纽约城 1900年
约翰尼 Johnny?
约翰尼 七点半了 Johnny, it's seven and a half.
你说七点半叫你 You said seven and a half?
去尼克病院 The Knick.
从勿街向北 到第11大街往东 North on Mott, east on 11th.
走鲍尔里街更快 先生 Bowery is faster, sir.
走那条路不用等电车通过 Won't have a long wait for the trolleys crossing.
我不想快 我乐意等 I don't want faster. I enjoy waiting.
勿街向北过休斯顿街 Mott north across Houston.
好的 先生 Yes, sir.
尼克病院 第一季 第一集
求你保住我的孩子 Please save my baby.
先生们 Gentlemen,
在经历两次平安顺产之后 after two uneventful pregnancies,
沃伦夫人在孕期第八个月 Mrs. Warren presented in her eighth month
出现了胎盘前置的情况 with what is assumed to be a case of placenta previa.
我们本希望推迟所有手术介入 The hope had been to delay any procedure
以确保胎儿安好 for the benefit of the fetus.
但情况迫使我们不得不采取措施 But circumstance has forced our hand.
萨克雷医生和我 Dr. Thackery and I have
已对当下最前沿的技术进行了充分研习 rehearsed the newest techniques extensively
因此我们有自信最终能达到手术成功 and feel confident that the speed necessary for success
所需要的速度 can finally be achieved.
手术刀 Surgical knife.
100秒 100 seconds.
请各位同学注意 克里斯蒂安森医生 I want the students to take note that Dr. Christiansen
正沿着耻骨上方的内侧线切入 is entering on the medial line just above the pubis.
我们必须非常小心地尽快取出胎儿 We must be careful to extract the fetus quickly
因为只有这样 and in such a manner so
才不会导致切口释压 as not to release pressure on the rupture,
进而加剧出血 thus exacerbating the hemorrhage.
如各位所见 腔内大量出血 As you can see, there is significant blood in the cavity.
抽血 埃弗雷特 Vacuum, Everett.
虽然不易看清 但胎儿 Though it's difficult to see, it seems the fetus
已经经过切口 has migrated through the rupture
向上移动到了下腹 upward toward the abdomen.
我们必须把切口加长 把孩子取出来 We need to lengthen the incision and get the baby out now.
朱尔斯 Jules.
蒙克护士 刀 给我刀 Nurse Monk, knife. Knife.
伯蒂 烧灼 Bertie, cauterize.
她的脉搏正在减弱 Her pulse is weakening.
-我摸到了一条腿 -把胎儿往下拉然后取出来 - I have a leg. - Pull the fetus down and out.
被脐带缠住了 It's trapped in the cord.
镊子夹 脐带剪 Forceps clamps, umbilical scissors.
伯蒂 Bertie.
快啊 萨克 Come on, Thack.
剪刀 Scissors.
-可以移走了 -插管 - You're free. - Tube it.
快点抽 奇克林 加把劲 More vacuum, Chickering. Put your back into it.
她脉搏不稳了 Her pulse has become eccentric.
我们还有时间 夹住那条动脉 We still have time. Clamp that artery.
把那部分外翻 萨克 Invert that section, Thack.
出血点在这 There's the bleed.
我们还能缝合切口 We can still close the rupture.
沃式针和肠管 Warren's needle and gut.
杜氏针和丝线 Dowell's needle and silk.
很好 Good.
她的脉搏非常微弱 规律全无 Her pulse is faint and fully eccentric.
脸色发白 嘴唇发青 She's pallid and her lips are blue.
踏板 一 二 三 Pedals. One, two, three.
快好了 Almost.
快好了 快好了 Almost. Almost.
好了 There.
出血止住了 The bleeding stopped.
没有脉搏 Nothing.
看来 It seems...
看来我们尚需改进 it seems we are still lacking.
我希望 如果没别的问题 I hope, if nothing else...
这场手术能使各位有所收获 this has been instructive for you all.
我们会有办法的 We'll solve it.
还要多少人死 萨克 How many more, Thack?
"最坚硬的橡木 也终会在小斧的 "And many strokes, though with a little axe,
出自莎士比亚《亨利六世》第三幕
无数次劈砍中倒下" hew down and fell the hardest timbered oak."
智者萨克语录 Thus spake Thack the Wise.
朱尔斯 Jules.
手术失败了 可你没有 The procedure failed. You didn't.
谢谢你 我的朋友 Thank you, my friend.
表面是不是太不平了 Isn't it a knobby one?
要的就是这种风格 It's just the proper style.
J·M·克里斯蒂安森医生
去他妈的 Fuck it all.
上帝永远是胜者 Your god always wins.
这是世界历史上 It is the longest unbeaten streak
最久远的不败战绩 in the history of the world.
然而J·M·克里斯蒂安森在这场战斗中 Yet J.M. Christiansen fearlessly took up arms
无畏地拿起武器对抗这一切必然的事 in that battle to oppose inevitable,
他所面对的敌人从未被击败过 throwing himself in at an enemy that has never known defeat
而且就我所知 永远不可能被击败 and, as sure as I'm standing here, never will.
众人好奇J.M.是否意识到自己毕生的心血 One could not be blamed for wondering
其实只是徒劳的 if J.M. came to see
这种想法无可指摘 his life's work as a fool's errand.
一个乡巴佬终于发现 A rube finally realizing
在他玩了这么久的游戏里 that the game he's been
自己将永远处于劣势 playing will be forever rigged against him.
可我亲爱的朋友J.M.很优秀 But my dear friend J.M. was a fine man
他当然不是傻瓜或者乡巴佬 and certainly was no fool or rube.
他和我一生都在和同样的假想敌斗争 He and I spent our lives tilting at the very same windmills.
那我为什么没有像他一样失去希望呢 So why have I not lost hope like he did?
因为我们反抗的那些假想敌[风车] Because those windmills at which we tilted
是人类创造出来推动石磨 were created by men to turn grindstones
以将地球的恩赐磨成粉 that transformed the Earth's bounty into flour.
这样简陋的起点 From such humble beginnings
孕育出我们今天所生活的当代世界 grew the astonishing modern world in which we now live.
我们无法征服高山 We cannot conquer the mountains,
但我们的铁轨能够轻易从中穿越 but our railroads now run through them with ease.
我们无法战胜河流 We cannot defeat the river,
但我们能将它改道 but we can... we can bend it to our will
或者根据需要将其拦截 and dam it for our own purposes.
我们现在所处的时代 We now live in a time
有着无限的可能 of endless possibility.
过去五年里我们对人体治疗的了解 More has been learned about the treatment of the human body
比之前五百年所学到的都要多 in the last five years than was learned in the previous 500.
二十年前 人类的预期寿命 20 years ago, 39 was the number of years
只有39岁 a man could expect from his life.
今天 已经超过了47岁 Today, it is more than 47.
终有一天铁路隧道会崩塌 Eventually the train tunnels will crumble.
大坝会溃堤 The dams will be overrun.
我们的病人心跳都会停止 Our patients' hearts will all stop their beating.
可我们在投降之前 But we humans can get in a few good licks in battle
能做出几个漂亮的反击 before we surrender.
凯瑟琳 Catherine.
我绝不会停止为美好未来而努力 I will not stop pushing forward into a hopeful future.
我的每一次出击 And with every blow I land,
我的病人每多活一年 every extra year I give to a patient...
我都会记得我逝去的朋友 I will remember my fallen friend
朱尔斯·迈克尔·克里斯蒂安森 Jules Michael Christiansen...
并记住 无论有多短暂 and know that at the very least,
我们至少赢得了 something, however temporary...
一些东西 has been won.
悼词写得很好 萨克雷医生 Lovely eulogy, Dr. Thackery.
谢谢 Thank you.
就是有点自我吹嘘的意味 If not a bit self-aggrandizing.
他又有了一个向上帝 And another chance for him
发动战争的机会 to trumpet his personal war against God.
下午好 罗伯森小姐 Good afternoon, Miss Robertson.
-修女 -巴罗先生 - Sister. - Mr. Barrow.
葬礼很棒 It was a lovely funeral.
我是指流程安排 As these things go.
牧师真是一副好口才 修女 The minister was very eloquent, Sister.
新教徒也有得意的时候 Protestants have their moments, too.
就是 Yes.
你真该来我们周日的礼拜看一下 修女 You should come to one of our Sunday services, Sister.
非常虔诚 Very God-fearing.
两位日安 Good day to you both.
整件事完全是个悲剧 The whole event is just completely tragic,
真令人震惊 quite shocking.
谁会想到克里斯蒂安森医生会这么绝望 Who would have guessed Dr. Christiansen was so hopelessly lost?
12次尝试同一个手术无一例存活 12 attempts at the same surgery with no survivors
任谁都会被逼疯的 would drive any good man mad.
当然 Of course.
他的痛苦已经结束了 但她的才刚刚开始 His anguish is over, but hers is just beginning.
不过我也明白他给她留了一大笔遗产 Though I understand he left her a sizable sum.
足够让一个寡妇在夜晚不感到寒冷 Enough to keep a widow warm at night?
还够吸引到一个合适的求爱者 And to attract the right type of suitor.
她还美貌依然 She is still a handsome woman.
你的敏锐总是让我感到惊讶 Always surprised by your sensitivity.
谢谢 Thank you.
事情进展到哪一步了 修女 How were the proceedings, Sister?
我猜他们选择今天盖棺 I'm guessing they chose to go closed casket today.
是的 克利里先生 今天盖棺 Yes, Mr. Cleary, the casket was closed today.
虫子们会很感激又有新的洞可去了 Ah, well, the worms will be thankful for the extra holes, though.
省了它们自己去挖的力气 Saves them from having to make 'em for themselves.
修女 别对我太苛刻 Ah, Sister, don't judge me too harsh.
在上帝的眼里我只是一个可怜的罪人 I'm just a poor simple sinner in the eyes of the Lord.
上帝平等地爱戴他的子民 The Lord loves all his children equally.
不过对于你 克利里先生 Though in your case, Mr. Cleary,
我想你是个例外 I'm sure he'll make an exception.
救护车
Ambulance.
马上来 Right.
有个新病人 We got one.
-下午好 先生们 -下午好 - Good afternoon, gentlemen. - Good afternoon.
特尔弗小姐 Miss Telfer.
我父亲对于他今天不能亲自到场感到非常抱歉 My father sends his regrets that he can't be here today,
所以我作为他的代理人出席 so I'll be sitting in as his proxy.
罗伯森上尉亲自签署 Signed by Robertson.
也许我们应该延期 等上尉可以亲自到场 Perhaps we should adjourn, then, till the captain can be here
会议也能更好地进行 and we're able to do this properly.
没错 Yes.
如果你强烈反对我父亲的意愿 哈伯逊先生 If you strongly object to my father's wishes, Mr. Habershorn,
你道歉并且离开的话 我可以理解 I will understand if you need to make your apologies and leave.
那我们开始处理手头的正事吧 Then let's get to the business at hand.
我想先欢迎顶替已故的克里斯蒂安森医生 I'd like to welcome Dr. Thackery to his first board meeting,
第一次参加董事会议的萨克雷医生 seated in place of the late Dr. Christiansen.
节哀顺变 萨克雷医生 My condolences, Dr. Thackery.
克里斯蒂安森医生的突然离世 Dr. Christiansen's untimely passing
给尼克博克带来了更多的压力 has brought added strain to the Knickerbocker.
加上之前它给大众留下的不良印象 Aside from the public disaster it presents,
都进一步阻碍了我们在财务稳定方面所做的努力 it further hampers our efforts at financial solidity.
正如你们所见 先生们 As you can see, gentlemen,
你们面前的已公布报告中显示 in the published reports in front of you,
每月的支出增加 monthly costs have increased.
其中一部分是因为最近 This is due in part to the recent renovations
重新装修了男女病房 in the men's and women's wards.
医院现在正面临着每年将近 The hospital is now running at a deficit
三万美金的赤字 of nearly 30,000 dollars a year.
现在 针对于此 Now, in light of this,
我擅自推迟了 I've taken the liberty of postponing
庭院的必要修整 the much needed repairs in the courtyard.
现在 萨克雷医生 Now, Dr. Thackery,
作为克里斯蒂安森医生的副主任医师 as you were Dr. Christiansen's deputy chief of surgery,
董事会希望你接替他的职位成为主任医师 the board would like you to step into his position as chief.
如果你接受的话我们会很感激 We'd be grateful if you'd accept.
我会的 虽然心中非常遗憾 I will, though with great regret.
这也意味着你需要一个新的副主任医师 Which means you'll be needing a new deputy.
我想我们都同意 I'm sure we all agree
加林格医生是这个职位的最佳人选 that Dr. Gallinger is the right man for the job.
我并不认为我们都同意此事 I'm not sure we all agree on that.
我的父亲和我都希望你考虑另一个人选 My father and I would like you to consider another candidate.
凭什么呢 你们的外科手术知识 Based on what? Your surgical expertise?
凭我们对这个男人的信任 Based on our faith in the man.
阿尔杰农·爱德华兹医生 巴罗先生 Dr. Algernon Edwards. Mr. Barrow.
他在哈佛学院接受了医学教育 He received his medical education at Harvard College,
以优异的成绩毕业 graduating with distinction.
他先后在波士顿医院和普罗维登斯实习 His training was done at Boston Hospital and then Providence.
过去四年 他跟随皇家外科医学院的主席 And he spent the past four years working and instructing
威廉·麦科马克先生在伦敦的圣托马斯医院 at St. Thomas Hospital in London under Sir William MacCormac,
以及跟随阿尔伯特·卡尔梅特 president of the Royal College of Surgeons
在法国巴斯德研究所工作并任教 and at the Institut Pasteur in France under Albert Calmette.
他比这个国家的任何人都更了解 He has more knowledge of recent surgical advances
欧洲最新的外科手术发展 in Europe than any man in the country.
他的回国给了我们很大的机会 萨克 And his return to the States provides us with a great opportunity, thack.
科妮莉亚和她的父亲已经说服他 Cornelia and her father have prevailed upon him
明天来纽约一趟 to travel to New York tomorrow,
我们预期你会想和他见一见 as we assumed you would want to meet with him.
他看起来非常够格 He seems very qualified.
那我安排他和你见面 Then I shall arrange for him to meet with you.
安排还是强迫 Arrange or insist?
我想你还是可以抽几分钟时间 I think you can find a few minutes
见见这么高水平的候选人 for a candidate of this caliber.
罗伯森家族为我们做了这么多 Considering all the Robertsons have done for us,
如果不尊重他们的想法 考虑这个可能性 it would be foolish not to respect their opinion
就太愚蠢了 and entertain the possibility.
我可没那么愚蠢 赫尔曼 Far be it for me to be foolish, Herman.
我会见他 但我的选择不会变 I will meet the man, but my choice is firm.
还是加林格 It's Gallinger.
日安 皮特 Ah, and a good day to you, Pete.
怎么样 伙计 How you doing there, fella?
尼克博克医院
有什么好东西要给我们的吗 Got a nice little package there for us?
这回你休想 克利里 You're not getting this one, Cleary.
皮特 Oh, Pete.
我们不能好好说吗 Can't we be reasonable?
君子动口不动手 Talk about this like gentlemen?
要我说 Now, as to my mind,
你们要么把人交出来 you can either give us the goods,
要么一起进尼克病院吧 or youse can all travel to the Knick as patients.
收了个有来头的 Hooked a fine one.
第五大道的银行家 Banker from up 5th Avenue.
肝脏出问题了 黄疸 Liver problems. Jaundice.
他还说出现了尿血的情况 Pissing blood, he says.
这人肯定会要个私人病房 I'm sure this one will be in a private with us
住上几星期 结账时一分不会少 for a few weeks and be paying his bill in full.
-干得好 -克利里再加二毛五 - Nice catch. - That's two more bits for Cleary.
月底一起算吧 End of the month.
尼克病院美好的又一天 埃尔金斯护士 Another beautiful day at the Knick, Nurse Elkins?
太太 Ma'am.
加林格医生 Dr. Gallinger.
这是塞巴斯蒂亚诺·詹迪勒先生 40岁 This is Mr. Sebastiano Gentile. 40.
本月8号被有轨电车撞到 On the eighth of this month he was struck by a streetcar,
盆骨骨折 fracturing his pelvis.
詹迪勒先生 您不知道不能跟有轨电车较真吗 Mr. Gentile, don't you know never to quarrel with a streetcar?
我还没听说过谁能赢过它呢 I've never known a man to beat one yet.
我现在知道了 I know that now.
下一次 还是试试老式汽车吧 Next time, take on one of those horseless carriages.
那样还有点希望 Much better odds.
到达时 大腿侧面一个很大的伤口 Upon arrival, an extensive wound on the lateral side of his thigh
立即缝合并包扎好了 was immediately stitched and dressed.
脉搏112 腹部胀气 Pulse was 112. Abdomen was tympanitic.
脐下有压痛 And there was tenderness below the umbilicus.
我们把他带进手术室 So he was taken into the operating theater,
发现四处刺伤 where we found four puncture wounds
断裂的盆骨 刺穿了肠管 from the fractured pelvic bone lacerating the bowel.
在奇克林医生帮助下 And with Dr. Chickering assisting,
我们立即缝合了伤口 we immediately sutured the wounds
每处刺伤都用三针肠线缝合 using three catgut sutures on each puncture.
有没有考虑过 Was there any consideration
把肠管被破坏的那部分切除 of removing the damaged section of the bowel?
重新连接肠管的两个新断端 The difficulty in reconnecting the two new ends
难度太大 of the intestines seemed too great
另外还考虑到 and the danger of postoperative bowel leakage
术后有肠瘘的危险 was another complication we discussed.
我不敢冒险采用切除术 And I dared not risk a resection.
目前有什么并发症吗 Any complications thus far?
詹迪勒先生出现轻度支气管炎 Mr. Gentile has developed a small case of bronchitis,
这在术后是很常见的 which is common after such a procedure.
很好 医生 Very good, Doctor.
有血凝块 Clogs.
哪位护士为这位病人换的药 Which nurse changed the dressings on this man?
是我 I did.
按照加林格医生的指示换的 Per Dr. Gallinger's instructions.
过去24小时换过两次 Twice in the past 24 hours
并且夜间一直为他清空引流管 and I emptied his drains throughout the night.
那一根最近清理过吗 And did you recently empty that one?
没有 I didn't.
这根管里的液体应该是非常少的 It's tended to have collected very little fluid.
但这根管附近的伤口出现肿胀 And yet the area where the drain exits the wound is swollen.
或许你该想到 Perhaps you might have considered
要清空一下引流管里的血凝块 clearing the drainage tube of clogs.
你来多久了 How long have you been here?
快三个星期了 Almost three weeks.
埃尔金斯护士 那你应该知道 Then you should already know, Nurse Elkins,
我们的目的是救死扶伤 that the goal is to keep the patients alive,
而不是在外科医生大费周折后 not kill them with negligence
因疏忽大意使病人丢掉性命 after a surgeon's done his best to save them.
我希望每个人都能非常清楚自己的责任 I expect everyone to be well versed in their responsibilities.
对不起 I'm sorry.
不 我的病房里没有软弱和自怜 No, weakness and self-pity have no place on my ward.
如果觉得我要求过多 If I'm asking too much of you,
你随时可以坐着驴车回肯塔基 you can always take the donkey cart back to Kentucky
继续你们的优良传统 and continue in the fine tradition of curing people
用月光和蚯蚓膏去救人 with moonshine and angleworm poultices.
好好休息 詹迪勒先生 Rest up, Mr. Gentile.
以后多的是有轨电车 你躲着点 You got a lot more trolleys to dodge in your future.
可笑的其实是萨克雷 The joke's on Thackery.
他不知道你是西弗吉尼亚州的 He doesn't know you're from West Virginia.
天啊 斯佩特 Jesus, Speight.
你确定得肺结核的不是你自己 You sure it's not you with the fucking tuberculosis?
说话注意点 克利里 Watch your mouth, Cleary.
愿意来抬担架的小伙多得是 There's plenty other stretcher boys I can call for this.
卫生督察 Health inspector.
卫生督察 请开门 Health inspector. Open the door, please.
卡拉维茨太太 Mrs. Krawetz?
我们来带你去医院 明白吗 We're here to take you to the hospital. Do you understand?
医院 Hospital.
医...医院 Hos-- hospital.
她生病了 我们必须带走她 She has a disease. She must be taken out of here.
天啊 这简直就是这地方的巴别塔 Christ alive, it's the Tower of Babel in these shitholes.
话永远听不懂 医院 Never the same language twice. Hospital!
我父亲说他不想让你们带走我母亲 My father says he doesn't want you taking my mother.
我是纽约警局的西尔斯警官 Well, I'm Officer Sears of the New York Police Department
有一项法律规定我们必须把她带走 and there is a law that says we have to take her someplace
让她好起来 这样就不会把病传染给你 that'll make her well so she doesn't get you sick, too.
我... My--
我父亲说有人带走了我们邻居 却再也没有回来 my father says they took our neighbor and he never came back.
她会回来的 健健康康地回来 Oh, she'll be back and fit as a fiddle.
你瞧好了 You watch.
没有窗户 没有通风设施 No windows, no ventilation,
没有光照 没有活水 no sunlight inside, no running water.
疾病的滋生地 A breeding ground for disease.
这就是新法律通过的原因 That's why the new laws were passed.
为了保护公众 我可以命令你按照我的意思 I can compel you to make any and all structural changes
对你的房子做出我认为必要的结构改变 to your property I deem necessary to protect the public.
这要花一大笔钱 That will cost a fortune.
我是商人 I'm a businessman.
要怪就怪利斯特的显微镜和 里斯的相机吧 Blame Lister's microscope and Riis' camera.
纽约卫生局只是尽自己的职责 The New York City Health Department is just doing its job.
你在这片街区还有两幢楼 是吧 You own two more buildings on this block, don't you?
或许我们可以再商量商量 Perhaps we can come to some other arrangement.
或许可以 Perhaps we can.
这是六车的最后一车了 It's the last of the six loads.
够你的锅炉再烧四个月了 Keep your boilers cooking for the next four months.
一磅三分怎么样 Three cents a pound?
可以 Sounds good.
太好了 科克先生 That is excellent, Mr. Corker.
这是尼克博克的 Here is a bank draft from the Knickerbocker
全额银行汇票 for the full amount.
谢谢你选择帕克赫斯特 Thank you for choosing Parkhurst.
帕克赫斯特先生感谢您的光顾 Mr. Parkhurst is grateful for your business.
我也同样感谢他 And I am grateful for his.
打扰一下 先生们 Pardon me, gentlemen.
请问在哪可以找到约翰·萨克雷医生 Where might I find Dr. John Thackery?
-下边 -出发 伙计们 - Down there. - Let's go, guys.
快点 Come on.
萨克雷医生 Dr. Thackery?
是我 Yes.
听说你在这里 I was told I could find you here.
我是阿尔杰农·爱德华兹 I'm Algernon Edwards.
要不要我去你的办公室等你 Would you prefer for me to wait in your office?
不用 没事 No, this is fine.
可以问下你在做什么吗 May I ask what it is you're making?
我想对一个仪器做出改进 It's an idea for an improvement on an instrument.
我在伦敦的一个同事 A colleague of mine in London was
也很喜欢铸造东西 very fond of smelting as well.
而且 他改造后的唇裂镊 In fact, the harelip forceps he modified
现在已经成为欧洲的标准了 is now the standard in Europe.
如果什么时候我在这里 Well, if I find myself on the Continent
也开始治疗兔唇 working on a harelip,
那我会好好感谢他的 I will know whom to thank.
我感觉他们应该没有 I'm beginning to think you were
告诉过你我的详细情况 not told everything about me.
你应该没想到 You envisioned something different, I take it.
我会是个黑人吧 Something lighter.
是的 I did.
坦白说吧 爱德华兹医生 And to be frank, Dr. Edwards,
我之所以同意此次会面 I only agreed to this meeting
完全是碍于罗伯森小姐的面子 as a courtesy to Miss Robertson,
而我本人完全没有意愿 but I am certainly not interested
打破医院员工间的种族隔离 in an integrated hospital staff.
我的肤色不应成为问题 My skin color shouldn't matter.
如果真的没关系 Well, if it doesn't matter,
那为什么之前要瞒着我 then why was that information held back from me?
这你得去问罗伯森小姐 You'll have to ask Miss Robertson.
你的各种文凭证书上也都没写你的种族 It's also nowhere to be found on your credentials.
你的证书上写了吗 Is your race listed on yours?
我的不需要写出来 There's no need for it to be.
我承认你的背景让人印象深刻 I grant that your background is impressive,
我敢肯定你的才能一定能 and I'm sure there are many Negro infirmaries
让很多黑人医院受益 that will benefit from your talents,
-但这家医院 -我已经来了 - but this hospital-- - You're here.
我就想在这工作 This is where I'd like to be.
只要你能给我一个机会 If you would just give me a chance.
在伦敦和巴黎 我都被平等对待 In London and in Paris, I was treated as an equal.
-我想这里也 -这里是纽约 - And I have no doubt-- - This is New York.
不是伦敦或巴黎 This is not London or Paris.
你想要加入一个医疗团队的前提 You can only run away and join the circus
是他们想要你 if the circus wants you.
我的团队不需要你 I don't want you in my circus.
爱德华兹医生 Dr. Edwards.
你和萨克雷医生的会面如何 How was your meeting with Dr. Thackery?
如果你管在火炉前被人羞辱 Wonderful if you call being humiliated
称做是会面的话 那是挺好的 in front of a 1,000-degree furnace a meeting.
什么意思 What do you mean?
替我感谢你父亲 Thank your father for me.
我要回波士顿了 I'm going to head back to Boston.
抱歉浪费了你的时间 Sorry if I wasted your time.
反正我的是浪费了 I certainly wasted mine.
爱德华兹医生 Dr. Edwards.
阿尔杰农 Algernon.
罗伯森小姐 Miss Robertson.
奇克林医生想要见你 Dr. Chickering would like to see you.
院长室
-检查员斯佩特 -巴罗先生 - Inspector Speight. - Mr. Barrow.
外面情况怎么样 How are things on the streets?
一天比一天糟 Getting worse every day.
货船来得越多 The more boatloads they let in,
瘟疫就会越严重 the more pestilence infects the city.
光是今天我就接了三个肺结核的病人 I had three cases of tuberculosis just today.
穷人就是比我们更虚弱 The poor are just weaker than us.
你以为市长会考虑 You'd imagine the mayor would want to think about
把新移民送到别的地方去 sending them immigrants elsewhere,
但他没有 but he don't stop 'em.
运输公司的人都很清楚 Shipping companies see to that.
有一些疾病 蔓延地特别快 Some of these diseases, they spread so quick,
几天之内就能把整个街区的人都消灭了 they wipe out whole blocks of people in just a few days.
我们得把尸体都烧了 没有地方安放他们 We have to burn the bodies. We have no place to put them.
那是你新添的孩子吗 That a new one of your kids?
是的 Yes.
一家子都很漂亮 Handsome-looking family.
我一直很想给自己画一张那样的画像 Always wanted to have one of those done of me.
怎么还没画呢 And why haven't you?
那么长时间我肯定坐不住 Don't think I could sit still that long.
如果我想上厕所怎么办 What if I had to use the toilet?
画框看起来花了你不少钱啊 Those frames look like they set you back a bit.
用的金箔吗 Gold leaf?
你把那些肺结核病人送哪去了 Where did you say you sent these tuberculosis patients?
尼克病院有一个 The Knick got one.
因为是我送来的 City's gonna cover the full freight cost
所以运费由政府出 since I put her here.
所以你还想抽点佣金 And you want a finder's fee.
其实我送去圣文森特医院 Could have easily sent her to St. Vincent's
或长老会医院会更容易 or Presbyterian.
也许下次就这样 Next time could be none.
又或者都送来这里 Or it might be all of them.
我喜欢你 赫姆 You know, I like you, Herm.
我们是一路人 We're cut from the same cloth.
我觉得不是 I like to think not.
情况不好 It's not good.
肺结核已经到了晚期 The tuberculosis is pretty advanced.
她的肺部已经全是积液 Her lungs are completely full of fluid.
高烧40度 脉搏紊乱 Fever of 104. Pulse is erratic.
手指呈杵状膨大 Her fingers are clubbing.
你是建议送她去疗养院吗 Are you recommending a sanitarium stay?
恐怕她已经时日无多了 She's already on the other side of the hill, I'm afraid.
坦白说 我觉得她都熬不过这周 I honestly don't think she'll make it through the week.
她知道吗 Does she know?
她听不懂英语 She doesn't speak English.
之前是她女儿一直在帮我翻译 Her daughter has been interpreting for me.
我明白了 I see.
我们是得对病人负责 Responsibility is to the patient,
但没有规定说我们必须得... but there's no rule that says we have to--
你好 Hello.
你叫什么名字 May I ask your name?
-耶特 -耶特 - Yetta. - Yetta.
名字真好听 A beautiful name.
耶特 我是罗伯森小姐 Yetta, my name is Miss Robertson.
我是医院社会福利办公室的 I'm from the social welfare office of the hospital.
现在我需要你帮我 I need your help right now
给你妈妈解释一些事情 to explain something to your mother.
可以吗 All right?
请告诉她 医生说 Please tell your mother that the doctor says
她的病情已经非常严重 her disease has made her very sick.
她不会好起来了 She will not get better.
病情只会继续恶化 She will only get worse.
但医院会尽全力 But the hospital will do all it can
让她最大可能地感觉舒适一些 to make her as comfortable as possible.
她或你的家人如果有任何需求 If there is anything she or your family needs,
我们都乐意帮忙 we are here to help you.
她能明白吗 Does she understand?
她明白 She understands.
我很抱歉 I'm so sorry.
我妈妈想知道现在几点了 My mother wants to know what time it is.
四点半了 It's 4:30.
我妈妈说我该走了 My mother says I should go
不然我上工该迟到了 or else I'll be late for my shift.
地兰西街凯勒女装厂 Keller Shirtwaist Factory on Delancey.
把她平安送到 杰西 Be sure she gets there safely, Jesse.
好的 夫人 Yes, ma'am.
我等了你一个多小时了 你忙什么呢 I expected you over an hour ago. What kept you?
你对待爱德华兹医生的态度简直不可原谅 Your treatment of Dr. Edwards s indefensible.
不 完全合乎情理 No, it was completely defensible.
我把我跟他说的原话告诉你 I'll tell you exactly what I told him.
我没兴趣带领一支跨种族的团队 I'm not interested in leading the charge in mixing the races.
爱德华兹医生的医术和医院其他医生一样好 Dr. Edwards is as capable as any doctor in this hospital.
-可能还更胜一层 -可能吧 - Likely more so. - Perhaps.
但正如鞋匠从来不会上架 But just as a shopkeeper would never stock an item
没有顾客会买的商品一样 on his shelves no customer would buy,
我也不会留下一名没有病人愿意 I would not employ a surgeon no patient
让他主刀的外科医生 will agree to have operate them.
那我们就要说服病人信任他的医术 Then patients must be convinced of his ability.
难道你真的想告诉我 Are you going to stand there and honestly tell me
让我们摆脱财务困境的方法 that the way out of our financial troubles
就是雇用一位黑人外科医生 is to hire a Negro surgeon?
一旦人们发现他是一名技术精湛的外科医生 Once people learn that he is an excellent surgeon,
他们就会改变主意的 they'll change their minds.
这可是关乎病人生死的大事 We're speaking about a patient's possible mortality.
趁这时发起社会运动合适吗 Is this really a fair time to begin a social crusade?
-正是 -我们是一所处境窘迫的医院 - Yes. - We're an institution in dire condition.
不是为了你和你父亲的钱 而被拿来 We're not an incubator for some progressive experiment
进行这种激进的实验的场所 for you and your father's money.
拜托你了 给自己找个别的爱好 Please, find yourself another hobby.
看到你做的好事了吗 Do you see what you've done?
罗伯森家把人都撤走了 The Robertsons are pulling their crews.
他们要终止电力计划 They're terminating the electrification project.
真幼稚 Oh, so childish.
不 萨克 幼稚的是你 No, Thack, you're the child.
我们需要他们的钱 需要电力 We need their money. We need to electrify.
我不会雇那个黑鬼的 I'm not hiring the Negro.
你以为我想要他来吗 Do you think I want that dusky coon roaming these halls?
让一个会把患者吓跑的家伙 A man of high rank on our staff
进入高层 who will repel patients?
我希望你开心 但目前我更要取悦罗伯森一家 I need you happy, but right now I need the Robertsons happier.
你知道我们没得选 You know we have no choice.
那个人非用不可 The man will be hired.
那我就辞职 Then I'll resign.
又来 Again?
我需要你这样浸20分钟 埃伯哈特太太 I want you to stay like that for 20 minutes, Mrs. Eberhardt.
康奈利护士会帮你按摩肚子 Nurse Connelly will keep massaging your belly.
相信我 Trust an old midwife.
胎儿为了避开寒冷 That breech baby will turn around in no time
会自觉改正胎位的 to get away from the cold.
这是医嘱吗 Is this something the doctor prescribed?
医生知道的话也会这么处置的 He would if he knew what he was doing.
真嫉妒那支烟 Oh, I envy that cigarette.
好好嘬 慢慢吸 Nice and slow. Nice and slow.
可怜的上帝 有这么多女人嫁给了他 Ah, the poor Lord's got all these ladies married to Him
却一个都碰不了 and none will give Him a go.
修女会有想要男人吗 Hey, do penguins ever just want to go for a good poke?
我们会好奇 Oh, we get curious.
不过他们一给我们看你那张丑脸的照片 But then they show us a photograph of your sorry face
我们就重新奔向上帝的怀抱了 and we all run right back into the arms of God.
你给女性守贞事业做出的贡献 Your ugly mug's responsible for more girls
比贞操带还大 staying virgins than the chastity belt.
我的天 How in God's name
你怎么还活着 are you still going?
因为我对名的渴望 I have an insatiable desire for fame.
当然 And, of course...
也因为我的老伙计 my old friend
可卡因 Uncle Parker.
下一步我需要你帮忙 I'd love to have your help for this next part.
除非你宁愿回去睡觉 Unless, of course, you'd rather go back to sleep.
体温40.6度 脉搏166 His temperature is 105 and his pulse is rapid at 166.
过去90分钟内已经吐了三次 He has vomited three times in the last 90 minutes.
估计是支气管炎恶化了 所以请你过来 I figured his bronchitis was worsening, so I summoned you.
不是支气管炎的问题 是败血症 It's not his bronchitis. It's septicemia.
他的四肢肿了起来 The swelling of the limbs.
并且开始变色 The discoloration has started, too.
我的手术失败了 My repair didn't hold.
他肠子里的毒素渗进了血液 He's leaking his own bowel poisons into his blood.
我应该把那段肠子切除的 I should have resected.
这种事情哪个医生也免不了 It would have happened with any surgeon,
萨克雷也不例外 Thackery included.
大多数病人都在男士病房进行治疗 Most of our patients will receive their treatment here in the men's ward.
我来介绍一下 这两位是手下的 Ah, allow me to introduce you to two of your
主治医师 junior surgeons.
大家早上好 Good morning to you all.
艾瑞特·K·加林格医师和小伯崔姆·奇克林医师 Dr. Erett K. Gallinger and Dr. Bertram Chickering Jr.
这位是新上任的副主任医师 This is our new assistant chief surgeon
阿尔杰农·爱德华兹 Dr. Algernon Edwards.
萨克雷雇佣他的吗 Thackery hired him?
他昨晚让我这么做的 Directed me to do it as of late yesterday.
大家都叫我伯蒂 Everyone calls me Bertie.
请不要拘束 Feel free yourself.
欢迎来到我们的团队 Welcome to our circus.
我得回去查看病人的情况了 失陪 It seems we need to head back inside the tent. Excuse me.
肠道缝合后出现了败血症 Septicemia following a bowel repair.
我们得重新开腹找到裂口位置 We need to go back in and find the leak right away.
我们 他是我的病人 不是你的 We? He is my patient, Doctor, not yours.
不能重新开腹 病人有支气管炎 We can't go back in. Bronchitis.
败血症和支气管炎都会要他的命 The ether will kill him.
把萨克雷医生叫来 Get Dr. Thackery.
他好像还没来医院 I don't believe he's come in yet.
那就有劳你去找他 Then find him, please.
时间很宝贵 Time is precious.
病人就要死了 He's dying in front of our eyes.
我们能自己解决 Surely we can solve this ourselves?
-你什么都解决不了 -医生 - You'll solve nothing. - Doctor.
他需要立即接受切除手术 He needs an immediate resection.
赶在受感染的血液 Two slippery pieces of bowel, wet noodles
充斥他整个腹腔之前 somehow sutured perfectly together
想办法把两段肠子 while septic fluids leak all over the cavity
完美的缝合在一起 poisoning the patient.
这还是在我们能找到能让他保住性命 That is if we are somehow able to bring about
实施手术麻醉的前提下 surgical sleep without killing the man.
-埃尔金斯护士 -在 - Nurse Elkins. - Yes?
我和伯蒂将为詹迪勒先生准备手术 Bertie and I will prepare Mr. Gentile for the surgery.
你去找萨克雷医生来 先去他家 I need you to find Dr. Thackery. Try his home first.
我们不能再耽搁了 失陪 We don't have a minute to spare. Now, excuse me.
露西 你知道他住哪里吗 Lucy, do you know where he lives?
不知道 No.
韦弗利街28号 28 Waverly.
露西 你知道那是哪儿吗 Lucy, do you know where that is?
不知道 No.
往西面走 然后在伍斯特街左转 West, then left on Wooster Street
朝华盛顿广场方向走 towards Washington Square.
欢迎来到尼克病院 Welcome to the Knick.
萨克雷医生 Dr. Thackery?
萨克雷医生 需要你进行一场紧急手术 Dr. Thackery, you're urgently needed for a procedure.
天啊 萨克雷医生 Good Lord, Dr. Thackery.
走开 Go away.
请你走开 Please go away.
加林格医生派我来的 Dr. Gallinger sent me.
有位患者生命垂危 A patient is dying.
哪位 Which one?
叫... Mr.--
詹迪勒先生 Mr. Gentile.
他得了败血症 He has septicemia.
该死的加林格 Oh, fucking Gallinger.
你怎么了 生病了吗 What's wrong with you? Are you sick?
我想不借助那个度过一晚 I was trying to spend a night without it.
不借助哪个 Without what?
护士 我需要你的帮助 Nurse, I need your assistance.
需要你为我注射 You need to inject me.
我自己做不到 I can't do it.
可卡因 Cocaine?
要多少量 我不想害死你 How much? I don't want to kill you.
差不多22毫升 A touch more than 22.
你这是在毁自己 医生 You've destroyed yourself, Doctor.
-你的身体已经不行了 -脚趾 - You're collapsed everywhere. - Toes.
-血管太细 -对我来说不是 没事 - They're too small. - Not for me. It's fine.
-我想我做不到 -老天啊 - I don't think I can. - Oh, for God's sake.
-你在干什么 -你不是想找粗点的血管吗 - What are you doing? - You want a bigger vein?
-你要我注射到 -没错 下方注射 - You want me to inject your-- - Yes, on the underside.
尿道那里 The urethral.
护士 Nurse.
快动手 Do it!
上帝 请宽恕我 Lord forgive me.
各位 打开雾化器 Gentlemen, atomizers on.
都清洗干净 被上帝净化了吗 Everyone scrubbed, washed, cleansed, deloused, purified by God?
-就差最后一步了 萨克 -他在这干嘛 - All except the last, Thack. - What's he doing here?
-你雇的他 -我是来协助手术的 - You hired him. - I'm here to assist in the surgery.
-别让他碰我 -别担心 詹迪勒先生 - He's not touching me. - Don't worry, Mr. Gentile.
他不会的 埃弗雷特 你来协助我 He won't be. Everett, you'll be assisting me.
伯蒂 你顶替埃弗雷特的位置 Bertie, you'll back up Everett.
萨克 考虑他肺部情况我们不能使用乙醚 Thack, we can't use ether on account of his lungs
我们也不能在患者清醒的情况下进行手术 and we can't operate on a man who's awake.
我知道 我来的途中就一直在思考 I know. I was considering this on the way in.
你可以试试在腹部注射甘卡因 You could try Nirvanin on the abdomen.
在德国有几起成功先例 There's some success in Germany.
那是牙科手术 而在这样的情况下 In dental surgery. For something like this,
并不能达到麻醉的效果 it won't penetrate to the necessary depth.
埃尔金斯护士 准备一支脊椎穿刺针 Nurse Elkins, would you prepare a spinal needle
以及皮下注射10毫升2%浓度可卡因 and a hypodermic of 10 of a 2% cocaine solution?
你不知道什么是可卡因吗 Are you not familiar with the drug?
知道 I am.
那就去准备 我没有雇他 Then prepare it. I didn't hire him.
巴罗硬塞给我 他现在是新的副主任医师 Barrow forced him upon me. He's the new assistant chief.
他们说是你要给我这个职位的 I was told you had decided to offer me the position.
如果是巴罗跟你说的 那你要清楚 Well, if Barrow told it to you, you should know
他说话可信度都不高 there is never likely to be much truth in it.
我不会待在不需要我的地方 I will not stay where I'm not wanted.
那我猜你在哪都待不长 Then I'm guessing you don't stay anywhere for very long.
如我誓言所述 在病人脱离危险前 As per my oath, I will remain in the theater
我是不会离开手术室的 until the patient is out of danger.
但之后 我会辞职 And then I will resign.
恭喜你 埃弗雷特 你升职了 Congratulations, Everett, on your new promotion.
詹迪勒先生 我们要帮你坐起来 Mr. Gentile, we're going to sit you up.
-埃弗雷特 伯蒂 -我们这是要干嘛 - Everett, Bertie. - Uh, what are we doing?
让他做起来 背部前弯 Sit him up. Arch his back forward.
蒙克护士 铅笔 消毒海绵 Nurse Monk, pencil, sponge with antiseptic.
先生们 你们面前的病人 Gentlemen, before you is a patient
因肠道而感染败血症 who is infected with septicemia from his bowel.
通常 我们会用乙醚麻醉再进行手术 Normally, we would induce surgical sleep with ether,
但由于在上次手术后 患者患上 but due to a severe case of bronchitis
严重的支气管炎 所以无法使用乙醚 he has developed postoperatively, we cannot.
手术必须进行 We must operate,
但不能在患者感知疼痛的情况下进行 but we cannot do it to a man who can feel pain.
我的解决办法是... My solution--
麻醉胸椎六七节之间的 numb the nerves in the spine
脊椎神经 between the thoracic vertebrae six and seven
以此让大脑感知不到疼痛 so as to stop the brain from learning of the pain.
我打算直接注射2%浓度的可卡因 I intend to inject a 2% cocaine solution
到詹迪勒先生的椎管 directly into Mr. Gentile's spinal canal.
浓度低至不影响心脏与肺 Low enough not to affect the heart and lungs,
却可以使其以下部位麻木 high enough to dull everything below.
天啊 不会让他瘫痪吗 My God, won't that paralyze him?
只要他在蛛网膜下腔留出中空通道就不会 Not if he makes for the hollow canal in the subarachnoid space.
之前试验过一次 It's been tried once before
在一条拉布拉多寻回犬身上 on a Labrador retriever.
之后怎么了 What happened?
我每天都在想念它 There isn't a day goes by where I don't miss that dog.
请你忍住别咳嗽 If you could attempt to suppress your cough.
再忍几秒钟 Just a few seconds more.
让他躺下 Let's get him back down.
他是个疯子 He's a madman.
出自「哈姆雷特」
"虽是疯话 却有深意在内“ "Though this is madness, yet there is method in it."
没有疼痛反应 No pain.
手术刀 Scalpel.
纱布 Gauze.
毛巾 Towel.
这是我上次手术的位置 Here's the location of my repairs.
你的缝合手术有两处失败的地方 Your sutures failed in two spots
这两处因堵塞而受压 where the obstruction backed up with pressure on them.
-你本应该切除的 -现在知道了 对不起 - You should have resected. - I know that now. I'm sorry.
爱德华兹医生 在你挥泪离职前 Dr. Edwards, before you resign and leave us all in tears,
能否劳您大驾到消毒器那 would you be kind enough to go to the sterilizer
把里面的金属设备帮我取来 and pass me the metal device contained within?
现在我将切除病人 I'm now removing approximately 12 inches
大约30厘米长的肠子 of the patient's intestines
可以解除堵塞并切除损坏部分 to relieve a blockage and some damage.
从今天起詹迪勒先生 From this day forth, Mr. Gentile,
你将有荣幸 you will have the honor of evacuating your bowels
比你所有的朋友 several seconds faster
都拥有更快的排泄速度 than any of your friends.
看仔细了伯蒂 Watch carefully, Bertie.
你可以和你父亲大谈特谈这件事了 You're gonna want to tell your father all about this.
在病变的肠子切除以后 After the bad section of the bowel is removed,
把肠的两个新末端 each new end of the intestine
在此设备上夹住 can be clamped together into this device
可以保持它管状轮廓和形状 which allows it to keep its tubular contour and shape.
现在我拧紧螺丝 I now tighten the screw
把两端连在一起 to bring the two new ends together.
这样就方便我们 And we're in good stead
用线做一个简易连接 for an easy connection with sutures.
等我做完 你来缝合 埃弗雷特 When I finish this, you close, Everett.
很高兴认识你 医生 Nice knowing you, Doctor.
在学会你所有本事前 I'm not leaving this circus
我都不会离开这个团队 until I learn everything you have to teach.
J·M·克里斯蒂安森医生
唐人街 Chinatown.
-勿街467号 -好的 先生 - 467 Mott Street. - Yes, sir.