这肯定能消耗掉一些热量 Bet that burned some calories.
跟上一节高温瑜伽课差不多 Almost as good as a session of hot yoga.
还少了很多风铃 With considerably fewer wind chimes.
你忘了你的手机充电器 You forgot your phone Charger.
我想把它留在这里下次用 I'll leave it here for next time.
你从什么时候开始指望有下一次了 Since when did you start counting on the next time?
自从上次我们来了三轮 Since the last time we went three rounds.
除非你不想要 Not if you want to stop.
我没这么说 I didn't say that.
我记得你说的恰好相反 I recall you saying quite the opposite.
我希望你别打算把这个留在这里 I want you to not depend on this being here for you,
想着可以随时插上充电 Thinking you can plug in any time you want.
我知道我得有充电器的同意才行 I'm aware that I need the charger's consent.
你得跟其他女性约会 You need to see other women.
为什么 我没这个想法 Why, I don't really want to.
没有借口 如果你想继续我们的关系 No excuses. If we're going to keep hooking Up,
就应该跟别人上床 you should start sleeping with other people.
你真是个奇怪的女人 You are a very strange woman.
你看到我的手机了吗 Have you seen my phone?
别忘了我们今晚得在六点前离开医院 and remember we have to leave the hospital by 6:00 tonight
去上分娩课 for birthing class.
我不需要上分娩课 The birthing class that I don't need
因为我上医学院时去妇产科实习过 on account of my ob rotation in medical school.
但我会去那里学习在你生产时 如何给予 But where I will learn how to give you the support you need
-你需要的支持 -这才像话 - while giving birth to our child. - That is my guy.
我收到胎儿的DNA检测结果了 I got the results of the fetal DNA test.
-好 -这会告诉我们宝宝的性别 - Okay. - This will tell us the sex of the baby.
我知道 因为我上医学院时去妇产科实习过 I know on account of my ob rotation in medical school.
你不激动吗 Aren't you excited?
不会为这事激动 Not by that.
这种检测只会有两种结果 There are only two outcomes can be detected on this test,
而且我觉得两种都不错 and I am fine with either.
我也是 但知道结果还是会让我激动 So am I. I'm excited to find this out.
过来陪我一起看吧 Please come here so we can look together.
是个女孩 It's a girl!
我们要有女儿了 We're having a girl.
你想把婴儿房刷成粉色吗 Would you like to paint the nursery pink?
不 现在又不是50年代 No, this isn't the '50s.
好吧 Okay.
好 Okay.
我们上课时见 I will see you in class.
好 好 Okay. Okay.
良 医
第四季 第十四集
三区交给我吧 I've got bay 3.
那个胸部挫伤吗 The chest contusion?
为什么一处瘀伤能让你这么兴奋 Why are you all bright eyed and bushy-tailed over a bruise?
这是沃克医生 我是雷兹尼克医生 This is Dr. Wolke. I'm Dr. Reznick.
说说你的挫伤是怎么来的 这位... Tell me how you got the contusion. Mr. ...
目前综合格斗类排名第一的 Bradly the Body Vargas currently
布拉德利·健美先生·瓦格斯 top ranked in your MMA class.
我看过你所有的比赛 你棒极了 I've seen all of your fights. You're amazing.
我受够了在这里进进出出又不能被人认出来 So much for slipping in and out of here without being recognized.
对打练习时 Sparring.
-一个横拳正中胸口 -还挺厉害的 - Round house right to the chest. - That was some kick.
这个血肿很大 我们得给它引流 This is a pretty large hematoma. We need to drain it.
但你已经在为对战巴兹克斯而训练了吗 But you're already training for Vazquez?
那场比赛还有几个月才开始 That fight's not on for a couple of months.
果然是我的铁粉 引流 用针头吗 A real fan. Drain it, like with a needle?
-你想要的话我们可以麻醉 -把那东西拿走 - We can numb you if you like. - Get that away from me!
这里不行 Not here.
你的术前检查结果正常 Your preop test came back normal.
所以我们可以进行髋关节置换了 So we can go ahead with the hip replacement.
我的理疗师说我应该在术后 My physical therapist says I should be walking
走四小时的路 four hours after surgery
十到十二周后就可以恢复了 and good to go in 10 to 12 weeks,
但我的目标是九周 but I'm aiming for nine.
请告诉我妈这个想法不好 Please tell my mom that's not a good idea.
你不应该急着恢复 You should not rush your recovery.
孩子的性别对你来说重要吗 Does it matter to you whether you are having a boy or a girl?
我怀的是男孩 I'm having a boy.
我们会给他取名为雷 用我爸爸的名字 We're going name him Ray, after My dad.
我和我女友就要有女儿了 My girlfriend and I are going to have a daughter.
这真是个好消息 肖恩 That's great news, Shaun!
为什么 Why?
手术会需要几个小时 The procedure will take a couple of hours.
所以你应该一两天后就可以回家 So we should be able to get you home in a day or two.
我期待回到空中 没有痛苦 I am looking forward to getting back in the air, pain-free.
不用再吃药或注射可的松 No more pills or cortisone shots.
我的内科医生说我的臀部太宽 进不了驾驶舱 My internist telling me my hips are too wide for the cockpit.
听着更像是海军的问题 而不是你的问题 Sounds more like a navy problem than a you problem.
显然驾驶舱需要重新设计 还要重新命名 Clearly the cockpit needs a redesign, as well as a renaming.
二号手术室准备好了 该做手术了 OR 2 is ready. It's time.
两边的移植物看来都完好无损 Both implants seem to be Intact.
谢谢 Thanks.
抱歉我抓狂了 刚才那里人太多了 Sorry I freaked out. Too many people back there.
如果我的粉丝发现我移植了胸肌 If my fans found out I had pec Implants,
我的职业生涯就完了 my career would be over.
我看到你一个回合就让麦丘恩认输了 I saw you make McCune tap in one round.
移植物跟这个毫无关系 Implants had nothing to do with that.
我的名气很大一部分靠身材 My body is a big part of the brand.
其他都是凭真本事得来的 Everything else is real.
如假包换 美国最棒的布拉德利 100% U.S. prime Bradley.
你什么都不用解释 You do not need to explain anything.
只是有多少男人 It's just that how many guys,
更别说拳手了 会去做整容手术 let alone fighters get plastic surgery?
我敢肯定比你想的要多 I'm sure more than you think.
我小时候很胖 When I was a kid, well, I was a big boy.
总是被人欺负 I got picked on all the time.
我妈妈希望我能保护自己 My mom wanted me to be able to protect myself,
于是让我去练柔术 我爱上了柔术 so she put me in Jujitsu. I loved it.
-开始天天练习 -看来这办法有用 - I started training every day. - It seems to have worked.
对 脂肪减掉之后 Yeah. After the fat was gone,
谁身上有男性乳突都不好看 man boobs don't look good on anyone.
他们技术不错 They did very nice work.
我都看不出来 I would never have known.
我们还是得给血肿引流 We still need to drain it.
我去让手术室做准备 I'll get the procedure room set up.
你是因为这个才想让我跟别人上床吗 Is that why you're want me to sleep with other people
这样你就可以不知羞耻地跟病人调情 so, you can shamelessly flirt with patients?
我不觉得羞耻 I feel no shame.
我也没有阻止你 and I'm not stopping you.
那我为什么要跟别的女人约会 So why do I need to see other women?
这真尴尬 对你来说 This is embarrassing. For you.
哪个男人会问这种问题 What man asks that question?
你很软弱 容易依附于人 You're soft and prone to attachment.
-我向你保证 我不会依附你 -空话 - I promise you, I will not get attached. - Empty words.
你有个Bumble账号 好好利用吧[交友网站] You have a Bumble profile. Use it.
没必要 能让我不黏着你的原因 No need. What is going to keep me from attached to you
不是其他女人有魅力 Isn't the charms of other women,
而是你毫无魅力 it's your utter lack of any.
优秀的股骨头截骨术 Nice osteotomy of the femoral head.
这里已经是骨头对骨头了 It's bone on bone in here.
不知道琴是怎么撑过疼痛的 I don't know how Jean pushed through the pain.
作为「壮志凌云」时代的女性战斗飞行员 A female fighter pilot in the "Top Gunner" era?
她经历过更糟的 She's pushed through worse.
现在世道对于女性来说变好很多了 Things are much better for women today.
这台手术里 我是唯一一个男性 In this surgery, I am the only man.
直到他们有办法让男人也能有子宫 And until they find a way to put uteruses in men,
女性的生物学特征会一直逼迫我们做出 biology will always force us to make sacrifices
男性同事不需要做的牺牲 our male colleagues don't.
这是你没有生孩子的原因吗 Is that why you don't have children?
肖恩 你永远不该问一个女性那样的问题 Shaun, that is not something you should ever ask a woman.
是我先提起来的 I brought it up.
我没有有意地做出那样的选择 I never consciously made that decision.
但一路以来我做的许多小选择 But along the way I made a bunch of small ones
导致我把工作放在了组建家庭之前 that put my job in front of having a family,
而且我也不后悔 and I don't regret it.
但大部分男人不用做这种选择让我很生气 But it does piss me off that most men don't have to choose.
活动股骨近端 然后铰孔粗锉 Mobilize the proximal femur, then ream and rasp.
琴的血压骤降 Jean's pressure just tanked...
血压64/38 64 Over 38.
加快输液 上升压药 Push fluids, start pressors.
心率低至42次每分钟 Heart rate's low at 42,
窦性心动过缓 sinus bradycardia.
她术前检查一切正常 没有心脏病史 Her pre-op tests were all normal. She has no cardiac history.
如果她有血栓掉落 心率应该过速 If she threw a clot, she'd be tachy.
检查是否有隐性出血 Check for any occult bleeding.
我做一个经食道超声 I'll get the transesophageal echo.
没有出血 There is no bleeding.
做个十二导联心电图 上肌钙蛋白 Check a twelve-lead, start troponins.
血压稳定了 Her B.P. Is stabilizing.
切除骨刺 放髋臼杯 向后外侧拧紧螺丝 Remove osteophytes, place cup, direct screws posterolaterally.
她的血压不应该出现下降 Her pressure should not have dropped,
我们也不知道为什么血压又回升了 and we don't know why it came back up.
不是因为输液和升压药或自发性逆转或... It wasn't the fluids and pressures or spontaneous reversal or...
我们要在血压再一次下降前 We need to finish her hip arthoplasty
完成她的髋关节置换手术 before she bottoms out again.
然后 没错 And then yes,
我们需要找出血压下降的原因 we need to figure out why it happened in the first place.
推进针头 Go ahead and advance the needle.
你有在和谁约会吗 Are you seeing anybody?
不 这要开始变得奇怪了吗 Oh, no. Is this about to get weird?
-不 我 不 -注射荧光剂 - No, I... No. - Taking a fluoro shot.
你通常只约一个人 Do you usually one person exclusively
还是同时约会好几个人 or are you seeing a few people at once?
-小心不要刺穿胸膜腔 -具体一点 - Careful not to breech the pleural space. - Define your terms.
「约会」是指一起吃晚餐还是约来打炮 Does "date" mean "have dinner with" or "meet up for sex"?
我不是很确定 I'm not entirely sure.
如果到了会一起吃饭的地步 By the time there's food involved,
我更偏向只和一个人约会 进入血肿 I prefer to be exclusive. In the hematoma now.
我什么都吸不出来 I'm not able to aspirate anything.
那不只是血肿和血栓 That's not just clot and blood.
那是一个肿块 It's a mass.
直径约五厘米 It's about five centimeters across,
实心 不易滑动 firm, nonmobile.
很稠密 It's very dense.
做个活检 Get a biopsy,
不过看起来像是乳腺癌 but that looks like breast cancer.
如果她的心脏可能有问题 If there might be a problem with her heart,
她还应该给心脏增加负担吗 she should be putting strain on it?
如果我要心脏病突发 If I'm gonna have a heart attack,
这里是最合适的地方 this is the best place for it.
一点不错 That is exactly right.
你妈妈很可能没事 It's very likely your mom is fine--
血压下降可能只是麻醉反应 that the blood pressure drop was just a reaction the anesthesia.
你是一位非常成功的飞行员 You're a very successful pilot.
这因为你是女性而更艰难了吗 Was that harder because you are a woman?
对我来说 表现杰出给了我优势 For me, standing out was a plus.
让我获得关注 It got me noticed.
这并不总是好事 Mm, that's not always a good thing.
是海军部队 It's the Navy.
给我定的标准比给男兵定的高吗 没错 Was the bar higher for me than the guys? Yeah.
但压力是让你进步的机会 But pressure's just an opportunity to get better.
你母亲很鼓舞人心 Your mother is very inspiring.
是的 她的确很鼓舞人心 Yes...she is.
需要的话我可以加快速度 I can go harder if you need me to.
好的 请吧 Yes, please.
我没有乳房 I don't have breasts.
怎么会得乳腺癌 How can I have breast cancer?
你有乳腺组织 You have breast tissue,
虽然在男性中很罕见 但这的确会发生 and while it's rare in men, it does happen.
活检发现了一处恶性肿瘤 The biopsy has identified a particularly aggressive tumor.
但好消息是我们发现得早 But the good news is we caught it early.
那接下来呢 W-what's next?
抱歉 Sorry.
配对成功 莎拉发来一条消息 配对成功 坎迪丝309发来一条消息 萨曼莎发来一条消息
配对成功
我们建议手术取出肿瘤 We're recommending surgery to remove the mass.
然后进行化疗 Followed by chemotherapy.
我们不认为会造成长期的 We don't believe there'll be any long-term
-体能降低或... -能保留我的移植物吗 - loss of strength or-- - Can I keep my implants?
手术时能绕过移植物吗 Like, will they be able to work around them?
-有可能 -但是可能很小 - It's possible. - But highly unlikely.
治疗结束后 健美先生还是得保持健美 At the end of this, the Body gotta look like the Body.
不然我会失去赞助商 Otherwise, I'll lose my sponsors,
失去职业生涯 my career.
肿瘤切除术很合理 考虑到... A lumpectomy makes sense considering--
如果我们让患者把外表 If we want to let the patient prioritize his appearance
置于健康之前 over his health.
他需要做乳腺切除 He needs a mastectomy.
你还会那么轻蔑吗 如果患者 Would you be that dismissive if our patient
是一位女性 想要保留... was a woman choosing to preserve her--
今天某人人气很高啊 Someone's popular today.
都是约会软件的提醒 They're all dating app alerts.
一张头像能带来的人气提升真是令人惊讶 It's amazing what upgrading a profile pic can do.
你得把密码设定得更复杂些 You should vary your password more.
你哪里来的这张照片 Where'd you get this photo?
我拍了留作私用的 I took it for personal use.
不过我很高兴让它为你打开 But I'm happy to let it be your introduction
线上约会世界的大门 to the world of e-dating.
飞吧 肌肉麻雀 Fly, muscular sparrow.
飞吧 Fly.
-这张照片简直... -这叫作 - This photo's such a-- - The words you're looking for
「饥渴陷阱」 不谢 are "thirst trap," and you're welcome.
放松 放松 Relax. Relax.
现在你享受着伴侣的抚慰 While you are under the soothing touch of your partner,
让我们来讨论一下分娩计划 let's discuss birthing plans.
好吧 也许你可以别那么用力 Okay, maybe just a little less pressure.
-像这样吗 -不是 - Like this? - Uh, not really.
记住 你对自己的分娩负责 Remember, you are in charge of your birthing experience.
你分娩的方方面面都是你自己的决定 Every aspect of your labor is your decision,
从你去医院开始 starting with when you head to the hospital.
行了 停下吧 行了 Okay, maybe just stop. It's okay.
我推荐道格拉斯的4-1-1原则 I recommend what doulas call the 4-1-1 rule.
你等到宫缩间隔四分钟 You wait until contractions are four minutes apart
至少持续一分钟的时候 and last for one minute for at least --
间隔五分钟会更安全 Five minute intervals is safer.
这是一种观点 莫菲医生 That's one opinion, Dr. Murphy,
这是为在医院享受等待过程的母亲们准备的 for mothers who enjoy waiting at the hospital.
一旦你宫缩了 清楚地告诉你的伴侣 Once you arrive, clearly instruct your partner
和你的医生你想要什么 and your doctor of what you want.
不 医生需要负责分娩 No. The doctor needs to be in charge.
如果有并发症怎么办 What if there is a complication?
也许应该让她来说 Maybe just let her talk.
对不起 Sorry.
你的羊水破了之后 After your water breaks,
为了之后的工作 你要让自己更强大 fortify yourself for the work ahead.
冥想或者提前选好一首歌 Be that with meditation or a pre-selected song
能让你放松的歌 或者清淡的零食 that you find soothing or perhaps a light snack.
这个主意太糟糕了 That is a very bad idea.
莫菲医生 不要打断我 Dr. Murphy, please hold your comments until the --
羊水破了之后不该吃东西 You shouldn't eat after your water breaks.
许多女性会在分娩时大便失禁 Many women experience bowel incontinence during labor.
真的吗 Is that true?
-我们会大便失禁 -行了 - We might poop ourselves. - Okay.
没人提起过大便失禁 No one mentioned involuntary pooping.
-课程怎么样 -信息量很大 - How was the class? - Very informative.
-下一堂课什么时候 -没有下一堂了 - When's the next one? - There won't be a next one.
我们被赶出去了 We were thrown out.
我们的检测结果显示你没有心脏问题 None of our tests showed any issues with your heart.
你身体很好 You are in great shape.
那是什么导致了血压下降 Then what caused the blood pressure drop?
看来布朗医生说得没错 Dr. Browne must have been right.
是对麻醉剂的反应 It was a reaction to the anesthesia.
那我什么时候能出院 So, when can I get out of here?
当我们知道你能安全运用新的髋关节时 When we know you can get around safely on your new hip.
我们试试看 Let's do this.
小心 妈妈 这不是比赛 Careful, Mom. It's not a race.
亲爱的 世事都是比赛 Everything's a race, dear.
妈妈 Mom!
琴的髋完好 因此这不是她摔倒的原因 Jean's hip is intact, which means it didn't cause her fall.
没错 是因为血压 No, her blood pressure did.
琴跌倒的时候仍接受着血压监测 Jean was still being monitored when she collapsed.
她的血压急剧下降 Her blood pressure fell precipitously,
就像在手术时一样 just like in surgery.
突发低血压可能是脊髓肿瘤 Sudden hypotensive crisis could be a high spinal cord tumor.
或者颈动脉狭窄 Or carotid stenosis,
或者颈动脉窦过敏症 or carotid sinus hypersensitivity.
内分泌失调 Endocrine deficiency?
列个清单 逐个排除 Make a list. Start ruling things out.
在别的地方列清单 make a list somewhere else.
肖恩 Shaun!
来见见特蕾莎 Come meet Theresa.
她是个产妇陪护 我们正在谈 She's a doula, and we're talking about
她在分娩时帮助我的事 her helping me during my labor.
你好 Hello.
莉亚不需要产妇陪护 Lea does not need a doula.
我会帮她的 但还是谢谢你 I will be helping her. But thank you.
决定后告诉我 Let me know what you decide.
当然 谢谢你 Of course. Thank you.
肖恩 我对我们孩子的到来很兴奋 Shaun, I am so excited about our baby.
我也很害怕分娩 And I am so scared about delivering her.
会非常疼 还要持续几个小时 It's gonna hurt. It could go on for hours.
可能要一天 Possibly over a day.
我需要知道我能得到我想要的一切 And I need to know that I can have whatever I need --
合适的按摩力度 a massage at exactly the right pressure...
一只能让我用力捏的手 ...a hand to squeeze really hard,
凉的湿毛巾 a cool, wet washcloth.
或者热的湿毛巾 Or a warm, wet washcloth.
你能做到吗 Can you do that?
我能有更好的按摩技术 I can get better at massages.
当然 I'm sure you can,
但这些并不是你的强项 不是吗 but those aren't really your strengths, are they?
只是 我为失败做准备 It's...just a set-up for failure,
我知道我们都不想那样 and I know neither of us wants that.
当然 我们不想 No. We don't.
当然 Yeah.
朴医生 Dr. Park.
博伊德医生 Dr. Boyd.
我绝对不知道 I definitely do not know this
因为这是完全保密的 because it's completely confidential,
但假设你在治疗 but hypothetically, if you were treating
综合格斗明星布拉德利·瓦尔加斯 MMA rockstar Bradley Vargas,
而有一个十岁的患者 and if I had a 10-year-old patient
会因为一张他的签名照疯狂 who would go bananas for a signed photo...
我看看我能做什么 I'll see what I can do.
提前谢谢你的签名 Thanks in advance for the autograph.
这将会让一个十岁的孩子非常快乐 It'll make a 10-year-old's day.
-不 -什么 - No. - What?
她完全错了 She's all wrong.
她是佩德斯的居民 She's a Pedes resident.
他们善良 有教养 关心别人 They're all kind and nurturing and they care about things,
很显然她想要在家里 and she obviously wants you to keep
留有你所有的充电器 all your chargers at her house.
这不是你需要的 你需要乐趣 That's not what you need. You need fun.
给红头发的发短信吧 Text the redhead.
-什么红头发 -坎迪丝309 - What redhead? - Candace309.
把你的密码改成我猜不到的东西 Change your password to something I can't guess.
额叶和顶叶没有肿瘤 No tumors in the frontal or parietal lobes.
接下来我们应该检查一下脑干里的 Next we should check for a glial-based tumor
神经胶质肿瘤 in the brain stem.
用你最大的力气捏我的手 Squeeze my hand as hard as you can.
莉娅说她可能需要在分娩时捏我的手 Lea said she may need to do that during labor.
我想做好准备 I want to be prepared.
行了行了 够了 Okay. Okay, that's enough.
我们需要好好看看高颈髓 We need a better look in the high cervical cord.
莉亚对分娩很紧张吗 Is Lea feeling nervous about labor?
她认为需要产妇陪护帮忙 但实际上她不需要 She thinks she needs a doula to support her, but she doesn't.
你使劲捏我的手 You squeezed my hand very hard.
我能接受 I can take it.
我认为到时候 Mm, I think there's probably
可能会用力更多 肖恩 gonna be more to it than that, Shaun.
我还查了有抗菌功能的 I've also looked into antimicrobial options
毛巾 给她擦额头 for washcloths -- to wipe her forehead.
还要什么 What else?
我不知道 I don't know.
你也不知道 莉亚 医生 陪护都不知道 Neither do you, or Lea, or the doctor, or the doula --
这就是让人害怕的地方 That's what's terrifying about it.
那是人生中最重要的日子 It's the biggest day of your life,
你唯一能确定的 and the only thing you know for sure
就是有一个人要从你身体里面挤出来 is that another human is gonna force its way out of you.
高位颈髓没有问题 High cervical cord is clear.
呼吸 Breathe.
很好 就快生了 Good. You're almost there.
这间房的灯光条件太差了 The lighting in this room is very harsh.
我们没有请求手术咨询 莫菲医生 We didn't call for a surgical consult, Dr. Murphy.
我知道 我来研究研究 I know. I'm here for research.
来得不是时候 Well, this is a bad time.
下一次宫缩 你要用力 Next contraction, I need you to push.
好 Okay.
我很想听你分享一下 I am very interested in anything you can share
你的经验 about your experience.
你现在是什么感觉 What are you feeling right now?
就 就好像他要 Like...like he's trying to --
撕碎一切 rip out everything!
你现在后悔没有打无痛分娩针吗 Do you wish you had gotten an epidural?
没错 Yes!
现在太晚了 It's too late now.
请呼叫格拉斯曼医生 Please page Dr. Glassman.
莉亚想请个陪护 Lea wants to have a doula.
好 但你不想 是吗 Okay, and, uh...you don't?
研究显示有陪护的生产 Research shows that doula-assisted births
出现并发症的概率更低 生产时长更短 have fewer complications, decreased length of labor,
母乳喂养率更高 and increased breastfeeding rates.
所以你想请陪护 So, you do want a doula?
不是 N-no.
我能精确测出两次宫缩之间的时长 I can precisely measure the time between contractions
买到合适的毛巾 而且我已经设计了 and get the right washcloths and I've mapped out
从产房到餐厅 the fastest route from the OB floor
拿碎冰的最短路线 to the cafeteria for ice chips.
我不希望莉亚请陪护 I don't want Lea to have a doula.
但是 陪护是有好处的 But...they are good.
我按摩非常差劲 I am very bad at massages.
所以 你希望莉亚的需求都得到满足 So, you -- you want Lea to have everything that she wants,
但是你不希望她想找陪护 but you don't want her to want a doula?
是的 Yes.
怎么才能做到 How do I do that?
我不知道 I don't know.
就是 I just --
做不到 It can't be done.
就好比 你非常想要一件红色衣服 It's like you -- you want a red shirt really badly,
但必须是绿色 but it has to be green.
你为什么不直接满足她 Why can't you just give her what she needs?
好吧 Okay.
就这样 Good.
要先露出皮下的胸肌 We need to expose the underlying pec major.
朴医生 用显微切割针轻轻切开 Dr. Park, gently cut with MicroDissection Needle.
我真的该去健身了 I really need to join a gym.
我知道我不可能有这副身材 I mean, I know I'm never gonna look like "The Body,"
但至少可以试试「有身材」 but I could try to look like I have a body.
拉起皮瓣 注意别切得太薄 Raise the flap and be careful not to thin it too much.
布拉德利的整形很惊艳 但不是真的 Bradley's transformation is impressive, but it's not real.
力量 决心 努力 这些是真的 Strength, determination, hard work -- those things are real,
也值得为之奋斗 and worth striving for.
不能因此而否认其他一切 Not to the exclusion of all else.
我丢掉主任工作的那天 The day I lost my job as Chief,
整整一周 我每晚回家都是喝酒喝到睡着 I went home and drank myself to sleep every night for a week.
借酒浇愁总好过让老婆看到我哭 Better to drown my sorrows than to let my wife see me cry.
你离婚的时候 When your marriage fell apart,
是跟好朋友诉说你的伤心 did you tell a good friend that you were heartbroken,
还是长时间狠狠打某个东西来发泄 or did you just hit something really hard for a long time?
两种都可以 但是人不会两件事都做 Both are fine, but men don't do both.
我猜没有人在你走出来的时候说 I'm guessing no one told you you were a "real man"
你是个「男子汉」 但走出来所需要的勇气 when you came out, but that took a lot more courage
比在八角笼里被打要大得多 than getting pummeled inside of an octagon.
我没看见任何清晰的肿瘤边缘 I can't see any clear tumor margins.
肿瘤扩散到了影像上看不见的范围 The tumor extends beyond what was visible on imaging.
被植入的胸肌挡住了 It was obscured by the pec implant.
缝合 Close him up.
得让他醒过来 问他是否同意做乳房全切 We need to wake him and get his consent for a total mastectomy.
我还不能回家 I can't go home yet.
我还没弄清楚病人的病因 I still don't know what's wrong with my patient.
那你为什么叫我等 Then why did you ask me to wait?
这是给你的 This is for you.
好 Okay.
这个随时可以给你按摩肩膀 This will massage your shoulders whenever you want
力道准确 at exactly the right pressure.
有三个档位 还有震动模式 There are three settings and a pulsing option,
我觉得挺讨厌 which I think would be irritating,
不过看你自己 but it is up to you.
我戴上这个 你想握得多用力都可以 When I wear this, you can squeeze as hard as you want.
我也在锻炼我的毛巾忍耐力 Also, I have been building up my washcloth tolerance.
我能忍十五秒了 I am up to 15 seconds.
挺好的 肖恩 That's great, Shaun.
但是我已经决定要特蕾莎陪护 But I decided I want Theresa there for the birth.
会让我更有安全感 更舒适 It'll make me feel safer and more comfortable.
我能给你安全感和舒适感 I...can make you feel safe and comfortable.
我是孩子父亲 我会是个好父亲 I am the father. I am going to be a good father.
我知道 我也相信 I know that, and I believe that.
你不需要她 You don't need her.
可能不需要 但我希望有她陪护 Maybe not, but I want her there.
这是我的身体 我的生产体验 It's my body and my birth experience,
我想要有个陪护在我旁边 and I want to have a doula there with me,
这事就这么定了 so we're gonna have one.
我爱你 I love you.
我在家等你 I'll see you at home.
不到两周 所以不要太松懈 Less than two weeks away, so don't get too comfortable.
脑部和脊柱的核磁共振都显示正常 The brain and spinal MRI scans were clear.
你没有得肿瘤 You don't have a tumor.
少了一个担心 One less thing to worry about.
还有什么 What's left?
还有很多可能需要排除 There is still a very long list.
我要给你做颈动脉窦按摩 I need to perform a carotid sinus massage
来测试是否有超敏反应 to test for hypersensitivity.
我最近在练习按摩技巧 I have been working on my massage technique,
但是你可能晕过去 but you may pass out.
这样我们就能知道测试是否有效 That's how we know if the test worked.
脖子伸长 头向左转十度 Elongate your neck and turn your head 10 degrees away from me.
你生育的时候有陪护吗 Did you have a doula when you gave birth?
那时候根本没什么陪护 No one I know had a doula back then.
也没有豪华分娩套房和催眠呼吸法 Or fancy birthing suites or hypno-breathing
或是奢侈的三个月产假 or the luxury of three months off to recover.
这不是一种奢侈 妈妈 It's not a luxury, Mom.
这对妈妈和宝宝都很重要 It's important for the mom and the baby.
如果女性想要竞争 那就去争 If women wanna compete, then compete.
我们不能要求特殊待遇 We can't ask for special treatment
然后又抱怨竞争不公平 and then complain that the playing field isn't level.
我休息了一个周末 然后就回飞机上了 I got a long weekend, and then back in the plane.
我没得选 I didn't have a choice.
你有过选择 You had a choice.
屏气 谢谢 Stop breathing, please.
你一直很爱飞行 You always loved to fly.
可能胜过被困在地面跟我和爸爸一起 Maybe more than being stuck on the ground with me and Dad.
不要 No.
好了 Okay.
我不愿离开你们任何一个 I didn't like leaving either one of you.
我只是想让你看到我坚强的一面 I just wanted you to see me be strong
这样你就知道你也可以做到 so you knew you could be strong, too.
我做到了 I did.
感到害怕和虚弱 Being scared and weak,
我一直不确定那样对不对 I wasn't always sure if that was okay.
天哪 Oh, my God.
这种情况正常吗 Wait, is this what was supposed to happen?
不 不正常 No. This is not supposed to happen.
你需要完全切除乳房 You need a total mastectomy,
包括移除你的胸肌植体 including the removal of your pec implant.
但是通过训练 你的力量应该能够完全恢... But with training, your strength should fully re--
少了一边的胸 我是没法回八角笼的 I can't get back in the octagon with half my chest caved in.
-我会失去赞助的 -那就去找新的 - I'll lose my sponsors. - Then find new ones.
一旦大家知道你经历了什么 Once people know what you've been through --
你真的觉得我会让任何人知道我有乳腺癌 You honestly think I'm gonna let anyone know I had breast cancer?
有没有非手术选项呢 What about non-surgical options?
-化疗呢 -仅仅做化疗不是最好的疗法 - What about chemo? - Chemo alone isn't the best way to treat this.
不用是最好的方案 管用就行了 It doesn't have to be the best. It just has to work.
没法保证会有效 There's no guarantee it will,
考虑到肿瘤的侵袭性 and given the tumor's invasiveness,
不得不采用有毒性的 they'll have to use toxic --
怎么样我都能承受 I can take whatever you throw at me.
但我不会做手术的 But I'm not having surgery.
脑电图结果正常 EEG results are normal.
你没有癫痫病史 You've never had a seizure before,
但可能是被遗漏了 but it's possible one was missed.
癫痫分很多种 There are many different types.
琴有过两眼发直 变得毫无反应的经历吗 Does Jean ever stare off, become non-responsive?
没有 No.
没有 但是在洗手间有过一个小插曲 No. But there was that one "bathroom episode"?
爸爸去世之后 我过来和你一起住的时候 When I came to stay with you, after Dad died.
那没什么 Oh, that was nothing.
那时很晚了 她看着电视睡着了 It was late and she fell asleep watching TV.
她起身上厕所 突然头晕 She got up to use the bathroom and got light-headed
然后差点昏倒 and then almost fainted.
我觉得我只是累了 I think I was just exhausted.
后来又发生过吗 Did it happen again?
几乎没有 Uh, hardly ever.
在过去几年只有几次 A couple times, over the last few years.
在你的病历里没有提到这个 There is no mention of this in your medical record.
我告诉过我的内科医生 I told my internist.
他说一些更年期女性会有这个症状 He said it happens to some women during menopause.
你还有其他由更年期 Have you experienced other symptoms
引起的症状吗 that were attributed to menopause?
当然 Of course.
告诉我有哪些 什么时候开始的 Tell me what they are and when they started.
我有些便秘和睡眠问题 Um, I think I had some constipation and sleep issues.
-什么时候 持续多久了 -我不知道 - When? How long? - I-I-I don't know.
我不记得了 I don't remember.
我告诉医生 他跟我说不用担心 I-I told my doctor, and he told me not to worry about it.
他跟我说别在意 我照做了 He told me to forget about it, so I did.
威廉姆斯夫人 Mrs. Williams.
我有个十分紧急的问题 一定要跟你谈谈 I have an urgent problem I have to talk to you about.
得等轮到你再说 你是 You'll need to wait your turn, Mr., uh --
我是肖恩·莫菲医生 I am Dr. Shaun Murphy.
我需要一些关于琴·斯塔扎克的答案 I need answers about Jean Starzak.
她曾经是你的病人 现在是我的 She was your patient. Now she is my patient.
莫菲医生 如果你能等等 我们可以私下聊聊 Dr. Murphy, if you can wait, we can talk in private.
好 行 Okay. Yes.
你漏记了很多琴的症状 You failed to chart many of Jean's symptoms --
便秘 睡眠障碍 constipation, sleep disturbances,
潮热 性欲减退 hot flashes, reduced libido.
她不确定是否记得所有的症状 She's not sure she remembers all of her symptoms
或者它们开始于何时 所以我们没法弄明白 or when they began, so we cannot figure out
她到底怎么了 what is wrong with her.
听起来像是更年期 Sounds to me like she's in menopause.
你是个很棒的诊断专家 威廉姆斯夫人 You're a talented diagnostician, Mrs. Williams.
不 她不是 No. She's not.
更年期没法解释她最近的血压问题 Menopause doesn't explain her recent blood pressure issues.
斯塔扎克夫人的病历 谢谢 Mrs. Starzak's chart, please.
上面没写 It's not in there.
她提到了几次夜间眩晕的经历 And she mentioned several episodes of nighttime dizziness,
我认为是癫痫 which I believe were seizures.
这里记录的足以让我想起 What is in here is enough to remind me that
眩晕是由于更年期 the dizziness was menopause --
排尿晕厥 而不是癫痫 Micturition syncope, not seizures.
血压问题也早就有了 And the blood pressure issue isn't new.
但也只能说明 But also isn't a symptom of anything
她对于强迫性退休很焦虑 besides her anxiety about forced retirement.
不是 It wasn't...
她在手术时发作了 I know it happened during surgery.
她不紧张 而是无意识的 She wasn't anxious. She was unconscious.
我的女儿是永远不会来找你看病的 My daughter is never coming to see you.
症状 血压降低 髋/关节疼痛 可能原因
根据《临床内分泌学》的这篇文章 According to this piece in "Clinical Endocrinology",
琴的症状很像是阿狄森氏病 Jean's symptoms match pretty well with Addison's disease.
她没有色素沉着过度 She doesn't have hyperpigmentation,
或者体重下降的症状 or weight loss.
-不是所有的病例都 -皮质醇水平正常 Not all cases presented with -- Cortisol levels are normal.
最近有几个病例研究 There have been several recent case studies
把甲状腺功能减退和术后的低血压症状联系起来 correlating hypothyroidism with low post-op BP.
琴的促甲状腺激素很高 Jean's TSH is borderline high.
但是她的甲状腺荷尔蒙在正常范围内 But her thyroid hormone is in the normal range.
那是睡眠呼吸暂停症吗 What about sleep apnea?
我读到有个病例有血压骤降的症状 I read about a case involving BP crashes.
有趣 That's interesting.
琴不是典型的暂停症身体类型 Mm, Jean's body type isn't typical with apnea,
但我们可以问问她是否打呼噜 but we could ask about snoring.
我想看看那个病例的资料 I would like to see that case literature.
这不是一个常规的病例记录 It's not a conventional case write-up.
是我在红迪网[投票网]上看到的帖子 I saw a post on Reddit.
哪个小组 What subgroup?
妇女健康社区 The women's health community.
这是不科学的 It's not scientific.
完全不科学 这没用 At all. It's not helpful.
但这些也不是 But neither is this.
这里什么都没有 There is nothing here.
医疗机构没有研究这些事 The medical establishment isn't looking into this stuff.
是像琴这样被忽视的女人 It's ignored women like Jean,
她自己的医生都没有记录她的症状 as demonstrated by her own doctor not charting her symptoms.
确实如此 但依靠帖子收集证据 That is true, but is still a bad idea
仍然是个坏主意 to rely on anecdotal evidence.
我同意你的看法 I agree with you.
如果你有更好的主意 我很乐意接受 If you have a better idea, I am happy to go with it.
继续检索红迪网 Keep checking Reddit.
克莱尔 你能看看社交媒体的帖子吗 Claire, can you look at social media postings?
我去看看博客 I'll check out the blogs.
你更改了个人资料的照片 You changed your profile picture.
-太难看了 -‭它看起来像我 - It sucks. - ‭It looks like me.
我又没有把你的头安到别人身上 It's not like I photoshopped your head on someone else's body.
如果我要贩卖自己 If I'm gonna sell myself,
我至少想贩卖真实的我 I at least want to sell who I actually am.
回复你帖子的女人才不在乎真实的你 The women who answer your posts don't care who you actually are.
根据这张照片 我觉得是你不知道自己是谁 And based on this photo, I don't think you know who you are.
你在读普鲁斯特吗 You're reading Proust?
一旦昂丹司琼生效 你应该会开始感觉好些 Once the ondansetron sets in, you should start feeling better.
正好赶上你的下一轮化疗 Just in time for your next chemo session.
我会坚持过去的 I'll get through it.
我相信你会的 I know you will.
但并不意味着你应该坚持 Doesn't mean you should.
太蠢了 It's dumb.
你表现得像个白痴是因为 You're acting like an idiot because you're less afraid
比起数月的疼痛和恶心 你更担心被曝光 of months of pain and nausea than being exposed.
你营造了一个完美的门面 You've constructed a perfect facade,
而为了保持这个门面 你会害死你自己的 and you're gonna kill yourself trying to preserve it.
但是坚强与保持「健康躯体」无关 But being strong has nothing to do with being "The Body."
跟我的粉丝们 Tell that to my fans.
和我的赞助商说去 My sponsors.
我想你应该告诉他们 I think you should.
告诉他们这些都不能让你成为男人 Tell them none of this makes you a man.
现在的你和当初那个 You were just as brave and strong
胖胖的 受到霸凌但是决心改变的小孩 back when you were a fat, bullied little kid
一样的勇敢 that decided to make a change.
那孩子不需要别人告诉他 That kid didn't let other people tell him
他会是什么人或者他能做到什么 who he could be or what he was capable of.
现在的你不要让他失望 Don't let him down now.
安排手术 Schedule the surgery.
这个女人说她有慢性低血压 This woman says she had chronic low blood pressure
而她的医生把这归咎于她的「减肥癖」 and her doctors blamed it on her "weight loss obsession".
结果她得的是充血性心力衰竭 Turned out she had congestive heart failure.
这个女人的癫痫是由于怀孕引起的 This woman's seizures were attributed to her pregnancy.
她看了四个医生 She was on her fourth doctor
才被正确诊断出癫痫 before they correctly diagnosed her epilepsy.
我有发现 I got something.
这个女人和琴有着同样的症状 This woman spent years with the same symptoms as Jean,
多年后才被诊断为 before she was diagnosed.
帕金森病 Parkinson's Disease.
你恢复得很好 病理结果显示边缘干净 You're healing well. Pathology results show clean margins.
你应该完全恢复体力 You should regain full strength
然后几个月内就能回到八角笼 and be back in the octagon in a few months.
非常感谢 Thank you.
我想给你们看一些东西 There's something I wanna show you.
「我的下一场战斗是乳腺癌」 "My Next Fight is Breast Cancer."
超过百万的浏览量 和一些鼓舞人心的评论 Over a million views, with some very encouraging comments.
有几个你会想让他们闭嘴 A few you will want to mute.
还有一群超级喜欢伤疤的女人 And a bunch of women who are really into scars.
检查证实你患有帕金森病 The test confirms you have Parkinson's Disease.
我们认为它多年来一直在恶化 We believe it's been progressing for a few years.
你的髋部疼痛可能是初发症状 Your hip pain may well have been the first indicator.
我还能飞吗 Can I still fly?
恐怕不行 I'm afraid not.
我们如何治疗它 How do we treat it?
不幸的是 延迟诊断 Unfortunately, the delay in diagnosis
使得症状加剧 has allowed the symptoms to intensify,
我们无法扭转这种局面 and there is nothing we can do to reverse that.
你应该还有好几年可以自主活动 You should still have several more years of decent mobility,
我们也可以通过药物来控制症状 and we can help manage the symptoms with medication.
我们给你们两个点时间 We'll let you two have some time alone.
我想回家 I'd like to go home.
你能 Can you, uh...
你能去看一下如何让我出院吗 Can you see about getting me discharged?
汤丽 请你离开 Tory, please go.
不 妈妈 No, Mom.
会没事的 It's okay.
你的手机电量如何 How's your phone battery?
因为我家有个充电器 'Cause there's a charger at my place.
是时候抛弃这个隐喻了 It's time to retire that metaphor.
我很忙 I'm busy.
你是对的 You were right.
我有依恋倾向 这没什么错 I'm attachment-prone, and there's nothing wrong with that.
只要我和同样的人在一起 As long as I'm with someone who feels the same way.
我找到了那个地方 I found the place.
弗兰尼根人 牡蛎 定价过高的印度淡啤酒 Flannigans. Oysters. Overpriced IPAs.
三个大屏的比赛 The game on three big screens.
完美 Perfect.
明天见 See you tomorrow.
我希望我们的女儿能得到她想要的一切 I want our daughter to have the chance to have everything she wants,
我也希望你能得到你想要的一切 and I want you to have the chance to have everything you want.
但我做不到 But I can't.
只靠我自己做不到 Not by myself.
我不擅长按摩没关系 It's okay that I am bad at massages.
她会处理的 She will handle them.
谢谢你 Thank you.
你们两个觉得乳香精油怎么样 How do you two feel about frankincense oil?
不用了 谢谢 No, thanks.
莉亚 Lea...
这个世界对女人来说更难 the world is harder for women.
我想改变 但我不知道怎么做 I want to change that, but I don't know how.
通过成为我们女儿的好爸爸 By being an amazing dad to our daughter.
通过让她知道她被爱和支持 By letting her know that she's loved and supported.
我们会让她变得更强 We'll raise her to be strong.
像你一样 Like you.