「医院革命」前情回顾 Previously on "New Amsterdam"...
我患有强迫症 I have Obsessive Compulsive Disorder.
我要搬回我父母身边 I'm gonna move back in with my parents.
他们住在爱达荷州 In Idaho.
也许你可以搬来和我住 Maybe you can move in with me.
如果你不再帮助别人 你觉得会发生什么 What do you think would happen if you stopped helping people?
他们会看到什么 What would they see? -
他们会看清我是个彻头彻尾的失败者 They would see what a complete loser I am--
老土又书呆子 肥胖又没用 corny, nerdy, fat.
旧金山听上去非常不错 San Francisco's sounding really good right about now.
我们离开这里吧 Let's get out of here.
你的行为模式其实可以归属为 The pattern of your behavior can actually be indicative
《精神疾病诊断和统计手册》的一种实质诊断 of a more substantive diagnosis per the DSM-5.
-比如说 -自恋型人格障碍 - Such as? - Narcissistic Personality Disorder?
即刻生效 你被除去 Effective immediately, you are stripped of your title
肿瘤科联合主任的头衔 as cochair of oncology,
同样你也不再任职医疗副主任 as well as your duties as deputy medical director.
BGM: Digging Shelters by Neil Halstead
♪ Computer, what's the point in this? ♪
♪ You do all the thinking ♪
♪ Where are we? ♪
瓦伦蒂娜·卡斯特罗 肿瘤科及血液科主任
♪ Just building shelters in the snow ♪
在他们所属的中心 At the center, where they belong,
我将提出一项新倡议来改变这一现状 so I am introducing a new initiative to change that,
将所有医生和我们重新连接起来 one that reconnects all of our doctors to our...
♪ I know it's fallen down ♪
♪ Got my headphones on and I won't hear a sound ♪
新阿姆斯特丹医院 海伦·夏普 内科医生
新阿姆斯特丹医院 海伦·夏普 行政管理
医 院 革 命 第二季 第十一集
-利根做了什么 -我知道 - Ligon did what? - I know.
谁能想到和我的医生以及瘾君子上床 Who could've guessed that having sex with my doctor
结果会变得很糟糕 and fellow drug addict would turn out poorly?
你还好吗 Are you okay?
不 不太好 No, not really.
但这么想是不是很疯狂 But is it crazy to think that this all happened
我刚从家族信托基金中拿到一大笔钱 at exactly the same time I get a large chunk of money
就发生了这一切 from my family's trust?
怎么 你觉得这钱被诅咒了 What, you think the money's cursed?
我觉得只要我家人做什么事 I think bad things happen
就会发生不好的事情 anytime my family does anything,
尤其是涉及到钱的事情 but especially when there's money involved.
一共有多少钱 How much are we talking?
不管你脑子里想的数字是多少 Whatever amount is in your head,
乘以十 times it by ten,
然后再让它沾染上不良的家族关系 and then taint it with toxic family relationships.
那就在汉普顿买一栋房子 Well, just buy a house in the Hamptons
这样我们就可以看着《灰色花园》一起变老了 so we can grow old and "Grey Gardens" Together.
你怎么样 How are you holding up?
非常好 Great.
很好 我有非常多空闲时间 It's good. I've got so much time freed up.
海伦 Helen.
非常不好 It's horrible.
实话说 我以为这样会轻松些 Honestly, I thought that it would be easier,
但我感觉我是在擅闯自己的医院 but I feel like I'm trespassing in my own hospital.
但我不会继续这么想 But I'm not gonna dwell on it.
我会保持谦卑的姿态 I'm just gonna keep my head down
只关注我的病人 and just focus on my patients.
你看 Well, look,
至少他们依然让你监测我的药检 at least they still let you monitor my drug tests.
是 Yes.
依然能看你尿尿 Still allowed to watch you pee.
今天早上在部门主任会议上没看见你 Hey, missed you at the department head meeting this morning.
会议一定进展得很顺利 Oh, I'm sure it went swimmingly.
我的小不点今天怎么样 How's my little munchkin doing today?
我不喜欢你置身事外 I don't like you being out of the loop.
我还没告诉你我的大想法 I didn't get to tell you my big idea.
卢娜还在巡房吗 Is Luna going on rounds?
所有人都喜欢看小老板 Everyone loves seeing baby boss.
我们六个月体检的时间到了 Actually, it's time for our six-month checkup,
所以我们要去儿科 so we're headed to the Ped's wing
接种一些重要的疫苗 for some important vaccines.
老天 玩得开心 Gosh. Have fun.
等等 我还没告诉你我的大想法 Wait, I didn't get to tell you my big idea.
-不用 -但我想告诉你 - No need. - But I want to tell you.
我还有病人[耐心] I have patients.
但看起来你完全没有耐心 Sounds like you have zero patience,
加一个「C」 with a C.
你懂了吗 这是个双关语玩笑 See what I did there? It's a pun.
太好笑了 我得走了 拜 It's hilarious. Gotta go, bye.
不好笑 Terrible.
今日捐赠
-你好 -稍等一下 - Hi. - Just one sec.
把包给我 I can take that.
-欢迎回家 -谢谢 - Welcome home. - Thank you.
太美了 That was beautiful.
印度热奶茶好了 Hot chai is ready.
谢谢你 我还得赶紧去上班 Oh, thank you, I just-- I have to rush off to work.
-那我赶紧带你看我家 -好 - Okay, then I'll quickly show you my home. - Okay.
-这是厨房 -好 - This is the kitchen. - Yeah.
-这是客厅 -好 - And this is the living room. - Kay.
那是我家的神龛 That's my mandir.
这就是你未来的房间 And this will be your room.
似乎有人在住 I-It--it appears occupied.
对 这以前是罗汉的房间 Yes, this was Rohan's room.
是吗 You don't say.
他第一次离开家的时候 When he first left home,
他妈妈坚持要让房间保持原状 his mother insisted that we leave the room as it is,
以防他要回来 in case he needed to come back.
我们会尽量把你塞进去的 We will squeeze you in.
这是他著名的海报墙 And this is his famous posters wall.
-好 -你别碰这些 - Right. - You cannot touch these.
-跟我来 -好 - Come with me. - Kay.
我得给你看点东西 I have to show you something.
我妻子的缝纫室正好用来作儿童房 And my wife's sewing room is perfect for the baby.
儿童床该放在哪里 Where will the crib go?
不需要太大变动 No need to change much.
这里怎么样 What about here?
很好 Uh, great.
-我带你去看洗手间 -好 - I'll show you the bathroom now. - Kay.
伊维 你告诉麦克斯你要走了吗
今天就说
我保证
胸外科小组请到急救中心
埃兰德拉·西费尔特 33岁女性 Elandra Siefert, 33-year-old woman.
车祸驾驶员 已系安全带 多处撞击创伤 Restrained driver in a MVA. Multiple crush injuries.
-什么情况 -胸腔积血 - What do you got? - Hemothorax.
我怀疑是肺动脉撕裂 I suspect a lacerated pulmonary artery.
她在大量失血 She's losing blood by the pint.
我们什么时候能带她去手术室 When can we get her to the OR?
现在先把动脉扎住 然后她就由你管了 Tying off an arterial pumper now, then she's all yours.
女士您请跟我来 好让医生工作 Ma'am why don't you come with me so the doctors can work?
不行 她是我姐姐 No, she's my sister.
弗洛伊德 手术时间将会很长 Floyd, this is gonna be a long surgery.
你确定你要上吗 You sure you're up for it?
伤口愈合了 我没事 你呢 Wound's healed, I'll be fine. What about you?
伤口愈合了 我也没事 Wound's healed. I'll be fine.
血压80/40下降中 心率130上升中 B/P 80/40 and dropping. Tachy at 130 and rising.
-我们得走了 -好 我快好了 - Yo, we gotta go. - Okay, I'm almost there.
低效呼吸型态 Breathing pattern ineffective.
她由你管了 Okay, she's all yours.
埃兰德拉在用什么药吗 Is Elandra on any medications,
或者她有任何健康危机吗 or has she had any health scares?
没在吃药 她以前是海军 No meds. She was a Marine.
她特别健康 请救救她吧 She's crazy healthy. Please help her!
好 我们会尽我们所能 Okay, all right, we're gonna do everything we can.
-我们走 -病人来了 - Let's go! - Incoming!
-让开 -特雷·马斯特森 - Out of the way. - Trey Masterson.
18岁 有过敏反应 18, with an anaphylactic reaction.
肾上腺素自动注射两次 没有反应 Epi Auto Injector times two with no response.
高剂量肾上腺素 High-dose Epi.
初始血压从130/70降为110/50 Original B/P 130 over 70, down to 110 over 50.
心率148 血氧饱和度84 下降中 Heart rate 148. O2 sats 84 and dropping.
好 双倍剂量 Okay, doubling dose.
-心率160 -好 但血氧饱和度升至90 - Heart rate at 160. - Okay, but O2's up to 90.
-我们把他救回来了 -特雷 - We got him. - Trey?
特雷 你之前出现过这种情况吗 Trey, has anything like this ever happened to you before?
-没有 -好 - No. - Okay.
有什么需要告知我们的医疗病史吗 Any medical history we should know about?
我得过淋巴瘤 I had lymphoma.
四年前 Four years ago.
-好 -夏普医生为我治疗的 - Okay. - Dr. Sharpe treated me.
好吧 我们会做一些化验 Okay, okay, we're gonna run some tests
找出是什么引发了这次过敏反应 to figure out what caused this allergic reaction,
我们呼叫夏普 and let's page Sharpe.
-你好 -你好 古德温医生 - Hey. - Hi, Dr. Goodwin.
我去告诉埃尔德医生你来了 I'll let Dr. Elder know you're here.
谢谢 Thanks.
这里有人吗... Is anyone--
不好意思 Oh, sorry.
谢谢 Thanks.
你要走路了吗 Are you gonna walk for me?
今天要走路吗 Are we walking today?
你的多大了 How old is yours?
六个月 Six months.
马上就会走了 Walking's right around the corner.
是啊 听说是这样 Yeah, so I've heard.
我经常把她放在走步机上 但收效甚微 I keep putting her on the treadmill, but no luck.
这个摇摇晃晃的小姑娘是芭比 Well, this wobbly girl is Bobbi.
你好啊 Oh. Hey there.
这个甜甜的小姑娘是卢娜 This sweet girl is Luna.
还好成年人不需要 You know, it's nice that the adults don't have to
也在名字前面加上修饰词 put the qualifiers before our names too.
其实如果加上 我想我们会对彼此更好 Actually, I think we'd treat each other better if we did.
你好 我是「进医院就紧张的」的艾丽斯 Hi, I'm "Anxious in hospitals" Alice.
我是「用微笑掩饰紧张的」麦克斯 I'm "Hiding behind my smile" Max.
你听说麦克斯的伟大创意了吗 Hey. Have you heard Max's big idea?
无屏化 No screens?
确实是个伟大创意 That is a big idea.
病房无屏幕 No screens in patient rooms,
无平板 无电脑 no tablets, no computers.
他不是认真的吧 He's not serious, is he?
他绝对是认真的 He's definitely serious.
但我们不是真的要这么做吧 But we don't actually have to do it, do we?
你们当然要做 而且不仅如此 You most certainly do, and not only that,
作为科主任 你有责任向你的整个科室 but as chair, it's your job to share this new rule
传达新规定 with your entire department.
扳倒一个 再接再厉 One down. Good luck with the rest.
-夏普医生 -贝克医生 - Dr. Sharpe. - Dr. Baker.
你明知道我有多气愤就别叫这么亲近了吧 Don't say my name nicely when it's clear how furious I am.
这根本无法接受 This is unacceptable.
我不确定你指什么 I'm not sure what you're referring to.
无屏化 No screens?
与我无关 I had nothing to do with that.
那就驳回它 我们需要屏幕 Then veto it! We need screens.
这不是石器时代 This isn't the Stone Age.
你肯定听说了 我不再负责管理了 As I'm certain you've heard, I'm no longer management.
我和你一样只是个医生 I am just a doctor like yourself,
低调专注于我的患者 keeping my head down and focusing on my patients.
夏普医生 Dr. Sharpe.
在所有的接诊过程中无屏化 No screens during any patient encounters
太荒唐了 坦白说 is, frankly, outlandish.
伊利亚兹医生 好久不见 Dr. Eliraz, long time.
我很好 谢谢过问 I'm doing well. Thank you for asking.
夏普医生 Dr. Sharpe.
不看电脑屏幕 Without looking at a computer screen,
我连患者的名字都叫不上来 I can't keep my patients' names straight.
我猜这就是古德温医生启用新政策的原因 I suspect that's why Dr. Goodwin instated the policy.
更多面对面的情感接触 More face-to-face emotional engagement.
从我实习时起 检查室就一直有屏幕 Since I was an intern, I've always had a screen in my exam room.
我们没有屏幕没法工作 We can't do our jobs without our screens.
你必须取消这项政策 You have to make this go away.
够了 Enough!
我不是医疗副主任 I am not the deputy medical director,
我不是科主任 I am not a department chair,
我什么人都不是 什么事都不负责 I am not anyone who is in charge of anything,
所以我给你们所有人的建议就是闭上嘴 so my advice to all of you is to suck it up,
放下骄傲 保持低调 swallow your pride, keep your head down,
做好麦克斯让你们做的哪怕一件事 and do the one damn thing that Max has asked of you,
就像我在做的一样 which is what I am trying to do!
另外实话说 And just for the record,
你们真该好好记住患者的名字 you should bloody well know your patients' names.
嗨 卢娜 你能说嗨吗 Hi, Luna. Can you say hi?
说你好[西班牙语] 平安[希伯来语] Say hola. Shalom?
芭比 你想跟卢娜说嗨吗 Bobbi, you wanna say hi to Luna?
她绝对在想说「你好」 She's totally thinking "Hello."
是啊 完全看得出 Yeah, totally got that.
你们来看什么 What are you in for?
芭比一直有耳朵感染 Bobbi keeps getting these ear infections.
-哎呦 -是啊 - Ouch. - Yeah.
他们担心这会推迟她学说话 They're scared they could delay her speech,
所以要请耳鼻喉医生在她耳朵里放这些管子 so an ENT's putting these tubes in her ears.
鼓膜置管术 Tympanostomy.
我一直想记住这个词怎么拼 That's the word I keep meaning to write down.
或者随便拼一下就行 Maybe you could toss them on in,
鉴于你都已经来诊室了 seeing as you're already in scrubs.
虽然我不是治耳朵的 Yeah, I'm not really an ear guy,
但如果她感染的是埃博拉... but if she had Ebola--
那样的话 我们还是得治好她的耳朵感染 In that case, we'll stick with the ear infections.
没错 That's fair.
-古德温医生 -在 - Dr. Goodwin. - Yep.
-你可以回来了 -太好了 - You can come on back now. - Oh, great.
希望很快就到你了 Hope the doctor gets to you soon.
谢谢 Thanks.
-很高兴认识你 -我也是 - Nice to meet you. - You too.
还有卢娜 And Luna.
她绝对在想「再见」 Yeah, she's totally thinking "Bye!"
-说「再见」 -再见 - Say "Bye!" - Bye!
-再见 芭比 -再见 卢娜 - Bye, Bobbi. - Bye, Luna.
从一到十 疼痛有几级 And on a scale of one to ten, how bad is the pain?
可能是四级 Maybe a four,
但比起我的膝盖不算什么 but it's nothing compared to my knee.
所以你的膝盖也痛 So it's your knee as well.
那你的膝盖痛有几级 And what number would you give your knee?
如果我的脚痛是九级 Well, if my foot is a nine,
那我的膝盖痛就是八级 then I'd say my knee is an eight.
你不是应该把这些录入电脑吗 Shouldn't you be typing this into a computer?
我都录入这里了 好吗 I've got it all right here, okay?
那么 你肩痛 So, it is your shoulder,
膝盖痛 脚痛 your knee, and your foot.
别的没有了 And that is everything.
我的皮肤还非常干 And my skin is very dry.
所以还有别的 Huh, so that's not everything.
我不确定你看皮肤的毛病 I wasn't sure if you did skin stuff.
好了 彭布罗克先生 Okay, Mr. Pembroke,
不如把你所有的不舒服都说出来吧 why don't you just tell me all of your concerns?
我唯一能想到的其他问题就是 Well, the only other thing I can think of
肌肉痛 is muscle aches...
视力模糊 疲劳 Blurred vision, exhaustion,
头痛 便秘 headaches, constipation,
还常常怕冷 oh, and I'm always freezing.
好的 我得在忘记前把这些录入你的病历 Okay, I'm gonna go and get this logged into your chart before I forget,
然后马上回来 好吗 and then I'm gonna be right back, okay?
好的 你有肩痛 Okay, so you've got shoulder pain,
伴有膝盖痛 伴有脚痛 connected to the knee pain, connected to the foot pain,
皮肤干燥 视物模糊 肌肉痛 疲劳 dry skin, blurry vision, muscle aches, exhaustion,
便秘 还有... constipation, and...
糟糕 Oh, no.
在第六肋和第七肋之间做切口 Making the incision between the sixth and seventh rib.
给我一副... Get me a pair of...
准备生理盐水冲洗 Gonna need a saline flush.
分离肺动脉 Isolating pulmonary artery.
聚丙烯缝合线 Polypropylene sutures.
准备一盒新棉垫 Need a new carton of lap pads.
缝合 Suture.
...五百毫升 ...500 milliliters.
应该可以了 That should do it.
她的心率还在升高 Her heart rate's still rising.
应该慢下来的 Should be slowing down.
并且她的血压在下降 And her blood pressure's dropping.
-我止住了所有出血点 -一定有别的原因 - I got all the bleeders. - There must be something else.
低血压 心动过速 Hypotensive, tachycardic--
网状红疹 And a lacy red rash.
那是输血反应 That's a transfusion reaction.
她的身体在排斥血液 快断开 Her body's rejecting the blood. Disconnect it!
-叫血液科来 -评估弥散性血管内凝血 - And call hematology! - Assess for DIC.
她到处在渗血 She's oozing blood everywhere.
血压还在下降 BP is still dropping.
纱布 Gauze.
拜托 拜托 Come on, come on.
雷诺兹医生 出什么事了 Dr. Reynolds, tell me what's happening.
夏普在哪 Where's Sharpe?
如果血液制品有问题 If there's an issue with the blood product,
要通知血液科主任 the chair of hematology gets paged,
目前来说 也就是我 and right now, that's me.
抱歉 习惯了 Sorry, just habit.
你怀疑有输血反应 You suspect a transfusion reaction?
是的 很严重 Yeah, a big one.
好的 交给我 Okay, I'm on it.
血压下降 再来一袋 BP is down. Get a new one.
夏普医生 Dr. Sharpe.
好久不见 Long time no see.
你好 特雷 Hello, Trey.
你感觉如何 How are you feeling?
感觉像一个差点被蟹肉饼要了小命的人 Like someone who was almost murdered by crab cakes.
他们查出原因了吗 They figure out why it happened?
是怎么回事 What is it?
特雷 我有个坏消息 Trey, I have some bad news.
你最近出现的过敏 The newfound allergies that you have
是淋巴癌引起的 are from your lymphoma,
也就是说它又回来了 which means that it's returned.
我又得开始做化疗了吗 So, it's back to chemo?
癌症的扩散程度已经很高 The cancer has spread
不能做化疗了 too aggressively for chemotherapy.
我们无法治疗 It's beyond anything that we can treat.
但我们已经打败它了 But we beat it.
我们一起的 你说过我们打败它了 You and me. You said we beat it.
这不公平 也毫无道理可言 It's not fair, and it doesn't make any sense,
我真的很抱歉 and I am so sorry.
我还剩多长时间 How long?
四个月 Four months.
也可能是六个月 Maybe six.
你父母在这吗 Are your parents here?
我给他们打电话 I'm gonna call them.
-不 不要 -特雷 - No, don't. - Trey--
我不想让他们知道 I don't want them to know.
自恋型人格障碍
表现出傲慢和/或自大的态度及行为
你有空吗 Have you got a minute?
有空 实际上我很高兴你能来 Yeah, actually, I'm glad you're here.
你觉得我有自恋型人格障碍吗 Would you say that I have Narcissistic Personality Disorder?
因为《精神疾病诊断和统计手册》上说自恋的人 Because the DSM says that people who are narcissistic
通常都很傲慢 are typically quite haughty.
你觉得我的性格傲慢吗 Is that how you would characterize me? Haughty?
你就直说吧 Just give it to me straight.
我傲慢吗 Am I haughty?
我听说过一个很不错的假设 You know, I heard a really good hypothetical
可以检测你是不是自恋者 to tell if you're a narcissist.
很好 是什么 Good, what is it?
如果一位同事在工作日来到你的办公室 If a colleague shows up at your office during the work day,
你觉得他们是有事情才来的 do you assume they're there for a reason,
还是只是想来听你胡说八道 or just to hear you talk nonsense?
给我看看 Lay it on me.
他叫特雷 His name's Trey.
他十八岁 想要独自死去 He's 18, and he wants to die alone.
暴乱就要来了 The mutiny is upon us.
为什么拦住我的没有一个是好消息 Why does no one ever stop me with good news?
说真的 我得开始用通风管了 Honestly, I'm gonna start using the air ducts.
神经和神经外科 The neurology and neurosurgery departments
已经在公开反抗了 are in open revolt.
所以你就来找肿瘤医生了 So naturally, you come to an oncologist.
麦克斯对平板电脑的禁令完全不切实际 Max's ban on screens is completely impractical.
平板电脑非常重要 Screens are vital
即使是用于最基本的神经系统疾病 even for the most basic neurological patient encounter.
你知道神经学最有趣的是什么吗 Do you know what's most interesting about neurology?
-是什么 -我没法告诉你 - What? - I couldn't tell you.
那不是我的部门 It's not my department.
我的诊所一片混乱 My clinic is in chaos.
你必须得帮忙 You must help.
我不能 I can't.
我不是权威人士 维贾伊 I don't have a position of authority, Vijay.
那群反叛的神经科医生没有理由 There's no reason for roving gangs of rebel neurologists
-听我的话 -麦克斯听你的话 - to listen to me. - Max listens to you.
这与你的头衔无关 It's not about your title.
麦克斯听你的 You have Max's ear.
拜托了 Please.
为了病人好 For the patients.
喂 Yeah.
跟你说一声 你的伟大创意 Just so you know, your big idea
正像个铅气球一样坠落呢 is going down like a lead balloon.
听着 Look, there's something--
卢娜有点不对劲 there's something wrong with Luna.
麦克斯 他们知道是怎么回事吗 或者... Max, what--do they know what it is, or--
还不知道 你有什么需要 Not yet. What do you need?
没什么 Nothing.
我来处理 I'll handle it.
是个小肿块 古德温医生 可能是脂肪瘤 A small bump, Dr. Goodwin. Likely a lipoma.
你要做个活检吗 Do you wanna biopsy it?
我不想吓坏你 I don't want you to panic.
我得了癌症 Well, I have-- had cancer.
不太可能是癌症 Cancer is so unlikely.
我知道 我知道 但也有可能是 Yeah, I know, I know, but it could be,
也可能是血管瘤或布加畸形 or it could be a hemangioma or a Budd-Chiari malformation--
我深表怀疑 I highly doubt that.
我不要怀疑 我要知道 I don't want to doubt, okay? I'd like to know.
我需要知道 I need to know.
-我可以做活检 但是... -好的 - I could biopsy it, but-- - Okay.
结果也可能是假阳性 We could be opening up ourselves to a false positive--
做吧 好吗 Do it, okay?
我注意到 It has come to my attention
你们公然无视了麦克斯的指示 that you have been brazenly disregarding Max's directive.
因为这太疯狂了 Because it's crazy.
但我很确定这事你们无权选择 And yet, I'm fairly certain it wasn't optional.
我们需要平板电脑来问诊 We need our screens for consults.
麦克斯认为把脸埋在平板电脑里 And Max believes having your faces buried in your tablet
只会让你们疏远病患 only alienates you from your patients.
我已经直接和麦克斯谈过了 Now, I've spoken with Max directly
他想让你们完成这件事 and he would like you to get this done,
告诉我 我能帮上什么忙吗 so tell me, how can I help?
你知道有多少信息 Do you know how much information
需要我们为病人登记吗 we're expected to enter for each patient?
36页 36 pages.
其中三分之二是保险编码和费用问题 2/3rds of which is insurance coding and billing questions.
我们别无选择 只能在问诊时搞定这些 And we have no choice but to do it during the consults.
因为要来回翻页15分钟 Since it takes about 15 minutes of scrolling
才能全部填完 to fill it all out.
如果我们不能在病人就诊时做完 If we can't do it during the patient visit,
就得在那之后再做 we'll have to do it after.
也就是说每个病人需要两倍的时间 Which means each patient will take twice as long,
最后我们只能看一半的病人 and we'll end up seeing half as many patients.
而且我们中有人打字不是很快 And some of us are not the fastest typists.
好吧 Okay.
那么 如果我们雇佣医学抄写员呢 So, what if we were to hire, say, medical scribes
他们可以在问诊时帮你们输入数据 who could input the data while you were consulting.
-会有帮助吗 -那太棒了 - Would that help? - That would be incredible.
你能做到吗 You can do that?
我不能 但麦克斯可以 如果他想这样做 No, but Max can, and if Max wants this done,
那就能做到 then consider it done.
六位新医学抄写员就要来了 Six new medical scribes coming your way.
谢谢你 That's--thank you.
谢谢 Thank you!
我就知道麦克斯会听你的话 See, I knew Max would listen to you.
室内攀岩墙怎么样 How about an indoor rock climbing wall?
「这钱被诅咒了」这句话里哪个字 Okay, what part of "This money is cursed"
你没听懂 didn't you understand?
-桑拿和热水浴缸怎么样 -不行 - Sauna and hot tub? - No.
-喷气式滑雪板呢 -当然可以 - Jet skis. - Sure.
-真的假的 -假的 - Really? - No.
伊莱 伊莱 伊莱 好了 Eli, Eli, Eli. Okay.
你差点就难住我了 Now you, you nearly had me stumped,
你这一连串的问题 what with your litany of issues.
头痛 膝盖 I mean, the headaches, the knee,
无法调节体温的问题 the inability to regulate your body temperature.
我是说 我必须得深入调查 I mean, I really had to dig deep,
我到处查找信息 and I searched far and wide.
我甚至查阅了一本尘封已久的医学论文 I mean, I even consulted a dusty old medical text.
但我已经弄清楚了 But I have figured it out.
我知道你的病是什么了 I know what you have.
它叫做甲状腺素偏低 It is called a low thyroid,
这解释了你所有的症状 and it explains all of your symptoms.
连我腿上没法愈合的伤口都能解释吗 Even the cut on my leg that won't heal?
什么你腿上不会愈合的伤口 What cut on your leg that won't heal?
我忘了提那个了吗 Did I forget to mention that one?
是啊 你一定是忘了 Yeah, must've slipped your mind.
布鲁姆医生 那我还是甲状腺素偏低 So, do I still have a low thyroid, Dr. Bloom?
不是了 No.
好吧 那么 Okay, so,
腿上有伤口 cut on your leg
无法愈合 that won't heal...
便秘 Constipation...
头痛 headaches...
夏普医生 Dr. Sharpe.
我是负责财务结算的桑德拉·福尔 Sandra Fall from billing.
你为什么要聘用六个医学抄写员 Why did you requisition six medical scribes?
不是我 是麦克斯 I didn't. That was Max.
可是整个神经科都说是你雇的 Except the entire neurology department said it was you.
这听起来不正是麦克斯的作风吗 Doesn't that sound like something Max would do?
很不幸 是的 Unfortunately, yes.
那他为什么不在文件上签字呢 So, why didn't he sign the paperwork?
这听起来也像是麦克斯忘记做了的事 You know, that also sounds like something max would forget to do.
没有医疗主任签字 I can't approve the requisition of new staff
我不能同意招聘新员工的需求 without the medical director's signature.
好吧 稍等 Okay, wait.
-转过去 -为什么 - Turn around. - Why?
合理推诿 Plausible deniability.
好了 你现在可以转过来了 Okay, you can turn around now.
看上去麦克斯签了字 That looks like Max signed it to me.
这的确像是麦克斯会做的事 That does seem like something Max would do.
你听说过奇幻思维吗 Have you ever heard of magical thinking?
没有吗 No?
这种理论认为我们的想法能改变现实 It's the belief that our thoughts can shape reality.
即我们最深处的愿望 The idea that our deepest wishes
能以某种方式改变现实世界 can somehow shape the physical world.
或有时 如果我们不谈论某件事 Or sometimes, we hope that if we don't talk about something,
它就不会发生 it won't happen.
你认为我有奇葩的想法 You think I'm in some weirdo headspace
觉得如果我不告诉我父母 where if I don't tell my parents,
我就不会死 I think I won't die?
我认为这有可能 I think it's possible.
不 我根本不是这样的人 Okay, no. That's not me at all.
我非常清楚我的病情 I'm fully clear on my situation.
-好的 -再过六个月 我就完了 - Okay. - In six months, I'm toast.
好吧 Yeah.
那为什么不告诉你父母呢 So, why not tell your parents?
我才十八岁 Look, I'm 18,
而且有三年是在跟癌症斗争 and three years of that was spent sidelined with cancer,
就经历而言 我才十五岁 so experience-wise, it's like I'm 15.
我只有一年不到的时间了 我想去生活 I've got less than a year left, and I want to go live.
那很好 为什么不告诉他们呢 That's great. Why don't you tell them that?
如果我说了 每次我离开家 If I did, every time I leave the house,
我都得面对他们悲伤的脸 I'll have to deal with their sad faces.
他们会难过我最后的日子跟别人度过 That I'm choosing to spend my last days
而不是他们 with people that aren't them.
我能懂 特雷 Okay, I get that, Trey,
但你知道癌症会有生理症状的吧 but you know there are physical signs of cancer, right?
很多瓶止疼药 你的身体也会逐渐衰弱 Bottles of painkillers, your body will be in decline.
所以呢 So?
所以你的父母肯定会留意到 So your parents are bound to notice that,
你不觉得吗 don't you think?
晚期癌症你隐瞒不了的 Terminal cancer's not really something you can hide.
所以我要离开 That's why I'm leaving.
离开 Leaving?
我一早上都在想这件事 I've been thinking about it all morning.
我的朋友杰姆要去巴塞罗那读一学期 My buddy Jem is doing a semester in Barcelona.
我打算这学期请假去找他 I'm gonna take the semester off and go crash with him,
再之后 我去哪儿都行 then after that, I'll go wherever.
秘鲁 爬安第斯山脉 有机会破个处 Peru, climb the Andes, hopefully lose my virginity.
-你可以笑的 -我不是在笑你 - It's okay to laugh. - I'm not laughing.
我还有这么多事情没做 There's just so much I haven't done.
那你的父母将要听到你 So, your parents are gonna hear about you dying
在千里之外的山上去世的消息吗 on a mountain thousands of miles away,
独自一人去世 all alone?
这对他们来说会很难过 And it'll be awful for them.
是的 Yeah.
但他们无论怎样都会很难过 But it's gonna be awful for them no matter what.
至少这样的话 我不会很难过 At least this way, it won't be awful for me.
也是 Yeah.
好吧 Okay.
我去拿你的出院文件 I'm gonna go get your discharge paperwork.
我知道 I know.
好啦 好啦 I know, I know, I know.
知道啦 乖乖 I know, I know, I know.
-好啦 -没事吧 - I know. - Everything okay?
他们要做一些化验 但... They need to run some tests, but--
抱歉 好像没办法... Sorry. Can't seem to--
别担心 Don't worry about it.
我的妻子比我更擅长这个 My wife would have been better at this.
你试过嘘声安抚的办法吗 Have you tried the Ss?
-我试试 -好的 当然 - Give it a try? - Oh, yeah, yeah, sure.
独自一人养孩子挺难的 Raising a child by yourself is hard.
是的 我希望以后会简单点 Yeah. Hoping it gets easier.
不会的 It won't.
但你能更好地克服困难 But you get better at getting through it.
是的 Yeah.
希利女士 Ms. Healy?
医生现在可以见你了 The doctor will see you now.
-来 -谢谢 - There we go. - Thanks.
刚刚那样好点吗 Yeah, was that better?
祝你好运 Good luck.
谢谢 你也是 Thanks. You too.
再挂一升生理盐水 Hang another liter of normal saline.
她抗核抗体阳性 She has a positive ANA
还有双链DNA抗体 and double-stranded DNA antibodies.
她有狼疮 She has Lupus?
并且在制造抗体 And it's making antibodies
对输血的红细胞产生反应 that are reacting to the transfused red blood cells.
所以她有排斥反应 That's why she rejected it.
我们给她输的血必须 Any blood we give her needs to be meticulously matched
与红细胞表面的数十种蛋白质精确匹配 to dozens of proteins on the surface of her red blood cells,
不然她还会有排斥反应 or she'll react again.
-好 那就弄这种血来 -我们没有 - Okay, so get it up here. - We don't have any.
但我会在每家医院和血库里找 直到找到为止 But I'm gonna search every hospital and blood bank until we find it.
那你最好快点 不然她要在手术台上失血而亡了 Well, you better hurry, or she's gonna bleed out on the table.
-芭比在哪儿 -还在那儿 - Where's Bobbi? - Still back there.
他们让我看她进去 They let me watch as she went under,
但又说我得在这里等到手术结束 but then said I had to wait here till after the procedure.
正常 Yeah, that's typical.
我丈夫去世后 我 Since my husband passed, I...
我受不了让她离开我的视线 I hate having her out of my sight.
-我知道她没事 但 -我懂 - I know she's okay, but-- - I know, um...
跟我来 Come with me.
你确定我们能回来这里吗 Are you sure we can be back here?
我认识一些人 I know a few people.
你可以把它放这儿 You can leave that there if you want.
查克·特恩布尔是曼哈顿最好的耳鼻喉医生之一 Chuck Turnbill's one of the best ENTs in Manhattan.
现在你知道为什么了 Now you get to see why.
谢谢 Thank you.
没事 Sure.
古德温医生 卢娜的结果出来了 Dr. Goodwin, we have Luna's results.
失陪一下 Excuse me.
我们也想要医学抄写员 We want medical scribes too.
你们现在又想要了 Oh, do you now?
我们听说你给神经外科医生弄到了 We heard what you got the neurosurgeons,
我们也要一样的待遇 and we want the exact same thing.
但我清楚地记得你跟我说 Mm, but I distinctly recall you telling me
你有多喜欢你的平板电脑 how much you love your screens,
所以雇佣医学抄写员解决不了你的问题 so hiring medical scribes isn't gonna solve your problem.
那你打算给我们什么 So what are you gonna give us?
家访 Home visits.
家访 Home visits?
如果想跟你们治疗的人建立真实的联系 To forge authentic connections with the people that you treat,
你们需要做的远不止放弃平板电脑 you need to do far more than just set your screens aside.
你们需要完全进入病患的生活 You need total immersion in the lives of your patients.
即使我们想这么做 虽然我们并不想 Even if we wanted to do that, which we don't,
我们的日程安排也不允许这样做 our schedules would never allow for that.
我会取消下个月所有的呼吸内科门诊预约 I'm cancelling all pulmonology clinic appointments for the next month.
这应该能腾些时间 That should free up some time.
等下 你不能这样做 Wait, you can't do that.
不是我要这么做 是麦克斯 I'm not doing it, Max is.
你跟他聊过我们的事吗 You talked to him about us?
是的 而且他也认为这正是你们所需要的 Yes, and he agreed this is exactly what you need.
你和你的同事首先要去病人家里做家访 You and your colleagues are gonna start
你和你的同事首先要去病人家里做家访 visiting your patients in their home,
然后你们才会真的了解他们 and you are really gonna get to know them.
麦克斯建议你们应该从记住他们的名字开始 Max suggested that you could start by learning their first names.
伊莱 Eli.
好的 Okay.
我认为我弄清楚你的问题是什么了 Now, I think I figured out what is wrong with you,
这就是治疗方案 and this is the treatment.
看起来很大 It looks big.
是的 Yeah. Yeah, it is.
我翻看你那一堆病症 So look, I went over your landfill of symptoms
看了有一百万次 然后 a million times, and...
我能给出的唯一诊断是营养不良 the only diagnosis I could come to was malnutrition.
伊莱 你买食物会有困难吗 Now, Eli, are you having trouble buying food?
我的社保支票能付一大半房租 My Social Security check pays most of my rent,
为了付剩下那部分 but to cover the rest of it,
我得卖我的食物券 I sell my food stamps,
然后吃快餐 因为更便宜 and eat fast food 'cause it's cheap.
好吧 Okay.
你不能再这样子了 Well, look, you can't do that anymore.
我知道我在省吃俭用 I knew I was cutting corners,
但我不知道这是在伤害我自己 I didn't know I was hurting myself.
那收容所呢 What about the shelter?
他们每天提供营养的三餐 I mean, they offer three healthy meals a day.
我不能从真正需要食物的人手中 I won't take food away
抢走他们的食物 from people who really need it!
你就是真正需要食物的人 You really need it.
你的身体完全处在挨饿状态 I mean, your body is basically starving.
你有没有听说过「老年人餐食」这个服务 Have you heard of something called Meals for Seniors?
那是一个非常好的服务 I mean, it is a great program that is designed to help
专门针对老年人的营养需求而设计 with the nutritional needs of the elderly.
我从六月份就排在申请名单上了 I've been on a waitlist since June.
2016年6月 Of 2016.
我不懂 你们为什么找不到和她血型匹配的人 I don't understand. Why can't you find a match?
你的妹妹需要一种极端罕见的血液制品 Your sister needs an extremely particular blood product,
现在 方圆六小时的驾驶范围内 and so far, no hospital within 6 hours
没有一家医院有 has it on hand.
我很抱歉 贾斯婷 I'm so sorry, Justine.
如果你还想通知其他家人 If there's any other family members
现在是时候了 you wish to call, now would be the time.
埃兰德拉是海军陆战队战士 Elandra's a Marine.
她三次出征了阿富汗 She did three tours in Afghanistan,
而如今她出门上个班就死了 and now a commute to work is going to kill her
就因为你们没有她需要的血液吗 because you don't have blood?
你呼我了吗 You paged me?
我知道我这么做越级了卡斯特罗医生 Look, I know I'm stepping over Castro,
但我的病人需要她能得到的一切帮助 but my patient needs all the help that she can get,
我不会让行政级别的问题 and I'm not gonna let chain of command
阻碍到拯救她的生命 get in the way of saving her life.
你能帮我吗 Will you help?
埃拉 Ella.
我有东西给你 I have something for you.
我意识到 我的有些旧了 I realized mine were a little old,
所以我想这些新的家纺用品 so I thought maybe these new ones
会让你更有家的感觉 will make you feel more at home.
维贾伊 我真的很感激你做的这一切 Vijay, I really appreciate what you're doing.
只不过... I just...
你家吧... your home?
你是指我们的家 You mean our home.
对 Yeah.
那里还有许多你过去的生活 There's so much of your old life there,
各种东西都太多了 所以... so much of everything, really, and...
我觉得... I just...
住不下其他人了 there's no space for anyone else.
没有属于我的地方 There's no space for me.
我们可以把罗汉的书搬走 Oh, we will move Rohan's books.
这和那些书无关 It's not about the books.
我... I just...
我想象了一下自己住在那里的情境 feel like I picture myself there,
我...本来我就有强迫症 然后 and I just...With my OCD, and...
我知道你只是想帮我 I know that you are just trying to be helpful,
那真的意义非凡 and that really means so much.
我...我没法住在你那里 I just...It's just not gonna work for me.
我... I...
我很抱歉 没考虑过... I'm sorry I did not think of...
不 抱歉的是我 No, I'm sorry.
我... I...
你对我非常好 而我... you're being so great, and I...
你需要做对宝宝来说最好的选择 同时 You need to do what is best for the baby, and...
也是对你最好的选择 and for you.
我下班以后就去你家 取回我的东西 I'll come by after my shift, and I'll pick up my things.
你要去哪 Where will you go?
我先去和朋友住 然后再想办法 I'll go stay with a friend till I figure it out.
好吧 Okay.
不是癌症 It's not cancer.
也不是什么罕见的感染 It's not some obscure infection.
卢娜长了一个表皮囊肿 一种很常见的皮肤褶皱 Luna has an epidermoid cyst, a simple fold of tissue.
注射一针类固醇她就会没事了 A small injection of steroids and she'll be fine.
这消息太好了 谢谢 That's great news. Thank you.
但请允许我多说一句 古德温医生 But if I may, Dr. Goodwin,
今天你心中作为家长的恐惧 today you let your parental fears
凌驾于你我的医学判断能力之上 override your medical judgment and mine.
你是什么意思 What do you mean?
从今以后 当卢娜来这家医院看病 From now on, when Luna visits this office,
我不希望她和古德温医生一起来 I don't want her coming with Dr. Goodwin.
我希望她和她的父亲一起来 I want Luna coming with her father.
明白了 Got it.
好了 Okay.
你的出院手续 我想去爬山的朋友 For your discharge, my mountain-climbing friend.
-给你 -太棒了 谢谢你 - Here you go. - Sweet, thank you.
在你离开之前 如果你不介意 So, listen, before you leave, if you don't mind,
我还有一个心理医生的建议给你 I have one more shrink thought for you.
录一段视频给你父母 你觉得如何 What do you say about making a video for your parents?
什么样的视频 What kind of video?
当你离开家的时候 你会和他们说再见 Well, when you leave, and you say good-bye,
但你的父母并不知道 your parents aren't going to know
那是永别 that that's really good-bye,
你为什么不给他们一份馈赠 so why don't you give them that gift?
一个真正的道别 The real good-bye?
当我得到你去世的消息 And then when I receive word that you've passed,
我会确保他们收到你的道别视频 I will make sure that they get it.
行啊 听起来是个不错的主意 Yeah. Seems like a good idea.
很好 我来为你准备拍摄视频 Great, okay. I'm gonna set this up.
然后你就能马上启程前往阿空加瓜山了 We'll get you off to Aconcagua in no time, my friend.
我该说点什么 What should I say?
这完全看你想说什么 I mean, that's up to you, really,
不过谨记当你父母看到这段视频 but try to remember that when your parents see this,
他们需要面对你已经死去的现实 they're gonna be dealing with the fact that you're gone.
好吗 所以 All right? So
也许你可以告诉他们你希望如何被他们记住 I don't know, maybe tell them how you want to be remembered.
跟他们说五个你最重要的回忆 Five most important memories.
老爸老妈 Hi, Mom and Dad.
你们好啊 Hi.
当你们看到这段视频 我已经死了 When you see this, I'll be gone,
我想你们会希望从我这里得知这消息 and I thought you'd like to hear this message from me.
总之 Anyway,
下面我要说我的五个最重要的回忆 here are my five most important memories.
好了 第一个 Okay. Here's one.
我被确诊为癌症的那一天 The day I got diagnosed with cancer.
我们从医院开车回家 We were driving home from the hospital,
你们提出去给我买冰淇淋 and you offered to get me ice cream.
我当时十五岁 想表现得像个男子汉什么的 And I was 15, and trying to be a tough guy or whatever,
我拒绝了 so I said no.
但那晚 你们还是给我买了冰淇淋 But later that night, you brought me some anyway.
坚果巧克力味儿的 Rocky Road.
那时我已经很多年没跟你们要过冰淇淋了 And it had been years since I'd asked you to get me ice cream,
但你们仍然记得我最爱的口味 but you remembered my favorite flavor,
我当时心情特别好 and that made me feel so good.
第二件事 Number two.
小时候和我玩特雷扔高高 Playing Toss the Trey when I was little.
实际上 那大概是我最早的记忆 Might be my first memory, actually.
被高高扔向空中 Getting tossed up in the air,
完全不担心你们能否接住我 and not worrying if you were gonna catch me.
还有... And...
还有感恩节 and Thanksgiving.
当我在做完化疗之后想要吃爸爸做的火鸡填料 When I tried to eat Dad's stuffing after chemo,
然后我吐了 我... but I got sick, and I...
你们不得不帮我清理干净 And you had to help clean me up.
我非常讨厌那感觉 但我记得当时自己这样想 And I hated it, but I remember having this thought of,
老天 "Jesus,
如果我没有你们 what would I do if I didn't..."
我该怎么办 "If I didn't have you?"
拜托你停止录制好吗 Could you--could you press stop, please?
你雇佣了预算以外的医学抄写员吗 You hired unbudgeted medical scribes?
你取消了会诊 还伪造了麦克斯的签名 You cancelled clinics? You forged Max's signature?
通常我都把气撒麦克斯身上 Usually, I save my indignation for Max,
但这回 你做的比他还过火 but this time, you outdid even him.
今天是忙了不少事 Mm, it has been a busy day.
海伦 这不是场游戏 This isn't a game, Helen.
你现在独自一人冒险 You're on a branch all by yourself,
如果你不想让我把你赶出这家医院 and if you don't want me to run you out of this hospital for good,
你最好赶紧解释一下 you better start talking.
你能再走快点吗 Do you mind walking a bit faster?
我不能再快了 I do mind.
你对于最近被降职没有汲取任何教训吗 Did you learn nothing from your recent demotion?
我学到的是 有时为了帮助病患 What I learned is that sometimes
我们不得不变通一些规则 we have to bend the rules in order to help our patients,
而我没有任何头衔的阻碍 显然更加方便 and it certainly helps that I have no titles to stop me.
老天 你简直和他一样 God, you sound just like him.
那很好 因为我今天所做的事 Good, because everything I did today,
麦克斯也同样会做 Max would have done too.
病患是这家医院最重要的部分 Patients are the most important part of this hospital,
是我们所做的一切的核心 the center of everything that we do.
不管你怎么想 Believe it or not,
效仿麦克斯鲁莽而不负责任的行为 emulating Max's reckless and irresponsible behavior
不会为你加分 is not gonna win you any points.
我们到底在往哪里走 And where the hell are we even going?
女士 这个冷藏箱里装着 Ma'am, inside this cooler, you'll find the synthetic blood
你要的合成血液 that you requested.
紧急医疗物资 血液
到底怎么回事 你是谁 What's going on? Who are you?
海军陆战队得知自家的人病了 When the Marines found out one of our own was down,
我们决心要帮助她 we were determined to help.
谢谢你 上校 Thank you, Colonel.
你刚刚说什么 You were saying?
那包血可以救雷诺兹的病人吗 That blood will help Reynolds' patient?
-是的 -那快去吧 - It will. - Then go!
您的来电非常重要 Your call is very important.
请继续等待 Please continue to hold,
下一位「老年人餐食」代理人将协助你 and the next available Meals for Seniors representative will assist you.
这里是「老年人餐食」 我是琳达 Meals for Seniors. This is Linda.
你好 琳达 我是新阿姆斯特丹的 Hi, Linda, this is Dr. Lauren Bloom
劳拉·布鲁姆医生 over at New Amsterdam.
我这里有个病人在你们的候补名单里 I've got a patient who is on your waitlist.
我很抱歉 我知道这很让人沮丧 I'm sorry, I know it's frustrating,
但是一个客户可能要等上数年 but it can take years for a client
才能轮到名单最前面 to work their way to the top.
挨饿的人实在太多了 There's just too many hungry elders.
好吧 Right.
需要多少钱才能不在 Well, look, how much would it cost to
候补名单里 wipe out the waitlist?
你是想贿赂我吗 Are you trying to bribe me?
不 不是的 No. No.
我在想帮助候补名单上的所有人 I just wondered how much it would cost to
需要花费多少钱 service everyone who's been waiting?
需要很大一笔钱 That's a big number.
说来听听 Try me.
伊莱 Oh, Eli.
我致电过「老年人餐食」了 I called Meals for Seniors.
结果他们竟然有多余的位置 Turns out they had an opening after all.
芭比想知道卢娜一切都好吗 Bobbi just wanted to make sure Luna was okay.
她很好 芭比呢 She is. And Bobbi?
-她也很好 -那就好 - She is. - Good.
这是我的手机号 That's my number.
我没想... Oh, I'm not really--
手机号是为卢娜留的 The number's for Luna.
-为了游戏约会 -游戏约会 - For a playdate. - Playdate?
没错 就是宝宝们趴在毯子上 Yeah, you know, babies on blankets,
乱洒麦片 玩具大战什么的 spilled Cheerios, toy battles.
这样啊 Right.
游戏约会 听说过 Playdate, yep. Heard of those.
是啊 欢迎进入父母角色新阶段 麦克斯 Yeah, welcome to the next level of parenthood, Max.
你给了我妹妹实验性的血 You gave my sister experimental blood.
人造合成血 Synthetic blood.
多为战场上受伤所用 It's used mainly for battlefield injuries.
其实并不是血 Which isn't actually blood at all.
科学家把携带氧气的分子 Scientists take hemoglobin,
即血红蛋白 the molecule that carries oxygen,
包装成一个高分子涂料 and they wrap it in a polymer coating.
这就意味着你妹妹的身体 Which means that your sister's body
可以得到所需的氧气 gets the oxygen that it needs,
但是并不排斥携带它的血液 but won't reject the blood carrying it.
埃兰德拉的治疗反馈很好 Elandra's responding well to the treatment.
她会没事的 She's gonna pull through.
我不知道还能这样 I didn't know any of this was an option.
过去是不行 It wasn't.
都是夏普医生的功劳 But Dr. Sharpe made it happen anyway.
谢谢你 Thank you.
弗洛伊德 你呼我 Floyd, you paged?
我不知道这话要怎么开口 I don't know how I'm gonna say this,
所以我还是直说了吧 so I'm gonna just say it.
好的 Okay.
伊维在旧金山找到一份新工作 So Evie took this new job in San Francisco,
这是她梦寐以求的 and it's everything she's ever wanted,
但是这意味着我们要发生很多变化 but it means it's gonna be a lot of changes happening for us,
我想对你坦诚相待 and I just wanted to be straight up with you
我对未来的想法 about my future here.
我觉得这非常好 Well, I think that's amazing.
我完全能理解 Yeah, I totally get it.
听我说 我们会尽量让这件事 And look, we'll make whatever happens next
平稳的过渡 as painless as possible.
-非常感谢 -没事 - I appreciate that. - Mm-hmm.
谢谢 Thank you.
不客气 Sure.
难以置信 It's crazy.
你和我从一开始就紧紧联系在一起 You and I have been linked since my very first day here.
你是我雇的第一个人 You were my first hire.
你知道吧 You know that?
我做的最好的决定 Best decision I ever made.
多谢 Oh, thanks.
听着 有什么需要我的 Look, just know that whatever you need from me,
尽管找我 I got you.
我受宠若惊 真的 I'm flattered, I really am,
这句话我会听进去的 and I'm definitely gonna take you up on that.
很好 我知道异地恋 Good. I know how brutal
有多痛苦 long distance relationships can be.
不 不 不 我... Oh, no, no, I'm--
放上几周假帮伊维搬家 Just take a few weeks and help Evie move
安顿好然后... and get settled and--
麦克斯 非常感谢 但是这... Max, that's very generous, but that--
没事 这是你应得的 Yeah, well, good. You deserve it.
我们会想办法的 让你们好好的 We'll make it work, for both of you.
对吧 我们能做到 对吧 Right? We got this. All right?
因为团队协作才能使梦想实现 'Cause teamwork makes the dream work!
对吧 伙计 Right, buddy?
BGM: Rivers and Roads by The Head and the Heart
你是如何让他改变主意的 How did you get him to change his mind?
我没有 I didn't.
我觉得特雷刚刚意识到 I think Trey just realized that
没有父母 他无法讲述完自己的故事 he can't finish his story without them.
♪ A year from now ♪
♪ We'll all be gone ♪
♪ All our friends ♪
♪ Will move away ♪
♪ And they're going to better places ♪
我想让你看个东西 I want to show you something.
♪ Nothing is ♪
♪ As it has been ♪
♪ And I miss your face like hell ♪
♪ And I guess It's just as well ♪
♪ That I miss your face like hell ♪
那你妻子的遗愿呢 What about what your wife wanted?
这就是她想看到的 This is what she would have wanted.
罗汉不会回家了 Rohan never came back home,
但他的孩子回来了 but his child has.
♪ If you don't know what ♪
♪ To make of this ♪
♪ Then we will not relate ♪
♪ So if you don't know what ♪
♪ To make of this ♪
《精神疾病诊断和统计》第五版
♪ Then we will not relate ♪
♪ Rivers and roads ♪
♪Rivers till I reach you ♪
卢娜没事 她很健康 Luna's fine. She's totally healthy.
结果我才是需要帮助的那个 Turns out I was the one who needed a little help.
得到帮助了吗 Did you get it?
得到了 Yeah.
应该吧 Think so.
我听说我的去电子化想法得以顺利进行 Oh, and I heard my "No screens" Idea went down without a hitch.
没错 Indeed.
-非常顺利 -很好 - Smooth as silk. - Good.
好主意都这样 Best ideas usually are.
晚安 Good night.
我开玩笑的 那主意就是个笑话 I'm kidding! It was a joke.
简直糟透了 It was a disaster.
我听说糟透了 I heard it was horrible.
我知道 I know.
我知道你都做了什么 I know everything that you did.
我知道我的想法因为有你 I know that my ideas only work
才能得以实施 because of you,
所以 我想说... and so, I just wanted to say--
不 No.
-不什么 -不 - No? - No.
你想感谢我 对吧 You were gonna thank me, right?
-没错 -很好 不用 - I was. - Good, no.
因为我要谢谢你 Because I'm gonna thank you.
为什么 Why?
我终于感受到了 I finally felt what you must feel
你每次把医院放在首位的那种感觉 every time you turn this hospital on its head,
那种非常匆忙的感谢 and it is quite the rush.
太振奋人心了 It is thrilling!
我还想有这种感觉 And I want more of it.
我每天都想这样 I want it every day.
可是麦克斯 我充当你的靠背太久了 But Max, I have been your safety net for so long
如果我要这么做 that if I go down this road,
我需要你当我的靠背 I am gonna need you to start being mine.
有什么需要我帮忙的 How can I help?