-今天雅各布怎么样了 -和昨天一样 - How is Jacob today? - Same as yesterday.
艾娃 Ava.
雅各布今天怎么样了 How is Jacob today?
我就是为这个来找你 That's why I've been looking for you.
医 院 革 命 第二季 第十二集
你真是我的每日救星 Well, if it isn't my daily lifesaver.
别忘了明天 Ah--oh, don't forget that tomorrow
日托要十点才开门 the daycare is closed until 10:00.
是吗 It is?
那我 那我要怎么办 How am I-- what am I gonna do?
卢娜没有保姆吗 Doesn't Luna have a babysitter?
你眼前的就是保姆 You're looking at him.
朋友呢 Friends?
你眼前的就是了 Yeah, you're looking at him.
抱歉 古德温医生 但明天是 Sorry, Dr. Goodwin, but tomorrow's
「新手妈妈的母乳喂养课程」 the "Breastfeeding Class for New Moms."
好吧 这是谁的主意 Right--whose idea was that?
-是你的 -对 是我的 - Yours. - Yeah, it was mine.
我知道 拜 I knew that. Bye.
-喂 -喂 我是 - Hello? - Um, hi, this is, uh,
麦克斯·古德温 不确定你还记不记得 Max Goodwin, not sure if you remember me.
我们在阿姆斯特丹医院的候诊室见过 We met in the waiting room at New Amsterdam.
不 没什么印象 No, it doesn't ring a bell.
好吧 抱歉 那算了 Oh, uh, okay. Sorry, never mind.
我开玩笑的 开玩笑 I'm kidding, I'm kidding!
我怎会忘记偷偷带我去看我孩子手术的医生呢 How could I forget the doctor who snuck me in to my kid's surgery?
嗯 好吧 Yeah. Yeah, right.
我打电话联系你是因为 So, the reason I'm calling is that
看上去卢娜非常繁忙的日程表中有个空档 it appears Luna has an opening in her very busy schedule
就是明早 所以她在想 tomorrow morning and was wondering
芭比是否想一起玩玩竞技美式壁球 if Bobbi would like to play some competitive racquetball.
好啊 芭比肯定会喜欢的 Oh, wow. Yeah, Bobbi would love that.
她最近一直在练习反手击球 She's been working on her backhand.
那就好 太好了 Good, okay, great.
因为卢娜一直在练习上旋球 所以 'Cause Luna has been practicing her topspin, so--
其实 我们有个习惯 Actually, we have this routine.
我们每天早上 We've been spending our mornings
都会在狗狗乐园对面的麦迪逊广场公园 in Madison Square Park across from the dog run.
大概早上八点 Around 8:00 A.M.?
行 八点可以 很好 Uh, yeah--no, 8:00 A.M. is, uh, perfect.
我们到时候见 公园见 I will see you there-- we will see you there.
好的 Okay.
好吧 Yeah.
我不是没有试着告诉他 It's not as though I haven't tried to tell him.
没那么难 It's not that hard.
你只需说「麦克斯 艾米和我要搬去旧金山了」 You just say, "Max, Amy and I are moving to San Francisco."
就这样 搞定 Boom. Done.
除非你这么不情不愿还有别的原因 Unless you were dragging your size 12's for a reason.
女人 Woman...
你太离谱了 you are way off base.
-是吗 -是啊 - Am I? - Yeah.
也许你只是更喜欢地铁的老鼠和肮脏的泥泞 Maybe you just prefer subway rats and dirty slush
而不是美酒之乡和温暖如春的冬季 over wine country and winters that feel like spring.
谢谢 Thank you.
好了 Oh, here we go.
我现在就向你展示我有多希望搬去那里 About to show you how bad I wanna go right here, right now.
好 展示下你的气魄吧 All right, show me what you got.
看好了 麦克斯 All right, look. Yo, Max.
我能跟你谈谈吗 Can I talk to you for a second?
对了 我刚好想找你 Yeah, actually, you're just the man I wanted to see.
明天你能替我去参加 Uh, can you cover for me tomorrow
那个「药剂处方会议」吗 at the, uh, "Pharmacy Formulary Meeting"?
在我们说那个之前 Look before we get into all that--
我知道会议很无聊 I know it's boring,
但我最近一直在努力 but I've been struggling with this whole
做好单亲家长 然后我有个机会 single parenting thing, and, um, I have an opportunity
让卢娜和另一个小姑娘一起玩 to give Luna a playdate with this other little girl,
我就觉得自己需要一点时间 and I just feel like I need some time to, you know,
做个爸爸 be a dad
并给她一切乔治娅想给她的东西 and try to give her everything Georgia would've wanted.
-麦克斯 我... -他会替你去 - Max, I-- - He'll cover for you.
-他会替你去 -真的吗 - He will cover for you. - Really?
开玩笑吗 快去做个好爸爸 You kidding? Go be a dad.
真的吗 谢谢 Yeah? Thank you.
太好了 我欠你的 哥们 Amazing. I owe you, buddy.
欠你个大人情 谢谢 Big time. Thank you.
没错 这事比看上去难多了 Yeah, okay, that was harder than it looked.
你太弱了 You're weak.
早上好 Morning.
听起来阿什莉想打破自己的纪录啊 Sounds like Ashley's trying to break her own record, huh?
连续三天三夜哭喊需要毅力 Nonstop screaming for three days takes dedication.
-可不嘛 -我觉得她很想表明观点 - Right. - I think she's determined to make a point.
内尔森一家的感谢礼 A thank you from Nelson's family.
-是不是很贴心 -是啊 - Isn't that so nice? - Aw, yeah.
真有爱 进垃圾桶吧 That is lovely. And out you go.
好了 Okay.
如果你读了卡片 你就知道这是 If you'd read the card, you'd know they were for
给整个部门的礼物 the whole department.
我现在只做对健康有利的选择 I'm only making healthy choices now.
为了马丁 我的孩子 选择健康 格拉蒂斯 For Martin, for my kids. Healthy choices, Gladys.
选择健康 Healthy choices!
错误
好吧 你别弄了 Okay, do you know what? Just stop.
罗德尼 看着我 这里是急诊室 Rodney, look at me. This is an emergency room.
每次你们升级系统后都这样 Every time you guys update the system this happens,
令人没法接受 and it's unacceptable.
我需要能更新患者病历 I need to be able to update patient files.
需要能查看化验结果 I need to be able to check lab results.
我需要能识别字母「H」的电脑 I need computers that recognize the letter "H".
我修好了「H」键 I fixed the "H" thing.
-罗德尼 -再给我几分钟 - Rodney. - Just give me another minute.
我把露易丝·加莱纳安置在28号床位 I put Louise Galena in Bay 28.
她绝对感染了蜂窝织炎和严重的真菌感染 She definitely has cellulitis and a severe fungal infection.
好的 我们需要血液科会诊 Okay, we're gonna need a Hematology consult.
呼夏普 Let's page Sharpe.
我不会这么做 一切都连着呢 Oh, uh, I wouldn't. It's all connected.
为了安全起见 Just to be safe.
去直接找夏普 Go and find Sharpe in person
并亲自把她带下来 还有你 赶紧 and drag her down here yourself, and you--yeah.
马上就修好了 Almost got it!
谢谢各位 Thank you.
谢谢 谢谢 谢谢各位 Thank you, thank you, thank you.
非常令人激动 It's very exciting.
这是血管内皮生长因子 It is a Phase Two trial of a vascular endothelial
受体拮抗剂的试验第二阶段 growth factor receptor antagonist.
你预计接收多少病人 How many patients do you anticipate enrolling?
资金能保证四十人 Funding covers up to 40.
有特定人群限制吗 And are there any demographic parameters?
有 我需要40岁至65岁间 Yes, I am looking for men and women
患有原发性肿瘤的男性女性 age 40 to 65 with naive tumors.
你们有符合这个特征的病人吗 Do any of you have patients fitting that criteria?
好极了 把他们的病历给我 Fabulous. Forward me their files,
我们今天就开始筛选 and we will get started on this bad boy.
好了 我们有很多要讲 Okay, now we have a lot to cover
首先翻到第一页 利用目标市场和... so let's start on page one. Using objective market and...
露易丝 我是夏普医生 Louise, hi. I'm Dr. Sharpe.
我能看一眼你胳膊吗 May I take a look at your arm?
那个真好看 Now that's pretty.
-那是雏菊吗 -是忘忧草 - Is it a daisy? - Daylily.
我喜欢种这些 I like to grow them.
感染病灶周围有些织物 There's fabric around the infection sites.
你知道是什么吗 Do you know what it is?
是连裤袜 Pantyhose.
有时候为了隐藏多余的皮肤 Sometimes I try to hide my extra skin
我把它们裹起来 by wrapping them up.
当我穿合适的衬衫 人们就不会一直盯着我看 When I wear the right blouse, people don't stare so much.
有专门的压力袖套 They make compression sleeves for that
-不会磨损你的皮肤 -我买不起 - that won't abrade your skin. - I can't afford those.
我这试着不裹得那么紧 I tried to leave it looser this time.
-所以这情况以前也发生过 -是的 - So this has happened before? - Yeah.
好的 我给你开一些抗真菌药物 Okay, we're going to get you started on some anti-fungals.
会很快让你感觉好一些的 Have you feeling better straight away.
你知道什么会让我感觉好一些吗 Know what would actually make me feel better?
拿我的园艺剪刀把这些东西全切掉 Taking my garden shears and slicing these things clean off.
我们会尽我们所能的 We're gonna do everything that we can.
劳拉 Lauren.
露易丝·加莱纳刚才说她想自残 Louise Galena just mentioned self-harm.
里德神父 Minister Reid.
新T恤吗 非常鲜艳 Brand new T-shirts, I see? Very bright.
人们知道我们来此的原因 才有用 麦克斯 Helps if people know why we're here, Max.
没想到这么快又轮到我们了 Yeah, didn't realize it was our turn again so soon.
你可以访问我们的网站去查我们的行程 You can always check our website to see our route.
-多谢告知 -考虑一下 - Good to know. - What do you say?
今天和我们做一下不同信仰者的祈祷吗 Have a little interfaith prayer with us today?
-你可以帮到我们 -我想 - We could use your help. - I think I'll, uh,
我还是靠传统的方法去帮助他人吧 stick to helping people the old fashioned way.
我想祈祷比医学存在的时间更长 朋友 I think prayer's been around longer than medicine, my friend.
-古德温医生 -什么事 - Dr. Goodwin. - Yeah?
你想让我把这些家伙赶出去吗 You want me to clear these folks out of here?
不必了 乔 他们也没伤害任何人 Aw, no, it's fine, Joe. They're not hurting anybody.
那倒没错 我听说他们来了之后 You got that right. I heard after they showed up,
一个昏迷了十四年的家伙醒过来了 some guy who was in a coma 14 years woke up.
我就知道这一天会来的 I knew this day would come.
这么多年了 他终于睁开了眼睛 After all these years, his eyes are finally open.
而且他正看着我 And he's looking at me!
他在握紧我的手 我能感觉到他 He's squeezing my hand. I can feel him!
那是他的脑干的反射性行为 Those are reflexive actions of his brainstem.
十四年来我一直来看望他 I have been coming here for 14 years,
坐在他身边 sitting by his side,
等待他重新看着我 waiting for him to look at me.
而如今他真的看着我了 And he is.
确实有过病人从昏迷中清醒的先例 没错 People have been known to wake up from comas, yes,
但雅各布并没有醒来 but that's not Jacob.
他仍然处在一贯的植物人状态 He remains in a persistent vegetative state.
-他并没有醒来 安妮 -你怎么能这么说 - He's not in there, Annie. - How can you say that?
你怎么能确定呢 I mean, how can you know?
完全确定 Truly?
这是我一直在等待的奇迹 This is the miracle I've been waiting for.
我的丈夫回来了 My husband's back.
现在你要让他完全恢复 And now you have to make him whole again.
不用找零了 谢谢 Oh, keep the change. Thank you.
你好 Hello.
我看到你那些祷告同伴又回来了 So I see your prayer buddies have returned.
看起来他们来得越来越勤了 不是吗 It does feel like they're here more often, doesn't it?
怎么了 你笑什么 Why? What's that smile?
-这个吗 -是啊 - What this thing? - Yeah.
没啥 他们惹着你了 我感觉很有意思 It's nothing. They irk you, and I find it funny.
没有 我认为他们想要帮助病人特别好 No, I think it's great they wanna help the sick,
我只是不明白他们如何在大堂帮助病人 I just don't know how they're gonna do that from the lobby.
不过 我不得不说 他们来了之后 Although, I gotta say, right after they showed up
我的病人阿什莉 my patient Ashley
那个已经尖叫了三天的病人 who's been screaming at the top of her lungs for three days
-奇迹般地停止了尖叫 -你不会真的认为 - miraculously stopped. - You don't seriously think
-那是祈祷的结果吧 -我不问因由 - it's from the praying, do you? - I don't ask questions.
我只是享受宁静 I just enjoy the silence.
那让我有机会 为明天的 Which has allowed me, actually, to jot down a bunch of ideas
药剂配方会议想了不少点子 for our Pharmacy Formulary meeting tomorrow.
剧透提醒 有些很棒的点子哦 Spoiler alert: they're some winners.
你明天跟雷诺兹好好聊吧 Well, you'll be sharing them with Reynolds
因为我得 去玩伴约会 because I have a, um, playdate.
你有个玩伴约会 You have a playdate?
卢娜和她的朋友有个玩伴约会 Luna and her new friend have a playdate.
她妈妈和我只是会在一旁照看她们 Her mother and I will just be there for supervision.
就是 防止娃摔下来... You know, make sure nobody falls off a--
太棒了 麦克斯·古德温 Yes, Max Goodwin,
我完全支持你进入新的篇章 I fully support this next step for you.
-非常好 -不是一个篇章 不是 - This is good. - Not a step, not a step.
不是进入新篇章 只是玩伴约会 Not stepping, just a playdate.
是吗 可是有「约会」两个字哦 Yeah, but it's got the word "Date" baked right into it.
不过 玩伴是头两个字 I know, but play is the first word,
-所以这不是个约会 -咬文嚼字 - so I don't think it's a date. - Semantics.
-这不是个约会 -就是个约会 就是约会 - I don't think it's a date. - It's a date, it's a date.
-只是陪娃玩 - 老兄 你还真是 - I think it's just playing. - Boy, you do not stay
-在一个地方呆不久啊 -你可以呼我 - in one place for long, do you? - Could've just paged me.
那不适用 刚刚有个13岁孩子入院 It's not really an option. We just admitted a 13-year-old
他有些心脏病的症状 who's presenting with symptoms of a heart attack.
他符合疾控中心提到的所有病症 He checks all the CDC boxes,
-你说过当... -新阿姆斯特丹医院 - and you wanted to know if... - When New Amsterdam
来第一例这样的情况就通知我 got our first case.
没错 雷诺兹正和他在一起 Yeah, and Reynolds is with him right now.
好的 谢谢 Okay, thanks.
杰克逊两肺都有极端严重的损伤 Jackson has extensive damage to both of his lungs.
我必须要对他实施一种 I'm going to have to perform
叫做「支气管肺泡灌洗」的诊治 what is called a "Bronchial-Alveolar Lavage"
来决定他肺部受伤的程度 to determine the extent of his injuries.
这么说不是心脏病了 So it's not a heart attack?
不是 疾控中心称这种病为「电子烟肺病」 No, CDC is calling it "EVALI."
我从未听说过 I've never heard of that.
因为这种病刚出现几个月 That's because the disease is only a few months old.
全称电子烟或电子雾化产品造成的肺损伤 It stands for E-cigarette or Vaping Lung Injury.
雾化产品 Vaping?
但他是优等生 还上了所有的大学预修课程 He's an honor student. He's in all AP courses.
-你们见过他吸烟吗 -从没见过 - Have you seen him smoking? - No, never.
现在的孩子们特别会藏东西 Well, kids have become really good at hiding these things
有时候就在眼皮底下 这问题泛滥 sometimes in, uh, plain sight. It's an epidemic.
杰克 Jack?
他会好起来吗 Will he be all right?
这还是未知领域 洛太太 This is an unknown world, Mrs. Lowe.
即便现在 你们的儿子也只是几百个病例之一 Even now, your son is one of only hundreds of cases.
不过我们会尽全力诊治他的 But we are gonna do everything that we can.
你好 艾丽斯 实际上这条信息是给芭比的 Um, hi, Alice, this message is for Bobbi, actually.
很不幸 Unfortunately,
卢娜有很重要的事 Luna had something very important come up,
明天就不能和芭比玩伴约会了 所以... and she can no longer make it to the playdate tomorrow, so...
很抱歉这么晚通知你 我...很抱歉 uh, sorry for the short notice, I'm just--um, sorry.
看起来你需要点正能量 Looks like you could use some positive vibes aimed your way.
你们在这里我完全没意见 I have no problem with you guys being here,
但我现在有个十三岁的病人 but I also have a 13-year-old patient
患上了还没有任何治疗方案的疾病 with a disease that has no known cure.
如果你和你的团体真的想帮忙 So if you and your group really wanted to help out,
你们可以去捐血或者志愿服务 you could try donating blood or volunteering.
麦克斯 这些人正在全心捐献 Max, these people are donating.
你懂我的意思 You know what I mean.
但我想你不懂我的意思 But I don't think you know what I mean, hmm?
我热爱科学 医学 我也相信它们 I love science, medicine. I believe in them,
但是它们无法解释我在这世上最感恩的事情 but they can't explain what I appreciate most in this world.
爱 音乐 英雄主义 Love, music, heroism.
所以我们超越理智 探索更深层的真理 So we throw our anchor past the senses into a deeper truth.
无形的力量 The intangible.
是啊 我猜当生命危在旦夕时 Yeah, well, I guess when lives are at stake,
我会对有形的东西更感兴趣 I'm just more interested in the tangible.
-古德温医生 你听说了吗 -听说什么 - Hey, Dr. G, did you hear? - Hear what?
他们刚才说我的癌症在好转 They just told me I was in remission.
这太神奇了吧 What are the odds, huh?
-大麦克 太神奇了 -抱一个 - Big Mike, that's amazing. - Give me some.
-介意我坐过来吗 -当然不介意 请坐 - You mind if I sit in? - No, man, please.
登录失败 链接无效
简直太荒谬了 This is ridiculous.
难以置信 Unbelievable.
好 好 听我说 Okay, okay, listen up.
我们已经切断了与病人互动的屏幕 I mean, we have already cut screens from patient interactions.
我们并不需要电脑 We don't need computers.
我们需要的是我们的智慧 All we need is our wits
和一些纸 and some paper.
好了 来吧 All right, come on.
我们开始吧 Let's do this.
由于我不能把处方用邮件发给药店 Since I can't email prescriptions to the pharmacy,
出院的病人怎么拿到药 how are discharged patients gonna get their meds?
你可以写下来 或许就写在这张便签上 You'll write them down. Maybe here on this pad.
我们应该怎么称呼这个神奇的发明 And what shall we call this amazing invention?
这个写处方用的便签呢 This pad on which we write prescriptions?
他腹痛 Um, he's got abdominal pain.
还有呢 And?
通常在我打输入这一症状之后 Usually the computer tells me what comes next
电脑会告诉我接下来怎么做 after I type in the symptom.
你是认真地跟我说 我的一位住院医生 Are you seriously telling me that one of my residents
不知道怎么治疗肚子痛吗 doesn't know what to do about a tummy ache?
行了 这太荒谬了 Okay, this is ridiculous.
难道这整栋楼都没有一支 How is there not a single working pen
-能写的笔吗 -给 试试这支 - in this entire building? - Here, try this one.
-病人来了 -好了 我们要开始了 - Incoming! - All right, now we're in business.
好好学着点 Watch and learn.
伙计们 什么情况 All right, fellas, what do we got?
53岁男性 53-year-old male
抱怨说胸口有压迫痛 complaining of crushing substernal chest pain.
你叫什么名字 先生 Okay, what's your name, sir?
伊凯卡·纳马考卡阿洛哈内里 Ikaika Namakaokealohahaunele.
结尾是「A」还是「E」 With an "A" Or an "E"?
我从小就很胖 Ever since I was a kid, I was big.
到我20岁的时候 已经170公斤了 By the time I was 20, I was about 375 pounds.
我几乎走不了路 I could barely walk.
那一定很令人沮丧 That must've been frustrating.
人们会说是我没有努力减肥 People'd say I wasn't trying hard enough to lose the weight.
我胖都是我的错 That it was my fault I was so fat.
那真是... That's--
肥胖不是意志力的问题 obesity is not a willpower issue.
不是的 It's not.
我原来也胖过 I've, um, you know-- I've been there.
所以你懂 So you know.
没错 Yeah.
当时我的一位医生告诉我肥胖是一种疾病 Then one of my doctors told me obesity was a disease.
-没错 -而且它和其他疾病一样 - Yeah. - And like any other disease,
-是可以被治愈的 -对 没错 - it could be treated. - Yeah, that's correct.
我当时准备好了去尝试所有办法 Well, I was ready to try damn near anything.
所以我开始吃这这种药 So I started taking this medication,
然后我开始掉体重 感觉更健康了 and I started losing weight, and I felt healthier.
是真的 I really did,
但他们从来没跟我说过皮瓣的事 but they never told me about these skin flaps.
不是说我有多爱以前的身体 Wasn't like I loved my body before,
但那至少是我的身体 but at least it was my body.
现在这样让我觉得我穿着一件外套 This makes me feel like I'm wearing an extra coat.
人们注视我的目光比我胖的时候还要多 People stare at me more now than they did when I was fat.
露易丝 你有没有想过自残 Louise, do you ever think about hurting yourself?
可以做手术的 Hey, there are-- there are surgeries.
你知道的吧 You know that right?
可以切除多余的皮肤 Where they remove the excess skin--
我满脑子都是这个手术 但太贵了 It's all I think about, but it costs a fortune,
我的保险不会报销 这就是我现在的生活 and my insurance won't pay for it, so this is my life now.
不 不是这样的 我不会放弃你的 No, no, that is not the case. I'm not giving up on you.
好吗 你也别放弃 Okay? Don't you either.
-海伦 嗨 -嗨 - Helen, hey. - Hi.
你有没有患者 Did any of your patients
进入卡斯特罗医生的二期临床试验 get into Dr. Castro's Stage Two trial?
只有一个 Only one.
我的患者中符合条件的一个都没进 Not a single one of my eligible patients got in.
-没有 -昌治医生的患者也是 - None? - None of Dr. Shoji's either.
如果现在卡斯特罗医生得到政府资助 Now if Dr. Castro's gotten government funding
40名患者 上哪去找这些患者呢 for 40 patients, where are they coming from?
我大老远从芝加哥飞来就为了这个 I flew all the way from Chicago for this?
-萨姆 拜托 -抱歉 只是 - Sam, come on. - Sorry, it's just--
你爸爸还在这里 想和我们说话 Your father's still in there trying to talk to us.
-想和我们交流 -但他不在 - Trying to communicate with us. - But he's not.
为什么你看不出来 他已经不在了 I mean, why can't you see that? He's gone.
妈 我知道你有多希望爸爸还在这里 Mom, we know how badly you want Dad to still be here.
我们也很想他 但这些只是无意识的动作 We miss him too, but these are just involuntary movements.
此时此刻 I mean, at this point
我们都在做无意识的运动 we're all doing involuntary movements.
你不是一直在这里 You haven't been here.
你们两个在这里的时间都太少 Neither of you have been here enough
看不出这和之前有什么不同 to see that these are different.
有什么不同吗 Are these different?
没有 No.
我爸爸有出任何...叫什么来着 Does our father show any signs of--what is it?
大脑高级功能的迹象吗 Higher brain function?
没有 No.
而且你在14年前告诉我们 And you told us 14 years ago
要宣称一个人还活着 that it takes more than a beating heart
光是心脏跳动还不够 所以我爸还活着吗 to declare someone alive, so is my father alive?
他没有大脑皮质功能 He has no cerebral cortical function,
所以我得说 不 so I would have to say no.
你听到他说的了 妈 求你了 You listen to him, Mom? Please?
他在14年前就说过 刚才又说了一遍 He told us this 14 years ago. He just said it again.
我们还要被困在这个 How much longer do we have to be stuck at this
永无止境的苏醒中多久 never-ending wake?
萨姆是对的 妈妈 Sam's right, Mom.
这看起来太真实了 It looked so real.
我们都想让这成真 但这不会成真的 We all want it to be real; it just isn't.
会发生 What would
什么呢 如果我们 happen if we were to, uh...
让他走 ...to let him go?
如果我们拔掉他的饲管 If we were to remove his, uh, feeding tube,
他的身体会失去营养 his body would be deprived of nutrients,
几天之内他的器官就会衰竭 and within a few days his organs would start to fail,
但我向你保证 他不会感到任何痛苦 but I assure you that he would not experience any pain or suffering.
脉搏血氧值为90% Pulse ox is 90%.
50毫升生理盐水 24度备用 50 mils normal saline at 24 degrees standing by.
初始支气管肺泡灌洗结果显示出 Initial BAL results show
充满脂质的巨噬细胞与热化学灼伤一致 lipid laden macrophages consistent with hot chemical burns.
基本和化学战一致 Basically the same as chemical warfare.
-有什么想法 -一时想不出什么 - Any ideas? - Not off the top of my head.
我们看看疾控中心如何建议 So let's see what the CDC recommends.
你上次不得不查阅治疗指南是什么时候 When's the last time you had to look up a treatment guideline?
我不知道 当了实习生之后再没看过 I don't know. Not since I was an intern.
好 疾控中心本周建议 在这里 All right, the, uh, CDC recommends this week, let's see here--
「排气口设置小潮气量以及加强呼气末正压通气」 "Vent settings with low tidal volumes and high P.E.E.P."
那最多只能拖延一下 That's temporizing, at best.
我们现在都是凭感觉 Well, we're all flying blind here.
我去找一台 Let me try to locate a,
前蛋白转化酶枯草杆菌蛋白酶9型调制器 uh, PCSK9 modulator.
这应该能减轻一点炎症 A dose or two might knock down some of the inflammation.
-依据是什么 -像我说的 - Based on what evidence? - Like I said,
凭感觉 flying blind.
他能听到我们说话 He could hear us.
他知道我们在说什么 He knew what we were talking about.
-他在求我们不要 -妈妈 拜托 - He was begging for us to stop-- - Mom, please.
安妮 那是从他声带排出的空气 Annie, that was an expulsion of air over his vocal cords.
只是反射行为 跟他的眼球运动一样 Just a reflex, like his eye movements.
不敢相信我差点犯下此生最大的错误 I can't believe I almost made the biggest mistake of my life.
卡普尔医生 Dr. Kapoor,
如果一直插着鼻饲管 他还能活多久 how long could he live if she kept the feeding tube in?
保守估计 Conservative guess?
还有二十年 Another 20 years.
我不能再这样下去过二十年了 I can't do this another 20 years.
我受不了 I can't.
-再见 妈妈 -你要走了 - Goodbye, Mom. - You're leaving?
我不知道还能做什么 I don't-- I don't know what else to do.
他是我的丈夫 He's my husband!
曾经 他曾经是你的丈夫 He was. He was your husband.
他也曾经是我的父亲 And he was my father.
这就好像那天你们俩都死了一样 I swear it's like you both died that day.
萨姆 你的母亲 Sam, your mother has--
她把自己绑在这张床边 She's tethered herself to this bed.
一头扎了进去 Never leaving the borough.
从来不去了解她的孙子孙女 Never getting to know her grandchildren.
浪费了十四年 为了什么 14 years wasted and for what?
我不会拔掉他的饲管的 I'm not removing his feeding tube.
行吧 Yeah. Well...
虽然你有胸痛和呼吸困难 Well, despite the chest pains and labored breathing,
但心电图是正常的 your EKG came back normal.
是不是由环境引起的呢 So maybe there's an environmental cause?
你是做什么的 What do you do for a living?
我是地铁扩建的工人 I work the L Train expansion.
所以我们都处于黑暗时代 Oh, so we're both in the Dark Ages.
你在隧道里有戴面具吗 You wear a mask in the tunnels?
没有 我不喜欢自己的口气 Nah, I don't like the smell of my own breath.
-会运动吗 -如果抽烟算的话 - You exercise? - Only if you count smoking.
好吧 深呼吸 All right, deep breath for me.
好的 有可能是肺水肿 All right, this could be pulmonary edema.
我们给你注射速尿 We're gonna get you on lasix,
你很快就可以继续做那些有害健康的事了 and then back to making questionable health choices in no time.
医生 要记住 Hey, doc, just remember,
如果我死了 地铁只会更慢的 if I drop dead, the L Train's only gonna take longer.
收到 Duly noted.
-他的病历呢 -谁的病历 - Where's his chart? - Whose chart?
伊凯卡的病历在谁那儿 Who's got Ikaika's chart?
抱歉 我刚刚在做记录 Sorry, I was putting notes on it.
这是咖啡渍吗 Is that a coffee stain?
买咖啡时弄的 ...while getting coffee.
各位 新规矩 Okay, new rule, people.
病历不能跟着你们跑 The charts don't come with you.
你们过来找病历 You come to the charts, okay?
给我 Give me that.
瓦伦蒂娜 Valentina!
我一直想问你 I've, uh, I've been meaning to ask,
你的试验病人招收得怎么样了 how's enrollment going on your trial?
挺好的 谢谢 Great. Thanks.
四十个名额都满了吗 You filled all 40 slots?
我只收十五名 I'm only enrolling 15.
我们的目标不是尽量帮助更多的人吗 Isn't it our goal to help as many people as we can?
我的目标不是现在帮助四十个人 My goal is not to help 40 people right now,
而是药物上市后 可以帮助上百万人 but to help millions later when we bring a new drug to market.
我就是看到有人正在受苦 I just see people who are suffering now,
而你能帮他们 我带你来正是为了这个 and you can help them. That's why I brought you here.
海伦 不是你带我来这里的 Helen, you did not bring me here.
而且我不喜欢你的语气 And I don't appreciate your tone.
事实上 我现在是主任了 In fact, now that I'm chair,
我甚至都不用跟你聊这个 I don't even have to have this conversation.
不行 No.
这不是我想听到的答案 Was not the answer I was hoping to hear.
我们不报销手臂赘皮手术 We don't cover brachioplasties.
这属于整容 They're cosmetic.
不 不是 No. No, no, no.
这不属于整容 This, uh, this is not cosmetic.
是 严格意义上这是整容 I mean, yes, technically it is cosmetic.
你说得没错 但露易丝 You busted me, but, uh, Louise--
她的皮肤给她带来了一系列 her skin leaves her with a whole host
严重的心理和生理问题 of very real psychological and physical problems.
抱歉 她的索赔被驳回了 Sorry. Her claim is rejected.
很强硬 我听说过你 Hardball. I heard about you.
我可以跟你玩这个 介意吗 I can play that game. May I?
我为什么不重写露易丝的诊断呢 Why don't I reword Louise's diagnosis?
露易丝·加莱纳有躯体变形障碍症 "Louise Galena has Body Dysmorphic Disorder."
这是《精神疾病诊断和统计手册》里的 And that one is in the DSM.
你怎么说 So what do you say?
想再考虑一下吗 You wanna try this dance one more time?
精神疾病不是给整容手术报销的 Mental illness is not justifiable reason
正当理由 for cosmetic surgery.
不然的话 他们就得给每个觉得 If it were, they'd have to cover every sad person
拉皮能治好抑郁的难过的人报销了 who thought a face lift could cure their depression.
手臂赘皮手术在系统里被编入整容类 Brachioplasties are coded in the system as cosmetic,
并且没有别的增强或修饰条件 and there are no enhancements or modifiers
能改变这个分类 that will ever change that.
但这是性命攸关的状况 拉金 But this is--this is a life or death situation, Larkin.
真的 露易丝很抑郁 It is. Louise is depressed.
她很生气 她在挣扎 She's angry. She's struggling.
她找我们寻求帮助 而我们只能治一半 She came to us for help, and we only cured her halfway.
我们给她留下一堆松散 互相摩擦的皮肤 We left her with rolls of loose skin that chafe
还会造成坏死性感染 and give her necrotic infections.
然后你跟我说 根据你知道的一切 And you're telling me with all your knowhow,
我们什么都帮不了她 there's nothing we can do for her?
我们可以报销用于皮疹的药 We can cover meds for the rashes.
卡普尔医生 雅各布有些不对劲 Dr. Kapoor. Something's wrong with Jacob.
我就闭了一会儿眼 I only had my eyes closed for a moment.
等我醒来时 他就这样了 And when I woke he was like this.
你得做点什么 你得把他救回来 You have to do something. You have to bring him back.
安妮 我无能为力 Annie, there is nothing I can do.
肯定能做些什么的 他在好转了 Surely there's something-- he was improving!
他没有 He wasn't.
不管他的眼睛是睁着还是闭着 Whether his eyes are closed or open,
不管他是捏你的手还是在睡觉 whether he's squeezing your hand or sleeping,
雅各布都不在这里 一直都不在 Jacob is not here. He never was.
我只有他了 He's all I have left.
我拿到调制器了 快到你那儿了 Uh, got the modulator. Almost to you.
杰克逊有一个肺出现了破裂 Jackson popped a lung.
呼吸机应该可以让他保持稳定的 The ventilator was supposed to keep him stabilized!
他本来是稳定的 突然就不行了 He was stable, and then he just crashed.
我想不明白到底哪里不一样了 I can't figure out what the hell changed.
那个祈祷小组呢 Hey, uh, what happened to the prayer group?
他们大概五分钟前走了 They left, like, five minutes ago.
你在这儿呢 Oh, there you are.
我正准备出去 有急事吗 I'm on my way out. Can it wait?
是关于卡斯特罗的临床试验 It's about Castro's clinical trial.
-我有些担心 -我听说了 - I have some concerns. - So I've heard.
你什么意思 What do you mean?
卡斯特罗已经找过我了 Uh, Castro already came to me.
显然 她有些担心你 Apparently she has some concerns with you.
她担心我 She has concerns with me?
她担心你有点难接受自己新的角色 Well, that you're having trouble accepting your new role
科里的新角色 还插手她的试验 in the department, and that you're overstepping her trial.
那不是...我只是指出了 That's -- all I did was point out
她会空出25个患者名额 that she's leaving 25 patient slots unfilled.
我们能救治25个患者 却袖手旁观 That's 25 patients we could be helping, but we're not.
你说得对 我同意 Well, I hear you, and I agree.
我可太希望如此了 I should jolly well hope so.
但试验是国立卫生研究院资助的 But NIH is funding the trial.
他们付我们钱 卡斯特罗说了算 They're paying us, and Castro is in the driver's seat.
所以我们要撒手不管 Okay, so we just stand by and
任由她对患者精挑细选吗 watch her cherry-pick patients?
不 我们撒手不管 No, we stand by
让卡斯特罗按她想要的方式进行试验 and let Castro run the trial the way she wants
因为这是规定 because those are the rules.
真高兴知道 I'm certainly glad to know
我们都开始遵守规定了 that we're all about following rules these days.
海伦 我不是这个... Helen, that's not what--
目录
能聊聊吗 May I?
你们的母亲非常爱你们 Your mother loves you very much.
她几乎都不了解我 还有我的孩子 She barely knows me. Or my kids.
爸爸出事后她放弃了一切 She gave up everything after Dad's accident.
我妻子几年前去世了 My wife died several years ago...
如果她能起死回生我愿做任何事 And I would have done anything to bring her back.
我无法想象如果她还 I cannot imagine if she was still breathing
在我眼前呼吸会怎样 in front of my very eyes.
作为神经科医生 我知道你们的父亲已经死了 As a neurologist, I know your father is dead.
他的灵魂不在了 His soul is gone.
但连我都很难说再见 But even I would find it difficult to say good-bye.
你们的母亲心里明白 Your mother sees that...
她被困在在生死间的缝隙里 And she's trapped between life and death.
她想向前看 She wants to move on.
她想放手 She wants to let go.
那她为什么做不到 So why can't she?
因为她与你们俩都疏远了 Because she has pushed you both away.
如果她让你们父亲走了 If she lets your father go,
彻底走了 once and for all,
她觉得她会真的孤身一人 she believes she will be truly alone.
已经到关键时刻了 罗德尼 We've reached a crossroads, Rodney.
听着 近在眼前了 不 这次是真的 Look, closing in. No, like, for real this time.
-有多近 -四个指令 - How close are we talking? - Four keystrokes.
只需输入我的管理员密码 就大功告成 Just gotta pop in my ADMIN password, and we're home.
你该庆幸 Oh, you are so lucky
你已经在急诊室了 罗德尼 you're in an emergency room right now, Rodney.
救命 帮帮我 Hey, help! I need help!
-什么事 -我看不到了 - What is it? - I can't see.
我的右眼什么都看不到了 It's my right eye. I can't see anything!
好了 好了 好了 Okay, okay, okay.
做个增强CT 通知... Uh, we're gonna need a CT with contrast, and let's page--
不 不 跑去请眼科会诊 no, no, run and find ophthalmology.
洛先生 太太 Mr. And Mrs. Lowe?
是这样 So...
你们儿子的肺衰竭了 your son's lungs have failed,
我们得给杰克逊上体外循环 and we had to put Jackson on heart-lung bypass.
他会没事吧 Will he be okay?
他会不会... Will he get...
以我们对疾病的了解 We just don't know enough about the disease yet
还无法做出任何预判 to make any kind of prediction.
电子烟出现这么多年了 Vaping's been around for years.
你们怎么会还不了解 How can you guys still not know?
产品一直在变化 The products are always changing.
没有检测 没有规范 And they're not being tested; they're not being regulated.
我们仍在研究 I mean, we're still learning
这些成分对他身体和肺的影响 what the chemicals are doing to his body and to his lungs.
我很抱歉 我希望有更好的消息 I'm sorry, I wish I had better news.
你想说什么 What are you saying?
我会尽我所能救治你们的孩子 I'm gonna do everything in my power to help your boy,
但你们要做好心理准备... but you need to be prepared for...
不 No.
-这... -不 - It's-- - No!
里德先生 Hey, uh, Mr. Reid.
我上网查了 你是对的 完全正确 Uh, I checked the website. You're right, very thorough.
麦克斯 你来干什么 Max, what are you doing here?
你记得我跟你说起的 Um, do you remember the teenager
那个少年吗 他... that I was telling you about? He's, uh--
可以说他的病情已经超出了 let's say his situation has exceeded the limits
现代医学能解决的范畴 而他还是个孩子 of, uh, modern medicine, and he's just a kid.
他犯了无心之过 Uh, he made an honest mistake,
现在时间不多了 所以我想... and, uh, he's running out of time, so I thought...
我想也许你们能... I thought maybe you guys could--
为他祈祷 Pray for him?
把他放在你们心中 或者用你们其他什么... Put him in your minds, or whatever it is that you--
他叫杰克逊·洛 Um, his name is Jackson Lowe,
-他真的需要... -一个奇迹 - and he could really use-- - A miracle.
如果你们有多的 If you have one to spare.
麦克斯 这事不是这么做的 Max. Doesn't work that way.
那你们为什么要做 Then why do you do it?
如果不为这个你们为什么来我医院 I mean, why else do you come in my hospital?
为什么来这 Why do you come here?
你知道奇迹是什么吗 You know what miracles are?
它是已知陆地和 They're the word for the shoreline
未知海洋之间的海岸线 between what we understand and what we can't.
那祈祷是什么 Then what is praying
如果不是祈求某些更高力量去做一些有帮助 if not asking for some higher power to do something helpful,
有用的事 something useful?
当我们做正确的事 祷告就会改变我们 When we do it right, prayer changes us.
而不是反过来 Not the other way around.
无论我们在祈求原谅 还是感激 Whether we're praying for forgiveness, or gratitude,
还是引导 我们不是在向外索取 麦克斯 or guidance, we're not looking out, Max.
我们在向自身探寻 We're looking in.
如果你能找到自己心中那条海岸线 And if you can find that shoreline within yourself,
真正找到 I mean really find it,
你才有机会创造一个你的奇迹 that's when you got a shot at one of your miracles.
抱歉 我... Sorry, I'm--
我通常把我的暴力宣泄 I usually save my violent outbursts
留到更私密的场所 for somewhere a little more private.
相信我 你能独自在楼梯间 Hey, believe me, there are way worse things
做坏得多的事 you can do alone in a stairwell.
我只是想救治更多人 All I was trying to do was help more people,
到头来我却是被虐的那个人 and I'm the one who gets clobbered for it?
你被虐...抱歉 被谁 You get clobbered-- I'm sorry, by who?
被无情的不公和我们所生活的白痴体系 By the relentlessly unfair and stupid system we all live in.
这个啊 Ah, that.
是啊 我对这种事很熟 Yes, I'm very familiar with its work.
你记得你转交给我的那位患者吗 Do you, um--do you remember the patient you referred to me?
-记得 露易丝·加莱纳 -加莱纳 没错 - Yeah, Louise Galena. - Galena, yeah.
尽管她在躯体和精神上 So despite substantial
承受巨大痛苦 physical and emotional suffering,
医疗保险以其无比的智慧 insurance, in their infinite wisdom,
决定不报销她皮肤切除手术的费用 has decided not to cover her skin removal surgery.
他们称之为整容 They're calling it cosmetic.
整容...就好比 Cosmetic-- it's just, like--
如果你有一位乳腺癌患者 If you had a breast cancer patient
需要做乳房切除术 保险会报销 who needed a mastectomy, insurance would cover that
外加之后的修复手术 对吧 plus the reconstructive surgery after it, yes?
-嗯 -是啊 - Mm-hmm. - Yeah!
因为有了癌症 保险出钱完成治疗 Because with cancer, insurance pays to finish the job.
而露易丝只是治疗到一半 But Louise has been just abandoned
被抛弃了 halfway through a treatment
因为尽管肥胖是种疾病 because even though obesity is a disease,
却仍没被当成疾病对待 it still isn't treated like one.
那我们就给她癌症 Then let's give her cancer.
什么 What?
你在吗 Hello?
上面那位 Up there?
我不太相信祈祷一说 但是... I'm not really into this whole praying thing, but,
我妹生病时我父母付出了很多 而且... My parents did a lot of it when my sister was sick, and...
却没什么效果 Didn't do a lot of good,
但是... but...
我这里真的需要一个奇迹 I could really use a miracle down here.
我也知道规则不是这样的 And I know that's not how it works.
相信我 Believe me.
但是在这个... But of all the...
乱的世界里 chaos in the world,
有太多高深莫测 不可言喻的事情 all the unfathomable, unspeakable things
发生在人们的身上... that happen to people...
就不能有件好事发生吗 Can't one of them be good?
我没有什么 I don't have anything to, um,
能用来讨价还价或是置换的筹码 除了 bargain with, or offer except maybe this...
心中那一块空虚 Empty part of me that...
我愿用某种东西去填满 I'm willing to fill up with something.
新的东西 New.
好了 就说这些 Yeah, anyways.
杰克逊真的需要你的帮助 Jackson could really use your help.
如果你想了解详情我们在七号手术室 We're in OR 7 if you need specifics.
好了 好好休息 There you go. Hang in there.
我们遗漏了什么 What are we missing?
伊凯卡的病例在谁那里 Who has Ikaika's chart?
-有什么有用的发现吗 -没有 - Something useful to add? - No.
但是我送他去洗手间时他有点头晕 But he had some dizziness when I took him to the bathroom.
他的尿味真重 对吧 Whew, how about his pee, right?
-什么 -一股臭味 - What? - It stank.
你怎么能没注意到 How'd you not notice that?
什么人就会关注什么 伙计 Glass houses, my friend.
不 我的尿液没有味道 Psh, no, my pee smells great.
不 我是说你没注意到他脖子肿成什么样了 No, I mean you didn't notice how swollen his neck was?
我翻了你的记录 你根本没注意 I read your notes. You skipped right by it.
你是怎么写上去的 How would you even fit that in the notes?
它又不是电脑 写在旁边就行 It isn't a computer. You can write on the side.
他是头大象 He's an elephant.
给伊凯卡做透析吧 是肾病综合征 Let's get Ikaika on dialysis. It's nephrotic syndrome.
我想代表大家问一句 I think I speak for a few of us here when I ask,
他怎么就成大象了 how is he an elephant?
一群盲人摸象 Well, a bunch of blind people touching an elephant
当被问道时 回答都不一样 when asked, will all say it's something different
摸到象鼻的说它是蛇 The person at the trunk will say it's a snake,
摸到象腿的说它是树 the person at the leg will say it's a tree.
只有把所有的观察都集合一起 Only by combining all of these observations
我们才能看到一头大象 do we see it's an elephant.
麻木的脚 肿胀的脖子 发臭的尿液 Numb feet, swollen neck, foul-smelling urine.
这是肾病综合征 It's nephrotic syndrome.
你最好准时让地铁L线竣工 听见了吗 You had better get the L Train done on time, okay?
好了 布鲁姆医生 Okay, Dr. Bloom.
弄好了 只需要重启系统 That's it. Just gotta reboot the system
这里就可以正常运转了 and this whole place will be back online.
这样吧 你慢慢来 You know what? Take your time.
没错 我看着就像是 Oh, yeah, that definitely looks like
异生性母斑 这里有一个 a dysplastic nevi to me. And there's one.
这个会引起病变 Yup, yup, that one's gonna work.
那个斑点看着就很可能致癌 Ooh, that dot looks super cancery.
这点还是交给肿瘤学家来决断吧 Maybe leave this bit to the oncologist.
说得对 Right.
这样真的管用吗 Is this really gonna work?
露易丝 母斑超过100个的病人 Louise, patients with more than 100 moles
危险性甚于患严重黑色素瘤 are at far greater risk of developing severe melanoma.
就现在的情况看 我数都数不过来 At this point, let's just say I've lost count.
所以我建议就不进行活检了 So I'm going to suggest we skip the biopsy entirely
直接把这些皮肤移除掉 and have all of the skin removed.
为了安全起见 Just to be safe.
这个肯定是包含在保险里面的 And there's definitely an insurance code for that.
这是不是意味着... Does that mean...?
你完全不需要支付任何手术费 Your procedure will be covered fully?
是的 Yeah.
我不知道该说什么 I don't know what to say!
谢谢 Thank you!
非常感谢 Ooh, thank you so much!
安妮 Annie?
告诉她 没事的 Tell her. It's okay.
我们希望你能参与到我们的生活 We want you to be a part of our life.
你的生活 Your life.
我们想要我们的妈妈回来 We just want our mom back.
有的时候我们自己都感觉不可思议 There are times when even we find ourselves surprised.
怎么会这样 How did this happen?
可能是我们使用的实验药品 Could be the experimental agent we used
减轻了炎症 to reduce the inflammation.
也可能是他自己身体进行了反击 It could be his own body fighting back the damage.
疾病控制中心还在寻找治疗手段 The CDC is still searching for treatments,
有些像杰克逊的同龄人就没这么幸运 and there are kids Jackson's age who haven't been so lucky.
我们可能永远都无法得知你们儿子好转的原因 We may never know what helped your son turn the corner today,
但是有时你只要接受结果就行 but sometimes you just take the win.
对吧 麦克斯 Right, Max?
说得没错 Amen to that.
-我为早些时候的行为道歉 -没事 - Uh, sorry about earlier. - It's fine.
不 不是的 所以我做了补救 No, it's not, so I made up for it.
我似乎错过了你补救那部分 Well, I seem to have missed the making up for it part.
好吧 我接到我们保险的联络人 Yeah, well, I got a call from our Insurance Liaison
提到一个双臂散布有107个 about a patient who had 107 perfectly spaced,
非典型性母斑的病人 atypical moles spanning both arms,
需要做再造手术 requiring reconstructive surgery.
她觉得这件事有点可疑 She thought that sounded a little suspect.
你予以证实了吗 Did you approve it?
那是当然 Sure did.
我告诉她今天是充满奇迹的一天 Told her today was full of miracles.
我听说你明早请了假 I hear you're taking the morning off.
-没有 我取消了行程 -什么行程 - No, I canceled my thing. - What thing?
我意外的接受了一个女人的约会邀请 I accidentally accepted a date with a woman,
而我... and I am--
还没有准备好 not ready for that.
有人要和你约会 Someone asked you on a date?
是的 她称之为游戏约会 Yeah, well, she called it a playdate.
是为孩子准备的 她是位母亲 It was for the baby. She's a mom.
要在哪里进行呢 Where was this supposed to take place?
公园 Park.
-什么时间 -上午八点 - What time? - 8:00 A.M.
听着并不像是约会 Well, that doesn't really sound like a date.
说实话 她也没明确说这不是约会 To be fair, she didn't explicitly say it's not a date.
那你为什么觉得是场约会呢 Then why did you think it was a date?
因为我不知道我在做什么 Because I have no idea what I'm doing.
麦克斯 卢娜难道不需一个新朋友吗 Max, doesn't Luna deserve to have a new friend?
你也不需要吗 And don't you?
♪ Dreamcatcher in the rearview mirror ♪
BGM: Souvenir by Boygenius
♪ Hasn't caught a thing ♪
快看谁来了 是卢娜 Oh, look who's here. It's Luna.
嗨 嗨 芭比 Hi. Hi, Bobbi.
♪ $20 in souvenirs ♪
♪ Anything's worth trying ♪
♪ To stay out of your nightmares ♪
♪ Few hours in your dream last night ♪
♪ Always end up dying ♪
♪ You said because of course I did ♪
♪ Oooh ♪
♪ Ooooh ♪