升高，也就是说… but your white blood cell count is elevated, which means...
我知道那代表什么，上一次我需要动手术 I know what that means. Last time I needed surgery.
我又得动手术了吗？ Is that what's happening?
我又得重新再经历一次？ Do I have to go through this all over again?
有可能只是轻微感染，或甚至只是压力或脱水 It could just be a mild infection. Or even stress, or dehydration.
在了解状况之前就别瞎操心了，好吗？ Let's not worry until there's something
在了解状况之前就别瞎操心了，好吗？ -to worry about, okay? -Okay.
怎么了吗？ Hey, what's happening?
就只是胸口有些疼痛，希望只是过度焦虑造成的 Uh, just some chest pains and hopefully a disproportionate amount of anxiety.
她的心电图正常，但她有白血球增多症，还有点发烧 Her EKG's normal but she has leukocytosis and she's slightly febrile.
我们还在等血液培养结果 Uh, we're still waiting on blood cultures.
好的，帮她办住院，先从广效抗生素开始 All right. Let's admit her. Start her on broad spectrum antibiotics,
帮她安排胸部X光和显影电脑断层 get a chest X-ray and CT with contrast.
现在可以担心了吗？我今天真的好累 Is now a good time to worry? It's just… It's been such a day.
不如你陪她去吧？我可以请卡珊过来协助我 You know, why don't you go with her? I can get Cass to come down and help out.
如果你在那里的话，电脑断层的结果会更快出来 It'll help with the scans going much quicker if you're there.
只要你和贝克曼游刃有余的话 As long as you and Beckman have it covered.
是的 Yeah.
对 Yes.
不，我知道 No, I know.
不，我真的还爱着你 No, I… I do still love you.
我只是需要一些空间，离开学校一阵子 I just… I just needed some space. And like a minute away from school.
我明天打给你 I'll… I'll call you tomorrow.
戴夫？ Dave?
对，他打了大概八通了，我得接起来 Uh, yeah. He… He called like eight times. I had to pick up.
我实在不知道该说什么… I just… I didn't know what to say.
我不希望他知道我在这里 I didn't want him to know that I was here,
所以我只好假装一切正常 so I just… I just tried to pretend like everything was normal.
-没关系的 -离没关系十万八千里 -It's… It's fine. -It's anything but fine.
我考虑不周，而且你忙翻了 I didn't think this through, and you're slammed.
我不该像这样突然出现 I… I shouldn't have just showed up out of nowhere.
-不，真的没关系 -我终究 -No, it's really okay. -At some point,
得给戴夫一个答案 I need to give Dave an answer.
这不是他的错，这种状况… It's not his fault that this is…
发生就是发生了 this is what it is.
我真的得接这通电话，但我希望我们有机会好好聊聊这件事 I really need to answer this. But I want a chance to talk about this.
去我家待着，我们今晚好好谈谈 Hang out at my place, and we'll talk all about this tonight.
如果你得回家的话，那就回去吧 If you need to go home, you'll go home.
我永远无法理解怎么会有人，拿枪指着陌生人 I will never understand how a person can point a loaded gun at a stranger.
人们彼此伤害的方式有千百种 Well, people can hurt each other in all kinds of ways.
得离开你这一点肯定让安田很不好受 I'm sure it's killing Yasuda having to leave you...
别说了 Don't.
对不起，我不是有意提起这件事 I'm sorry. I didn't mean to bring it up.
当你想聊的时候再聊吧 When you wanna talk, we will talk about it.
-我不会和你聊 -我哪里得罪了你吗？ -I won't be talking about it with you. -Did I do something?
我只是不想再假装，我们对于彼此来说意义重大 I'm just sick of pretending like we all mean something to each other.
我能理解实习医生的日子不好过，我们全都伤痕累累这类的 I get that intern year is hard and that we're all trauma bonded or whatever,
但我们就只是同事 but we're just coworkers.
我不需要你来安慰我，或者了解我的感受 I don't need you to comfort me or to understand how I feel.
我可以照顾自己，我这样过了一辈子 I can take care of myself. I've been doing it my entire life.
这里状况如何？ How's it going in here?
-非常好 -很好 -Great. -Fine.
他就要心肺停止了 He's about to code.
好的，格瑞弗斯，绑紧他，米伦，帮他做好准备 All right. Griffith, strap him in. Millin, prep him.
请你扣好固定带的另一侧 Can you grab the other side of the belt?
好的，没问题 Yeah, I got it.
有人联络血库启动大量输血吗？ Did anybody contact the blood bank to activate the MTP?
-我不确定，我可以去确认 -你是这名患者的实习医生 -I'm not sure. I can check it. -You are the intern on this case.
你得确保你掌握了所有医嘱的进度 You need to make sure that you are on top of the orders.
我立刻去处理 I'll do it right now.
他等不了了 All right, he can't wait.
我们现在就得刷手 We need to scrub in right now.
好的 Yeah.
我成功夹住了后动脉瘤 I was able to successfully clip the posterior aneurysm,
但当我们试着让她恢复自主心跳时，她出现了并发症 but we ran into a complication when we tried to wean her off bypass.
所以发生了什么事？ Uh, so what happened?
洁姬目前稳定下来了 -Jackie's stable. -Mm-hmm.
但她主动脉剥离，因而导致心脏病发作 But she had an aortic dissection, which caused a heart attack.
我17岁的女儿心脏病发作？ My 17-year-old had a heart attack?
我帮她做了开胸手术，放入了支架 I opened her chest, and I put in a graft.
多亏了她是运动员，她的心脏得以从心肌梗塞恢复 And thankfully, she's an athlete, so her heart was able to recover from the MI.
我不明白为什么会一直出现这些并发症？ I… I don't understand. Uh, why do these complications keep happening?
我们知道她的主动脉根部瘤，会导致心脏有危险 Well, we knew her heart was at risk due to the root aneurysm...
她的脑部会有更大的危险 Her brain was at greater risk.
在那个时候 At the time.
-她的术后化验出来了 -谢谢，关医生 Her post-op labs came in.
-她的术后化验出来了 -谢谢，关医生 Thank you, Dr. Kwan.
麻醉的药效会持续多久？ How long does the anesthesia last?
宝贝 Hey, baby.
你仍然觉得昏沉吗？ You still feeling groggy?
我的脚 In my feet.
你的脚？ Your feet?
和我的腿 And my legs.
关医生，请拿一根针给我，好吗？ Dr. Kwan, would you get me a needle please?
好的 Yeah.
好的，洁姬，感觉到针刺的时候，告诉我一声 All right, Jackie, let me know when you start to feel this.
你开始了吗？ Did you start yet?
她为什么感觉不到她的腿？ Why can't she feel her legs?
是没有明文规定啦 There's no written rule on it,
但大家通常会在进行骨盆腔检测时，站在另一侧，以尊重这个区域 but people usually stand on the other side during a pelvic exam to respect the area.
好的，抱歉 Right. Sorry.
威尔森，请你放松 I need you to relax, Wilson.
好的 Okay.
你听说了，金凯德那位子宫肉瘤患者的事吗？ You heard about Kincade's uterine sarcoma case?
可怜的女士，又复发了，她有四个小孩，而且患有致命的疾病 Poor woman's second recurrence. She got four kids and a death sentence.
你该看看扫描影像，实在糟糕透顶 You should see the scans. They're awful.
老实说，就跟恐怖片一样 Honestly, it's like a horror movie.
小狗很可爱，也很舒心 Puppies. Mmm. They're adorable and calming.
我在考虑让普儿养一只狗 I'm thinking about getting one for Pru.
好的，你的子宫颈开了1.8公分 So, your cervix is 18 millimeters.
所以，早产的风险就在眼前 So, an imminent risk for preterm labor.
但你只怀孕16周 But you're just 16 weeks.
她才16周 She's 16 weeks.
所以我建议做子宫颈环扎术 Which is why I'd recommend a cervical cerclage.
在子宫颈周围缝几针，让子宫颈闭锁 It's placing a suture around the cervix to keep it closed.
他是医生 -He's a doctor. -Aw.
本院医生的小孩，你们打算把孩子命名为葛蕾和史隆吗？ Hospital babies. Are you gonna name 'em Grey and Sloan?
环扎术有什么风险？ What are the risks of the cerclage?
我有可能会感染 Um, well, I could get an infection,
或者对我的子宫颈造成伤害，例如疤痕或变窄 or it could cause damage to my cervix like, um, scarring or stenosis.
请提出其他方案 Other options, please.
其他方案就只有终止孕期 This is the option besides terminating the pregnancy.
子宫颈环扎术非常安全 Cervical cerclage is very safe
而且是目前保护威尔森医生 and it is the absolute best way to preserve the health
和宝宝健康的最佳做法 of Dr. Wilson and the babies right now.
但如果你想要的话，我可以让你考虑一下 But if you'd like, I could give you some time to think about it.
-不用，给我同意书 -那就太好了，谢谢 -No. Give me the consent forms. -That'd be great. Thanks.
急诊
我四岁大的孩子都比你听话 My four-year-old listens better than you do.
对，除非你的幼儿也是，在破纪录的热浪期间 Yeah, well, unless your toddler is also a surgeon
执业的外科医生，否则这种比较并不公允 during a record-breaking heat wave, I don't think that's a fair comparison.
你不该帮患者看病 You shouldn't be seeing patients.
我还在当班期间，而且急诊室人满为患 I'm still on the schedule and the ER is over capacity.
好的，我换个说法，我现在不能让你看患者 Okay. Let me rephrase. I can't let you treat patients right now.
我没事，好吗？ I'm fine. All right?
我每天都会看到生老病死，今天也没什么不同 I see life and death every single day. Business as usual.
好的，你知道吗？那好，如果你想工作 All right. You know what? Fine. If you want a job to do,
你何不去诊间，协助冷却中心 why don't you head over to the clinic and help out with the cooling center.
六床的龙女士，需要更多软便剂 Mrs. Long in bed six needs more stool softener.
-有看到什么吗？-还没 -Do you see anything? -Not yet.
你支持了我 You championed me.
-什么？-你告诉思凯我办得到 -What? -You told Sky I could do this.
你告诉我我办得到 You told me I could do this.
现在，我坐在这里，默默地为我对这位年轻女子所做的事发慌 Now I'm sitting here silently panicking about what I've done to this young woman,
-而你几乎不发一语 -你认为我就不慌吗？ -and you're hardly saying a word. -You don't think I'm panicking?
帮她动手术的人不只你一个 You're not the only one who operated on her.
在你把我带进来的第一刻，我就该拒绝 I should have said no. From the second you brought me in,
-我有种不好的预感 -你为何什么都不说？ -I had a bad feeling about this. -Why didn't you say anything?
因为你在思虑不周的状况下接了这名患者 Because you prematurely accepted the case.
你知道会有心胸方面的状况 You knew it had a cardiothoracic component to it,
但你没先问过我的意见就收下她了 but you accepted it before getting my opinion on it.
我连她的面都没见过，她就住院了 She was admitted before I even saw her.
不，不对，你不能全怪到我头上 No. No. Do not put this on me.
当你走出那扇门之后你大可拒绝 You could have said no right after you walked out the door.
也许你没拒绝的原因，是因为你错待了她母亲 Maybe you didn't because of how you treated her mother.
康妮护士说有一道冷锋就要来了，高温应该很快就会下降 Nurse Connie said a cold front's coming in. The heat should break soon.
至少有这个好消息 At least there's that.
扫描结果出来了，关，你看到了什么？ Scans are up. Kwan, what do you see?
头部电脑断层没有中风的迹象 Uh, head CT is negative for stroke.
但电脑断层血管摄影显示出剥离的皮瓣 But the CTA shows the dissection flap
散布到降主动脉，也就表示… propagating into the descending aorta. Which means...
脊髓的血流遇到了阻碍 Blood flow to the spinal cord is compromised.
我想这是… I think it's…
-好的，我该这样弄吗？-嘿 -Okay, is this… this the way? -Hey.
放射科有点忙，我们会想办法尽快把你送进去 Radiology's a little backed up. We'll get you in there as soon as we can.
你不用看顾我，你还记得你妈要你，在她去商店的时候 You don't have to babysit me. Remember how annoyed you would get
看顾我和梅根时，你有多不爽吗？ when your mom would make you watch me and Megan when she went to the store?
-记得，但那算是在做家事，这是…-一个借口？ Yeah, but that was a chore. This is...
-记得，但那算是在做家事，这是…-一个借口？ An excuse?
-你之前也对泰蒂做过那个表情？-哪个表情？ -You made that face earlier with Teddy. -What face?
我想我感受到一些紧绷气氛 I thought I sensed some tension.
抱歉，你不用回答 Um, sorry. You don't have to answer that.
我想我的手术并发症让我口无遮拦了 I… I… I think my surgical complications removed my filter.
或者是因为我离婚了，又或者…我不知道，抱歉 Or maybe it was my divorce, or… I don't know, sorry.
没关系，婚姻很复杂 It's fine. Marriage is… Marriage is complicated.
但我不能再让你这样下去了 But I can't let this happen any longer.
-我…-你想调高还是调低？ -I… -Are you trying to go up or down?
-调高，我…-调高？好的 -Up. I'm… -Up? Okay.
-我讨厌自己像个无助的少女 -不，没关系 -Damsel in distress. I hate myself. -No, it's okay.
-好的…-可以了 -Yeah. Yeah. -There.
好了 There.
嗨 Hi.
你可以去放射科了，那么… -Um. Radiology's ready for you, so, um… -Oh.
-我去找护理员过来，好吗？-好的，好主意 -I'll go find a orderly. Okay? -Okay. Good idea.
对 Yeah.
我们何不先让你服用黄体素，并且加强观察？ Why don't we just first start you on progesterone and increase your monitoring?
你为何不能信任我这么决定是对的？ Why can't you trust I'm making the right decision?
我是个怀孕的妇产科医生，我想做环扎术，你就得让我动这个手术 I'm a pregnant OB-GYN. I want a cerclage. I'm getting a cerclage.
你不能总是在我们起争执的时候 Yeah, well, you can't wave your specialty in front of my face
拿你的专业当挡箭牌 every time we have a disagreement.
这种手术我做过几百次了，我一天到晚都在做 I've done hundreds of these. I do them all the time.
但你并没有一天到晚接受这种手术，马克斯呢？ But you don't get them all the time. And what about Marcus?
他做过几次？我们不该等一位，在抖音问世前出生的医生吗？ How many has he done? Shouldn't we be waiting for somebody born before TikTok?
他跟我同届 He's in my year.
我有几件T恤都比他的年纪还老旧 I have T-shirts older than him.
-林肯，你…-好的，你的心率上升了 -Link, you're… -Okay. Your heart rate's elevated.
-做几个深呼吸 -天啊，德露卡医生在这里就好了 -Um, maybe some deep breaths. -God, I wish Dr. DeLuca was here.
首先，我绝不会让，马克斯的手伸进我的体内 First of all, I would never have had Marcus's hands inside of me.
再者，她会告诉你环扎术有多安全 And second of all, she would tell you how safe a cerclage is.
也许她会告诉你这不是你说了算 And maybe she could tell you that this isn't just your decision.
她绝不会对我说那种话 She would never tell me that.
你头脑清楚吗？ Are you thinking clearly?
什么？ What?
你今天目击了枪击事件，你有可能身受重伤… You witnessed a shooting today. You could've been seriously hurt...
好的，暂停 Okay. Time-out.
好的，现在正害她身受重伤的人是你 Okay. You are now the one who is seriously hurting her.
她的舒张压140、收缩压90，那实在高得离谱 Her BP is 140 over 90, and that's too damn high.
为了她、也为了我着想 For her and for me.
再加上开了1.8公分的子宫颈 Add to that a 18-millimeter cervix,
你让她宫缩的机会增加了三倍 and you are tripling her chances for contractions.
去散散步 Take a walk.
-好的，对不起，我只是想要…-那不是个请求 -Okay. I'm sorry. I was just trying to... -I am not asking!
看着我 Look at me.
吸气、吐气 In and out.
很好，吸气、吐气 Good. In. Out.
我已暴露了受损组织 I've exposed the damaged tissue.
一颗子弹会让他失去一整个肺叶 He's gonna lose an entire lobe of his lung due to one bullet.
给我肠胃吻合术缝合钉 GIA stapler.
那是他的子弹，他亲自将子弹装进枪里 His bullet. That he loaded into his gun.
我们该邀请立法单位投票反对 We should invite the lawmakers voting against background checks
对这类手术的患者做背景调查 to assist on these surgeries.
气温上升，暴力犯罪率也随之上升 Well, violent crime rises along with the temperature.
我看过一则报道，有个人在热浪期间开着卡车 I read a story about a guy who drove his truck into a hardware store
撞进五金行，撞死了四个人 during a heat wave. It killed four people.
缝钉线处有些出血 Well, there's some bleeding at the staple line.
好的，给我2-0聚对二氧环已酮缝线 All right. 2-0 PDS.
谢谢，福姬 Thank you, BokHee.
可恶，我看不到，抽吸 Damn it. I can't get visualization. Suction.
不够，好的，格瑞弗斯、米伦，现在该怎么办？ No. All right, Griffith, Millin, what do we do?
-倾斜更多 -倾斜手术台 -Tilt it more. -Tilt the table.
没错，好的，各位，你们都听到了 Exactly. All right, team, you heard them.
准备好就开始麻醉 Anesthesia when you're ready.
-我的天 -他为什么在动？ -Oh, my God. -Why is he moving?
-好的，停下来…-看好他的导管 All right, stop, stop!
-好的，停下来…-看好他的导管 Watch his line!
守好他的呼吸道和导管，呼叫护理师 Secure the airways and lines. Page some orderlies!
评估他的状况，立刻把他抬回手术台 Let's assess him and get him back on the table right now!
慢慢来… Gently, gently.
让他继续戴着苏醒球，直到我们把他放回手术台上为止 Let's keep him on Ambu until we can get him back on the table.
护理师人呢？ Where are those orderlies?
可恶，他的中央静脉导管跑出来了，好的，关闭所有导管 Damn it, his central line has come out. Shut off all the lines.
-好的 -腹腔手术海绵 -Got it. -Lap sponge!
好的，继续施压内颈静脉 All right, keep pressure on his IJ.
该结束开胸术吗？ Should we pack the thoracotomy?
不，给你 No. Here you go.
好的，米伦，给我一条湿毛巾 All right, Millin, get me a wet towel.
米伦 Millin!
好的，拿好 All right, take this.
这究竟是怎么发生的？ How the hell did this happen?
一定是没有固定好 Must not have been completely strapped in.
米伦，按住这里 Millin, hold here.
如果被你太太知道，她又会开除我了 If your wife finds out, she's gonna fire me all over again.
继续施压 Keep applying pressure.
叫护理师进来 Bring in the orderlies!
大家，快点 Come on, fellas.
我们要小心翼翼地把他抬上手术台 We're gonna carefully lift him back on the table.
准备好了吗？听我数数 Everyone set? On my count.
一、二、三 One, two, three.
你们打算刺穿她的脊椎？ You wanna puncture her spine?
我们会在洁姬的下背放进一小条导管 We'd place a small tube in Jackie's lower back
将脊髓周围多余的液体排出来 to drain the excess fluid around her spinal cord.
这有可能会扭转洁姬的瘫痪状况 There is a chance that it could reverse Jackie's paralysis.
你今早跟我们保证过，你能处理好她的动脉瘤 This morning you assured us that you could take care of her aneurysms.
你看起来相当有信心 You seemed so certain about it.
那时我还没看到她有颗更大的动脉瘤 That was before I saw the larger aneurysm.
她是我的独生女 She is my only child.
你在何时知道状况开始走样？ When did you know that this was going south?
是在你得帮她做开颅术的时候吗？ Was it when you had to open her skull?
或者是在你得停止她的心跳时？ Or when you had to stop her heart?
还是在你注意到她的脊椎有问题的时候？ Or when you noticed there was something wrong with her spine?
-思凯 -我得知道，我就是得知道 -Sky... -I mean, I need to know! I need to know.
你是否真心认为你能够解救我的孩子？ Did you ever think that you could save my child?
还是我傻到相信你可以？ Or was I just a fool for believing it?
我的确认为我能够解救你的孩子 I did think that I could save your child.
而她还活着，而且没有动脉瘤的问题了 And she is alive and aneurysm-free.
我不会胡乱保证，因为我看过太多糟糕的结果 I do not make false promises because I have seen too many bad outcomes.
这并不是个糟糕的结果 This is not a bad outcome.
还不是，你信过我一次，就再信我一次吧，我们得动作快 Not yet. You trusted me once, trust me again. We have to act fast.
好 Okay.
我会相信你 I will trust you.
最主要是因为我别无选择 Mostly because I don't have any other option.
好的，她的血压稳定下来了，你这是在做什么？ All right, her BP has settled down. What do you think you're doing?
乔显然不希望我陪着她，你也一样 Jo clearly doesn't want me in the room, neither do you,
所以我想去协助三号手术室，装置骨外固定器 so I thought I'd help with an ex-fix in OR 3.
你想错了 Well, you thought wrong.
那我到底该怎么想？ Well, what the hell am I supposed to think then?
自从我们发现她怀了双胞胎，乔就… Ever since we found out it was twins, Jo has…
她就把我拒于千里之外 She shut me out.
我通常很快就能释怀，但我今天就是办不到 And I'm usually pretty good at carrying on, but today I can't.
过来 Come here.
我在生我儿子的时候 When I was in labor with my son,
他父亲正在接受紧急脑部手术 his father was getting emergent brain surgery.
听好，我一开始并不知情 Now, I initially didn't know about it
因为我的妇产科医生一直面不改色 because my OB never let it show on her face.
她知道我正处于最脆弱的状态 She knew that I was at my most vulnerable,
她用一种我一生难忘的力量支持着我 and she supported me with a strength that I will never forget.
那是乔的日常 Jo has to do that on a daily basis.
她的患者会遇到人生最脆弱的时刻，她在治疗的同时还要保持冷静 She treats those at their most vulnerable and stays calm.
对，她们会出血或脐带脱垂 Right, they could be bleeding or have a prolapsed cord.
她依然坚强而且鼓舞人心 She stays strong and encouraging.
因为那是她的工作 Because that's her job.
但今天，该这么做的人应该是你 But today, it should be yours.
她很害怕 She's terrified.
所以，你振作起来，这样她就可以崩溃 So pull yourself together, so she can fall apart.
好的，中央静脉导管重新插好了 Okay, central line's back in.
没有出血或血肿的迹象 There's no signs of bleeding or expanding hematoma.
肋间有些出血，可能是摔下来时造成的 Well, there's some bleeding from the intercostals, probably from the fall.
给我2-0丝线 2-0 silk.
我特别嘱咐过你，要把患者绑牢在手术台上 I gave you specific instructions to strap the patient in on the table.
-现在不是…-让我说完 -Now is not the time... -Let me finish.
你犯下的错极度危险，而且完全令人无法接受 Your mistake was extremely dangerous
你犯下的错极度危险，而且完全令人无法接受 and completely unacceptable.
我们该尽其所能地给予患者最好的治疗 We give our patients the very best care that we are capable of giving,
不管这名患者是谁，或他做了什么事 no matter who the patient is or what he has done.
如果办不到，我们就该在，因为私人因素分心而害死人之前离开 And if we can't, then we leave before our personal distractions kill someone.
我该把你赶出去 I should kick you out of this OR,
但取而代之，我要你站在那里 but instead, I'm gonna make you stand there
看着我们修补 and watch these repairs
而这件事根本就不该发生，你听清楚了吗？ which shouldn't even be happening in the first place. Am I clear?
嘿 Hey.
对，一旦开始降温，人们就会开始散去 Yeah, once the temperature started to drop, people started leaving.
你知道风扇该放在哪里吗？ Do you know where the fans go?
你在这里任职的时间比我久 You've worked here longer than me.
所以你不知道，他们把多出来的冰袋收到哪里？ Well… Uh, so you don't know where they keep the extra ice packs?
打包就对了，总有人会知道 Just pack it up. Someone will figure it out.
-谁？-别问我，不然那个人就会是你 -Who? -Don't ask or it'll be you.
希望短时间内别再出现另一波热盖现象 I hope there's not another heat dome anytime soon.
此时此刻，这可能是我，一厢情愿的想法，但是… That's probably just wishful thinking at this point…
亚当斯？ Adams?
好的，没事 Okay. Okay.
好的，过来这里，过来 All right. Come here. Come here.
过来，坐下 Come here. Just take a seat.
坐下 Take a seat.
你感觉得到踩在地板上吗？ Hey. You feel the ground under your feet?
你感觉得到踩在地板上吗？ Do you feel the ground under your feet?
很好、很好，一直看着我 Good. Good. Just keep looking at me.
一直看着我，看好 Keep looking at me. Right here.
你在诊间，你不孤单 You're in the clinic. You're not alone.
而且你很安全 And you're safe.
你很安全 You are safe.
呼吸 Just breathe.
我下来这里祈祷 I just came down to say a prayer,
但我一个字都说不出来 and I can't get the words out.
-方便坐下吗？-请便 -May I? -Yeah.
对，洁姬总是活力满满 Yeah. Jackie's always been so full of life.
看到她躺在病床上…简直让我肝肠寸断 Yeah, seeing her in that bed just…
看到她躺在病床上…简直让我肝肠寸断 It just breaks my heart.
她很坚强而且不屈不挠 She's strong and resilient.
不管发生什么事，她还是能够表现过人 Whatever happens, she'll keep kicking ass and taking names.
我深信这一点 There's no doubt in my mind.
对 Yeah.
我不是个非常虔诚的犹太人 I'm not a very observant Jew.
但每当看到大家，在敬拜时起立为自己心爱的人祈福时 But I've always been so moved watching people stand during services
总是让我分外感动 and give a Mi Shebeirach for their loved ones.
那是祈求治愈的祷词 It's the prayer for healing.
很饶舌，我知道 It's a mouthful, I know.
不，听起来很美 No, it sounds beautiful.
你还好吗？ You okay?
什么都感觉不到，所以我不好 Can't feel a thing, so no.
我们希望能够改变这一点 We're hoping to change that.
好的，我要插入引流管 I'm going to insert the drain.
我妈害怕手术会让现况雪上加霜 My mom's scared that this is gonna make things worse.
在我身边时，她试着保持冷静，但我知道她内心深处很担心 She tries to act all cool around me, but deep down I know she worries.
你害怕吗？ Are you scared?
不太害怕，一开始确诊时我会害怕 Not really. I was scared at first when I got diagnosed.
但现在，我不知道 But now, I don't know.
我觉得如果我想太多，我会怕到不敢做任何事 I feel like if I think too much about it, I'll be too scared to do anything.
有点像是教练说在罚球的时候别想太多 Kinda like what Coach says about overthinking free throws.
投篮就对了 You just gotta shoot your shot.
好的，引流管插进去了 All right. The drain is in.
我让你休息，等等再来看你 I'll let you rest, and I will check back in a bit.
好，如果你回来的时候我不在这里，那就表示奏效了，我走开了 Cool. If I'm not here when you get back, it's 'cause it worked and I walked away.
给你 There you go.
抱歉，刚刚好丢脸 Sorry. Uh, that was embarrassing.
没有必要道歉 No apologies necessary.
好的，我不算是个感情丰富的人 Yeah, I'm not really a feelings guy.
真的，你说得对 Yeah, no kidding.
我分辨不出我是在愤怒，悲伤还是惊慌失措 I can't tell if I'm enraged or sad or freaked out.
很可能以上皆有，你知道吗？ Probably all of the above, you know?
遇上了这种事，每个人的感受都不相同 There's no one way to feel about this sort of thing.
我该怎么办？ So what do I do?
就我所知，这没有标准做法，但我知道你该从何处着手 As far as I know, there's no rule book, but I know where you can start.
好的，你要呼叫精神科还是我来？ Yeah. You wanna page psych or should I?
好，当我准备好的时候，我会去看精神科 Yeah, I'll do it. When I feel ready.
好的 All right.
但于此同时，该回去工作了 Uh, but in the meantime, back to work.
真的假的？ Really?
真的，你刚刚是恐慌发作，不是心脏病发作 Yeah. You had a panic attack, not a heart attack.
但我这么说吧，我… But I'll tell you what, I'll, uh…
我会搞清楚那些该怎么处理，就不用麻烦你了 I'll figure out where all this stuff goes so you don't have to.
谢谢 Thank you.
嘿 Hey.
那是为了奖励我表现优良 Is that for good behavior
还是为了在你告诉我那些话之前，缓和气氛？ or for you to soften the blow for whatever you're about to tell me?
你的扫描结果确认了支架没有受到感染 Your scans are reassuring. The stent is not infected.
我的天，那实在是…谢谢 Oh, my God. That's… Thank you.
你的白血球数仍然偏高 Your white count is still elevated,
所以我们想再让你服用几剂抗生素 so we wanna keep you in for a few more doses of the antibiotics.
如果你不反对的话 If that's okay with you.
好，没问题 Yeah. Of course.
为什么我觉得你想说的不只这些？ Why do I think there's more you wanna tell me?
我认为我该退出你的医护团队 I don't think I should be on your care team anymore.
很抱歉，高一的我突然跑出来 I'm sorry. The freshman me resurfaced.
或至少是那个�