BGM: Apples and Bananas by Raffi
胡萝卜超酷的 爸爸喜欢胡萝卜 Carrots are awesome. Daddy love carrots.
好吧 别管胡萝卜了 胡萝卜没意思 All right, forget carrots. Carrots are lame.
梨子巡逻官 The pear patrol.
你不喜欢梨子巡逻官吗 You don't like the pear patrol?
香蕉船 横跨波涛汹涌的海浪 The banana boat, going for a ride across the waves,
急速飞来 美味美味 coming in flying... it's yummy, it's yummy.
拜托拜托 吃一口香蕉船吧 Please, please, please, eat the banana boat.
你不会吃的 你不会吃的 It's not happening. It's not happening.
甜菜来了 We got the beets.
没错 我们要把甜菜放在 Yeah, we're gonna drop the beets.
我们要把甜菜放在 We're gonna drop the beets right--
就放这里 不要吗 right in there. No?
好吧 你想拿着吗 Oh, oh, okay. You wanna take it?
瞧瞧你 要自己吃饭了吗 Look at you. You gonna feed yourself?
艾丽斯 你今晚有空吗
医 院 革 命 第二季 第十五集
-早 -早 - Morning. - Morning.
你知道伊维接受了旧金山的工作 So you know Evie's taken a job in San Francisco.
-我知道 -对 然后 - I do. - Yeah, and, um,
鉴于我们就要结婚了 seeing as we're, uh, gonna get married soon--
你要走了 You're leaving.
-对 -嗯 - Yeah. - Yeah.
我真的别无选择 麦克斯 I really didn't have a choice here, Max.
自然我会帮你找到替补人选的 I'll help you fill the position, of course.
看看简历 You know, sort through resumes.
不必了 恭喜 Not necessary. Congrats.
今晚很重要 对吧 和妈妈吃晚餐 Tonight's the big night isn't it--dinner with mom?
老天 谢谢你啊 还特地提醒我 Oh, God, thank you for the reminder.
你知道她为什么找你吗 You know why she reached out to you?
因为她这周清醒着 Well, because she is sober this week
而且想第一千次的弥补我 and wants to make amends for the thousandth time.
我答应去是因为我喜欢那餐厅 I'm only going because I like the restaurant.
霍兰德 Holland.
我知道 我知道 I know, I know.
我真的希望 I was really hoping
我不会再见到你回来了 I wouldn't see you back here again.
是啊 Yeah.
现在我得送你回家了 Now I have to send you home.
我搞错了剂量 我不会再过量了 I just misjudged the dose. I'm not gonna OD again.
-来人帮帮忙 -来了 - Can someone help us? - On it.
我已经服用的比以前少了 I'm already taking less than I was before,
-而且我有了新计划 -好吧 我们谈过这些 - and I have a whole new plan. - Okay, we talked about this.
上瘾不是一个人能戒掉的 Addiction is not something that you can tackle alone.
你需要支持 You need support.
相信我 Trust me.
我太了解这一切了 I know the dance all too well.
拜托了 Please.
劳伦 Lauren?
瓦伦蒂娜 你有谈谈吗 Valentina? Do you have a minute to chat?
行啊 我只是开会迟到了 Sure, I'm just late for a meeting.
我昨天看到法蒂玛·阿布希了 I saw Fatima Abassi yesterday.
她的双眼无神 还自言自语 Her eyes were glazed. She mumbling to herself.
我只是好奇 你试验里的其他患者 I'm just curious if any other patients in your trial
-是否有相同症状 -你什么意思 - had these symptoms. - What are you suggesting?
没什么 我只是担心 Nothing. I'm just concerned.
当她接受传统的化疗时 When she was receiving traditional chemotherapy--
就不再是你的患者了 She's no longer your patient.
我明白 但我关心她 Understood. But I care about her--
你真挚的关心背后藏着暗示 Under the guise of concern you're implying that
我隐瞒了药物的副作用 以保护我的试验 I'm withholding my drug's side effects to protect my trial.
对吧 Right?
管好你自己的事 我还要管理一个部门呢 Stay in your lane. I have a department to run.
性格大变 出汗 Altered mental state. Diaphoresis.
我不得不说你丈夫的症状令人非常困惑 I must say your husband's symptoms are rather confounding,
但这不是因为中风或痴呆 but they are not from stroke or dementia.
我们的化验还排除了肝衰竭 Our tests have ruled out liver failure,
糖尿病 和药物注射 diabetes, and drug ingestion.
他这辈子都没嗑过药 He's never taken a drug in his life.
-那酒呢 -乔不喝酒 - What about alcohol? - Joe doesn't drink.
你确定吗 Are you certain?
出汗 精神错乱 可能是酒精戒断 Sweating, delirium-- could be alcohol withdrawal.
对 我确定 Yes. I'm certain.
我和这个男人过了四十年 I've lived with the man over 40 years.
好吧 鉴于乔的症状 Okay, based on Joe's symptoms,
我想给他开始使用苯二氮䓬类 I'd like to start him on high-dose benzos.
等他好转后 或许我们能获得更多消息 And when he recovers, perhaps we will all know him better.
-来一口吗 -不 谢了 - A sip? - No thanks.
我刚在肥料里面加了点像那一样的玩意儿 I just added something like that to my mulch pile.
好吧 但你不知道自己错过了什么 Okay, well, you have no idea what you're missing.
那些能治好你的嗜甜吗 That's supposed to cure your sugar cravings?
没错 我不再吃垃圾食品了 格拉蒂斯 Yup, no more junk food for me, Gladys.
我的身体值得更好的 我值得更好的 My body deserves better. I deserve better.
-弗罗姆医生 -那谁去告诉 - Dr. Frome. - Who's gonna tell that
你桌上的那堆甜品垃圾站 to the pastry landfill in your desk?
我今天就派一支危险品处理小队去 You know, I'm sending in a hazmat crew today
如果你非要知道 if you must know.
伊格内修斯·弗罗姆医生
好吧 清理得等等了 Well, the cleanup will have to wait.
有一对可爱的夫妇急着见你 There's a cute couple eager to see you.
施泰纳医生推荐的 Dr. Steiner's referral.
婚姻咨询就当是休息了 Yes, the refreshing break that is a couple's counseling.
看见没 See?
健康生活有回报了 格拉蒂斯 Healthy choices are being rewarded Gladys.
听我的没错 Take heed.
是克里斯和珍妮吗 Chris and Jenny, right?
是的 Uh, yeah.
谢谢您抽空见我们 Thanks for fitting us in.
施泰纳医生说 你是他最得意的学生之一 Dr. Steiner told us you were one of his favorite students.
只是之一吗 One of?
这也太打击人了 老天 Well, if that isn't a blow. Jeez.
你们俩也都是从长岛来的吗 And you two are both from Long Island, as well, right?
-我们都在那儿长大的 -好嘞 - Yeah, we both grew up there. - Okeydoke.
那我们今天要聊什么呢 So what are we doing here today?
珍妮和我在一起九年了 Jenny and I have been together for nine years,
我们本来正打算 and we'd been planning on getting married
这个月底结婚 at the end of the month,
但是我们遇到了一些困难 but we've been having some problems.
-很正常 -我们总是吵架 一直吵 - It happens. - We're fighting, all the time.
我们已经一个多月没做爱了 We haven't had sex in over a month.
甚至都不住在一起了 We're not even living together right now.
-珍妮搬去跟朋友住了 -抱歉 你真的 - Jenny moved in with a friend. - I'm sorry--is this--
真的打算这样展开话题吗 is this seriously what you're opening with?
珍妮 那你觉得要怎么展开 Well, Jenny, what do you think he should be opening with?
我们收到了一份 We, um, we got a--
一份我叔叔提前送的结婚礼物 an early wedding present from my uncle.
是个基因检测试剂盒 It was a--a DNA kit.
能测出你有多少法国血统 One of those things that tells you how French you are,
跟乔治·华盛顿有没有血缘关系 if you're related to George Washington--you know.
你们提交检测了吗 Did you guys send it in?
交了 We did.
然后呢 And?
我们没有法国血统 Well, we're not French.
我们两个是兄妹 We're brother and sister.
-我能做些什么吗 -你知道刚才急诊室 - How can I help? - Are you aware that your ED
又有一个阿片类药物上瘾患者出院了吗 just discharged another patient who overdosed on opioids?
不知道 但是我能料到 No, but I'm not surprised.
都快每天十个了 We're up to about ten a day now.
你知道我们国家去年一年在阿片类药上 Do you know how much the opioid epidemic
-花了多少钱吗 -五千亿美元 - cost this country last year? - 500 billion dollars.
是七千亿 700 billion.
吸食过量的患者大规模增多 We've seen a massive increase in patient overdoses,
大多数人简单治疗之后就出院了 most of whom are simply treated and released,
过几天又回来还算幸运的 only to return days later if they're lucky.
其中很多人还没有医疗保险 And most of these folks are uninsured,
所以我们只能亏本接诊 这是你想说的吗 so we're operating at a loss. Is that your issue?
其中一点而已 It certainly is one of them.
卡伦我向你保证 我们花了很多时间 Well, Karen, I assure you that we spend a lot of time
向病患解释服食阿片类药物的风险 talking to our patients about the dangers of opioids,
但当有那么多药品公司 but when you have massive pharmaceutical companies
传达着相当不同的信息的时候 delivering a very different message--
我知道他们在传达什么 I know what they're delivering.
-那我又做错了什么 -袖手旁观 - Then what have I done wrong? - Nothing.
这就是问题所在 Which is precisely the problem.
我以为你会希望我袖手旁观 I thought you wanted me to do nothing.
现在正相反 Not today.
现在我希望你扭转乾坤 Today I want you to turn this epidemic around.
各种疯狂的主意随你出 All the crazy ideas,
冲动任性的脾气都随你发 all the impulsive, rash tantrums you want to throw--
冲他们发 犯法都行 我不在乎 throw them, break the law, I don't care.
我全心全意地支持你 You'll have my full, unwavering support.
这儿 这儿是不是有摄像机 Is this, um-- Are there--are there cameras?
麦克斯 Max.
我想看看你能弄出多大动静 I want to see how much damage you can do.
接受挑战 Challenge accepted.
这是单次剂量的一片阿片类羟考酮 This is one dose, one pill, of the opiode Oxycodone.
药房要我出示处方才肯给我 The pharmacy asked me for a prescription,
但由于我只想找个实物带过来 and seeing as how I was only looking for a visual aid,
我拿不出处方 I didn't have one.
所以我只能把主席女士拖到药房 So I had to drag our chairwoman here to the dispensary
然后一起签署免责声明 where we each had to sign waivers
确认这片药只用于教育目的 affirming our educational intent.
可如果这片药卖给 或是送给你们 But if I sold you this pill, or even just gave it to you,
我就会被吊销行医执照 it's a loss of medical license for me
而她将面临牢狱之灾 and actual jail time for her.
百分之一 1%.
在座各位只是医院1%的医生 That's how many doctors at New Amsterdam are in this room.
却开出了全院79%的阿片类药物 Yet, you prescribe 79% of the opioids here.
鉴于我们用的药物和廉价海洛因相差无几 And given that we are hooking patients by the thousands
而这些药物吸引了数以千计的患者 on drugs that are a molecule away from black tar heroin,
有谁能告诉我 为什么你们不会被捕 can anyone tell me why you all shouldn't be arrested?
阿片类药物有合法用途 You know they have a legitimate use.
那也达不到你们开的用量 Not at the levels you're prescribing them.
我们绝对没有草率开药 None of us prescribe them lightly.
护理标准认为阿片类药是对患者来说 Standards of care suggest they're the best choice
-最好的选择 -错了 - for our patients. - Not true.
护理标准只说阿片类是最高效的选择 The SOC says they're the most efficient choice,
但这就好比 你想减掉几斤 and if you're looking to drop a few pounds
直接截肢也挺有效 amputation is pretty efficient too.
可患者想要阿片类药 麦克斯 Our patients want them, Max.
而且还会指定牌子 They ask for them by brand name.
他们买香烟的时候也这样 They also do that with cigarettes.
而且我们的资金跟患者满意度分数挂钩 And our funding is tied to patient satisfaction scores.
如果患者死了 那也很难满意 Well, it's kind of hard to be satisfied if you're dead.
-麦克斯 -不行 这个现在要改变 - Max. - Nope, this changes now.
好吗 既然你们开的阿片类药物占79% All right? Since you all prescribe 79% of our opioids,
我给你们一年时间把这个量减少79% I'm giving you one year to prescribe 79% less,
所有不达标的人都会被解雇 and anyone who does not meet that mark will be fired.
谢谢你们的到来 Thank you for coming.
你可能会接到一些电话 You may get some calls.
这是一场战争 麦克斯 This is war, Max.
而你的解决方案就是指责我们的员工 And your solution is to berate our staff?
-对 还有威胁 -这我也行啊 - Yeah--and threaten. - Hell, I could've done that.
我要宏观的解决方案 I want a macro solution.
我要火力全开的麦克斯 I want the full Max.
但是刚刚那个 很令人失望 But that down there-- very disappointing.
-怎么了 -没有脉搏 - What's wrong? - No pulse.
室颤 离手 V-fib. All clear.
-还是不行 -再来一次 - Still not there. - Going again.
离手 All clear.
-救回来了 -谢天谢地 - He's back. - Thank God.
-维贾伊 -ST段抬高 - Vijay. - ST segment elevations.
是缺血 我去呼叫雷诺兹 Active ischemia. I'll page Reynolds.
我欠你一个道歉 I'm afraid I owe you an apology.
你丈夫并不是戒酒反应 Your husband is not going through alcohol withdrawal.
-他心脏病发作了 -来这里之前吗 - He had a heart attack. - Before he got here?
不 就刚刚 No, just now.
这说明有潜在的状况 Which speaks to an underlying condition.
意思是 Meaning?
我们还有更大的问题 We have a far greater problem.
正在接近右冠状动脉 Approaching the right coronary artery.
-你看到那个狭窄了吗 -近端吗 - You see that narrowing? - Proximal section?
是的 这个堵塞导致了他的缺血 Yes, that blockage is causing his ischemia.
所以我要放个支架进去 So I'm just gonna put a stent in there,
撑开动脉 他就会好起来了 open up the artery, and he should be good to go.
那是什么 What's that?
左前降支 看上去也是狭窄 In the left anterior. It also looks like a narrowing.
好奇怪 刚刚还没有的 That's weird. That wasn't there a second ago.
好吧 拉娜 放第二个支架 Okay, Lana, placing a second stent.
弗洛伊德 左回旋支也在收缩 Floyd, another area's constricting in the circumflex.
到底怎么回事 The hell is going on?
每次我撑开一条动脉 另一条就会关闭 Every time I open up an artery, another one closes.
如果你停下来呢 And if you stop?
他会死 He'll die.
你们的情况 委婉地说 So, your situation, to put it mildly,
比大多数情况要复杂一点 is a little more complicated than most.
你们是同母异父的兄妹 You are half-siblings.
好吧 不如 All right, what about, um,
我们从故事背景讲起 let's start with a little context.
你们俩怎么认识的 How did you two meet?
那是我在纽约大学大一的第二天 It was the second day of freshmen year at NYU.
我在上一门哲学课 I was in a philosophy class.
我当时一下就意识到 Which I almost immediately realized
这是我做过的最糟糕的决定 was the worst decision I'd ever made...
直到珍妮走了进来 Until Jenny walked in.
她迟到了二十分钟 当老师说 She was 20 minutes late, and when the professor apologized
抱歉课太早的时候 她说 for having such an early class, she just said,
「没事」 "No problem."
然后她坐在了我旁边 Then she sat down next to me.
过了多久你们俩开始约会的 How long before you two went out?
课后我们一起喝了咖啡 We got coffee after class.
但我马上就知道我们注定要在一起的 But immediately I knew we were meant to be together.
那时我们还不知道我们都来自杰斐逊港 Even before we both learned we were from Port Jeff.
杰斐逊港 那里人口只有 Port Jefferson, that's a population of--
八千 很少 8,000. Pretty small.
尤其是如果两人的妈妈 Especially if both your mothers
都用了匿名捐精者的精子 used anonymous sperm donors.
是的 Right.
-你们跟父母说了吗 -没有 - Have you told your parents? - No.
没有 我们还没有告诉任何人 No, we haven't told anyone.
也不打算告诉任何人 We're not going to tell anyone.
他们期待着我们十六天后结婚的 Well, they are expecting us to get married in 16 days.
好吧 Right.
那我问你们 Well, let me ask you this.
你们两人想从这次谈话治疗里得到什么 What are you both hoping to get out of this session?
消化这件事 You know, processing this.
回到对方身边 Finding our way back to each other.
老天 克里斯 God, Chris,
我们没法回到对方身边 there's no finding our way back.
我们有血缘关系 We are--we're related.
克里斯 为什么你觉得这个问题可以解决 Well, Chris, why do you think this can be fixed?
因为遇到珍妮那天是我一生中最美好的一天 Because the day I met Jenny was the best day of my life...
之后的每一天都更好了 And every day since has been better.
我知道这很疯狂 Look, I know that this is insane, okay?
相信我 Believe me.
我也理解为什么你看不到希望 And I can understand why you can't see a way through it,
但我无法想象如何能不回到以前的样子 but I can't imagine not going back to how we were.
回到家没有你 Not coming home to you--
如果你不信 If you think it's impossible,
你现在就看着我的眼睛 跟我说 and you can look me in the eye and tell me right now
你再也不爱我了 that you don't love me anymore,
那我就取消婚礼 then I will call off the wedding.
你知道我爱你 You know I love you...
但只有爱是不够的 But love just isn't enough.
就是不够的 不是吗 It isn't enough, is it?
我来这里是为了终结阿片类药物流行的 Hi, so, uh, I'm here to end the opioid epidemic.
好 Okay.
所以半数的吸毒过量都发生在 So half the ODs occur
进入急诊室三个月之内 within three months of a visit to the emergency room,
主要用于阿片类药物过量中毒或阿片药成瘾的诊断
但如果我们开纳洛酮 but if we prescribe suboxone--
就可以控制阿片类药物戒断症状 We could manage the symptoms of opioid withdrawal
-而无致死风险 -没错 - without the risk of fatality. - Exactly.
我们需要缉毒局的治疗行为豁免 We'll need a Treatment Act Waiver by the DEA,
就算这样 每个有执照的医生每次只能 and even then, each licensed doctor's only allowed
-治疗三十名患者 -谁有执照 - to treat 30 patients at a time. - So who's all licensed?
-在你眼前 -真的吗 - You're looking at her. - Really?
这种情况今天就要改变 Well, that has to change. Today.
为了让所有人都拿到执照 To get everyone licensed,
他们需要参加全天的培训课程 they'll need to go on an all-day training course.
好 叫来所有的医生 护士 Sure, okay, grab all the doctors, attendings,
还有住院医生 让他们去参加考试 and residents and have them take that test,
所有人通过之前不准回来 and nobody comes back until they pass.
那就意味着关闭急诊室 That would mean shutting down ED.
对 那就关掉吧 Yeah, so shut it down.
-不行 麦克斯 -行 - No, Max. - Yes.
你想让我给公共卫生部打电话 You want me to call the department of public health,
重新安排救护车 暂停本院的一级创伤状态 re-route all ambulances, suspend our Level I Trauma status,
并且转移大量正在接受治疗的患者 and potentially move a multitude of patients
并且转移大量正在接受治疗的患者 who are already being treated?
-这是个好计划 -麦克斯 - That's a great plan. - Max!
简直闻所未闻 这样会上新闻的 That's unheard of. It would make the news!
-而且布兰特利 -会喜欢的 去 - And Brantley-- - Will love it! Go!
桥墩上的密会 A secret rendezvous on the pier?
我们这是见面还是练习侦查技术 Are we catching up or practicing our spy craft?
奥德拉 Audra.
很抱歉偷偷摸摸约你见面 I'm sorry for all the cloak and dagger,
但我遇到个难题 恐怕是个秘密 but I have a dilemma, and I'm afraid it is a secret.
怎么了 What's up?
这涉及到卡斯特罗在医院外进行的国卫院试验 It involves the NIH trial that Castro's running out of New Amsterdam.
-你遇到什么难题 -我不太确定 - What's your dilemma? - I'm not entirely sure.
还不确定 Not yet.
你是担心试验方案有偏差吗 Are you concerned there's been a protocol deviation?
因为这可能会危及你们医院所有的国卫院资助 Because that could jeopardize all NIH funding at your hospital.
这可是数亿美元的资金 We're talking hundreds of millions of dollars.
这就是为什么我要和你私下谈 Which is why I needed to speak with you off the record
撇开了你的身份 without your NIH hat on.
我没有太多细节可讲 I don't have a lot of details.
我只是想帮助我的一个患者 I'm simply trying to help one of my patients that's involved.
你听说过卡斯特罗的试验 Have you heard of any significant side effects
有什么显著的副作用吗 from Castro's trial?
她什么都没报告 She hasn't reported anything,
但她应该立即记录了任何不良反应 but she's supposed to document any adverse reactions immediately.
你的患者在服用测试药物还是安慰剂 Is your patient on the protocol or the placebo?
-我不知道 -你得去弄明白 - I don't know. - Well, you have to find out.
这是验证的唯一方法 It's the only way to verify.
但这意味着要违反双盲规定 But that would mean violating the double-blind.
你可以直接问卡斯特罗 You can ask Castro directly.
是 那会很尴尬 Yeah, that would be, um--awkward.
实在不行就绕开她 Then go around her if you have to.
你得知道患者服用的是安慰剂还是测试药物 You need to know if the patient is on the placebo or the drug.
如果是测试药物 And if it's the drug--
我们会进行更深入的讨论 We have a bigger conversation.
不知道你有没有听说 Uh, not sure if you've heard,
国家公共电台和纽约第一频道都在关注我们 but both NPR and New York One are buzzing about us.
-因为你关闭了急诊室 -没错 - Because you shuttered the ED? - That's right.
都是头条新闻 都关注阿片类药物流行问题 Both lead stories, both focused on the opioid epidemic.
我们将有更多拿到纳洛酮执照的医生 You know, we're gonna have more licensed suboxone doctors
比国内任何医院都多 in this hospital than any other hospital in the country.
完美 你想吃饼干吗 Wonderful. You want a cookie?
-什么 -我没让你呼吁关注 - What? - I didn't ask you to raise awareness,
我让你解决问题 I asked you to solve the problem.
然而医院外面有数百万人在受苦 But instead you're handing out detox drugs
而你却在发放戒毒药物 while millions of people outside the hospital are suffering.
我不在医院外面工作 I don't work outside the hospital.
不 你在院外工作 当你想的时候 Yes, you do. When you want to.
在理发店测量血压 Blood pressure testing in barber shops?
去保险代理人的办公室找他们 Chasing down insurance agents in their offices?
行了 麦克斯 你是在跟我说话 Come on, Max! It's me you're talking to.
人们正在死去 People are dying.
做到更好 Do better.
凯西 送他去泌尿科 Casey, Casey. Get him situated in Urology.
别让他们把他推走 Don't let them pawn him off.
患者来了 Incoming!
卡罗琳·沃纳 20岁 晕倒在时代广场 Carolyn Werner, 20, fell in Times Square.
看起来像是桡骨骨折 Looks like a radial/ulna fracture.
-血压120 -好 停在那里 - BP 120 over-- - Okay, let me stop you
她状况稳定 只有手臂受伤吗 right there--she is stable with an isolated injury to the arm?
-对 -掉头 - Yeah. - Turn her around
-送她去浸信会 -你是认真的吗 - and take her to Baptist. - Are you serious?
我们以为重新派遣消息是误发的 we thought dispatch was mistaken.
不是 我们关门了 No. We are closed.
你指望我拿这么多病患怎么办 What the hell am I supposed to do with all these?
我说不好 斯金医生 I don't know, Dr. Skein.
他们收治在你名下 所以...治疗他们 They are patients admitted to your care, so...tend to them?
二十个病人 20 people?
你做的...不管你在做什么 You've clogged every bed in my department
你让我的部门病床爆满了 with this--this-- uh, whatever you're doing.
我们在努力解决阿片类药物危机 We are trying to solve the opioid crisis.
一个你有份参与造成的危机 A crisis you helped cause.
我是个皮肤科医生 I'm a dermatologist.
我承认你们的情况很难处理 I will admit that your situation is difficult.
但我的工作不是去评判 but is not my job to judge
你们的关系是对是错 whether your relationship is right or wrong.
在我看来很明显 你俩是非常真心地相爱的 What is very apparent to me is the love between you two is very real.
如果你们想 它是值得去争取的 And if you want, worth fighting for.
但有一个不能改变的事实 There is one inconvertible truth.
你们绝不能生育孩子 Biological children can never be an option.
你认为孩子是我们担心的吗 You think kids are what we're worried about?
我都无法直视他 I can't even look at him.
因为这个新的信息 Because this new information
改变了你看待他的方式吗 has changed the way you see him?
那算是好消息 Well, good news there.
亲密关系是可以经受变化的 Relationships can survive change.
实际上 几乎所有亲密关系都必须经受变化 In fact, almost all of them have to.
这又不是他突然增肥20磅那种事 This isn't like he's suddenly gained 20 pounds.
确实不是 听着 我能理解 No, um-- Look, I get it.
但生活仍要继续 而你要做出调整 But life goes on, and you adjust.
亲密关系也需要做出调整 不然就会结束 Relationships adjust too, or they end.
如果内心发生的改变难以逾越 那便只能如此 If change is insurmountable in the heart, then that's it,
一切都结束了 show's over.
但你俩的情况并非如此 But that is not the case with you two.
对吗 Is it?
所以真正的问题变成了 So the real question becomes:
我们是否能改变你们的想法 can we change what's in your heads?
怎么改变 How?
珍妮 你能和克里斯一起坐在沙发上吗 Jenny, will you sit on the couch with Chris?
很好 Good.
珍妮 你能握住克里斯的手吗 Jenny, will you take Chris's hand?
珍妮 Jenny.
我做不到 I can't.
不行 我做不到 I can't. I can't.
抱歉 I'm sorry.
弗洛伊德 Floyd.
他的测试结果显示 His test level shows
他体内肌酸酐激酶的水平极高 extremely high levels of creatinine kinase.
已经在损伤他的肾脏了 It's already damaged his kidneys.
也就是说他的肌肉都在分解了 That means his muscles are breaking down.
血管痉挛 精神错乱 肌肉分解 Vasospasm, delirium, muscle breakdown--
这些都指向同一个病症 减压症 it all adds up to one thing: decompression sickness.
潜水病吗 The bends?
乔这一生从来没有去过水肺潜水 Joe has never gone scuba diving in his life.
我们度蜜月的时候我曾尝试让他去 I tried to get him to go on our honeymoon,
但是他很怕水 but he's afraid of the water.
那可能是真的 但我确定这个诊断没错 That may be true, but I'm certain of this diagnosis.
你之前也很确信 但是你错了 You were certain before, but you were wrong.
乔不喝酒 他也不是个喜欢玩水的人 Joe doesn't drink, and he's not a water guy.
即便在度假的时候也是 他是个体面 正经 Even on vacation, he is a good, decent, no nonsense,
待在酒店房间看高尔夫比赛的那种人 stay-in-the-room-and-watch-golf guy.
但是根据他所显示出来的症状 But with the symptoms exhibiting,
如果我们不立刻将他送入高压氧舱 if we do not put him in hyperbaric chamber right away,
我恐怕他就成死人了 I'm afraid he will be a dead guy.
谁更了解他 卡普尔医生 Who knows him better, Dr. Kapoor?
他已经结婚四十年的妻子还是你 His wife of 40 years or you?
瓦伦蒂娜·卡斯特罗医学博士 肿瘤科和血液科主任
你好 我找卡斯特罗医生 Hi, I'm looking for Dr. Castro.
她大概十五分钟后回来 She'll be back in about 15 minutes.
好的 Perfect.
满意了 Satisfied?
我一直在尝试做那个更宽容的人 I've tried to be the bigger person here.
瓦伦蒂娜... Valentina...
如果你将注意力更多放在病人身上 If you focused a bit more on the patient
而不是试着给我安罪名 instead of trying to nail me to the wall,
你可能会注意到法蒂玛左手腕 you might have noticed that Fatima has aggressive arthritis
有严重的关节炎 in her left wrist.
是由大肠杆菌感染引起的 It was caused by an enterobacter infection
后来又被诊断为维生素B1缺乏症 which then relisted as a thiamine deficiency.
那才是导致她精神错乱的原因 That's what led to her delirium.
不是由我的药物导致的 Not my drug.
不用谢 You're welcome.
莫瑞思医生 我为你的医院病患爆满而道歉 Dr. Morris, I apologize that your hospital is overflowing,
不过很快会再见的 好吗 but I will see you very soon, okay?
我是麦克斯·古德温 Uh, Max Goodwin.
法农姆医生 是的 我关闭了急诊部门 Dr. Farnum, yes, I, um, did close the ED
我很期待很快就会阐明缘由 and I look forward to explaining why shortly.
-麦克斯·古德温 -你好 - Max Goodwin. - Hi.
艾丽斯 Alice.
抱歉打搅你工作了 I'm sorry to bother you at work.
你收到我的短信了吗 Did you get my text?
我收到了 我一直在... Yeah, no--I did, I've been, um--
我知道你很忙 不过你今晚有空吗 I know you're busy, but are you free tonight?
今晚 Tonight?
你是说今晚吗 Uh. Tonight, tonight?
我临时有事 找不到保姆 I got this gig, and I can't find a sitter.
我也很不好意思麻烦你 I hate asking. I feel terrible.
没事 当然可以了 Oh, right. No, of course.
我有空 Yes, I can. Yes.
我以为...可以 卢娜会很高兴的 I thought--great. Yeah, Luna's gonna love that.
-太谢谢你了 -没什么 - Thank you so much. - Sure, sure.
-我很乐意帮忙 -今晚见 - Happy to help. - See you tonight.
人人都说 不可能做到 Everybody told me that it would be impossible
让全市最顶级的医疗主任齐聚一堂 to get the city's top medical directors
我却提醒他们 别忘了 together in one room, but then I reminded them
医疗主任有多爱免费的午餐 how much medical directors enjoy a free lunch.
对... Yeah, so, um...
今天早些时候 我改变了新阿姆斯特丹的路线 earlier today, I put New Amsterdam on diversion.
我知道 我们关闭急诊为诸位带来了问题 I know that closing our ED caused problems for many of you.
对那些还在生我气的人 To those of you who are still annoyed,
我只能说 情况还会更糟 I just want to say it's about to get worse.
这是新阿姆斯特丹每年在阿片类药物上的花销 This is how much money New Amsterdam spends on opioids every year,
也是这座城市每个医疗网络在此项上的支出 and every hospital network in the city is spending the same.
仅在座各位代表的15家医院 Just the 15 of us, sitting here in this room
每年就要花十亿美元 are spending $1 billion a year
在这种已知会致人死亡的产品上 on a product that we know is killing people.
我们是医院 致人死亡 We're hospitals. Killing people should be
恰恰是我们最需要避免的事 pretty high on the list of things we try not to do.
阿片类药物的疗效很好 Opioids work incredibly well.
是的 弗罗伦丝 它们确实有效 That's right, Florence. They do work.
早在1996年 它们就被用得很好 But they also worked in 1996, and back then they worked
那时还没造成国际性的瘾症危机 without causing an international addiction crisis.
那时奈乐公司还没有开展大规模的宣传活动 That was before the Nylers started launching propaganda campaigns
-和收买医院 -包括你的医院 - and buying off hospitals-- - Including yours.
是的 包括我的医院 That's right. Including mine.
院里设有奈乐区的请举手 Raise your hand if your hospital has a Nyler Wing.
我不是说新阿姆斯特丹比别家好 I'm not saying that New Amsterdam is better than anyone else.
我要说 是时候回归伦理正道了 I am saying it's time to return to ethical behavior.
不要再向奈乐公司缴纳十亿美元的年贡 So instead of giving the Nylers another billion dollars this year,
我提议把这项花费改为一个新的数字 I'd like to propose a new number.
我已准备好撤销新阿姆斯特丹的阿片类药物合同 I'm ready to cancel New Amsterdam's opioid contract
马上实施 right now,
我希望你们也能这样做 and I want you all to do the same.
我们必须重拳出击 众志成城 We have to hit them hard, we have to hit them together,
我们需要团结 and what we need is unity.
团结不符合反垄断精神 Unity is an anti-trust violation.
我们的手上都沾染了血腥 There is blood on all of our hands.
是时候清洗干净了 I think it's time to wash it off.
有谁支持我 So who's with me?
-弗罗伦丝 -免谈 - Florence? - Pass.
我们可以引领变革 法农姆医生 We could change things. Dr. Farnum!
好 你们能加急吗 Yes, well, can you-- can you expedite it?
我们能不能付费 让你们快点... Yeah, I mean is there a fee that I can pay for a faster--
好 等你回话 Okay, well call me back.
好 谢谢 Yep. Thank you.
我们的起搏器供应商发不了货 Our pacemaker supplier can't make shipment.
没什么大不了的 就几个心脏嘛 No big deal, they're just people's hearts.
支架也不给我们发 Stents are being held up too.
我不想添油加醋 但我有几种化疗药 Not to pile on, but several of my chemo drugs
明天也到不了 可能永远不会到 won't be coming in tomorrow. Or ever.
是奈乐公司在报复我们 It's the Nylers. They're retaliating
因为我撕了他们的阿片类药物合同 because I ripped up their opioid contract.
他们公司不只做阿片类药物 麦克斯 Their companies make more than just opioids, Max.
我大部分药的专利都在他们手上 Most of my drugs are under their patent.
只有奈乐公司造得出来 No one besides Nyler can make them.
我很高兴我们终于对他们表达了立场 Look, I love that we're finally taking a stand against them,
但这可能危及病人的生命 but this could jeopardize the lives of our patients.
有没有人能告诉我 Can someone please tell me
我的供应商为什么要毙了我的痤疮乳膏订单 why my supplier just killed my order for acne cream?
他夫人说他怕水 His wife said he's afraid of the water.
我知道 I know.
会不会是内分泌紊乱之类的问题 What if he has an endocrine disorder or something?
你不是一直说要听病人怎么说吗 I mean, isn't your whole thing about listening to the patient?
我在听 I am listening.
听乔怎么说 To Joe.
不管他夫人怎么想 Despite everything his wife believes,
他的身体症状呈现出来的就是减压症 his body's saying decompression sickness.
但愿你是对的 You better hope you're right.
珍妮 这是你的DNA Jenny, this is your DNA,
克里斯托弗 这是你的DNA and Christopher, this is your DNA.
-两份一样 -不完全 - They're the same. - Not quite.
两者有0.1%的差别 There's a 0.1% variant between the two of you,
但确实 相似度高达98.5% but yes, they are 98.5% identical.
这样还不够吗 What more do we need?
但这是我的DNA But this is my DNA.
也和你们达到98.5%的相似 Also 98.5% identical to both of yours.
因为这就是任意两个人类之间的 Because that is the genetic similarity
遗传相似度 between any two human beings.
从科学的角度来说 我们都差不多 Scientifically speaking, we are all very much the same.
珍妮 Jenny...
怎么 我要随身带个DNA化验单 What? I should carry a DNA chart
去大街上跟所有人解释 to the market to explain to everybody
为什么我和我哥哥可以结婚吗 why it's okay I'm married to my brother?
为什么你觉得有必要向别人解释什么 Why do you feel the need to explain anything to anyone?
对不起 对不起 但是 Look, I'm sorry. I'm sorry, but there's just--
不管你说什么 there's nothing that you're gonna say
我都忘不了克里斯是谁 that's gonna make me forget who Chris really is.
好吧 Okay.
好的 行吧 Okay, fair enough.
那你有没有什么想说的 Is there anything that you could say?
你们原本计划十六天后结婚 You were planning on being married in 16 days.
你的誓词应该已经写好了 You must've written your vows.
好的 好的 Okay. Good.
克里斯 Chris.
我坐在我们的客厅里 客厅只漆了一半 "As I sit here in our half-painted living room
剩下的你说你会完成 我听着... "that you promised to finish, listening to the, um,
我们花了一美元在二手集市上买的 "Spin Doctors Album that we bought for $1.00
「高级幕僚」乐队的专辑 因为女卖主 "at a yard sale because the lady who sold it to us
根本不知道他们是谁 had no idea who they were..."
我不敢相信我有多幸福 "I can't believe how happy I am
多幸运 or how lucky I am..."
我从没想过我会找到一个... "I never thought I would find somebody--
一个听我说冷笑话也会开怀大笑的人 "Somebody who laughs at all my stupid duck jokes.
一个喜欢我奶奶做的芝士焗意粉的人 "Or likes my grandma's baked spaghetti.
一个总是会收拾浴巾的人 Or picks up all of our bath towels all the time."
所以你向我求婚时我当然会说我愿意 "So of course I said yes when you asked me to marry you.
从来没有人像你这样爱我 "Nobody's ever loved me like you,
我没想过和其他任何人... and I've never wanted to be with anybody..."
好了 很好 Okay. Good.
珍妮 Jenny.
你能看到这个克里斯吗 Can you see that Chris?
这个在你誓词里的克里斯 The Chris you wrote those vows for.
那是唯一的克里斯 That is the only Chris there is.
如果你忘记了 And if you ever forget that,
你只需要回忆那些誓词 all you need to do is go back to those vows.
就像其他夫妻一样 Just like every other couple.
奈乐礼堂
感觉很兴奋 是吧 Feeling pretty whooped, huh?
奈乐公司着实把你打击得不轻 The Nylers took you good.
确实如此 That they did.
你有他们的新合同吗 Do you have their new contract?
我不知道哪个更糟 You know, I don't know what's worse.
是人们对毒品上瘾更糟 People addicted to their drugs,
还是体制对金钱上瘾更糟 or the system addicted to their money.
塞莱斯特 Celeste.
我妹妹 My little sister.
她做了一个破手术 移植了所有的牙龈 She had this stupid surgery, gum grafts of all things,
但是很疼 所以他们给她开了羟考酮 but it hurt a lot, so they gave her Oxy.
她已经走了 She's gone now.
两年了 Two years.
可以给我吗 May I?
奈乐
我们关门了 Hey, we're closed.
我知道 只是送一个用药过量的人去太平间 I know, just taking an OD down to the morgue.
不 Oh, no.
你认识她吗 You knew her?
什么都不知道的时候 It's a funny thing, you know,
很有意思 我知道我和你在一起 when you don't know anything. I mean, I knew I was with you.
我只是说不出话 I just couldn't get the words out.
没关系 亲爱的 It's okay, honey.
你没事 我已经很感恩了 I'm just grateful that you're all right.
你妻子说你以前从来没有潜水过 Now, your wife said you'd never been scuba diving before,
但是... but...
因为我们的结婚纪念日快到了 Since our anniversary's coming up,
我想上几节课给你惊喜 I wanted to surprise you by taking a few lessons.
你想去度蜜月 You wanted to go on our honeymoon,
但我太害怕了 but I was too scared.
我想告诉你 我可以 I wanted to show you I could do it.
但你不会水 But you're not a water guy.
所以我知道这是个惊喜 Which is why I knew it would be a surprise.
我以为你永远不会给我惊喜 I didn't think you could ever surprise me.
但我真的觉得惊喜 But you did.
-真有爱 -可不是 - So adorable. - Hmm, aren't they?
你支配不了我 You don't own me.
我都不确定你会来 I wasn't sure if you were gonna come.
我没有怪你 I mean, not that I blame you.
-我现在清醒了 -我不想听 妈妈 - I'm sober now. - I don't wanna hear it, Mom.
你想知道我最早的记忆吗 You wanna know my earliest memory?
爸爸的朋友叫你酒鬼 Was Dad's friend calling you an alcoholic.
但爸爸说你不是 你不是 你只是喝醉了 But Dad said no you weren't. No, you were a drunk.
BGM: Broken Heart by Spiritualized
在那之后 我尽我所能让你少喝一点 After that, I did everything I could to slow you down.
我七岁时第一次喝醉 The first time I got wasted, I was seven.
♪ There's a lot of things that need to be done ♪
你的马提尼被我喝了半杯 I chugged half your martini
我想我喝得越多 你就喝得越少 thinking the more I drank, the less you could.
你知道你做了什么吗 You know what you did?
你舔了舔杯子 又给自己倒满了 You licked the glass, and you made yourself another.
那晚你对我大吼大叫 不是因为喝醉了 That night you shouted at me, not for being drunk--
♪ Lord, I have a broken dream ♪
而是因为吐在了地毯上 for being sick on the rug.
-劳拉 -不 我还没说完 妈妈 - Lauren-- - No, I am not done, Mom.
我长年累月生你的气 I have spent years being angry at you.
恨你 Hating you.
同情你 Feeling sorry for you.
周而复始 Then doing it all over again.
♪ There's a lot of things that I gotta do ♪
我不知道它什么时候发生的 And I don't know when it happened,
但我对你不再有任何感觉了 but I can't really feel anything for you anymore.
♪ Lord, I have a broken dream ♪
我是个小孩子 I was a little kid.
♪ And I'm wasted all the time ♪
我是个拼了命 I was a little kid
想靠近你的小孩子 who was killing herself trying to get close to you,
而你是个成年人 却没做任何努力 and you were an adult, and you did not even try.
所以我难过 因为我被欺骗了 So I am sad because I got cheated.
♪ I've been told that this will heal ♪
那感觉糟透了 And it sucks.
真的糟透了 因为我不该承受那些 It really sucks, because I didn't deserve it.
这样吧 Oh, do you know what?
说句对不起 让我走吧 Just tell me you're sorry so I can go.
真希望我能说 I wish I could.
我想说 I want to.
对不起 I am sorry.
♪ I have to keep it covered up with a smile ♪
对不起 让你如此难过 That you feel so sad.
但 亲爱的 我...我不 But, sweetheart, I--I just don't--
♪ And I'll keep on moving on for a while ♪
我不记得发生过那些事 I don't remember any of that happening.
♪ Lord, I have a broken heart ♪
麦克斯 有空吗 Max. Yo, you got a sec?
听着 我们今早的对话让我挺过意不去的 Look, I don't feel good about our conversation this morning.
-好 -不 那不好 - Okay. - No, it's not okay.
听着 我很抱歉没早点告诉你 Look, I'm sorry I didn't tell you sooner,
但你现在就要对我冷处理了吗 but you're just gonna ice me now?
我未婚妻搬到了旧金山 My fiancée moved to San Francisco.
要么她 要么这家医院 It's either her or this hospital.
听着 弗洛伊德 Look, Floyd.
我只是不能再失去任何人了 今年不能 I just can't lose anyone else this year.
布莱顿医生 Dr. Brighton.
是你让人们这么做的吗 Did you ask people to do this?
不是 No.
每个人都在说奈乐公司 Everyone's talking about how the Nylers
如何报复你和你的医院 retaliated against you and against your hospital.
这家公司将你拒之门外 置患者生命于险境 By shutting you out, this company put patients' lives at risk,
这不是商业 是勒索 and that's not business, it's a shakedown.
可能发生在我们任何人身上的勒索 A shakedown that could happen to any of us.
你有什么提议 So what do you propose?
团结 Unity.
奈乐区
这个应该能消除感染 法蒂玛 This should counter the infection, Fatima.
缓解你所有症状 Alleviate all your symptoms.
谢谢你找出问题所在 Thank you for figuring out what was wrong.
不是我 是卡斯特罗医生做的诊断 It wasn't me. Dr. Castro made the diagnosis.
你入组她的试验很幸运 You're very fortunate to be in her trial.
好了 Okay.
劳拉 尽快打给我 Lauren, call me as soon as you can.
关于卡斯特罗的药物可能引起的 I was wrong about the side effects Castro's drug
不良反应我错了 但关于她我是对的 might be causing, but I was right about her.
她在治疗前改动了患者的指征数值 She altered her patients' numbers before treatment
好让肿瘤看上去更严重 so their tumors would look worse
让她的药看上去比实际更有效 so her drug will appear to be performing better than it actually is!
卡斯特罗改动了她的试验 Castro altered her trial.
你看上去好正式 Wow, you look serious.
没错 Yikes.
这正是我想要的效果 That's not exactly what I was going for.
不 不 我只是想说你看上去很美 No, no, I meant-- I just meant you look great.
进来吧 Uh, come on in.
还顺利吗 Hey, how'd it go?
-很顺利 -那就好 - Really well, yeah. - Good.
-谢谢关心 -没问题 - Thanks for asking. - Hey, yeah, sure.
-宝宝们怎么样 -她们筋疲力尽了 - How're the babies? - They're exhausting.
-很可爱 -睡着了 - Adorable. - Sleeping?
是的 睡着了 她... Yes, sleeping. She, uh,
在这个臭小子脸上丢了一堆果酱 jammed on this bad boy quite a bit.
-她喜欢这个 -是的 - She loves this. - Yeah.
你...你蹭了一点 You--you have a...
一点红薯 a sweet potato?
我想是山药 I think yam actually.
挺适合你的 It's a good look for you.
对 快变成我的画风了 Yeah, it's kind of becoming my go to.
还有一点 There's more.
在这 Here.
谢谢 Thanks.