人脑大约有一千亿个神经元 The human brain contains roughly 100 billion neurons.
这些神经元个别只能帮我们保留 Alone, these neurons would only allow us to retain
跟闪存一样多的资讯 about as much information as a flash drive.
幸好我们的神经元互相连结组合 Fortunately for us, our neurons connect and combine,
形成一个网络，大幅增加大脑储存容量 creating a web that exponentially increases the brain's storage capacity.
山上好宁静 It is so peaceful up here.
是啊 Oh, yeah.
真棒 It's great.
对，根据地图 Yeah. According to the map,
-过前面的弯就到瀑布了 -好 -the waterfall is just around the bend. -Okay.
事实上，这过程所创造出的空间 In fact, this process creates so much space
足以让我们储存，相当于三百万小时视频的内容 that we can store the equivalent of three million hours of video content.
没有瀑布 No waterfall.
我看错了吗？ Did I read this wrong?
-这是瀑布，对吧？-对 -I mean, that is a waterfall, right? -Yeah, yeah.
但地图也说这条步道是中等难度 But the map also rates this trail as moderately difficult.
抱歉，今天应该是开心休假日 I'm sorry. This was supposed to be a fun day off.
我很开心 No, I am having fun.
感受土地和新鲜空气 Mud on the boots, fresh air.
很棒的户外活动，是吧？我们走 It's the great outdoors, right? Let's go. Okay.
那么我们为何记不住想牢记的一切呢？ So, why can't we remember everything we try to commit to memory?
你今天拯救生命了吗？
切除回肠后 Following resection of the ileum,
病患最可能需要补充哪种维生素？ a patient is most likely to require supplementation of which vitamin?
B12 B12.
五分钟后接班，来不及买咖啡 Round starts in five minutes. Coffee takes longer.
昨天她吼我，就因为我要去厕所 Yesterday, she yelled at me for going to the bathroom.
大家都很紧绷，因为明天外医国考 Well, everyone is on edge because the ABSITE's tomorrow.
或是因为她没爱爱 Or because she's not getting laid.
我也没有啊 I'm not getting any either.
4.85美元，谢谢 That'll be 4.85, please.
梅若迪丝，泰蒂又给资金，你收到了吗？
好的 Oh. Uh, yes.
我的皮夹一定就在里面 I swear my wallet is in here somewhere.
让我付吧，要吃早餐吗？ Hey, let me get it. Do you want breakfast?
我吃太多杏仁可颂了 I'm in an unhealthy relationship with these almond croissants.
你不必这么客气 Uh. No, you really don't have to.
是啊，但我愿意 I know. I want to.
-来，不用找了 -谢谢 - Here. Keep the change. - Thank you.
怎么？ What?
她请我喝咖啡 She bought me coffee.
也许她是好心 Yeah. Maybe she was being nice.
或是奇怪 Or weird.
我没时间陪你猜 I don't have time for whatever this is.
瓦格纳医生请到放射科 Dr. Wagner to Radiology.
我一直传简讯 I've been texting.
今天我听你差遣 I'm on your service today.
-昆特先生应该能转出加… -先别说… - I think we can downgrade Mr. Quint from-- - Just--
我正在脑中练习对艾特曼说的话 I'm practicing my speech to Altman in my head.
她一来，我就要说我不做外科了 I am quitting general as soon as she gets here.
艾特曼今天休假 Altman's off today.
不，什么？ No. What?
我都练习了一整晚 I was up all night rehearsing.
你可以把力气用在，帮昆特先生签名转出重症监护室 You could channel all that energy into signing off on Mr. Quint's step-down room.
还有瓦伦蒂太太依然肿胀，所以可能要安排做电脑断层 Also, Mrs. Valenti still looks distended, so you might wanna order a CT.
还有你看了昨晚的护理纪录单吗？ Also, did you review the nurse's notes from last night?
你忘了这里的规矩吗？ Did you forget how this works?
我指派你去做才对 I tell you what to do.
-去做刚才那些事 -那你要做什么？ -Now, go do all that. -Then what are you gonna do?
我会一边焦躁一边想，我的住院医生办事要拖多久 I'm gonna stew thinking about how long it took my resident to do what I asked.
烂事下面扛，史密特，快去 Crap rolls downhill, Schmitt. Go.
还有人问我的语气跟谁学的 And they wonder where I get my tone of voice.
别挡路 Out of my way.
我昨晚11点还在这里做直肠指诊 I was here until 11:00 last night doing rectals.
你甩了赫姆前可以先说一声 A heads-up would have been nice before dumping Helm.
我没甩了谁，我只是需要独处 I didn't dump anyone. I just needed space.
走快点 Walk faster.
-她火气真大 -我完成处置纪录了 -She's like a pissed off bee. -I finished my procedure log.
抱歉有点晚，我要准备外医国考… Sorry it took a minute. I was studying for the ABSITE--
给我就是了，格瑞弗斯 Just hand it to me, Griffith.
你应该交给我或史密特 You're supposed to submit that to me or Schmitt,
但你们也违规习惯了 but why start following the rules now?
恭喜你们 Well, congratulations.
在两个月之内 In under two months,
你们一共完成了几十组上动脉导管 you have collectively done dozens of A-lines,
胸管和其他必要处置 chest tubes and other critical procedures.
我知道你们不想把时间耗在这些事情上 And I know it is not how you wanted to spend your time,
不过你们退回去练基本功 but you went back to basics,
互相合作，现在能往前迈进了 worked together, and you're ready to move forward.
所以我们能回手术室了？ Does that mean we're allowed back in the OR?
立刻生效 Effective immediately.
我能不能刷手帮多里安… Wait, can I please scrub in on Dorian's--
他进来的那天就是我处理的 I was on his case from the day he got here.
我给过你们民主自决的错觉吗？ Have I given the impression that this is a democracy?
赫姆 Helm.
格瑞弗斯和亚当斯，跟着贝利医生 Griffith and Adams, you're with Dr. Bailey.
米伦跟着薛波 Millin, with Shepherd.
安田跟着杜古，关跟着林肯 Yasuda, Ndugu. Kwan, Lincoln.
今天自己抽空读书 Oh, uh-- And study when you can today.
如果明天考试成绩 If you don't score above the 30th percentile
没过30%的低标 on your exam tomorrow,
乔酒吧在征人 Joe's is hiring.
我很爱那份工作，所以糗的是她 I actually loved that job, so joke's on her.
注意纪录表和呼叫信息，别让手术室里的人死了 Keep up with your notes and pages and please don't kill anyone in the OR.
好 Yeah.
快去啊 Go.
今早还好吗？ How we doing this morning?
我的肺依然塌陷，但我今天头发状态很好 My lung is still collapsed, but I'm having a great hair day, so…
好的，安田 I'll take it. Yasuda.
陈艾美，16岁，出生就有囊肿纤维症 Emmy Chen, 16, born with cystic fibrosis.
因为左侧持续气胸而住院 Admitted for a persisting left pneumothorax.
目前使用爱克痰和两升鼻导管 Currently on Mucomyst and two-liters nasal cannula.
以前还更惨呢 I've had way worse.
明天她要做影像胸腔镜肋膜沾黏术 Tomorrow, she will undergo a VATS pleurodesis
刺激肺部外层和胸壁 to irritate the outside lining of the lung and chest wall.
我才不会接受 No way I'm consenting to that.
我们讨论过了 We've talked about this.
-你跟你爸妈都同意 -我的身体，我作主 -You and your parents agreed. -My body, my choice.
我说第十遍了，你的用法不对 For the tenth time, that's not how you use that phrase.
你的身体在漏气，从肺漏到胸腔 And your body is leaking air from your lung into your chest.
所以听杜古医生的 So listen to Dr. Ndugu.
卡洛琳 Caroline.
我是贝尔川医生，这是米伦医生 I'm Dr. Beltran. This is Dr. Millin.
我是艾美 And I'm Emmy.
抱歉，今天儿科客满 And unfortunately, peds is a full house today,
欢迎加入艾美 so welcome to Emmy's world.
我们要与她同行 -We're just living in it. -Hi.
-你是黛安吧，这趟还好吗？-很顺利 -Hi. You must be Diane. How was your trip? -Easy.
再次感谢你帮我们看病 And thank you again so much for seeing us.
互助会对你的评价很高 We've heard great things about you from our support group.
希望我别砸了招牌 Well, I hope I can live up to the reputation.
我能看看吗？ Can I take a look?
你比第一个医生好多了 You're better than the first doctor we saw.
他超爱批评 He was super judgy.
这里很安全 Safe space here.
艾美，我们听得见 We can hear you, Emmy.
那医生批评我的变性身份 That doctor judged me for being trans.
对，医生多数都很差劲 Yep. Most doctors suck.
谢谢哦，艾美 Thank you, Emmy.
米伦，请报告 Millin, present.
卡洛琳厄利，14岁 Uh, Caroline Early, 14,
左膝盖后方有进行式疼痛 presents with progressive discomfort behind the left knee.
外部机构的超音波检查出一处脂肪瘤 Diagnostic ultrasound at an outside facility showed a lipoma,
安排了今天切除 scheduled today for an excision.
你上次扫描是两个月前 Your last scans were a couple months ago,
所以我要做磁振造影和超音波 so I wanna get an MRI and just repeat ultrasound
确保没什么遗漏，好吗？ just to make sure nothing was overlooked, okay?
-好 -我们晚点再来 -Okay. -We'll be back for you soon, okay?
谢谢 Thanks.
格瑞弗斯，报告 Dr. Griffith, present.
多里安卡德纳斯，住院第55天，转回… Dorian Cardenas, hospital day 55, transferred back--
第56天 Fifty-six.
转回重症监护室，因为败血症复发 Transferred back to the ICU after recurrent sepsis
以及高排出肠皮瘘管，治疗采用点滴注射抗生素 and high-output enterocutaneous fistula. Treated with IV antibiotics.
已经从感染中恢复 Has since recovered from the infection.
安排今天做剖腹探查术并切除肠皮瘘管 Scheduled today for a laparotomy and takedown of the EC fistula.
今天很不错 Hey, it's a good day.
准备好开刀了吗？ You ready for surgery?
谁会说「准备好了」？ Does anyone answer "yes" to that question?
那腹部检查可以吗？ You okay with an abdominal exam?
随便 Whatever.
一个晚上就320毫升了 It looks like 320 ccs overnight.
所以这个手术会怎么做？ How exactly does this surgery work?
你也知道多里安的皮肤跟小肠相连 As you know, Dorian's skin and small bowel are connected.
所以我们今天要切开这个连结 So today, we are going to remove that connection
同时我们要试着帮他将造口接回腹腔 and while we're at it, we're going to try and reverse his ostomy.
等等，真的吗？ Wait, really?
你很年轻 You are young.
营养评估也过关了，所以我们要试试 Your nutritional markers are where we want them, so we're gonna try.
离芝士汉堡更近一步了 One step closer to a cheeseburger.
等我吃到了才算 I'll believe it when I eat it.
还是我们别再找瀑布了 Maybe we should just give up on the waterfall.
等等，我看过这棵树 Wait, I-- I've seen this tree before.
我们在绕圈子吗？ Are we-- Are we going in a circle?
萝希 Rosie!
-萝希 -爸，拜托救我 - Rosie! - Dad, help me, please!
拜托，我脚踝好痛 Please help me. My ankle.
怎么了？ What happened?
-我女儿摔下去，帮帮忙 -有人来帮忙吗？ My daughter fell. Please help.
-我女儿摔下去，帮帮忙 -有人来帮忙吗？ Did people come? Can they help us?
萝希，我叫欧文，这是我太太，泰蒂 Rosie, my name's Owen. This is my wife, Teddy.
我们都是医生，我们会帮你 We're both doctors. We're gonna figure this out, okay?
没讯号，我下去打救护专线 All right. No service. I'm gonna go down and call 911.
萝希，你的手跟脚能动吗？ - Ow, ow, ow. - Rosie,
萝希，你的手跟脚能动吗？ can you move your arms and your legs?
可以，可是我的脚踝很痛 Yeah, but my ankle really hurts though.
试着减轻重量，保持冷静 Okay. Try to keep your weight off it and stay calm.
这是在说笑吗？ Is that a joke?
幽默感还在 Sense of humor's still intact.
等我们联络上森林护管员 Okay. Once we get the park rangers on the phone,
他们十分钟内就会赶来 there'll be help here in less than ten minutes.
-我在山壁边缘 -尽量别动 -I'm on a ledge! -Try not to move too much, okay?
-爸 -女儿，我在这里 -Dad! -I'm here, honey! I'm here!
别急，我们正试着求救 Hold on. We're trying to get help.
-我要怎么出去？-你等着，我救你出来 - How am I gonna get out of here? - Hold on! I'm gonna get you out!
-爸，你做什么？-萝希，我来了 - Dad, what are you doing? - I'm coming, Rosie!
-先生，等等 -爸，不要 -Sir, wait! -Dad, no! Dad!
不可以！ No, no, no!
实习医生
-乔瑟夫，你受伤了吗？-天啊 - Joseph, are you hurt? - Oh, my God. Oh, my God.
我的腿割伤了 I cut my leg.
很严重 It's-- It's pretty bad!
-萝希，请你看一下 -好 -Rosie, I need you to take a look. -Okay.
我没办法，稍微移动就会跌得很惨 No, I don't-- I don't think I can. We're on the edge of a huge drop!
-你必须形容他的伤势 -天啊，好的 -I need you to tell me what you see. -Oh, my God. Okay.
天啊，他在喷血 Oh, my God. He's gushing blood.
你说的「喷」是缓慢稳定流出吗？ When you say "gushing," do you mean it's slow and steady?
就是喷血 I mean gushing!
我们必须帮他止血，好吗？ We're gonna need to try and stop the bleeding, okay?
-救援来了吗？-还没 - Is help on the way? - Not yet.
现在必须靠你帮他，好吗？ Until then, you're gonna need to try and help him yourself, okay?
控制出血有三个步骤 Now, there are three steps to controlling bleeding:
按压、包扎伤口和使用止血带 apply pressure, pack the wound, and applying a tourniquet.
我根本不想来这趟无聊的远足 God, I didn't even want to come on this stupid hike!
现在你要听我的，你手边有衣服吗？ Right now you need to listen to me. Do you have a shirt that you can use?
脱下一件，用来压住你爸的伤口 You need to take that off and use it to apply pressure in your dad's wound.
好 Okay.
对不起…对不起 I'm sorry. I'm sorry. I'm sorry. Okay. Okay.
好 I'm sorry. I'm sorry. I'm sorry. Okay. Okay.
撑着点 Hold on. Hold on. Hold on.
没有用 It's not helping!
用布料塞住伤口，就用同一件衣服 Pack the wound with some kind of fabric. You can use the same shirt.
必须彻底塞进伤口里 You need to stuff that completely inside the wound.
尽可能塞紧 Pack it as tightly as possible.
感觉不太卫生 This doesn't seem sanitary.
-没别的选择 -好 - You don't have any options. - Okay.
-萝希 -好 - Rosie. - Okay.
-塞进去了 -很好 - Okay, it's in. - Okay, good.
现在用力往下压，需要稳定直接的按压 Now, press down as hard as you can. We need steady and direct pressure.
好的 Okay.
好，好的 Okay. Okay.
你还在吗？ Are you still there?
我还在，我不会离开 I'm still here. I'm not going anywhere.
泰蒂，快啊 Come on, Teddy. Come on.
葛蕾史隆纪念医院
快结束了 You're almost done.
你能尽量别动吗？ Could you try not to move around as much?
怎么还没结束？这是酷刑 How are we not done yet? This is torture.
卡洛琳，你喜欢打赌吗？ Caroline, are you a betting woman?
不知道，可能喜欢吧 I don't know. Maybe.
好，如果等你数到100，扫描还没结束 All right. If this scan isn't done by the time you count to a hundred,
我就给你100美元 I will give you $100.
那我可以买好多绣花线 I could buy so much embroidery floss.
-你爱手工艺？-我会编友谊手环 -Are you into crafting? -I make friendship bracelets.
我常在自习课编织 Usually during my study hall.
我打结时会专注到忘了自己在哪里 I can focus on tying all these tiny knots and it's like I'm not even there.
你朋友真幸运，能收到你做的酷饰品 Well, your friends are lucky that your hobby makes them such cool accessories.
-我要开始数了 -太晚了，结束 -I'm gonna start counting! -Too late. We're done.
你可以放松了 You can relax now.
说说你的判读 Okay. What are we looking at here?
脂肪的沉积不足以形成脂肪瘤 Well, there's not enough fat deposits for a lipoma.
有一条神经穿过，那是神经纤维瘤吗？ There's a nerve running through it. Is that a neurofibroma?
这我可没打赌 That I did not bet on.
下列哪种状况，绝对禁止给予胞浆素原活化剂？ Which of the following is an absolute contraindication to administration of TPA?
降不下的高血压、近期脊椎开过刀或… Uncontrolled hypertension, recent spinal surgery or the--
我现在不想练考题 Yeah. I don't wanna study right now.
这能使我冷静，回手术室让我紧张 Calms me down. Think I'm nervous to be back in the OR.
你会吗？ Are you?
不会 No.
关，我们的髋关节置换术延后了几小时 Kwan, our hip replacement got pushed a few hours,
你可以继续读书 so you can go ahead and keep studying.
你在做什么？ What are you doing?
我在缝补袜子 I, um, am fixing a sock.
-你明天要考外医国考 -对 -You're taking the ABSITE tomorrow. -Yes.
你说你不要做手术纪录，让你有时间准备 You asked me not to do op notes so that you could have time to prepare.
很感谢你给我时间 And I appreciate the time.
然后你把时间用来补袜子 Which you're using to fix a sock.
对，这是… Yeah, it's-- Um…
-是… -幸运袜？ -It's… -Lucky?
我说是的话会很怪吗？ Would it be weird if I said yes?
你就像小威廉丝 You're Serena Williams.
我不懂 I'm not following.
她对袜子很坚持，比赛期间不换袜子 She's got a thing about socks. She won't change 'em during a tournament.
她甚至不洗袜子来保持连胜 She won't even wash 'em if she's winning.
你知道多少运动员，有幸运袜、幸运裤或幸运胡？ You know how many athletes have lucky socks or shorts or beards?
关，这种行为很常见 You're in good company, Kwan.
你只有一个问题 You just got one problem.
你要快点拿到手术纪录？ You need your op notes sooner?
不是 No.
纱布 The gauze.
不够紧 It'll never hold up.
让我看看 Let me see that.
病变看起来是良性的，不过… So the lesion looks benign, but--
一定会有「不过」 There is always a "but."
很遗憾，这不是之前医生认为的脂肪瘤 Unfortunately, it's not a lipoma like your primary doctor thought.
很可能是神经纤维瘤 It's most likely a neurofibroma,
是神经组织中的自发性生长 which is a spontaneous growth in the nerve tissue,
可能会让神经受损 and it can damage the nerve itself.
所以你会觉得痛 Which is why you're experiencing pain.
-还是能切除吗？-可以 -So, can you still remove it? -Yes.
但是需要神经外科医师帮忙 But we need the help of the neurosurgeon,
所以我的朋友薛波医生来了 which is why my friend Dr. Shepherd is here.
卡洛琳 Hi, Caroline.
这… Is-- Uh--
抱歉，我无意冒犯 I'm sorry. With all due respect,
我们从德克萨斯来这里找贝尔川医生看病 we came here from Texas to work with Dr. Beltran.
我们谈过限制医生人数，好让卡洛琳安心 We discussed limiting the number of physicians for Caroline's comfort.
是，我知道 Yes, I know.
但我们要靠很擅长保留神经组织的医生 But we need someone extremely skilled at preserving nerve tissue
来做这项手术 to do the actual procedure.
薛波医生和我一起治疗过很多病患 Dr. Shepherd and I have collaborated on a number of patients,
她的技术是一流的 so I know she's the best.
需要神经外科医师，我肯定会找她 If I needed a neurosurgeon, she's who I'd choose.
她还很会玩《宝石消消乐》 Plus, she's really good at Gem Crush.
我不知道，这不在计划中 I don't know. This wasn't the plan.
你可以拒绝 You can say no.
能给我们一点时间吗？ Can-- Can we just have a second?
请别觉得被针对了 Please don't take this personally.
-没事的 -好，你们考虑一下 -No, of course. -Yeah. We'll give you some time.
快穿过筋膜了 Almost through the fascia.
好 Okay.
看看情况 Let's see what we've got.
可恶 Damn it.
格瑞弗斯、亚当斯 Griffith, Adams.
那是什么？是粘连吗？ What is that? Are those adhesions?
-像巨大的瘢痕组织 -这也叫做什么？ -It's like one giant massive scar tissue. -Which is known as?
腹冻结，但为什么扫描没看到？ Frozen abdomen. But why didn't we see this on the scans?
有时候要开刀才看得见腹冻结 Sometimes you don't see a frozen abdomen
有时候要开刀才看得见腹冻结 until they're staring you in the face.
好，这次手术会很漫长 Okay. This is going to be a long ride.
如果你们俩觉得需要退出 If the two of you feel the need to step out
去准备考试，没人会质疑你们 and study for your exam, no one in here will question that.
但现在就要决定 But I need to know now.
这次多里安的手术不能闪神 Dorian cannot have distraction in here.
我也不能被干扰 I cannot have distraction in here.
那就来吧 Then buckle up.
直角钳 Right angle.
我会需要牵引 I'm gonna need traction.
-如何？有改善吗？-天啊 - How's it looking? Any improvement? - Oh, God.
好多了，但他还是在渗血 It's better, but he's still bleeding through the packing.
终于打通了，救援马上来 I finally got through. Help is on its way.
爸爸在哪里？ Where is the dad?
别闹了，他受伤了吗？ You have got to be kidding me. Is he injured?
我这角度看不到，但萝希说是腿伤 Well, I can't see from this angle, but Rosie says it's a leg wound.
-很多血，可能伤了股动脉 -到处都是血 - Lot of blood, possible femoral injuries. - There's blood everywhere!
他不会流干吗？ How does he have any left?
也许我该试着滑下去… Maybe I should just try to slide down there and--
然后受重伤，让急救员再派人来？不行 And gravely injure yourself so the EMTs have to send another team? Hell no.
他可能会死，他需要… He could die. He needs a--
萝希，你有腰带吗？ Rosie, do you have a belt?
我穿瑜伽裤 I'm wearing yoga pants.
那就是没有 Okay. That would be a "no."
-有什么带子吗？-我有个小腰包 -Anything with a strap? -Yeah, I have a small fanny pack.
带子能拆下吗？ Does the strap come off?
-可以 -那就行 -Yeah. -Okay, that'll work.
你要帮你爸的腿绑止血带 You're gonna make a tourniquet for your dad's leg.
在伤口上方缠住他的腿 You'll rap it around his leg right above the wound,
然后尽可能把带子绑紧 and you're gonna tie it as tightly as you can.
没事的 It's okay.
好的 Okay.
-抱歉，好了 -接着有没有看到棍子？ I'm sorry. I'm done.
-抱歉，好了 -接着有没有看到棍子？ Okay. Now, can you see any sticks?
-有，这里有一根 -好，拿着棍子 -Yeah. Yeah, there's one right here. -Okay, now take the stick,
绑在止血带打结的地方 and tie it to the tourniquet right where the knot is.
扭转棍子，就能勒紧带子 You're gonna twist that stick and it'll tighten the strap.
-萝希 -好 -Rosie. -Okay.
好，我正在扭 Okay, I'm twisting.
-变紧了 -你做得很好 - It's getting tighter. - Great. You're doing great.
一直扭到血不再流为止 Just keep going until the bleeding stops.
好像… I think--
好像不流了 I think it stopped.
萝希，做得好，固定住别动 Great work, Rosie. Now hold that in place.
救援快到了，请再等一下 Help is on the way.
救援快到了，请再等一下 Just hang tight, okay?
好，格瑞弗斯，拿细型组织剪 Okay. Griffith, get the Metz.
你要把粘连剪除 You're gonna take down the adhesions.
我不确定粘连的终点和肠子的起点 I'm not sure I can see where the adhesions end and the intestine begins.
你要我换手吗？ You want me to change my mind?
细型组织剪，谢谢 Metz, please.
好的，小心一点 All right. Nice and easy.
一次剪去一层 One layer at a time.
剪的深度绝对不能超过我的直角钳 Never go any deeper than what I show you with my right angle.
好 Okay.
-很好 -我们几乎是牛步 - Good. - We've barely made a dent
推进手术 in this dissection.
格瑞弗斯做得很好 Griffith is doing just fine.
你觉得该继续吗？ Do you think we should continue?
多里安的并发症接连不断 Dorian's had complication after complication.
看都看不清楚 We can't even see.
再继续下去，可能造成更多伤害 If you go further, you could cause even more damage.
他进来的第一天就死过了 He was dead on the first day here.
关双手握着他的心脏 Kwan held his heart in his hands.
他有多次的败血症 He's had multiple cases of sepsis.
我在他的病床切开他的身体抢救他，而他仍然活着 I've opened him bedside as he was dying, but he's still here.
他还没放弃，所以 He's holding on. So,
我也不放弃 I am too.
我习惯坚持到底，这次也一样 I see things through. I am seeing this through.
好 Okay.
好的，格瑞弗斯 All right, Griffith.
他们大老远过来找你，你一定很开心 They came a long way to see you. That must be flattering.
我很火大 It's enraging.
不该让卡洛琳必须专程，找一名愿意尊重她的医师 Caroline shouldn't have to travel to see a doctor who treats her with respect.
你不想待在德克萨斯帮助那边的孩子？ You didn't wanna stay in Texas, try to help more kids there?
虽然我很不满 You know, as much as I hate it,
但也许他们来找我会更安全 I think maybe it is safer for them to come see me here.
环境变得很不友善 I mean, it's just gotten so hostile.
先别说那些不恰当的眼光跟排挤行为 Forget the awkward stares and the microaggressions.
有一家人还说要给儿子穿防弹背心来找我 One family was talking about putting a bulletproof vest on their son
因为他做了变性手术 just to come see me because he's trans.
那真是… That is…
对，让人无语 Yeah, there's no words to describe it.
希望卡洛琳的妈妈能劝劝她 Hopefully Caroline's mom will talk to her.
然后艾美别多话 And Emmy won't.
有没有看到陈艾美？她不在房里 Have you seen Emmy Chen? She's not in her room.
-她有点爱乱跑 -感谢你现在才说 -Yeah. She's kind of a wanderer. -Well, thanks for the heads-up.
-你们要帮我找她吗？-我们要准备帮病人开刀 -You two wanna help me find her? -We're about to prep a patient.
是卡洛琳的话就免了，她也不见了 Oh, you won't be if it's Caroline. She's also gone.
-开什么玩笑 -好的 -You gotta be kidding me. -Okay.
弹力绷带是最被人低估的敷料 The elastic bandage is the most underrated dressing.
能控制肿胀、缓解疼痛，而且耐用又有弹性 It controls swelling, eases pain, and it's durable and flexible.
每一点都适合用来补袜子 Everything you could want in a sock.
-你的连续缝合技术如何？-针距均等，张力适中 -How's your continuous suturing skills? -Even distance. Decent tension.
很好，哪种缝线？ Great. What kind of suture?
2-0丝线，坚固耐久 2-0 silk. Strong and permanent.
对，我同意，来吧 Yeah, works for me. Let's do it.
他们在帮昆特先生换房 They're moving Mr. Quint now.
帮他安顿好后，要再检查他的白血球数 So once he's settled, make sure you check his white count again.
还要让威尔森医生看过 And track down Dr. Wilson.
我们帮普莱斯太太安排的胆囊切除术 Make sure she sees that we schedule Mrs. Price's chole.
这手术我能刷手吗？ Can I scrub in on that?
你听清楚「胆囊切除术」之前的话吗？ Did you hear anything I said before "chole"?
我今天是听杜古医生差遣 Technically I'm on Dr. Ndugu's service.
烂事下面扛，安田 Crap rolls downhill, Yasuda.
安田，有没有看到杜古医生的信息？ Yasuda, did you see Dr. Ndugu's text?
我得走了，抱歉 Gotta go. Sorry.
艾美和卡洛琳失踪了 艾美和卡洛琳失踪了 Emmy and Caroline are missing.
也许她们在刷手准备开刀 Maybe they scrubbed in on a surgery.
酷哥酷妹都在刷手，我除外 All the cool kids are doing it, except for me.
至少你多了时间用功 Well, at least you have more time to study.
我过目不忘，我不需要用功 I have a photographic memory. I don't need to study.
我需要动手术，我有资格动手术 I need to cut. I deserve to cut.
这么自以为是？ Entitled much?
我几周前就完成处置纪录 I finished my procedure log weeks ago
我还得耐心等候其他人完成 and then I had to wait patiently for everyone else to finish theirs.
-你那叫耐心？-对 -That was you being patient? -Yeah.
现在那些底层的总算都完成了 And now that all the bottom-feeders are finally done,
我却没有刷手的机会 I can't scrub in to save my life.
我都快闷死了 I-- I am dying here.
我代表所有底层献上最诚挚的哀悼 Well, on behalf of all the bottom-feeders, my sincerest condolences.
杜古看过主治休息室了吗？ Did Ndugu check the attendings' lounge?
她们会偷溜进去？ What, you think they'd let themselves in?
很符合陈艾美的个性 I put nothing past Emmy Chen.
她从第一天就给我惹麻烦 She's been my problem child since day one.
你这口气好像我妈 You sound like my mom.
我也不是听话的孩子 I was not an easy kid.
我来的第一周，她就捉弄我 I thought she was hazing me my first week here.
她呼叫我20次，只为了看一部抖音短片 She paged me 20 times just to look at one TikTok video.
原来她的父母忙着工作 And it turns out her parents work,
他们还有另外两个孩子，所以她常独处 and they have two other kids, so she's alone a lot.
我常在她房里用餐 I've spent more than a few dinners in her room.
她令人头疼，但她是我最爱的麻烦 She's a headache, but she's my favorite headache.
让我想到自己小时候，超顽固 Reminds me of me at that age. Stubborn as hell.
-我们那时也许能当朋友 -大概不会 -We probably would have been friends. -Probably not.
当真？你们知道手术前不能吃东西 Seriously? You know you're not supposed to eat before your procedure.
她知道，我们不傻，晚点才要吃 She knows. We're not idiots. They're for later.
-你们也不该乱跑 -是我不好 -And you shouldn't be out of your bed. -It's my fault.
我只是想买零食，我们没时间… I just wanted to take a snack, and we didn't have time--
-艾美！-艾美…艾美 -Emmy! Emmy? -Emmy! Emmy, Emmy.
-艾美，你还好吗？-需要氧气跟轮床 -Emmy, are you okay? -We need oxygen and a gurney.
把她的头给我 Give me her head. Come on.
要撑住 Stay with me.
艾美 Emmy.
救护车
杭特？ Hunt?
乔瑟夫史考特，47岁男性，跌进山洞 - Joseph Scott, 47-year-old male. - Post fall into a cave.
左腿被岩石刺伤 Sustained a left leg puncture wound from a rock.
动脉大量出血 Arterial bleeding with significant blood loss.
当场用止血带包扎止血 Controlled with a tourniquet and packing in the field.
无其他伤处或头部外伤 No other injuries or head traumas.
还有艾特曼 And Altman.
好，什么情况？ Right. What do we got?
萝希史考特，19岁女性 Rosie Scott, 19-year-old female.
跌入同一个山洞 Post fall into the same cave.
左脚踝受伤，很清醒，生命征象稳定 Isolated left ankle injury. Awake and alert. Vitals are stable.
-我爸爸还好吗？-他是硬汉，还挺得住 -How's my dad? Is he okay? -He's tough. He's hanging on, okay?
检查女儿的脚踝 Let's do a workup on her ankle.
马上送他进手术室，萝希，我们会照顾他 Gonna get him straight up to the OR, okay? Rosie, he's in good hands.
有消息会尽快告诉你 We'll update you as soon as we can.
好好的休假都泡汤了 Hell of a way to spend your day off.
关，我们送她进去 All right. Kwan, let's get her inside.
她会不会恨我？是我提议溜出来的 What if she hates me? It was my idea to leave the room.
没事的，我们会帮她 It's gonna be okay. She's getting help.
帮我做个深呼吸 Take a deep breath for me, okay?
很好，好的 Good, good. Okay.
欢迎你醒来 Welcome back. Welcome back.
好，我们走 All right. Let's go.
我们要帮你接回胸管做抽吸 We gotta get your chest tube hooked back up to suction, okay?
怎么了，你很怕？没事的 What's wrong? You're scared? It's okay.
不，戴着，我帮你说，怎么了？ No, no, no. Leave it on. I'll try to name it. What is it?
气胸？你害怕会恶化？ The pneumothorax? You're scared it's worse?
你害怕不会康复？ Okay. You're scared you won't recover?
你会的，我会帮你 You will. I got you.
有我在，卡洛琳也在 I'm here. So is Caroline.
我们都在，我们只希望你没事 We're all here. We just want you to be safe, okay?
但我要在你身上装追踪器 But I swear I'm gonna put a tracker on you.
-全部都连接… -别说话，我在思考 - That's all connected to the-- - Stop talking. I'm thinking.
对，这样行不通 Yeah, it's not gonna work.
我们会拿掉他太多的肠子… We'd have to take too much of his bowel--
-等等，但你说… -我知道我说过什么 -Wait. But you said that-- -Yeah, I know what I said.
但我们没想到他的肠子会这么少 But the amount of bowel he has is far less than what we thought.
瘘管周围有易碎的肠子 Look, there's friable bowel around the fistula.
切除这个区域，剩下健康的肠子后 After we resect this area and get to healthy bowel…
他的情况会比手术前更糟 …he'll be worse off than when we started.
可以给他短肠综合征的药物吗？ Could we put him on medication for short bowel syndrome?
也许有帮助，但他剩余的肠子，无法帮他脱离全静脉营养 That could help, but he still doesn't have enough bowel to keep him off TPN.
我们忙这么久 We did all this,
只换来多里安一辈子 and now Dorian's gonna have to get all his nutrition
要靠点滴袋获得营养？ from an IV bag for the rest of his life?
-他才23岁 -亚当斯 - He's 23. - Adams.
不，他到30岁就会肝衰竭 No, no. He'll end up in liver failure by the time he's 30.
你以为我不知道吗？ Do you think I don't know that?
你以为我觉得无所谓吗？ Do you think I'm at all okay with that?
短肠综合征的儿科病例中 In pediatric cases of short gut syndrome,
下列何种手术能让剩余肠道增加20%？ which of the following techniques increases residual bowel by 20%?
格瑞弗斯医生，手术室不是练习外医国考的地方 Dr. Griffith, the OR is not a place to quiz yourself on your ABSITE exam.
连续横截肠道延长手术 A serial transverse enteroplasty procedure.
连横延肠术 A STEP procedure.
格瑞弗斯，请说明 Tell me what it is, Griffith.
把剩余的肠子交错剪成之字形 You cut the residual intestine in a zigzag fashion.
为何要这么做？ And why do we do that?
延长肠子，增加吸收 To lengthen it and help increase absorption.
但这不是给成人的照顾标准 But it is not the standard of care for an adult.
因为相关研究多数集中在儿科病患 Because most of the research on it focuses on pediatric patients.
这人经历的一切都不是标准 And nothing this man has gone through has been standard.
改变计划 Change of plans.
亚当斯，跟韦伯医生交换 Adams, switch with Dr. Webber.
我们现在要改做连横延肠术 We are converting to a STEP procedure.
听我指挥，照我说的做 Follow my lead. Do exactly as I say.
我需要肠胃钉缝机，还要多次装填 I'm gonna need a GIA stapler and multiple reloads.
这帮我赶一下，每隔两小时传讯给我，报告她们的血压 Hi. Put a rush on these and text me their BPs every two hours.
我以为你也会进重症监护室拆引流管 I thought you were meeting me in the ICU to remove drains.
我在检查几个昨天生产完的妈妈 Yeah, I'm just checking on a few postpartum moms from yesterday.
但你穿着深蓝手术服 But you're in navy scrubs.
对，我忘了 Oh, right. I forgot.
只要我换了手术服 When I change my scrubs,
我就会忘记前一天的所有病人 I just forget about all my patients from the day before.
我看了你的纪录表 Also, I checked your notes.
我交代的事，你有一半给了实习生 Half the things I told you to do you gave to the interns.
我管理他们，因为我是主管，你是吗？ I supervised them because I'm a supervisor. Are you?
如果你需要帮忙拆引流管 If you need help removing drains,
我们有比你更烦的问题 we have bigger problems than you just being annoying.
贝利跟韦伯还在动手术，所以我要接手他们的病患 Bailey and Webber are still in surgery, so I'm also covering their patients,
还有准备外医国考 and studying for the ABSITE.
那你跟他们也这样讲话吗？ Okay. Are you having the same conversation with them?
你的责任还没卸下 You haven't quit yet.
你48小时前才决定不做一般外科 You made this decision, like, 48 hours ago,
现在你就置身事外了 and you've already checked out.
你妈妈说你想见我们？ Hey. Your mom said you wanted to see us?
对 Yeah. I still haven't decided on the surgery, though.
不过我还没决定动手术 Yeah. I still haven't decided on the surgery, though.
没关系，你有疑问吗？ Well, that's okay. Do you have questions?
艾美离开一阵子了 Emmy's been gone a while.
对，她需要做一些检测 Oh, yeah. She just needed to get some tests done.
我在帮她编手环 I'm making her a bracelet.
我不知道她爱什么颜色，我就选我爱的 I didn't know her favorite colors, so I chose mine.
绿色跟紫色 Green and purple.
卡洛琳，我们很想帮你 Caroline, we do wanna help you.
艾美做的那件事，我也能做吗？ That thing Emmy did, can I do that?
说自己害怕的事 Where you say what you're scared of?
好啊 Oh, sure.
艾美跟我常轮流，这次我先开始 Emmy and I usually take turns though, so I'll go first.
我害怕忘记病患家长的名字 I am scared of forgetting my patients' parents' names.
所以我写在手上 So I write them on my hand.
我害怕手术恢复期太长，来不及参加春季舞会 I'm scared I won't recover from surgery in time for the spring dance.
我害怕医院的地下室 I'm scared of the hospital basement.
其实是怕各种地下室 Actually, any basement.
我害怕打麻醉 I'm scared of going under anesthesia.
我没做过 I've never done it.
对 Yeah.
我怕的是 I am scared of
达不到病人的期待 not living up to my patients' expectations.
我知道他们指望我 I know that they're counting on me.
我看过网络文章，躺在手术台上时 I read online that when you're on the operating table,
是裸体的 you're naked.
我没在别人面前裸体过 I've never been naked in front of anyone,
更别说是在塞满陌生人的房里 let alone an entire room full of strangers.
我怕他们无法… I'm scared they won't be able to--
我怕他们不理解 I'm scared they won't understand.
我怕他们不懂我 I'm scared they won't see me.
卡洛琳 Caroline.
我们懂你 We see you.
你是很棒的女孩 You're an amazing girl,
我们一定会让手术室里的人都明白这点 and we are gonna make sure that everyone in that operating room knows that.
好 Okay.
我动手术 I'll do the surgery.
我们帮你准备 We will get you prepped.
我去告诉黛安 And I will go tell Diane.
好，这样会比较舒服 Okay. This will be more comfortable.
我晚点回来看你 I'll be back to check on you later.
能谈谈吗？ Can we talk?
通常我会说好，但你不理我一个星期 Usually I'd say yes, but you've been ignoring me all week.
对，因为你毁了我精进外科手术的机会 Yeah, because you screwed with my ability to become a better surgeon,
我觉得这跟偷吃一样严重 which honestly, I rank as high as cheating.
不过我是来跟你的主管身份对话 But I am coming to you as my boss.
我需要手术 I need surgery.
今天是我们第一天回手术室 It's our first day back operating,
杜古今天没开刀，我做完他交办的事 Ndugu is not in the OR today and I finished all my work on his service.
那就学我们准备外医国考 Study for the ABSITE like the rest of us.
你为我着想一下 Put yourself in my shoes.
你在乔酒吧工作时，不渴望回手术室吗？ When you worked at Joe's, weren't you dying to get back into the OR?
-不会 -你怎么会是我的主管？ -No. -How are you my boss?
可以去帮贝克曼做经导管主动脉瓣置换术 Beckman could use an extra set of hands on a TAVR.
4号手术室 OR 4.
-最好快跑 -谢谢 -You better run. -Thank you.
我是说真的 Oh, I mean it.
我们会找一天好好谈谈 And-- And we'll talk. Eventually.
谢谢 Thank you.
刺破了股浅动脉，可以做直接缝合 Punctured the SFA. We could do a primary repair.
只需要清理边缘 -Mmm. -We just need to clean the edges.
我没料到休假会这么结束 You know, this is not how I thought our day was gonna end.
还用你说吗 You're telling me.
我准备了芝士跟一盘熟食要在山顶吃的 I had a cheese and charcuterie plate ready for when we got to the top.
冲洗 Irrigation.
我站在上面的时候，什么都看不见 You know, when I was standing up there I couldn't see anything,
我还以为他会需要截肢，或者更糟 and I thought for sure that he'd lost his leg or worse.
有些人就是好运吧 Some people are just lucky, I guess.
幸运的是我们走同一条步道 What's lucky is that we were hiking the same trail.
组织镊，谢谢 Geralds, please.
今天的事谢谢你 Hey, thank you for today.
-今天很棒 -我才不觉得 -It was great. -Speak for yourself.
我想重来 I want a redo.
今天让我想起以前的日子，你跟我在外头 I don't know. Reminds me of the old days. Me, you, out in the field.
好多血，没物资 Lots of blood, no supplies.
我们老是遇到意外 Adrenaline likes us.
惠德比岛的民宿会这么糟糕吗？ I mean, but would a bed-and-breakfast on Whidbey Island be so terrible?
-外踝有骨折吗？-没有 -Any fracture to the lateral malleolus? -No.
如果有呢？ If there was?
要看是稳定的还是移位的 Well, it depends if it was stable or displaced.
好，如果是移位呢？ Good. Displaced?
钢板加螺丝 Plate and screws.
没错 Exactly.
你拿着吧 Why don't you take this?
我是脚踝骨折吗？ Is my ankle broken?
是严重扭伤 It's a bad sprain.
你需要休息，冰敷还有按压 You need to rest it, use ice and compression,
保持腿部抬高 and keep it elevated.
我爸有消息吗？ Any word on my dad?
他还在动手术 He's still in surgery.
我六岁时，他离开我跟我妈 He-- He left me and my mom when I was six.
他再婚，组了新家庭 Got remarried, started a new family.
我们去年才又联络上 We just reconnected last year.
他邀我这次去远足，我根本不想去 And he invited me to go on this hike, and I didn't wanna go.
然后他要我别偏离步道 And then he-- he told me to stay on the trail,
但我想看看山洞里面… but I wanted to see inside the cave, and just--
我需要空间冷静 I needed some space.
所以他不能有事 So he has to be okay.
一有消息我们就告诉你 We'll let you know as soon as we hear more.
谢谢 Thank you.
再装填一次，谢谢 Another reload, please.
优秀的解决方案 Excellent solve.
我认为这办法十分可行 I think this is gonna work out nicely.
钉上缝合钉 Deploying the staple.
他心肺快停了 He's coding.
-为什么？怎么了？-不可以 - Wh-Why? What happened? - No, no, no.
他快不行了，让开 We're losing him. Okay. Move.
你们两个快让开 You two, out of the way now.
好，开始按压 Okay. Starting compressions.
给肾上腺素，好的 Push epi. Okay.
加把劲，多里安 Come on, Dorian.
你撑了这么久，不能现在放弃 You've come way too far to give up on us now.
加油 Come on.
撑下去 Come on.
艾美还好吗？ -How's Emmy doing? -Hey.
她很好，她的血氧上升，差不多恢复了 She's good. Her O2 sats are up. She's pretty much her old self.
所以她在用手机，想知道我在哪里？ So, on her phone, and wondering where I am?
差不多吧 Something like that, yeah.
-看来卡洛琳的手术很顺利？-对，多亏薛波医生 -Sounds like Caroline's surgery went well? -Yeah, thanks to Dr. Shepherd.
好，我得去看其他病人，晚点再看艾美 All right. Well, I gotta go check on a patient, but I'll round on Emmy later.
还在等我的晚餐 Still waiting for mine.
他们在麻醉恢复室停止供氧，她的生命征象很好 They weaned her off oxygen in the PACU, and vitals are great.
卡洛琳，你感觉如何？ Well, how you feeling, Caroline?
有点累 A little tired.
对刚切除肿瘤的人来说还不赖 Not bad for someone who just got a tumor removed.
恢复时间要多久？ So how long will it take to recover?
她需要后续照顾，但不用多久就能恢复 Well, she will need follow-up care, but I expect a quick recovery.
对，学校舞会肯定会超火 Yeah, that school dance is gonna be fire.
现在没人这么说了 No one says that anymore.
你可以说她会像一般人一样玩得很开心 You can just say she'll have fun, like a normal person.
谢谢 Thank you.
-我再传照片给你 -最好记得 -I'll text you pics. -You better.
谢谢你们两位把我女儿照顾得这么好 Thank you-- both of you-- for taking such good care of my daughter.
-应该的 -我们很有团队默契 - Of course. - I think we make a pretty good team.
萝希 Hey, Rosie.
他很快就会醒来了 He should be awake soon.
其实我跟他… You know, we--
我们早上出发前为了腰包吵架 we fought about that fanny pack this morning before we left.
他说远足要带背包，可以装物品 He said that hikers need backpacks so they can bring supplies
应付各种状况 and be prepared for anything.
但我很固执 But I was stubborn,
后来我还是带着，因为跟我的衣服很搭 and I brought it anyway because it went with my outfit.
以后他肯定会对那个腰包有不同的感受 Well, I bet he'll feel differently about that fanny pack now.
谢谢你救了我们 Thank you for saving us.
萝希，救人的是你，我只出一张嘴 Rosie, you did all the saving. All I did was talk.
你教我的事并不难，只是… I mean, what you taught me wasn't hard. It's just--
我不知道应该要那样做 I just didn't know it was what I needed to do.
如果你不在场，我爸就撑不到这里 But if you hadn't been there, my dad wouldn't be here now.
再给肾上腺素 Push more epi, please.
加油，多里安 Come on, Dorian.
亚当斯，换你来按压 Adams, take over compressions.
好，好 Good. Good.
拜托 Come on.
-加把劲 -格瑞弗斯，你看到什么？ -Come on. Come on. Come on. -Griffith, what do you see?
别动 Hold.
心室颤动，可电击的节律 V-fib. It's a shockable rhythm.
好 Okay. Uh--
电击板，谢谢 Paddles, please.
检查脉搏 Check his pulse.
-有反应吗？-没 - Anything? - Nothing.
没脉搏 No pulse.
好，转到150，清空 All right. Charge to 150. Clear.
亚当斯，清空 Adams, clear!
亚当斯，让开，亚当斯 Adams, clear! Adams!
路克斯，没关系，没关系 Lucas! Hey, hey. It's okay. It's okay.
没关系的 It's okay.
清空 And clear.
转到170 Charge to 170.
清空 Clear.
转到200 Charge to 200.
清空 Clear!
-贝利 -再来，清空 -Bailey. -Again. Clear.
破损
《外科实习医生指导概要》
《重症监护医学》
米伦，我有好消息跟坏消息 Oh, Millin. So I have good news and bad news.
好消息是我找到了一个手术机会 The good news is I found a surgery.
坏消息是杜古需要人手帮他的病患拆导线 The bad news is now Ndugu needs someone to pull wires on one of his patients.
你能帮我一个大忙去拆… So, could you just do me a huge solid and pl--
你还好吗？ Are you okay?
我今天一题都没答对 I haven't gotten a single question right today.
-我会考不过 -你不会考不好的 -I'm going to fail. -No, no. You're not going to fail.
会，然后我会被解雇 Yeah, and then I'm gonna be unemployed.
我得跟我的嬉皮爸妈或蠢弟弟一起住 I'm gonna have to crash with my hippie parents or my stupid brother.
你会考过的 You're gonna do fine.
我明明都知道 I know all of this.
我知道得一清二楚 I know it backwards and forwards,
但每次看考题，我脑袋就一片空白 but every time I look at the test, my mind just goes blank.
我爱这份工作 I love my job.
我不想被开除 I don't wanna get fired.
听起来你需要安田术 Sounds like you need the Yasuda technique.
那是什么？ What is that?
我的专利学习法 My patented study method.
成功率100% It has a 100% success rate.
是只有你100%成功吗？ By 100%, do you mean just you?
你要不要我帮忙？ Do you want my help or not?
那你的手术呢？ And what about your surgery?
明天还会有的 I'll get on one tomorrow.
好的，那… Okay. So…
要来罗 Here we go.
好的 Okay.
我看到你填了萝希的病历 I saw you updated Rosie's chart.
对，我想帮你填一些纪录 Uh, yeah. I thought I'd try to get some of your notes done
再去准备考试 before I get back to studying.
-谢谢 -赞啦 -Thanks. -Yeah.
关 Kwan.
我看着你一整天 I've watched you work all day.
我知道你会高分通过外医国考，不是凭运气 I know you're gonna ace the ABSITE, and not because of luck.
是因为你工作认真、准备充分 It's because you work hard. You're prepared.
你很在行 You know your stuff.
考试时别忘了这点 Remember that when you're in the exam.
谢谢 Thank you.
但我还是该穿幸运袜，对吧？ But I should still wear the socks though, right?
对 Yeah.
如果非洗不可，只能手洗 And if you have to clean them, hand-wash only.
没错 Oh, yeah.
你还在？ You're still here?
我要亲自看着他 I'm monitoring him myself.
我叫实习生回家了 I sent the interns home.
明天外医国考 ABSITE's tomorrow.
贝利，你对他们的照顾没话说 You've done a good job with them, Bailey.
对他也一样 Him too.
但结果并不理想 Yeah, it doesn't feel like it. And he's hangin' on,
他还坚持着 Yeah, it doesn't feel like it. And he's hangin' on,
但如果他能醒来，谁知道他的功能性输出会是怎样 but who knows-- if he'll wake up-- what his functional output will be.
还有实习生… And the interns--
我也以为我带他们带得很好 And I thought I did a good job with them too.
我以为反复操作跟专注，能让他们做好十足的准备 I thought the repetition and the focus would prepare them for anything.
但这种事？ But this?
他在下班回家途中被人近距离开枪打中 I mean, shot point-blank on his way home from work.
他只是成千上万名，枪支暴力受害者的其中一人 And he's just one of the thousands of gun violence victims
医院每年都有这种伤患 who show up in hospitals every year.
他跟其他几千几万名伤患一样，必须接受一次又一次的手术 One of thousands who have to undergo surgery after surgery after surgery.
我不知道怎么教他们应对这种事 I don't know how to prepare them for that.
我希望不必帮他们做好这种准备 I don't wanna have to prepare them for that.
我也还没做好这种准备 I'm still not prepared for that.
贝利，没人准备好 No one is, Bailey.
没人做好这种准备 No one is.
萝希还好吗？ How's Rosie?
她受到惊吓，但状况很好 She's good. You know, shaken up, but good.
如果我们能教导 Listen. If we were just able to teach
19岁的孩子帮她爸爸止血 a 19-year-old how to stop her father from bleeding out,
何不教导所有人呢？ why couldn't we teach that to everyone?
想想每天有多少件外伤，因此死去多少人 Think of how many traumas occur every single day and how many lives are lost
因为现场没人受过医护训练 because someone with medical training just isn't there.
我们可以拍视频，开课、设网站，或其他方式 I mean, we could make videos, hold classes, build websites. I don't know.
但如果止血的教导像心肺复苏一样广泛 But if stopping a bleed was taught just like CPR,
我们就能拯救更多生命 we would save so many more lives.
你觉得呢？ I mean, what do you think?
我认为这主意很棒 I think it's a great idea.
是吗？ -You do? -Mm-hmm.
那你能资助这件事吗？ I mean, would you be able to fund it?
即使只是研究跟开发？ I mean, even just the research and development?
我得看看还剩下多少 Well, I just-- I'd have to see how much I have left.
好的 Okay.
这一定会很棒 This is gonna be great.
走吧 Come on.
这是我的道歉 That's me apologizing.
你可以直接说：对不起，李维 You could just say, I'm sorry, Levi.
好，我给赫姆 Fine. I'll give it to Helm.
好 Okay.
前几天一名孕妇差点死在我手上 I almost lost a pregnant mom the other day.
现在我无法不去想她 And now I can't get her out of my head.
现在我会担心每一位病人 And now I'm literally worrying whether all of my patients
半夜是否仍在呼吸 are still breathing in the middle of the night.
乔… Jo--
林肯发现我昨晚凌晨2点登入医院系统 Link found me at 2 a.m. last night logging into the hospital system
只是为了看每个人的血压 just to see everyone's blood pressure.
所以我没置身事外 So, no, I'm not checked out.
我只是吓坏了 I'm just… freaked out.
你是很优秀的外科医生 You are an amazing surgeon.
优秀到两种专科都想要你 You're so good both specialties want you.
失误难免 Mistakes happen.
你跟我说过大概20次吧 You've told me that, like, 20 times.
那我说了第一次后，你怎么还失误？ Why are you still making mistakes after the first time I told you?
你去妇产科吧 You can go to OB now.
我没差 I'm good.
今晚没跟艾美一起晚餐？ Oh, hey. No dinner with Emmy tonight?
她有新的密友 Nah, she has a new bestie. I'm old news.
我过时了 Nah, she has a new bestie. I'm old news.
稍早的事谢谢你 Oh, hey. Um, thanks for earlier.
你在卡洛琳跟她妈妈面前夸赞我 You said nice things to Caroline and her mom.
我说谎，你玩《宝石消消乐》超逊，别想再碰我的手机 Hmm, well, I lied. You suck at Gem Crush. I'm never letting you near my phone again.
-但你会找我帮你动手术 -我看过你的技术 -But you would let me operate on you. -Well, I've seen your hands.
我想说一件事 So I, uh, wanna say a thing. Uh…
我有点不敢说 and I'm a little afraid to say it.
所以我要冲了，因为我常有话直说 So I'm just gonna blurt it because that is what I do.
你想不想找个时间跟我约会？ Would you want to go out with me sometime?
显然是我误会了 Clearly I misread the situation. Um…
你今天帮我说好话，还请我喝咖啡 You were just very complimentary today, and you bought me a coffee, uh…
请忘了我刚才说的话 Please forget that I said anything ever.
不，只是… No, it's just, um…
我的离婚很麻烦，还没处理完 I am going through a really messy divorce.
我的妻子还在德克萨斯，所以… And my wife's still in Texas, so…
艾美的家长在家属室 Emmy's parents are in the family room.
我很乐意跟他们谈，或者… I'm happy to talk to them, or--
不，我跟你一起去 No. No. I'll come with you.
好 Okay.
你还好吗？ Hey, you okay?
我没事 I'm fine.
我也经历过 I've been there.
当手术台上的人不只是病人，就很复杂了 It's hard when the person on the table is more than a patient.
我停不下来 I couldn't stop.
贝利就在旁边告诉我，我还是停不了 Bailey was right there telling me, and I still couldn't.
这一直都是我的问题，是吧？ I guess it's been my problem all along, right?
我不懂何时收手 I don't know when to let go.
知道我今天怎么想到连横延肠术吗？ You know how I thought of the STEP procedure today?
你是外医国考天才？ You're an ABSITE genius?
我想到你 I thought of you.
你帮病患讲话时，什么都不怕 You're fearless when you advocate for your patients,
也不管有谁在场 no matter who's in the room.
我只要怕自己可能出错，就不敢去尝试 I've been afraid to take chances when I might be wrong,
我觉得这会让病患承受风险 thinking that's putting my patients at risk,
但不去尝试的风险更大 but it's riskier not to take the chance.
这是你教我的 And you taught me that.
因为你，我变成更勇敢的医生 I'm a braver doctor because of you.
因为你，我变成更好的医生 I'm a better doctor because of you.
我们的大脑不断适应当下的时刻 Our brains are constantly adapting to the present moment.
现在几点？ What time is it?
五分钟后开始考试 The test starts in five minutes.
不可能 No, that's impossible.
我们才睡了一下 We literally just fell asleep.
-五分钟后开始考试 -我知道 -The test starts in five minutes! -I know!
天啊… Oh, my--
用跑的 Just run!
我们的大脑会覆盖掉用不到的旧资讯 Our brains can override information we no longer use
保留更新、更有意义的想法 with newer, more relevant ideas.
这是课程吗？ So this is a class?
也会有视频教学、社区宣传 We'll also have video tutorials, community outreach.
听起来是福斯基金会可以支持的计划 Well, it sounds like the kind of thing the Fox Foundation can get behind.
从葛蕾史隆医院开始，顺利的话 We could start this at Grey-Sloan, and if it goes well,
就扩展到福斯基金会的所有医院 we could branch it out to all of the Fox Foundation hospitals.
你跟你的外科主任谈过了吗？ Have you spoken to your chief of surgery?
我可不想造成婚姻失和 I don't wanna be the cause of any marital discord.
谈过了，泰蒂很喜欢 Yeah. Teddy likes it.
我只是不想让她在要钱的时候陷入窘境 I just-- I didn't wanna put her in an uncomfortable spot asking for money.
-所以… -没错，政教分离 -So… -No, you don't. Church and state.
-是的 -好，杭特医生 -Exactly. -Okay, Dr. Hunt.
我会看看自由基金够不够用 I will look into our discretionary fund and see what I can find.
不管我们喜欢与否，大脑都会帮我们做出这些决定 Our brains make these decisions for us, whether we like it or not.
你们一共有240道题目 You will have a total of 240 questions
分成两节150分钟的考试时间 divided into two 150-minute blocks.
可选择休息45分钟 You have a 45-minute optional break
第一部分送出后无法返回 and cannot go back to section one after submitting.
祝大家好运
请输入授权码，开始作答 Please enter your authorization codes and begin.
大脑帮我们保留重要的事 They help us hold onto the things that matter
也为未来可能发生的事保留空间 and make space for whatever the future may hold.
实习医生
字幕翻译：简芝桦