妈妈 Mom!
妈妈 Mom?
妈妈 Mom!
妈妈 Mom?
妈妈 Mom!
没事 亲爱的 It's okay, honey.
没事的 我能做些什么 It's okay. How can I help?
我找不到妈妈了 I can't find my mom.
-我不知道她去哪儿了 -没事的 - I don't know where she went. - It's okay.
我们会找到她的 你叫什么 We'll find her. What's your name?
-卢娜 -卢娜 - Luna. - Luna.
这名字很好听 That's a pretty name.
你爸爸呢 你知道他在哪儿吗 What about your dad? Do you know where he is?
我没有爸爸 I don't have a dad.
我爸爸死了 My dad died.
BGM: Daniel (Instrumental) by The Village Church
原创翻译 双语字幕
最新连载海外影视剧下载 仅供交流学习 禁止商用盈利 请登陆 www.YYeTs.com
翻 译 babibada 红豆双皮奶
翻 译 人妻 Azerother
翻 译 改良俱乐部 1.0
校 对 星星与野狗
时间轴 Caroline Jenny
后 期 斯人
总 监 夕橙
医 院 革 命 第一季 第二十集
我这有两个无边泳池 All right, I've got two infinity pools,
一个游泳按摩浴缸 还有这个 I got a swim-up Jacuzzi, and this?
这是千年隼号停的地方 This is where the Millennium Falcon lands.
《星球大战》中的宇宙飞船
怎么了 What?
没有 杰弗里 这很棒 No, Jeffery, it's, uh-- it's great.
只是你遵循了练习字面上的要求 It's just, it's safe to say you followed the letter
而没有领悟到其精神 of the exercise and perhaps not the spirit.
你说的想象我们的未来 对吧 I mean, you said envision our futures, right?
-这就是我的未来 -是的 杰弗里 - Well, y'all, this is mine. - Yes, Jeffery.
只是你的未来里的比基尼 It's just, your future contains a few more
比我预想中的多一点 two-piece bathing suits than I had anticipated.
仅此而已 That's all.
下一个我来可以吗 弗罗姆医生 Can--can I go next, Dr. Frome?
可以 阿维 请 Yes, Avi, please.
跟我们说说你对未来的愿景 Talk us through your vision of your future.
杰弗里 挺棒的 Jeffery, it's fantastic.
谢谢 Thanks.
这个是雅典的帕特农神庙 Okay, so right here is Parthenon in Athens.
我会先学一点希腊语再去 I'm gonna go after I learn some Greek, you know?
这样我就能跟当地人交流 So I can speak to the locals.
我不喜欢所有人都觉得 I hate that everybody just assume that everybody's
其他人都会说英语 just gonna speak English, you know?
很聪明 That's smart.
这个 And this?
这是开普敦的桌山 This is Table Mountain in Cape Town.
总有一天我会爬上这座山 One day I'm gonna hike it.
一直到山顶 Right to the top.
为什么你想去开普敦 What drew you to Cape Town?
我就是想看看这个世界 I guess I just, you know, want to see the world.
去我没去过的地方 Go places I never been before.
拜托 看看这个景色 I mean, come on. Look at that view.
-很壮观 -非常美 - That's spectacular. - It's beautiful.
是的 阿维 真的很棒 It is, Avi. Fantastic, truly.
各位 关注物质的东西是没问题的 Now, guys, it is more than fine to look forward to material things--
-当然没问题 -对 - Yeah. - Yes.
但有时 But--but sometimes
目标能影响我们时会有更有力 goals are stronger when they affect who we are.
你们明白吗 You know what I mean?
-伊吉 -在 - Iggy. - Yes.
你有一位访客 You have a visitor.
是我的新摩托艇 It's my new Jet Ski.
各位 继续填充你们的愿景板 Guys, keep filling out your vision boards.
我马上回来 I will be right back.
杰弗里 那些泳装模特少一点 And Jeffrey, ease off the swimsuit models.
谢谢 Thank you.
我是提娅拉·多布斯 是阿维·曼特尔的社工 Tiara Dobbs. Avi Mantell's social worker.
能跟你本人见面真好 It's good to finally meet you in person.
彼此彼此 Yeah, likewise.
你今天为什么来我们这里了呢 So, um, what brings you down to our neck of the woods today?
阿维的母亲收到一份在密苏里州的工作邀请 Avi's mother's been offered a job in Missouri--
那是她的家乡 她无法拒绝 her hometown-- and she can't pass it up,
所以她下周要搬回去 so she's gonna be moving back there next week.
那她肯定想带上阿维 With Avi, obviously.
是的 我看了阿维的情况 Yes. I reviewed Avi's case and it appears
看起来他在你这儿取得了巨大进展 that he has made huge strides with you,
所以我想不到什么理由不让他 so I can't think of any reason that he can't transfer
从住院治疗转成每周 from inpatient care to weekly visits
去当地的心理医生每周治疗 with a local therapist.
我只需要你签字 I just need you to sign off
这样我就可以办理阿维的正式出院手续 so I can begin Avi's official discharge procedure.
除非你不同意 Unless you don't agree.
我最近的确... I did--I did have...
跟他取得了巨大的突破 a pretty huge breakthrough with him recently.
那就很好 Well, that's certainly good to hear.
是的 I know, it is.
是的 我认为阿维准备好迈出下一步了 Yes, I think that Avi is ready for the next step.
-太好了 -好的 - Wonderful. - Okay.
我会叫阿维收拾东西 I'll tell Avi to pack his things.
什么这么好笑 What is so funny?
我刚发现 I've just discovered
Yelp网上有新阿姆斯特丹医院 that New Amsterdam has a listing on Yelp.
「Yelp」 "Yelp"?
对 就是大家在网上发表点评 Yeah, you know, where people post online reviews
比如喜欢的地方 讨厌的东西 about places they love, things they hate,
他们的经历体验 their experiences.
就是网络版的脸书 Oh, like Facebook but on the Internet.
没错 Yes, exactly.
听听这个 两分钟前 一个名为 Listen to this: it was posted two minutes ago
@南希裤的账号发的 by @NancyPants.
新阿姆斯特丹医院的房间冻死了 "The rooms at New Amsterdam are freezing,
他们的灯亮得吓人 the lights are horrifically bright,
唯一一个比这个床垫还老的 and the only thing older than this mattress
是我的那位永远找不到自己眼镜的秃头医生 is my bald doctor who can never seem to find his glasses.
一星 One star."
我看看 Let me see this.
我认识这个病人 I know this patient.
这是南希·南 This is Nancy Nan.
她在跟我做一个睡眠研究 She's doing a sleep study with me.
一星 维贾伊 One star, Vijay.
-好惨 -一星 - Ouch. - One star?
太可笑了 她需要做的就是睡觉而已 That's absurd. All she has to do is to sleep.
我开玩笑的 不要担心这个了 I'm joking. Don't worry about it.
我有40多年的从医经验 40-plus years of practice
而且是领域里的专家 and an expert in my field of study.
我应该能比一星更好的 I should be able to do better than one star.
-我们走着瞧 -维贾伊 - We shall see about this. - Uh, Vijay.
我的手机和你的眼镜 My phone and your glasses.
对 Yeah.
弗吉尼亚·斯汤顿医生 肿瘤科
帽子不错 威廉斯堡人 Nice cap, Williamsburg.
你的手工泡菜店什么时候开业 When does your artisan pickle shop open up?
-开这玩笑很自豪吗 -都很自豪 - Proud of that one? - Mm, I'm proud of all of them.
今天的日程并不是太可怕 So, today's schedule isn't too terrible.
首先 First up,
季度预算审核委员会 Quarterly Allocation Review Committee.
-过 -你不能过 - Pass. - Uh, you can't really pass.
不能 看着我这么做吧 No? Watch me.
我要跳过那个多余的会议 I'm skipping that redundant meeting.
下一个是什么 What's next?
然后是新制药商的展示和讲述 Then there's a new pharma vendor show-and-tell.
-过 -你...好吧 - Pass. - You--okay.
董事会要求你出席 Uh, the Board requested your presence
在市中心的战略目标午餐会 at the Strategic Objective Luncheon in midtown.
-过 下一个 -麦克斯 - Pass. Next? - Max--
过 下一个 Pass. Next?
警察局长又打电话了 Police commissioner called again.
我猜应该跟迈克尼尔警官的事有关 I'm guessing it has to do with what happened to Officer McNeil.
直接拒绝 Yeah, hard pass.
-麦克斯 -别说了 - Max. - No.
整个名单上没有一个会议是必要的 There's not a single essential meeting on that entire list.
全是走个过场 They're all just arbitrary,
我不会再在走过场上浪费时间了 and I'm not wasting any more time on arbitrary.
好吧 那么 既然你已经取消了 Well, what-- well, now that you've cleared
所有的行程 你打算做什么 your entire schedule, what do you intend to do--
我不知道 什么重要的事情吧 I don't know, something that matters.
一些值得我花时间在上面的事情 You know, something worth my time.
一些关乎生死的事情 Maybe something life and death.
怎么回事 What was that all about?
他心情不好 He's in a mood.
没事 亲爱的 It's okay, honey.
这里到底是怎么回事 What the hell happened in here?
你可能想问问他 You might want to ask him.
好吧 我来吧 Okay, I got this.
-突然就这样了 -没关系 - It just came out of nowhere. - It's okay.
好了 我们走吧 All right, let's go.
那是你的愿景板 孩子 That was your vision board, bud.
-怎么了 -我哪儿也不去 - What's going on? - I'm not going nowhere!
阿维 Avi...
你今天不会有问题的 You're gonna do great today.
我参加过很多 I've been to plenty
发病率和死亡率会议 of morbidity and mortality conferences.
但我从来没有亲自主持过 Just never had to lead one.
好吧 你现在是我的首席住院医师了 Well, you're my, uh, chief resident now.
也算是有头衔了 It comes with the job title.
我刚看了你那个的病例 听起来很糟糕 Been going over your case and it sounded just awful.
迈克尼尔警官失血速度太快了 Officer McNeil just bled out so fast.
没错 Yes.
我很抱歉 雷诺兹医生 I'm sorry, Dr. Reynolds.
我也是 So am I.
听着 我只是想让你知道在会议中 Look, I just want you to know I'm not gonna throw you
我不会对你发起攻击或者怎么样 under the bus or anything during this discussion.
不 听着 双率会议不是用来责备医生的 No, no, no. Look, M&Ms aren't about blame, all right?
这是一种教学工具 They're a teaching tool.
我们聚在一起讨论是否我们的操作导致 We come together to see if our actions contributed
病人死亡 然后我们不会再重复这些错误 to the patient's death so we never repeat those mistakes.
但这就是问题所在 But that's just the thing.
我已经准备了好几天了 I've been preparing this for days.
我没有发现任何错误 I haven't found any mistakes.
那也是有可能的 好吗 Hey, that can happen too, all right?
但我们仍在研究这个病例 But we still study the case
我们发誓下次会做得更好 and we vow to do better the next time.
就是这样 That's it.
今天的病例是一名40岁的白人女性 Today's case is a white 4o-year-old female
创伤病人 trauma patient.
她最初被诊断为 She initially presented with--
继续 Go ahead.
病人被诊断为股骨骨折 The patient presented with a fractured femur,
颈部和胸部擦伤 cervical and thoracic abrasions--
迈克尼尔警官当时在服药吗 Was Officer McNeil on any medications?
她在 She was on...
低剂量避孕 low-dose birth control.
抵达医院25分钟后 25 minutes post arrival--
迈克尼尔警官有心脏病病史吗 Did Officer McNeil have a history of heart disease?
没有 这个病人没有 No, the patient did not.
我们都知道你在讨论 We all know you're talking
迈克尼尔警官 诺丁汉医生 about Officer McNeil, Dr. Nottingham.
不需要匿名 No need for anonymity.
好的 Okay.
抵达医院25分钟后 迈克尼尔警官出现 25 minutes post arrival, Officer McNeil developed
纵隔气肿 因此 a pneumomediastinum, necessitating--
在纵隔气肿之前 她的生命体征中有没有 Before the pneumomediastinum, were there any other signs
任何迹象可以预测她最终的死亡吗 in her vitals that could have predicted her eventual death?
-我不知道 -好吧 - Not that I'm aware of. - Hmm.
迈克尼尔警官进手术室之前 What did Officer McNeil look like
状态怎么样 as she went into surgery?
-我不知道 -你不知道 - I don't know. - You don't know?
我不在那里 I wasn't there.
你不在那里 You weren't there.
如果我们今天希望得到一些真正的答案 Well, if we have any hope of getting some real answers today
那么我们换个当时在那里的人 then we need someone presenting this case
来介绍这个病例 who was actually there.
雷诺兹博士 Dr. Reynolds?
她是你的病人 对吗 She was your patient, right?
-是的 没错 -那么 -Yes, she was. - Hmm.
在这种情况下 你能告诉我们 So you would have the most salient information
最直观的信息 on this case.
我认为诺丁汉已经准确地 I think Nottingham is providing
回顾了病例 an accurate case review.
没错 Hmm. Indeed.
但是 为了真正弄清她是怎么死的 But, uh, to really get to the bottom of how she died,
你不觉得你自己更适合 don't you think that you might be better qualified
领导这次讨论吗 to lead this discussion?
如果你不觉得太麻烦的话 If it's not too much trouble.
让我们切到胸片吧 就是这里 Let's go to the chest x-ray, ok? Good.
好了 All right.
这里我们看到的是玛丽·迈克尼尔的胸片 So here we have Marie McNeil's chest x-ray.
你会注意到纵隔 You will notice the mediastinum.
它的长度刚刚超过9厘米 It measured just over 9 centimeters in length.
现在 诺丁汉医生 你能给我们提供 Now, Dr. Nottingham, can you give us the criteria
病理性变宽的标准吗 for pathological widening?
仰卧时长度超过8厘米 8 centimeters on a supine AP chest.
非常好 我们已经达到了病理性变宽的标准 Very good. We have met the criteria for pathological widening.
如果我们再仔细看看这里 看到了吗 If we take a closer look right about here-- see that?
气泡 Air bubbles.
这就是纵隔扩大的原因 That's the cause for the widened mediastinum.
实际上是食道撕裂造成的 Now, that's actually caused by tears in the esophagus
被称为自发性食管破裂 called Boerhaave's syndrome, all right?
另外请注意 And also of note:
肺实质正常 normal pulmonary parenchyma
心脏轮廓正常 and normal cardiac silhouette.
下一张 Next.
检验结果
等等 回到胸片那页 Uh, wait, go back to the chest x-ray.
你说心脏轮廓正常吗 You said cardiac silhouette was normal?
是的 Yes.
但是用胸片检查像人类心脏这样 But the chest x-ray is a rather blunt instrument
脆弱的东西 是不是有点太不细致了 for examining something as delicate as the human heart,
你不觉得吗 wouldn't you say?
你还用了其他的什么检测手段吗 So what other modalities did you use?
心电图和经胸超声心动图 An EKG and a transthoracic echocardiogram,
两者都很正常 both of which came back normal.
不错 我们能看看吗 Good. Can we see those?
诺丁汉医生没有把它们放在 Uh, Dr. Nottingham didn't include them
幻灯片里 因为它们是正常的 in today's presentation because they were normal.
但是如果我没有亲眼看见 - Well, I can't tell if they were normal
我不知道他们是否正常 if I can't see them for myself.
我现在没有 Well, I don't have them here.
没有吗 No?
双率会议的唯一目的是分析数据 The entire purpose of an M&M is to analyze the data
以确保如果医生犯了错误 to ensure that if mistakes were made
那么这些错误不会再犯 those mistakes will not be made again.
如果连数据都没有 It is particularly difficult to analyze that data
我们还怎么分析数据 when that data isn't here.
我们何不休息一下 So why don't we take a brief recess
让雷诺兹医生去整理 to allow Dr. Reynolds to compile
所有必要的心脏数据 all the necessary cardiac data.
你们为什么要让我换地方 Uh, why are you moving me?
说实话我也不知道 I honestly have no idea.
为了在睡眠研究中取得更好的结果 To get better results on your sleep study
我们希望你有个温暖的房间 we wish for you to, uh, have a warmer room
光线更好 床更柔软 with better lighting and much, much softer bed.
好的 Okay.
-天呐 -你好 - Oh! - Uh, hello.
这个灯怎么了 What's up with the lamp?
我们要把这个病人转移到一个更好的房间 Uh, we're moving this patient to a nicer room
因为一些随机原因 for some random reason.
-什么 -不是的 - What? - No.
我们有理由 We have a reason.
原因是我们正在尝试 The reason is because we are trying
为南女士在新阿姆斯特丹提供最贴心的护理 to provide Ms. Nan with the most comfortable care here
因为患者第一 in the New Amsterdam because patient comes first.
是吗 Right?
对 Yes.
没错 Yes.
终于有人明白了 谢谢 Finally, someone who gets it. Thank you.
-不客气 -好 - You are welcome. - Yeah.
我们得多做点 你知道吗 We gotta go the extra mile, you know?
我们的确是把患者放在第一位的 Our patients do come first.
这就是我一直强调的 I mean, this is what I've been saying.
你知道的 这些人依赖我们的照顾 You know, these people depend on us for care.
他们把自己的生命托付给了我们 They put their very lives in our hands.
我男朋友讨厌我打鼾 My boyfriend just hates my snoring.
我们可以做得更好 You know, we can do better.
我们可以做得更好 不止是为她 We can do better than just provide her
提供舒适的护理 with comfortable care.
-我们可以吗 -可以 - We can? - Yeah.
南女士想住在我们的总统套间吗 How would Ms. Nan like a stay in our Presidential Suite?
我猜她会非常喜欢的 I imagine she would like that very much.
-好的 谢谢你 -很好 - Yes, thank you. - Mm, good.
好了 Okay.
快 免得他改变主意 Come on, before he changes his mind.
快点 Hurry up.
她为什么一定要在这 Why does she have to be here?
多布斯女士和我都很支持你 阿维 Uh, Ms. Dobbs and I are both your advocates, Avi.
她也是团队的一员 -我没有什么团队 - She's part of the team. - I don't have a team.
你是没有 但你有整个网络 You don't. You have an entire network.
我 多布斯女士 你母亲 Me, Ms. Dobbs, your mother.
全明星阵营 老兄 你知道吗 The All Stars, man, you know?
每个人都希望你能顺利地 Everyone wants to see your transition
过渡到出院后的生活 to life outside of the hospital go smoothly.
我太怪异了 没法在现实世界 Too big of a freak to be in the real world
和正常人相处 with normal people.
这是...你在干什么 等等 等等 What is--what are you doing? Time out, time out.
你很清楚在这间病房不能用「怪异」这种词 You know full well on this ward we don't use words like "freak",
或「真实世界」「正常」 哪个都不行 "Real world," "Normal"-- whatever that is.
好吗 All right?
这都是第一天就说过的规则 阿维 Those are day-one ground rules, Avi.
拜托 Come on.
我觉得你是故意违反规则的 I think you're breaking the rules on purpose.
这就是我的结论 That's my theory.
我觉得你是害怕即将到来的 I think you're scared of what's to come.
你害怕这些变化 You're scared of these changes,
所以你认为 如果你做些出格的事情 so you think if you act out now
你就能走到前它面前 you can get out in front of it
阻止这些变化发生 and stop these changes from happening.
跟我们谈谈吧 Talk to us.
他们把我赶出学校的时候 When they kicked me out of school,
我根本不在乎他们把我送去哪 I didn't care where they sent me.
我什么都不在乎 I didn't care about anything.
就像是 随你的便吧 It was like, whatever.
但是之后... But then...
来这以后情况变得越来越好 Things just got better here.
没错 That's right.
事情开始变得有意义了 Things were starting to make sense.
我觉得我属于这里 I felt like I belonged here.
但好不容易我开始熟悉这种生活 But now that I'm starting to get the hang of it
我妈又想再次毁掉我的生活 my mom is trying to ruin my life again.
没人想毁掉你的生活 阿维 No one--no one is ruining your life, Avi.
我不认为谁有那种能力 I--I don't even think anyone has that power.
好吗 你重新学习 All right? You put in the work.
学会我教的方法 你在任何地方都能行 You learned the tools. You can cope anywhere.
即使是密苏里州 Even Missouri.
你怎么知道 How do you know?
听我的就好 好吗 Just listen to me, okay?
因为我很在行 'Cause I'm good at what I do.
我可以向你保证 I can promise you this:
你准备好了 you are ready.
-他没准备好 -什么 - He is not ready. - What?
我们刚刚是在同一个谈话治疗吗 Were we both in the same session?
阿维指责他母亲... Avi accused his mother...
要再次毁掉他的生活 of ruining his life again.
还有 And?
阿维因在学校一次严重的情绪失控而入院 Avi was admitted for a serious outburst at school.
因为学生们取笑他有学习障碍 Kids were teasing him over his learning disability,
但这和他母亲没有任何关系 but it had nothing to do with his mother.
你在说什么 What are you saying?
我是说 不管他出现了什么问题 I'm saying whatever's going on with him
都是在他得知要离开后才引发的 was triggered only once he learned he was leaving.
阿维的母亲不能改变她的出行计划 Avi's mother can't just change her travel plans.
她的新工作还等着她周一去报到呢 Her new job is expecting her there on Monday.
我要和他多待一会 I need more time with him.
弗罗姆医生 他的出院文件已经上交了 Dr. Frome, his discharge paperwork has been filed.
我知道 我知道 I know. I know.
就让我和他谈谈 Just let me talk to him.
单独 Alone.
让我看看我能不能和他说明白 Let me see if I can get through to him.
仅此而已 That's it.
谢谢 Thank you.
高医生 Oh, um, Dr. Kao?
你的姓怎么拼写 How do you spell your last name?
K-A-O Uh, K-A-O?
「阿格尼丝·高医生」 "Dr. Agnes Kao..."
托马斯·杰斐逊曾经在 Thomas Jefferson once stayed
我们的总统套房住过 in our Presidential Suite.
-是真的吗 -对 - Is that right? - Mm.
这个房间里住过 This room has housed the architect
《独立宣言》的起草者 of the Declaration of Independence.
现在是Yelp网上的@南希裤 And now @NancyPants from Yelp.
我知道这看起来不太合理 I know how this looks.
我认为如果你真的知道的话 Yeah, I feel like if you did
我们就不会有这样的谈话了 we wouldn't be having this conversation.
这不是我的主意 我发誓 This was not my idea, I swear.
-是麦克斯的 -等等 - It was Max's. - Hold on.
对这个根本没病的南希·南 The ludicrous coddling of Nancy Nan--
荒唐的溺爱照顾 是麦克斯的主意吗 a woman who isn't even sick-- came from Max?
没错 Yes.
如果他的错误判断提高了 And if his error in judgment leads to an enhancement
我的网上人气的话 of my online status,
这只是个开心的巧合 well, this is just a happy coincidence.
你觉得麦克斯看起来正常吗 Did Max seem like himself to you?
他看起来很古怪 He seemed erratic.
先是恼怒 然后兴奋 又心烦意乱 Annoyed, then excited, then distracted,
都是在短时间内切换的 all in quick succession.
但如果不是麦克斯的话 我肯定会担心 And if it was anyone but Max, I would have got worried.
我应该担心吗 Should I be worried?
她找到汽水了 Aww, she found the fizzy water.
把我能找到的都带来了 Brought everything I could find.
操作日志 护理记录 医学影像 Action logs, nursing notes, imaging studies.
还有这个 超声波 Oh, and here are those, uh, ultrasounds.
干得漂亮 Oh, good work.
我很抱歉 雷诺兹医生 I'm sorry about this, Dr. Reynolds.
我没想到古德温医生会 I didn't really expect Dr. Goodwin would want
想看所有的扫描结果 to see every last scan.
这不是你的错 It's not your fault.
这种程度的尽职调查简直过分 This, uh, level of due diligence is extreme.
可以这么说 That's one way to put it.
但我和迈克尼尔警官配合得很好 你知道吗 But my work on Officer McNeil was solid, you know?
我们现在的工作就是把情况说清楚 Our job now is just to present the case clearly.
我们能谈谈吗 Hey, can we talk?
我会把这些都传到电脑上 I'll get these loaded onto the computer.
谢了 Thanks.
-我不喜欢这样 弗洛伊德 -没事 - I don't like this, Floyd. - It's fine.
一点也不像是没事 It doesn't feel fine.
感觉你在让自己冒险 Feels like you're putting yourself on the line.
没事 这些会议只供内部使用 Okay, these conferences are for internal use only.
他们都是受到保护的 They're protected.
但我们都知道是麦克斯 But we both know that Max has been
一直在为此事接电话 fielding calls on this one.
市长 警察局长 From the mayor, the police commissioner.
董事会 医疗联盟的医疗事故部的电话 Board of Directors, malpractice department at HCC.
-伊维 -有一名警察死在你的手术台 - Evie-- - There was a police officer that died on your table,
死于你的刀下 under your knife.
你知道他们会找个人承担责任 You know that they're gonna be looking for someone to blame.
尽管我不想说 但确实感觉麦克斯在 Hate to say it, but it sure feels like Max is trying
全力确保那个人是你 to make sure that person is you.
雷诺兹医生 Dr. Reynolds?
你这次真的准备好了吗 Are you actually ready?
新阿姆斯特丹医疗中心 健康与治疗
这里是迈克尼尔警官术前的 What we have here is the pre-op echocardiogram
超声心动图 for Officer McNeil.
让我们把注意力集中在破裂发生的地方 Now, let's focus on where the rupture occurred.
从这里到这里 Here to here, all right?
右心室壁最薄的地方 .34 centimeters at the thinnest width
宽度为3.4毫米 of the right ventricular wall.
正常 Normal.
瓣膜功能也正常 Also, normal valve function.
乳头肌正常 Normal papillary musculature.
正如之前所说 超声结果正常 And, as noted before, normal echo.
听听其它意见如何 How about a second opinion?
杰瑟普医生 Dr. Jessup?
是 它看起来正常 Yes, it appears normal.
你认为呢 弗洛雷斯医生 How about you, Dr. Flores?
你不觉得右心室壁 Don't you think the right ventricular wall
看起来有点薄吗 looks a little thin?
不 Uh, no.
在我看来 这似乎是正常厚度 It looks like a normal thickness to me.
这里有谁不同意吗 Is there anyone here who disagrees?
诺丁汉医生 Dr. Nottingham?
我和雷诺兹看到的一样 I see what Dr. Reynolds sees.
正常超声图 Normal ultrasound.
超声仅仅是真实心脏的 Well, an ultrasound is just an approximate image
近似成像 of the real heart.
但是 幸运的是 真实的心脏还在 But, fortunately for us, the real heart is still here
楼下的病理科 所以我觉得我们都应该 down in Pathology, so I think we should
下去走一遭 all take a trip down there
自己近距离看看 and have a closer look for ourselves.
你一定是在开玩笑 You can't be serious.
但我是认真的 Oh, but I am serious.
一旦检查了真实的心脏 我们就会知道 Once we examine the real heart, then we'll know
这些读数是否真的如你所说 是正常的 if these readings were in fact, as you say, normal.
就是现在 我们走吧 Right now. Here we go.
大家起来 Everybody up.
你知道你可以向我倾诉的 对吧 You know you can talk to me, right?
只有我和你 It's just me and you.
在这里 就像之前一样 In here, just like before.
永远不会和之前一样了 It'll never be like it was before.
在我要去的地方不会 Not where I'm going.
-好 我们聊聊这事儿 -不要 - Okay, let's talk about that. - Let's not.
阿维 我认为你生命中有某件事情 Avi, I believe there is something in your life
让你很沮丧 that really upsets you.
某件你非常非常努力锁藏起来的事情 Something you've worked very, very hard to lock away.
而现在 出于某种原因 And now, for some reason,
这件事悄悄溜了回来 that thing has snuck back around
盘旋在你的脑海 to the front of your mind.
出于某种原因 For some reason,
你现在你只能想到那件事情 that's all you can think about right now.
你知道我可以帮你的 You know I can help you.
我能帮你处理这些情绪 I can help you manage these emotions,
但首先你得向我敞开心扉 but first you have to let me in.
我不想搬回那里 I don't want to move back there.
-我讨厌那里 -你讨厌密苏里 - I hate it there. - You hate it in Missouri?
为什么我要和她一起走 Why do I have to go with her?
她为什么不能直接回那里 Why can't she just go back there
干她愚蠢的工作 而我可以留在这 and do her dumb job there and I could stay here, right?
别让我走 Don't make me go.
这和你妈妈有关系吗 Does this have something to do with your mom?
没有 No!
我妈妈对这一无所知 My mom doesn't know anything about it.
对什么一无所知 Doesn't know anything about what?
不 不 不 No, no, no.
阿维 她不知道什么 Avi, what doesn't she know about?
你必须告诉我 You have to tell me.
你得让我走进你心里 You gotta let me in
我们才能一起面对它 so we can face it together.
我不想去面对它 I don't want to face it!
我想待在这里 I want to stay here,
但没有人在乎我想要什么 but nobody cares about what I want!
-不是这样的 -就是这样 - That is not true. - It is true!
如果你有一丁点在乎我 If you cared about me at all
你现在会站在我这边 you'd be on my side right now.
你会站在我这边 而不是如此努力地 You'd be on my side instead of working so hard
送我回密苏里 to ship me off to Missouri!
我不能回去 I can't go back.
你有空吗 Have you got a minute?
尽管这个场面怪异 Well, despite this whimsical tableau,
实际上我是很忙的 I'm actually quite busy.
-棘手的病例 -说轻了 - Tough case? - Understatement.
钛白粉为糖果中的添加剂
但是 再没有什么能像糖果和钛白粉 But, you know, nothing fires up the brain
一样激活大脑的了 like sugar and titanium dioxide.
在你陷入胰岛素休克之前 Well, before you slip into insulin shock,
我 我想听听你的专业意见 I-- I want to get your professional opinion.
关于 About?
关于麦克斯 About Max.
猜测老板的心理健康状态 You know, speculating on the boss's mental health
不是我最爱做的事 is not my favorite thing.
也不是我的 Nor mine,
但若新阿姆斯特丹的医疗主任的 but if the medical director of New Amsterdam's ability
决策能力有所衰退 to make decisions is compromised,
我需要知道 then I need to know about it.
每一位癌症患者都在挣扎 Every cancer patient struggles,
但在过去的几天 but in the past few days
他一直表现出反复无常的行为 he has been exhibiting behavior that's erratic.
情绪不稳 甚至愤怒 But unstable, even angry.
那不是麦克斯 That's not Max.
我的确 我有个解释 但 Well, I do, um-- I have a theory but...
我觉得你不会喜欢它 I don't think you're gonna like it.
说吧 Go on.
是因为你 It's you.
我 Me?
你把他像烫手山芋一样丢给斯汤顿医生后 This all started once you passed him off
这一切就开始了 to Dr. Stauton like a hot potato.
那不相关 That's irrelevant.
我们的治疗计划几乎一模一样 Our treatment plans are almost identical.
但你们和麦克斯的关系却不同 不是吗 Yeah, but your relationships with Max are not, are they?
斯汤顿医生是一位出色的医生 Dr. Stauton is an excellent doctor.
-麦克斯知道这点 -是 他尊重她 - Max knows that. - Yeah, and he respects her.
但是他信任你 But he believes in you.
我需要你的帮助 立刻 I need your help right away.
-要吗 -不是时候 - Hey. - Not now.
行吧 Okay.
最好是重要的事儿 This better be important.
我现在是智穷力竭了 I am at the end of my rope now.
我有一个无论什么办法都 I have a patient who, no matter the treatment,
帮不了的患者 cannot be helped.
是你脊髓小脑变性的患者吗 Is this about your Spinocerebellar Degeneration patient?
不 他很好 是@南希裤 No, he's fine. It's about @NancyPants.
这是我自找的 不是吗 I brought this on myself, didn't I?
看这个 Look at this.
那个百岁医生刚才想收买我 "The 100-year-old doctor just tried to buy me off.
专业提示 想要更好的评价吗 Pro Tip. Want a better review?"
别给我这世界上最粗糙的床单 "Don't give me the scratchiest sheets on the planet.
一星 One star."
她让人无法忍受 She is insufferable.
她不是在总统套房吗 Isn't she in the Presidential Suite?
是啊 她依然不满意 Yes, and she's still displeased.
等等 那间用的是六百针的埃及棉 Wait, we use 600 thread-count Egyptian cotton in there.
对这个女人来说 什么都不够好 Nothing will ever be good enough for this woman.
很难相信她是个品味高雅的女人 It's hard to believe she's a woman of fine taste
鉴于她的网名是@南希裤 given her screenname is @NancyPants.
我不知道还能做什么 I don't know what more to do.
等等 要是她真的有 Wait, what if she actually had
极其敏感的皮肤呢 incredibly sensitive skin?
那得是这世上最敏感的皮肤 It has to be the most sensitive skin on this planet,
或者 or...
-天啊 -没错 - Oh, dear. - Exactly.
-麦克斯 我们该谈谈 -并不是好时机 - Max, we should talk. - Not really a good time.
这是干什么 What is this?
愚蠢的活动 A fool's errand.
闲人止步
如果观察患者的心脏 If we look at the patient's heart,
我们看到心腔是完好的 we see the chambers intact.
外观看起来很正常 Normal in appearance.
我们来看看心脏损伤的部位 But let's turn to the cardiac injury.
即使自由壁损伤如此严重 Even after this dramatic free wall rupture,
心脏组织本身 the actual cardiac tissue itself
还是很正常 is amazingly normal.
不薄吗 No thinning?
-不薄 -真的 - None. - No?
渗透过程有淀粉状蛋白或纤维化的情况吗 No, uh, infiltrative process like amyloid or fibrosis?
不 没有任何异常 No, no abnormalities whatsoever.
雷诺兹医生 你在手术过程中的 Dr. Reynolds, what about your, uh, mental state
精神状态如何 during the surgery?
-一切正常 -真的吗 - Nothing of particular note. - Really?
我可是知道那天 Because I know for a fact on that day
你有些容易分心的事 that you were, uh, distracted.
不 我很好 No, I was fine.
仔细回想一下 那天你花了一早上 If you recall, you spent the entire morning
来检查你的预算 going over your budgets.
这没有任何关系 It's unrelated and you know it.
如果你在手术中 Not if it compromised your concentration
没有集中注意力就有关系了 during the surgery.
你真的觉得我当时还在 You honestly believe I was still thinking about
想着你那些预算吗 your stupid budgets?
我不知道 你告诉我吧 I don't know. You tell me, Floyd.
一名女性死在了你的手术台上 The woman died on your table.
我告诉你 这件事情结束了 You know what? That's it.
今天的双率会到此为止 大家散了吧 This M&M is over. Everyone back to work.
散了 Now!
你留下 这件事没完 Except for you. We got business.
-你越界了 -如果我对了呢 - You were way out of line. - Not if I'm right.
你不对 而且这根本就不是双率会 Well, you're not right,f and that wasn't an M&M.
这是公开的羞辱 That was a public shaming.
我只是问得深入了一些 I am only asking the tough questions.
不 你是在贬低我在这家医院的声誉 No, you are undermining my credibility at this hospital.
在我的同事和员工面前 In front of my staff. In front of my colleagues.
别把这些病人的死和你混为一谈 Are you really making this patient's death about you?
你提到我的精神状态时就已经混为一谈了 No, you made it about me when you brought up my mental state.
这件事的唯一目的 The whole point of this exercise
就是一次性的查清 was to determine, once and for all,
玛丽·迈克尼尔的死能不能避免 if Officer Marie McNeil's death was preventable.
我们已经回溯了所有的细节 We have sifted through every notation, every scan,
每个细节都检查过了 every piece of recorded imaging.
可刚刚却有50个人看着你戳着 Hell, 50 people just watched you poke and prod
这个可怜女人的心脏 at the poor woman's heart.
根本就没什么可查的了 There's nothing else to investigate!
-那我们就再查一遍 -麦克斯 - Then we start over! - Max.
你真是不可理喻你知道吗 You are unbelievable, you know that?
不 我们重新来过 再深入一点 Yeah, no, we start over. We dig deeper.
直到我们找到 We keep looking until we find--
不 No!
你说什么 What did you say?
你为什么会觉得我还会 In what world do you think I'd stick around
在这件事情上纠缠下去 for more of this?
你给我这份工作的时候 我兴奋极了 I was so excited when you offered me chair.
建立一个我们两个 To build a department that--
都为之骄傲的部门 that we could both be proud of.
建立一方人与人互相尊敬的天地 An environment based on mutual respect.
可你只用了一个下午就把这一切毁了 But in one afternoon you managed to tear it all down.
只一个下午你就把你对我的不信任 In one afternoon you showed how little you trust me,
昭告天下 and you did it in front of everyone.
等着我的辞职信吧 You can expect my resignation.
想说说这究竟是怎么回事吗 Do you want to tell me what this is really about?
你不是我的医生 记得吗 You're not my doctor, remember?
我们得立刻给你做个检查 We must examine you right away.
-我正要睡呢 -你在玩手机呢好吧 - I'm trying to sleep, here. - You're on your phone.
我就是这么培养睡意的 That's how I get to sleep.
蓝光会干扰褪黑激素的产生 Blue light disrupts the production of melatonin,
但这个我们晚点再谈 but we'll talk about that later.
能给我看看你的腿吗 Uh, do you mind showing me your legs, please?
卡普尔医生认为你的不舒服 Dr. Kapoor believes your discomfort
和床单没有任何关系 has nothing to do with the sheets.
好吧 O-okay, sure.
这些皮疹长了多久了 How long have you had this rash?
我还真没注意过 I've never noticed it before.
给我拿一下眼镜 Can I have that glass?
皮疹按压后不会变白 The rash doesn't blanch under pressure.
得把她转移到手术室 We must get her to the procedure room now.
为什么 Wait, why?
南女士 你患有 Ms. Nan, it appears you have contracted
流行性脑脊髓膜炎 meningococcal meningitis.
需要马上治疗 否则可能会有生命危险 If we don't treat you now, you could die.
给我订一间手术室 立刻就要 I need a procedure room, stat.
弗吉尼亚·斯汤顿医生
夏普医生 Dr. Sharpe.
有什么事吗 Something I can help you with?
我想和你谈谈 I need to talk to you...
关于麦克斯的事 about Max.
有些不合规矩啊 Somewhat irregular.
我知道 I know.
进来吧 Come in.
阿维 Hey, Avi.
进来 Yeah, come in. Come in.
我妈在外面等着呢 My mom's waiting.
我过来跟你 I just wanted to, you know...
简单道个别 Say goodbye real quick.
你有我的电话 You have my number, you know.
有事情随时都可以打给我 You can call me anytime. Anytime.
谢谢你 Thank you...
你知道的 for, you know...
谢谢你对我的治疗 trying to fix me.
我知道我让你失望了 I know I let you down.
-我很抱歉 医生 -你没有让我失望 - I'm really sorry for that, Doc. -You never let me down.
但你治不好我的 所以 But you couldn't fix me, so--
等等 听我说 Hey, stop, stop. Listen to me, listen to me.
治好 "Fixed"...
是不存在的 that's not a thing.
根本就没有治好这件事 It doesn't exist.
没有人是完好无损的离开这里的 Nobody leaves this hospital fixed.
你懂吗 Do you understand?
我只是教给你度过每一天的方法 My job is to give you the tools to get through the day.
仅此而已 That's it.
真希望我能待在这 I wish I could just stay here.
听我说 Hey, hey.
你必须得去密苏里 You're gonna make it to Missouri.
但那只是个开始 But that's just the beginning.
别忘了桌山 Don't forget about Table Mountain.
还有帕特农神庙 The Parthenon.
对吗 Right?
你还得一路爬到顶呢 Gonna hike all the way to the top.
必须得爬到顶 Right to the top.
这就对了 Yeah.
别忘了我教你的方法 Use the tools.
-用你的方法 -每天都要用 - Use the tools. - Every day.
我会的 Every day
过来 Come on.
你会没事的 You're gonna be great.
阿维 Avi.
该走了 It's time to go.
好吧 All right.
-再见 医生 -再见 阿维 - Bye, Doc. - Bye, Avi.
脉搏97 血压100/60 Pulse ox 97, BP 100 over 60.
感觉到破裂的时候 When you feel the pop...
你就知道你插进去了 You know you are in.
-好了 -心率正常 - There. - HR normative range.
-南希 -给你 - Nancy? - Here you go.
你还好吗 You okay?
还可以吧 Uh, I guess so.
我们要采集一些脊髓液 We are collecting the fluid
来确定让你感染的细菌 to identify which bacteria is making you so sick.
托盘上附加低压管 Additional LP tubes on the tray.
我只是来解决睡眠问题的 I just came in for a simple sleep study.
南希 南希?
患者没有反应 心率上升到124 She's unresponsive. Heart rate is up to 124.
血压降到了80/40 BP's down to 80 over 40.
患者要进入脓毒性休克了 She's going into septic shock.
送去实验室 快 Deliver to the lab. Hurry.
快速反应组 二号手术室 Rapid response, procedure room number two.
刚才那算什么 What the hell was that?
我竭尽全力挽救这个病人的生命 I did everything in my power to save this patient's life.
我没有做错任何事 I did everything right,
现在这件事要毁掉我的事业 and now it's gonna bury my career?
这事不需要落在你身上 This doesn't need to land on you.
麦克斯 我不知道怎么说 Max was--I don't know what that was.
失控 Out of control.
发疯 专横 Insane. Tyrannical.
亲爱的 你是有合法追索权的 Babe, you have legal recourse here.
我有个朋友在阿德勒和摩根律师事务所 I have a friend at Adler & Morgan
可以立即接下这个案子 who would take on this case at the drop of a hat.
哪位 Yeah?
现在不是时候 Not the best time.
我们得谈谈 W-we should talk.
稍后给我短信 Text me later.
你最好不是来替他辩解的 This better not be you defending him.
特别是在他做了那些事后 Not after what he did.
不 我没法为他辩解 No, I--I can't defend that.
-但是 -但是 - But, uh-- - But?
但是什么 But?
麦克斯的癌症 Max's cancer.
化疗或放疗都没有起效 It's not responding to chemo or radiation.
有多糟 How bad?
很糟 It's bad.
他什么时候发现的 When did he find out?
斯汤顿今早跟他说的 Stauton told him this morning.
切口处光线充足吗 Got enough light on the keyhole?
穿过大脑皮层 Passing through the cerebral cortex.
感染中心在第三脑室 The center of the infection is in the third ventricle.
我觉得你没办法直达病灶 I don't think you'll be able to hit it.
继续盯着CT Keep looking at the CT.
继续移除 Go ahead and remove the tract
距离侧脑室四厘米 4 centimeters to the lateral ventricle.
你离得太近了 You're too close.
我可以的 I can make it.
如果你碰到那里 她就永远不能走路了 If you clip that she'll never walk again.
想象一下她要写的评论 Just imagine that review.
继续将末端进入皮质脊髓束 Advancing caudal to the corticospinal tract.
没问题 You're clear.
我进入脑室了 And I am into ventricle.
注射 Injecting...
塞利非番 Celiphifam.
心率和血压都很稳定 Heart rate and blood pressure are stable.
四十三年前 43 years ago,
我决定做一名医生 I made a decision to be a doctor.
致力于帮助他人 Dedicate my life to the service of others.
与给我的评论没有任何关系 It was never about reviews.
我听说了 I heard.
好吧 你能做什么 Yeah, well, what can you do?
我明白为什么你如此步步紧逼 I get why you pushed hard.
我也会想要答案 I want answers too.
我们怎么能就这么接受 她的死 How do we just accept that her death...
或是任何人的死亡 只是随机事件 or anyone's death, was random?
生命 死亡 Life, death.
不可能是如此随意 It can't be arbitrary.
不是的 It's not.
我只是想也许有什么 I just thought maybe there was something...
是我们忽略掉的 That we missed.
也许有什么 You know, maybe there was something
是我们可以采取不一样做法的 that we could have done differently.
也许 也许我本可以用不同的方法 Maybe--maybe I could have done a lot of things...
处理很多事 differently.
有时你完全没有错 Sometimes you do everything right.
你明白吗 You know?
但结果是一模一样的 And get the same result.
就好像你什么都没做 As though you've done nothing.
对不起 弗洛伊德 I'm sorry, Floyd.
我不知道 I don't know...
该说些什么或是该怎么说出口 what else to say or how else to say it.
我只是 I just...
我不知道刚才那是 I don't know who that--
今天那个人是谁 who that was today.
我看着镜子 I mean, I look in the mirror and I--
我都认不出镜子里的那个人 I don't even recognize that person.
发生在你身上的事很不公平 What's happening to you is not fair.
背后没有原因 There's no reason behind it.
没有可以这件事变好的答案 No answer that will make it better.
我知道 I know.
我只是不想让我的生活 I just don't want my life...
或是我的死亡 or my death...
只是 to be...
随机事件 arbitrary.
好 Okay.
好 在我看来 Okay, well, the way I see it...
你仍有选择 you got a choice.
要么你让这件事的随机性 You either let the randomness of this...
彻底压垮你 beat you down...
要么你振作起来继续战斗 or you pick yourself up and you just keep fighting.
管什么结局如何 Endings be damned.
我知道你要说什么 I know what you're gonna say.
我喜欢你的帽子 I like your hat.
整个下午我都在这里 I have been sitting here all afternoon
寻找其它的治疗方法 researching alternative options.
你听说过诺顿-西蒙疗法吗 Have you heard of the Norton-Simon model?
-没有 -被称为DDC - No. - It's called DDC.
-也就是密集剂量化疗 -「密集剂量」 - Dose-dense chemo. - "Dose-dense"?
其实 顺铂的剂量 Essentially, it's the same dose
与你现在所用的是一样的 of cisplatin that you're on,
但给药频率会是之前的两倍 but we would administer it twice as frequently.
通过提高药量和给药频率 By amping up the quantity and frequency of your treatment
我们可能会阻断你的恶性肿瘤细胞 we could interrupt the rapid growth phase
快速生长的阶段 of your malignant tumor cells.
重点是什么 What's the catch?
如果正常剂量已经让你有严重的副作用 If you were experiencing side effects from your normal dose,
DDC就相当于用汽油弹攻击你的内脏器官 DDC is the equivalent of napalming your internal organs.
本质上说 这是一项真人焦土政策 Essentially, it's a human scorched-earth policy.
花些时间仔细考虑 这是个重要决定 Take time to think it over. It's a big decision.
读读那篇文献 然后明天 So read that article, and then tomorrow--
我们今晚能开始吗 Can we start tonight?
我想继续战斗 I wanna keep fighting.
管什么结局如何 Endings be damned.
还没走 Hey. Still here?
我还有很多书面工作要做 I had a lot of paperwork to finish,
鉴于我今天看到的一切 given everything I saw today.
是啊 Yeah, yeah.
像今天这样的事 总能给人沉重打击 Yeah, days like today, they, uh--they hit hard, man.
跟病人在一起的时间不总是足够 Don't always get the time you need with a patient,
所以只能尽我们所能并找到安慰 so we do what we can and we find solace
知道我们的付出有所助益 in knowing that our contribution helped,
哪怕只是一点点 if even just a little bit.
弗罗姆医生 我不是在处理 Dr. Frome, I wasn't filling out paperwork
阿维·曼特尔的书面报告 for Avi Mantell.
不是吗 No?
我是针对你展开了正式调查 I was opening a formal investigation on you.
我不明白 I don't understand.
我今天目睹的 What I witnessed today
是一位心理医生主动并有意地 was a therapist actively and knowingly...
与自己的病人形成非治疗性关系 forming non-therapeutic alliances with his patients.
不 不是这样的 No, that's not right.
与阿维的肢体接触 The physical exchanges with Avi?
情感界限 你越界了 The emotional boundaries? You overstepped with him.
那样做越界了 弗罗姆医生 It crossed a line, Dr. Frome.
这是我的正式报告 This is my official report.
我想亲自告诉你 I wanted you to hear it from me.
抱歉 I'm sorry...
但我们的病人必须是第一位的 but our patients must come first.