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1、前情提要Previously on The Good Doctor.达理希Dalisay,我知道我没给你足够的尊重I know didnt show you enough respect 我也没付出足够的努力and I didnt make enough effort 去从你的角度来看这个世界但我想改变 to see things from your point of view. But I wanna change. 要一起吃晚餐吗？How about dinner?星期六七点半来接我You pick me up at 7:30 Saturday. 我们可以试试那家菲律宾饭店We can t
2、ry the Filipino place.我想也许你和我可以把彼此当做一个礼物I think maybe you and I could be gifts to each other, 我们应该对此持开放的态度 and we should be open to that.我不知道我们的未来会是什么样子No idea what our future looks like.你会搞清楚的Youll figure out.在你有自己的孩子前这是一次很好的演练Perfect practice for when your own comes.我打算不吃体外受精的药了下个周期我不打算做了Im going
3、off my IVF meds. Im not doing another cycle. 伊登就是我一直在等待的宝宝她是我的女儿Eden is what Tve been waiting for. Shes my daughter. 我以为是格拉斯曼医生的癌症复发了I thought it was Dr. Glassmans cancer returning, 但其实是轻微中风 but it is damage to Dr. Glassmans brain 引发的大脑损害这是永久性的as a result of a mini stroke. It is permanent. 他不应该再做手术了
4、He shouldnt be doing surgery anymore.还有两周花生就要出生了Two weeks to peanut day.是的你是对的You were right.正是因为肿瘤所以你父亲没那么混♥蛋♥了The tumor is probably why your father stopped being a dick 几个月前开始的 a few months ago.对不起爸爸Sorry, Dad.没关系Its all right.我意识到我们关系变好了我只是不知道是因为这个I knew our relationship has improve
5、d, I just didnt know it was because of this. 所以如果你摘掉肿瘤我的性格会变回原来那样吗？So if you remove it, could that change my personality back? 很有可能Most likely.谢谢你我不做手术了Thank you. Im gonna pass on the surgery. 如果你想禁止我们最好的外科医生做手术If you want to bench our top surgeon, 那你需要的可不只是一次结果不确定的扫描 youre gonna need more than one
6、indeterminate scan. 你担心的是失去最好的医生还是最能挣钱的医生？ Are you worried to lose our top surgeon or top earner? 为什么大家都觉得医院盈利很可耻？Why does everyone think wanting to keep the hospital solvent is to be ashamed of? 你难道希望医院再被收♥购♥一次？You wanna invite another takeover? 我只是想弄清楚我们到底在讨论什么I just want to clarify
7、our agenda. 那就让我说清楚Well, then, let me clarify.是的我担心失去最能挣钱的医生Yes, Im worried to lose our top earner, 但更担心西奥辛格but more worried about Theo Singh. 27岁刚结婚患有毛细胞星形细胞瘤 The 27-year-old newlywed with the pilocytic astrocytoma. 我们可以推荐综合医院的克查医生We can refer Dr. Cochoa at General.西奥的肿瘤压♥迫♥了他的脑干克查不会给
8、他做手术的Theos tumors compressing his brain stem, Cochoa wont take him. 我来处理I can deal with that.你又开始了And youre doing it again.我的部门我说了算My department, my call.一旦有起诉威胁就是我说了算Once litigation is threatened, it becomes my call.格拉斯曼拒绝做认知测试Glassman refused cognitive testing,在我获得更多信息之前我不会让他进手术室and until I have m
9、ore information, Im not letting him into the OR.让他按计划做完所有手术So he does all the surgeries as planned,但给他准备一个替补but with a backstop.你还可以派另一位外科医生监管他的所有病例包括手术You assign another surgeon, on all of his cases and not just the OR.-他会愿意吗？-这是一种妥协-Hell be happy with that? -Its a compromise.没人能完全如意Nobodys ever co
10、mpletely happy.至少我不能I know Im not.我也不能那我们就这么说定了Neither am I, hallmark of a successful negotiation.我忘了你要来了I forgot you were coming.真奇怪十分钟前我发你的消息显示已读Thats odd, given how you read my text ten minutes ago, 宝宝健康漂亮妈妈也健康漂亮but a beautiful, healthy baby, beautiful and healthy Mom.看来事情进展顺利啊So it looks like th
11、ings are going great.确实Definitely.她吃得多吗？She eating well?-像匹马-很好-Like a horse. -Nice.睡眠呢？Sleeping?像个宝宝Like a baby.我低估了需要的尿布量但其他一切都很完美I underestimated the diaper demand but everything else is perfect.没事了Its okay.凯兰闹的时候我们会把他的汽车安全椅放洗衣机上When Kellan was fussy, wed put his car seat on top of the washing ma
12、chine.震动能让他秒唾The vibrations knocked him right out.她平时不这样的This isnt like her.你介意吗？Do you mind?好怀念这种感觉Ive missed this.看到没？像个宝宝See? Like a baby.我的病人拒绝做血管外皮细胞瘤切除手术My patient is refusing hemangiopericytoma resection surgery那能救他的命我需要你去说服他thatll save his life. I want you to talk him into it.肖恩不该这样Thats not
13、 how this works, Shaun.就该这样你比我更有说服力It should be. You are more persuasive, than I am.问问格拉斯曼他切除过的前颅窝肿瘤Ask Glassman. Hes removed more anterior fossa tumors比西海岸的任何人都多than anyone on the west coast.但格拉斯曼医生不应该做任何手术直到But Dr. Glassman shouldnt be doing any surgery until-我的决定被否决了I agree that I was overruled.你
14、想找个能说服你的病人的人You want someone to change your patients mind,非格拉斯曼莫属Glassmans the best.你确实很有说服力You are persuasive.尼克的身体无法制♥造♥他需要的血细胞和血小板 Nicos body isnt making the blood cells and platelets he needs. 好吧但总有办法让他的数值变好吧Well, theres got to be a way to get his counts up.尼克病得很重With Nico so sick.
15、也许该考虑临终关怀了it may be time to consider palliative care.-不行-让我们听医生说完-No. -Lets hear the doctor out.不我不会放弃他你也不该放弃No, Im not giving up on him. Neither should you.他们也不该放弃Neither should they.尼克承受了太多Nicos been through so much.你以为我不知道吗？You think I dont know that?我正在努力挽救他的生命Im trying to save his life.帕克医生会召集我
16、们的团队Dr. Park will pull the team together看看能否有让大家都满意的方案and see if theres a solution that works for everyone.谢谢Thank you太感谢了so much.他不想切除他的肿瘤He doesnrt want his tumor removed,所以我不知道有什么好讨论的so I dont know what to discuss.由于肿瘤对他额叶的影响With tumors impact on his frontal lobes,他没有能力做决定he is not competent to t
17、ake the decision.你还觉得我没能力当医生所以呢？You think Im not competent to be a doctor. So?不是只是不适合做手术Nojust to be a neurosurgeon.手术应该能让科特多活20年The surgery should give Kurt about 20 more years.设想一下再当20年坏父亲Lets recap, 20 more years as a bad father versus和再当一年好父亲one year as a good father.这是没有医学判断价值的There is no medic
18、al justification.但是有情绪价值这是个情绪问题Yes, there is. Theres an emotional one, an emotional issue.声音越来越大你的脸涨得通红你在生气吗？Voice is getting louder and your face is flushed, are you upset?你应该带着扫描结果来找我而不是跳过我去给利姆看You shouldve come to me with the scan. Not go to or show it to Lim. 你说你只是有一点生我的气You said you were only a
19、 little mad at me.你背着我去找了部门主管You ratted me out to the head of the department还是我特别要求你不要那样做的时候when I specifically ask you not to do that.是的我那样做是因为你不相信我Yes, I did that because you did not believe me.那你应该来找我试着再次说服我Then you come to me, try to convince me.两次不行就三次再不行就四次你不觉得你有责任这样做吗？Again, again and again.
20、Dont you think you owe me that?我找你的次数比四次多得多Thats four times. I tried a lot more than that.你想要我怎么样？Whatd you want from me?要我帮你看看他能不能做决定？行You want me to go with you to see if hes competent? Okay, fine. 走吧Lets go.嗨Hey.帕克医生有什么发现吗？Did Dr. Park find anything?还没有Not yet.我想看看你们怎么样了I want to see how you guys
21、 are doing.塞布在陪孩子们Sebs with the kids, 我需要休息一下I needed a little break.塞布和我以前觉得Seb and I used to talk about每一天都是那么的how every day was- 美好A beautiful day.我记得I remember.你明白如果不做手术Do you understand what will happen会发生什么吗？if you dont have the operation?明白Yes.我将在一年内死去Ill be dead within a year.你为什么宁愿死也不做手术？An
22、d why is that preferable to surgery?海莉对我的看法是对的我是个脾气很坏的人Hailey was right about me. I was a terrible person.是个糟糕的父亲A terrible father.从没陪她玩过也没和她谈过心Never played with her or talked to her.我甚至不记得握过她的手I cant even remember holding her hand.绿野仙踪The Wizard of Oz.当时我五岁怕会飞的猴子但当我想去拉你的手时I was 5, terrified of the
23、flying monkeys, but when I reach for your hand. 我把手拿开了I pulled it away.那之后我再也没有尝试过I never tried to again.我不想变回去I dont want to go back.我不想失去这个I dont want to lose this.我不想失去你I dont wanna lose you.大脑是个有趣的东西The brain is a funny thing.它想做让自己感觉良好的事情It wants to do the things that makes it feel good,获得多巴胺带来
24、的快乐to get that dopamine hit.它其实是可以重塑自己的In fact, it actually can reshape itself.只要它尝试体验过那些美好的感觉As it continues to try to experience those good feelings.所以你是说我也许So youre saying that I might能一直这样吗？be able to stay this way?或许可以Maybe.你很努力You work hard成为你想成为的最好的那个人to be the best version of the person you
25、want to be.我也有过这种经历Ive had that fight.你应该听格拉斯曼医生的You should listen to Dr. Glassman.他切除过的前颅窝肿瘤He has removed more anterior fossa tumors than比西海岸的任何人都多anyone on the West Coast.我对你有信心爸爸I have faith in you, Dad.你可以的你可以做一个好人You can do the work. You could stay a good man.好吧就像病人说的Well, like the patient sai
26、d,“不想做脑手术又怎样反正医生能改变我的脑回路”I didnt want brain surgery, but the doctor changed my mind.这是老人玩笑吗？Was that a dad joke?没错And a yes.前提是由你来做手术If you do the surgery,我听说你对颅窝肿瘤了如指掌Ive heard that you know your way around a fossa tumor. 悉听尊便As you wish.我们正在做的是什么？What are we doing here?你不记得了 ？You dont remember?双冠状
27、额叶开颅手术A bicoronal frontal craniotomy.-还有呢？ 可能还要做眼眶截骨术-And? -Possible orbital osteotomies.钻头Drill.我们得先放置腰椎引流管We would place a lumbar drain first.切开之前是的能让我专心做手术吗Before incision, yes. I thought Id focus on the surgery.小心冠状缝Be careful of the sutura coronalis.为什么病人有冠状缝？Why, does the patient have those?所有
28、高等灵长类动物都会如果你不记得了All higher primates do. If you dont remember-这是个玩笑手术室里我们管这个叫玩笑Its a joke. In the OR we call that a joke.弹出顶部Popping the top.让我们进入脑叶下Lets get under the lobes.等下Wait.下一步不是这个而是That is not the next step, its-评估和夹闭第三脑室前部？Assessing and ligating the anterior third?视野清晰之后我会那样做的I thought Id d
29、o that after I get a better view.确实可以这样That is an acceptable option.好极了Wonderful.-但你必须记得-别再说了-But you must remember to- -No more talking now.这是我的病人所以我应该能.This is my patient. So I should be able-请离开-我不会闭嘴的-Please leave. -I wont be quiet.肖恩我俩中有一个必须走One of us is going to leave, Shaun.我在做手术走的不能是我It will
30、 not be the one doing the surgery.开始找肿瘤吧Lets get after it.通过输血With blood transfusions,加上五种药物的混合物plus a cocktail of five medications增加血细胞to increase blood cell.那应该能让尼克撑过手术That should get Nico through the operation.几周后我们会从你们其中一个那里进行干细胞移植Few weeks later, we get a stem cell transplantation from one of y
31、ou. 副作用是什么？Whatd the side effects be?手术感染和出血的风险很高High risk of infection and bleeds from the surgery以及药物相互作用可能产生的毒性and possible toxicity from drug interactions.你知道另一种选择他会在短短几个月内离开我们You know the alternative. Hed be gone in just a few months.如果你是我们你会怎么做？If you were in our place, what would you do?我会做手术
32、Id do the surgery.谢谢Thank you.ViS-l %iS 1谢谢Thank you.我们会为尼克做手术准备Well prep Nico for surgery.好了Okay.如果行得通对你我都好If this works, itll be a real win-win,因为我确实打算再洗一次衣服because one day I do plan to do laundry again.好了伊登All right, Eden,我要坐一会儿了Im just gonna sit down就一秒for one sec.别啊No.这事就别告诉别人了Thatll stay just
33、between us.我的天啊Oh, my God.我想让肖恩别再跟这个案例了I want Shaun off the case.但这是他的病人Its his patient.我不想给人开颅的时候I dont want to crack a skull open有人在我旁边盼着我搞砸standing next to someone waiting for me to screw up.我想要一个我可以百分百信任同时也会信任我的团队I want a team I can trust 100% and who will trust me.这案例不归肖恩管了Shauns off the case.、
34、A_L谢谢Thank you.我来协助你Ill be assisting.欢迎加入Welcome aboard.Yes.所以你早餐就做烤千层意面？So youre making lasagna for breakfast?我打算做好放冰箱里Its going in the freezer.我收拾好了住院包写好了生产计划I packed my hospital bag, written my birth plan,接下来我要去修指甲和去放松了and soon Ill have on my list is to do many nails and relax.百分之七十三的分娩发生在预产期之前73
35、% of births happen before the due date,所以你需要立即开始放松so you need to start relaxing immediately, 因为我们能掌控的只有放松这一件事情Because if theres one thing you can grab, its relaxation.是的Yes.格拉斯有联♥系♥你吗?Have you heard anything from Glassy?没有No.等他发现你拿着他的脑部扫描去找利姆时他可能会生气He might be mad when he finds out you
36、 went to Lim with his brain scans. 这对他的未来非常重要无论是从健康还是职业角度来说都是It was very important for his future, both medically and professionally.他气的可能不只是事实还有你背着他找利姆这事Not just the info, the whole behind his back thing.他不听我的所以我别无选择He wouldnt listen to me, so I had no choice.我认为你做得很对I think you did the right thing
37、.但一定要去找他聊聊But just talk to him.好的Okay.我中风了Ive had a stroke.是的很轻微Yes, a small one.-我应该让你自己待一会-是的没错-I should give you some time. -Yeah, you should.真棒This is nice.鸡肉？The chicken?不止是鸡肉Not exclusively.我只是希望这种氛围不会被工作的事毁掉I just hope it doesnt get messed up by things at work.建立工会的事The unionization drive.也许我
38、可以What if I could给董事会点压力squeeze the board,让他们同意一些真正有意义的改进？get them to sign off on some real and meaningful improvements?这样你们可能就不需要工会了You might not need a union.那他们可得做出一些重大让步Thosed have to be some big concessions.这样呢How about.加薪百分之五？A 5% raise?一个护士坡多负责四个病人？1-4 cap on nurse-to-patient ratios?甚至可以让董事会增
39、加一名首席护士长Might even be able to get a Chief Nursing Officer on the board.听起来很有意思Thats pretty interesting.但不确定其他人愿不愿意这样No idea if anyone else would go for it.你能帮忙去问一下吗？Could you find out?可能会起作用的计划和一定会起作用的计划Theres a difference how hard 1 can push for a proposal我推进的用力程度肯定是不一样的that might work versus one t
40、hat will.我可以去问一些人I can float it to a couple people.可以？Yeah?可以Yeah.甜点？Dessert?吃Yes.手术一结束案例就又是你的了As soon as the surgerys over, the case is yours again.那我在观察室看I will watch from the gallery.不需要我在旁边能看得更清楚No need. Ill have a much better view from the floor.监视器上的视频质量很好The video feed on the monitors is exce
41、llent,有更多后援也没什么影响and it couldnt hurt to have more backup.事实上肖恩有影响Actually, it could, Shaun.我不该让你做格拉斯曼的替补的I was wrong sending you to Glassman.他现在很不高兴Hes pretty upset right now.如果你再多做点什么可能会对你俩的关系不好If you push it, it could hurt your relationship.但如果一个医生犯了错误But if a doctor is making mistakes但抓住这些错误的不是必须
42、是你让其他人来吧You dont have to be the one to catch them. Not when others can.尤其是这个医生如同你父亲一般时Not when the doctor is your dad.还剩几个没关系不用担心Theres a few left. Its okay. Dont worry.不不不No, no, no!我知道快用完了我就知道什么妈妈会用完纸尿裤？I knew I was running out. I knew it. What kind of mom runs out of diapers? 摩根？Morgan?伊登如果你自己在家就
43、快开门吧Eden, if youre alone, open the door.我做不来I cant do this.你可以的Yes, you can.我什么都做不成Im failing at everything.在凯兰三个月大的时候When Kellan was three months, 米娅有事必须出城Mia had to go out of town.那是我第一次一个人带他It was my first time alone with him, 他正在长牙 and he was teething.当时是凌晨四点It was 4:00 in the morning, 我俩熬了一宿突然间
44、 and neither of us had slept and suddenly, 我就知道该怎么结束这一切了I knew exactly how to fix everything.要么自己跳出窗子要么两人一起跳One or both of us was going out that window. 但最后我俩都好好的No one went out the window.我们都睡着了We both fell asleep.在我听说过的所有你失败的事情里Of the many times Ive heard about your failures, 这个听起来最让我开心了 none has
45、ever made me happier.你没有失败你只是在Youre not failing, youre just.走一步看一步muddling through.我不是那种人Im not a muddler.每个父母都是这样的Every parent is.关键是不要在摸索的时候失去理智Keys to not lose your mind while youre muddling. 释放侧面Freed up the lateral aspect.烧灼Cauterizing.准备切除肿瘤Were ready to remove the tumor.卡卢医生想操刀吗？Dr. Kalu, want the honor?谢谢医生Thank you, Doctor.转移得肝脏上到处都是Mets all over his liver.我们可以切除浸润最多的部分吗？Can we resect the most involved segments?分布太广了Its too widespread.那我们该怎公办？So what do we do?缝合吧Close him up.通