投票支持266号提案
二六六 二六六 266! 266!
一个小时而已 It's just an hour.
其实是一个半小时 Which really means an hour and a half,
也就是说等我们到杰森家的时候 which means by the time we get to Jason's,
-派对已经结束了 -才不是什么派对 - the party will be over. - It's not a party.
只是四个男孩子吵着谁来打 It's four boys arguing over who's gonna play
「使命召唤之战争」而已 "Call of Duty's Warfare."
而你将学习到如何使用 Meanwhile, you're gonna be learning how to exercise
第一修正案赋予你的权利 your First Amendment rights.
向着车流挥舞标语就行了吗 By waving signs at cars?
而且是「使命召唤」冒号 And it's "Call of Duty" -- colon --
「现代战争」 "Modern Warfare."
看到标语的人 Everyone who sees our signs
都会知道他们并非孤军奋战 knows that they're not alone,
人多就有了话语权 and when we have numbers, we have a voice.
我们能被听到 We are heard.
我现在就听得挺清楚 At least someone's being heard.
这就是民主 伊森 它能改变世界 This is democracy, Ethan -- making a difference.
变革就是这样发生的 This is how change happens.
变革一点也不好 Yeah, well, change sucks.
现在十点半 It's 10:30.
十一点四十五之前把你送到杰森家 好吗 I will have you at Jason's by 11:45, okay?
我看到一个停车位 Ooh, I see a spot.
有没有搞错 Really?
为什么让给她 Why'd you let her in?
不然那个蠢货会撞上我们 Because the idiot would've smashed our car.
我们还是去买奶昔吧 怎么样 How about we go get milkshakes instead, hmm?
可是我花了三个小时做标语 But I spent three hours making signs.
那边 那边有车位 Ooh, there! There's a spot!
投票支持266号提案
二六六 二六六 266! 266!
棒 Sweet.
出现任何情况我们马上就走 明白吗 Any hint of trouble, we are leaving, got it?
真会鼓励人 妈妈 很有文斯·隆巴迪风范 Inspiring speech, Mom. Very Vince Lombardi.
美国职业橄榄球联赛教练
我看过他的全息影像 I saw his hologram.
这是你的专属手环 Oh, here's your very own wristband.
团结一心 Solidarity!
加油 Yeah!
等待区
对 已经做了手指取血 Yes, they already did the finger prick
还让我喝了一坨粘液 and gave me the gloop.
那是五十克的葡萄糖溶液 It's a 50-gram glucose solution.
就是粘液 味道也很恶心 It was gloop, and it tasted awful.
粘液检查不出你是否有妊娠期糖尿病 Gloop wouldn't tell us if you have gestational diabetes,
它还可能导致妊娠高血压 先兆子痫 which is associated with hypertension, preeclampsia,
和早产 宝宝也可能出现 preterm labor, and for the baby,
呼吸系统的问题 以及过度肥胖 respiratory issues and obesity.
我们先拿到检查结果 Before we buy jumbo baby clothes,
再买大号婴儿衣 好吗 let's get the test results, okay?
好 短信告诉我 Okay, will you text me when --
这是怎么回事 What's this?
我们得知至少两人受到枪击 We know at least two people have been shot,
但对他们目前的状况一无所知 but we have no information on their status.
据目前报道 集会 By all reports, the rally
离这儿不到1.6公里 That is less than a mile from here.
尽管现场有 ...despite the presence
不少反对抗议者 of some counter-protesters.
但就在约二十分钟前 有目击者声称 But just about 20 minutes ago, what witnesses described...
我要去急诊室了 立刻 I have to go to the E.R., STAT.
一名乘客向人群开火 the passenger opening fire.
请保持通道畅通 自动门 当心
九岁男童 胸口和腹部 9-year-old boy with multiple gunshots
多处枪伤 to chest and abdomen.
注射三次肾上腺素 无脉电活动 He took three rounds of epi, still PEA.
六号创伤区 检查基本生命体征 Trauma Bay 6. Checking ABCs.
亚舍 加压 克莱尔 评估伤口 Asher, taking over compressions. Claire, assess wounds.
你是他的妈妈 You're the mom?
-他叫什么名字 -梅森 - What's his name? ‭- Mason.
梅森 知道了 Mason, got it.
左胸穿入伤 Entry wound left chest.
紧邻心脏上方 Right over his heart.
需要开胸吗 Emergency thoracotomy?
二十号刀 20 blade.
我们会照料好梅森的 We'll take good care of Mason,
现在需要您离开 but right now, you need to go.
-我做不到 -马上 - I can't. ‭- Now.
肋骨开展器 Rib spreader.
有血液喷溅 We got a pumper.
什么也看不到 抽吸 I can't see a thing. Suction.
右心室穿孔 我用手指堵住了 Hole in right ventricle. I got my finger on it.
血止住了 That's stopped the bleed,
但我们必须让心脏恢复跳动 but we gotta get the heart pumping normally again.
导尿管 Urinary catheter.
插入穿孔处 Stick it in the hole,
在心室内吹大气球 inflate the balloon inside the ventricle...
这样穿孔就堵上了 and occlude the hole.
心跳恢复正常 And we've got a regular heartbeat.
输红细胞和血小板 Red cells, platelets transfusions.
推进手术室 Let's get him to the O.R.
真不错 布朗医生 Very good, Dr. Browne.
儿童头部中枪 Kid took one gunshot to the head,
路上已经不省人事 became unresponsive en route.
已经插管 Intubated him.
心动过缓 He's bradycardic.
瞳孔放大 Pupils are blown.
胸骨按压无反应 No response to sternal rub.
这孩子的脑子往外渗 And the kid's leaking brain.
格拉斯哥昏迷指数 3T Glasgow Coma Scale -- 3T.
注射0.1%的甘露醇 One gram per kilo Mannitol,
0.005%的左乙拉西坦 50 milligrams per kilo Keppra.
头部抬高三十度 人工通二氧化碳 Elevating head 30 degrees and bagging down his CO2.
好了 推入二号手术室 Alright, let's take him -- O.R. Two.
良 医
第四季 第十五集
已确认枪击受害人 And we can now confirm that the shooting victims
为两名男童 据目击者描述 were young boys, witnesses describing them
两人都不超过十岁 as both under 10 years of age.
据描述 其中一人在胸部和腹部 According to accounts, one was shot several times
遭受多次枪伤 in the chest and abdomen,
另一人则至少在头部受到一次枪击 the other shot at least once in the head.
受害者为儿童 令人难以接受 The fact it was children who were shot is devastating news.
原本平静的街道 And so we have yet another day
再次被暴力打破 in an otherwise peaceful community erupting in violence,
遗憾的是 这样的暴行 the kind of atrocity that has sadly become
已经太过普遍 all too commonplace.
这一点也让这次袭击 And that only makes this attack
变得更加残酷 且毫无意义 even more tragic and senseless.
我们仍在等待最新消息 We are awaiting updates and will let you know
将及时与您分享 as soon as we have any --
肝脏撕裂已处理 Fixed the liver laceration.
摘除脾脏 Let's get the spleen out of there.
右心室缝合 Suturing the right ventricle.
下面要切开左脑室了 Next up is left ventriculotomy.
还剩支气管伤 All that'll leave is the bronchial injury,
横膈膜撕裂 室间隔缺损 the diaphragm tear, the VSD,
以及肠部空腔脏器伤 and the hollow-viscous bowel injury.
血压急速下降 B.P.'s dropping fast.
我们要用到所有的O型阴性血 We're gonna need every unit of O-neg
或相容血型的血液 or compatible blood.
你是手术病人的家属吗 Do you have someone in surgery?
不是 N-No.
我只是来做检查的 I'm just here for a test.
-威尔基太太 -什么事 - Mrs. Wilkie? - ‭What is it?
巴朵太太 And Mrs. Bardo?
怎么样了 What happened?
没事 只是需要填写这几份表格 Nothing. I just need you to fill out these forms.
表格 Forms?
没办法的事 Necessary evil.
带医保复印件了吗 Do you have copies of your insurance cards?
没有 应该是放在家里了 Uh, no, I must've left mine.
我在医院信息技术部工作 I work here in I.T.
-我来帮他们完成表格 -谢谢 - I'll help them with the forms. - Thank you.
大脑情况不乐观 This is not a happy brain.
尽力清理吧 Let's clean out as much as we can.
头皮 毛发 头骨碎片 Scalp, hair, skull fragments.
别忘了还有弹片 And let's not forget bullet shrapnel.
超声仪 Ultrasound.
我在找深层的弹片 I'm looking for any deeper bullet fragments.
大脑突出 Brain's herniating.
二氧化碳水平正常 CO2 is normal.
是炎症风暴吗 Is he storming?
心率过缓 Heart rate's way too low.
我们需要卸下整块右侧颅骨 We need to take off his entire right skull.
用B1号钻头 Drill with B1 bit.
姓名首字母写在这里 Uh, initial there.
这里签字 And sign here.
谢谢 Thank you...
莉亚 Lea.
那应该就是另一位妈妈 I-I think that's the other mom.
我是卡丽娜 I'm Carina.
你也在 Were you...
集会现场吗 at the rally?
是的 我是塔伦 Yeah. I'm Taryn.
梅森九岁 Mason's 9.
伊森八岁半 Ethan's 8 1/2.
他们会没事的 They'll be fine.
一定会的 I know it.
你跟他们是一伙的 You're one of them.
他们 Them?
离我远点 Get away from me.
人们无法平和地表达观点 It is so sad that people can't express
真是太悲哀了 their views peacefully.
右翼人士容不下不同意见 不管政治上 The right is so intolerant of political differences --
还是别的方面 any differences.
我觉得两边都有偏激的人 I think there's some intolerances on both sides.
说得好像两边都有好人一样 Oh, like there are good people on both sides?
如果我说我是全国步枪协会的一员呢 What if I told you I belong to the NRA?
我会认为你是为了证明你的观点 I'd think you were saying that to make a point.
大概五年前 我老婆和我 About five years ago, my wife and I
去了一家位置很偏的人气餐厅 went to a very trendy restaurant in a very shady part of town,
我们回车上的时候 被人持枪抢劫 and on our way back to the car, we were mugged at gunpoint.
第二天 我就给我们俩都买了手枪 The next day, I bought us both handguns.
我是个正式成员 I'm a card-carrying member.
我给特朗普投了票 I voted for Trump.
少来 Too soon.
我说真的 I'm serious.
我喜欢他对以色列的态度 I liked his stand on Israel.
但是我没跟人说起过 But I've never told anyone
因为我肯定会被鄙视的 because I'd be absolutely vilified.
就该被鄙视 特别是你 As you should be, especially you.
失血 血压低 Pooling up. He's hypotensive.
乳酸增多 Lactate's rising.
好 红细胞比容降到十七了 Okay, crit's down to 17.
我们可以给他做深低温 We could put him into deep hypothermia.
不行 低温只会加重他的凝血障碍 No, the low temp would only worsen his coagulopathy.
他要的是输更多血 He just needs more blood.
我们已经用掉了血库里大部分的 We've used up most of the O-neg and A-neg
-阴性O型血和阴性A型血 -联系其他医院 - from the blood bank. - Start calling other hospitals now.
你真的投给特朗普了 You actually voted for Trump?
一次 Once.
然后呢 你 你 And then what? You -- You --
你突然发现 You suddenly discovered
他就是自己口中的那种人 he was exactly who he said he was?
我感觉你不是想要答案 I don't feel like you want an answer.
而是想要个道歉 I feel like you want an apology.
这有点改变了我对你的看法 This kind of changes how I feel about you.
什么意思 What does that mean?
你是说就因为一个投票 You're saying you don't respect me,
你就看不起我了 我们就不能当朋友了 we can't be friends because of a vote?
这不仅仅是个投票 It is more than a vote.
对 这还是我所行使的基本权利 Yeah. It's a fundamental right that I exercised.
这也有点改变了我对你的看法 This kind of changes how I feel about you.
如果我对于改善生活的最好方式 If I can't have a political opinion
不能有自己的政治观点 about the best way to improve all our lives --
你觉得有谁的生活变好了吗 Do you think anybody's life got better?
行了 That's enough.
你没事吧 Are you okay?
修复工作差不多了 The repairs are almost finished.
两三个小时内可以完成 We can be done with this in two or three hours.
血液刚好足够 We have just enough blood.
我们想做的话是可以 That's if we want to.
巴朵太太 Mrs. Bardo?
怎么样 What is it?
我们修复了你儿子心室的两处枪伤 Uh, we fixed two holes in your son's ventricles.
切除了他的脾脏 修复了肝脏 We've removed his spleen and repaired his liver,
但他还在手术中 but he's still in surgery.
你儿子失血很多 Your son has lost a lot of blood.
我们在给他输血 但 We're giving him transfusions, but
失血可能导致他大脑受损 the blood loss may have caused damage to his brain.
如果大脑没事 If his brain is fine,
我们就继续 then we should push on,
但如果大脑受损 but if his brain isn't fine,
那么 继续手术可能会致死 then...continuing the surgery could kill him.
但是 我们在手术室 Unfortunately, we can't accurately assess
无法准确判断大脑功能 for brain function in the O.R.,
所以我们要让他醒来 so we would have to wake him up
做一个传统的神经检查 and do a traditional neuro exam.
你们要她做决定吗 You need her to decide that?
为什么要把难题给她 Why put that on her?
你们才是医生 You guys are the doctors --
叫醒他 Wake him up.
如果你们叫醒他 我可以在旁边 对吗 If you wake him up, I can be there, right?
可以 You can.
但是他会意识不清 神经紧张 But he will be confused and stressed.
他的腹部切口还敞开着 His belly will still have to be open --
我丈夫两年前死于车祸 My husband died in a car accident two years ago.
我没能和他告别 I didn't get to say goodbye.
这不是告别 This is not goodbye.
-这个决定不应该基于... -请你们 - This decision should not be based on -- - please.
叫醒他 Wake him up.
好的 跟我们来 Okay. Come with us.
为什么没有人给我任何通知 Why haven't I heard anything?
大脑情况看起来好些了 The brain looks more relaxed now.
有好多血块 There are a lot of clots.
凯兰也踢足球吗 Kellan play soccer?
我没事 I'm fine.
两个孩子中枪了 我们都好好的 Two kids shot. We all are.
你不应该来这里 You're not supposed to be here.
我知道 非常抱歉 I know. I am so sorry.
孩子没事吧 你拿到检查结果了吗 Is the baby okay? Did you get your test results?
没有 不过我没事 孩子也没事 No, but I'm fine. The baby's fine.
这个男孩怎么样 How's the boy?
你不能来这里 我们也不能告诉你 You can't be here, and we can't tell you.
我和一位心急如焚的母亲一起坐在等候室 I'm sitting in a waiting room with a terrified mother.
得有人告诉她他在接受治疗 Somebody needs to tell her he's being taken care of.
威尔基女士 我是肖恩·莫菲医生 Mrs. Wilkie? I'm Dr. Shaun Murphy --
我儿子没事吧 Is my son okay?
好吧 我们已经成功取下了 Okay, we have successfully removed
你儿子的一半头骨 以减缓颅内压 half of your son's skull to reduce brain pressure.
我们去除了血块 碎骨 We've removed blood clots, bone chips,
还有子弹碎片 and bullet fragments.
但我们还在尝试找到 But we are still trying to find
在他脑部位置更深 不易取出的弹片 the less accessible and deeper chunks of the bullet in his brain.
我能见见他吗 Can I see him?
当然不行 他在做手术 Of course not. He's in surgery.
我们只是有必要让你知晓他的情况 We...just needed to let you know his status.
抱歉 I'm sorry.
梅森 Mason
你看着我的手指 好吗 I need you to follow my finger, okay?
你能动一动脚趾吗 Can you wiggle your toes for me?
你的小脚丫子 Your little piggies?
你的测试表现太棒了 梅森 You're acing this test, Mason.
你能再握一下我的手指吗 Now can you squeeze my fingers?
就试试握拳 Just try to make a fist.
不必太用力 只要轻轻握一下 Doesn't have to be hard, just a little squeeze.
好 没事的 Okay, no, that's okay.
梅森 看看我 Hey, Mason, look at me.
你会没事的 宝贝 You're gonna be okay, pumpkin.
什么事都不会有 Everything's gonna be okay.
右侧大脑中动脉M3段有一个凹口 There's an indentation on a right M3 segment branch artery.
也就是说更深处还有碎片 That suggests the presence of a deeper fragment.
不错 Nice catch.
是 但我不确定怎么才能取出来 Yes, but I'm not sure how we get it out.
伊森的生日是什么时候 When was Ethan's birthday?
十月 October.
只有我们三个 It was just the three of us.
我们有一只黄金贵宾犬 叫得宝 We have a goldendoodle named Derber.
伊森想邀请几个朋友来家里 Ethan wanted to invite a couple of friends over,
但是我说不行 不安全 but I said no, it wasn't safe.
他想叫两个朋友 He wanted two friends.
他有很多朋友 我却连两个都不许 He has like 100 of them and I said no to 2.
感觉现在伊森和我只会吵架 Feels like all Ethan and I ever do now is fight.
小孩子不需要父母当他们的朋友 Children don't need their parents to be buddies.
他们需要管束 规矩 They need limits, structure.
你没有孩子 对吧 You don't have kids, do you?
他会带着对我的恨死去 He'll die hating me.
塔伦 你不能这么想 Taryn, you cannot think like that.
我们找到了最后一块弹片 We found the last bullet fragment.
位置深但是稳定 It's deep but stable,
所以不太可能引起进一步的脑部损伤 so it is very unlikely to cause further brain damage,
失血 或者痉挛 bleeds, or seizures.
我们应该把它留在原处不动 We should leave it where it is.
你们想把一块弹片留在我儿子的脑内 You want to leave a bullet in my son's brain?
取出来的话 有很高的风险 Removing it comes with a high risk
会划伤重要脑血管 of lacerating key brain vessels.
你可以信任他们 You can trust them.
他们是我认识的最好的医生 They're the best doctors I've ever known.
好 Okay.
留在里面 Leave it in.
你见到梅森了吗 Did you get to see Mason?
他们在做进一步检查 They're doing more tests.
但我知道他会没事 But I know he'll be fine.
会的 He will.
梅森喜欢什么运动吗 Does Mason play any sports?
篮球 Basketball.
他是队长 Team captain.
喜欢管理别人 Likes to be in charge.
很早熟 So mature for his age.
我丈夫死的时候 When my husband died,
是梅森支撑我度过的 it was Mason who kept me going.
每天早上给我带咖啡 Brought me coffee every morning,
打开我房间的窗帘 opened my curtains,
帮我起床 helped me get out of bed.
我也是单亲妈妈 I'm a single mom, too.
太难了 对吧 Helluva day to be one, isn't it?
你丈夫什么时候没的 When did you lose your husband?
我们两年前离婚了 We divorced two years ago.
不是和平分开的 But not amicably.
离婚 Divorced.
我知道不一样 但 I know it's not the same, but --
我亲眼送走了我丈夫 I buried my husband.
你的确是以最坏的方式失去了丈夫 You lost him in the worst possible way, yes.
但是你应该没有失去一半的朋友 But I doubt you also lost half of your friends,
自尊 还有 your self-respect, and
儿子的爱 the love of your son.
你应该从未体验过亲口对儿子说 I doubt you ever had to tell your son
爸爸再也不会回家了 that Daddy was never coming home again.
听着 我无意... Look, I didn't mean to--
你觉得你了解我 You figured you know me.
你经历过痛苦 You've experienced pain,
所以你能理解别人经历过的所有痛苦 so you understand all the pain everybody else has ever felt.
-我理解痛苦... -闭嘴吧 - I understand pain-- - Shut up.
行吧 Right.
有人跟你意见不同你就让人家闭嘴 Someone disagrees with you and you shut them up.
你就不能让我们平静地发表意见 You couldn't let us wave our little signs in peace?
你非得过来大声喝止我们 You had to come shout us down,
喝止没用时你还得杀人灭口 and when that didn't work, you had to shoot us?!
-怎么样 -怎么样 - Yes? ‭- Yes?
你先说吧 You can go first.
为什么 Why?
我是出于礼貌 I'm being polite.
谁先听到他们的消息都一样 It won't make any difference who hears their news first.
我们认为应该不存在脑损伤 We don't think there is any brain damage.
我们准备把他推回手术室 以完成修复 We're gonna take him back to the O.R. to finish the repairs.
太好了 谢谢你 Wonderful. Thank you so much.
应该的 Of course.
我们不得不取下伊森的头盖骨 We have to leave Ethan's skull off
等到他的脑部消肿之后再放回 until his brain swelling has gone down,
消肿可能会要几天时间 which could be a couple of days from now.
甚至几个月 Or months.
我们把他转入了重症监护室 We've moved him to intensive care.
你现在可以去看他 You can see him now.
他小时候 我很爱看他睡觉 When he was a baby, I used to love watching him sleep.
他只有睡觉时才能安分一点 It was the only time he wasn't bouncing off the walls.
只有那时我才能就那么看着他 The only time I could just look at him.
长大些后 When he was older,
他要是发现我在盯着他看 if he caught me watching him,
他会说我很奇怪 he would say that I was weird, and...
我就告诉他 他有多好看 I just told him how beautiful he was.
而那只是让我看起来更奇怪 And that only made me weirder.
但他... But he is...
真的很好看 so beautiful.
他的眼珠动了 眼珠动了 His eyes moved. They moved.
他在看我 这是好事 对吧 He's looking at me. That's good, right?
是的 Yes.
不对 他没有在看你 No, he's not looking at you.
他的眼睛偏向了右侧 His eyes are deviating to the right.
那是什么意思... What does that...
他在捏我的手 He's squeezing my hand.
伊森 宝贝 妈妈在呢 Ethan, honey, Mommy's here.
-他有多用力 有在更加使劲吗 -是的 - How hard? Is it getting firmer? - Yeah.
上劳拉西泮 加大丙泊酚剂量 Ativan. Increase propofol,
我们要做个CT 还有脑电图 and we need a C.T. and an E.E.G.
他局灶性癫痫发作了 He is having a focal seizure
发作于左脑 which is originating in the left side of the brain,
但左边大脑没有受损 这很奇怪 which wasn't the damaged side, which is very strange.
弹片一定是移位了 The bullet fragment must've migrated.
没有取出来是个错误 It was a mistake to leave it in.
他癫痫了 He's seizing.
他明确说过如果不取出子弹 This is exactly what he said wouldn't happen
也不会发生癫痫 if we left the bullet in.
明确说过 Exactly.
我相信他会有办法的 I'm sure he'll figure out what to do, and--
您有谁的消息 Who do you have news for?
蒂拉洛女士 Ms. DiLallo?
是好消息吗 Good news?
没什么 Oh, it's nothing.
你有权开心 It's okay for someone to be happy.
我怀孕了 I'm expecting.
检查结果一切都好 And all's good.
我在平安夜生的孩子 I gave birth on Christmas Eve.
所有的护士都在唱圣诞颂歌 All the nurses were singing carols.
肯尼开玩笑说 Kenny joked that the only thing missing
就差三位智者了 were the three wise men.
真是做作又荒谬 It was hokey and ridiculous.
但也很神奇 But it was magical.
伊森早产了三周 Ethan was three weeks premature.
我们在享受最后一个愉快的周末 We were having just one last fun weekend,
我们的二人世界 但伊森大概不乐意 the two of us, and I guess Ethan didn't like that idea,
所以我在一间汽车旅馆里生下了他 so I gave birth in a motel room
离我的产科医生十万八千里 300 miles from my OB.
我们给打扫房间的人留了一大笔小费 Left a really good tip for housekeeping.
这太奇怪了 It's very strange.
我的决定错了 I was wrong.
这非常 非常奇怪 It's...very, very strange.
不 你没有错 No, you weren't.
弹片没有移动 The fragment's still stable in location,
没有压迫大脑中动脉 没有新的出血点 no severe compression on MCA, no new bleeds.
那说明我们漏了什么别的 That just means we missed something else.
那里 There.
做左丘脑深处 Deep in the left thalamus.
我没有错 I wasn't wrong.
是你的错 You were.
你没注意到这里 You missed it.
不不 我没有错 No. No, I wasn't wrong.
哪里还有弹片的话我一定会注意到的 I would've noticed another fragment.
看 There.
八小时前那里什么都没有 There was nothing there eight hours ago.
好吧 所以... Okay, so...
它是新出现在这个位置的 it's just new to this location,
也就是说它移动过了 which means it's moving.
根据它的移动路径 And based on its trajectory,
它会造成更多的伤害 it's gonna cause a lot more damage.
它的位置比另一个弹片深很多 It's much deeper than the other.
因此我们够不到 So we can't get to it.
我们没法穿过 We can't go through the water
男孩的脑积水引流系统 drainage system of the boy's brain
因为那意味着 because that would mean having to puncture
必须穿透丘脑室壁 the ventricular wall at the thalamus,
我们也不能在磁共振引导下追踪损伤途径 and we can't follow the injury pathway using MRI guidance
因为子弹里有金属 不能做磁共振 because the metal in the bullet rules out the MRI.
-我们也不能... -肖恩 肖恩 - And we can't-- - Shaun, Shaun, just--
你是一名神经外科医生 好吗 You are a neurosurgeon, okay?
你能发现我漏了什么 You will know what I have missed.
你觉得你没有漏掉任何细节是吗 You don't think you missed anything?
是的 No.
那就是没有 Then you didn't.
好吧 那... Okay, then...
伊森很可能会死 Ethan is probably going to die.
好吧 Okay.
这个患者不一样 是吗 This one's different, huh?
因为他是个孩子 Because he is a child?
没错 没错 因为他是个孩子 Yeah, yeah, because he's a child.
不对 No.
我以前也有没救过来的孩子 I've lost children before.
肖恩 每个父母都有一个任务 Shaun, every parent has one job,
就是让他们的孩子好好活着 and that's to keep their kid alive,
保护他们免于世间的灾难 to keep them from all the horrors in the world.
或许... And maybe...
由于你没法保护伊森 because you can't protect Ethan,
你认为... you think...
那不合理 That's not rational.
对 那... No, it's--
为人父母的代价太不合理了 It's not rational, the price of parenthood.
但你知道吗 是值得的 But you know what? It's worth it.
如果它让我觉得沮丧 觉得不理智 If it makes me upset and irrational,
那它听起来不是很值得 it doesn't sound like it's worth it.
这不是你的真心话 You don't mean that.
我向你来请教关于伊森的手术建议 I came here to ask for your surgical advice about Ethan,
结果你给我的建议都是关于我的情绪 and all you've given me is emotional advice about me.
没错 Yeah.
因为我能给的只有这些 Because that's all I got.
凯兰七岁开始踢足球 Kellan started playing soccer when he was 7.
他非常喜欢那件球衣 He loved that jersey so much.
每晚穿着球衣入睡 不让我们洗 Wore it to bed every night. Wouldn't let us wash it.
后来他把葡萄汁洒到了球衣上 Then he spilled grape juice on it.
很大一块紫色污渍 A big purple stain.
我冲他发火了 And I got angry at him.
在孩子面前我总是会有点那样 I always get a little like this with kids.
我觉得没有我 You know, I think maybe Shaun and Lim
肖恩和利姆也能把手术做得很好 can handle it fine without me.
如果躺在重症监护室里的是凯兰 If it was Kellan in that ICU,
他的医生要放弃他 就因为医生的孩子 how would you feel if his doctor bailed on him
十年前弄洒了葡萄汁 你会怎么想 because his kid had spilled grape juice 10 years earlier?
没错 对你来说很残酷 Yeah, it's brutal on you.
但他们要承受的残酷是你的百倍 About a hundredth as brutal as it is on them.
所以你赞同拜登的一切理念 So, you agree with Biden on every single issue?
不 当然不了 No, of course not.
但我赞同不止一项 But I agree with him on more than one.
你赞同多少 How many?
你的底线是什么 Where's the line?
每一票都是妥协 Every vote is a compromise.
我们支持自己觉得重要的事 We support the things we think are important,
然后合理化那些不太重要的 and...rationalize the things that aren't.
不幸的是 「妥协」成了一个贬义词 Unfortunately, compromise has become a dirty word,
挺讽刺的 鉴于它是民主的本质 which is ironic since that's the essence of democracy,
而且我离开祖国也是由于缺乏妥协 and the lack of compromise is why I left home.
他的左脚好冰 His left foot is cold.
没有脉搏 It's pulseless.
这里有脉搏 I got a pulse here.
他手腕和脚踝之间一定有什么问题 Something's happening between here and you.
有脉搏 Good.
这里没有 Nothing.
有 Good.
没有 Nothing.
问题出在腘动脉 一定是有血栓掉落了 It's his popliteal artery. He must've thrown a clot.
我们得立即处理 不然最好结果也是截肢 We have to fix this now or he loses the leg at best.
伊森的癫痫是因为另一块碎片 Ethan's seizures were caused by a different fragment
移动到了他的左脑 that migrated to the left side of his brain.
我们把之前那块碎片留在里面并没有错 We weren't wrong about leaving the other fragment in.
所以你们不称职不是因为那个 So you weren't incompetent about that,
而是因为完全遗漏了另一块碎片 just about completely missing this other fragment?
对 Yes.
但这块新的碎片并不稳定 But the new fragment isn't stable...
而且几乎肯定会继续造成损伤 and will almost definitely continue to cause damage.
所以你们会尽快把它取出来 So you'll remove it as soon as possible.
它太深了 取不出来 It's too deep to remove.
也就是说... Which means...
你们要怎么办 you'll do what?
我们会一直给他用抗癫痫药 We'll keep him on anti-seizure meds
而且我们会密切监视他 and, uh, we'll monitor him,
希望有好结果 hope for the best.
监视 Monitor?
一个八岁的男孩快死了你们就只是监视他 An 8-year-old boy is dying and you're gonna monitor him?
如果他是你的孩子 你能接受吗 If this was your child, you could live with that?
-塔伦 他们尽力了 -他们什么都没做 - Taryn, they're doing their -- - They're doing nothing!
-莉亚 -没事 - Lea! - ‭It's okay.
我没事 肖恩 It's okay, Shaun.
你们是一对 You're a couple?
我根据你对男友的看法 I made a decision about my son's life
决定了我儿子的命运 based on your opinion of your boyfriend?
塔伦 我很抱歉 Taryn, I'm so sorry.
分离腘动脉 That... Isolating popliteal artery.
下一步 Next?
横切血管 Incise vessel transversely,
使用导管完成栓塞切除术 use Fogarty catheter to complete the embolectomy,
用血管造影确认血流 confirm flow with the angiogram.
血还有多少 How's our blood?
用了最大剂量的促凝血剂 Maxing out on pro-coagulants,
抗血友病药 并回收 anti-hemophiliacs, and recycling
自体血回收机中的每一滴血 every last drop of cell saver suction.
我们还剩最后100毫升 And we're still down to our last 100 CCs.
其他医院呢 What about other hospitals?
280号公路发生了多车相撞事故 There was a multi-vehicle crash on the 280.
谁都没有多余的血了 Nobody has anything to spare.
我只能加快速度了 I'll just have to work a little faster.
除去导管 Removing catheter.
血压在下降 B.P.'s falling.
该死 Damn it.
导管撕裂了动脉 夹住并抽吸 Catheter tore the artery. Clamp and suction.
血不够了 There's not enough blood.
他的红细胞压积太低了 他要死了 His hematocrit is on the floor. He's dying.
你几小时之前就拿到检测结果了 You got your test results hours ago.
你得回家 You need to go home.
我不能回家 I can't.
梅森还在坚持 Mason is hanging on,
但我们已经用完了所有O型和A型的阴性血 but we have used up all the O-neg and A-neg blood.
我们从洛杉矶调了救伤直升机 We're having some medevaced from L.A.
那需要多久 How long will that take?
还需要几个小时 Another couple of hours.
你们觉得他坚持不了那么久 You don't think he'll last that long.
我们还抱有希望 We're hoping.
我是A型阴性血 I'm A-negative.
有时我们做不到 Sometimes we can't.
每位父母的当务之急就是 Every parent has an overwhelming need
保护他们的孩子免于灾难 to protect their child from horrors.
这就是为人父母的代价 It's the price of parenthood.
塔伦捐了两倍于常规输血量的血 Taryn donated twice the typical amount of blood
梅森把每一滴血都用上了 and Mason needed every drop of it.
今晚会很难熬 It's gonna be a long night.
你要去哪里 Where are you going?
对 你应该跟我来 Yeah, you should come with.
-去哪里 -看过《糖果屋》吗 - Where? - Ever read "Hansel and Gretel"?
你就是在看这个 That's what you were reading?
我以为你在查文献 I thought you were doing research.
扫描显示没有碎片撕裂 The scan showed no sign that the fragment
主要大脑组织的迹象 tore major brain tissue,
而且它移动的过程中也没有造成明显的出血或血栓 and there are no significant bleeds or clots as it migrated,
这意味着它没有开辟出一条新路线 which means it didn't cut a new route.
它移动的轨迹是早已存在的 It took a trail that was already there.
好 这有什么用 Okay. How is that helpful?
它在脑脊液间隙 It weaved through CSF spaces or sulci
或脑实质之间的脑沟中穿梭 in between the brain parenchyma.
这样的话 它就会给我们留下线索 If so, it left us some breadcrumbs...
血红素会染色 Heme products staining.
沿路都会有颜色 我们可以用 ...along the way, and we can use
刚性三毫米内窥镜 a rigid 3-millimeter endoscope,
找到它的轨迹 顺着这条轨迹 find the trail, and take that trail
我们不用伤害大脑就可以把子弹取出来 all the way to the bullet without damaging the brain.
这个可以喝 是低因咖啡 It's okay, it's decaf.
你不应该为自己的快乐而感到内疚 You shouldn't feel guilty about being happy.
我那时没觉得快乐 I didn't feel happy, not right then.
我觉得 I felt...
害怕 scared.
为我们吗 For us?
也为我自己 And for me.
你们俩那么不一样 You two, you're so different
而且都 and so...
如此愤怒 angry.
但你们都很坚强 But you are so strong,
而我... and I'm...
你觉得自己不坚强吗 You don't think you're strong?
是的 No.
没有坚强到可以承受这种事 Not strong enough for this.
这事并不常见 This doesn't usually happen.
这事也不该发生 This isn't supposed to happen.
而且我们处理事情的方式 And the way we've been coping with it
跟我们是不是好父母没有关系 has nothing to do with whether we're good parents.
意志力并不重要 关键是同情心 Strength doesn't matter. It's compassion.
而且看你对待我们的方式 And...the way you've treated us...
你会是个好妈妈 you're gonna be a great mother.
梅森挺过来了 Mason made it.
多亏了塔伦 Thanks to Taryn.
伊森也挺过来了 Ethan made it.
多亏了朴医生 Thanks to Park.
他们在重症监护室里 They're in the ICU.
他们想见妈妈 They want to see their moms.
BGM: Small Leaf by Hayden Calnin
♪ Take my hand ♪
♪ And breathe small leaf ♪
♪ Short is the sting of this ♪
♪ Now push the folds of life to dust ♪
♪ Put eager hands to sleep tonight ♪
♪ To dream of places I've never seen before ♪
要给你买个奶酪汉堡吗 Buy you a cheeseburger?
已经午夜12点了 It's 12:00 a.m.
♪ Oh the whole world to call your own ♪
我觉得我们应该谈谈 I figure we should talk.
好啊 I'd like that.
♪ Our home ♪
你救了伊森的命 You saved Ethan's life.
干得漂亮 Nice job.
我当时已经准备走人了 I was ready to walk,
而且大多数人都会同情我 and most people would've felt for me,
支持我的决定 supported that decision.
你救了他的命 You saved his life.
谢谢你的好意 Thank you for that nice, albeit
尽管完全是无稽之谈 completely inaccurate, thought.
♪ Now step into a dark lit hole ♪
你只是需要一些鼓励 You just needed some encouragement.
你想去我家待会吗 You wanna come back to my place for a little more?
♪ Put thought into the words before the dawn ♪
♪ This begins to crack ♪
今天很难熬 今晚也是 It's been a long day. And night.
我觉得我们不该再见面了 I think we should stop seeing each other.
♪ And I thought you'd talk back to me ♪
我需要你 You're good for me, but...
但我需要的不仅是跟你上床 just sleeping with you isn't.
♪ All on your own ♪
我想给希瑟一个机会 I want to give Heather a chance.
♪ All on your own ♪
你真行 Good for you.
她小鸟依人 会让你快乐的 She's such a wimp. She'll make you very happy.
♪ All on your own ♪
你知道我现在是什么感觉吗 You know how I feel right now?
不知道 No.
我不知道我现在是什么感觉 I don't know how I feel right now.
幸运 Lucky.
我感到 I think I feel...
♪ Done by the seeds of life ♪
疲惫 tired.
♪ I'm coming back ♪
而又幸运 And lucky.
♪ Grace the days, the night, the now ♪
♪ You surely get it by now ♪
莉亚 Lea?
-莉亚 -肖恩 - Lea? - Shaun.
-莉亚 -肖恩 肖恩 - Lea? - Shaun, Shaun.
-你还好吗 -不好 - Okay? - No.
没事 Okay.
救命 Help.
♪ That seeds don't grow without a cloud ♪
救命 我需要帮助 Help! I need help!
拜托 救命 Please, help!
救命 Help!
好 Okay.