听着 我知道我们有一阵没说话了 Look, I know we haven't talked in a while, but,
但我得告诉你这个 I have to tell you this, and...
我不确定 也许你会不喜欢 I don't know, you might not like it.
如果大象 What do you get when you...
和犀牛杂交 cross an elephant
会得到什么物种 with a rhino?
象犀[谐音天知道] Elephino.
没错 Yeah.
这是你老爸我给你讲的第一个冷笑话 That's my first dad joke.
你刚刚动了吗 Did you just kick?
你好 卢娜 Hi, Luna.
你知道吗 You know...
还有三个月 我们就能面对面交谈了 three months from now, we get to do this in person.
很酷 It's pretty cool.
该唱我们的歌了 Time for our song.
♪你的爱♪ ♪Your love♪
BGM: (Your Love Keeps Lifting Me) Higher and Higher by Jackie Wilson
♪不断提升我♪ ♪ Is lifting me higher ♪
♪比我过往♪ ♪ Than I've ever ♪
♪都更高♪ ♪ Been lifted before ♪
♪保持住♪ ♪ So keep it up ♪
♪熄灭我的欲望♪ ♪ Quenching my desire ♪
♪我会永远在你身边♪ ♪ And I'll be at your side forevermore ♪
♪ You know your love ♪
我能做些什么 How can I help?
儿科病房里有糖果机 Well, there's candy machines in the pediatric ward.
你知道早上九点前 什么东西对儿童不利吗 You know what's not good for kids before 9:00 A.M.?
是不是以C开头并导致儿童肥胖症 Does it start with C and end with childhood obesity?
-没错 -马上搬走 - Yes. - Consider them gone.
我之前那个诊所出现了传染病危机
三个医生都治不好
我也治不好 但一个清洁工解决了难题
你们知道他是怎么做到的吗
我要雇六位新的治疗师 I'm hiring six new therapists
必须有过CBT和DBT的培训 with training in CBT and DBT.
CBT 认知行为疗法 DBT 辩证行为疗法
并且我要成立一个患者申诉部门 And I'm starting a patient advocacy division
因为当我说CBT和DBT之类的话时 because when I say things like CBT and DBT,
患者根本不知道我在说什么 patients have no idea what I'm talking about.
这是否会增加成本 Will this cost more money?
当然会 但是... Yes, but...
有谁支持我 who's with me?
我们得谈谈我的候诊室 We need to talk about my waiting room.
我以为我们取消候诊室了 Thought we got rid of your waiting room.
本来的计划是让护士直接带病人去病床 Well, the plan was for nurses to move patients straight to beds.
我不知道问题出在哪 Okay, I'm not seeing a problem.
这计划需要护士 The plan requires nurses.
明白了 Got it.
雇更多的护士 More nurses.
♪ And you know he never showed his face again ♪
那个清洁工给我看了每天送来的手术器材
但封口都被破了 导致器材不干净
我们花钱更换了运输公司 传染病就停止了
那个男人一天救的人 比我一个月救的人还多
所以
我能做些什么
医疗保险是美国家庭破产的最大原因 Health care is the number one cost of bankruptcy in America.
你可真是知道如何使士气大减啊 You really know how to bring things down, don't you?
病人有权知道他们的 Patients should know that their...
医院账单是可以商议的 hospital bills are negotiable.
我们应该修订《患者权利法案》 We should revise our Patient Bill of Rights.
这主意不错 Love that idea.
又使士气大增 Way to bring things back up again.
-好 -我们需要用更少的资源 - Okay. - We need to provide better care
提供更好的医疗服务 with fewer resources.
但我需要你们的帮助 But I need your help.
我需要集思广益 I need your ideas.
你们如果都不说话 我就一直跳舞 Okay, I'm just gonna do this until somebody speaks.
有没有激起谁的 有吗 Is this jogging anybody's-- Anyone?
那我就继续了 换成机械舞 I'm gonna go ahead, it's gonna become a robot now.
接下去我会跳得越来越烂 It's just gonna go downhill from here.
我会一直跳的 I'll just keep on doing this.
有没有人 有任何想法 Does anybody have anything,
哪怕就一个 just one idea?
集体会诊怎么样 What about group appointments?
谢谢 Thank God.
很好 说说吧 Yes. Please, share.
将病情相同的患者 You give people with related issues
比如糖尿病或高血压 like diabetes or high blood pressure
为他们提供一个集体会诊 one shared appointment...
♪我终于找到了你♪ ♪ I finally found you ♪
♪我那万里挑一的女孩♪ ♪ Yes, my one in a million girl ♪
♪我用♪ ♪ So I wrap ♪
♪爱的臂膀环绕你♪ ♪ My loving arms around you ♪
♪使我昂首挺胸♪ ♪ And I can stand up ♪
♪面对这世界♪ ♪ And face the world ♪
我该去工作了 Time to go to work.
医 院 革 命 第一季 第二集
32岁女性晕倒 32-year-old woman collapsed
极度气短 伴有胸痛 with extreme shortness of breath and chest pain.
心率140 呼吸频率34 Heart rate 140, respirations 34,
血压90/60 BP 90 over 60.
给她吸了纯氧才保持住血氧饱和度在90以上 Took 100% O2 to keep her sats over 90.
雷诺兹在哪儿 有人目击发生了什么吗 Where's Reynolds? Did anyone see what happened?
我是她父亲 I'm her father.
我们在参加募捐活动 乔赛特正在领奖 We were at a fund-raiser. Jozette was accepting an award.
然后她突然就颤抖着倒下了 Then she just shook and fell.
我们不知道该怎么办 We didn't know what to do.
听出什么了 What you got?
心尖区收缩期吹风样杂音 Holosystolic blowing murmur at the apex.
怎么这么久才来 What took you so long?
我现在是科室主任了 Well, I'm the department chair now.
-很多事情要忙 -比如呢 - I've got stuff to do. - Like what?
等我把病人情况搞清楚了就告诉你 As soon as I figure that out, I'll let you know.
你是对的 急性二尖瓣反流 You're right. Acute mitral regurgitation.
去创伤一室 Trauma One.
拿个中心静脉导管工具包 Get a central line kit.
丽莎 准备去甲肾上腺素 Lisa, prepare me a Levo drip.
滴注将舒张压维持在90 Titrate to systolic at 90.
数到三 一 二 三 On the count of three. One, two, three.
小心 Watch out.
天啊 我的女儿们昨天 Yeah, oh, my gosh, my girls tested
参加了空手道橙带测试 for their orange belts last night in karate.
她们太野蛮了 我完全没想到 They're complete savages. I had no idea.
我有录像 I looked at--I took a video of it.
给你看 Here. I'll show you.
等等 我发给自己了吗 Or wait, did I email it to myself already?
没关系 我能想象 That's okay, I can imagine it.
好吧 之后提醒我给你看 因为真的 Oh, okay. Well, remind me to show it to you later, because it is
太可爱了 intensely cute.
我怎么总在谈自己的孩子 Gosh, I'm always talking about my kids.
你呢 What about you?
为什么你从不谈你的孩子 How come you never talk about yours?
我没有孩子 I don't have any.
对不起 我以为你... Oh, I'm sorry, I just assumed that you--
当时有别的人生计划 然后就太晚了 Life had other plans for me, and then it got too late.
好吧... Okay, well...
说起这个 以你丰富的经验来看 speaking of which, based on your extensive experience...
你是想说「老」 You mean to say "old."
没错 Yes. Exactly.
你觉得这个麦克斯 How long do you think this Max guy
在院长插手前能改革多久 can shake things up before the dean steps in?
没多久 医学院院长不喜欢改革 Not long. Dean of medicine does not like things shaken up...
以我丰富的经验来看 based on my extensive experience.
好吧 All right.
你好吗 我是弗罗姆医生 How you doing? I'm Dr. Frome.
不过 你可以叫我伊吉 好吗 But, uh, you can call me Iggy, all right?
不用那么正式 No need to be so formal.
好吧 我和你妈妈聊了 All right, so... I had a chat with your mom,
她告诉我你最近总是很困倦 and she told me that you're having a hard time staying awake
还会尿床 and that, uh, you've been wetting the bed.
对吗 Is that right?
好吧 没什么大不了的 Okay. No big deal, you know?
我们会搞清楚原因的 小意思 We can get to the bottom of this, easy-peasy.
好吗 Okay?
来看看情况怎么样 Let's see what we're looking at here.
这里写着你这几年 All right, says here you've been on...
一直在服用佐替平 zotepine for the last few years?
用于治疗精神分裂症的药物 副作包括困倦失眠
对吗 Is that right?
学校里发生了什么事吗 Did, uh, something happen at school?
没有 你确定吗 No? You sure about that?
因为佐替平可是猛药 'Cause zotepine, my friend, that is... that's big-time.
不是开玩笑的 That is no joke.
没有发生什么你想和我聊聊的事吗 Nothing happened that you want to tell me about?
没有 No.
好吧 可以 Okay, cool. Fair enough.
他们还给你用了舍曲林 All right. They've also got you on... sertraline.
抗抑郁药 可用于治疗儿童的社交恐惧症
还有思诺思 And zolpidem.
用于治疗严重睡眠障碍 副作用包括神经精神系统异常
天啊 他们还给你用了阿托莫西汀 Oh, my gosh, they have you on atomoxetine as well.
用于治疗注意缺陷和多动障碍
好吧 根本不用吃早饭了 对吧 Okay. I mean, uh... who needs breakfast, am I right?
每天早上一把药 Fistful of pills like that every morning?
这里还写着 Yeah. And I see that, um...
你在 几年前失去了爸爸 You also... you lost your dad a few years back?
是啊 Yeah.
一定很不好受 Yeah, that's really tough.
很遗憾 I'm sorry.
这样吧 李奥 You know what, Leo?
我想试试别的法子 I want to try something different.
与其把更多的药 Instead of adding more medication
加到你这张令人吃惊的表里 to your already impressive roster,
不如我们尝试一下这个计划吧 why don't we try this for a plan?
我们来停掉 Let's take you off
你所有的药 all of your medication.
我只想知道这得花多少钱 I just want to know how much this is gonna cost me.
抱歉 我没法告诉您 I'm sorry, but I can't tell you that.
我买斯巴鲁车可以货比三家 So I can compare prices on my Subaru
但我妻子的双搭桥手术却不能比较价格吗 and not on my wife's double bypass?
很有趣你知道吗 国会实际上规定 You know, it's funny, Congress actually
医院向患者透露价格是违法行为 made it illegal for hospitals to disclose prices to you,
所以这是美国唯一一个 so it's the only industry in America
拥有非竞业条款的行业 但是... with a noncompete clause, but...
雇员在解除雇佣关系几年内 不能从事与雇主相竞争的工作
给你的国会议员打电话 抵制这个条款 call your congressperson. Resist!
你迟到了 You're running late.
-要干什么 -所有事 - For what? - For everything.
朵拉 我在教育患者 Dora, I'm educating patients.
你在煽动暴乱 You're inciting riots.
医学院院长又打电话了 Dean of medicine called again.
别理 Pass.
你不能一直不理他 麦克斯 You can't keep ignoring him, Max.
你开除了一半的医生 When you fire half the staff,
挖空了整个医院 disembowel an entire hospital,
你必须预料到你的上司会让你... you have to expect your boss is gonna be on you--
怎么 重新填满吗 To what? Re-bowel it?
听起来有点恶心 不是吗 Sounds gross, doesn't it?
麦克斯 Max!
夏普医生 回到前线了 Dr. Sharpe, back in the trenches.
-重新回来感觉如何 -我不知道 - How's reentry? - I wouldn't know.
你今天早上没来就诊 You didn't show up to your appointment this morning.
我去开科室主任会议了 Well, I had a department chair meeting.
我相信你也没去 Which you missed, I believe.
因为我们有约诊 Because we had an appointment.
我忘记什么了吗 What--how--did I forget something?
没 没 只是 No, no, just, uh,
夏普医生和我之间有点小事 Dr. Sharpe and I have a little thing.
非常 不要紧 Very, uh, informal.
这不是不要紧 这很严重 It's not informal, it's quite serious.
-有多严重 -没多严重 - How serious? - Not very.
我会摆平的 I'm taking care of it.
是吗 Are you?
你今天吃东西了吗 Have you eaten today?
浓缩咖啡算吗 Does espresso count?
朵拉 麻烦你给他拿个苹果 Dora, would you mind getting him an apple?
苹果 An apple?
他会在我办公室 He'll be in my office.
我不能去 我行程超满 Uh, can't. I got a full schedule.
下午两点的行程刚刚取消了 You 2 p.m. just canceled.
谢谢你 朵拉 Thank you, Dora.
我想你应该去给我找个苹果 Thought you were getting me an apple.
麦克斯 你得了癌... Max. You have can--
我们有1500名患者 We have 1,500 patients.
我没时间当他们的一员 I don't have time to be one of them.
你最好在没时间之前 You better find the time
找点时间 before you run out of it.
控制乔赛特心脏血流的 One of the valves that controls the flow of blood
其中一个瓣膜破裂了 through Jozette's heart is broken,
血液反流进肺中 and blood is backing up into her lungs,
导致她无法呼吸 which is why she can't breathe.
怎么会这样呢 乔赛特很坚强的 But how could this happen? Jozette is strong.
她是海地人民的援助工作者 She's an aid worker for the people of Haiti.
我得去让拉贝尔 I have to get to Jean-Rabel.
这个星期 我们村子发生了泥石流 This week, a mudslide hit our village.
死了好多人 So many people have died.
这或许就能说通了 That might explain what happened.
你觉得是应激性心肌综合征 You thinking takotsubo syndrome?
没错 Yeah.
听起来不太好 That sounds bad.
它还有一个名字叫做 Another name for it
「心碎综合征」 is, uh, broken heart syndrome.
泥石流一定使乔赛特过度悲伤 The mudslide may have caused Jozette so much grief
导致她心动过速 that it actually made her heart beat so hard that
导致心肌撕裂 it tore the muscles that hold it together.
我讨厌无助的感觉 I hate to feel helpless.
抱歉 I'm sorry.
好消息是 Well, the good news is,
我能修复破碎的心脏 I can fix a broken heart.
现在 我们要给你做术前准备 Now, we're gonna get you prepped for surgery
然后尽快送你回家 and get you home as fast as we can.
能让我们先做个守护式吗 First may we perform a Gad Ko?
抱歉 什么 I'm sorry, a what?
那是一种保护仪式 It's a protection ritual.
在皮肤上划开个小口 用草药擦拭 We make a cut in the skin, rub in herbs.
不行 这没得商量 Oh, no, that's out of the question.
皮肤上有任何伤口都有可能导致感染 所以 Any cuts to the skin can introduce infection, so...
守护式将我和鲁瓦神联系在一起 Gad Ko attaches Lwa to me.
保护我免受意外伤害 Protects me from accidents.
好吧 乔赛特 Okay, look, Jozette,
不会有任何意外 there won't be any accidents, all right?
我先失陪了 Now, if you'll excuse me,
我得去做术前准备 I have to prep for surgery.
是真的 It's true.
他以前很有活力 He used to be energetic.
傻乎乎的 Silly.
但你不能就这样 But you--you can't just
把他的药都停了 take him off of all of his medications.
-他不用吃药吗 -老实说 不知道 - Doesn't he need them? - Honestly, I don't know.
我不知道他需要什么 I don't know what he needs.
他服用了太多药性相冲的药 He's on so many counterintuitive drugs,
我看不出问题所在 I can't see the real issue.
我想尝试行为疗法 I want to try behavioral therapy.
谈话疗法 Talk therapy.
他曾经... He had, um...
在学校发作过 生理上的 outbursts at school-- physical.
学校心理医生给他用佐替平后 And when the school psychiatrist started him on the zotepine,
他就全好了 they completely stopped.
那药也许能抑制你儿子的行为 That drug may have succeeded in curbing your son's behavior,
但它没有解决根本问题 but it did nothing to address the underlying issues.
佐替平还会引起嗜睡 冷漠综合征 Zotepine also causes lethargy, apathy.
所以再给他开兴奋剂 So when he was prescribed a stimulant,
就导致了他的睡眠问题 that led to his sleep issues.
也加速了他的体重增加 And accelerated his weight gain,
发展成2型糖尿病 which developed into Type 2 diabetes.
这就是他尿床的原因 That's why he's wetting the bed.
他患有糖尿病… He has diabetes...
因为他服用的药物 because of the drugs that he's on.
天啊 我不… My God, I didn't...
我不知道 I didn't know.
他们说他需要用这些药 I mean, they told me that he needed them.
我只是想帮他 I was just--I was trying to help him.
那是当然了 Of course you were.
我们都会这么做 That's what we all would have done.
是的 绝对是 Yes, absolutely.
抱歉 我只是… I'm sorry, I just...
让我把他的药停了 Let me pull him off the meds.
让我跟他谈谈 You know, let me talk to him.
我真的很想和他谈谈 I really just want to talk to him.
你最后一次看到你儿子微笑是什么时候 When was the last time you saw your son smile?
朵拉 你在跟踪我吗 Dora, are you stalking me?
肯定开始有这种感觉了 不是吗 It's definitely beginning to feel that way, isn't it?
夏普医生的办公室打电话来 Dr. Sharpe's office called.
我被拉去产科了 I got pulled into OB.
你自己跟夏普医生说 Tell that to Dr. Sharpe.
我给你拿了个苹果 I got you an apple.
我更喜欢褐皮苹果 You know, I'm really more of a Golden Russet kind of guy.
你自己知道就行了 Maybe keep that to yourself.
你对褐皮苹果有什么不满吗 What do you have against Golden Russets?
没什么 我不满的是 Nothing, my issue is with people
能挑出褐皮苹果的人 who can identify Golden Russets.
-雷诺兹医生 -怎么了 - Dr. Reynolds. - What up?
-把苹果吃了 -给你拿了个苹果 - Now eat the apple. - Got you an apple.
我接到乔赛特·潘普尔家属的电话 Uh, also, I got a call from Jozette Pampil's family?
你不让他们举行某种保护仪式 Apparently they're upset that you won't let them
他们很不满 perform some kind of protection ritual?
-没错 -即使他们相信 - That's correct. - Even though they believe
它能帮助你的病人免受伤害吗 it's gonna help keep your patient safe from harm?
你解雇了心脏外科的所有医生 You fired the entire cardiac surgical department
就因为感染率高 because of the high infection rates,
现在你要我让一位家属 and now you want me to let a family member
切开我的病人 把脏东西放入她的伤口 cut open my patient and put dirt in her wound?
只不过是消毒刀片造成的表皮伤 Well, a superficial wound with a sterile blade
还在你的监督之下 under your supervision.
是我说了算 还是你要越俎代庖 Is this my call, or are you overstepping me?
-你说了算 -好 - It's your call. - Good.
那除了我没人能对我的病人动刀 好吗 Then no one's cutting open my patient but me, okay?
-你好 -她准备好了 - Hello. - She's ready to go.
好的 All right. Wow.
轻装上阵打硬仗啊 Expeditions to the North Pole traveled lighter, huh?
看起来像是室颤 Looks like V-fib.
-没有脉搏 -除颤器准备 - There's no pulse. - Defibrillator.
200焦 200 joules.
离手 All clear.
好了 救回来了 Okay, got her back.
我会撤下左旋去甲肾上腺素 I'll back off the Levophed.
应该能让她稳定下来 That should stabilize her.
-没事了吧 -是的 - You're good? - Yeah.
又出现室颤 Back in V-fib!
-没有脉搏 -加到300焦 - I don't have a pulse. - Let's go 300.
离手 All clear.
好了 救回来了 Okay, I got her back.
怎么回事 What the hell?
她的情况太不稳定了 不适合移动 She's too unstable for transport.
也许你应该举行那个仪式 Maybe you should do the ritual.
因为李奥正在服用多种药物 Because Leo is on multiple medications,
我们必须制定一个严格的排毒方案 we must devise a regimented detox program.
兴奋剂应该过一晚就能排出 The stimulant should leave his system overnight,
但精神药物 but the psychoactive medication
需要逐渐停药 will require gradual tapering.
怎么 你不同意吗 What, you don't agree?
不不 我同意 我同意 No, no, I do. I do.
这么说或许有点离题 Just, um, for whatever it's worth,
我觉得你一定能当一位好爸爸 I think you would have made a really good dad.
不 我办不到 No, I wouldn't have.
为什么要说这种疯话 Why do you say these crazy things?
-二位有空聊一下吗 -我问你点事 - A word, you two? - Let me ask you something.
你不觉得卡普尔会是一位 Don't you think Kapoor would have made,
-那种「无敌好爸爸」吗 -别扯了 - like, a totally rad dad? - Come on, please.
维拉利尔医生 这位是 Uh, Dr. Villarreal, this is--
看他这张「爸爸脸」 Look at this dad face.
这...这位是卡普尔医生 This--hey! This is Dr. Kapoor,
神经科主任 head of our neurology department,
这位是弗罗姆医生 精神科主任 and this is Dr. Frome, head of our psych department.
这位是维拉利尔医生 Gentlemen, this is Dr. Villarreal.
她是负责皇后区所有公立学校的心理医生 She's the psychiatrist for all the public schools in Queens.
包括李奥·陈的学校 Including Leo Chen's.
他母亲告诉我你们要对 His mother alerted me to the changes
他的治疗进行一些改变 you're making to his treatment.
是的 我们正在讨论他的停药计划 Yes, we were just discussing his detox schedule.
你们要知道 如果李奥·陈 Well, you should know that if Leo Chen
停止用药 stops taking his medication,
他就再也没法返校上课了 he'll no longer be admitted back into his school
或者说 or, for that matter,
纽约任何一所公立学校都不会接收他 any New York public school.
抱歉 你怎么能强制一个孩子用药呢 I'm sorry, how can you force a child to take medication?
很简单 有法律规定 Easy, it's the law.
禁止强制用药修正案 Prohibition on Mandatory Medication Amendment.
于2004年通过 It passed in 2004.
公立学校强制学生 It is illegal for public schools
服用管制药物才可上课 to force a student to take a controlled substance
属违法行为 to attend class.
除非学生的母亲签了个体教育方案 Unless the mother signed an Individualized Education Plan
同意用药 agreeing to the medication.
-她签了吗 -在资料里呢 - She did? - It's right there.
这些药物不仅对李奥 Not only are these medications
造成生理伤害 而且也没人研究过 causing Leo physical harm, but nobody has studied
它们的长期副作用 their long-term side effects, also.
可校董会似乎并不认同你的观点 Well, the school board doesn't seem to agree with you.
麦克斯 我有办法让这孩子敞开心扉 Max, I can get through to this kid,
只是受到了这些药物的妨碍 just not with all the drugs in the way.
好吧 Okay, okay.
你真觉得自己能帮助这个孩子 You really feel that you can help this kid?
-是的 -然后你认为自己能 - I do. - And you think you can
-为他安全停药 -他可以 - wean him off the drugs safely? - He does.
-想什么呢 你得说话快点 -我可以 - What? You gotta talk faster. - I do.
那就拿出证据给法官看吧 Then present your evidence to a judge.
如果你们坚信这是最有利于 If you believe this is the best thing
病人的做法 拿出证明来 for your patient, prove it.
把纽约公立教育系统告上法庭 Take the New York public school system to court.
这根起搏导线应该能让她 This pacing wire should get her stable
保持稳定状态到达手术室 long enough to get her to the OR.
或者你也可以进行仪式 Or you could do the ritual.
如果我相信仪式 我就去做巫师了 If I believed in rituals,I would have become a shaman,
而不是外科医生 not a surgeon.
你一会要修补她的心脏瓣膜 You're about to fix her heart valve.
如果我是你 会利用一切可能的帮助 If I were you, I'd take all the help I could get.
要知道 如果一位病人认为 You know, if a patient feels like
他们得先念咒 先祈求好运 they've got to chant or knock on wood
或者先让他们的祷告勇士伸出援助之手 or get their prayer warrior to lay hands on them
我才能进行手术 before I operate,
那说明他们不信任我 then that means they don't trust me, you know?
他们对我的能力没有信心 They don't have faith in my abilities.
起搏成功 节奏正常 Normal paced rhythm with capture.
看吧 相信起搏导线就足够了 See? Pacing wire is all the faith I need.
氧饱和度在下降 O2 sats are falling!
乔赛特 我帮你坐起来 就能喘上来气了 Jozette, I'm gonna sit you up so you can breathe.
我听到了罗音 I hear rales.
有水肿吗 Edema?
瓣膜导致肺部有积液 Backing up in her lungs because of that valve.
-给我呋塞米 -已经准备好了 - Here, toss me the furosemide.- I'm already on it.
把她肺部的积液排干需要一段时间 You know, that's gonna take a while to dry out her lungs.
但把状况控制住之前 Well, I can't operate
我没办法做手术 until I get this under control.
那么也许可以进行仪式 So then maybe you do the ritual.
不行 Don't.
提都不要提 Don't even say it.
好吧 听着 Okay, look, uh,
这个仪式与你无关 the ritual isn't even about you
与你的信仰无关 or what you believe
也与你的能力无关 or your abilities.
但和她有关系 It's about her.
关乎她的信仰 她的需求 It's about what she believes, what she needs.
我的意思是... I mean...
你为什么就不能满足她呢 why can't you just give her that?
米莉 So, Millie,
我看了你的病历 I've read your file.
情况不太乐观吧 Not so good, huh?
化疗的效果不太 Well, your chemotherapy hasn't been as effective
尽如人意 as everyone hoped.
从明天开始 我会给你开始 Starting tomorrow, I'd like to put you
一个新的治疗方案 on a different regimen.
-我真希望我能有好消息 -没关系 - I wish I could offer better news. - No.
没事的 It's okay.
至少我能够一睹您的真容了 Well, at least I got to meet you.
-您说什么 -我在电视上见过你 - Sorry? - I've seen you on TV.
早知道今天要见真正的海伦医生 If I had known I was gonna meet the real Dr. Helen today,
我会先去做个指甲的 I would have done my nails.
你的指甲看上去挺好的 米莉 Your nails look fine, Millie.
不是的 No.
我哪里都不好 None of me looks fine.
我看上去就像个台球 I look like a cue ball.
一颗皱巴巴的指甲光秃的小台球 Like a little, shrunken, nubby-nailed cue ball.
天知道我真试过戴假发 Hell, I tried to wear a wig.
怎么都戴不住 It just kept falling off.
真是 That was...
太尴尬了 embarrassing.
我的孩子都取笑我 我也由着他们 Even my kids made fun of me-- which I let them,
因为这能缓和情绪 because it blows off steam, and...
我思忖着 I figured if...
如果他们乐乐呵呵的 they were laughing,
就不会想到我 they wouldn't be thinking about me
是个快死的人 keeling over dead.
我只希望 I just wish
自己不要对什么东西都恶心 everything didn't make me nauseous.
吃东西的时候我觉得恶心 Food makes me nauseous.
一开始我想 「那就不吃了吧 At first, I thought, "Well,I just won't eat anything,
不吃总不会吐了」 so what could I throw up?"
-但我错了 -抱歉 - I was wrong. - I'm sorry.
抱歉 请给我一分钟 Will you ex-excuse me? I need a moment.
海伦医生 你还好吗 You okay, Dr. Helen?
是的 我只是 Yep, I just need, um--
我只是去拿日记 I just need my diary.
告诉我你这是开玩笑 Please tell me you're joking.
绿色果冻 Green Jell-O?
是的 我们是特意把东西做得难吃 Well, yeah, but... we make the food this bad on purpose
这样就没人想住院了 so that nobody wants to stay.
还真是 Well, it's working.
告诉你吧 我有个苹果 Tell you what. I have an apple.
-那你呢 -别担心 - What about you? - I'll be all right.
你感觉怎样 How are you?
你没有更重要的病人要查了吗 Don't you have more important patients to see?
-没 -麦克斯 走吧 - Nope.- Max. Go.
听着 我只想告诉你 Look, I just wanted to tell you
我已经和原来的工作那时 that I'm not the same...
不一样了 as that last job.
我能够在这里 I can be here...
支持你 陪着你 for you,with you.
麦克斯 Max.
不仅仅是 It's not just...
听着 就算你人在那儿 心却不在 Look, even when you were there, you weren't.
我 I, um...
对不起 我得 Sorry, I have to--
去吧 Go.
但你回来的时候 But when you come back,
要对我坦诚 let me in.
我答应你 Promise.
感谢您为我们做的这些事 Thank you for doing this.
我都不知道这还是可行的 I had no idea this was even possible.
你知道吗 Yeah, yeah. You know what?
新阿姆斯特丹医院其实是第一所 New Amsterdam was actually the first hospital
拥有一间法庭的医院 to put a courtroom in the building,
所以我们能够及时地为病人提供支持 so we could, um, advocate for our patients in real time,
这非常好 which is pretty neat.
从这里过 李奥 Leo, come on through here.
在二十世纪四十年代时 You know, in the, uh, 1940s,
心理健康在纽约是个常见的问题 uh, New York was having a bit of a mental health moment,
请允许我这么说 if you will, and, um,
这里的心理科根本忙不过来 this psych department was completely overworked
资金又紧张 and underfunded and...
说起来和现在没什么两样 uh, exactly like it is today, come to think of it.
抱歉 Oh, right, sorry.
我得闭嘴了 Time to shut up now.
正如弗罗姆医生所知的那样 毕夏普先生 Mr. Bishop, as Dr. Frome already knows,
我希望我的法庭不那么一板一眼 I like to keep my court informal,
如果你没有异议的话 so we're just going to jump in
我们就直奔主题了 unless you have any objections.
没有 法官大人 None, Your Honor.
卡普尔医生 我们从你开始 Dr. Kapoor, we'll start with you.
我已经阅读过文件 I've read the file.
你希望我对你的治疗做出裁决 You have a course of treatment you want me to rule on.
我理解 I get that.
请告诉我这样做的必要性 Tell me why all this is necessary.
早上好 法官大人 Good morning, Your Honor.
李奥·陈只有十岁 Leo Chen is only ten years old,
但他在服用四种不同的药物 and he's on four different medications,
很多存在非常严重的副作用 many with very damaging side effects.
但是没有一种药物真正 But none of the medications are actually
治疗他的根源性问题 treating his root problem.
根源性问题是什么 Which is what?
我们还不知道 Uh, we don't know.
我的意思是 I mean...
在弗罗姆医生提供李奥 we won't until Dr. Frome
真正需要的治疗之前 还不能确定 can provide the therapy Leo needs.
你们认为如果他继续服药 And you don't think that's possible
你们的治疗就不能进行吗 while he's medicated?
是过量服药 Overmedicated.
我不是质疑维拉利尔医生的立场 I don't envy Dr. Villarreal's position.
她要对三千多个学生的精神健康负责 She's responsible for the mental health of more than 3,000 students.
相比仔细评估每个学生的需求 Prescribing medication is faster
开具处方会更快 than painstakingly evaluating each individual student's needs.
-这可是个不小的控诉 -不是有意为之 - That's quite an indictment. - It's not meant to be.
但事实的情况就是如此 It's simply the reality of the situation.
公立教育系统中有太多孩子 There are too many children in the public school system
需要心理方面的帮助 in need of psychological help
但能为他们提供帮助的心理专家太少了 and not enough mental health professionals to help them.
但你认为你和弗罗姆医生可以 But you think you and Dr. Frome can.
是的 Yes.
用一种不会进一步 In a way that won't further endanger
伤害李奥生理健康的方式 Leo's physical health.
我们不应非要从孩子们的 We shouldn't have to choose between
生理健康与心理健康中只选其一 the physical and mental well-being of our children.
谢谢 Thank you.
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把她推进手术室 Let's get her to the OR.
慢慢来 Let's go slow.
那个宗教仪式起作用了 The ritual worked.
千万别告诉布鲁姆 Just don't tell Bloom.
情况怎么样 Hey, how's it going?
天呐 情况非常好 Oh, my gosh, so good.
卡普尔说得真好 Kapoor nailed it, man.
他刚就像个慢悠悠的秃头忍者 He was like a slow, bald ninja out there.
很好 Nice.
准备好了 法官大人 Ready, Your Honor.
好的 我们就从 Okay, let's start with...
卡普尔医生在利奥档案中 the treatment plan
列出的治疗方案开始 Dr. Kapoor lays out in Leo's file
方案看起来非常合理 有什么问题 seems very reasonable. What's wrong with it?
法官大人 这个方案在理论上当然看似合理 I'm sure it sounds reasonable, Your Honor,on paper.
但抱歉地讲 But I'm sorry,
如果李奥·陈停药 if Leo Chen is taken off his medications,
他会对其他的学生 he poses a significant threat
造成非常严重的威胁 to the rest of the student population.
这太夸张了 That's an exaggeration.
法官大人 请容我播放 If I may, Your Honor,
一条视频记录了 this is video footage of an incident
维拉利尔医生开出这些庭上提到的处方前 at school prior to Dr. Villarreal
在学校中发生的一个事件 prescribing the medications in question.
有一件事你说对了 卡普尔医生 You're right about one thing, Dr. Kapoor.
我要对三千多个学生负责 I am responsible for over 3,000 children,
而且我必须保护 and I have to protect
所有学生的身体健康 the physical well-being of them all.
他们确实说过发生过一场斗殴 They told me there was a fight.
但我之前从没看过那个视频 But I have never seen that video before,
我只是 我不 and I just--I don't...
我知道 没关系的 I know. It's okay.
我知道这很糟 I know this looks bad.
我不确定"糟"是否是一个合适的形容词 I'm not sure "bad" is the right word to describe it.
但是我们在录像上看到的是暴怒 But what we saw on that tape was rage.
暴怒总有理由的 Okay, and there's usually a reason for rage.
它受环境影响 不是人体化学结构造成的 It's, uh--it's situational.It's not chemical.
你怎么证明这一点 How will you prove that?
给我点时间 好吗 Well... just give me a second, okay?
我马上回来 I'll be right back.
听着 利奥 So listen, Leo.
你觉得 你能不能告诉法官 Do you think maybe you could tell the judge
你那天的感受 what you felt that day?
你明白我的意思吗 You know what I mean?
你可以告诉她你为什么这么做 You can tell her why you did what you did...
用你自己的表述 in your own words.
好吧 Okay.
他不能 He can't.
在这些药物的作用下 没办法了 Not on all these meds.There's no way.
真的是 没法子了 There's just--there's no way.
也许有一个方法 There may be one.
感谢万能的上帝 "Thank whatever gods may be
赐予我不可征服的灵魂 "for my unconquerable soul.
就算被地狱牢牢抓住 "In the fell clutch of circumstance...
我不会畏缩 也不会惊叫 I have not winced, nor cried aloud."
我听说你还是举行了仪式 I heard you did the ritual.
很高兴那能有用 I'm glad it helped.
我很确定那是左旋去甲肾上腺素 I'm pretty sure it was the Levophed,
起搏导线还有呋塞米的作用 the pacing wire, and the furosemide that helped.
每只手指你都刷几次 How many times did you,uh, scrub each finger?
-什么 -刷几次 - What? - How many times?
十次 Ten.
为什么不是九次或十一次 Why not 9 or, uh, 11?
迷信吗 Superstition?
习惯 Routine.
你刚才在背诵的是什么 What was that thing you were reciting earlier?
《不可征服》 "Invictus."
英国诗人威廉·埃内斯特·亨利的名篇
你在刷手的时候 Oh. Do you always recite "Invictus"
总会背诵《不可征服》吗 while scrubbing in?
是的 I do.
有点像祈祷词 Kinda like a prayer.
习惯而已 Mm. Habit.
是仪式 Ritual.
放松一些 雷诺兹医生 Loosen up, Dr. Reynolds.
不是所有事都会按照你的计划进行 Not everything's gonna go according to your plan.
或所有人 Or everyone.
跟我说说是怎么回事 Wanna tell me what's going on?
快速排毒透析 Rapid detox dialysis.
我听说了 也看到了 I heard that. I can see that.
然后我就在想 And then I thought,
他们应该不会疯狂到 "Surely they can't be crazy enough
在审理程序进行当中 "to do something like that
做出这样的事 in the middle of court proceedings."
这是将神经药物清除出李奥身体 It's the fastest way to get psychotropic drugs
最快的方法 out of Leo's system.
没错 但如果我们输掉官司 Right, but if we lose this case,
他们就不会让李奥重回学校 they are not gonna let Leo back into school.
你说让我们把病人放在第一位 You told us to put the patient first.
我们正是在这么做 切断药物 That's what we are doing. Off these medications,
伊吉才能帮助他 Iggy will be able to work with him.
如果他不能 你知道这会让 Yeah, if he can't, do you have any idea
医院承担什么样的责任吗 the kind of liability you are opening this hospital up to?
我明白了 Oh, I see.
怎么 What?
就要到医学院院长 It's about now the new medical director
来拜访新医疗主任的时候了 gets his first visit from the dean of medicine.
院长已经来了吗 Or did the dean already come?
你在这儿啊 There you are.
血液科需要你 They need you in Hematology,
你还需要给夏普医生回电话 and you owe Dr. Sharpe a call.
病人第一还是工作第一 So patient first or job first?
我觉得我们让他崩溃了 I think we broke him.
如果你想找躲避的地方 If you're looking for a hideout,
这里已经被占了 this one's taken.
你在躲谁 Who are you running from?
病人 Patients.
你呢 You?
医生 Doctors.
特别是一位医生 One in particular.
我不该在这儿 I shouldn't be here.
我也是 Well, that makes two of us.
会这么在乎对病人的治疗 I really didn't expect to care
我真没想到 this much.
正因如此你才应该在这里 That's exactly why you should be here.
你呢 What about you?
我对我的妻子 I made a promise...
做过一个承诺 to my wife...
我答应她会慢下来 that I would slow down.
来这里之前 我在中国城管理一件诊所 Before this, I ran a clinic in Chinatown,
工作几乎让我们关系破裂 and it almost broke us.
乔治娅 I mean, Georgia...
乔治娅不能在经历一次那样的生活 Georgia couldn't go through that again.
我保证过 And I promised that...
她不会再经历 she wouldn't have to.
我向她保证会在她身边 I promised her that I would be there...
这样我们就可以组建家庭 so we could start a family.
所以我跟乔治娅说如果她跟我一起慢下来 So I asked Georgia if she would slow down with me,
不再跳舞 to stop dancing,
那曾是她最爱的事业 a career that she loved,
也是她最擅长做的事情 that she's really, really good at.
她做到了 She did...
为了我 For me...
准备成为一位母亲 To be a mom, you know.
我们有了孩子 然后 So we got pregnant, and then
我就接到了 I got the call
让我来新阿姆斯特丹工作的电话 about New Amsterdam.
如果中国城是登山者的乔戈里峰 If Chinatown was K2,
世界第二高峰
那新阿姆斯特丹就是 then New Amsterdam was...
珠穆朗玛峰 Everest.
谁能抗拒攀登珠穆朗玛峰的诱惑 And who can resist climbing Everest?
很多人 Lots of people.
我希望我也能抗拒 I wish I were one of them.
但我答应了 But I said yes...
没有告诉乔治娅 without telling Georgia.
她很不开心 She didn't like that.
你背叛了她 You betrayed her.
但这并不意味着你不属于这 But that doesn't mean that you don't belong here.
你对这个地方的改变 I mean, the changes you've made
可以造福成千上万的人 are gonna help thousands of people.
那跟我结婚的那个人呢 What about the one I married?
麦克斯 Oh, Max.
你还没告诉她你得了癌症 You haven't told her that you have cancer, have you?
你还在等什么呢 What are you waiting for?
等我的癌症痊愈 To not have cancer?
你没法一个人承担着一切 You can't carry this load by yourself--
不能作为医疗主任 病人承担一切 not as a medical director, not as a patient,
更不能以丈夫和父亲的身份承担一切 certainly not as a husband or father.
你一直告诉别人 病人至上 You've been telling everyone, "Put the patient first,"
那么你为什么自己不遵循这条建议呢 so why don't you take your own advice?
就当这是一个新的职位好了 Consider this your first appointment.
而你的第一个任务 And your first order of business
就是将你患了癌症的事情告诉你妻子 is to tell your wife that you have cancer.
约翰医生 这样抽取行吗 Hey, Dr. John, how am I doing on my suction?
那就好 Good.
帮我拿个穿好的2-0缝合线行吗 Okay, can you give me a 2-0 polyester on a stick?
好了 There we go.
剪断 Snip.
这应该够牢了 That should hold nicely.
希望如此 That's the goal.
好了 现在复原血液循坏 Okay, go ahead and restore blood flow
从旁路机流至心脏 from the bypass machine through the heart.
准备松开主动脉上的‪止血钳 Unclamping the aorta...
就是现在 now.
缝线没问题 Sutures holding.
血液循坏应该 Blood flow should...
可以刺激心脏重新跳动 stimulate the heart to start beating on its own.
检测器上没有看到心跳 I'm not seeing anything on monitors.
给它点助力 Okay, let's give it a little help.
开始吧 充到20 Okay, here we go. Charge to 20.
正在充电 Charging
离手 Clear.
看不到心跳 No visible beat.
再来一次 Let's do it again.
离手 Clear.
还是没有心跳 Still no heartbeat.
得来点刺激性的 Gonna need something stronger.
心内注射大剂量肾上腺素 Intracardiac high-dose EPI.
给我十毫升 Give me 10 mls in a syringe.
-雷诺兹医生 -快点给我 - Dr. Reynolds. - I need it now, people.
十毫升肾上腺素 10 mls cardiac needle.
她的呼吸情况如何 Where does she stand with gas exchange?
李奥 能把告诉我的再说给林法官一遍吗 Leo, can you tell Judge Hayashi what you told me?
没事的 It's okay.
她是朋友 She's a friend.
都是我的错 It was my fault.
什么是你的错 李奥 What was your fault, Leo?
我爸爸死了 My dad died.
是我的错 My fault.
你能解释一下吗 Can you tell us the rest?
我们当时要去公园 We were going to Sheep's Meadow...
去里面的绵羊草地 in the park.
我们在那里搭乐高积木 That's where we went to build LEGOs.
然后呢 Then what happened?
我们忘记 Forgot them...
带上那些乐高 the LEGOs.
所以我爸爸回去拿 So my dad went back to get them.
然后他就没有回来 And he didn't come back.
你们住在五楼 而且没有电梯 对吧 And you live on a fifth-floor walk-up, right?
是的 对他爸来说 Yeah, sometimes it was hard for his dad
走楼梯是件困难的事情 to walk all those stairs.
他有哮喘 He had asthma and a...
还有心脏疾病 heart condition.
那天他走到顶后 And that day when he reached the top,
就犯了心脏病 he had a heart attack.
是李奥找到他的 And Leo found him.
那那个视频呢 And the video?
你能告诉我是怎么回事吗 Can you tell me what happened?
莱德 Ryder...
他老是说我应该 he always said I should be dead
跟我爸一样去死 like my dad.
那天 That day,
我终于 I finally...
我必须得让他闭嘴了 I had to make it stop.
弗罗姆医生 你有什么提议 What are you proposing, Dr. Frome?
李奥需要排遣 Leo needs to be able to process
他心中那些不该有的愧疚感 all this displaced guilt.
他没办法在 And he can't do that when he's buried
药物引起的混乱中做到 in a drug-induced haze.
他必须要能感受到 He needs to be able to feel.
他得说出来 He needs to be able to talk to somebody.
让他跟我说吧 Let him talk to me.
我会帮他 Let me help him.
-充电二十焦 -离手 - Charged to 20. - Clear.
-好 电极板已就位 -我们要继续多久 - All right, paddles in place. - How long do we keep this up?
电极板已就位 护士 拿掉放大镜 Paddles in place! Nurse, loupes!
-充电20焦 -离手 - Charged to 20. - Clear!
还是没反应 Still nothing.
雷诺兹医生 Dr. Reynolds.
要宣告了吗 Do we call it?
你在干什么 What are you doing?
试试心脏按摩法 Trying cardiac massage.
那样没用的 That's not going to work.
只要跳动一下就好 All I need is one beat.
就一下 Just one.
雷诺兹医生 Dr. Reynolds.
等等 别 Hold on, no.
我觉得我有所感觉 I think I feel something.
我感觉到了什么 I feel something.
她有心跳了 She's back.
你做到了 You did it.
那个... So...
守护式成功了 The Gad Ko worked.
产科/妇科
BGM: Blindsided by Bon Iver
♪ Back down ♪
♪ Down to the downtown ♪
♪ Down to the lockdown ♪
♪ Boards, nails lie around ♪
♪ I crouch like a crow ♪
♪ Contrast in the snow ♪
♪ For the agony ♪
♪ I'd rather know ♪
♪ 'Cause blinded ♪
♪ I am ♪
♪ Blindsided ♪
♪ Peek in ♪
♪ Into the peer in ♪
请留言 Please leave your message.
儿子
是我...
爸爸
我知道我们好久没联系了 I know it's been a long time.
太久了 Too long.
请给我回个电话 Please call back.
我一直都在 I'm here.
我一直都在
♪ I am ♪
♪ Blindsided ♪
♪ Would you really rush out? ♪
♪ Would you really ♪
-麦克斯 -你好 - Max. - Hi.
她怎么样了 How is she?
好点了 但我还是有点担心 Better, but I'm still concerned.
她得待在床上把液输完 She needs to be on bed rest until she stops spotting.
好的 Okay.
不管是身心 She can't be put under any stress--
她不能再受刺激了 physical or emotional.
否则会危及她和宝宝的健康 It could hurt her and the baby.
明白了吗 Understand?
明白了 Yeah.
♪ Would you really rush ♪
♪ Taut line ♪
♪ Down to the shoreline ♪
嗨 Hey.
♪ The end of a bloodline ♪
怎么了 What's wrong?
♪ The moon is a cold light ♪
我... I, um...
我... I...
听着 Hey.
记得吗 Remember?
你说过... You promised...
要对我坦诚 to let me in.
♪ 'Cause blinded ♪
就告诉我一件事 Just tell me one thing.
一件真真实实的事 Just one true thing.
♪ Blinded ♪
我爱你 I love you.
♪ I was ♪
♪ Blindsided ♪
♪ Blinded ♪
♪ I was ♪
♪ Blindsided ♪