「医院革命」前情回顾 Previously on "New Amsterdam."
这可能会是我做的最后一件事 This may be one of the last things I do.
麦克斯 Max!
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.
你能把这个发送给瓦伦蒂娜·卡斯特罗医生吗 Could you, um, message this to Dr. Valentina Castro?
麦克斯的DNA Max's DNA?
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 -延长多久 - about extending my leave. - For how long?
大概 一辈子 Like, forever.
你知道我会支持你的吧 You know I got you, right?
前置胎盘突然破裂 The placenta previa ruptured.
我正准备打911 I was about to call 911.
麦克斯 再来一次的话孩子就保不住了 Max, the baby won't survive another one.
所以我们得把她剖出来 So we have to get her out.
卢娜 Luna.
三个月后
该你了 Your turn.
老是我去 It's always my turn.
到这儿来 Come here.
我知道 我知道 我知道 I know, I know, I know.
好玩吧 Yeah.
嘿 早上好 卢娜 Hi. Good morning, Luna.
你好啊 你好啊 How you doing? How you doing?
你感觉如何 How are you feeling?
我还感觉不在状态 Oh, not myself just yet.
没事 因为今天我要当全职奶爸 It's okay, 'cause I'm all over baby duty today.
她想找妈妈了 Oh, she wants her mama.
你好啊 卢娜 Hi. Hi, Luna.
BGM: Since You've Been Gone by Aretha Franklin
宝贝 亲爱的宝贝 Baby, baby sweet baby
我有话想对你说 There's something that I just got to say
宝贝 亲爱的宝贝 Baby, baby sweet baby
我不是想把你赶走 I didn't mean to run you away
好了 卢娜 该你了 Okay, Luna. Hit it.
医 院 革 命 第二季 第一集
♪ Baby, baby sweet baby ♪
-麦克斯 -需要我们做些什么 - Hey, Max. - How can we help?
我们给病人开止痛药的剂量 What's the key factor in how much pain meds
-最主要的依据是什么 -他们有多痛 - we prescribe to patients? - How much pain they're in.
-你这是急转弯吗 -没错 - Is this a trick question? - Yes.
我觉得这问题也太简单了 I thought it seemed too easy.
最主要的依据不是疼痛程度 Well, the key factor isn't pain.
而是人种 It's race.
当白种和黑种病人 When white and black patients present
拥有同样级别的疼痛时 with identical levels of pain,
医生更倾向于给白种病人开高剂量的阿片类药物 doctors tend to prescribe the white patients high grade opioids.
那黑种病人能得到什么 And what do the black patients get?
如何咬着牙挺过去的演讲和几片泰诺 A lecture on how to tough it out and a handful of Tylenol.
-所以对谁都没好处 -没错 - Wow, so everybody loses. - Exactly.
所以我才想让新阿姆斯特丹医院的 That's why I want New Amsterdam's
病人权利法案用于保证 patient bill of rights to guarantee
每个病人的伤痛都得到同等的对待和治疗 that each patient's pain is treated equitably and responsibly.
卢娜 如果你觉得这是个好主意 Luna, if you think that's a good idea,
来摆个非常可爱的造型 go ahead and be super cute.
去做吧 You're good.
谁是小木偶啊 看着我 Who's that little Muppet? Look at me!
看看我们两个人能不能鼻尖碰鼻尖 Oh, let's see if I can touch your nose with my nose!
-好哎 -对了 - Oh! - Yeah.
需要我做什么 你能重复一下吗 Uh, how--how can I help? Can you repeat it?
好的 抱歉 船长 Yes. Sorry, Capitan.
是这样的 跟我来 Here's the sitch. All right, come with me.
这样 我给你个机会猜猜在这儿的孩子 So, I'll give you one guess what all those kids
都有一个什么共同点 in there have in common.
他们都听你唱了十五遍的《鲨鱼宝宝》 They all just heard you do 15 verses of "Baby Shark"?
-自己给自己下了套 -没错 - Walked right into that one. - Yeah.
不是 他们都是变性人 No, they are all transgender
他们都因为所谓的良心法则 and they have all been denied medical care
拒绝接受药物治疗 thanks to these so-called "Conscience laws"
以免糟糕医院的自由歧视 allowing hospitals to just freely discriminate.
医院拒绝给他们过渡期治疗吗 Hospitals are denying them transition care?
不是 医院拒绝给他们提供任何治疗 No, hospitals are denying them any care whatsoever.
所以我提议新阿姆斯特丹医院成立基金 So I'm proposing that New Amsterdam starts a fund
-来帮助承担这笔费用 -这墙上有好多画 - to help shoulder the cost. - A lot of art on these walls.
没错 麦克斯 艺术疗法也是其中一部分 Yes, Max, art therapy is a big part of what we do here,
但是我需要你注意听我说 好吗 but I'm gonna need you to focus up, okay?
我们不妨搞个每年一度的艺术展 What if we create an art show annually,
拍卖你病人的作品 auction your patients' work,
然后用那笔钱来 and use that money to, you know,
建你说的那个基金 build the fund you're talking about?
最棒的医疗主任是谁啊 Who's the best medical director ever?
是你爸爸 Your daddy!
30%的医生超过了63岁 30% of doctors are over 63.
好的 稍等一下 Yeah, just one second.
玛莎 早晨换完尿布以后 Marsha, we had a bit of grunting
她有时会发出咕噜声 里面有多余的奶瓶 after a morning diaper and there is an extra bottle
防止她一会想吃 in there in case she has a sudden growth spurt.
好了 我爱你 宝贝儿 Okay, I love you, baby.
-希望你一天愉快 -五分钟后见 - You have a good day. - See you in five minutes.
有可能 那个上了年纪的医生 Probably. Uh, so doctors that are old.
有什么问题 What's the, uh, problem?
他们到时候会大面积退休 Uh, we will soon face an epidemic when they retire.
维贾伊 你是不是有话想对我说 是吗 Vijay, you're not trying to tell me something, are you?
-你准备退休了吗 -没有 - Are you hanging up your spurs? - Certainly not.
-和我没关系 -那就好... - It's not about me. - Oh, well, then--
但是你年过60了 对吧 But you are over 60, right?
我有权拒绝回答这个问题 Legally, I don't have to answer that.
维贾伊 你看起来很好 Vijay, you look great.
我只想说如果医生 I'm just saying that if doctors
退休年龄超过其他人 retire later than most Americans,
那么问题就不是他们离不离开 then the problem is not that they're leaving.
而是他们被过去的荣誉所束缚 It's that they're sticking around past their prime.
什么 不 不 What? No, no.
你误解我的话了 姜越老越辣 You're twisting my words. With age comes wisdom.
没错 还有智力退化问题 Yeah, and declining mental acuity.
听我说 我们应该立个新项 Look, I--what we should do is create new programs
给那些高级医师 例如师徒制 for senior physicians like mentorships, you know?
降低患者的负荷 And--and lower patient loads.
这么说来 这真是个好主意 In fact, that's a really good idea.
你可以跟进一下吗 Would you look into that?
高级医师 Senior physicians?
海伦·夏普医生 肿瘤科
结果不言自明 The result speak for themselves.
我很少会不知所措 I'm rarely at a loss for words,
可是 天哪 but, uh, wow.
有「天哪」就足够了 "Wow" Works.
我希望我的病人都有这种反应 I want all my patients to say wow.
我喜欢这种惊喜的反应 Wow is my preferred reaction.
我觉得他们都会的 And I think they will.
通过这种高精度靶向疗法... With precision-targeted therapy--
你就是活生生的例子 I mean, you are the proof.
谢谢你 卡斯特罗医生 Thank you, Dr. Castro, for, um,
救了我的命 saving my life.
一句感谢不足以表达感激之情 是吧 Thanks isn't really enough, is it?
对我而言足够了 It is for me.
看看这个 Look at this.
通过靶向你有问题的DNA By targeting your defective DNA
而不用化疗进行地毯式的轰炸你的全身 and not carpet bombing your entire body with chemo,
你的肿瘤终于变小了 your tumor is finally shrinking.
你的血液三数据都回复到正常值了 All three of your blood lines are in their normal range.
而且我确实增重了好几斤 And I actually gained a pound or five
也没具体去称 but who's counting?
再进行六个月的治疗 I mean, six more months like this
你就能痊愈了 and you'll be cured.
不好意思 Sorry.
痊愈 Cured?
麦克斯 我知道你想夏普医生了 Max, I know you've missed Dr. Sharpe.
如果她在这里 她也会说同样的话 If she were here, she would say the same thing.
你中大奖了 在这场和癌症的豪赌中你赢了 You beat the odds. You won the cancer lottery.
抱歉 我 我得走了 Sorry, I gotta--I gotta run.
但是 谢谢你 卡斯特罗医生 But, um, thank you, Dr. Castro.
谢谢 Thank you.
麦克斯 Max.
乔治娅在哪儿 Where--where-- where's Georgia?
左股骨骨折并且可能出现脑震荡 Fractured left femur and possible concussion.
告诉我布鲁姆的生命体征 Give me Bloom's vitals.
好 血压110 高压150低压95 Alright, 110, BP 150 over 95.
-氧量增至100% -乔治娅 - O2 stats at 100%. - Georgia?
-麦克斯 -嗯 - Max. - Huh?
麦克斯 麦克斯 Max. Hey, Max.
-怎么了 -把卢娜交给我 - What? - You need to give me Luna.
-不 -给我 - No. - Yes.
-得给她做个检查 -不 - She needs to be examined. - No.
-快 -不 不 不 - Yes. - No, no, no.
-不 不 不 -没事的 没事的 - No, no, no. - It's okay, it's okay.
-为什么 为什么 -把她交给我 - Why? Why? - Just give me her.
没事的 我来抱着她 It's okay. I'll take her.
她会没事的 我保证 She'll be fine, I promise you.
-没事的 -卢娜 - It's okay. - Luna?
没事的 没事的 It's okay. It's okay.
麦克斯 Max.
-你没事吧 -天哪 - Are you okay? - Oh, God.
感谢老天爷 Thank God.
这不公平 It's not fair.
-卢娜哪儿去了 -她没事 - Where's Luna? - She's fine.
他们在替她做检查 They're examining her.
他们一会就把她带回来 They'll bring her back in just a few.
-麦克斯 你的头 -我没事 - Max, your head. - I'm good.
给他们两个都做个CT I want a CT on both of them.
其他人没事吧 Is everybody else okay?
不 夏普在哪儿 No, where's Sharpe?
夏普在哪儿 Where's Sharpe?
麦克斯 看看这个 Max, take a look at this.
有个病例了 阿尔玛·皮尔森 Another case came in. Alma Pearson.
她是一型糖尿病患者 She's a type 1 diabetic.
今早她全身酮症酸中毒 This morning she suffered full-blown ketoacidosis.
-这已经是她今年第三次了 -你好 阿尔玛 - It's her third one this year. - Hey, Alma.
我是古德温医生 I'm Dr. Goodwin.
你能告诉我是怎么回事吗 You wanna tell me what happened?
现在已经给她定量使用胰岛素了 She's been rationing her insulin again.
这次她可能会死 This time she could have died.
阿尔玛 我会帮助你的 Alma, I'm gonna help you,
但是你得和我说说才行 but you have to talk to me.
有什么要说的呢 What's there to say?
当我第一次确诊时 胰岛素一瓶21美元 When I was first diagnosed, insulin cost $21 a vial.
现在卖到250 Now it's $250.
我一个代课老师根本支付不起 I'm a substitute teacher and I can't afford it.
我活不起了 I can't afford to live.
这你怎么帮我 How can you help with that?
阿尔玛是本周来的第八位糖尿病患者 Alma's the eighth diabetic to come in this week.
有个家伙打算自己在车库里做胰岛素 One guy was trying to make insulin on his own in his garage.
-谁给我们提供胰岛素 -帕森舍 - Who supplies our insulin? - Uh, Pacentia.
帕森舍 Pacentia.
好 这样吧 阿尔玛 我们会处理此事 Yeah, okay, Alma, we're--we're on this.
肯玛莉 我先去了 Um, Kenmari, I'm gonna go ahead
-为你的计划给绿灯 -什么计划 - and green light your plan. - Uh, what's my plan?
你终止我们和帕森舍制药公司 Your plan to terminate our contract
合同的计划 with Pacentia Pharmaceuticals.
-那不是我的计划 -不是吗 - That's not my plan. - No?
那可能是我的计划 Maybe it was mine.
好吧 麦克斯 那我们怎么获得胰岛素 Okay, Max, how are we gonna buy insulin?
我们不再买胰岛素了 We're not gonna buy insulin anymore.
我们要自己做 We're gonna make our own.
宝贝 Hey, baby.
早上好啊 朱古力美人 Good morning, beautiful black woman.
是吗 早上六点 脸上还有压痕呢 Oh, yeah, 6:00 a.m. With pillow creases on my face?
有压痕更美 Especially with pillow creases.
请继续夸我 Oy, keep talking like that,
我可能就嫁给你了 I might just have to marry you.
你会嫁给我的 Oh, that's gonna happen.
但现在我只想让你从旧金山回来 But right now I just need you back from San Francisco.
我受不了了 I can't take it anymore.
我知道 我知道 I know. I know.
再过两个星期就回来了 Two more weeks and counting.
你还有多长时间 How much time do you have?
三分钟 Three minutes.
你最好充分利用 You better make the most of it.
好 拜托了 谢谢 Mm-hmm. Yes, please. Thank you.
雷诺兹医生 急诊室需要你的帮助 Dr. Reynolds, we could use your help in the ED.
我马上过来 I'll be right there.
你确定你还有时间吗 Are you sure that you have some time?
我确定 好吗 我们还有两分半 I'm--I'm positive, all right? We got 2 1/2 minutes.
-雷诺兹医生 -怎么了 诺丁汉 - Dr. Reynolds? - What, Nottingham?
我们这里轮班的一个实习生 One of the interns on our rotation
总是迟到 is always showing up late.
他到了之后 我又老是找不到他 And when he is here, I can't find him.
-撤掉他 -认真的吗 - Cut him. - Seriously?
对 我没时间应付累赘 Yeah, I don't got time for dead weight
还有干扰 or interruptions.
好 可以 你好啊 伊维 Okay, great. Oh, hi, Evie.
你们两个在... What are you guys--
亲爱的 就是打来看看拉菲和萨利姆的情况 Hey, love. Just calling to check on Raffi and Saleem.
他们至少可以一个吐完 Are they, uh--are they at least trading off
另一个才吐吗 with the barfing now?
不了 他们还是保持着完美的同步 No, they're still in perfect sync,
就像两个患了重病的花样滑冰选手 like two violently ill figure skaters.
现在萨米拉说她生病了 Now Sameera says she's sick.
不不不 No, no, no, no.
她在装病 只是想和男孩子们待在家里 She's faking to stay home with the boys.
别相信她的幌子 Don't believe that hype.
我跟她说了准备去上学 I told her to get ready for school
但大问题是哈珀头上的虱子 but the big headline is head lice on Harper.
又长了 你在开玩笑吗 Again? Are you kidding me?
那孩子的头就像雷克岛监狱的床 That kid's head is like a cot at Rikers.
我本来就找不到人 I was having trouble finding someone
来照顾男孩子们 现在有了哈珀 to take care of the boys. Now with Harper,
我还得取消我的病人 I'm gonna have to cancel my patients.
实在抱歉 马丁 我真想过去帮你 I'm so sorry, Martin. I-I wish I could be there.
是啊 只要保证你能在七点之前到家 Yeah, just promise you'll be home by 7:00
让所有人上床睡觉 这样我就能开始喝酒了 to put everyone to bed so I can start drinking.
爸爸 Daddy?
萨米拉不是装病 我得挂了 Sameera is not faking. I-I gotta go.
真有意思 崔弟吗 Interesting. Tweety Bird?
我还以为你会喜欢燥山姆 I always thought of you as a Yosemite Sam kind of guy.
可能是因为我有一种歹徒气质 Well, that's probably because of my outlaw vibe.
而且这里面没有任何上厕所的时间 And I am not seeing any bathroom breaks on here.
住院医师今天都在参加医疗资格考试 The residents are all taking their board exam today
所以我们严重人手不足 so we're severely understaffed.
每个人看管三个不同的病房 I have everyone covering three different wards.
-今天是不可能完成的一天 -不不不 - It's an impossible day. - No, no, no.
凡事皆有可能 格拉蒂斯 Nothing is impossible, Gladys,
只要你能在下午六点之前让我下班 as long as you get me out of here by 6:00 p.M.
还有 你能帮我找一双鞋吗 Oh, also can you, um-- can you find me some shoes?
鞋 好 明白 Shoes, yep. Got it.
该死的
看来你的普通话课程见效了 I see the Mandarin lessons are paying off.
他们从脏话开始教的 They started us with swear words to get us engaged.
-典型个案 -不可能 - Typical case? - Impossible.
我已经治疗这位女士两年了 I've been working with this woman for two years.
她是我见过最严重的类风湿性关节炎患者 The worst rheumatoid arthritis I have ever seen.
-不 -让我看看 - No-- - I can take a look.
无意冒犯 卡普尔医生 Uh, no offense, Dr. Kapoor,
但她需要一些新东西 but she needs something innovative.
我没见过的东西 Something I'm not seeing.
你认为我年纪大了 You think as a senior physician
不能创新了吗 I can't be innovative?
-你好 -换人了 - Hello. - Ah, the hand off.
我还正在想你什么时候才会放弃我呢 I was wondering when you'd give up on me.
-克莱施塔特女士 不是 -没关系 - Ms. Klestadt, it's not-- - It's okay.
我已经习惯了 I'm used to it.
所以你有什么了不起的治疗方式 So, what brilliant cure do you have?
我还没有 但会有的 I don't. But I will.
在今天结束之前 By the end of the day.
卡普尔医生 我治疗克莱施塔特女士已经两年了 Dr. Kapoor, I've been working with Ms. Klestadt for two years
而且这是我的专长 and this is my specialty.
我今天肯定会帮你治疗类风湿 I will help your rheumatoid arthritis today
不然我就辞职 or I will retire.
该死的
好 把这些东西都搬出去 Uh, yeah, all this stuff can come out.
得给新实验室腾地方 Gotta make way for the new lab.
布兰特利主席 您是藏在冰箱里了吗 Chairwoman Brantley, were you riding in the freezer?
在零度以下的箱子里窒息 Asphyxiation in a sub-zero box
也比在帕森舍制药公司总裁那里 would be preferable to the earful I just received
听一大堆话要好过 from the CEO of Pacentia Pharmaceuticals.
你终止了我们的胰岛素合同吗 You terminated our insulin contract?
是的 很有趣的是我不想从 I did. It's this funny thing where I prefer not to buy
勒索犯那里买药 medication from extortionists.
我和全国的其他人都和你一样很愤怒 I and the rest of the country share your indignation
但你总不能自制胰岛素吧 but you can't just make homebrew insulin.
那又不是红茶菌 It's not kombucha.
这个实验室曾经培育过成千上万种细菌 This lab used to grow thousands of cultures,
每天要处理几百个标本 process hundreds of specimens a day.
-都是绝对安全的 -那是... - It's all perfectly safe. - And that's for--
警告
数百万的大肠杆菌培养物 Millions of E. Coli cultures,
但远没有听起来那么可怕 which is way less scary than it sounds.
真正让我害怕的是律师 胰岛素有专利 What scares me are lawyers. Insulin is patented.
但我的身体现在就在免费生产它 And yet my body is making it right now for free.
专利在于你如何制作它 The patent is on how you make it,
所以大公司每隔几年就会改变他们的制造方式 so big pharma keeps changing how they make it
这样就能申请更多的专利 every couple years so they can file more patents,
从而打压竞争对手 提高价格 thus keeping competition down and prices up.
我们都知道 你无法生产出 We both know you can't make enough insulin
供整个纽约使用的胰岛素 for all of New York,
所以别演戏了 告诉我你真正想要什么 so cut the kabuki and tell me what you really want.
坐上谈判桌的机会 A seat at the table.
能够和帕森舍的总裁 A sit-down with the CEO of Pacentia
坐下来谈判降价的机会 to negotiate prices down.
这种噱头并不能证明新阿姆斯特丹可以 A stunt like this doesn't justify dragging New Amsterdam
与大型制药公司 美国食品药品监督管理局 into a billion dollar lawsuit with big pharma,
还有司法部打一场十亿的官司 the FDA, and Department of Justice.
现在 让他们停下手头的工作 Now tell these people to stop what they're doing
否则别怪我开除他们 or so help me, I will fire them all.
你只是说说而已 You're bluffing.
试试看 Try me.
好吧 抱歉 伙计们 改变计划 Okay, sorry, guys. Change of plans.
把那些东西都放下 Just set that down.
但你知道吗 这事没完 But you know what? This isn't over.
当然完了 Sure it is.
卡普尔 你看见夏普了吗 Kapoor, have you seen Sharpe?
-没有 说不定她在这 -她不在急诊室 - No, maybe she's here. - She's not in the ED.
-那她在哪 -我帮你找她 - Then where is she? - I'll help find her.
给太平间打电话 让他们来找尸体 Call the morgue, have them come collect the body.
是我们的人 死于撞击 It's one of ours. Died on impact.
抱歉 Sorry.
我喜欢你的项链 I like your necklace.
是我一个朋友的 It belonged to a friend.
-抱歉 如果冒犯了 -没有 没事 - Sorry if I intrude-- - No, it's--it's okay.
那是一场事故 It was an accident.
我们失去了两个同伴 We lost two of our own.
三 二 一 Three, two, one.
咻 Whoo!
深呼吸 我们做到了 Take a breath. We did it.
结束了 We're done!
我知道黑暗很可怕 对吗 I know the dark is scary, right?
我知道 但你们猜怎么样 I know, but guess what?
恐惧是每个人都能感受到的正常情绪 Fear is a totally healthy emotion that everyone feels.
-你也是吗 -我也是 - Even you? - Even me.
没错 尤其是我 Oh, yeah. Especially me.
我会害怕很多东西 I'm scared of so many things.
我有一长串害怕的事情 I got a laundry list of things I'm afraid of.
我害怕鲨鱼 水母 小丑 I got--I got sharks, jellyfish, clowns.
事实上 每当我害怕什么东西的时候 In fact, whenever I'm afraid of anything,
我有个小窍门 I have a little trick that I use
帮我克服恐惧 你们想知道是什么吗 to help me get past it. You guys wanna know what it is?
好 是影像辅助 Okay, visual aid.
来吧 Here we go.
「伊格内修斯桥」现在正式启用 Bridge Ignatius in full effect.
好了 Okay, cool.
现在 我想让你们想象 Now, what I want you to do is I want you to imagine
你们所有的恐惧都漂浮在我身下 all of your fears floating beneath me
就在「伊格内修斯桥」下 right under Bridge Ignatius here,
然后你们想象一下爬过这座桥 and then I want you to imagine climbing over them.
你们明白了吗 Do you understand?
听明白了吗 Can you see that?
好 好 Oh, okay. Uh, yeah.
我说...我说是「想象」 孩子们 I said--okay, I said "Imagine," Guys.
想象 但没关系 Imagine, but all right.
这可能是一座收费桥 This might be a toll bridge.
我可能要向你们收费 孩子们 I may have to charge you, guys.
好了 如果这对大家有用的话 All right, if this is working for everybody,
还挺酷的 I guess that's cool.
没时间打私人电话 No time for personal calls.
不不不 只是给马丁和孩子们打个电话 No, no, no, just calling Martin and the kids.
得检查一下 Gotta check in.
会诊你已经迟到四分钟了 You're already four minutes late to group therapy.
我以前经常和我的女儿们骑车 I used to go bike riding with my girls.
我教她们骑车 I taught them,
在她们摇摇晃晃的时候跑到她们身边 running next to them as they wobbled,
在她们摔倒之前接住她们 catching them before they fell.
血液检测之后 After the blood tests,
你随时都可以去骑车 you will be bike riding in no time.
我女儿们现在喜欢上了攀岩 Well, the girls are into rock climbing now.
可是 But still.
我还是很想在她们不需要我之前 I'd love to be that kind of mom again
再次成为那种妈妈 before they don't need me anymore.
你会的 You will.
-不行 -什么 - Nope. - What?
不可能 再检查一遍 That's not possible. Check it again.
这是台电脑 不是烤箱 It's a computer, not an oven.
但克莱施塔特女士的这些症状 But all of Ms. Klestadt's symptoms
可能是乳糜泻 could be celiac disease
根本不是类风湿性关节炎 and not rheumatoid arthritis at all.
她的血液和我的电脑不同意 Well, her blood and my computer disagree.
还是想把你的整个医生生涯赌在我身上吗 Still wanna gamble your whole medical career on me?
以我的经验 这不是押赌注 With my experience, it's not a gamble.
有没有5-0普理灵缝针 Got a five O prolene stitch?
帮我找一下 Can you get that for me?
是伊维 It's Evie.
有没有充满爱意的不接电话方式 Is there a loving way to ignore a call?
没有吗 No?
打扰一下 雷诺兹医生 Excuse me, Dr. Reynolds?
你是谁 Who is that?
你是谁 Who are you?
迈克尔·杜克 我是个实习生 Michael Duke. I'm an intern.
你在这干什么 迈克尔·杜克 What are you doing here, Michael Duke?
诺丁汉医生把我从心外科的轮班里撤出来了 Dr. Nottingham dropped me from the cardiac rotation and--
对 对 Oh, yeah, yeah.
诺丁汉医生同意了我的建议 Dr. Nottingham dropped you at my suggestion.
那我找对人了 Then I'm talking to the right man,
因为你犯了个错误 雷诺兹医生 'cause you made a mistake, Dr. Reynolds.
从医是一种光荣 迈克尔·杜克 Practicing medicine is a privilege, Michael Duke.
不能你想出现才出现 It's not something you show up for when you feel like it
或让别人在你想着别的事情时去找你 or have people come to find you while your head's in the clouds.
你没有那么了解我 Well, you don't know me like that.
你根本不了解我 I mean, you-- you don't know me at all.
如果你了解我 你就会知道 'Cause if you did, you'd know that I consistently
我的成绩一直是班里前五 score in the top five of my class.
每一位老师都承认 That every professor acknowledges
我有做手术的手 I've got the hands for surgery.
诺丁汉不得不来找我的时候 And when Nottingham has to find me,
每次我手里都是拿着书的 every time it's with a book in my hand
因为这里很安静 比我家那边 because it's easier to study in quiet here
更适合学习 than in my own neighborhood.
我跟你说这些不是在找借口 And I'm not--I'm not telling you all this as an excuse.
而是在告诉你事实 I'm just giving you facts.
比如我是这里最优秀的实习医生 Like the fact I'm the best intern up in here.
如此优秀以至于将来这双手会接替你的工作 So good these hands will be coming for your job one day.
血管钳 Clamp.
这是这周以来新阿姆斯特丹医院 These are some of the hundreds of prescriptions
开的上百张胰岛素处方 that New Amsterdam has written for insulin just this week.
如果这些病人在加拿大 If these same patients were in Canada,
同样的药只要五分之一的价格 these same meds would cost about a fifth as much.
可惜 医院被禁止 Sadly, hospitals are barred
从加拿大进口药物 from importing drugs from Canada,
但个人没有被禁 but individuals are not.
所以 尽管看上去如此 So, despite all appearances,
新阿姆斯特丹医院不是去加拿大 New Amsterdam is not going to Canada
购买大量胰岛素给医院 to buy enormous loads of insulin for the hospital.
但是我们会去加拿大 We are, however, going to Canada
购买大量胰岛素 to buy enormous loads of insulin
给上千名病人 for thousands of individuals,
我们会不停往返 and we're gonna keep going back and forth
直到帕森舍明白 until Pacentia understands that increasing
不值得为了增加利润率将三千万人的性命 their profit margin is not worth the 30 million lives
置于风险之中 they are putting at risk,
其中之一是我的病人 阿尔玛·皮尔森 one of whom is my patient, Alma Pearson.
谢谢你们 谢谢 Thank you. Thanks.
他们会逮捕你的 They're going to arrest you.
有可能 但人们常说 Probably, but they say
有宣传就是好的 对吧 there's no bad publicity, right?
-他们说错了 -是吗 - And they would be wrong. - Would they?
谢谢 古德温医生 Thanks, Dr. Goodwin.
这些卡车一旦抵达边境 The second those trucks reach the border,
你就会引发国际冲突 you're gonna have an international incident on your hand
还有一批制药公司准备暴动 and a slate of pharma companies ready to riot.
可能那样他们就肯让我上谈判桌了 Maybe then they'll give me a seat at the table.
这需要帮助 手段和时间 That takes favors and finesse and time,
你却像个糖吃多了的孩子 一直发脾气 but you keep throwing tantrums like a kid with a sugar high.
那是因为我的病人阿尔玛·皮尔森 没有时间了 That's because my patient, Alma Pearson, doesn't have time.
我要上谈判桌 不然我明天 I want a seat at the table or I'm gonna throw
-会继续发脾气 -给我一周时间 - another tantrum tomorrow. - Give me a week!
在那辆卡车开到多伦多之前你有十小时 You got ten hours till that truck reaches Toronto.
天呐 God.
我刚从机场回来 I just came from the airport.
抱歉过了这么久 Sorry it's been so long.
大家都对你的治疗很感兴趣 Everyone's just so interested in your treatment.
那是好消息 That's the great news.
你怎么样 How are you?
我相信卡斯特罗医生一直有跟你说近况 I'm sure Dr. Castro's been keeping you in the loop.
是的 我很激动 She has. I'm thrilled.
但我很惊讶我们突然开始 Though I'm surprised to learn that we're suddenly
做胰岛素生意了 in the insulin business.
我不确定这能不能叫生意 I don't know if we can call it a business.
我们是免费赠送 We're giving it away for free.
麦克斯 Max.
你家里最近怎么样 How are things at home?
挺好的 卢娜很棒 Good, yeah. Luna's amazing.
她现在能睡一整晚了 She's, uh, sleeping through the night now.
十二周大 挺好的 Twelve weeks, so it's great.
如果你需要聊聊 我都在的 If you ever need to talk, I'm here.
欢迎回来 Welcome back.
你知道自己的名字吗 Do you know your name?
他们已经问过所有问题了 维贾伊 They've already done all the questions, Vijay!
把那玩意儿接回来 拜托 Just pop the damn thing back in, please!
动手吧 Do it!
好多了 Ah, better.
你去哪儿了 我们不知道你在哪儿 Hey, where have you been? We didn't know where you were.
我被甩出车外了 有个... I was thrown. There was--
呼叫抢救小组 她快不行了 Page the Code Team. We're losing her.
-谁 -布鲁姆 - Who? - It's Bloom.
不 马克 这是所有人的胜利 No, no, no, Mark. This is everyone's win.
没有你的研究 我... Without your research, I--
谢谢你 Thank you.
我很感激 I appreciate that.
好的 下次再聊 Okay, talk soon.
今天好多胜利 So many wins today.
但我猜你经常有这种日子 But I bet you get those days a lot.
说实话 极少 Few and far between, to be honest.
对了 你的椅子有个轮子坏了 Oh, and, uh, a wheel was broken on your chair.
我修好了 希望你不介意 I had that fixed. Hope you don't mind.
当然不介意 Not at all.
我看到麦克斯了 I, um--I saw Max.
你为他做的事真的很厉害 What you've done for him is extraordinary.
是吧 Isn't it?
看他一眼 你就不得不承认 One look at him and you can't deny
这是肿瘤科的未来 this is the future of oncology.
所以我一直在外面用你的研究 That's why I've been out raising money
筹集钱款 using your research.
可能你不应该开除我的 So maybe you shouldn't have fired me.
说太过了 抱歉 Pot shot, sorry.
没忍住 Couldn't resist.
是我犯了错 瓦伦蒂娜 I made a mistake, Valentina.
但现在我希望你回来 But now I'd like you to come back.
回来 Back?
回新阿姆斯特丹医院全职工作 To New Amsterdam full-time.
你让我走的时候 毁了我的事业 You damaged my career when you let me go.
不 我不需要你的道歉 No, I don't need an apology.
只是我不能再为你工作了 It's just that's why I can't work for you again.
好吧 Okay.
但也许我们能做其他安排 But maybe we could find a different arrangement.
比如 Such as?
你可以让我做你部门的联合主任 You could make me co-chair of your department.
瓦伦蒂娜 即使是你这样的成功率 Valentina, even with your success rate,
-财政风险也会... -半个部门 - the financial risk would-- - Half your department.
不然你就找其他人 Or you can find someone else
来管理高精度靶向疗法 to administer precision target therapy.
麦克斯的高精度靶向疗法 Max's precision target therapy.
你用麦克斯作为谈判的筹码 You're using Max as a bargaining chip?
我不想耽误麦克斯的治疗进程 I don't want to derail Max's progress.
我只是不能再让我的工作受你控制 I just can't make my work vulnerable to you again.
成交 Done.
把你包包里的东西都倒出来 Empty out the contents of your purse.
-不好意思 -倒这儿 - Excuse me? - Right here.
神经科医生就像警探 Neurologists are like detectives.
他们知道该去哪儿找线索 They just need to know where to look.
-很多东西 -来 - A lot of stuff. - Here you are.
这个 Here.
-这是什么 -薰衣草精油 - What is this? - Lavender oil.
用来 For?
-缓解压力 -有用吗 - Stress relief. - Does it work?
-你看我像没有压力的样子吗 -好吧 - Do I look relieved of stress? - Okay.
还有 And, uh--hmm.
这是什么 And what is this?
用于关节疼痛的 Uh, for joint pain.
是一种替代药物 One of those alternative medicine things.
这就是为什么你的药没起作用 This is why none of your medications are working.
跟我来 Come with me.
我很喜欢替代药物 真的 I love alternative medicine. Believe me.
但很多替代药物 But a lot of these alternative remedies,
尤其是中国产的 会含有重金属 especially the ones from China, they contain heavy metals.
当重金属被吸收到你的血液里 And when heavy metals get absorbed in your blood stream,
就会阻断你的药的作用 they can block the effect of your medication.
没有 没有重金属 Nope, no heavy metals.
什么 What?
这叫做替代父母心理疗法 Okay, it's called psychotherapeutic reparenting.
里基 既然你翻白眼翻得这么优美 Ricky, since you rolled your eyes with such finesse,
我猜你想第一个来 I'm assuming you'd like to go first.
来嘛 这很好的 Come on, it'll be good.
这会给你一个机会 It'll--it'll give you a chance to, uh,
来自由表达你对你母亲的感受 you know, feel free to express your feelings towards your mother
且不必担心被遗弃 without fear of abandonment.
妈妈
里基 Ricky.
里基 你有什么想对我说的吗 Ricky, do you have something you want to say to me?
有 你看起来像个男的 Yeah, you look like a dude.
好吧 Okay. Okay.
别理他们 Ignore them.
跟我说些真实的想法 Just say something honest to me.
敞开心扉 Open up.
这是目的所在 That's what this is for.
好吧 「妈妈」 Okay, "Mama."
小时候 我希望你能看着我 When I was a kid, I wish you looked at me,
看到我有多糟糕 seen how messed up I was.
为什么 Why?
因为我做的那些坏事 'Cause all the bad stuff I did,
都是为了引起你的注意 I was just trying to get you to notice me.
看到我 真实的我 To see me, the real me.
我一直想 为什么你没有 I kept thinking, "Why didn't you?"
为什么你看不到我 Why couldn't you see me?
现在我认为你看到我了 Now I think you did see me.
你只是不在乎 You just didn't care.
所以我也不再看自己了 So I stopped seeing myself.
你把我变成了鬼魂 妈妈 You turned me into a ghost, Mama.
该死 弗罗姆医生 我不是故意 Crap, Dr. Frome, I didn't mean
-让我们难过的 -不 你没有 - to get weird, man. - No, you did not get weird.
不是你让我们难过 You did not-- you didn't get weird.
是我难过 I got weird.
你敞开心扉说出真话 很棒 You got open and honest and awesome.
这就是目的 That was the point of all this,
而我在哭是因为我为你感到骄傲 and the only reason I'm crying is because I'm proud of you.
那我还要继续吗 Um, should I keep going?
因为你看起来挺糟糕的 'Cause you look pretty messed up.
没事 继续 里基 No, no, no. Keep going, Ricky.
你做得很好 You're doing great.
对不起 我知道我不应该 I'm sorry, I know I shouldn't have hijacked
-那样打断你的手术 -对 你不应该 - your surgery like that. - No, you shouldn't have.
我这五年拼命努力 I've been busting my ass for five years.
别说了 Just stop.
当我还是心脏外科轮岗实习生的时候 When I was an intern on my cardiac rotation,
我的主治医师连我名字都不知道 my attending never bothered to learn my name.
但如果我巡房出差错或者迟到一次 But if I messed up in rounds or I was late once,
我就会被开除 问都不问 I would have been dropped, no questions asked.
没有人帮我的 好吗 All right, nobody helped me.
没有人在乎我有时要在书和暖气间做选择 No one cared that I sometimes had to choose between books and heat.
我只能想办法 I had to just figure it out.
我得自己想办法变得优秀 I had to figure out how to be great on my own.
你知道吗 我差点因此放弃医学 And you know what? I almost left medicine because of it.
所以我会关注你的 So...I'm gonna keep my eye on you.
-等一下 我可以回来了吗 -不 - Wait, I'm back in? - No, no, no.
别以为我会对你宽容 Don't think that I'm gonna be easy on you, either.
而是恰恰相反 好吗 It's gonna be quite the opposite, all right?
我会逼你 挑战你 I'm gonna push you and challenge you
我对你有最高的期望 and expect nothing less than greatness.
如果你能经受住挑战 也许 And if you rise to the challenge, maybe,
仅仅是也许 你够格来挑战我 just maybe you'll be good enough to come for me.
遵命 Yes, sir.
谢谢 先生 And thank you, sir.
你拿到谈判桌上的位置了吗 You get your seat at the table?
没有 No.
帕森舍不肯让步 Pacentia wouldn't budge.
那加拿大的药呢 And the drugs from Canada?
边检海关不放行那么大量的药物 Customs wouldn't let medication loads that size past the border.
我还想着能打败他们 真是太疯狂了 Guess I was crazy to think we could beat them.
是啊 Yeah.
确实很疯狂 It was crazy.
但是我们虽然没赢 But, while we didn't win,
也没有输 we didn't lose either.
帕森舍不太喜欢负面宣传 Pacentia wasn't so thrilled about the negative PR,
所以如果我不再使他们难堪 so, if I stop embarrassing them,
他们同意给你提供胰岛素 they've agreed to offer you some insulin.
多少 How much?
每月六小瓶 Six vials a month.
-但那 -终生供应 - But that's-- - A lifetime supply.
我的天 Oh, my God.
天哪 Oh, my...
那其他人呢 What about everyone else?
其他付不起的人 Everyone else who can't afford it...
只有你是我的病人 Only you're my patient.
医生为病人而战 And doctors fight for their patients,
所以今天我为你而战 so today I fought for you.
明天 Tomorrow...
又是新的一天 It's another story.
麦克斯 Max...
麦克斯 Max.
总有一天你得重新跟我说话 One day you're gonna have to start talking to me again.
嗯 但不是今天 Yeah, not today.
-窦性心律 -还是没有脉搏 - Sinus rhythm. - Still no pulse.
她的心脏不供血了 Her heart's not pumping any blood.
她颈部的血管膨胀了 Her neck veins are distended.
-心脏压塞 -18口径心胸针 - Cardiac tamponade? - 18 gauge cardiac needle.
20cc注射器 快 20cc syringe, now.
说了我会救你的 Told you I got you.
谢谢 Thank you.
急症室是你的了 医生 The ED is all yours now, doctor.
欢迎回来 Ah, welcome back.
来吧 大家都有份 过来抱抱 Come on, everyone wants some. Get in here, get in there.
2号诊室虚弱晕眩 11号诊室需骨科会诊 Got a weak and dizzy in 2, an ortho consult in 11,
然后还有 and then there's--
我的海报呢 What happened to my posters?
那个 坎德拉里奥觉得不太专业 Oh, yeah, Candelario didn't think they were professional.
我挺喜欢那海报的 I like my posters.
我们想你了 We missed you.
你还疼吗 You still hurting?
别问傻问题 Don't ask stupid questions.
-你在吃药吗 -没有 什么也没吃 - You taking anything? - No, I am not taking anything.
阿司匹林都没吃 Not even aspirin?
只要我能动起来 保持忙碌 As long as I keep moving and stay busy,
就不会想起疼痛 it'll keep my mind off the pain.
重新挂起来 Put 'em back up.
可能是狼疮 Could be lupus.
或也许你新陈代谢很快 Or perhaps you're a fast metabolizer.
卡普尔医生医生 也许我该回家了 Dr. Kapoor, maybe it's time for me to go home.
不不 No, no.
通常我在病人身上花更多时间 Usually I take more time with my patients.
也许正因为如此我才不中用了 Maybe that's why I'm off my game.
我没期待你在一天内治好我 I didn't really expect you to help me in one day.
但我一点没帮到你 But I didn't help you at all.
你在不到八小时内给了三个 You came up with three possible diagnoses
可能的诊断 in less than eight hours.
但有正确的吗 Were any of them correct?
最近我很想念印度 Lately I've been missing India quite a lot.
陌生人突如其来的微笑 Strangers smiling at you for no reasons,
各种庆典 各色香味 the festivals, the fragrances,
缤纷的颜色 all the colors.
如果我退休 我可以回家 If I did retire, I could go home.
给 Here.
我讨厌用牙线 Ugh, I hate flossing.
用牙线对牙齿和牙龈健康来说很重要 Flossing is essential for healthy teeth and gums.
你听上去像我的牙医 You sound just like my dentist.
我不去看她了 I stopped seeing her
因为她总是跟我说教 because she wouldn't stop with the lectures.
怎么 怎么了 What? What?
没错 Oh, yeah.
没错 绝对是脓肿的臼齿 Yeah, that is definitely an abscessed molar.
为什么这是好消息 Why is that good news?
因为这就是 Because this is the reason
你吃的药都不管用的原因 none of your medications are working.
牙齿脓肿带来细菌 The abscess in the tooth created bacteria.
细菌进入你的血液中 The bacteria entered your bloodstream,
导致类风湿关节炎症状加重 which caused your RA symptoms to escalate.
而你吃的那些药 And all those medications you took
都去消灭细菌感染了 went to fight the bacteria infection,
而不是类风湿性关节炎 not rheumatoid arthritis.
等等 Wait, wait.
这些年来 那么多医生 All these years, all the doctors...
那么多药 All the medicine?
都败在一颗牙上了 It was a tooth.
拔了这颗牙 你就能好起来 Remove it, you will feel better.
-好起来 -对 - Better? - Yes.
你甚至可以 And you may even be able to go
和你女儿们去攀岩 do rock climbing with your daughters.
如果你退休 If you retire,
我会亲自从印度把你抓回来 I'll drag you back from India myself.
还有谁 Okay, who'd I miss?
没谁了 Uh... No one.
所有人都看过了 Covered everybody in here.
看了两次 还演了一回牙医 Twice. And you played dentist.
-那我可以去喝咖啡了 -好主意 - Guess I'll go get a coffee. - That's a good idea.
等你回来时 Oh, and, uh, when you get back?
我可能给你来段舞蹈治疗 I'ma hit you with some dance therapy.
我知道你能行 I know you can do it!
布鲁姆医生重返江湖 Dr. Bloom back in the house, hey
重返江湖 Dr. Bloom back in the house, oh
谢谢 非常感谢 Oh, yes, thank you. Thank you very much.
我不知道你怎么做到的 但现在正好六点 I don't know how you did it, but it is 6:00 on the dot.
也许和这些你给我的 Probably has something to do with
超舒服的拖鞋有关 these amazing slippers you got me here.
我的婚姻都靠你拯救了 格拉蒂斯 I owe you my marriage, Gladys.
弗罗姆医生正式下班 And Dr. Frome is officially off the clock!
♪ As it is ♪
BGM: There Is So Much More by Brett Dennen
♪ I wonder how so many could be in so much pain ♪
你想谈谈吗 Do you need to talk about it?
♪ Feel a thing ♪
♪ I don't feel comfortable ♪
♪ With the way that my clothes fit ♪
♪ I can't get used to my body's limits ♪
♪ I've got some fancy shoes ♪
♪ To try and kick away these blues ♪
♪ They cost a lot of money ♪
♪ But they aren't worth a thing ♪
♪ I want to free my feet ♪
♪ From the broken glass and concrete ♪
我在这呢 I'm here, okay?
♪ I need to get out of this city ♪
♪ Lay upon the ground ♪
♪ Stare a hole in the sky ♪
♪ Wondering where I go when I die ♪
我回来了 Hi, hi, I'm here!
抱歉我迟了五分钟 我只是 Sorry I'm five minutes late! I just, uh...
没有借口 请别和我离婚 No excuses. Please do not divorce me.
我再也不会爱了 I'll never love again.
大家都去哪了 Where is everybody?
我准备把这地方关了 I'm ready to shut this place down.
没必要 There is no need.
「没必要」 怎么 你把大家都丢出去了 Hey. "No need." why, did you give everybody away?
不做评价 我就是好奇 No judgment, just curious.
拉菲 萨利姆 萨梅拉和哈珀 Raffi, Saleem, Samera, and Harper--
他们整天都互相照顾 they all took care of each other, the whole day.
他们又可爱又精疲力尽 They were so cute and so exhausted.
七点就睡了 They were asleep by 7:00.
我还和一个病人视频了 I also got to FaceTime with a patient.
她那会儿情绪很激动 She was really escalating and...
我成功地安抚了她 I was able to talk her down.
瞧瞧你 Well, look at you.
瞧瞧我们 Look at us.
我们今天帮了很多人 We helped a lot of people today.
我要为此干杯 I'll drink to that.
我就是感觉我们能够 Just makes me feel like maybe we could, um...
帮的更多一些 Be helping even more.
怎么做 How?
我觉得我们该再领养一个孩子 I think we should adopt another child.
什么 What?
♪ I know ♪
我的黑人美男 Hey, my beautiful black man.
你是在睡觉吗 Did I catch you sleeping?
不不 我就是 No, um, no, I was just--
我可以一会儿再打 'Cause I can--I can call back later.
不 不不 这是 No! No, no, no, no. This is, uh...
我一天都在等你电话 This is what I've been waiting for all day.
看你那美丽的脸庞 Seeing that beautiful face.
跟我说说你今天 Then tell me about your day.
还是别了 I'd rather not.
好吧 Hmm, okay.
你是真的想听我说干活的事 I mean, do you really want to hear me talk about work or...
还是想 Do you wanna...
看我干活 Watch me work?
-我想你 -我也想你 宝贝 - I miss you. - I miss you, too, baby.
漫长的一天 Long day?
每天都很漫长 They're all long days.
该你了 Your turn.
总是该我了 It's always my turn.
不是故意想要逃走 Didn't mean to run you away
叭叭恰恰 Ba ba cha cha
♪ Baby, baby sweet baby
麦克斯 Max.
麦克斯 Max!
你得赶紧 她的CT出来了 You need to hurry. Her CT came back.
脑部出血 There was a brain bleed.
哈特曼在给乔治娅做手术 Georgia is in surgery with Hartman.
♪ Speak your name ♪
乔治娅 Georgia...
我尽力了 I did everything that I could.
♪ Why'd you do it? Why'd you have to ♪
♪ Since you've been gone ♪
♪ Why'd you do it? Why'd you have to ♪
♪ Since you've been gone
♪ Why'd you do it? Why'd you have to ♪
♪ Since you've been gone ♪
♪ Why'd you do it? Why'd you have to ♪
♪ Since you've been gone ♪
♪ If you walk in the door ♪
♪ I can get up off my knees ♪
♪ 'cause I've just been so blue ♪
♪ Since you've been gone ♪