你看上去状态好极了 Looking great.
我的秘诀是 Yeah, well, the secret is, uh...
盗汗加剧烈呕吐 night sweats with aggressive vomiting.
没错 大剂量治疗很凶残 Dose-dense treatment's a bear, yes.
但治疗效果无可比拟 But you can't knock these results.
说吧 教练 Hit me, coach.
你的肿瘤开始缓解了 你的多形核细胞计数 Your tumor is regressing, your polymorphonuclear cells
在一周内首次突破一千 are over 1,000 for the first time in a week,
你的血红蛋白含量正常 and your hemoglobin's in the normal range.
我也想站起来欢呼 但是 I'd stand and cheer but, uh,
但是我大概会摔倒 I think I'd, you know, fall over.
麦克斯 你应该感到高兴 Max, you should feel good about this.
是的 我感到高兴 Well, yeah. No, I do, I do.
只是没想到感到高兴的感觉 I just didn't know that feeling this good
会这么难受 would feel quite this bad.
弗吉尼亚 Uh, Virginia?
我总是感觉冷 I'm, uh, cold all the time.
这是... Is that--
常见的副作用 Common side effect.
给你 Here.
然后我们再给你输点液 And we'll hook you up to some fluids.
真是好消息 化疗起效了 This is all good news. The chemo is working.
翻 译 布塔 红豆双皮奶
翻 译 Alex 改良俱乐部
翻 译 盆栽栽 1.0 苏葵
这里感觉不错 Here looks good.
校 对 星星与野狗
时间轴 格瑞特 Jenny
先生 你知道自己的病房在哪层吗 Sir, do you know what floor your room is on?
后 期 斯人
我可以找人来帮你 I can call someone to get help.
总 监 夕橙
抱歉 古德温医生 Sorry, Dr. Goodwin.
我没认出你来 I didn't recognize you.
医 院 革 命 第一季 第二十一集
科学在于进步 Science is about progress.
海伦·夏普医生 阿卡什·潘塔基医生 癌症疗法辩论
为什么我们还要过度依赖 Why are we still relying so heavily
六十年前开发的治疗手段 on methods developed 60 years ago?
跟我们还在使用青霉素和阿司匹林的原因相同 For the same reason we're still using penicillin and aspirin:
因为有效 because they work.
未来 当新技术成为常态 In the future, when new techniques have taken hold,
我们回顾现在原始的治疗手段会难堪的 we will look back and cringe at the barbarism of today's approach.
而免疫疗法就是这些新技术之一 And immunotherapy is one of these new techniques.
-我认为它会的 -但要等到什么时候 - I think it will be. - But when?
癌症病人现在就需要有效的治疗 Cancer patients need effective treatments now.
你的疗法帮助了 How much of the cancer population
多少癌症病人 有百分之一吗 are your therapies actually helping--1%?
得有百分之五 More like 5%...
但有些临床医生做得更好 But some clinicians are doing even better--
比如瓦伦蒂娜·卡斯特罗医生 like Dr. Valentina Castro.
其实她还在新阿姆斯特丹医院工作过 She even practiced at New Amsterdam
但之后夏普医生加倍了旧疗法的投入 before Dr. Sharpe doubled down on older treatments...
-因为旧疗法有效 -并逼走了卡斯特罗医生 - Because they worked. - And forced Dr. Castro out.
-因为她的疗法无效 -海伦医生 - Because hers didn't. - Dr. Helen--
-请叫我夏普医生 -夏普医生 - Dr. Sharpe, please. - Dr. Sharpe.
能和我们谈谈你对潘塔基医生的疗法的看法吗 Can you tell us how you view Dr. Panthaki's methods?
我很乐意 With pleasure.
真不敢相信我有多么怀念这个 I can't believe how much I missed that.
这曾是我生活中占很大的比例 It used to be such a big part of my life.
曾是我生活的全部 It was my life.
你应该和我一起去布鲁塞尔 You should come to Brussels with me.
现在就去吗 我觉得我们现在 What, now? 'Cause I...kinda thought
有更重要的事要做 we were in the middle of something.
下周我要在一个会议上发言 Well, next week I'm presenting at a conference,
但你应该和我一起去 but you should be up there with me.
-发言吗 -就像 - Presenting? - Doing
我们刚刚在演播室里一样 what we just did in that studio--
辩论 Debating.
不如说是轻松击败你 More like wiping the floor with you.
明明是我用我的成就 Pretty sure I just eviscerated your life's work
重创了你的成就 with my life's work.
那么我再次向你发起挑战 Then I challenge you to a rematch.
在布鲁塞尔一决高下 In Brussels.
只要我们还能这样亲热就行 As long as we get to keep making out like this.
卢克·鲍尔 既往健康 17岁 Luke Bauer, previously healthy 17-year-old,
状态 昏倒 Status: post fall.
现在主诉左臂无力 Now complaining of left arm weakness
视物模糊 and blurred vision.
心率和血压正常稳定 Normal and stable heart rate and BP.
-送去创伤一室吗 -告诉我哪个发生在先 - Take him to trauma one? - Tell me which came first:
视物模糊还是摔倒 the blurred vision or the fall?
我因为看不清才摔倒了 I tripped because I couldn't see.
送去隔间 Take him to curtains.
我们会好好照顾你的 卢克 We're gonna take good care of you, Luke.
好了 我们走 All right, let's go.
昨天我在发传单 Yesterday I was handing out flyers,
但我总是拿不住传单 but I kept dropping 'em.
我以为我只是饿了 所以我买了个热狗 Thought maybe I was just hungry, so I got a hotdog.
吃了一口就噎住了 Took one bite, and I started choking.
吞咽困难 You know, I could barely swallow.
等我醒来后 眼前就很模糊 After I woke up, everything looked blurry,
然后我就绊倒了 and that's when I tripped and fell.
肉毒桿菌中毒 Botulism.
-滚开 老兄 -抱歉 - Back off, dude! - Sorry, uh...
我是麦克斯·古德温 医疗主任 Max Goodwin. I'm the, uh, medical director.
只是来输一些解渴的饮品 Just grabbing a quick thirst-quenching beverage.
你现在的所有症状 all the symptoms that you are experiencing
都是由你体内某处生长的 are from a toxin produced by the botulism bacteria
肉毒杆菌产生的毒素导致的 that is growing somewhere inside your body.
谁能想到说话这么累人 Who knew talking could be this tiring?
说得有道理 我去开抗毒素 That adds up. I'll order the antitoxin.
好 我来照顾他 Yeah, I'll take care of him.
那谁来照顾你 Who's gonna take care of you?
你可以自己看看 You're welcome to have a look yourself,
但问题很明显 but the concerns are pretty clear.
你被指控和你的病人阿维·曼特尔 You're being accused of forming a nontherapeutic alliance
形成了非治疗性关系 with your patient, Avi Mantell.
-嗯 -作为医疗副主任 - Yeah. - As Deputy Medical Director,
所有的职员投诉都会经我之手 all personnel complaints come to my desk,
所以我会进行初步审核 so I'll be conducting the initial review.
好 之后呢 Okay. And after that?
但愿没有之后 Let's hope there isn't anything after that.
好 我相信正当程序 Yeah, okay. I trust the process.
我调出了所有的病历 I, uh, pulled all the case files
和阿维的治疗笔记 都在那里了 and therapy notes for Avi. Everything's there.
-非常好 谢谢 -没关系 - Great, thank you. - Yeah, you got it.
我很快会跟你谈 We'll talk soon.
海伦 等等 Helen, hey, hey.
我没有 I didn't, uh, you know--
我没有做错任何事 对吗 I mean, I didn't do anything wrong, right?
我很快会跟你谈 We'll talk soon.
好 Okay.
你怎么了 What's wrong with you?
喉癌 Uh, throat cancer.
那糟透了 That sucks.
的确是 Really does.
我们来看看 Oh, here we go.
蜂窝组织炎 Cellulitis.
这是肉毒杆菌所在之处 This is where the botulism bacteria is.
它从这个伤口滋生 Growing in this cut is
通过这里进入了皮下 how it got under your skin.
你怎么受伤的 How'd you get this?
几周前我在搜捡垃圾桶 Uh, I was dumpster diving a couple weeks back,
姑且说我干得不是特别完美 and let's just say my execution wasn't a perfect ten.
明白了 I see that.
你在 你在干什么 Hey, what-- what are you doing?
我只是圈出感染的轮廓 I'm just outlining the infection
这样我们就可以观察它的生长了 so that we can track its, uh, progression--
但愿 没有生长 or hopefully lack thereof.
为何你没有早点来 Why didn't you come in sooner?
没有保险 Don't have insurance.
那不应该阻碍你 That shouldn't have stopped you.
行了 你知道这怎么运作的 Come on, you know how it works.
你走到前台 他们向你要卡 You walk up to the desk, they ask you for a card.
没有卡 根本没人会看你 Without one, no one even looks at you.
这很尴尬 It's embarrassing.
被视而不见比生病还要糟 Being invisible is almost worse than being sick.
你知道卢克已经感染两周了吗 Did you know Luke's had that infection for two weeks?
并不惊讶 Not surprised.
当时本可以在诊所接受治疗的 Back then it could have been treated in a clinic, you know?
缝几针 一些抗生素 A few stitches, some antibiotics.
没多少钱 但相反 他拖延了 Cheap fix. But instead, he waited.
结果病得更重 最后还来了 He ended up much sicker and in the E.D.
治疗低效 复杂 又非常昂贵的急诊 with inefficient, complex, and very expensive care.
都是有力的观点 在我不那么忙的时候 All solid points I'd love to discuss
我是很乐意讨论的 when I'm not slammed.
都是因为他没有保险 All because he didn't have insurance.
我打赌这个急诊里一半的人都没有保险 I bet half the people in this E.D. don't have insurance.
也许多于一半 但我们什么也做不了 Probably more than half, but there's nothing we can do.
可以做 You know what, there is.
有件我们能做的事 There is something that we can do.
我们可以让所有院务主任 We can get every Hospital Administrator
立刻下来 down here right now.
为何我要那样做 Why would I do that?
这样他们就能将所有人 So they can enroll everyone
纳入适当的保险计划里了 in a proper insurance plan.
这是平价医疗法案建立的目的 This is what the ACA set out to do--
让每个人都获得 to give everyone access
他们负担得起的医疗保险 to health insurance they can afford.
-不麻烦吗 -麻烦 - Isn't that... complicated? - Yes.
很麻烦 Very.
但这个问题正在伤害着我们的患者 But it's hurting our patients,
浪费着我们的钱 and it's costing us money,
这个办法也许能将两者一起解决 and this could maybe fix both.
医疗保险对那些人来说是可得的 Health insurance is available to these people,
我们要将每一个人纳入其中 and we're gonna get each and every one of them enrolled.
我是海伦·夏普医生 This is Dr. Helen Sharpe,
新阿姆斯特丹医院的副医疗主任 Deputy Head of Medicine at New Amsterdam,
在主持一个针对伊格内修斯·弗罗姆医生的 presiding over an internal investigation
内部调查 into Dr. Ignatius Frome.
一起出席的是提娅拉·多布斯女士 Also present is Ms. Tiara Dobbs.
这个调查声称你 弗罗姆医生 This inquiry alleges that you, Dr. Frome,
违反了医院制度 管理23号 violated hospital policy ADMN #23.
这条制度处理的是非治疗关系 This policy addresses nontherapeutic relationships,
包括员工过度投入 including ones where members of staff are overly invested
一名儿童或家庭的治疗 in a child or family's care.
我一直努力提供尽可能最好的照护 I-I've always tried to provide the best care possible.
你的动机没有问题 Your intentions aren't in question.
好 Oh, good.
有问题的是你的方式 Your methods are.
你有表现过对特定患者的偏爱吗 Have you ever shown favoritism towards a particular patient?
没有 No.
你从来没有为患者买过礼物 You've never bought gifts for a patient?
生日礼物 也许 有过 Um, birthdays, maybe. Yeah.
另外 有时候我可能会看到一样 And-- and sometimes I might see a little something
我知道某个孩子会积极回应 that I know a kid would respond to really well
或特别喜欢的小东西 or like in particular.
但我不会 我不会管这叫偏爱 Uh, but I wouldn't, uh, I wouldn't call it favoritism.
所以你的答案是 有 So your answer is yes.
有 Yes.
你有带过特别的食物 Have you ever brought special food
来医院给患者吗 into the hospital for patients?
没有 Uh-uh, no.
等等 有 W-uh, wait, yes.
但是那位患者在谈话治疗中特别提及了 But the-- the patient specifically mentioned s'mores
棉花糖夹心饼干 所以 in session, so--
-那也是有了 -有 - That's a yes also. - Yes.
但是 在这里我们都格外上心 But w-we all go the extra mile around here.
这个调查与其他人无关 弗罗姆医生 This inquiry isn't about everyone else, Dr. Frome.
这是关于你的 It's about you.
你有发起过 Have you ever initiated
未经请求的身体接触吗 uninvited physical contact?
我从未让任何人觉得不舒服 I've never made anyone uncomfortable,
原创翻译 双语字幕
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如果你是这个意思的话 if that's what you mean.
这不是否认 That isn't a no.
弗罗姆医生 你有未经请求就拥抱 Dr. Frome, have you ever hugged,
亲吻 或以其它方式触碰过患者吗 kissed, or otherwise touched a patient without invitation?
没有 我从未 No, I have never...
亲吻过患者 kissed a patient.
你曾未经请求就拥抱 Have you ever hugged or touched a patient
或触碰过患者吗 without invitation?
是 Yes.
你明白 And you understand...
这超越了 that that is outside the bounds
正常治疗关系的界限吗 of a normal therapeutic relationship?
知道 Yes.
我在找一个要会诊的癫痫病人 I'm looking for my consult, a seizure patient.
-沈峰 -你听哪儿吵就是了 - Feng Shen? - Follow the noise.
拜托了 小峰病得很重 Please, Feng is very sick.
他需要你 He needs you!
好的 Yes, yes.
我明白 I see.
借过一下 Excuse me.
你好 峰 Hello, Feng.
我是卡普尔医生 I'm Dr. Kapoor.
峰最近是不是体重减轻了 Has Feng lost weight recently?
-一个个来 -是的 - One at a time. - Yes.
小峰不想吃东西 Feng does not want to eat.
一点都不吃 Not at all.
马上让峰做腰椎穿刺 Prep Feng for a lumbar puncture right away.
你好认真地盯着屏幕啊 You are staring awfully hard at that screen.
可能现在跟你说不太合适 Yeah, this might be an awkward time to tell you,
但是我爱上冠状动脉搭桥手术了 but I'm in love with coronary artery bypass surgery.
你在这里干什么 What are you doing out here?
我准备去找你 I was actually trying to see you.
真巧 我也正要去找你 Oh, that's cool. I was on my way to see you.
什么事 Oh, do tell.
我想你周日来我家吃晚饭 Well, I want you to come to Sunday dinner.
见一下我的家人 Meet my family.
或者不去 Or not?
我本来想给你个惊喜的 我被邀请 I was gonna surprise you, but I got invited
参加哈莱姆区塔那西斯·科茨的沙龙见面会 to this salon in Harlem to see Ta-Nehisi Coates,
《黑豹》漫画的作者之一
我准备带你去的 and you were gonna be my plus-one.
-真的吗 -真的 - No way. - Yes!
-你知道我超喜欢他的 -我知道 - Oh, you know that's my boy. - I know!
所以我很激动 That's why I was so excited.
但我可以下周日跟你家人见面的 对吧 But I can meet your family next Sunday, right?
如果我错过了周日的晚餐 Oh, my mom will look at me sideways
我妈会斜着眼看我 if I miss Sunday dinner,
然后我的姐姐们还会添油加醋 and then my sisters will pile on.
所以你从未错过周日的晚餐吗 So you've never missed a Sunday dinner?
大学时 College.
那就应该让塔那西斯 Then you deserve to have Ta-Nehisi
在你的《黑豹》上签名 sign your "Black Panther" Comic.
说得对 I do, don't I?
我跟你去 I'm in.
棒 Yes!
-手机号码 -没有手机 - Phone number? - No phone.
地址呢 Address?
那就是这里 Wherever we are right now.
你有邮政信箱之类的吗 Do you have a PO box or something?
有啊 用来收所有亚马逊的快递 Yeah, for all my Amazon deliveries.
那看来没办法 Oh, well, then I suppose there's no way
把医保卡寄给你了 to mail you your insurance card.
我马上回来 I'll be right back.
抱歉打扰一下 古德温医生 Sorry to bother you, Dr. Goodwin.
我的病人没有社保号 My patient doesn't have a social security number,
-但平价医疗法案要求有这个 -我刚刚 - and it's required for ACA. - The family I just
想帮忙注册医保的一家给了我一样的名字 tried to sign up all gave me the same name.
-他们是一家人 -一样的名 - They're a family. - The same first name.
稍等一下 Okay, give me-- give me a second.
我很好奇这比 Curious, iis this better
你想象中更好还是更坏 or worse than what you had in mind?
卢克·鲍尔蜂窝组织炎已经发展成 Luke Bauer's cellulitis has progressed
坏死性筋膜炎了 to necrotizing fasciitis.
可能心脏瓣膜也感染了 It may have already seeded his heart valves.
我马上呼叫雷诺兹并预订手术室 I'll page Reynolds and book an O.R.
-好 -古德温医生 - Okay. - Dr. Goodwin.
我不知道我的病人是否适合这个医保方案 I can't tell if my patient is a good fit for this insurance plan
因为我自己都看不懂这个方案 because I can't decipher the plan myself.
我必须承认 老大 I've gotta hand it to you, boss.
你这次超越了自己 You have outdone yourself this time.
-是吗 -整个医院 - Did I? - The entire hospital--
我说的是整个医院 and I mean the entire hospital--
都在讨论你让每个病人 have been talking about your insane plan
都参加医保的疯狂计划 to sign every single patient up for health insurance.
说真的 你在想什么 Uh, seriously, what were you thinking?
麦克斯 Max? Max!
马上就跟上 Yeah, I'm right behind you.
你要我叫人拿个轮椅过来吗 You want me to have someone bring you up a wheelchair?
不用 我没事 No, no, I'm totally good.
我只是...慢了很多 I'm just...much slower.
你被一个92岁用助行架的老人超过了 You got lapped by a 92-year-old with a walker.
好惨 但你说得对 Ouch. But you're not wrong.
医保这件事是有缺陷的 The, um, insurance thing was flawed,
你知道为什么吗 but you, uh, know why?
我不知道现在开哪个玩笑比较好 Um, it's hard to narrow down exactly which joke to make here.
这是家公立医院 对吧 This is a public hospital, right?
我们免费为公众治疗 这才是目的 Our help is free to the public. That's the whole thing.
人们不用医保也可以在这里获得治疗 People don't need insurance to be treated here,
但现在大多数人不知道这点 and most people right now don't know that.
你打算怎么解决这个问题 And how do you expect to fix that problem?
这个给我 Um, let me see this.
看 Now, look.
新阿姆斯特丹医院家庭计划
这就是我们的解决办法 This is how we fix it.
那新阿姆斯特丹医院家庭计划里 And what exactly is included
都包括了些什么呢 in the New Amsterdam Family Plan?
什么都包括 Um, just about everything.
那人们为此要付多少钱呢 And how much will people pay for it?
-基本不用 -是吗 - Kinda like nothing. - Yeah?
-我也是这么想的 -这要复印很多份 - That's what I thought. - Yeah, I'm gonna need copies.
你觉得呢 先从50万份开始 Maybe--what do you think, 500,000 to start?
没问题 Yeah, sure.
然后呢 我们把这些藏在巧克力棒里吗 And then what? We hide them in chocolate bars?
不 我想的是分发出去 No, I was thinking we might hand them out
给纽约市的每一位居民 to every resident of New York City.
你跟弗罗姆医生有 Have you and Dr. Frome ever been alone
单独在一个房间里待过吗 in the same room together?
有 谈话治疗时 Yeah, during session.
那谈话治疗的时候 And during session...
弗罗姆医生是否主动触碰你 has Dr. Frome ever initiated physical contact?
我们为什么谈这些 Why are we talking about this?
多布斯女士说她看见弗罗姆医生 Ms. Dobbs told me that she witnessed Dr. Frome
触摸你的头 脖子和脸 touch you on your head, neck, and face.
没关系 It's okay.
有过把手放我肩膀上吧 Like, a hand on my shoulder, I guess.
有时会放在我膝盖上 Or on my knee sometimes.
那些时候你感觉如何 How did it make you feel?
这太蠢了 This is stupid.
抱歉 I'm sorry.
我很抱歉 但这很重要 I am sorry, but it-- it's important.
你感觉如何 How did it make you feel?
我不想谈这事 好吗 I don't want to talk about that, okay?
这些身体接触会让你觉得不适吗 Does physical contact make you feel uncomfortable sometimes?
阿维 Avi?
弗罗姆医生或其他人是否曾经 Have you ever been touched inappropriately
与你有不当的身体接触 by Dr. Frome or anyone else?
亲爱的 Honey.
我不知道该怎么告诉你 I didn't know how to tell you.
阿维 我们会保护你 Avi, we're gonna protect you.
你能告诉我们都有谁吗 Can you tell us who?
我想跟弗洛姆医生谈谈 I wanna talk to Dr. Frome.
注射染料 Injecting dye.
染料进入心室 Dye filling chamber.
就在那里 你看到了吗 麦克斯 Right there. You see that, Max?
卢克的二尖瓣有些许赘生物 Small vegetation on Luke's bicuspid valve.
看到了 Got it.
-你还好吗 -嗯 - You okay up there? - Mm.
各项指标都空前地好 Numbers never been better.
真意外 你看起来空前地糟 That's surprising, seeing as you've never looked worse.
-无意冒犯 -没关系 - No offense. - None taken.
雷诺兹医生 Dr. Reynolds?
卡普尔医生需要会诊 Dr. Kapoor's requesting a consult.
好的 我这里完工了 Okay. I'm done here.
对了 麦克斯 Oh, Max?
我检查了卢克的小腿 I took a look at Luke's calf.
普外科医生马上来了 The, uh, general surgeon's on the way.
好的 告诉他们卢克一直在皮下注射海洛因 All right, tell them he's been injecting heroin under the skin.
他说自己是在翻垃圾时被扎的 He said he got it dumpster diving.
那他说谎了 Then he lied.
肺结核和脑膜结核 Pulmonary and meningeal tuberculosis.
-很麻烦 -肺结核时有发生 - Very troubling. - Well, TB happens.
我们只需隔离那个男孩 给他用上抗生素 We just gotta isolate the boy, zap him with antibiotics,
就万事大吉了 and Bob's your uncle.
如果只有他一人还好说 Yes, if only it was just Bob.
他们家所有人都住在皇后区的多户住宅内 Their entire family lives in a multi-family home in Queens.
我让他们都过来做检查 I've asked them to come for testing.
所有人 All of them.
伊吉 Iggy!
你得好好想想 You need to think about this.
有什么好想的 病人要见我 What's there to think about? A patient asked to talk to me.
他不再是你的病人了 He's no longer your patient.
去他的医患关系界限 Well, those darn doctor-patient boundaries.
我向来不擅长那些 Famously a weakness of mine.
听证会什么的都开过了 There's been hearings about it and everything.
-你在场 -伊吉 你是个好人 - You were there. - Iggy, you are a kind man,
但如果你和这个男孩说话 but if you talk to this boy
你的善良就会成为攻击你的利器 your kindness is gonna be used against you.
你所说的每句话都会被仔细分析 Every word you say is gonna be placed under a microscope.
我听见了 我明白 I hear you. I understand,
我知道你想帮我 and I know you're trying to help me,
但如果病人最需要我时 but if I'm not there for my patients
我却不在他们身边 我还来干什么 when they need me the most, what am I doing here?
我为什么当医生 Why even do this job at all?
阿维有话对我说 Avi has something to say to me,
我就要听 无论后果 I'm going to listen, no matter the consequence.
-伊吉 -够了 - Iggy-- - That's it!
别说了 End of story.
隔离室就绪
大伙 安静一下好吗 Please, everyone, let's-- let's just stay calm, okay?
肺结核是可以治愈的 TB is a very treatable disease.
但他们什么时候能回家 But when can they come home?
肺结核喜欢玩捉迷藏 TB likes to play hide-and-seek,
所以根治这种疾病 so the process of eradicating the disease
可能需要一段时间 from the body can be lengthy.
安和峰需要连续三次 Ann and Feng will need to pass three
在痰液测试中化验成阴性才行 negative sputum tests in a row.
那需要多久 How long will that take?
三到九个月 Three to nine months.
手术很成功 Surgery went well.
我们切除了所有感染部分 We managed to remove all of the infection.
吃几周药 你就可以 Few weeks of pills and you should be--
就可以痊愈 you should be fine.
这是 Um, this is...
这就像保险卡 well, it's just like insurance.
你可以用这个 And you can use this
在新阿姆斯特丹医院获得后续治疗 to get, uh, follow-up care here at New Amsterdam.
你可以去任何一张分诊台 You just walk up to any of these desks
亮出这个宝贝 然后 and you flash this baby, and--
他们就会受理 and they'll honor it.
会带着敬意给你治疗 And they'll treat you with respect.
你也不会收到账单 And you won't get a bill.
真的吗 Seriously?
真的 Yeah.
你也可以用它去 And you can use it also at, uh...
-我们的戒毒诊所治疗 -什么 - At one of our rehab clinics. - What--
你该去 卢克 因为你对自己做的事 And you should, Luke, because what you're doing to yourself--
-我就知道 -卢克 我只是 - I knew it. - Luke, I just--
去你的蠢卡 Just forget your stupid card.
我不会再回来让你血口喷人 I'm not coming back here so you can talk down to me,
指责我那些毋须有的事 accuse me of things I didn't do.
你和其他人一样 You're just like everyone else.
-等等 -别管我了 行吗 - Wait-- - Just back off, okay?
我知道这很怪 但是 I know this is weird, but-- but it, um...
这是个坏主意 This is a bad idea.
这样说吧 You know what?
这不寻常 我明白 This is unusual. I get it.
根本不用看他们 好吗 Don't even look at them, all right?
只和我在一起 Just hang with me.
只有我和你 和平常一样 It's just me and you, like always.
好吗 Okay?
你还好吗 感觉怎么样 What's up? How you feeling?
糟糕透顶 Messed up.
好吧 这是个好开始 Okay, that's a good start.
什么很糟糕 What's messed up?
就是... Like...
他们问我 你是不是碰过我 they asked if-- if you touched me.
你的确碰过 不是吗 And--and you do, right?
那...没关系 And that's, like, okay,
因为你碰我的时候 because when you do,
我感受到了爱 I feel loved or whatever.
好的 Good.
但之后就像是 我又知道什么呢 But then it's like, what do I know?
因为 你知道的... Because, you know...
我原来... times in my past...
在你之前 我... before you, I, uh...
别人碰你的时候 Have you ever felt differently
你有过不同感受吗 when someone else touched you?
没有 Well, n-no.
我不知道 这就是最糟糕的 I don't know-- that's what's so messed up.
好 好 我懂了 Yeah, yeah, I get it.
听上去你很困惑 It sounds confusing.
我们何不... 我们问简单一点 Why--why don't we-- let's simplify.
你第一次有这种感觉是在哪 Where were you first time this happened?
在密苏里州 I was in Missouri.
-看电视 -电视里在演什么 - Watching TV. - What was on TV?
-一部肥皂剧 -肥皂剧 - A soap. - A soap?
-她喜欢看那些 -好吧 - She liked them. - Okay.
跟我说说她 Tell me about her.
她会在我妈妈上班的时候来照看我 She'd watch me while my mom was at work.
你知道的 我坐在她大腿上 You know, I'd sit on her lap
她挠着我的后背 and she'd scratch my back.
然后有一天... And then one day...
她问我... she asked if I...
我想不想接吻 if I wanted to kiss.
你知道的 就像他们在电视里做的那样 You know, like they did on the TV.
然后我们就接吻了 And we did.
然后她就让我睡在她上面 And then she asked me to lie on top of her.
-你当时几岁 -五岁 - How old were you? - Five.
那一定很可怕 That must have been really scary.
没有 她对我很温柔 It wasn't. She was nice to me.
我只是... I just...
我不能 I couldn't.
你很期待 You looked forward to it.
我很恶心 I'm sick.
-我真恶心 -没有 没有 - I'm disgusting. - No, no.
阿维 你不恶心 Avi, you are not disgusting.
唯一让人恶心的是一个有权力的女人 The only disgusting thing here is a woman
占一个小孩子的便宜 in a position of power taking advantage of a kid.
占儿童的便宜 Of a child.
不是你 Not you.
为什么你没告诉我 Why didn't you tell me?
为什么没告诉你妈妈 Why didn't you tell your mom?
没关系 It's okay.
你说出来会感觉好很多 You'll feel better if you say it.
她是我阿姨 She's my aunt.
想解释一下这个最新阴谋吗 Care to explain this latest scheme?
我不会称之为阴谋 Um, I wouldn't really call it a scheme.
卡片上说的没有一句假话 Uh, nothing on that card is a lie.
我们是一家公立医院 而且 We are a public hospital and, uh,
我们的确会治疗每位 we do treat everyone
不管是否有医保的患者 whether or not they have, uh, insurance.
-所以你是在做广告 -对 没错 - So you're advertising. - Yeah, exactly.
我是说 你知道有多少人 I mean, do you know-- do you know how many people
不知道他们可以免费来看病的吗 don't even know that they can come to us for free?
你做了多少这种东西 How many of these did you make?
我觉得你不会想知道的 I don't think you want to know that.
如果这座城市的每个人都知道他们就算 If everyone in the city knew they could just walk in here
没有医保也可以来 整个体系会崩溃的 without insurance, the whole system would crumble.
我要保留不同意见 Agree to disagree.
我觉得我们治疗更多患者 I think the more patients that we can help
让他们更早接受治疗 and the earlier we can help them,
整个体系才会变得更好 then the better the system will be.
一家公立医院只有在 A public hospital only survives
很多人没有意识到可以去的时候才能存活 because so many people don't realize they can use it.
如果每个人生病后都开始来这看病 If everyone started coming in here when they were sick,
这家医院会破产的 this hospital would run out of money.
还好我在和一位可以帮我们 Well, good thing I'm talking to the one person
筹到更多资金的人说话 who can actually get us more funds.
你是想单枪匹马地让医学社会主义化吗 Are you trying to singlehandedly socialize medicine?
公立医院就是公费医疗 Public hospitals are socialized medicine.
木已成舟 已经在这里了 It already happened, it's already here,
而且这和我... and it had nothing to do...
没一点关系 with me.
所以我们何不看到什么就说什么呢 对吧 So why don't we just call some things like we see it, right?
美军 是全世界规模最大 资金最充裕的 The U.S. Military--largest and most funded socialist program
社会主义项目 in the entire world.
我们有公立学校 公立图书馆 We have public schools and-- and public libraries,
还有警察局和消防局 and the police department and the fire department.
在这些项目上我们都可以支持社会主义 And we can all get behind socialism there,
就只有我们医院不可以 but just not in our hospitals.
你执意要迎难而上吗 Is this the hill you want to die on?
别看我这样 我暂时死不了 Despite all appearances, I am not dying anytime soon.
雷诺兹医生 Dr. Reynolds.
你和伊维还好吗 So, how are things with you and Evie?
笑什么 What?
你刚去过那 不是吗 You--you just went right there, didn't you?
抱歉 好吗 I'm sorry, okay?
我只是没法闲聊 I just don't have the headspace for small talk anymore.
好吧 我们挺好的 你知道吗 All right, well, we're good, you know?
我们真的挺好的 多亏了你 We're--we're really good, thanks to you.
你带她回家见你家人了吗 You taking her home to meet the family yet?
-还没 -为什么 - Not yet. - Why not?
你们应该去见了 You should get on that.
很高兴你回来了 You know, it's good to have you back.
-「回来」 -是啊 - "Back." - Yeah.
你回来了 是吗 You're back, aren't you?
其实我是来和麦克斯谈一下 I was actually here to talk to Max
延长我的离职期的事 about extending my leave.
延长多久 Oh, for how long?
大概 一辈子 Like...forever.
我有没有可能使你回心转意 Is there any chance I can change your mind?
没有 No.
有没有可能 麦克斯能改变你的想法 Any chance, I mean, Max can change your mind?
他也不能 所以我才想 No, which is why I wanted to
当面和他谈谈 talk to him in person.
你见到他了吗 Have you seen him?
怎么回事 情况这么糟吗 What, it's that bad?
比你想象的还严重 It's way worse.
天哪 我以为我才是那个不让人省心的 Jeez, I thought I was the liability.
劳拉 Hey, Lauren?
你知道我会支持你的吧 You know I got you, right?
有什么问题吗 Is there a problem?
抓到一个从医院偷东西的家伙 Caught this guy stealing these from the hospital.
不 这些不是他偷的 Uh, no, he-- he didn't steal those.
是我给他的 Uh, I--I gave them to him.
这是针具交换计划的一部分 It was part of a needle exchange program.
卢克 Luke.
现在一切都公开了 Well, it's, uh... it's all out in the open now.
汉娜告诉我们她姐姐 Hannah told us that her sister
也是被虐待的受害者 was a victim of abuse as well.
但她从没想过她姐姐 But she never imagined her sister
会对其他人做出那种事 would do... that to someone else,
更别提她的家人了 let alone a member of her family.
我去给儿童保护机构打个电话 I'll call Child Protective.
太好了 谢谢你 Great, thank you.
他们会没事吧 Will they be okay?
我想是的 Yeah, I think so.
只是要花点时间 Just--it'll take a little time, you know?
-谢谢你 -谢什么 - Thank you. - For what?
做你所做的事 Being you.
我不确定这还是不是件好事了 Yeah, I'm not sure that's a good thing anymore.
安不能在这里九个月
她要照顾奶奶
她会失去工作
没人住医院
小峰两周之后就要上幼儿园了 Feng starts kindergarten in two weeks.
-他很激动 -我明白 - He was so excited. - I understand,
但活动性肺结核具有高度传染性 but active TB is highly contagious.
如果你回家 或者峰去上学 If you go home or Feng goes to school,
你们会有传染给很多人的风险 you risk infecting a great many people.
你们可能使全家人都感染 You can infect your entire family.
我要奶奶 I want NaiNai.
他们能在医院受到最好的照顾吗 Will they get the best care here at the hospital?
会的 Yes.
我们就照医生说的做
宝宝 奶奶在这呢 Bao Bao, NaiNai is here.
我不会离开的 And I'm not leaving.
小懒猪 晚安
天空中星星明亮
安和峰不仅需要抗生素 Ann and Feng need more than just antibiotics.
-他们还需要家人 -没错 - They need their family. - Right.
他们的家人可以在探望时间来 Then their family can come during visiting hours.
你觉得那个80岁的老妇人 How long do you think that 80-year-old woman
能在凳子上坐多久 can sit on that stool?
再或者他们中有谁能一直透过玻璃墙 Or for any one of them can stare at their loved ones
注视着他们心爱的人呢 through that glass wall?
那家人会适应的 The family will adapt.
这就是我所害怕的 That's what I'm scared of.
他们将适应一种没有彼此的生活 They will adapt to a life without each other.
听着 我们无能为力 好吗 Look, there's nothing we can do, all right?
安和峰必须保持隔离 Ann and Feng have to stay in isolation.
古德温医生 你需要轮椅吗 Dr. Goodwin, can I get you a wheelchair?
可以 谢谢 Yes, thank you.
-麦克斯 -你能帮我一把吗 - Max. - Could you give me a hand?
我记得这个斜坡没有这么陡啊 I don't remember this slope being so steep.
麦克斯 你得停下 Max, you need to stop.
为什么 我不要 Why? No.
社区护理办公室需要这些 The Community Care office needs these.
他们会帮忙把它们分发出去的 They're gonna help pass them out.
你上次能 How long has it been
自主吞咽唾液是多久以前了 since you could swallow your own saliva?
-几天前吧 -你能自己穿衣服吗 - Few days. - Can you get dressed?
-能自己洗澡吗 -听着 化疗是有效果的 - Shower by yourself? - Look, the chemo's working.
是有效的 斯汤顿说可能 It's working. Stauton said it could be
只需要三个月 as little as--as three months.
「三个月」吗 "Three months"?
你连三个星期都撑不下去了 你在透支生命 You won't make it three weeks. You're wasting away.
听着 我只需要再多坚持一段时间 Look, I just need to hang on a little bit longer.
数字不会说谎 The numbers don't lie.
癌症会治好的 The cancer will be cured,
但最后一轮化疗时你可能已经死了 but we will run the last course of chemo into your dead body.
你这样会死的 麦克斯 You are dying, Max.
好吧 那这可能就会是我做的最后一件事 Well, then this may be one of the last things I do.
你就 麦克斯 Just--just--Max!
不用 没关系的 我们没事 谢谢你 No, it's okay. We're fine, thank you.
够了 就这样 你不许再做化疗了 It's over, you are done. No more chemo.
-你又不是我的医生 -我现在是了 - You're not my doctor. - I am now.
我是你的医生 麦克斯 I am your doctor, Max.
我要让你停止化疗和放射治疗 I'm taking you off the chemo and radiation.
我会为你找其他的治疗方法 I'm gonna find you a different regimen,
我要救你的命 and I'm gonna save your life.
但我要做的第一件事就是送你回家 But first thing I'm gonna do is send you home.
麦克斯 你该回家了 It's time for you to go home, Max.
你要回家 好好活着 You're going home to stay alive.
这还不是结局 This is not the end.
弗罗姆医生 Dr. Frome?
很抱歉让你经历这一切 I'm sorry to have put you through this.
你是认真的吗 Are you serious?
你让我的整个职业生涯陷于危险之中 You put my entire medical practice in jeopardy,
现在你就直接 怎样 and now you're just gonna--what?
直接放过我吗 You're just gonna let me off the hook?
我知道你只是想帮他 I realize you were just trying to help him.
但我没帮成 But I didn't.
你说得对 You were right about me.
弗罗姆医生 Dr. Frome
你知道我曾经抱过 Do you--do you have any idea how many patients
多少患者吗 I have held in my arms?
我给多少孩子买过衣服 How many kids I've bought clothes for?
买过书 Books for?
我尽力给他们安全感 I try so hard to make them feel safe...
给他们原本应该 Make them feel the love
从其他地方得到的爱 that they should have gotten somewhere else.
我现在明白了 你对阿维所做的... I can see that now. What you did for Avi...
只有你能做得到 only you could do that for him.
这就是问题所在 That's the problem.
如果你没有上交报告 If you hadn't filed your report,
阿维会去找其他心理医生 Avi would have gone on to some therapist
他会遭受很大的挫折 and he would have had a huge setback
因为除了我他无法对别人袒露心扉 because he couldn't speak his truth to anybody but me.
如果患者只会对我坦诚 If I'm only teaching patients to speak to me
却无法应对没有我在时的世界 and not to deal with the world after they leave my care,
那我会称之为 the phrase I would use for that
「非治疗性关系」 is "Nontherapeutic relationship."
规章制度存在是有道理的 The rules exist for a reason,
而我却多次打破 and I broke them repeatedly.
而我现在唯一要做的是改变自己 Now the only thing for me to do is to be a different therapist.
变成自己不愿成为的样子 Different therapist than I want to be.
变成不熟悉的自己 Than I know how to be.
维贾伊 Vijay.
沈家人家的情况我们已经尽力了 There's nothing more to do for the Shins.
我和安素雅... Ansuya and I were a...
曾是深爱的眷侣 love match.
但是我父母不同意... But my parents didn't approve...
所以我们和他们渐行渐远 So we saw them less and less.
就这样 我们... Along the way, we made...
做了很多小决定... many little decisions...
最后演变成... that added up to...
我们之间的巨大鸿沟 A big distance between us.
没过多久... Soon...
家人就只剩下... family meant only...
我... me...
安素雅... 安素雅...
以及罗汉 And Rohan.
你再没有见过他们吗 So you don't see them anymore?
我们失去联系... We haven't spoken to each other for a...
已经很久了 long, long time.
我们不会让沈家人一家重蹈覆辙的 对吧 We won't let that happen to the Shins, will we?
没错 No.
我们不会的 We won't.
你站这儿多久了 How long have you been standing there?
我得坦白 I gotta come clean.
好吧 Okay.
我虽然喜欢塔那西斯 Ta-Nehisi may be my boy,
但我的家人也把我当成 but I have a whole family who still thinks of me
心肝宝贝 as their boy.
所以我们这周日不去了 So we won't go this Sunday.
问题就在这儿 Well, that's the thing.
不仅是这周日不去 I'm not saying no to this Sunday.
以后周日我都去不了 I'm saying no to every Sunday.
我的家人对我很重要... That's how important my family is, and...
我觉得我之前不敢说 I think I was afraid to admit that.
为什么 Why?
在这个医院之外 Well, there's a whole part of me
我有你不知道的另外一面 outside this hospital that you don't know.
比如教堂 我年迈的母亲 You know, like church, my aging mom,
我妹妹们联合一起对付我 my sisters ganging up on me, you know?
万一你不喜欢我的另一面 What if you didn't like that part of me?
或者他们怎么办 Or them?
-怎么会呢 -你还没见识过我的家人 - How could I not? - You don't know my family.
你说得对 我是没见过 Well, you're right. I don't.
那我们这周日得赶紧见见他们 So I'd better be meeting them this Sunday.
我没有预约 I don't have an appointment,
但我希望你能给我行个方便 but I'm hoping you can fit me in.
我看看我的行程安排 Well, I will have to check my books.
我们的旅店 我等不及让你瞧瞧了 Our hotel-- I can't wait for you to see it.
它在历史街区的中心 It is in the center of the historic district.
不远处就有三家米其林餐厅 Three Michelin-starred restaurants in walking distance.
但你不准备和我一起去了 对吗 But you won't be joining me, will you?
我不能去 I can't.
阿卡什 我很抱歉 Akash, I am so sorry.
当下 我没法... Right now, I can't imagine...
为传统化疗进行辩解 sitting on a panel defending traditional chemotherapy
尤其是现实的例子摆在眼前 when my day has been one long, crushing example
传统化疗方法并没有奏效 of precisely how traditional chemotherapy can fail.
你指的是麦克斯的病 This is about Max.
没错 Yes, it is.
麦克斯让我重拾对医疗的热爱 Max helped me rediscover my love of medicine
并且让我重返这间医院 and got me back in the hospital.
不仅仅是我 And it's not just me.
你从其他的医生 You can see it on the faces of all the doctors.
护士 员工脸上也能看到 All the nurses. All the staff.
他如此全心全意地帮助大家 He has helped them all so much, so profoundly.
而现在... And now...
该我们来帮他了 it's our turn to help him.
BGM: Call It Dreaming by Iron & Wine
♪ Say it's here where our pieces fall in place ♪
♪ Any rain softly kisses us on a face♪
♪ Anywhere means we're running ♪
♪ We can sleep and see 'em coming ♪
♪ Where we drift and call it dreaming ♪
♪ We can weep and call it singing ♪
♪ We get a chance to say ♪
♪ Before we ease away ♪
♪ For all the love you've left behind ♪
♪ You can have mine ♪
麦克斯 Max.
你没接电话 所以... You're not answering your phone, so--