大家好 我是弗莱迪·海默 Hello. I'm Freddie Highmore.
本集讲述了我们对未来的期望 The following episode portrays our hope for the future,
期望未来大家不用戴口罩 a future where no one will have to wear masks
不用做其他新冠预防措施 or take other steps to stay safe from COVID.
请保护好自己和他人 直到那天真正来临 Until then, please protect yourself and others.
我是乔丹·艾伦 I'm Jordan Allen.
在读医学院的第一年 我就设计了脚踝固定器 My first year in med school, I designed an ankle brace
能够通过手机应用程序来监控其固定范围 that monitors extent of immobilization via a phone app.
把这个发明授权给拜文特斯公司后 When I licensed it to Bioventus,
我就还清了一半以上的学生贷款 I was able to pay off over half my student loans.
我叫约翰·伦德伯格 John Lundberg.
我从16岁起每年暑假都去心系希望夏令营工作 I've worked every summer since I was 16 at Camp Hope Heartland,
那是得梅因的儿童癌症病患暑期项目 a summer program for kids with cancer in Des Moines,
而我在得梅因长大 where I grew up.
我叫亚舍·沃尔克 Asher Wolke.
在我18岁那年 Uh, when I was 18,
我离开了从小长大的哈西德社区 I left the Hasidic community that I was raised in.
我意识到 如果上帝真正存在 I realized if there really was a God,
那肯定是让我鄙夷的残忍存在 it had to be a cruel being that I felt nothing but contempt for.
我在那时便决定了要念医学院 That's also when I decided to go to med school,
也开始了和男人约会 and start dating men.
我叫奥利维亚·杰克逊 25岁 来自芝加哥 I'm Olivia Jackson. I'm 25. From Chicago.
我会一个人在公寓弹奏拉格·泰姆的钢琴音乐 I play Ragtime piano alone in my apartment.
是不是很有趣 Is that interesting?
我叫威尔·奥佩尔 Will Hooper.
准确来说 我是名职业运动员 Technically, I'm a professional athlete.
虽然我从事的运动鲜有人关注 Although in a sport nobody pays attention to,
而且拿的薪水也只够我们的培训花销 and the stipend barely covers our training expenses,
但我是美国国家赛艇队队员 but I'm on the US National Rowing team.
男子八人赛艇 Men's Eight.
你们好 我叫恩里克 Hey, I'm Enrique.
我去年暑假在哥斯达黎加 I spent last summer in Costa Rica,
在那学会了冲浪 现在已十分痴迷 where I learned to surf, which I'm totally obsessed with now.
我偶遇过一只咸水鳄 Uh, I had a pretty interesting encounter
那段经历真是太有趣了 with a saltwater crocodile.
我当时以为是个大 I just thought it was a big...
你为什么会穿着泳衣 Why are you wearing a swimsuit?
这个其实是混合型冲浪短裤 Oh, they're actually hybrid boardshorts.
我工作很勤奋 I like to work hard,
而且当你感到舒适时工作才更轻松 and it's easier to do when you're comfortable.
另外 我认为穿得休闲些能让病人更放松 Plus, I think the casual dress puts patients at ease.
而且利姆医生也说过穿短裤没问题 And Dr. Lim said that the shorts were fine.
医院政策是要求所有的住院医师都要 Hospital policy requires all residents to...
他还不是住院医师 只是在申请 He's not a resident. He's a resident applicant.
是四个空缺职位的六位候选人之一 One of six finalists for four openings.
他们要接受两天的跟随考察 Now, they'll be shadowing for two days.
带他们好好参观一下 熟悉一下环境 Give them the grand tour, show them the ropes,
可以随意给他们施加些压力 feel free to turn up the heat a bit.
看看他们在重压下的表现如何 See how they react under pressure.
你们将负责指导他们 You will be responsible for supervising them,
所以我希望在我做出最终决定前 so I want your totally honest input
听听你们真实公正的意见 before I make any final decisions.
那个短裤 Those shorts...
就把那个当做第一击吧 Let's call them strike one.
威尔·奥佩尔除了是名奥运选手之外 Oh, and in addition to being an Olympian,
还是罗德奖学金获得者 Will Hooper is a Rhodes
世界上竞争最激烈的奖学金之一
还以全班第一的成绩从斯坦福大学毕业 and graduated top of his class at Stanford.
他长得很帅 He is very handsome.
他很自以为是 He's very full of himself.
他在每个顶级项目中都名列第一 He's ranked first by every top program,
所以只要能把他聘来 尽你所能做吧 so whatever you can do to recruit him to ours, do it.
关于短裤仔我现在就能给意... I can already give you my input on the sh...
不要以「裤」取人啊 Don't judge a book by its boardshorts.
你要见我吗 You wanted to see me?
早上好 Good morning.
不好意思 早上好 Sorry. Good morning.
我做错什么了吗 What'd I do wrong?
只是想问问你 Just wanted to check in.
看看有没有适应你的新角色 See how the new role was coming along.
说实话吗 Honestly?
你也可以用谎言来开启我们这上司与 You could start our new supervisor-resident
住院医师的新关系 relationship with a lie.
也是挺有趣的 That's always fun.
内科医学真的是 Internal medicine is
十分无聊 boring.
周旋于吸烟者和肥胖糖尿病患者之间 Between smokers and obese diabetics,
好像我全部工作就是保护人们不被自己伤害 seems like all I'm doing is protecting people from themselves.
你当外科住院医师时 As a surgical resident,
难道从没治疗过醉酒司机吗 you never treated drunk drivers?
或者没从他人身上随机采样 Or extracted random objects from guys'...
我懂的 人们都很愚蠢 I get it. People are stupid.
我不是这意思 但没错 Not my point, but true.
内科虽然没有那么让人兴奋 Not the same adrenaline rush,
但也是很有收获的 but internal medicine can be rewarding.
只要有耐心 收获终会来 Given time, if you're patient.
谢谢你 Thanks.
我本来觉得这次面谈不是要说这个的 That is not how I thought this meeting was gonna go.
还以为是哪个护士又投诉我了 I thought one of the nurses complained about me.
可不止一个护士 Wasn't just one.
如果再有人投诉你 And if it happens again,
你就要面临你刚才以为 this meeting will go exactly
会发生的那种面谈了 how you thought it would.
不好意思 Sorry.
我本应该取消预约的 I should've just canceled the appointment.
你说得对 You were right.
我一停止全天都喝咖啡或者红牛 Dizziness went away as soon as I stopped
立马就不会眩晕了 drinking coffee and Red Bull all day.
别担心 No worries.
麻烦你能平躺下来吗 Can you lie flat on your back, please?
好的 Yeah.
那是烧伤留下的疤吗 You get that scar in a fire?
差不多吧 Sort of.
是我12岁时自制的罗马蜡烛弄的 A homemade Roman candle when I was 12.
你一定想不到 You'd be surprised
消防队里很多人小时候都爱玩火 how many of us at the firehouse were pyros as kids.
我曾为六年级的科学展览做过一把土豆枪 I made a potato gun for my sixth-grade science fair.
差点害得我被学校开除了 Almost got me kicked out of school.
你有时间了一定要来参观一下 You'll have to come visit us sometime.
绝对很适合你 You'd fit right in.
你发现什么了吗 You see something?
别说话 正常呼吸就行 Don't talk. Just breathe normally.
你的心脏壁上有个很大的肿瘤 You have a large tumor on the wall of your heart.
是癌症吗 Cancer?
我不知道 I don't know.
但是你绝对需要接受手术 But you're definitely gonna need surgery.
越快越好 As soon as possible.
良 医
第四季 第三集
我很感激你能让我和全班分享你的病例 I appreciate you letting me share your case with the whole class.
不客气 No problem.
经历了一百次后 我也就不害羞了 I stopped being shy after the 100th time I had to do this.
我会用我改良后的莱朱尔垂直切口法 I'll be using a version of Lejour's technique I've adapted.
我们会把乳房分成三蒂 We'll divide the breast into three pedicles,
然后重新分配其组织 and then redistribute the tissue
注入生理盐水 从而纠正结节性乳房畸形 and insert saline implants to correct the tuberous breast deformity.
你为什么要做乳房植入 Why would you want breast implants?
你本身就很美 You're beautiful.
而且你的胸部本身看起来 And your breasts look fine
也挺不错的 just the way they are.
不 并不好 No. No, they don't.
底部很狭窄 The base is constricted,
横向发展也不足 horizontal development is deficient,
而且乳房晕也是复合的 and the nipple-areola complex...
-莫菲 -没关系 他是对的 - Murphy. - It's okay. He's right.
所以我才来这里 That's why I'm here.
谢谢你 Thank you.
我知道你是为我好 I know that you're trying to be nice.
我的朋友和家人跟我说了很多年了 My friends and family have been telling me for years,
「你本来就很美」 "You're beautiful just the way you are."
但我并不觉得自己美 But I don't feel beautiful.
你17岁 You're 17.
你这个年纪的女生都那样觉得的 Every girl your age feels like that.
不是的 That can't be true.
结节性乳房畸形是一种罕见的疾病 Tuberous breast deformity is a rare condition.
不要争论 We're not going to debate
病患已做好的个人决定 a personal decision the patient's already made.
我从13岁起就已经想这样做了 I've been thinking about this since I was 13.
每次我照镜子 Every time I look in the mirror.
我就要上大学了 I'm about to start college,
如果治不好就无法开启 and there is no way that I'm gonna begin this new chapter
人生新篇章 until I'm fixed.
很好 Great.
你在想用正中胸骨切开术还是右胸切开术吗 You thinking median sternotomy or right thoracotomy?
我在想我应该先看完片子 I'm thinking I should finish my review of the imaging.
当然 不着急 Sure. No rush.
其实有点着急 Actually, there is a bit of a rush.
但你知道我的意思 But you know what I mean.
那菜鸟们 怎么样 你们都从哪里来 So, newbies. What up? Where y'all from?
是问家乡还是... Like hometowns, or...
医学院 Med schools.
我为什么要在乎你们在哪里长大 Why would I care where you grew up?
斯坦福 Stanford.
-纽约大学 -哈佛 - Uh, NYU. - Harvard.
首选专业是什么 Preferred specialties?
骨科 一直都是 Ortho. All the way.
神经学 Neuro.
我计划攻读新生儿肿瘤学和 I'm planning a dual specialty
儿科肿瘤学双学位 in neonatal and pediatric oncology.
厉害 但不可能 Impressive. Also unlikely.
我知道 工作量太大 I know, it's a ton of work,
但我很擅长同时处理多项任务 but I'm pretty good at multi-tasking.
在医学院 我读了医学和哲学博士... In med school, I did a combined MD/PhD...
-你妈妈是干什么的 -我妈妈 - What's your mom do? - My mom?
别犹豫 直接回答 Don't stall. Just answer.
她在高中教法语 She teaches high-school French.
家庭主妇 Homemaker.
外科医生 Surgeon.
厉害 爸爸呢 Ouch. Dad?
也是外科医生 Also a surgeon.
都很厉害 你父母呢 Double ouch. And yours?
哈西德派拉比 Hasidic rabbi.
你已经离巢了 You've left the nest.
其实是离开了整片森林 Actually, the... the whole forest.
你父母显然在华尔街工作 And yours obviously works on Wall Street.
但不是证券交易员 But not a trader.
我猜是并购律师 I'm guessing... an M&A lawyer?
你怎么知道 How'd you know?
她看过你的简历 She's read your resume,
研究过你的社交媒体 researched your social media.
可能还做了信用调查 She's probably run a credit check, too.
你没到50岁 却穿着「布克兄弟」牌衬衫 And you're under 50, but wear Brooks Brothers button-downs.
高级男子服装品牌
你看完了吗 Are you done yet?
左胸切开术 Left thoracotomy
可能还要做个切口进入右心房 with a possible incision into the right atrium
需要的话还要进入心房间隔膜 and inter-atrial septum as needed.
通过桑德加德沟进入左心房 Left atrial approach through Sondergaard's groove
更合理 makes more sense.
我觉得不是 Not to me.
他是我的病人 He's my patient.
但你不是外科医生 But you're not a surgeon.
所以你没理由盘问他们或 Which is why there is no reason for you to be grilling them,
挑选手术方法 or picking the approach.
别为保护你的地盘而担心 Stop worrying about protecting your turf.
别在我的地盘里乱踩 Stop stepping all over it.
你在看我为我的病人所做的检查 You're looking at tests I did for my patient.
怎么会是我在你的地盘里乱踩 How am I stepping all over your turf?
我觉得布朗医生的意思是 I think what Dr. Browne is trying to say is,
既然没有完美的方法 given there's no perfect approach,
也许最好 maybe it's best to defer to
听从外科的建议 the surgical department's recommendation.
他刚才是在大男子主义地说教吗 Did he just mansplain?
不是 我只想... Not at all. I... I was just trying...
所以你要再来一次吗 So you're just gonna do it again?
不 我只是想... No, I'm just trying...
闭嘴 Shut up.
我们会用左胸切开术 We're gonna go in through a left thoracotomy.
不是我的首选 Not my preference,
但会有用 but it'll work.
你当时在想什么 What were you thinking?
你想通过让病人对我的判断 You thought you'd impress me
失去信心来给我留下深刻印象吗 by undermining the patient's confidence in my judgment?
对不起 这不是我的本意 I'm sorry. That wasn't my intent.
你现在应该是个导师 And you're supposed to be a mentor now,
职业行为的楷模 modeling professional behavior,
而不是让事情更糟 莫菲 not making it worse, Murphy.
她质疑你的手术方案 She questioned your surgical plan.
我为它辩护 I defended it.
我们俩怎么可能都错了呢 How can we both be wrong?
我不需要你为我辩护 I don't need you to defend me.
而且我从不想在病人面前进行手术辩论 And I never wanna have a surgical debate in front of a patient.
我们现在不在病人面前了 We're not in front of the patient now.
病人的胸部很小 而且有点不对称 The patient's breasts are small and a bit asymmetrical,
但女性的胸部形状都不完美 but no woman's breasts are perfectly shaped.
你穿着普拉达的鞋和杜嘉班纳的上衣 You're wearing Prada shoes and a Dolce & Gabbana blouse,
它们比大多数医学生的房租还贵 which cost more than most med students' rent,
所以很明显 你明白 so, clearly, you understand
你的外表对于人们如何对待你有很大的影响 your appearance has a tremendous impact on how people treat you.
高级成衣和大手术是有区别的 There's a difference between nice clothes and a major surgery.
而且我也明白整容外科行业 And I also understand the cosmetic surgery industry
由性别歧视的男性医生主导 is dominated by male physicians with a sexist bias.
我邀请你旁观是给你学习机会 I've invited you to observe as a learning opportunity.
所以我建议你 So I'd suggest
少说教 less lecturing
多听讲 and more listening.
我们会在肋骨之间的胸壁上 We'll access the tumor via an incision
做个切口来找到肿瘤 in the chest wall between your ribs.
这会比切开胸骨 It'll be an easier recovery
更容易恢复 than if we opened your sternum.
你确定在给你做麻醉前 Are you sure you don't want us to call your family
不联系你的家人吗 before we put you under?
为什么要联系 让他们害怕担心吗 Why? So they can freak out and worry?
我宁愿在手术结束后告诉他们好消息 I'd rather just give them the good news when it's over.
会是好消息 对吗 It is going to be good news, right?
只要加上心脏康复治疗和积极的态度 With a bit of cardiac rehab and a positive attitude,
这些我知道你都有 which I know you have,
很快你就能从消防滑杆上往下滑了 you'll be back sliding down the fire pole in no time.
我们的消防站有楼梯 Our firehouse has stairs.
失望 Bummer.
这是个社交媒体群 It's a social media group
我们都在里面装成蚂蚁 where we all pretend to be ants.
为什么 Why?
因为蚂蚁不关心政治 球队 Because ants don't care about politics, sports teams,
或其他任何人们为之疯狂的东西 or anything else people get so savage about.
雄性蚂蚁是从未受精的卵发育而成的 Male ants develop from unfertilized eggs,
这意味着它们没有父亲也不能有儿子 which means they don't have a father and can't have sons.
但它们有外祖父和外孙 But they do have grandfathers and can have grandsons.
有意思 Interesting.
而且令人费解 And confusing.
是我的心理作用还是那些医生在看着我们 Is it just me, or are those doctors watching us?
他们是申请住院医师的新人 They're the new resident applicants.
他们来了 所以朴 克莱尔和我 They're here so Park, Claire, and I
可以帮利姆医生评估他们 can evaluate them for Dr. Lim.
那他们为什么都站在那里 So, why are they standing over there?
朴在跟凯兰视频聊天 Park had a video chat with Kellan,
而我在跟你吃真正的午餐 and I had a real lunch with you.
肖恩 你不能在吃饭时让他们就站在那里 Shaun, you can't just have them stand there while you eat.
做个好老板的一部分就是要做个好主人 Part of being a good boss is being a good host.
你得把他们介绍给别人 You need to introduce them to people.
比如我 快 Like me. Right now.
请过来吧 Come here, please.
艾伦医生 伦德伯格医生 盖林医生 Dr. Allen, Dr. Lundberg, Dr. Guerin,
这是我女朋友 莉亚 this is my girlfriend, Lea.
她现在负责信息技术部门 She runs the IT department now.
好了 Okay.
很高兴见到大家 请跟我们一起吃吧 Nice to meet you all. Please join us.
肖恩一直跟我说起你们 Shaun's been telling me all about you.
我没有 N... no. I haven't.
我希望肖恩没有对你们太苛刻 So, I hope Shaun's not being too hard on you.
没有 他很好 No, he's been great.
而且我们旁观的病例真的很有趣 And the case we're observing is really interesting.
我们要用盐水填充的假体矫正一位 We're correcting a 17-year-old girl's tuberous breasts
17岁女孩的结节性乳房 with saline implants.
艾伦医生跟安德鲁斯医生说这不道德 Dr. Allen told Dr. Andrews it was unethical.
他很生气 He got mad.
我没说这不道德 我只是... I didn't say it was unethical. I just...
我觉得我不该干涉 I suppose I shouldn't have interfered.
好吧 我不知道什么是结节性乳房 Well, I don't know what a tuberous breast is,
但我觉得假体没有人们想的那么好 but I think implants are way overrated.
那是因为你的胸部很美 That's because your breasts are excellent.
谢谢 Thank you.
正如我所想的 That's exactly my point.
我没有那么大 Mine aren't huge,
但每一个近距离接触过它们的人 but every guy who's ever seen them up close and personal
都异常兴奋 has been thrilled.
我就是这样 I definitely was.
你身体的每个部位都让我异常兴奋 I am thrilled by every part of your body.
抱歉 怪我 信息量太大 Sorry. My bad. Total TMI.
我甚至不介意你的喉音 I'm not even bothered by your adenoidal voice.
除了在电话里和妈妈说话的时候 Except when you talk to your mom on the phone.
但是我戴上了耳机 But I just put on headphones.
至少你们知道他会是一个很诚实的老大 At least you'll know he'll be a totally honest boss.
切口向上延伸 The incision's extended superiorly
以方便做心房切开术 to meet the atriotomy,
-然后心房间隔膜被打开 -牵开器 - and then the inter-atrial septum is opened up. - Retractor.
使用卡彭蒂尔牵开器便于看到二尖瓣 A Carpentier retractor is used to visualize the mitral valve.
这样就可以清楚的看到肿瘤 That will allow a clear view of the tumor.
麻烦关掉对话频道 Can we turn the channel?
解说有点烦人了 Color commentary's getting a bit annoying.
随着右心房打开 With the right atrium opened obliq...
布朗那组怎样 有哪些杰出人才吗 How's Team Browne? Any early standouts?
杰克逊有点胆小但却很聪明 Jackson's a bit timid, but smart.
沃克挺热情 Wolke is definitely enthusiastic.
而你的首要候选人 And your star recruit is...
很自以为是 pretty full of himself.
我找外科医生 是根据他的经验来看 I'm looking for surgeons, and according to his recs,
他得能像专家一样解剖和缝合 he can dissect and suture like a pro.
我以为你也在寻求我们的意见 I thought you were also looking for our input.
他在每个顶尖科目中都排名第一 He's ranked first by every top program.
你真的觉得他们都错了你是对的 You really think they're all wrong and you're right?
那么 你为什么干这行 So, what brings you all to the biz?
我在高中时做过重建高级心脏生命支持手术 Had my ACL reconstructed in high school,
在大学时做过回旋肌手术 both my rotators in college.
我喜欢救死扶伤 I love the idea of fixing people,
帮助人们做到最好 helping them be the best they can be.
外科医生是有上帝情节的人 对吧 Surgeons are the ones with the God complex, right?
我有上帝情节 I have that.
我一生都在讲依地语 研究犹太法典 I spent my life speaking Yiddish and studying the Talmud,
不刮我两侧的头发 and not shaving the sides of my hair,
因为天上会有人在意 because someone up there supposedly cares.
但是我意识到 Uh, but then I realized
天上没有人 no one's up there.
没人在意 No one cares.
没有更高等的仁慈之力会拯救我们 所以 No benevolent higher power is going to save us, so...
我们需要互相拯救 we have to save each other.
你有什么高见吗 Can you top that?
-没有 -努力想想 - Definitely not. - Try anyway.
你的聪明毋庸置疑 还从哈佛拿到了双学位 You're obviously smart. You've got two degrees from Harvard.
我父母都是哈佛校友 所以 My parents are Harvard alums, so...
我相信这在我入校时帮了忙 I'm sure that helped me get in.
贬低自己不会帮助你被录用 You're not gonna get hired by undermining your own...
出问题了 Something went wrong.
好像是他们割破了肺动脉 Looks like they nicked a pulmonary artery.
不 如果是的话 布朗会抽吸 No. If they had, Browne would be suctioning
而不是利姆把她的手伸进去 instead of Lim reaching in with her hands.
他们现在在做什么 What are they doing now?
什么也没做 Nothing.
我们要接触到肿瘤 We can't access the tumor without
就不得不破坏整个心脏流出道 compromising his entire cardiac outflow tract.
按照我的建议怎么样 从正中进胸 What about going in the way I suggested? The median sternotomy.
肿瘤太靠后了 我们得给他缝合 The tumor's too far back. We need to close him up.
质子束辐射对心脏危害太大 Proton beam radiation would be too toxic to the heart.
免疫疗法也是 So is immunotherapy.
我们不能通过手术接触到整个肿瘤 We can't access the entire tumor surgically,
我们无法杀死肿瘤而让他的心脏安然无恙 and we can't kill it without killing his heart along with it.
如果我们切掉我们能接触到的部分 What if we cut out the parts we can access
然后剩下的部分化疗试试呢 and try our luck with chemo on what's left?
静脉注射阿霉素和异环磷酰胺可能减缓肿瘤生长 IV doxorubicin and ifosfamide might slow the growth,
这能再给他几个月的时间 give him a few more months.
我不会让我的病人带着几个月的寿命回家 No, I'm not sending my patient home with just a few extra months.
聊胜于无 It's better than nothing.
进行心脏移植呢 What about a transplant?
不行 Not an option.
心脏肿瘤这病没法获批 Heart tumors are a contraindication.
如果我们移植他自己的心脏呢 What if we transplant his own heart?
如果我们把它从胸膛整个取出来 If we take it totally out of his chest,
我们就可以接触到心脏后部 we'd have access to the posterior heart.
就可以切除肿瘤 We could excise the tumor,
修复它留下的缺口 fix the defect it left behind,
-然后把它放回去 -太酷了 - and then put it back in. - Cool.
一点也不酷 Not cool.
至少一个正常的心脏移植 At least with a normal heart transplant,
你会得到一个健康的心脏 you'd be getting a healthy heart.
她的想法保留了摘除心脏的风险 Her idea keeps the risk of removing the heart,
但增加了植入一个 and adds the risk that the heart we'd be putting back in
已经严重受损心脏的风险 has just been severely compromised
因为肿瘤被切除了 having had a tumor cut out of it.
他还年轻 心脏没被肿瘤入侵的部分 He's young, and the part of his heart not infiltrated
仍旧健壮 with tumor is strong.
做下心脏核磁共振看看 Do a cardiac MRA and see
肿瘤是否入侵了冠状动脉 if the tumor's infiltrated the coronary arteries.
如果没有的话 摩根的想法是可行的 If it hasn't, Morgan's idea could work.
我来安排 I'll schedule it.
莫菲医生在把开乳房实质 Dr. Murphy is dividing the breast parenchyma
分成三蒂单瓣 into three pedicles.
有人知道这个技术是从哪里来的吗 Anyone know where this technique is derived from?
缩胸手术 Breast reduction surgery.
正确 That's right.
那我为什么要用缩胸术 And why would I use a breast reduction technique
来让病人的乳房变大 to make the patient's breasts larger?
这项技术释放了组织 The technique frees up the tissue.
你可以把单瓣聚合在一起 You can bring the pedicles together
让乳房变小 to make the breasts smaller
或者在植入时让它们展开使之变大 or spread them out over an implant to make them larger.
非常好 Very good.
现在我要把麦克关掉 And now I'm going to turn the sound off.
别担心 没什么问题 Don't worry. Nothing's wrong.
我只是想说点你们的悄悄话 I just wanna talk about you behind your backs for a little bit.
说说第一印象 So, first impressions.
莫菲 Murphy?
我喜欢约翰·伦德伯格医生 I like Dr. John Lundberg.
他都没听过他说话呢 I haven't even heard him speak yet.
他的执医考试分数最高 He has the highest U.S.M.L.E. Scores.
那对你来说很重要吗 And that's important to you?
是的 Yes.
这说明他的医学知识很渊博 It shows he has a broad knowledge of medicine.
你认为什么重要 What is important to you?
我更关心 Well, I'm more interested
他们能用学到的知识 in what they can do
做些什么 with their knowledge,
所以目前我对乔丹·艾伦印象深刻 which is why, so far, I'm most impressed with Jordan Allen.
不 不 你说她冒犯了你 No. No, you said she undermined you.
那需要勇气 Which takes courage
以及自信果断 日后都将对她大有裨益 and an assertiveness that will serve her well.
那你为什么叫她别再教训你了 Then why did you tell her to stop lecturing you?
教一个急性子学会保持克制 It's easier to teach an aggressive resident restraint
比教一个慢性子学会据理力争更容易 than a passive one to assert themselves.
朴医生你觉得重要的是什么 What about you, Park? What's important to you?
我想知道我每周能和谁待上80个小时 I wanna know who I can stand to be around for 80 hours a week.
当警察的时候我学会一件事 One thing I learned as a cop,
直到把酒言欢之后 you don't really know a person
你才能真正了解一个人 until you've had a few drinks with them.
左前降和回旋状动脉看起来很干净 LAD and circumflex look clean.
右冠状动脉怎么了 What's with the right coronary?
它在初端看起来很窄 It looks narrowed at the origin.
是有点窄 但看起来像正常的变化 It's a bit narrow, but looks like a normal variant.
是 但看起来很模糊 Yeah, but it seems hazy,
好像有肿瘤入侵 like there could be some tumor infiltration.
你们觉得呢 What do you guys think?
-我们吗 -是的 - Us? - Yeah.
过来看下 Come take a look.
我觉得 I guess...
-是左边的血管再生 -停 - It's angiogenesis of the left... - Stop.
插女同事的话 Interrupting a female coworker
几乎和男人说教一样烦人 is almost as annoying as mansplaining.
这又不是一场赛艇比赛 This isn't a rowing race.
你不必总是先开口 You don't always have to speak first.
我 不喜欢插话 I... do not love the interruption.
但是 But...
我喜欢这种热情 I like the enthusiasm.
你刚准备说什么 What were you gonna say?
首先 我没有性别歧视 First, um, I'm not sexist.
当然了 Of course not.
他从右冠脉循环转为左冠脉循环 He's shifting from right to left dominant circulation
来为肿瘤供血 to feed blood to the tumor.
-血管增生 -我表示怀疑 - Angiogenesis. - I doubt it.
手术中已经看出来 Surgery already showed
他的肿瘤也延伸到了右侧 his tumor extending to the right side, as well.
你刚才准备说什么 What were you gonna say?
肺动脉就在血管后面 The pulmonary artery is right behind that vessel.
是它导致了这片区域的射线散射 It's causing radiographic scatter in this area.
阴霾只是假象 The haze is just an artifact.
他的动脉没有受到入侵 His arteries are clean.
我觉得她是对的 I think she's right.
你的想法也许能奏效 Your idea might just work.
如果你反过来缝 If you invert the sutures
把线埋在皮肤下面 and bury them under the skin,
就不会看到疤痕 the scar will be invisible.
没人会知道她做过手术 No one will ever know we were here.
做得很好 你们俩 Nice work, both of you.
她的血压在下降 Her BP's dropping.
推注药液 静脉注射升压药 检查出血情况 Push fluids, start IV pressors. Check for bleeding.
她有室速 把救生车推过来 She's in V-tach. Move in the crash cart.
没有出血 没有血肿 No bleeding. No hematomas.
充电 Charging.
离手 Clear.
窦性心律 血压稳定了 Sinus rhythm. Her BP is stabilizing.
把她送进重症监护室 我需要做术后检查 Get her to the ICU. I want post-op labs,
胸部血管成像 还有24小时心电遥测 CTA chest, and full 24-hour cardiac telemetry.
我们要弄清楚刚才是怎么回事 We need to figure out what just happened.
她很稳定 She's stable,
但是分散的δ波很缓慢 but diffuse delta wave slowing.
大脑活动极少 Minimal brain activity.
某种原因未明的新陈代谢紊乱可能导致 An undiagnosed metabolic disorder could've caused
对麻醉剂产生不良反应 an adverse reaction to the anesthesia.
对 但她的术前检查都很正常 Yeah, but her pre-op labs were all normal.
一定是某种隐藏的心脏疾病 It's gotta be some sort of hidden heart condition.
你们主意比较多 You're big on opinions.
你们怎么看 How are you with ideas?
如果是你们 接下来会怎么做 What would you do next?
我会进行肌松监测 I'd check train of fours
用新斯的明药消除麻痹 and reverse the paralytics with neostigmine.
如果莫菲医生没错 她会醒过来 If Dr. Murphy's right, she should wake up.
很聪明 但有风险 Smart. But risky.
药物会使她的心脏负荷加重 The meds will stress her heart.
如果朴没错 她可能会再次心脏骤停 If Park's right, she could arrest again.
我去年见过类似的情况 在婆罗洲 I saw a similar case last year. In Borneo.
你在婆罗洲的医院实习过 You interned at a hospital in Borneo?
不 我是在一个猩猩救援基地当志愿者 Uh, no. I, uh, volunteered at an orangutan rescue foundation.
我们的向导 是个当地村民 从树上摔下来 Our guide, a local villager, fell out of a tree.
大约有24米高 It was, like, 80 feet up.
从树上摔下来和病人在乳房重塑手术中 How is falling out of a tree similar to a patient arresting
心脏骤停有什么相似之处 during breast reconstruction surgery?
他背部断裂 Well, he broke his back,
但是当我们把他送到医院时 but when we got him to the hospital,
我发现他还因风湿热而导致心脏受损 I found he also had heart damage from rheumatic fever
以及因缺碘而导致代谢异常 and metabolic abnormality from iodine deficiency.
这里很少见 但在那里很常见 It's rare here, but it's common there.
我们是在给他做全身放射性核素显像时 We only realized it when we ran a nuclear profusion scan
才发现的 of his entire body.
不错 Good catch.
但是大面积扫描需要大量的放射性示踪剂 But a scan that extensive requires multiple radioactive tracers.
你认为她的心脏能承受吗 You think her heart could handle that?
今晚不做 Not tonight.
我要先征求「老妈」的同意 I'll get consent from the mom.
明天早上第一件事就是这个 We'll do it first thing in the morning.
我们一旦确定心房闭合 就把心脏放回去 Once we confirm atrial closure, we'll put the heart back in.
利姆医生会重新接好主动脉 Dr. Lim will reconnect the aorta
和上腔静脉的接口 and the superior venous connections,
而我则连接下腔静脉 while I connect the inferior.
我在实习期间 During my sub-internship,
多次协助过心脏移植手术 I assisted on multiple heart transplants.
有一次甚至缝合过心房肌袖 Even sutured the atrial cuff in one.
我参与过一次肝脏移植手术 I got to scrub in on a liver transplant once.
患者死了 The... The patient died.
你学到了什么 What'd you learn?
胆管渗漏远比出血难检测得多 That bile duct leaks are a lot harder to detect than bleeds.
很好 下次先说这一点 Good. Next time, I'd lead with that
而不是患者死亡 instead of the patient's death.
你们结束了吗 Are you all done yet?
怎么了 Why?
朴医生想让大家都去休息室找他 Dr. Park wants everyone to join him in the break room.
酒吧营业
总有一个地方是五点钟
我叫亚历克斯·朴 I'm Alex Park.
以前是业余武术运动员 I'm a former amateur martial arts competitor
曾经觉得和我爸健身房的一个职业拳击手过招 who once thought it'd be fun to spar with a pro boxer
很有意思 visiting my dad's gym.
而那个人是迈克·泰森 And that guy was, uh, Mike Tyson.
迈克·泰森是谁 Who's Mike Tyson?
拍过《宿醉》的那个 He's a guy from The Hangover.
养过老虎 脸上有文身 With the tiger and the tattoo on his face.
很好 你刚刚暴露了你又疯又老 Nice. You've just revealed you're crazy and old.
我把音乐剧《魔法坏女巫》看了五十多遍 I've seen the musical Wicked over 50 times.
包括旧金山预选 百老汇和芝加哥的演出 The San Francisco tryout, Broadway, Chicago.
我甚至在舞台之门夏令营看过 I've even seen a friend's boyfriend's niece play Glinda
一个朋友的男友的侄子扮演格琳达 at Stagedoor summer camp.
呆子 下一个 Nerd. Next.
我叫克莱尔·布朗 I'm Claire Browne.
我喜欢音乐 I love music,
但我讨厌音乐剧 我不 but I hate musicals, and, um, I don't...
我不想聊自己 肖恩说吧 I don't really like to talk about myself, so it's Shaun's turn.
我叫肖恩·莫菲医生 My name is Dr. Shaun Murphy.
我以前不喜欢音乐 I used to not like music,
但是我女朋友莉亚 她改变了我的想法 but my girlfriend, Lea, she changed my mind.
我还喜欢在电视上看气象频道 I also like to watch The Weather Channel on TV.
还有 And...
我觉得酸黄瓜很难吃 I think pickles are disgusting.
警察知道如何与上级相处 Cops know how to manage up.
但如何治下就不一样了 Managing down's another story.
他很成熟 有想法 Well, he's mature, thoughtful,
也不自负 doesn't have an ego.
莫菲也不自负 Neither does Murphy,
但你认为这样他就能管理新手医生吗 but do you think that qualifies him to supervise First Years?
莫菲很聪明 Well, Murphy's smart,
极其诚实 不墨守成规 brutally honest, has no regard for social convention.
比尔·贝利契克这样就能当球队主帅 It works for Bill Belichick.
爱国者队是全国橄榄球联盟史上 The Patriots are the most corrupt, dishonest organization
最腐败 最缺乏诚信的组织 in the history of the NFL.
海鹰队才烂 Well, the Seahawks suck.
你在这里工作感受如何 So, how's your experience been here?
挺好的 It's been good.
你考虑过其他医院吗 Did you consider any other programs
还是说这里是你的首选 or was this your first choice?
这里是我唯一的选择 This was my only choice.
你为什么恨上帝 Why do you hate God?
其实 Uh, actually,
我不相信上帝的存在 I don't believe there is a God.
我觉得是因为你相信他讨厌同性恋 I thought maybe it was because you believed he hated homosexuals.
我 我觉得我们不该 I... I don't think this is something
在工作时间讨论这个 that we should be discussing at work.
为什么 Why not?
因为这很私人 Well, because it's personal.
你有男朋友吗 Do you have a boyfriend?
抱歉 你不能在工作场所问这个问题 I... I'm sorry, but you can't ask that question in a workplace.
朴医生希望我们多了解你们 Dr. Park, he wants us to get to know you.
不问私人问题的话 我怎么了解 How can I do that without asking personal questions?
我有一个女朋友 她对我很重要 I have a girlfriend, and she is very important to me.
这影响了我生活的各个方面 It affects my life in every way.
也许你在说她的声音有多烦人之前 Probably should've thought of that before you told her
应该先想到这一点 how much her voice annoyed you.
我说我不烦她的声音 I said it didn't bother me.
那 那是夸奖 It... It was a compliment.
我听到的是你批评了她的声音 What I heard is you criticizing her voice,
还把她妈妈扯进来 and you bringing her mother into it.
你有麻烦了 You're in trouble.
那布朗呢 What about Browne?
她当领导可能跟莫菲的问题一样多 She may have as much problem being a leader as Murphy,
还没有他的天赋 and without his gifts.
她有自己的天赋 She has her own gifts.
对 她擅长和患者及家属沟通 Yeah, dealing with patients and their families.
但与她共事并不稳定 But with her colleagues, she can be insecure.
我一直对她的果断抱有怀疑态度 Her assertiveness has always been a question mark for me.
他们都有需要改进的地方 They've all got areas that need improving,
但我在过去的几个月里 更了解了布朗一些 but I've gotten to know Browne a bit better these past few months.
她比看上去的要坚强 She's stronger than she looks.
你见过有人穿西装打领带 When's the last time you saw anyone digging
干体力活吗 a ditch in a suit and tie?
外科医生的工作不是体力活 Surgeons don't dig ditches.
而是帮助病人们度过他们人生中最脆弱的时刻 They help people at the most vulnerable time in their life.
如果你没完全准备好 And you shouldn't take the responsibility on
就不该去承担责任 if you're not fully committed to it.
你翻开了职业生涯的新篇章 You're entering a new phase in your career,
成了一名权威人士 position of authority.
我的衣着大概冒犯到你了 Maybe my clothes are making you feel disrespected.
不 No.
其实 The truth is,
我讨厌穿得人模狗样的 I just hate wearing anything that makes me feel like a suit.
好消息 Great news.
我成功让索温斯基明天来做麻醉了 I was able to get Sowinski on anesthesia for tomorrow.
为什么 弗利怎么了 Why? What happened to Foley?
没怎么 我只是觉得索温斯基更好 Nothing, I just think Sowinski's better.
这台手术我们绝对需要顶尖人员 And we definitely need the A-team on this.
对 我... 我同意 Yeah, I... I agree.
所以我才费尽心力把弗利弄来 Which is why I went out of my way to get Foley.
但是弗利在压力大的时候状态不好 But Foley doesn't do well under pressure.
-之前那次... -摩根 - Remember that time... - Morgan.
你别插手 你不是外科医生 这不归你管 You need to butt out. You're not a surgeon. This is not your job.
我应该在整个疗程中帮助我的病人 My job is to help my patient through the entire treatment process.
而索温斯基是最擅长移植手术的麻醉师 The best anesthesiologist for transplant surgery is Sowinski.
我和利姆也说好了 所以就是他了 And I've already cleared it with Lim, so that's who it's gonna be.
认了吧 Deal with it.
你生我的气了吗 Are you mad at me?
我当时说 我不讨厌你的声音 I said your voice doesn't bother me.
那是在夸你 It was a compliment.
你当时说的是 你非常喜欢我的胸部 Actually, what you said is that you love my breasts so much
所以只要戴上降噪耳机 that with the help of noise-canceling headphones,
你就能忍受我烦人的声音 you're willing to put up with my annoying voice.
没错 Yes.
这可不是在夸我 Not a compliment.
所以你生我的气了吗 So you are mad at me?
我没生气 肖恩 我只是有点忙 I'm not mad, Shaun. I'm just busy,
在努力阻止上亿的程序和黑客侵入我们的网络 trying to keep, like, a billion bots and hackers out of our network.
实际上 不 我没在干这个 Actually, no. I'm not doing that.
我要回家了 Gonna go home.
你现在想不想喝杯龙舌兰 You want to have some tequila, stat?
还剩下些披萨 We also have some pizza left.
不 我不想喝龙舌兰 也不想吃披萨 No, I don't want tequila or pizza.
那你一定是生气了 That must mean you're mad.
我只是... 有点难过 I'm just... upset.
也有点困惑 And confused.
我觉得你对此什么都做不了 And I really don't think there is anything you can do about it,
所以你就别试了 也别来烦我 so you just need to stop trying and leave me alone.
她没生我的气 She's not mad at me.
她肯定在生你的气 She's definitely mad at you.
她一般不会隐瞒自己的想法 She doesn't usually hide what she thinks.
她不是在生他的气 She's not mad at him.
她知道他什么样 他怎样讲话 She knows how he is, how he talks.
她是在生自己的气 还有点害怕 She's mad at herself. And scared.
总有事情会让我们患得患失 We all have stuff that we're insecure about.
所以爱上别人才那么危险 That's why it's so risky falling in love.
我们都希望 当自己完全放下戒备的时候 We all hope that when we let our guard down,
对面的人认为我们完美无瑕 it's for the one person that doesn't see our flaws.
那我该怎么办 So, what do I do?
你当时说的是实话 就不能用这个理由道歉 You were being honest. You can't apologize that away.
你得弄清楚怎么才能让她 You gotta figure out what she needs
重新在这段恋情中找到安全感 to feel secure in the relationship again.
别问我 我单身 Don't look at me. I'm single.
我不该对你的私生活说三道四 It's not my place to comment on your personal life.
你有自己的想法 让我们听听 You have an opinion. Let's hear it.
好吧 Fine.
把她的颅骨底部放大一下好吗 Can you zoom in on her skull base?
好 怎么了 I can, but why?
我们在担心她的心脏和代谢异常 We're worried about her heart and metabolic abnormalities.
我们不该担心这个 不该还担心这个 We shouldn't be. Not anymore.
你和莫菲医生都错了 You and Dr. Murphy were both wrong.
她没有心脏或者代谢的问题 She doesn't have a cardiac or metabolic issue.
她向控制意识的脑部供血的 She has poor blood flow in the artery supplying blood
那条颈动脉血流不足 to the area of her brain that controls consciousness.
在她的基底动脉里有一个小血栓 A small clot in her artery of percheron.
如果我们不能尽快取出它 她就永远都不会醒来 If we don't remove it fast, she's never going to wake up.
他们做得真棒 That's amazing.
不 没有 No, it's not.
心脏完全离体 却依然在跳动 The heart's totally outside of the body and still beating.
就像有自己的意识似的 It's like it has a mind of its own.
她现在本该开始再植入了 She should've started the reimplantation by now.
还顺利吗 利姆医生 Is everything okay, Dr. Lim?
肿瘤的卷须侵入了右房壁 The tumor had tendrils invading the right atrial wall.
我们为了得到清晰的边缘 切除了太多组织 We took so much tissue to get a clear margin,
剩下的组织不够重建他心脏的流入腔 there's not enough left to reconstruct his heart's inflow chambers.
能不能用膨体聚四氟乙烯人造血管 How about expanded PTFE graft?
剩下的心房不够接血管的 There's not enough atrial remnant to attach the graft.
你们可以用间隔壁 You could use the septal wall.
他在那里有稠密的传导纤维 He's got dense conduction fibers there.
-会导致心律不齐 -除非你们用... - It could cause heart arrhythmias. - Not if you use...
他的动脉压很低 He's got low arterial pressure.
他在导管处失血 He's springing leaks at the cannulation sites.
这是过长的搭桥术导致的出血异常 It's a bleeding disorder caused by prolonged bypass.
你们应该尽快把他的心脏放回去 You need to get his heart back in ASAP.
摩根 心脏还缺两个房室 我们不能放回去 Morgan, we can't put the heart back in with two missing chambers.
这是一种罕见的并发症 It's a rare complication,
但不管做什么手术 血栓都会带来风险 but a blood clot is a risk in any surgery.
它位于大脑深处 不能开颅 It's too deep in the brain for open surgery.
如果我们在那里面做根管治疗 If we go rooting around in there,
肯定会破坏PCA 她就会死 we'd definitely damage the PCA and kill her.
我们可以向血栓注射溶解剂 We could inject a dissolving agent into the clot.
血栓有50%的可能无法完全溶解 There's a 50% probability it won't fully dissolve,
这可能导致她永久的虚弱 which could leave her with permanent weakness
以及认知障碍 and cognitive difficulties.
还是她能醒过来的话 Assuming she wakes up at all.
我们需要用支架取栓器取出血栓 We need to remove the clot with a stent retriever.
如果我们刺穿了后大脑动脉 If we rupture the posterior cerebral artery,
她在手术台上就会死 she'll die on the table.
她也可能完全康复 Or total recovery.
她这么进的这家医院 That's how she came into this hospital.
也会这么走出去 That's how she's leaving.
给她准备支架取栓器 Prep her for stent retriever.
我在给他输血小板和新鲜冷冻血浆 I'm hanging platelets and fresh frozen plasma.
他的血压还是很糟糕 His pressure is still in the toilet,
但流血减缓了 but the bleeding is slowing down.
持续不了太久 Not for long.
小肠粘膜下层能满足 Small intestine submucosa has the right compliance
重塑室壁的条件 可是... to shape the chamber walls, but...
材料有限 覆盖不了那么大的区域 There isn't enough to cover that much area.
如果用得太少 他会在一个月之内死于心脏衰竭 Use too little and he'll have heart failure in a month.
我知道 这就是我想说的「可是」 I know. That's the "but."
他的深筋膜有多厚 How thick is his deep fascia?
如果厚度超过2毫米... If it's over 2 millimeters...
摩根 Morgan.
出去 Get out.
对不起 我会... 我会保持安静 I'm sorry. I'll... I'll be quiet.
不 你不会 你做不到 No, you won't. You can't.
所以离开观摩室 So leave the OR gallery.
马上离开 Now.
我们需要能完全满足动脉灌流与收缩压的 We need 2.6-millimeter-thick tissue with perfect compliance
2.6毫米厚的组织 for arterial filling and contractile pressures.
如果只是心瓣 我们就可以用牛心包移植 If it was just the valve, we'd use a bovine pericardial graft.
但牛心脏组织的持久力 But cow heart tissue
不足以做完整个心腔 is not durable enough to do an entire chamber.
但猪膀胱组织刚好合适 But pig bladder tissue is just right.
我以前用过它重建过膀胱 I've used it for bladder reconstructive surgeries,
但从没在心脏上用过 but never hearts.
我们来用它重建整个心房壁 Let's rebuild the entire atrial walls with it.
去组织采购实验室 Get down to the tissue procurement lab
拿200厘米的猪膀胱组织 and get 200 centimeters of porcine bladder tissue.
她的脑电图的δ波正在放缓 Her EEG delta waves are slowing further.
仅有一根血管支撑着她的丘脑 She only has one vessel feeding her thalamus.
这也是为什么血栓会在出现在那里 That's why the clot landed where it did.
我正在接近丘脑旁正中动脉 I'm approaching the artery of Percheron.
我离血栓只有一毫米了 I'm one millimeter from the clot.
停在这里 Stop right there.
如果我们破环了这个血栓 If we disrupt this clot,
可能会导致大量血栓进入脑部 we could cause a shower of emboli into her brain.
用取栓器 Deploying the retriever.
脑电图刚刚停止了 EEG just went flatline.
冷静 我快 Calm down. I'm almost...
好了 Got it.
血液流过动脉了 Blood's flowing through the artery.
她的脑电图看起来好多了 Her brain tracing's looking better.
当新的心室缝合上时 This should fill the gap
上下腔静脉之间的缝隙 between the inferior and superior vena cava
应该能补上 when the new chambers get sewn in.
移植血管去哪里了 Where's that graft?
我需要更多的纱布 出血情况更加糟糕了 I need more sponges. The bleeding is getting worse.
他的状况恶化了 推点肾上腺素 Oh, he's tanking. Can you push epi?
我已经推过了 用了最大剂量了 I already did. He's maxing out.
我没办法提高他的血压了 I'm running out of ways to keep his pressure up.
我拿到了 I got it.
他们有205厘米的猪膀胱组织 They had 205 centimeters of it.
谢谢 Thank you.
如果你想穿上手术服 你可以在旁边观摩 If you want to gown up, you can watch from down here.
当然 谢谢 Definitely. Thanks.
我以为在别人面前 I thought telling her how much I love her
告诉她我有多爱她能让她开心 in front of other people would make her feel good.
但盖林医生说我让她缺乏安全感和害怕 But Dr. Guerin said I made her feel insecure, and scared.
女人很敏感 Women are sensitive.
评价她们的缺点时 When commenting on their flaws,
完全诚实会有很高的风险 total honesty is a high-risk procedure.
听起来是性别歧视 男人也会这样吧 That sounds sexist. Aren't men also insecure about their flaws?
男性更加糟糕 Men are much, much worse.
并且我们真的很蠢 And also, we're really stupid.
好吧 Okay.
我现在该怎么做 What can I do now?
我已经说了我的蠢事 I've already said my stupid stuff.
我不想让她生我的气 I don't want her to be upset with me.
我有个主意 I have a thought.
这一串缝线会把它固定在环状物上 I think this run of sutures will hold it to the annulus,
但是我担心出血 but I'm worried about leaks.
我们可以在第两排用脱脂棉缝合线 We can put a second row of pledgeted sutures
以确保止血 to make sure it's hemostatic.
这太不真实了 That is unreal.
这是一件艺术品 It's a work of art.
现在我们把心脏放回去 Now let's get it back in
当我们撤掉体外循环 他仍能活着 while we can still get him off bypass alive.
重新进行心脏灌流 Re-perfusing the heart.
有心跳了 We've got a rhythm.
在手术过程中出现了并发症 There was a complication during the reconstruction surgery.
一个导致你陷入昏迷的血栓 A clot, which caused you to lapse into a coma.
我们对你的脑部做了另一个手术 We performed a second surgery on your brain,
手术很成功 which was successful.
你会恢复的 You're gonna be fine.
但是我的胸 But my breasts...
血栓是在我们完成移植后发生的 The clot occurred after we finished inserting the implants.
我相信你会对结果非常满意 I think you're gonna be very pleased with the results.
谢谢 Thank you.
我很抱歉 I... think I'm sorry.
盖林医生说我不该说 Dr. Guerin said I should never say anything
任何对女朋友不好的话 that might sound negative to a girlfriend.
格拉斯曼医生说对女友完全的坦诚 And Dr. Glassman said total honesty
是非常高风险的 is a high-risk procedure with a girlfriend.
比起解释 我最好表达我对你的爱意 It's better to show my love than try to explain it.
但是我想对你完全的坦诚 But I want to be totally honest with you.
我不是因为你的身材完美而喜欢它 I don't like your body because it's excellent.
我喜欢 是因为那是你的身体 I like it because it's yours.
我爱听你说话 And I love hearing you talk.
当我听到你的声音 When I hear your voice,
尤其是我累了一天后 especially when I've had a difficult day,
我觉得很治愈 I find it comforting.
我现在想抱抱你 可以吗 Now I want to hug you. Can I?
可以 I'd like that.
我爱你 I love you.
谢谢 Thank you.
你的坦诚 For your total honesty.
你的手术很成功 Your surgery went well.
做一阵康复治疗后 With some time in rehab,
一个月内你就能回去上班了 you should be back to work in a month.
谢谢 Thank you.
别谢我 谢谢你的主刀医生 Don't thank me. Thank your surgeon.
她完成了所有重要的工作 She did all the important stuff.
利姆的得意门生入选了 我们对此无能为力 Lim's golden boy is in. Nothing we can do about that.
还有三个空位 So that leaves three openings.
一想到接下来两年会和威尔·霍珀共事 The thought of working with Will Hooper for the next two years...
如果利姆医生觉得他将成为一个好的住院医生 If Dr. Lim thinks he'll be a good resident,
我相信她有自己的理由 I'm sure she has good reasons.
她可能认为傲慢对外科医生是有帮助的 She probably thinks arrogance is helpful to a surgeon.
我们可以试着改变她的想法 Well, we could try to change her mind.
利姆让我们评估申请者 而不是她 Eh, she asked us to evaluate the applicants, not her.
她让我们完全坦诚 She asked us to be totally honest.
在你告诉老板她的判断完全错误时 Eh, "totally honest" is a relative term
「完全坦诚」是相对的 when you're telling your boss she's totally wrong.
除了霍珀 还有谁 So, Hooper's in. Who else?
安德鲁斯医生欣赏乔丹·艾伦 Dr. Andrews likes Dr. Jordan Allen.
我也是 她自信 努力 Oh, I do, too. She's confident, driven.
不用手把手教她太多 She won't take a lot of hand-holding,
而且让安德鲁斯开心 我们才能开心 and keeping Andrews happy keeps us happy.
还剩俩个位置 还有谁 That leaves two more. Who's next?
亚舍·沃尔克非常坦率 Asher Wolke is very up-front about who he is.
-我很欣赏 -他很好学 - I like that. - He's definitely eager.
他学习起来如饥似渴 And he couldn't be more open to learning.
我同意 Agree.
只剩一个名额了 That leaves one more.
约翰·伦德伯格 John Lundberg.
聪明 专业 成熟 Smart, professional, mature.
他全票通过 He's a no-brainer.
伦德伯格胜出 Lundberg's in.
伦德伯格不行 Lundberg's out.
他走之前来过我办公室 He stopped by my office before he left.
告诉我他没感兴趣了 Said he's no longer interested.
他说你们都不专业 He said you all were unprofessional.
工作时喝酒 Drinking at work.
问不合时宜的问题 Asking inappropriate questions.
有戏剧性的约会 Dating drama.
你们的备选呢 奥利维亚·杰克逊还是短裤仔 So, who's your alt? Olivia Jackson or Boardshorts?
奥利维亚熟悉她的工作 但她缺乏安全感 Olivia knows her stuff, but she's a bit insecure.
她的回答听起来像是提问 Her answers sound like questions.
我喜欢短裤仔 他感觉很敏锐 I like Boardshorts. He's sensitive.
像个女人 Like a woman.
他们两个人都可以 I vote for both of them.
这不是个办法 我们预算有限 That's not an option. We don't have the budget.
霍珀是最差的 Hooper is the worst.
是我说最好的那个吗 The person I said was the best?
他傲慢又讨厌 He is arrogant and obnoxious.
如果他在这里工作 我们会讨厌他 If he works here, we'll hate him,
工作会变得痛苦 我们要么害死病人 the work will suffer, and we'll either kill patients
要么会杀了他 or we'll kill him.
你不可能看不出来 And there is no way that you don't see that,
这让我觉得 which makes me think...
你其实一清二楚 You do.
这是个测试 This was a test.
你只是想看看我们是否完全坦诚 You just wanted to see if we'd be totally honest.
非常好 Well done.
霍珀绝对是最差的 Hooper is definitely the worst.
我只是拿他当个幌子来隐藏我的喜好 I only let him shadow as a favor to a board member.
我想在他不愉快的面试之后 I figured I'd give him a second chance
再给他一次机会 after his obnoxious interview.
同时做一个小测试 And also do a little experiment.
所以 So...
入选的是乔丹 亚瑟 It's Jordan, Asher,
奥利维亚和恩里克 Olivia, and Enrique.
敬你们下一阶段的外科带教 To the next phase of your surgical training.
你们帮我选了他们 You helped pick them.
作为高级住院医生 你们的任务就是帮助训练新人 As senior residents, it's now your job to help train them.
不要轻视这份责任 And don't take this responsibility lightly,
因为如果你们没有好好培训他们 because if you don't train them well,
患者会死 people will die.