「良医」前情回顾 Previously on "The Good Doctor"...
动脉瘤导致了背痛 然而沃克医生忽视了 The aneurysm caused his back pain. Dr. Wolke missed it.
我搞砸了 I screwed up.
按压 Compressions.
沃克医生 Dr. Wolke.
他死了 He's dead.
你需要多久都行 Take as much time as you need.
访客不得探视 由于新冠肺炎 我院实行零访客政策
病毒摧毁了你母亲的肺 The virus has damaged your mother's lungs.
我们会尽一切力量救她 We're doing everything we can to help her.
120焦 120 joules.
我有羟氯喹 利巴韦林 I've got hydroxychloroquine, ribavirin...
我们医院的规模是圣荷西总医院的两倍 I'm twice the size of SJ General.
我们检测的病例数也应该是他们的两倍 I should have twice the amount of tests.
BGM: Over The Rainbow by MisterWives
♪ I'm over the rainbow ♪
♪ No yellow brick road ♪
♪ Can't seem to find home ♪
♪ Over the rainbow ♪
天呐 怎么回事 他还好吗 Oh, my God, what happened? Is he okay?
我是医生 怎么了 I'm a doctor. What happened?
我不知道 他在跑步 我按了喇叭 I don't know. He was running. I honked.
突然他就倒在我车前了 All of a sudden, he was in front of my car.
行人与车相撞 现场昏迷指数为五 Pedestrian versus car, GCS five at scene.
腹部僵硬 有内出血 Rigid abdomen with active bleeding.
连枷胸和气胸 Flail chest with pneumo.
他需要立刻做剖腹探查术 He needs an ex lap. Now.
严重腹腔积血 We've got a massive hemoperitoneum.
需要两次大抽吸 四个胸腔都要腹腔垫 I need two large suctions and lap pads in all four quadrants.
右边外侧处 There's a grade-three liver laceration
有三度肝脏撕裂 in right lateral segments.
肝脏需缝合 一号铬制肠线 Liver stitch, number 1 chromic
用钝针和作战纱布 on a blunt needle and a combat gauze.
你当时骑车去干什么 What were you doing on your bike at that hour?
来工作 Heading into work.
想准备和格拉斯曼的预算会议 Trying to prep for my budget meeting with Glassman.
移动肝脏 检查是否有相关膈肌损伤 Mobilize the liver to check for any associated diaphragm injury.
那在城的另一侧 It's the other side of town.
我选了风景好的路线 I was taking the scenic route.
血压下降了 BP's dropping.
他还有个出血点 再拿点腹腔垫 检查肠子 He's got another bleed. Add more lap pads and run the bowel.
回肠末端附近有穿孔 There's a perforation near the terminal ileum.
有东西刺穿了肠壁 Something tore through the intestinal wall.
是个弹片 It's shrapnel.
车祸时进去的吗 From the accident?
外层已经被腐蚀了 The coat's eroded.
看起来卡在这有段时间了 It looks like it's been in there a while.
肯定是因为车祸移位了 It must have gotten dislodged in the accident.
良 医
第四季 第六集
你觉得亚舍怎么样 How does Asher seem to you?
挺好的 He seems fine.
对一个刚失去第一位患者的医生来说 有点太好了 Too fine for someone who's just lost their first patient.
我没空操心看上去太好了的人 I don't have time to worry about people being too fine.
-他在装 -很好 - He's faking it. - Good.
微笑时大脑会释放血清素 The brain releases serotonin when you smile,
即便你很痛苦 even if you're miserable.
我已经感觉好多了 I feel better already.
否认对保持心理健康行之无效 Denial is not a proven strategy for psychological health.
对无法改变的事实念念不忘也没用 Dwelling on things you can't change doesn't help either.
一位24岁的女性到了急诊室 24-year-old woman came into the ER
自述腹痛头疼 complaining of abdominal pain and headaches,
意外吧 她怀孕了 and, surprise, she's pregnant.
但不是个幸福的意外 Apparently not a happy surprise.
她想堕胎 She wants an abortion.
她怎么了 Well, what's wrong with her?
我猜你最近没怎么学会分享 I assume you haven't recently learned the value of sharing,
所以我想应该有别的原因 which makes me think there's another reason
让你把这个病例汇报给手术部 you're unloading this onto the surgical department.
她有先天性免疫球蛋白A缺陷 She has a congenital IgA deficiency
严重感染病史 and a history of severe infections.
她会需要静脉注射抗生素 She'll need IV antibiotics
以及术后密切观察 and close post-surgical observation.
我想你的新手不如借机学点知识 I figured one of your newbies may as well learn something.
BGM: My Girl by Temptations
♪ ...You'd say ♪
♪ What can make me feel this way ♪
♪ My girl ♪
♪ My girl, my girl ♪
莉亚明天生日 Lea's birthday is tomorrow.
有很多可爱的青蛙和浪漫的歌曲 There are many cute frogs and many romantic songs.
我选不好 I can't decide.
这是我作为男友的第一个礼物 It is my first gift as her boyfriend.
必须要...很酷 It needs to be... awesome.
那或许唱歌青蛙 Well, then, maybe singing frogs,
无论有多可爱 都是个错误选项 however cute, might be a mistake.
找找其他更私人或浪漫的礼物吧 Try something more personal or romantic.
找一个没做过刮宫堕胎手术的住院医生 And find a resident who hasn't done a suction D&C
教他们 and teach them.
不 不 我自己做 No, n... no. I'll do it myself.
我不要教别人 I'm not going to teach anymore.
我是个优秀的外科医生 我做手术 I'm a good surgeon. I'll do surgery.
莫菲医生 你作为外科医生的职责之一就是教学 Dr. Murphy, part of your job as a surgeon is to teach.
你不能因为困难就选择不做 You can't opt out because it's difficult.
我选择不做是因为我不擅长 I am opting out because I'm bad at it.
无论如何你都不能选择不做 Well, you can't opt out for any reason.
但我可能一下子给你太多责任了 But I may have given you too much responsibility too soon,
所以我会看着你教学 so I will supervise your supervision
直到你掌握技巧 until you get the hang of it.
选个人 Pick someone.
你俩丢东西了吗 Did you two lose something?
我们的患者 Our patient.
露丝·巴布科克 Rose Babcock.
她做了桡骨远端骨折手术 She's post-op from repair of a distal radius fracture.
六十多岁 白头发 60s. White hair.
看着你时仿佛能看穿你的灵魂 Looks at you like she's staring into your soul.
她瘸吗 Does she have a limp?
不 No.
我想她现在瘸了 Well, I think she does now.
巴布科克女士 你又摔了吗 Ms. Babcock, did you fall down again?
没有 我很好 Oh, no, I'm fine.
但 但318房有个可怜的男人 But... but there's a poor man in room 318
非常痛苦 who's in a lot of pain.
让我扶你回床上去 Let's get you back in bed.
走 Yep.
给她换上新的透明敷料 不是抗菌软膏 Apply a new Tegaderm, not antibiotic ointment.
穿起来透气 They breathe.
别逼我们把你拷在床上 露丝 Don't make us handcuff you to the bed, Rose.
那要额外收费的 We charge extra for that.
把皮肤擦干才能粘牢 Dry the skin more so it'll stick.
你做得很好 You're doing just fine, dear.
心率飙升至130 Heart rate's spiking in the 130s.
血压在162/95 BP 162 over 95.
觉着胸闷吗 Are you feeling any pressure in your chest?
没有 只是焦虑 No, it's just anxiety.
不是我 你们中有人焦虑 Not mine. It's one of yours.
既然是在你胸腔内检测到的 We're gonna pretend,
我们只能假定是你的情况 since it's happening in your chest, that it's yours.
静脉注射20毫克的柳胺心定 20 milligrams IV labetalol.
我很好 I'm fine.
我是个读心者 能感受到他人的感觉 I'm an empath. I can feel what other people are feeling,
你们中有个人压力很大 and one of you is very stressed out.
奥利维亚 继续你的工作 Olivia, stay where you are.
再注射1毫克的劳拉西泮 And one milligram of Ativan.
别靠近我 Keep away from me!
别 后退 No! Step back!
先生 你遭遇了交通事故 我们在给你做治疗 Sir, you were in an accident. We're taking care of you.
别过来 Stop. Stop it! Now!
快走开 Get away from me!
待会儿你们把他按到 我来注射镇定剂 I need you to hold him down while I administer Haldol.
先生 Sir, please just...
我警告你们 这间屋子安全了 I'm warning you.This room is being cleared.
没有人会伤害你的 No one is gonna hurt you.
本 Ben.
一切都是记忆重现 You're having a flashback.
现在你不在阿富汗 You're not in Afghanistan.
而是在医院 You're in the hospital.
看看周围 Look around.
你看到了什么 What do you see?
佐伊 Zoe?
是的 亲爱的 是我 Yeah. Yeah, baby, it's me.
佐伊 我睡不着 Zoe, I... I couldn't sleep.
所以我就去跑步了 然后 I... I went for a run, and I...
我听到了一声爆炸声 I heard an explosion.
之后发生了什么 我都不知道了 And I don't... I don't know what happened after that.
你被车撞了 You were hit by a car.
我们给你做了手术 你会好起来的 We had to do surgery, but you're gonna be okay.
会好的 It's okay.
把他带回病房检查他的伤口 别裂开了 Take him back to his room, make sure he didn't open his wound.
对不起 I'm sorry.
莫菲医生 Dr. Murphy?
露丝不是你的病人 Rose is not your patient.
她在教我她的通感天赋 She was teaching me about her gift.
她说通感的基础是好奇 She says the basis of empathy is curiosity,
对此我挺好奇的 因为 which I find curious because...
我倒是好奇你该做的工作进展如何 I'm curious about the job you're supposed to be doing.
你选了谁来做刮宫堕胎手术 Who are you leading through the D&C?
一个都没选 None of them.
唯一一个没做过的不愿意做 The only one who hasn't done one does not want to,
所以我来做 so I will.
哪个住院医师 Which resident?
愿不愿意都必须做 这是他们的工作 Wanting to is irrelevant. It's their job.
愿不愿意都必须做 这是你的工作 Wanting to is irrelevant. It's your job.
我是一名基督徒 I'm a Christian.
堕胎违反我的教义 Performing an abortion goes against my beliefs.
好吧 Okay.
有一天你会遇到一种情况 You may encounter a situation one day
那就是堕胎手术能救人一命 where this procedure could save a woman's life.
那么我希望别人能 Then I hope someone else can...
我的工作就是确保你能做任何手术 And it's my job to make sure you can perform all surgeries,
包括堕胎手术 including abortions.
所以我们还有别的选择吗 So where does that leave us?
我来做这个手术 I'll do the surgery.
我只做过一次 I've only done one.
我认为我还有许多要学 I'm sure there's a lot I still can learn.
莫菲医生 你有个新学生了 Dr. Murphy, you have a new student.
让她开始做术前评估吧 Get her started running pre-surgery assessments.
谢谢 奥利维亚 Thank you, Olivia.
这才是我想看到的干劲 That's the kind of ambition I like to see.
他驻派了三次 He did three tours.
在某场爆炸中他受伤了 然后就回来了 He came home after he was injured in some kind of explosion.
我不知道发生了什么 I don't really know what happened.
他好几次想告诉我 Some... He's tried to tell me about it several times,
但中途都崩溃了 but he just... He breaks down.
什么时候他确诊为创伤后应激障碍 When was he diagnosed with PTSD?
两年前 Two years ago.
但自从回来后病情一直在变化 But he hasn't been the same since he got back.
刚开始 他情绪化 易怒 At first, he was moody, irritable.
一点小事都会惹火他 Little things would set him off.
之后患上了不眠症 Then the insomnia started.
他的脑子停不下来 His mind is just... It's never at rest.
晚上的情况最糟糕 Nights are the worst, you know? He, um...
做些非常恐怖的噩梦 He gets these terrible nightmares.
也会有记忆重现 Flashbacks. Just...
所以我们就分房间睡了 We can't sleep in the same room anymore.
确保他不要乱跑 Make sure he stays off his feet.
你愿意让我们安排个心理咨询吗 Would you like us to arrange a psych consult?
我们已经尝试过了 We've been down that road.
谈话疗法 群体疗法 暴露疗法 Talk therapy, group therapy, exposure therapy...
吃数不完的药 endless medications.
如果你们需要随时和我们说 Let us know if you change your mind.
BGM: Keep Diggin' Up Dirt by Future Royalty
♪ Keep diggin' up dirt ♪
吉莉安 我开预算会议需要择期手术的资料 Jillian, I need those stuff on the elective surgery for my budget meeting.
还要一杯咖啡 And a coffee.
吉莉安 Jillian?
她不在 我需要你的签字 She's not there. I need approval for this.
还有这个 And this.
你说我不能送她那些青蛙 You said I couldn't give her the frogs.
你也不能送她这个 Oh, you can't give her this either.
你不知道这是什么 You don't know what it is.
能让你离开医院去买的 I know it would mean more
才是更有意义的礼物 if you had to leave the building to get it.
我决定做刮宫堕胎手术了 I would like to do the suction D&C surgery.
你的宗教观念并没在过去几小时内 I assume your religious convictions haven't changed
-发生改变 -没变 - in the last few hours. - No.
但我相信我加入这个项目是有原因的 But I believe I was put in this program for a reason.
所以如果你认为让我学习做堕胎术 So, if you think it's important for me
是重要的 to learn how to do an abortion,
那我就应该去学 then I should learn.
带乔丹去练习室 熟悉一下手术步骤 Take Jordan to the skills lab. Run the surgery steps.
你们两个自己做刮宫堕胎手术 You two will handle the D&C yourselves.
和你一起 With you.
如果你不在我身边 How are you going to supervise my supervision
要怎么看着我教学 if you're not there?
我会帮你做手术准备和之后的汇报 I will help you prep and debrief afterwards.
但这位病人并不需要 But this patient doesn't need
一群陌生人围着她 a gallery of strangers standing around,
盯着她最私密的遭遇 gawking at her most private experience.
抱歉打扰了 Sorry to interrupt.
本醒来就一直在抱怨说痛 Ben woke up complaining of pain.
你检查过切口了吗 Did you check the incision?
疼痛点在他胳膊处 The pain is in his arm.
现在来测试下肩膀的外部旋转 Now test external rotation of the shoulder.
就快好了 We're almost done.
你能描述一下有多痛吗 Can you describe the pain?
应该是十级痛 We'll call it a 10.
这已经痛了好几年了 但这次 It's been hurting for years, but, this is...
不太一样 this is something else.
你之前是怎么伤到肩膀的 How did you injure your shoulder before?
我当时... I was in a...
我当时在坎大哈的护卫队 I was in a convoy in Kandahar,
然后在那里... and there was a...
我脱臼了... I dislocated my...
你不需要和我们说这个 You don't need to discuss it with us.
有什么发现 What did you find?
肿胀 对触觉敏感 变色 Swelling, sensitivity to touch, discoloration.
-可能是CRPS -什么东西 - Could be CRPS. - What is that?
就是车祸导致某处旧伤恶化了 Well, it appears the car accident aggravated a prior injury.
你患上了复杂性区域疼痛综合征 You've developed complex regional pain syndrome.
我们先给你用加巴喷汀和盐酸氢吗啡酮 We'll start you on Gabapentin and Dilaudid.
类鸦片药物会让我有些失常 Opioids make me a little insane.
我们可以做星状神经节阻滞 We could do a stellate ganglion block.
在脊椎附近注射麻醉剂 It's an injection of anesthetic near the spine
能阻断疼痛信号 that blocks the pain signals,
也有可能帮助创伤后应激障碍 and could also help the PTSD.
我治疗创伤后应激障碍很多年了 I've been treated for PTSD for years.
怎么没听说过这个 Why haven't I heard about this?
还在试验阶段 但很有希望 It's experimental, but promising.
手术的风险有 The procedure comes with risks:
血管损伤 感染 严重血肿 vascular injury, infection, major hematoma.
利姆医生 每次睡觉对我来说都是冒险 Dr. Lim, I've been taking a risk every time I go to sleep.
我想做 I want to do it.
星状神经节阻滞是一种公认的疼痛治疗方法 Stellate block is an accepted procedure for treatment of pain.
如果病人没有同时患有精神疾病 Which you wouldn't have suggested
你本不会这么建议的 if the patient didn't also have a mental health condition.
我听说乔丹又接受堕胎手术了 I hear Jordan's back on the D&C,
尽管她如此义愤填膺 in spite of her righteous indignation.
有什么东西在叫吗 Is something chirping?
我觉得你不公平 I think you're being unfair.
要说是谁不公平 也该是我 Well, if anyone's being unfair, it's me.
是我让乔丹这么做的 I told Jordan to do it.
我告诉她了 I told her.
我们总是会做一些难以接受的决定 We make decisions that are hard to live with all the time.
但最终还是做了 We make them anyway.
我告诉她惹毛主任 And I told her pissing off the Chief
是你实习期一个糟糕的开端 was a very bad way to start your residency.
真高兴你还在兼职 Glad to hear you're still moonlighting
外科系夏令营的辅导员 as surgical department camp counselor,
但我不是说你对乔丹不公平 but I don't mean you were being unfair to Jordan.
是你对病人不公平 You're being unfair to the patient.
她正面临着一个情感上备受煎熬的手术 She's facing an emotionally fraught procedure.
她需要医生的支持 She needs the support of her doctors.
结果等来的是一只菜鸟 And who she's getting is a rookie
一只觉得自己犯了谋杀罪的菜鸟 who thinks she's committing murder.
还有肖恩 And Shaun.
我说得有道理 I have a point.
我会亲自带乔丹做堕胎手术 I'll lead Jordan through the D&C myself.
你开心了 You're happy.
莫菲医生开心了 Dr. Murphy will be happy.
我这圣杯斟满了爱 My cup runneth over.
现在给我带着这箱乱叫的东西滚出去 Now get whatever's in that box out of my department.
晨吐 Morning sickness.
是艾拉护士 Nurse Ella's.
露丝说她能感觉到艾拉怀孕了 Rose claims she can feel her pregnancy.
她对318房间那个人的猜测是对的 She was right about the guy in Room 318.
他脚踝处确实有血块 He had a clot in his ankle.
我相信她发现了一些微妙的线索 I'm sure she picked up on some subtle clues,
比如那个人呻吟着抱着自己的脚踝 like the guy moaning and grasping his ankle.
做个CT 排除摔倒造成的腹部损伤 Get a CT to rule out abdominal injury from her fall.
我们会在你脖子上插入一根细针 We're going to insert a thin needle into your neck
好让我们注射麻醉剂 so we can inject the anesthetic.
这可能会有点疼 It may sting a bit.
用平面法将针头放在 Use an in-plane approach to place the needle
第六节脊椎结节和颈动脉之间 between the C6 tubercle and carotid artery.
你可能会感到有些不适 You might feel some discomfort.
患者哈里斯·本 紧急救护需求
什么情况 What's wrong?
佐伊受伤了 Zoe's hurt.
我没事 I'm okay.
拿点冰块来 Get some ice.
让我看看 Let me take a look.
怎么搞的 What happened?
我打了她 I hit her.
我躺在他旁边 I was laying next to him.
我知道我不该这么做的 I know I shouldn't,
但那一针让他的疼痛减轻了好多 but the shot just made his pain feel so much better.
-我就以为 -小佐 - I thought... - Zo.
不是你的错 You didn't do anything wrong.
我听到走廊有声音 There was a noise in the hall.
-就挥拳了 -我知道 - I lashed out. - I know.
我不是有意的 对不起 I didn't mean to. I'm sorry.
没伤到筋骨 Nothing's broken.
我给你拿点消肿的东西 I can get you something for the swelling.
不用 我没事 我回家去清理 No. I'm okay. I'm gonna go home, get cleaned up.
我需要一点时间 I just need some time.
我爱你 I love you.
我觉得我们可以帮助本 I think we can help Ben.
用迷走神经刺激术治疗创伤后应激障碍 There have been some promising results
有一些成功的案例 using Vagal Nerve Stimulation to treat PTSD.
他的疤痕使我们不可能 His scarring would make it impossible
在开刀找迷走神经的同时不造成损伤 to expose and find the nerve without damaging it.
那些疤痕正是我们应该尝试的原因 Those scars are the reason that we need to try.
想象一下 一次又一次经历过去的噩梦 Imagine reliving your worst nightmare over and over again.
为什么这里的人 Why doesn't anyone around here
都不想做自己的本职工作 want to do the job they were hired for?
本需要的是心理治疗 What Ben needs is psychological help.
我预约了心理咨询 I've ordered a consult.
把这事留给专业的人去做吧 Leave it to the people who are trained to do it.
强迫住院医生 It sets a bad precedent to force a resident
做他们有心理障碍的手术 起了个坏头 to do a procedure they're not comfortable with.
这里没有人对谁该做那该死的堕胎手术 Wow. Does anyone around here not have an opinion
没有意见吗 about who should do that damn abortion?
乔丹是有选择的 在我看来 她选对了 Jordan had a choice, and in my opinion, she made the right one.
在老板胁迫下做的选择不是真心的 It's not a true choice if you're coerced by your boss.
我只是叫她做自己的工作 I asked her to do her job.
你从想学习的住院医师那里夺走了机会 You took an opportunity from a resident who wants to learn
而让不想学习的去做 in favor of one who doesn't.
这番长篇大论是关于逼乔丹做手术 Is this song and dance about Jordan doing the procedure
还是你的侄女做不了手术 or your niece not doing it?
都不是 Neither.
你误会奥利维亚来圣何塞圣文德医院 There's a misconception that Olivia came to St. Bonaventure
是因为我 because of me.
其实她是仰慕你的名声 She's here because of your reputation.
伟大的利姆医生 The great Dr. Lim,
大师级的医术 高专业素养 富有同情心 a master class in technique, professionalism, empathy.
最近 这些名声有些站不住脚了 Lately, it doesn't seem like that reputation holds up.
我给你开了抗生素 防止感染 I'm giving you an antibiotic to prevent infection.
真空抽吸需要十五分钟左右 The vacuum aspiration will take about 15 minutes,
然后你会局部失去知觉 and you'll be numbed with a local anesthetic.
也可以选择清醒 Conscious sedation is also an option,
但手术后你需要有人开车送你回家 but you will need someone to drive you home afterwards.
你有什么问题要问我吗 Do you have any questions for me?
我害怕 I'm scared.
你确定你仍想堕胎吗 Are you certain you wanna go ahead with the abortion?
是 Yes.
那你就不必害怕 Then you don't have to be scared.
你为自己做了正确的决定 You're the making the right decision for you.
再给她注射400微克米索前列醇 Give her another 400 micrograms of misoprostol.
我会在手术时回来 I'll be back for the procedure.
这个不行 This doesn't work.
把这些数据做成电子表格的形式给我 I need these numbers in spreadsheet format.
-谢谢你 -借过 - Thank you. - Oh, excuse me.
朴医生 Dr. Park?
露丝的CT扫描正常 Rose's CT was normal.
做一个上消化道钡餐检查 Get an upper GI barium study.
你要的第一季度供应成本 First quarter supply costs you requested.
还有 有个新来的住院医生看起来很沮丧 Also, one of your first-years seems upset.
他在楼梯间待了有一会了 He's been in the stairwell for a while.
还好吗 Everything okay in here?
我需要安静一会 I just needed some quiet.
医生来楼梯间有两个原因 Surgeons come into the stairwell for two reasons,
消防演习或者工作创伤 fire drills or doctor trauma.
你在做消防演习吗 You having a fire drill?
我只是希望能给本更好的治疗手段 I just wish we had a more effective treatment for Ben.
他精神错乱 我们却帮不了他 His head's so messed up, and we can't help him.
我觉得这与本无关 I don't think this is about Ben.
你有没有明知道能救 Have you ever lost a patient
却没有救活的病人 you knew you could have saved?
新冠最严重的时候 When covid was at its worst,
我们不得不取消所有非紧急手术 we had to cancel all non-urgent procedures.
一位患有心脏病的年轻妈妈 A young mom with a heart condition was
病情比我想得要更紧急 more urgent than I thought.
没等我把她的手术提上日程 她就死了 And she died waiting for me to put her on the schedule.
你是怎么度过的 How do you get past that?
因为这项工作就是这样 You get past it because that's the job.
你会永远记得 You will always remember it.
也最终不会再受午夜梦回的折磨 And you will eventually stop reliving it.
你又怎么能确定 How can you be so sure?
因为做不到的话 你就不能成为医生 Because if you don't, you can't be a surgeon.
我很肯定你就是一名医生 And I'm pretty sure you're a surgeon.
我该回去工作了 I should get back to work.
放入窥镜 Insert the speculum.
撑开子宫颈 Now dilate the cervix.
开始抽吸 Begin suction.
开始在子宫内慢慢抽吸 Begin gentle suction in the uterus.
有问题吗 Is anything wrong?
没事的 You're okay.
艾伦医生 接下来交给我 Dr. Allen, I can take it from here.
别担心 快结束了 Don't worry. We're almost done.
你不会有事 You're gonna be just fine.
你根本不知道那女人在经历什么 You have no idea what that woman was going through,
你还雪上加霜 and you made it worse for her.
我知道 我没... I know. I didn't...
在进手术室之前 You had an opportunity to opt out
你有机会退出 before you walked into that room,
但你同意了做手术 but you agreed to do the procedure,
你承担起了对那个病人的责任 you took on an obligation to that patient,
结果你没做到 and you failed her.
如果你再出现这样的情况 If you ever do anything like that again,
我就要把你从我的项目开除 I will have you removed from my program.
也许你应该先清洗一段时间的便盆 Maybe you should be cleaning bedpans for a while.
希望那项工作没有道德障碍 Hopefully there's no moral objection to that.
为什么我的桌子上有成人玩具 Why are there adult toys on my desk?
我听人说大羊驼很好 I've heard good things about the Llama,
但网上的评论并不都是准确的 but online reviews aren't always accurate.
你有特别喜欢的吗 Do you have a favorite?
这是送给莉亚的 They're for Lea.
你最喜欢哪个 克莱尔 Which one do you like the most, Claire?
有证据显示创伤会改变大脑的运作方式 Evidence suggests that trauma changes the way the brain works.
过于活跃的杏仁体会加剧人们 An overactive amygdala can heighten someone's response
对情绪刺激的反应 包括恐惧 to emotional stimuli, including fear.
我想我们应该考虑给本做杏仁体消融术 I think we should consider amygdala ablation for Ben.
这太疯狂了 That's crazy.
而且根本不在我们的考虑范围内 And completely outside the scope of our care.
我们是 We're s...
我们是外科医生 We're surgeons.
我们解决生理问题 而不是心理问题 We fix physiological problems, not mental ones.
这就是生理问题 It is a physiological problem.
他的大脑功能不正常 His brain isn't functioning properly.
如果这些反应是肿瘤造成的 If it was a tumor that was causing these reactions,
你会毫不犹豫地切除它 you wouldn't hesitate to remove it.
但他没有肿瘤 But there is no tumor.
你是要给他的大脑造成伤害 You're talking about inflicting damage on his brain.
他术后可能会中风 He could suffer a stroke
或昏迷 或者彻底醒不过来 or come out in a coma or not come out at all.
如果你用立体定向激光的方法 If you use a stereotactic laser approach
而不是开颅手术 rather than an open craniotomy,
就会大大降低风险 you would greatly reduce the risks.
这不是你的病例 This is not your case!
你不能因为不想做分配给你的事 You cannot jump into this one
就直接跳到这一个病例 because you don't want to do the one assigned to you,
教住院医师是你的任务 而不是我的 which is to teach, which you've made my problem
就像选莉亚的生日礼物是你的问题而不是我的一样 just like you made Lea's birthday gifts my problem.
你得成熟点 承担些责任 You need to grow up and accept some responsibility.
我去年也被诊断为创伤后应激障碍 I was diagnosed with PTSD last year.
我基本上没告诉任何人 I kept it mainly private.
梅伦德斯真的帮我渡过了难关 Melendez really helped me through it.
有朋友依靠真的很好 It was nice to have a friend to lean on.
所以如果你需要朋友... So if you need one...
我觉得 I feel
不在状态 off.
觉得跟世界脱节了 Disconnected.
觉得我好像喘不过气来 Like I can't catch my breath.
但 But
这和工作是一起的 it comes with the job.
我会克服的 I'll get over it.
是本 It's Ben.
本 Ben.
没人会伤害你 No one is gonna hurt you.
你又在闪回了 You're having a flashback.
我知道我在哪里 I know where I am.
自从我回到家后 Every day since I came home,
我每天都觉得好像有怪兽在追我 I've felt like there's a monster chasing me.
我尽量不让它追上 I try to outrun it
但结果却伤害了我最爱的人 but I end up hurting the one I love the most.
我对周围的所有人都是个威胁 I'm a threat to everyone around me.
不 本 你只是需要帮助 No, Ben, you just need help.
什么都没用 Nothing helps.
我不能微笑 也不能大笑 I can't smile. I can't laugh.
我除了痛什么都感觉不到 I can't feel anything but pain.
我让周围的所有人 I make everyone around me
都很痛苦 suffer.
本 Ben.
有个手术可能会有帮助 There's a surgery that may help.
我想参与杏仁体消融术 I would like to scrub in on the amygdala ablation surgery.
露丝说你觉得不堪重负 需要... Rose said you're feeling overwhelmed and need...
我不想再听到那个女人说的任何话 I don't wanna hear any more things that woman has said.
你的工作是指导你的住院医师 Your job is to supervise your residents.
你为什么在这里而不在指导他们 Why are you here instead of doing that?
你说过你会教我指导他们 You said you were going to supervise my supervision,
但你没有 but you didn't.
你接手了我的病例 You took over my case.
我不知道我该学什么 怎么学 I don't know what I was supposed to learn or how.
进来吧 Scrub in.
莫菲医生 告诉亚舍探针的位置 Dr. Murphy, walk Asher through the probe placement
以及到杏仁体的路线 and trajectory to the amygdala.
我会教你指导他们 I will supervise your supervision.
好 将探针垂直插入大脑皮层表面 Okay, insert the probe perpendicular to the cortical surface.
住手 你的方向偏了 Stop! You're off course.
照这个路线插下去 On the current trajectory,
你会穿过脉络膜动脉的分支 you will penetrate a branch of the choroidal artery
造成脑出血 and cause a hemorrhage.
离探针远点 Step away from the probe.
你的工作是教学 而不是接手 Your job is to teach, not take over.
将探针向下调整一毫米 Adjust the probe one millimeter inferiorly.
避开你右边的颞角 Avoid the temporal horn on your right.
我在图像导引上看不到它 I can't see it on the image guidance.
把你看到的告诉亚舍 Tell Asher what you see.
它应该指向Y轴上的六点钟方向 It should point toward your six o'clock on the Y axis.
你必须去感觉它 You have to feel it.
那个 The...
脑实质边沿的组织面是光滑的 The tissue plane along the parenchyma is smooth.
感觉应该就像在滑行 It should feel like gliding.
你已经到杏仁体了 You've reached the amygdala.
准备进行激光热消融术 Ready to begin thermal laser ablation.
露丝的上消化道和化验结果都正常 Rose's upper GI and labs were normal.
我们要留她再观察一天吗 Should we keep her another day to observe?
不 如果她稳定了 就让她回家 No. If she's stable, let's send her home.
-好 我会让奥利维亚 -张嘴 - Okay, I'll have Olivia... - Open your mouth.
什么 Pardon me?
张嘴 Open your mouth.
-我可以... -把嘴巴闭上 - I can, uh... - Shut your mouth.
-有只大老鼠 -小老鼠 - There's this rat. - A mouse.
车库里有只死老鼠 A little dead mouse in the garage,
这位高大强壮的男人居然不敢把它弄出去 and the big, strong man is afraid to get it out.
不是不敢 是讨厌 Not afraid, disgusted.
我们俩都不想处理 Neither of us wanna deal with it,
所以我们要用唯一负责任的方式解决 打赌 so we are settling it in the only responsible way, a bet.
挑战 其实是一系列挑战 A dare. A series of dares, actually.
谁先怂了就得... Whoever wusses out first has to...
把那些东西从你们嘴里拿出来 Take those things out of your mouth.
我会让露丝出院 I will discharge Rose.
你们俩回家吧 You two, go home.
-我们只是... -在工作时间犯傻 - We were just... - Being idiots at work,
还有那么多人身患重病 不久于人世 while people are sick and dying.
回家吧 Go home.
你的检查一切正常 可以出院了 All your tests are normal. We're discharging you.
也对 因为你是通灵师 Right, because you're psychic.
我是共情者 不是通灵师 I'm an empath, not a psychic.
不管是哪个 我建议你放轻松 Whatever the case, I would suggest you take it easy.
不饮酒 不搬运重物 No drinking, no heavy lifting...
你得发泄出来 亲爱的 You have to let it out, dear.
是你 It was you.
你让我心率加快 You made my heart rate spike.
你就要崩溃了 You're about to implode.
你没有任何问题 我也没有 There's nothing wrong with you... or me.
蓝色警报 Code blue!
进来 Yeah?
利姆医生 我昨天的行为 Dr. Lim, my behavior yesterday
不可原谅 也不专业 was inexcusable and unprofessional.
我让你失望了 让患者失望了 I let you down. I let the patient down.
我深深地抱歉 I am deeply sorry.
我也保证这种情况不会再发生了 And I promise it will not happen again.
你让个人评判妨碍了你的工作 You let your personal judgment get in the way of doing your job.
你说得对 这是不可原谅的 You're right. That is inexcusable.
你说 我不知道患者承受了什么 You said I had no idea what the patient was going through.
事实上我知道 The truth is I kinda do.
惊慌 孤单 害怕别人发现 Scared, alone, afraid of anyone finding out.
我选择了事业 而放弃了做母亲 I chose my career over motherhood,
放弃了信仰 over my faith.
但我不后悔 But I don't regret it.
而且我知道上帝已经原谅了我 And I know God forgave me
因为我一路走到这里 because I get to be here,
实现了我当医生的梦想 living my dream of being a doctor.
但我有意不去回想 But I purposely try not to think about it.
你下班吧 You're off scut duty.
我不是为了这个 That's not why I...
接受吧 Take it.
我叫本杰明·艾伦·哈里斯 My name is Benjamin Alan Harris.
我在圣何塞的圣文德医院 I'm in St. Bonaventure Hospital in San Jose.
看起来语言和记忆功能完好 Language and memory appear to be intact,
你的运动功能也正常 and your motor function is normal.
但这不代表成功了 是吗 But that doesn't mean it worked, does it?
是 No.
我们得做功能性核磁共振 We'll have to do an fMRI
来看看你对恐惧刺激的反应如何 to see how you respond to fear-inducing stimuli.
不过你现在应该休息 But we'll let you rest for now.
在我知道自己好起来之前 我无法休息 I'm not gonna rest until I know I'm better.
我想告诉你我的这些伤疤是怎么来的 I want you to know how I got these scars.
不 现在不行 No. Not now.
给你自己一点时间 Just give yourself time.
我在坎大哈的护卫队中 I was in a convoy in Kandahar.
我坐在前线的赫斯基排雷车里 I was in a Husky, the big vehicle at the front.
本 你不用这样的 Ben, you don't have to do this.
罗尼开车 Ronnie was driving.
他在给我讲故事 He was telling me a story,
关于基地的羊 something about a goat at the base,
或者是鸡 or maybe it was a chicken.
我不知道 但是 I don't know. But...
我们正在大笑 We were laughing.
然后整个世界都着火了 Then the world was on fire.
赫斯基排雷车的工作 It's the Husky's job
就是发现简易爆炸装置 to spot IEDs.
而我漏掉了一个 And I missed one.
我看不到他们的脸 I can't see their faces.
只有 Just
四散的尸体 bodies everywhere.
孤独地死去 Dying alone,
没有家人陪伴 without their families.
我能做的只有握住他们的手 All I could do was hold their hand.
你还好吗 本 Are you okay, Ben?
祝你生日快乐 Happy birthday to you
生日快乐 亲爱的莉亚 Happy birthday, dear Lea
祝你生日快乐 Happy birthday to you
多么愉快的一天 Fun day.
你需要什么 What do you need?
我们有诊断了 We have a diagnosis.
我就说我感觉有人来了 I thought I felt someone here.
你度过了漫长的一天 You've had a long day.
你有变异型心绞痛 露丝 You have Prinzmetal's Angina, Rose.
心脏问题 但是可治愈 A heart condition. But it's very treatable.
解释了你的一切症状 It explains all your symptoms,
并且压力会加重病情 and it's exacerbated by stress,
很有可能导致你心脏病发作 which is likely what caused your heart attack.
你不能再找寻他人的痛苦了 You need to stop seeking out other people's pain.
真的会导致你死亡 It's literally killing you.
你是外科主任 You're the Chief of Surgery.
你本可以让别人告诉我的 You could have sent somebody else to tell me this.
当然 Sure.
但是我会错过幸灾乐祸的机会 But then I'd miss my chance to gloat.
你来这儿是因为你很痛苦 You're here because you're hurting
而你无处可去 and you don't know where else to go.
继续 用你的魔法 Go ahead. Use your magic.
告诉我 我出什么问题了 Tell me what's wrong with me.
我怎么停止这些感觉 How do I stop feeling like this?
不是这样的 It doesn't work that way.
我没有魔法棒 I don't have a magic wand.
我只能举起一面镜子 I can only hold up a mirror,
让你放缓脚步 make you slow down,
直视你内心 look at the parts of yourself
试图忽略的部分 that you've been trying to ignore
因为你害怕 如果你直视它 你会崩溃 because you're afraid if you look too closely, you'll break.
也许你会 我不知道 Maybe you will. I don't know.
也许崩溃才是重点 Maybe breaking is the point.
你不能逃避你的苦痛 利姆医生 You can't outrun your pain, Dr. Lim.
你再继续 它会杀死你的 If you keep trying, it's gonna kill you.
BGM: Keep Diggin' Up Dirt by Future Royalty
♪ Where do my hands go? ♪
♪ Have time to play with my mind ♪
♪ Where does my tongue go? ♪
死亡时间 12点34分 Time of death, 12:34.
死亡时间 7点13分 Time of death, 7:13.
死亡时间 2点25分 Time of death, 2:25.
死亡时间 21点 Time of death, 21:00 hours.
-死亡时间 -死亡时间 4点26分 - Time of death... - Time of death, 4:26.
-死亡时间 -死亡时间 7点13分 - Time of death... - Time of death, 7:13.
-死亡时间 -4点26分 - Time of death... - 4:26.
-8点55分 -死亡时间 - ...8:55. - Time of death...