外科医生每次开刀，一切全都回到了原点 Every time a surgeon operates, it's for the first time all over again.
-你这是在做什么？-我在躲詹姆斯 -W-What-What are you doing? -I'm hiding from James.
-我刚看到他的车开过来了 -我以为你喜欢他 -I just saw his car pull up. -I thought you liked him.
我是喜欢，我们做爱了，做了两次 I did. We had sex. Twice.
然后，我看到他的结婚相本，上面写着致雷恩 And then, I find his wedding album. To Ryan.
我和雷恩的老公上床了，我怎么会没注意到？ I had sex with Ryan's husband. How did I miss this?
这有什么问题？ This is not a problem.
他是个会偷吃的上帝的信徒 He is a man of God who cheats.
我怀了双胞胎 I'm pregnant with twins.
我… Hey, I...
我看得到你，方便聊聊吗？ I can see you. Can we talk?
我买了杯茶给你 -Whoa! Oh. -Brought you tea.
我听不到 I can't hear you.
问他是否有含咖啡因 Ask him if it's caffeinated.
好啦，我自己去咖啡车买 Fine, I'll get coffee from the cart.
听好，我知道这很难消化，但我们会想出办法的 Look, I know this is a lot, but we'll figure it out.
我们会请夜间护士，我妈可以搬来同住一阵子 We're gonna get a night nurse. My mom can move in for a while.
-我们要去哪里？-另一个入口 -Where are we going? -The other entrance.
就算你做过几百次，肾脏切除术或心脏移植手术 Even if you've done hundreds of kidney resections or heart transplants,
你也从未切除过这颗肾脏，或移植过这颗心脏 you've never resected this kidney or transplanted this heart.
过去的经验通常会有帮助，但针对独特的病例，你一开始会装懂 Past experience usually helps, but for unique cases, you fake it first.
不行，抱歉 No. Sorry.
那些是要给谁的？ Then who are those for?
给我的，我要放进冰箱冰起来，我没时间回来这里 Me. I'm going to put them in the fridge. I don't have time to come back here.
希望你在喝下四百毫克的咖啡因之后，有时间照心电图 Hope you made time for an EKG after consuming 400 mg of caffeine.
我这周接下了安田的两个班次 I have taken two of Yasuda's shifts this week.
我也是，她和她妹妹真的很感激 Same. She and her sister really appreciate it.
但还不足以请我们吃，她妈寄给她们的饼干 Not enough to share her mom's cookies she sent her.
我只是很高兴见到珂珞依似乎恢复得很好 I'm just glad that Chloe seems to be recovering well.
不好意思，你登记投票了吗？ Excuse me. Have you registered to vote?
登记了 Ah. Already registered.
对，我也是 Yeah, me too.
我也是 Same.
我没兴趣 Not my thing.
你用复制品来回演练好几个小时 You rehearse on replicas for hours on end,
希望当真正的病人躺在手术台上时 and hopefully, when the real patient is on the table,
你很清楚自己在做什么 you know what you're doing.
很多人都会把性爱排进行程表里 Lots of people put sex on the calendar.
当你们两位的行程都很繁忙时 When you're juggling two busy schedules,
把亲密时间排进去是非常正常的 it's perfectly normal to schedule intimacy.
好的，剪发可以预约 Okay. You schedule a haircut.
我可不想预约和我老婆做爱的时间 I do not wanna have to schedule sex with my wife.
为什么这种做法会让你感到困扰？ Why do you think this bothers you?
那让我觉得她没有想要解决问题的意思 It feels like she's not trying to fix anything.
我们在大出血，而她只想用创可贴了事 You know, we're hemorrhaging, and she's just reaching for a Band-Aid.
如果我不想用跟你一样的方式来解决问题 So if I don't wanna fix our problems the same way that you do,
-那就表示我不够努力？-不，不是… -that means I'm not trying? -No, no, no...
很可惜，我们今天的时间到了，但我希望你们尝试这种做法 Unfortunately, we have to stop for today. But I want you to see this through.
预约这周的性爱时间，看看你们有何感想 Have scheduled sex this week and see how it feels.
也许跟你原本想得不一样 It might not be what you think. For either of you.
两人都是 It might not be what you think. For either of you.
那我想我们明晚十点见罗 Well, I guess I'll see you at 10:00 tomorrow night.
我现在方便告诉你我们得约其他时段吗？ Would this be a bad time to tell you that I have to reschedule?
好久不见啦 Hey. Haven't seen you in a while.
我知道，对呀，抱歉，我这阵子很忙 I know, yeah. Sorry. It's been busy.
我一直很想把这个交给你 Been meaning to give this to you.
你忘了带走，所以… You left it at my place. So…
对 Yeah.
对，你一定真的很忙吧，因为这不是我的 Yeah, I guess you have been really busy. Because this is not mine.
-你确定？-对 -Uh, you sure? Uh…-Yeah.
但颜色真的很不错，她的品味很好 It's a really nice color though. She has good taste.
我的天，我真抱歉 Oh, my God. I'm so sorry.
你需要会诊？ Hey. You needed a consult?
我有个头部受伤的病人，会从星期五港湾过来 Uh, I have a patient coming in from Friday Harbor with a head injury.
地方医院送来这里做扫描 Uh, the local hospital's sending in the scans.
-我该等等再过来吗？-不用啦 -Should I come back? -No.
我正打算离开，我要走了 I was just leaving. I'm gonna go.
扫描结果出来之后再请护士呼叫我 Have the nurses page me when the scans are in.
史密特今天得跟着贝尔川医生 Schmitt is with Dr. Beltran today,
所以由我来分派任务 so I've got your assignments.
我们来整队吧 Let's do a lineup.
整队，我们在消防局会这么做 A lineup. It's something we did in the fire station
好展开一天的行程 to get the day started right.
纪律、组织 Discipline, organization.
或者你们可以留在原地不动，那样也可以 Or you can stay exactly where you are. That works too.
安田今天休假 So, uh, Yasuda's out on PTO today.
但亚当斯，你跟史密特，一起在贝尔川下面待命 But, Adams, you're with Schmitt on Beltran's service.
米伦，你跟着我和杜古 Millin, you're with me and Ndugu.
格瑞弗斯跟林肯 Griffith with Lincoln.
你忘了一个人 Um, hey, you forgot someone.
而你忘了你要口述病历 And you've forgotten your dictations.
超过一百份不完整的病历 There are over a hundred incomplete records
上面有你的名字 with your name on it.
祝你开心地盯着电脑一整天赶进度 Have fun staring at a computer all day playing catch-up.
护理人员请至六楼东翼，有空的护理人员请至六楼东翼 Orderly to 6 East. Any available orderly to 6 East.
你在埋伏吗？ Are you lurking?
好的，你… Okay, your…
你的评量表在今天寄出去了 Your evaluation forms were sent out today.
我知道，首位正式评量我的人会是杜古 I know. Ndugu will be the first one who will officially assess me.
你知道？你怎么会知道？ You know? How do you know?
你今天放在厨房流理台上的笔电没关机 Um, you left your laptop open on the kitchen counter today.
别这样，你埋伏，我窥探 Hey, hey, hey. You lurk, I snoop.
好的，你就… Okay, just…just…Mmm…
做自己就好 Just be yourself.
我从来没去过星期五港湾 I've never been to Friday Harbor.
我七年级的校外教学去那里摘过苹果 I went on a field trip in 7th grade. We picked apples.
你今天要负责去接，奥菲莉亚罗培兹，她十岁大 Hey. Today, you are picking up Ofelia Lopez. She's ten years old.
她从一辆行驶中的拖拉机上摔下来 She fell off a moving tractor.
她的生命征象稳定，但她的腿部受了重伤，还有创伤性脑损伤 Her vitals are stable, but she's got a bad leg injury and a TBI.
她需要更高等级的照护，而社区医院提供不了 She needs a higher level of care than her community hospital can provide.
我很乐意自己去，但我排满了病人 I would go myself, but I've got a full patient roster.
我不介意外出跑一趟，那段路开起来很舒服 I don't mind getting out of the hospital. It's a nice drive.
我不怀疑，但你们要坐直升机 I'm sure it is, but you're taking a helicopter.
-不是吧 -好好哦 -No! -Nice.
坐救护车比较符合经济效益 Taking an ambulance would be more cost efficient.
更环保 M-More environmentally friendly.
-而且不是在半空中 -你们抵达之后通知我一声 -And it's not up in the sky. -Update me when you arrive.
早安，莱利先生 Morning, Mr. Riley.
不，不对，左、右、左 No, no. Left, right, left.
肯尼斯，你另一个左边 The other left, Kenneth.
这孩子总是左耳进右耳出 Instructions go in one ear and out the other with this kid.
也许他正在想念他的指挥？ Maybe he's missing his director, huh?
他是能力不足，好吗？ He's missing something, all right.
请开始 Go ahead.
达伦莱利，55岁 Uh, Darren Riley, 55.
目前出现抗生素抗药性肺炎 Presented with antibiotic-resistant pneumonia,
可能会出现迅速恶化的坏死性感染 with a concern for a rapidly progressing necrotizing infection.
已插管，但无法吸进氧气，尽管已设定了最大通气量 Was intubated but couldn't oxygenate despite maximal ventilation settings,
已装上静脉到静脉的叶克膜，昨晚已拔管 placed on VV ECMO, and was extubated last night.
莱利先生今早照的X光片 Mr. Riley's X-rays from this morning.
左肺一片白色 Uh, left lung's completely whited out.
我们得帮他做显影电脑断层 We need to order him a CT with contrast.
莱利先生，我要帮你更换导管敷料 Mr. Riley, I'm gonna change your cannula dressing.
我下好医嘱之后就可以帮他换了 Oh, I can take care of that as soon as I place this order.
-我们等等放射科见 -没有那个必要 -We'll just meet you in radiology. -That's not necessary.
-反正我想协助你移动病人 -我们自己来就可以了 -I wanna help with transport anyway. -Oh, but we can handle that.
移动装有叶克膜的病人有点棘手，所以我想尽一份心力 Moving a patient on ECMO can be tricky, so I'd like to be there for it.
好的 Okay. Uh, great.
太好了 Okay. Uh, great.
所有的风险和好处都已说明清楚 All risks and benefits were explained,
病人同意签下知情同意书 and patient agreed to sign an informed consent…
你没事吧？ Hey, are you okay?
没事，我很好，一定是睡姿诡异的关系 Yeah, yeah. Good. Must've slept funny.
病人被带进手术室，放在… The patient was taken to an operating room and placed…
你确定你没事吗？ Hey, are you sure you're okay?
如果你愿意的话，我可以帮你看看 I could take a look if you want.
来人啊，推张轮床过来 Someone get me a gurney!
实习医生
韦勒先生，你感觉如何？ Mr. Wheeler, how are you feeling?
好得不得了 Fit as a fiddle.
-我很快就可以出院了吗？-还不行 -Think I'm about ready to go home? -Not quite yet.
我在今早做的心脏超声波看到，你的心脏周围有积液现象 I saw some fluid building around your heart on this morning's echo.
那是心脏手术之后常见的并发症 It's a common complication after heart surgery.
我们也许得动个小手术把积液排掉 We might have to do a procedure to drain it,
这样的话，你就得再多待一阵子 in which case we'd have to keep you a bit longer.
不是吧，我不能再多待了 Oh, no. I can't stay longer.
我下周一定得回家 I have to be home next week.
是我结婚40周年纪念日 It's my 40th wedding anniversary.
恭喜，那是个重大的里程碑 Congratulations. That's a big milestone.
在做出动手术的决定之前，我们何不观察看看 Hey, why don't we watch it and see if it resolves on its own
积液是否会自行排掉？ before we jump into a new procedure?
我和梅西在19岁那年订婚 Macie and I got engaged when we were 19.
她想在教堂办盛大的婚礼 She wanted this big church wedding,
但我们的父母不同意我们的婚事，所以我们私自在市政厅完婚 but our parents didn't approve, so we eloped at city hall.
我们很了解这种状况 We know how that goes.
我们本来想在公园办婚礼，但结果变成酒吧婚礼 We wanted to get married in the park, but we wound up doing it in a bar.
我们每年都会重现我们的结婚晚宴 Every year, we recreate our wedding dinner.
从街角热狗摊买来的热狗 Hot dogs from the cart on the corner.
我们该在我们的结婚周年去乔酒吧庆祝 You know, we should go to Joe's for our anniversary.
那是我们唯一会去的地方 It's the only place we ever go.
听好，我会再检查一次你的凝血状况，然后再来评估下一步 Look, I wanna run another set of coags, and we will take it from there.
在回家的路上买束花给她 Get her flowers on your way home. Works every time.
每次都有用 Get her flowers on your way home. Works every time.
-多谢提点 -不客气 -Thanks for the tip. -Yeah.
星期五港湾医院 Thanks for making the trip. She's got severe left lower extremity trauma.
感谢你们跑一趟，她的左下肢有严重外伤 Thanks for making the trip. She's got severe left lower extremity trauma.
大面积软组织损伤以及血管损伤 Extensive soft tissue damage as well as vascular injury.
头部有多处挫伤和撕裂伤 Suffered some head trauma with multiple contusions and lacerations.
好的，嗨 -Okay. Hi. -Hi.
嗨 -Okay. Hi. -Hi.
她的呼吸看起来有些吃力 Her respirations look a bit labored.
当她抵达医院时血氧是80几，氧气罩帮了忙 Her sats were in the 80s when she arrived. The oxygen's helped.
-但你没有插管？-我们唯一一台呼吸器正在使用中 -But you didn't intubate? -Our only ventilator's in use,
而且我们没有资源，进行快速引导插管需要的人工供氧 and we don't have the resources to manually bag her if we did RSI.
-好吧 -我们尽快把她送来这里 -Okay. -We rushed her here as soon as we could.
这位医生说你能够进一步协助她？ This doctor say you'll be able to help her more?
她的腿会好起来吗？她最爱在田野里玩耍了 Will her leg be all right? She loves to play in the fields.
我是史密特医生，这位是亚当斯医生 I'm Dr. Schmitt. This is Dr. Adams.
我们在帮她检查之后，会有更明确的看法，好吗？ We'll have a better idea once we examine her, okay?
好的 Okay.
我们用了副木和止血带做了临时处理 We temporized with a splint and tourniquet.
局部缺血时间约45分钟 Ischemia time is about 45 minutes.
嗨 Hi.
我是李维 I'm Levi.
你叫奥菲莉亚，对吧？ Your name's Ofelia, right?
我和我朋友路克斯，会想办法让你觉得舒服点，好吗？ My friend Lucas and I are gonna help make you feel better, okay?
好的 Okay.
好的，这是我的电话号码 Okay. This is my number.
我们会先你们一步抵达葛蕾史隆医院，你们到了之后 We're gonna get to Grey-Sloan before you, so once you get there,
就打给我 give me a call.
等等，我们不能跟你一起走吗？ Wait, we can't go with you?
很抱歉，直升机上没有多余的空间 I'm so sorry. There's not enough room in the helicopter.
但我保证我们会好好照顾她，好吗？ But I promise we'll take excellent care of her, okay?
-好的 -好的 -Okay. -Okay.
奥菲莉亚，亲爱的 Ofelia, my love.
上帝会保佑你 God will protect you.
我们等等见罗，亲爱的 We'll see you soon, my love.
我们爱你，女儿 We love you, mija.
我好爱好爱你 I love you so much.
如果不尽速回到医院，我们就得帮她截肢了 We're gonna have to amputate the leg if we don't get back fast.
-所以赶快帮她插管以利运送 -好的 -So let's intubate for transport ASAP. -Okay.
回到直升机上 Back to the helicopter.
-关医生？你不是该…-听好，我知道我的病历进度严重落后 -Dr. Kwan? Aren't you supposed to...-Look, I know I'm behind on charts,
当我进度落后时会给你带来麻烦 and when I'm behind, it becomes your problem,
而且你不喜欢麻烦… and you don't like problems...
那是清洁部的赞恩吗？ Uh, is that Zayne from custodial staff?
对，他因腹部和臀部剧烈疼痛而倒下 Yeah. He, uh, collapsed with a severe abdominal and hip pain.
强生先生，我看到你撞倒了整排架子，你还好吧？ Mr. Johnson, I see you took the whole rack down with you. You okay?
在架子倒下之前我就开始痛了，我已经忍了好几个月 Pain started way before that rack fell. I've been managing it fine for months now.
好的，我们得把你送到急诊室，帮你检查，医院院规 All right. We need to get you to the ER to get you checked out. Hospital rules.
我下班后随便吃个药就可以了 I'll just take something once my shift ends.
你就省省吧 Let me save you the trouble.
你可以跟她吵，但你必输无疑 You can fight her on this, but you will lose.
-我们无一例外 -可以快点结束吗？ -We all do. -Can you make it quick?
我们会仔细检查 I'll make it thorough.
来吧，走吧 Come on. Let's go.
你也来，关 You too, Kwan.
-医生应该很快就到了 -好的 -Doctor should be in soon. -Okay.
我们两人的车都绝对装不下四张汽车座椅 We are never going to fit four car seats in either of our cars.
我们得买一辆迷你厢型车吗？ Are we gonna have to get a minivan?
你知道现在是什么在运送那些婴儿吗？ You know what's transporting those babies right now?
是我 Me.
每个糟糕透顶的害喜症状我都有，而且还乘以二 Every horrible pregnancy symptom, double it.
双倍的孕吐、双倍的疲惫感，体重增加了两倍 Twice the-the-the-the reflux, the weight gain, the exhaustion.
在生完小孩之后，我还得重返职场 And then after all that, I'm gonna return to work,
接生其他人的小孩 delivering other people's babies.
一边照顾两个新生儿，还不是一个哦 Taking care of not one, but two newborns.
但当然啦，请你务必去试乘迷你厢型车 But sure, by all means, you go test drive minivans.
我能帮上什么忙？ How can I help?
我希望我能够告诉你 I wish I could tell you,
但以前那些会流经我大脑的能量 but all the energy that used to go to my brain is now
现在全都转移到我的子宫了 being diverted to my uterus.
我真的不希望这件事拖太久 You know what, I really need this to not take a long time.
我有个病人怀孕29周，而她即将要生下三胞胎 I have a patient who is 29 weeks, and she's about to deliver triplets.
三胞胎？ Three babies. Hmm?
还不算太糟啦 Could be worse.
你想要三胞胎吗？ You want three?
急诊室需要会诊 Consult in the ER. 239