我十八岁时 想要一个 When I was 18, I wanted a
熊猫刺青 纹在我胳膊这 tattoo of a panda right here, on my arm,
但我当时的女友 but, uh, my girlfriend at the time
说服我纹一个心形 talked me into a heart.
-别动了 -好 - Stop moving. - Yeah.
我不明白为什么那时觉得熊猫很酷 I don't know why I thought a panda would be so cool.
这个纹身有助于体外放射线 Well, this tattoo will guide the external beam radiation
聚焦在你的肿瘤上 误差不到一毫米 to within less than a millimeter of your tumor, so,
也挺酷的 also cool.
是啊 但三个点 Yeah, but three dots?
这个图案太土了 Three dots is so lame.
你为什么不给我画个酷炫的泪滴 Why couldn't you give me, like, a badass teardrop
或是老虎 or a tiger?
我知道你紧张了 I get that you're nervous.
你什么时候告诉员工们 When will you tell the staff?
我还暗暗期望他们不会发现这事 I was kind of hoping they wouldn't notice.
四天内你就会出现经常呕吐的症状 Four days in you're gonna start vomiting constantly.
两周后 你只能通过胃管进食 After two weeks, you'll be fed through a tube in your stomach.
无法吞咽 You won't be able to swallow.
还会出现掉发 There'll be hair loss.
体重骤减 Weight loss.
我的意思是 我觉得他们肯定会发现 What I'm saying is, I think they're gonna notice.
他们肯定会发现 没错 They're gonna notice, yeah.
我会告诉他们的 I'll tell them.
想方设法 Somehow.
好 Okay.
保持住 别动 Hold. Don't move.
把它想象成一只熊猫 Imagine it's a panda.
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在我缝合她手臂的途中 So in the middle of stitching up her arm
她竟然想点一杯迈泰酒 she asks for a mai tai.
我就说「女士 这里像夏威夷酒吧吗」 I was like, "Lady, does this look like a tiki bar to you?"
校 对 星星与野狗
谢了大伙 Hey, thanks guys.
没有你们我肯定没法从布朗克斯赶过来 I would never have made it from the Bronx without you.
时间轴 Jenny 格瑞特 Caroline
下回我请喝酒 说定了 Next time, drinks are on me, okay?
后 期 斯人
总 监 夕橙
又偷零食吃 Stealing snacks again?
反正没写名字 先到先得 No name, fair game.
连上两轮班之前还去兼职了吗 Moonlighting before a double?
怎样 So?
好像你不这么做似的 Like you don't.
是啊 但我不是科室主任 Yeah, but I'm not the department chair.
回见 Later.
行 All right.
劳拉 Lauren?
你知道弗洛伊德喝什么牌子的苏格兰威士忌吗 Hey, do you know what kind of Scotch Floyd drinks?
怎么了 你们不是好朋友吗 What? You guys are buds.
是的 就是听到他叫弗洛伊德觉得有些奇怪 Yeah, it's just weird hearing him called Floyd.
对 Oh, yeah, right.
用姓称呼别人更普遍一些 It's way more normal to call somebody by their last name.
苏格兰威士忌 So Scotch?
如果是他买单 那什么都行 If he's paying, whatever's in the well,
如果是别人买单 但就要店里最好的 and if someone else is paying, then top shelf.
-为什么问 -因为他过生日啊 - Why? - It's his birthday.
老天 祝你好运吧 Oh, man. Well, good luck.
等等 为什么要祝我好运 Wait, why good luck?
你和一个男人刚开始约会后 Well, it just sucks to start dating a guy
就遇到他的生日 这可不太妙 and then have it be his birthday.
-是吗 -当然 - Does it? - Yeah.
尤其当他是那种超级爱过生日的人时 If he one of those guys who loves his birthday.
-我也喜欢过生日 -比不过他 - I love my birthday. - Not like he does.
这人太难取悦 It's impossible.
所以你认为我该买点 So you're thinking I should get something
-比威士忌更好的礼物 -没错 - better than Scotch? - Yep.
祝你好运 Good luck.
你给我买了弗莱泰克细胞分选机当生日礼物吗 You got me a FloTech Cell Sorter for my birthday?
-没有 -老兄 不必这么客气 - No. - Man, you shouldn't have.
-不是我 -但它还是在这了 - I didn't. - And yet, here it is.
我猜医疗联盟决定升级下我们旧的细胞分选机 I guess HCC decided to upgrade our old cell sorter.
但事实上 它并不需要升级 Which, no surprise, didn't need upgrading.
也许是你女朋友有门路 Maybe your girlfriend pulled some strings?
我不知道 这东西价值十万美金呢 I don't know; this machine costs 100,000 bucks.
这钱花在医院的其他任何地方 Which could have been better spent
都比买这个家伙强 almost anywhere else in the hospital.
-是啊 官僚主义 -官僚主义 - Yes. Bureaucracy. - Bureaucracy.
来 趁别人还没发现帮我放到手术室 Here, help me get it to the OR before someone else nabs it.
你要留下它吗 You're keeping it?
九成的法律都与财产有关 Well, possession's 9/10 of the law.
其实不是 It's not, actually.
好吧 那我就用「谁发现归谁」的规则 Well, then I'm invoking the "Finders, keepers" rule.
快帮我搬 来吧 Just help me move it. Come on.
怎么 你知道怎么 How do you, do you know how to--
你知道怎么 Do you know how to do--
这东西坏了 It's broken.
好吧 Yeah, well...
官僚主义 Bureaucracy.
接着走 Keep walking.
我还是很生气 I am still very angry.
落后三分 还剩七秒时 Down three with seven seconds left
还不让哈德威上 and Hardaway's sitting on a bench?
而且他们都没喊暂停 And then they don't call a timeout.
他是我们唯一的三分射手 He's our only three-point shooter.
喜欢尼克斯队的代价就是要受这种煎熬 Well, to love the Knicks is to suffer.
今晚你想看比赛吗 Would you like to watch the game tonight...
和我一起 together?
今晚不行 I can't.
好吧 Okay.
今晚我要拿到我的一年徽章了 I'm getting my one-year chip.
徽章 Chip?
戒酒一年的徽章 For being clean.
明白了 I see.
在下城区青年会那里 It's at the downtown Y.
如果你愿意的话可以过来 You could come if you'd like.
-那就太... -还要奖励 太奇怪了 - That would be... - Strange to get a reward.
这也是算是个不小的成就 I mean, it's kind of a big deal.
我认为 I would think that
真正的奖励就是 the real reward would be
不再成瘾 not being an addict.
好吧 Okay.
-那我猜你不会来了 -我有个更好的主意 - So I guess you're not coming. - I have a better idea.
下周一起看尼克斯队的比赛吧 Knicks game? Next week?
行 Yeah.
有病人 Patient.
那我们下周见 So I'll--I'll see you next week?
麦克斯 Max.
我能问问你的意见吗 关于一个病人 Can I just get your thoughts on a patient?
-问吧 -局部晚期胰腺癌 - Yeah. - Locally advanced pancreatic cancer.
可手术吗 Amenable to surgery?
可以 已经准备好进手术室了 Yes, he's prepped and ready to go.
很好 那就动手术吧 Great, then go for the cure.
但有一个问题 There's a catch.
心脏检查发现 Cardiology work-up
他的左心室 found a left-ventricular
射血分数只有35% ejection fraction of 35%.
这确实是个问题 That is a catch.
他有九成风险会死在手术台上 90% chance he'll die on the table.
但还有一成机会活下来 But a 10% chance he won't.
理论上是的 但这几率太小了 Technically. But those are terrible odds.
这得由他决定 That's for him to decide.
我不能建议他继续做手术 对吧 I can't suggest he go through with the surgery, can I?
为什么 Why not?
这就好比我跟你说 Because that's like me saying to you,
「咱们别做化疗了 "Hey, let's scrap chemo and wing it
直接试试精准靶向治疗吧」 with precision-targeted therapy."
有些试验的研究成果很有希望 Well, some of those trials show a lot of promise.
有些却使疾病恶化 Some show it makes the disease worse.
但我们不是在说你 But we're not talking about you.
没错 不过 Right, but
我们还是要告诉你的病人 we have to give your patient
他的两个选择 不是吗 both options, right?
「我们」 "We"?
一个叫丹尼尔的男人 A man named Daniel
被罗马士兵抓住了 was captured by Roman soldiers.
将军告诉丹尼尔他能 The general told Daniel he could make--
护士 我们能单独谈谈吗 Nurse, can you give us a minute?
谢谢 他归你了 Thank you, he's all yours.
正要说到故事的精彩之处 The story was just getting good.
斯基尔曼拉比 允许我向你介绍 Rabbi Skillman, I'd like to introduce you
我们的医疗主任 麦克斯·古德温 to our medical director, Max Goodwin.
古德温 这是犹太姓吗 Goodwin. Is that Jewish?
我想我的曾曾祖母是犹太人 I believe my great-great-grandmother was,
但我成长时没有信仰 but I was raised...nothing.
那你就是犹太人 Then you're Jewish.
你说是就是 I'll take it.
夏普医生 So, Dr. Sharpe.
今早你为我带来了什么好消息吗 Do you have good news for me this morning?
我听到了很多传言 Lot of whispering going on.
我希望我有 I wish I did.
好吧 Okay.
是你们之前担心的那样吗 It's what you feared?
他的心脏 His heart...
检查显示他的心脏供血不良 Work-up shows that it's not pumping blood very well.
雪上加霜啊 The cherry on the cancer cake.
有九成的可能性 There's a 90% chance
会撑不过手术 of dying in surgery.
也有百分之十痊愈的希望 Or a 10% chance of a cure.
这几率可不大 Not great odds.
另外一个选择就是不做手术 The other option is no surgery.
你可以回家 You can go home.
好好过剩下的这一年 Spend a year of good-quality life
陪伴你爱的人 with the people you love.
我们会确保你不会难受 We'll make sure that you're comfortable.
像这样的难题 Like any good conundrum,
我需要一点时间来好好想想 I believe I'll need some time to think about this.
当然 Yeah, of course.
如果你有什么问题的话 随时问我 And if you have any questions, I'm here.
你慢慢考虑 Take all the time you need.
我们只是想确保 We just want to make sure
你两个方案都考虑过了 you really consider both options.
好的 Okay.
艾米 Amy.
我发现 I see your...
你的偏头痛没有好转 migraines haven't improved.
然后 And, uh...
你服用的曲坦类药物也没有起作用 your triptans did not help.
的确没有 No.
我们可以再进行一次核磁共振 We can run a second MRI,
但恐怕我们已经用尽传统的治疗手段了 but I'm afraid we've exhausted all the traditional treatments.
还有什么... Is there anything else...
换个更好的治疗方案 Find a better treatment.
好的 蒋夫人 Yes, Mrs. Chiang.
我现在认为压力 I'm starting to think that stress
可能也是一个致病因素 could be a factor.
也许我们应该考虑 And we might think about counseling
以心理咨询作为另一种治疗手段 as an alternative treatment.
心理治疗
他以为你是神经病
蒋夫人 我会说的语言有很多种 I speak many languages, Mrs. Chiang,
但是不包括普通话 but Mandarin is not one of them.
我妈妈说 My mom is just saying--
我的女儿来这里是为了治偏头痛的 My daughter is here for migraines.
我有一位同事 叫伊吉·弗罗姆 I have a colleague, Dr. Iggy Frome,
然后 and, uh...
他是个出色的心理医生 He's a wonderful psychiatrist.
好吧 Okay.
伊格内修斯·弗罗姆医生 "Dr. Ignatius Frome.
行为健康教授 Chair of behavioral health."
胡说 你的病是头痛
头痛
妈 只是聊聊而已 Mom. It's just to talk.
去一次也没什么坏处 One appointment can't hurt.
我们给你找另外一个医生
可靠一点的
万一弗罗姆医生真的能帮到我呢 Okay, but what if Dr. Frome could help?
我们不跟陌生人讲自己的问题 We don't talk to strangers about our problems.
什么情况 What do we got?
自杀未遂 "Failure to fly."
在布利车站跳轨自杀未遂 Bowery stop, attempted suicide.
我的宝贝 求你 救我的宝贝
带她出去 Escort her out of here.
可以跟我说一下大致情况吗 Would you give me the rundown?
蒋艾米 21岁 Amy Chiang. 21.
她很幸运 摔在了铁轨道床上 Got lucky, landed on the track bed
所以地铁直接从她身上开了过去 so the train went right over her.
造成了划伤 Left her with lacerations,
可能有髌骨骨折 possible patellar fracture.
艾米 看着我 Amy, look at me.
你的腿能动吗 Can you move your leg?
拿到她的病历了 Got her chart.
呼叫骨科的医生并准备手术 快 Get ortho and prep for surgery. Now.
你一定会很吃惊 You're not gonna believe this,
因为她上午才来过这儿 but she was here this morning.
-为什么 -来看卡普尔医生的 - Why? - Seeing Dr. Kapoor.
她是第一代华裔美国人 First generation Chinese-American.
家里第一个上大学的 First to go to college in her family.
拿奖学金 在家里的饭店全职工作 Scholarship. Works full-time at the family restaurant.
后来成绩开始下滑 Grades started to slip.
她就来医院 说偏头痛 She came in complaining of migraines.
药物治疗没有效果 Medication didn't work,
所以卡普尔医生认为可能压力才是病因 at which point Kapoor suggested stress
就推荐她到我这里来 as a possible trigger, and then referred her to me.
-然后 -只有21岁 - The next thing you know... - Only 21.
这可能是未确诊的重度抑郁症 Possible undiagnosed severe depression.
我们在中国城诊所的时候见过这种情况 We saw this at the Chinatown clinic.
纽约地铁F线
我们管这叫「F线病」 Called it "The F train disease."
从来没听说过 Never heard of it.
F线会经过中国城 Well, the F train runs through Chinatown,
很多女性会把在F线跳轨作为最后的选择 and a lot of women would use it as a last resort.
抑郁症对于 Depression can be...
有的亚裔群体来说很难接受 hard to accept in some Asian communities.
很多群体都是 In many communities.
无论是不是耻辱 Yeah, well, stigma or no,
如果我们不帮助艾米 if we don't help Amy,
她很可能会再次自杀 she will probably try to kill herself again.
我从来没见过这么美的东西 I've never seen anything so beautiful.
这是用来做什么的 What does it even do?
没什么 Oh, nothing, you know,
就是按一下开关 just separates the white blood cells
然后把白细胞和红细胞分离 from the red blood cells with the flick of a switch.
这是我收到过最棒的生日礼物 Best birthday present ever.
你在过生日这方面真是个呆子 You really are a birthday dork.
我妈以前打两份工 一周七天都要上班 My mom worked two jobs seven days a week,
但我每年生日的时候 她都会请一天假 but every year on my birthday she took the whole day off
带我去书店 and took me to the bookstore,
给我买好多好多书 where she bought me as many books
我都快搬不动了 as I could carry.
我说错了 你就是个呆子 Correction. You are just a dork.
不是吧 No way.
这个接口不对 It's the wrong connector.
跟这些机器都连不上 It's not compatible with any of the machines.
叫个电工过来 Call an electrician.
不 我们得升级整个手术室 No, we'd have to upgrade the whole OR.
不然这就是价值十万美元的垃圾 This is just $100,000 worth of useless junk.
这基因不错 我猜他还很聪明 Quality genes. I bet he's smart, too.
有这样的腹肌的人 一般高考都砸了 You don't get abs like that without crushing the SATs.
如果我需要选择精子捐赠者的建议 When I want input on my choice of sperm donor,
-我会告诉你的 -好的 - I'll let you know. - Right.
我们的「拉比」考虑好手术的事情了吗 Has the rabbi decided on the surgery yet?
我一般会给病人多一点时间 I usually give my patients a little more time,
尤其是这种生死攸关的决定 you know, when it comes to life-and-death decisions.
打扑克的人都说 Well, you know, in poker they say,
「想得越久 错得越多」 "You think long, you think wrong."
那就有趣了 Well, that's interesting,
因为在肿瘤科 我们都说 because in oncology we say,
「跟打扑克的人反着来」 "Do the opposite of poker players."
那就看我们的病人怎么说吧 Well, let's see what the patient has to say.
不 麦克斯 No. Max!
-我觉得你对这件事太投入了 -是吗 - I think you're getting too invested in this. - Really?
我平常不也这么投入的吗 Isn't this the same amount of "Too invested" I always get?
我猜如果你是那位拉比 I take it, if you were the rabbi,
-你会选择一年 -我有我的理由 - you would take the year. - I have my reasons.
我尊重你的想法 Well, I respect those reasons,
但这想法很可笑 因为一年什么都不是 except they're ridiculous because a year is nothing.
如果能和爱的人一起过 一年意义很大 A year is everything if it's with someone that you love.
一年 和患癌症的一年 是有区别的 There's a year, and then there's a year with cancer.
相信我 大部分人都会选择手术 Believe me, most people would take the surgery.
麦克斯 签字 Max. Signatures.
亲爱的朵拉 你好吗 Dora, my dear, how are you?
挺好的 谢谢 Good, thanks.
-但你不好 -我不好 - Actually you're not. - I'm not?
你患了癌症晚期 You have terminal cancer.
什么 What?
你听听我和夏普医生谁说的对 You're settling a debate between Sharpe and me.
我一定要听吗 Do I have to?
第一种选择 做一场手术然后痊愈 Choice one: get a surgery that would cure you.
或者第二种选择 Right? Or choice two:
回家 什么都不做 然后死去 go home, do nothing, and die.
-那肯定做手术 -等一下 - Definitely the surgery. - No, hang on.
麦克斯这是想让你做手术 Max is trying to sway the jury.
真实的情况是这样的 Here's the real situation.
第一种选择 做手术 Option one: have a surgery so risky
但风险非常高 存活率比坠机都小 you're more likely to survive a plane crash,
或者回家 跟家人好好地过一年 or go home and have a good year with your family
平静而祥和 living in peace and comfort.
那就选一年 我可以走了吗 Definitely the year. Can I be done now?
-不可以 -可以 - No. - Yes.
谢谢你 朵拉 Thank you, Dora.
你看 See?
最重要还是看你怎么说 It's all in the presentation.
他会做手术的 He's doing the surgery.
想都不用想的 It's a no-brainer.
我不会做手术的 I'm not doing the surgery.
风险太高了 The risk is too great, I...
我本来做好准备的了 但是现在 I was prepared, but now...
90%的死亡率 90% death rate?
纽约的一支橄榄球队 战绩不佳
我是喷气机队的粉丝 I'm a Jets fan.
一直以来 运气从来没有站过在我这边 Historically, luck has not been in my favor.
这是上帝为我选的路 This is the path God chose for me.
我们这一年会过得很开心的 We're gonna have a good year.
你可以多花点时间 You could take more time...
再决定一下 你可以... to decide, if you want. You can...
回家跟其他家人商量一下 go home and talk it over with the rest of your family,
还有你教众 your congregation...
我心已决 I-I'm--I'm at peace with my decision.
哪怕现在不是我希望的样子 I accept my circumstances for the way they are,
我也接受现在的处境 not the way I want them to be.
我们都是 We both do.
我选一年 I want the year.
新阿姆斯特丹医院会支持你 And New Amsterdam will be here to support you
一直到最后 every step of the way.
谢谢你 夏普医生 Thank you, Dr. Sharpe.
那我们谈谈接下来的事情 Now let's talk about what comes next.
我们会帮你与负责家庭护理和用药的工作人员对接 We're going to connect you with staff members
我们会帮你与负责家庭护理和用药的工作人员对接 who will discuss home care and medication.
丽贝卡在此期间会非常重要 Rebecca's going to be incredibly important.
她这一整年的重心都会放在你身上 And the focus of this year is you.
关心你舒不舒服 Your comfort.
-蒋夫人 -她怎么样了 - Mrs. Chiang. - How is she?
-艾米目前稳定 -我什么时候能带她回家 - Amy is stable. - When can I take her home?
你好 我是弗罗姆医生 Hi, um, I'm Dr. Frome.
卡普尔医生之前给过您我的名片 Dr. Kapoor gave you my card earlier.
我只是想说我对今天发生的事情 I just wanted to say I'm very, very sorry
感到非常非常遗憾 about what happened today.
等你女儿从手术室出来 When your daughter gets out of surgery,
我们想和您讨论一下 we would like to discuss
入院精神病治疗的事情 inpatient psychiatric care with you.
她没疯 她是个好女孩 She's not crazy. She's a good girl.
对 我们知道 我们知道她是 No, no, we know that. We know she is.
她只是需要帮助 She just needs help.
我们现在要走了 We're going to go now.
我们都是为了你女儿好 Okay. We want what's best for your daughter,
我相信你也是 and I'm sure you do too.
但是 你不是病人 But, uh, you're not the patient here.
艾米才是 Amy is.
蒋夫人 Mrs. Chiang,
你女儿冲着地铁径直跳了下去 your daughter jumped in front of a subway train.
她没跳 She didn't jump.
您说什么 I beg your pardon?
她没跳 她滑倒了 She didn't jump. She slipped.
过来 宝贝 过来 Come here, baby. Come here.
研究发现 医生值班超过三十小时 Studies found that docs working shifts of 30 hours or more
会多犯36%的错误 end up making 36% more mistakes.
我没事 我是多相睡眠者[一天睡很多次] I'm fine. I'm a polyphasic sleeper.
那才不是真的 That's not a real thing.
我和托马斯·爱迪生一样 Me and Thomas Edison.
小憩让我们活力四射 We thrive off of short naps.
解释一下「活力四射」 Define "thrive."
你给跳轨的患者注射了二十毫克的吗啡 You gave the subway jumper 20 milligrams of morphine?
她是死了吗 Is she dead?
不是 二 两毫克 No. Two. 2 milligrams.
打错了 It's a typo.
我还没有提交 I didn't submit it.
我打算校对来着 I was gonna proof it.
-36% -闭嘴 - 36%. - Shut up.
好吧 Okay.
-医生 -嗨 - Hey, Doc. - Hey.
我还以为会错过你 Thought I was gonna miss you.
没事吧 Everything all right?
没事... Yeah, um...
我想问你个问题 I--I need to ask you a question.
那个... And, uh...
不是以古德温医生的身份问你 this isn't me, Dr. Goodwin, asking.
而是 This is, uh...
以麦克斯的身份问的 This is me, Max.
怎么了 麦克斯 What is it, Max?
你做的那个决定 That decision you made...
我觉得我做不出来 I don't think I could have made it.
而且你看起来那么平静 我是说... And you seem so at peace, I mean...
真正的 来自内心深处的平静 real, in your bones, at peace.
你想知道当我得知自己要死的时候 You want to know how I can be at peace
怎么还能那么平静吗 when I know I'm going to die?
对 Yeah.
你知道亚伯拉罕与以撒的故事吗 Do you know the story of Abraham and Isaac?
不知道 No.
好吧 Okay, so...
亚伯拉罕和撒拉没有子嗣 Abraham and Sarah have no children.
但当他们很老的时候 But when they're very old,
神赐予了他们一个儿子 以撒 God gives them a son, Isaac.
然后神让亚伯拉罕 And then God asks Abraham
将以撒杀死献祭给祂 to sacrifice Isaac. Kill him.
祂就会赐予他更多的孩子 And he'll reward him with as many children
多如天上繁星 海中砂砾 as there are stars in the sky and sand in the sea.
亚伯拉罕作为一个虔诚的人 And Abraham, being a good and faithful man,
就带着以撒上山献祭 takes Isaac up the mountain to sacrifice him.
上帝则因此奖赏他 And God rewards him for it.
那是选择一 That's choice one.
但是如果亚伯拉罕拒绝了呢 But what if Abraham said no?
如果亚伯拉罕说 What if Abraham said,
天上虽然有那么多繁星 "There's lots of stars in the sky,
但只有一个以撒 "But only one Isaac,
我苦苦等了他一百年 "Who I waited 100 years for,
我宁愿只与他和撒拉 "And I'd rather spend the time I have left on this Earth
共度余生 去他的奖赏 with him and Sarah, reward be damned"?
那是选择二 That's choice two.
两个不可能的选择 Two impossible choices.
所以我选了那个能让我更开心的 So I took the one that makes me happier.
我想忏悔 I have a confession.
虽然你弄错了信仰 但我在听 Wrong religion, but I'm listening.
我得了癌症 I have cancer.
抱歉 I'm sorry.
化疗明天开始 Chemo starts tomorrow, and, uh...
我知道我不是一个好病人 what I'm learning is that I'm not a good patient.
因为我...很害怕 'Cause I'm...scared.
很挫败 And I'm frustrated.
很愤怒 你懂吗 And I'm angry, you know?
我不知道怎么做才好 I don't--I don't know what to do.
癌症会改变一切 但又什么也不会改变 Cancer changes everything and nothing at all.
我的三明治呢 Where is my sandwich?
我要三明治 I need a sandwich!
我要三明治 I need a sandwich.
你要检查一下吗 Would you mind checking it out?
好 没问题 Yeah, no problem.
你感觉怎么样 罗杰 How are you feeling, Rodger?
他的哮喘看起来好点了 His asthma seems better.
你知道我们还要待多久吗 Do you know how much longer we have to stay?
不好意思 什么 I'm sorry, what?
我们什么时候能走 When can we go?
因为你丈夫 Yeah, uh, since your husband
还患有高血压 uh, also has hypertension,
我们还要让他留院观察一夜 we're going to need to watch his pressure overnight.
恐怕独奏会得延期了 I'm afraid the recital's gonna have to wait.
他会没事吗 Is he gonna be okay?
那当然 Absolutely.
好吧 你说得对 Okay, you were right.
多相睡眠者真的存在 Polyphasic sleepers are real.
对 你说的也对 Yeah, uh, you were right too.
我要去值班室 就睡五分钟 Um, I'm gonna hit the on-call room and just crash for five.
这他妈... What the?
能来个人把这鬼东西从我的急救中心搬出去吗 Can someone get whatever the hell this is out of my ED?
你最好准备好去参加派对 You better be ready to party.
-什么 -我想了想你说的 - What? - Uh, I thought about what you said
我决定下班以后给弗洛伊德 and I decided to throw Floyd a surprise party
-办个惊喜派对 -没错 - right after work. - Right.
好主意 他会喜欢的 Great idea. He'll love it.
再问几个问题 Just a few more quick questions.
蛋糕还是派 Cake or pie?
都不要 要脆皮水果馅饼 桃子馅的 Neither. Uh, cobbler. Peach.
他喜欢卡拉OK吗 Does he like karaoke?
如果他能唱力量民谣的话 Only if he can do power ballads.
好想看啊 Can't wait to see that.
你确定你想看吗 You can't, really?
放气球会不会太夸张了 Are balloons too much?
怎么都不夸张 Nothing is too much.
多谢 你真棒 Thanks, you rock.
布鲁姆医生 Dr. Bloom?
我真的需要听听你对 I could really use your opinion
三区病人的意见 on the patient in Bay 3.
睡得好吗 Did you have a good nap?
你好啊 艾米 Hi there, Amy.
我是 弗罗姆医生 I am, uh, I'm Dr. Frome,
我相信卡普尔医生 I believe Dr. Kapoor
之前跟你提起过我 spoke to you about me earlier?
介意我问几个问题吗 Do you mind if I sit?
谢谢 Thank you.
那么 Okay, so.
我想跟你谈谈今天发生的事情 I would like to talk to you about what happened today.
你能活着真是幸运 You are very lucky to be alive.
你知道的 对吗 You know that, right?
告诉我你是不是有以下的感觉 Okay, tell me if any of these feel true for you.
在学校无法集中注意力 Can't concentrate at school.
一直很疲惫但是睡不着 Chronic fatigue, but you can't sleep.
即使取得了很多成就 You feel like a failure
但依然觉得自己是个失败者 despite your many accomplishments.
感到无望 Feel hopeless.
我还以为那是压力造成的 I thought it was stress.
那是抑郁症 That's depression.
数百万人身患这种疾病 And millions of people suffer from it.
我生活中有很多美好的事情 I have a lot of good things in my life.
我不应该有抑郁症 I shouldn't have depression.
对 Yeah.
抑郁症没有应该不应该 Depression doesn't work that way.
但好消息是 But the good news
这种病治愈率很高 is it's highly treatable.
怎么治 How?
第一步就是寻求帮助 Well, the first step is to ask for help.
我喜欢从谈话疗法开始 I like to start with talk therapy.
要是被我妈妈发现怎么办 What if my mom found out?
或者我爸爸 Or my dad?
他们会觉得我在装柔弱 They'd think I was acting weak.
我觉得跟别人 I think it's a good thing
谈谈自己的问题是件好事 to talk to others about our problems.
我用的是我父母的保险 I'm on my parents' insurance.
好吧 Okay.
他们会发现我要去接受治疗 They would know I was going to therapy.
他们会认为我在说他们 They'd think I was talking about them
或者说家里的秘密 or telling family secrets.
他们不会再理我了 They'd stop talking to me.
-艾米 -我不能 - Amy... - I can't.
抱歉 I'm sorry.
没事 Okay.
不能就因为社区对心理疾病的恐惧 Amy shouldn't have to suffer
而让艾米遭受这样的折磨 because her community is afraid of mental illness.
这不是因为害怕 而是因为羞耻 It is not about fear. It's about shame.
-不 他们这根本是歧视 -你得理解 - No, it's about stigma. - You have to understand
他们就是太在意他人的想法 that they are afraid of what others think.
为什么要在意别人想法 Yeah, well, who cares what others think?
我们都想要给她提供最好的解决方案 Look, we all want what's best for her, okay?
但我们没法一夜之间改变文化排斥 But we can't fight every cultural stigma in one day.
-跟你说了这是排斥 -这是羞耻 - Told you it was stigma. - It's shame.
她是我们想帮助得到病人 We've got a patient that we want to help,
但是我们不能帮她 but we can't help her
就因为这些愚蠢的医疗保险表 because of all these stupid insurance forms.
-你说得对 -听到了 - You're right. - See?
关于哪部分 About what?
-开低价账单 -你认真的吗 - Downcode it. - Are you serious?
我不得不这么做 I had to do it for girls
为了那些父母不允许她们避孕的女孩们 whose parents wouldn't allow them birth control.
以「圆形韧带疼痛」的理由开账单 Billed it as "Round ligament pain."
我们会被看做没能力的 We would look incompetent.
但这样能帮到病人 But you'll help the patient.
你想让我们欺骗医院 You want us to defraud the hospital?
没错 Exactly.
好吧 Okay...
麦克斯 Max.
你到底跟拉比说什么了 What the hell did you tell the rabbi?
我不知道你在说什么 I have no idea what you're talking about.
在你跟他谈完之后 他改变了主意 After you talked to him, he changed his mind.
你说服了他进行有风险的手术 You have just talked him into a risky surgery
他有可能死在手术台上 that will most likely lead to his death.
抱歉 简 让我们单独聊一下 Sorry, Jane? Give us a second.
拜托了 Please?
你一定在奇怪我为什么改变了主意 You're wondering why I changed my mind.
我在祈祷不是因为我 I am praying it is not because of me.
怎么说呢 你说得很有道理 What can I say? You made a good case.
这是高风险手术 This is a high-risk surgery.
对我来说以我个人的观念影响病人 And for me to tip the scales in any way with my own baggage
正是不道德的行为 is the definition of unethical.
那真不巧 Tough luck.
你有 You did.
-麦克斯 -拉比 - Max. - Rabbi.
麦克斯 我是自己下的决定 Max, I make my own decisions.
没错 我可以回家跟家人一起 Yeah, I could be home with family.
但我仍是个病人 But I'd still be a patient.
这不是我想要的生活 That's not the life I want.
如果我做手术 If I do this,
明天 我要么变得更好要么死去 tomorrow I'll be better or I'll be dead,
但是我不再是个病人 but I won't be a patient.
不确定你这番话是否能让我免于医疗事故诉讼 Not sure that clears me of the malpractice suit, but...
麦克斯 大胆做吧 我豁免你 Max, go. I absolve you.
错误的信仰 Wrong religion.
现在你就是在找茬了 Oh, now you're being picky.
抱歉 拉比 Sorry. Rabbi?
亚伯拉罕真的牺牲了自己的儿子吗 Did Abraham actually sacrifice his own son?
没有 No.
一个天使下凡阻止了他 An angel came down and stopped him.
他的确打算这么做 But he was going to.
而这已经足够通过神的考验了 And it was enough to pass God's test.
所以 神奖励他 And God rewarded him with as many children
让他拥有和星辰砂砾一般多的子女 as there are stars in the sky and sands in the sea:
就是犹太族人 the Jewish people.
有些事值得冒险 Some things are worth the risk.
为什么细胞分选仪在走廊里 Why is there a cell sorter in the hallway?
它连不上其他的机器 It won't connect to the other machines.
官僚制度 Bureaucracy.
让医疗联盟把它收回去 Tell HCC to take it back.
他们不会的 They won't.
简直像我们在军队工作一样 It's like we're working for the army.
那这个也不能放这 Well, it can't live here.
我知道 你能把它带走吗 I know. Can you take it?
然后拿它干什么 And do what with it?
不知道 但今天是我生日 I don't know. But it's my birthday.
医生 我是来自计财处的桑德拉·福尔 Dr. Goodwin, Sandra Fall from billing.
哦 你给我留言了对吧 Yes. You left me a message?
是的 你没有回我的电话 Yeah, and you didn't call me back.
我就觉得我今天有件事情忘了做 I knew there was something I forgot to do today.
你知道你手下有两名医生在开低价账单吗 Um, are you aware that two of your doctors are downcoding?
开低价账单 Downcoding?
是的 就是医生开出低价账单 Yeah, it's when doctors bill for something small
同时却提供昂贵的医疗服务 but provide more expensive care.
他们为什么要这么做 Why would they do that?
因为如果他们高报医药费 Because if they were upcoding,
他们能通过这种方式赚钱 但开低价账单 they could make money, but downcoding--
是的 没错 Yeah, exactly.
所以他们让我记下当前诊治专用码90868 So they told me to put down CPT code 90868
是用于蒋艾米的经颅直流电刺激 for transcranial electrical stimulation for patient Amy Chiang,
但是账单上并没有包括 but that doesn't require three weekly sessions
精神病区的一周三次疗程 所以我会通知 in the psych ward, so I will also notify--
好的 我认栽 是我让他们这么做的 Okay, you got me. I told them to do it.
我只是希望他们能手段高明点 I just hoped they would do it a little better.
你让你手下的医生 Uh, wait, you told your doctors
敲诈医院的资金 to extort money from the hospital?
你这样的说法真的听起来很糟糕 Well, it sounds really bad when you say it like that,
但 but, uh,
我们只是试图帮助一个病人 we were just trying to help a patient.
但是我的工作是 Yeah, and it's my job
确保医院有足够的资金 to make sure the hospital has enough money
能帮助所有病人 to help all our patients.
到底是什么时候才有人把这个东西搬走 When is somebody gonna get this thing out of here?
你问得很好 You bring up an excellent point.
所以你打算怎么补偿医院损失的收益 So how do you intend to make up the lost revenue?
十万美元足够了吗 Would $100,000 cover it?
你能这么做吗 You can do that?
虚假治疗名目 Call therapy something else?
我们只是想通过一切办法帮助你 We want to get you the help that you need any way we can,
所以我们会在这里进行治疗 so we're gonna start therapy in here,
等你恢复得好些了 就一周三次 while you're in recovery, three times a week.
而且我会根据你们学校的课程时间进行调整 And, uh, and I will navigate your school schedule
还有你的工作时间 and your work schedule.
你妈妈绝对不会发现的 Your mother will never find out.
但那是在撒谎 But it's a lie.
从纸面上看 是的 On paper, yes.
那我该说些什么呢 And what will I tell my mother
当她问起我的脑部刺激 when she asks about the brain stimulation?
你可以告诉她那非常有促进作用 Well, you can tell her it was very stimulating.
那我就是在对她撒谎了 So then I will be lying to my mother.
还有我的父亲 And to my father.
-这是为你的心理健康着想 -她会知道的 - It's for your mental health. - She'll know.
就算她什么也不说 And even if she doesn't say anything...
她也会评判我 she'll judge me.
我能教你一些应对机制 I can teach you some coping mechanisms.
她不会像以前一样爱我了 She won't...love me the same.
有针对这种情况的应对机制吗 Is there a coping mechanism for that?
报低价账单会有效 The downcoding will work.
但从长远角度看对她没有帮助 But it's not gonna help, not in the long run.
不得不对她的家人撒谎的压力 The stress of having to lie to her family
只会加剧她的忧郁 is only going to exacerbate her depression--
还有孤立感 her sense of isolation.
我们唯一的选择就是说服她的母亲 Our only option is to work around the mother.
这就是问题所在 I think that's the problem.
我不认为我们要说服她的母亲 I don't think we should work around her.
我们应该让她的母亲参与进来 I think we should bring her in.
-参与进治疗 -是的 - For therapy? - Yeah.
他们需要一起参与治疗过程 They need to do it together.
我们在这的原因 The whole reason we are here
就是因为她的母亲不愿与任何人交流 is because the mother is against talking to anyone.
我知道 但我们不得不让她加入 I know, but we have to get her on board,
否则我们无法治疗艾米 or we're gonna lose Amy.
-好吧 -好的 - Okay. - Okay.
罗杰·康威得了心房纤颤 Rodger Conway's gone into A-fib.
什么 What?
抱歉 我去找其他人吧 Sorry, I can get someone else.
不用 我就是得缓缓 No, just, just give me a sec.
没事 我们能解决 No, we can handle it.
我没事 我没事 I'm fine. I'm fine.
室上性心动过速 心室率160 SVT. Ventricular rate of 160.
-布鲁姆医生 -病人怎么样了 - Dr. Bloom? - Uh, how's the patient?
胸口疼吗 Any chest pain?
我问过了 但是他昏迷了 I would ask him, but he's unresponsive.
好 心脏按摩 Okay. Uh, carotid massage.
他的颈动脉狭窄 不能按摩 He's a set-up for carotid stenosis.
他要不行了 我们需要更有力的手段 He'll stroke out. We need a heavy hitter.
好 好 Okay. Okay.
你需要我们怎么做 布鲁姆医生 What do you want us to do, Dr. Bloom?
布鲁姆医生 我们需要你的指示 Dr. Bloom, we need your instructions.
-知道了 -知道了 - Yes. - Yes?
血压降到95/50 BP's down to 95/50.
布鲁姆医生 Dr. Bloom.
好的 好的 Okay. Okay.
好的 Okay.
阿替洛尔 5毫克 静脉注射 Atenolol, 5 milligram, IV.
你说的是腺苷吧 You mean adenosine.
不 我说了阿替洛尔 No, I said atenolol.
阿替洛尔 Atenolol.
-好的 -拿来了 给 - All right. - Got it. Here.
血压降到了90/50 BP's down to 90/50.
康威先生 Mr. Conway?
你听得到吗 Are you with us?
还是昏迷状态 Still unresponsive.
药物需要一些时间才会起效 The medication will take a minute to work.
血压降到86 BP's down to 86.
他就要室速了 He's about to convert to VTACH.
血压仍在下降 Blood pressure's still dropping.
这种情况通常要用电击 We usually shock this rhythm.
不用 别 药物会起效果的 Don't. No. This med will work.
我们得马上给他电击了 We need to shock him now.
不 等等 No, j--just wait.
住手 Just stop!
他脱离危险了 He's back.
正常窦性心律 药物起作用了 Normal sinus rhythm. The medication worked.
刚刚发生了什么 What just happened?
你没事了 康威先生 You're okay, Mr. Conway.
没事 你没事了 It's okay. You're okay.
好了 最后一个问题 Okay, one last quick question,
这个问题有些搞笑 and it's kind of funny.
弗洛伊德要过几岁生日 How old is Floyd going to be?
我不知道 他又不是我男朋友 I don't know. He's not my boyfriend.
我们就是一起睡过几晚 We just slept together a couple of times.
你心里肯定也会有这种想法... There must be a part of you that knows...
你女儿今天不是失足所致 that your daughter did not slip...
而是准备结束自己的生命 that she tried to end her life today.
我知道这很难接受 I know it's hard to accept.
当孩子想要寻求帮助时 家长可能会想 When a child needs help, one may think,
「我这个家长当得真差劲」 "I did a bad job as a parent."
或者会想 One may wonder,
「我为什么没有提早发现问题」 "Why I didn't see the signs sooner?"
我们的孩子并不完美 Our children aren't perfect.
为什么苛求他们完美 And why should they be?
我们也非完人 We are not.
他是个好人 He's a good man.
这一点会起作用吗 Does that count for something?
在这里 没用 但是... In here, no. But...
其他地方 会的 everywhere else, yes.
我觉得 他总会选择做手术的 He was always going to do the surgery, I think.
他只是需要寻求其他选择 He just needed to explore the alternatives
直到别无选择 to know it wasn't for him.
你是否... Do you...
为此而憎恨他 resent him for it?
我喜欢他这样 I love him for it.
嗨 Hi.
就是顺便过来看看你 Just came by to check on you.
你感觉如何 How you feeling?
就好像被F线地铁撞了一样 Hmm, like I've been hit by an F train.
冷笑话 Whoa. Solid.
讲冷笑话是个好的征兆 Solid jokes are a very good sign.
我很抱歉我不能瞒着我妈妈 I'm sorry I can't go behind my mother's back.
你知道吗... You know...
你确实是个非常 非常忠诚 You are obviously a very, very loyal,
非常替人着想的女儿 very caring daughter.
我看得出来 I see that.
你的家庭成员关系也非常亲密 And you're part of a very tight-knit, close family,
你在意他们的看法 and you care what they think.
我知道这听起来... I know it sounds...
很傻... silly...
但是... but...
每天最困难的事就是... the hardest part of every day is...
起床 just getting out of bed.
我躺在床上想着 I lay there thinking about
所有我需要做的事 all the things I have to get done.
我把这些都在脑中过一遍 I imagine it all in my mind.
一个一个的过 And one by one,
我一事无成 I fail at everything.
我没有完成家庭作业 I don't finish my schoolwork.
我上班迟到 I'm late for work.
我在家说错话... I say the wrong thing at home, and...
我还会想或许我该放弃 then I think maybe I shouldn't even try.
所以我躺在床上... So I lay there for a while...
就这样躺着 希望 All the time, wishing
我可以告诉我妈妈 that I could just tell my mom...
为了成为她的骄傲 How much pressure I feel
我压力有多大 to make her proud.
我不知道
妈 Ma!
我告诉你妈我们打算如何给你开保险账单 I told your mother how we will bill your insurance.
她说那个主意不错 She said it was quite clever.
没错 我想这样 如果你没意见的话 I--yeah, I would like to-- if it's okay with you--
看着你们在一起 see the two of you together.
我想你能好起来 I want you to get better.
我很抱歉 I'm sorry.
我需要帮助 I need help.
我们都需要帮助 We all need help.
宝贝
生日快乐 Surprise!
-棒啊 伙计 -真棒 - Yeah, dawg! - Yeah!
这都是你策划的吗 Did you do all this?
没什么大不了的 It's no big deal.
谢谢 Thank you.
我认真的 Seriously.
你真是太棒了 How amazing are you?
呼叫雷诺兹医生 Paging Dr. Reynolds.
唱K科 You are urgently needed
非常需要你 in the karaoke department!
你是怎么知道的 How did you know?
老实说 是布鲁姆告诉我的 Honestly, Bloom told me.
我记得我说了「情况紧急」 I believe I said "Urgently needed"?
-去吧 -去吧 - Yeah. - Yeah, come on!
BGM: Things Are Gonna Get Easier by Low Motion Disco
♪ Ooh, child ♪
♪ Things are gonna get easier ♪
♪ Ooh, child ♪
♪ Things'll get brighter ♪
♪ Ooh, child ♪
♪ Things are gonna get easier ♪
♪ Ooh, child ♪
♪ Things'll get brighter ♪
♪ Someday ♪
♪ We'll get it together and we'll get it all done ♪
♪ Someday when your head is much lighter ♪
♪ Someday, yeah ♪
♪ We'll walk in the rays of a beautiful sun ♪
♪ Someday when the world is much brighter ♪
♪ Ooh, child ♪
♪ Things'll get brighter ♪
♪ Someday ♪
♪ We'll get it together ♪
♪ And we'll get it all done ♪
♪ Someday when your head is much lighter ♪
♪ Someday, yeah ♪
♪ We'll walk in the rays of a beautiful sun ♪
♪ Someday when the world is much brighter ♪
♪ Brighter ♪
FertilityMatchNYC.com
♪ Ooh, child ♪
♪ Things are gonna get easier ♪
斯科尔曼拉比的手术很顺利 Rabbi Skillman's surgery is looking good.
嗯 我收到安德斯医生的消息了 Yeah, I got a text from Dr. Anders.
如释重负 I'm so relieved.
他拼了一把 赌赢了 Rolled the dice and came up huge.
或许你也该试试看 Maybe you should do the same.
选择一个捐赠者 Choosing a donor.
我还是很想他 I still miss him.
他的名字叫默罕默德 His name was Muhammad.
内科医生 Internal medicine.
首屈一指 One of the good ones.
我们两个都疯狂的爱着对方 We were completely out of our minds for each other.
你知道这种感觉的 You know what that's like?
他求我嫁给他 He asked me to marry him.
我们准备要孩子了 We were gonna have kids.
一切都计划好了 The whole thing.
你们分手了吗 You broke up?
脑动脉瘤 Brain aneurysm.
我们所有的计划... All our plans, just...
我走到这步田地 冷冻卵子 And now here I am, freezing eggs
并且寻求陌生人的帮助 and asking strangers for help.
我觉得我... I feel like I'm b...
我觉得我背叛了他 I feel like I'm betraying him,
我不知道这样做值不值得 and I--I don't know if it's worth it.
值得 It's worth it.
♪ Don't you ♪
♪ Forget about me! ♪
雷诺兹 Reynolds.
♪ Don't you ♪
在他转向前卫摇滚风之前我们得阻止他 We should stop him before he moves onto prog rock.
是啊 我都不知道他能唱的那么高 Yeah, I didn't even know he could go that high.
我是说 这也... I mean, that is...
你能取消我明天的化疗吗 And would you cancel my chemo tomorrow?
我想试下高精度靶向疗法 I wanna try precision-targeted therapy.
临床试验吗 Clinical trials?
化疗会让我无法正常生活 我... Chemo's gonna take the life out of me, and I...
我想要继续主管这间医院 I wanna keep running this hospital.
我想陪在乔治娅 I want to be there
和宝宝的身边 for Georgia and the baby.
麦克斯 我们计划好了 Max, we had a plan.
我知道 但是我不想成为病人 I know, but I don't want to be a patient.
我想做我自己 I just want to be myself.
这样风险太大了 It's too big a risk.
这个风险我必须承担 It's a risk I have to take.
♪ Oh-oh-oh ♪
♪ Ooh, child ♪
♪ Things'll get easier ♪