内环境稳定是我们的身体内部 Homeostasis is our body's way
维持在稳定和一致的状态 of maintaining a consistent and steady internal state.
尼克 Nick?
是我 抱歉 Yes, sorry.
这样约女孩真老掉牙了 This is a very old-fashioned way to ask a girl on a date.
我知道 抱歉 I know. I know. I'm sorry.
我忘记问你要电话号码 I-I forgot to ask for your phone number,
然后又不想叫醒你 and then I-I didn't want to wake you.
所以就...写了纸条 So...note.
你怎么想 我们能一起吃晚饭吗 So, what do you think -- should we get some dinner?
我知道有个好地方 就在湖畔 I know a place that's great. It's, uh, right by the lake.
好 Yes.
好 Okay.
我七点来接你 I'll pick you up at 7:00.
好 Okay.
-七点见 -好 - I'll see you at 7:00. - Okay.
多系统协同运作 Multiple systems work in sync
调节各种因素 像是温度血压 to regulate factors like temperature, blood pressure,
甚至是钠含量 even sodium levels.
好吧 我不会指导你怎么教小孩 Okay. I'm not going to tell you how to parent your son,
但这肯定不会放进卢娜包里 but this not going in Luna's bag.
麦琪 我想你
温斯顿 多说几句 说慢点
麦琪 大笑 我跟爸在一块 你睡在医院
这些系统是为了抵御和对抗 These systems are designed to resist and combat
任何对你身体不利的事情 anything that tries to throw our bodies off.
温斯顿：好吧 晚点聊 亲亲抱抱
温斯顿：多说几句 说慢点 麦琪：大笑 我跟爸在一块 你睡在医院 温斯顿：好吧 晚点聊 亲亲抱抱
这是一个相互制衡的持续闭环体系 It's a continual loop with checks and balances.
你什么时候告诉他们 So, what time did you tell them?
马上就讲 Should be any minute now.
感觉回到了过去 Feels like the old days.
终于到了 Finally.
直到有什么能最终打破这个循环 Until something manages to break the cycle.
你怎么还能这么清醒 How are you so awake?
红茶菌 姐妹 Kombucha, girl.
提醒我 为什么要做这个工作 Remind me why we signed up to do this again?
拯救生命 To save lives.
过誉了 Overrated.
奥提兹 你妈妈呢 Hey, Ortiz, where's your mom?
她转了住院医师项目 She transferred her residency
和艾弗里医生一起去基金会工作了 to take a job with Dr. Avery and the foundation.
恭喜她 也恭喜我们 Good for her. Better for us.
可以学习更多病例 More cases.
没有任何数据显示 There's no statistical evidence
住院医师在清晨学习能力更佳 that proves residents learn better at the crack of dawn.
我查了 我们该假扮集体睡过头 I checked. I think we need to stage a sleep-in.
谁和我一起 Who's with me?
你说完了吗 You finished?
重要的一天 也是漫长的一天 Big day. And a long one.
希望你们都吃早餐了 Hope you ate breakfast.
没有 We didn't.
四分钟后技能实验室见 Meet me in the skills lab, four minutes.
他说四分钟 但走过去都要八分钟 He said four minutes. It's at least an eight-minute walk.
我今天去心内科 他们叫我过去 I'm with cardio today. They requested me.
不过回归原点 祝你玩得开心 But have fun going back to day one.
门诊
谢谢你能临时赶过来 Thanks for coming on such short notice.
我两次都走错路了 Well, I went down two wrong hallways,
这感觉像是隐喻我的人生 which feels like a metaphor for my life.
但如果有人 But when somebody offers
安排私人飞机来接你 你肯定得去 to pick you up in their private jet, you get on that jet.
而且斯考特决定 Meanwhile, Scout has decided
晚上要闹腾才算酷 it is no longer cool to sleep through the night,
我送他去林那的时候 脸色超级差 so I looked like crap when I dropped him off to Link,
他暗地里肯定很失望 who has mastered quiet disappointment.
但表面还是看不太出来 But somehow looks so good doing it.
你看起来好极了 I think you look great.
等下 开玩笑吗 Wait. Are you kidding?
格蕾中心
他们给你一个实验室吗 They're giving you a lab?
那你肯定不会回西雅图了 Oh, you are definitely not coming back to Seattle.
还有到底是谁安排了私人飞机 By the way, who actually sent the private jet --
艾米莉娅 Amelia.
格蕾中心
我们将获得数百万美元资助 We're being offered millions of dollars
来研究帕金森症治疗 to cure Parkinson's.
我们 Us?
我 但我想你加入 所以是我们 Well, me. But I'm asking you, so it's us.
格蕾中心
实习医生格蕾 第十八季第二集
利奥说艾莎要有斗篷 Leo says that Elsa needs a cape,
但他昨晚把斗篷塞进洗碗机了 but he shoved it in the dishwasher last night.
-结局不理想 -就算是冰雪皇后 - Wasn't great. - Well, even Snow Queens
也要学习承担后果 need to learn that actions have consequences.
-谢谢 -所以今天是角色扮演日吗 - Thanks. - so isn't it costume day or something?
不 这是利奥的世界 我们只是身在其中 No. Leo's world. We just live in it.
有急症 Incoming trauma.
-我得走了 -好 - Okay. I gotta go. - Okay.
泰迪 Teddy.
艾莉森 艾莎 我爱你们 Allison, Elsa. I love you.
-再见 -再见 - Bye. Bye. Bye. - Bye.
抱歉 有问题吗 I'm sorry. Do you have a problem?
因为你盯着我的孩子看 'Cause you're staring at my kid.
我在看他的服装 Oh, uh, I'm staring at his costume.
不 我知道 我希望你能... No, I-I know, and I would really appreciate if --
我太太和我到处找跟这一样的服装 Oh, my wife and I have been looking for that same one everywhere.
这样啊 我问一下我丈夫 Oh, yeah. I-I'll -- I'll ask my husband.
给你 Oh, uh, here.
谢谢 Thanks.
我们会给你买新的斗篷 We're gonna get you a new cape, okay?
卢娜 这是重要的事 好吗 Luna, it's important work, okay?
可爱停止5秒钟 Just stop being so cute for 5 seconds.
停下 停下 Stop. Stop.
我记得以前斯考特一离开我就哭 I remember when Scout used to cry when I dropped him off.
现在看看他 Now look at him.
基本上准备好自己买房了 Basically ready for his first studio apartment.
好吧 我全天都要干杂事 Okay. Um, I'm on scut all day,
你能过来这里 so can you just, like, hop up here
每隔五分钟看一下她吗 and check on her every 5 minutes?
不行 韦伯给我安排了住院医师项目 Nope. Webber roped me into a thing with the residents.
你想见卢娜 搭电梯过来 Luna's like a 36-second elevator ride away,
36秒就能见到 而且他们还给你发照片 if you need to see her. Plus, they text you pictures.
去吧 Go.
去 Go!
拉希达·福劳尔 34岁 Rashida Flowers, 34,
慢性肾病继发糖尿病 chronic kidney disease secondary to diabetes,
在动静脉瘘管血栓后 admitted for dialysis access insertion
因需要透析通路植入而入院 after a thrombosed AV fistula.
还有两次移植失败 After two failed grafts,
我又回来了 大伙 I'm back in the hospital, y'all.
得再做一次手术 Have to have another procedure.
但你们知道吗 我的新医生是位大兄弟 But guess what? My new doctor is a brother.
直播 糖尿病宝贝
他超赞 And he fly.
跟大家打招呼吧 恩都古医生 Say hi, Dr. Ndugu!
你能先别直播吗 我需要做检查 Do you mind not recording so I can examine you?
好的 当然可以 Oh, right, of course.
大伙我下线啦 么么 Gotta go, y'all. Kisses.
抱歉 得让粉丝开心 Sorry. Gotta keep my followers happy.
我以前是旅行博主 I used to be a travel influencer,
环游世界冒险 ventured around the world,
现在我是糖尿病宝贝 but now I'm DiabeticBae,
并不令人兴奋 所以得尽力找素材 which is way less exciting, so I gotta get content where I can.
恐怕今天也不是多令人兴奋 Well, today won't be too exciting, I'm afraid.
我会往你胸部插入导管 I'll be inserting a catheter into your chest
帮助你开始透析 to help you start dialysis.
你患上糖尿病多久了 How long have you been diabetic?
几年了 但一直还能控制住 Years now. But I was able to manage it
直到我去泰国旅游 享受人生 until I was visiting Thailand, living my best life,
结果病得非常严重 and I got real sick.
肾病更严重 Hit my kidneys hard.
每次医生想做透析通路 And every time my doctors tried to get access for dialysis,
我的身体都不配合 my body wouldn't cooperate
因为 转折来了 我有凝血障碍 because -- plot twist -- I have a clotting disorder.
不过我也不意外 But none of this was a shock.
我妈妈和兄弟都是糖尿病患者 Both my mother and brother were diabetic,
他们都死于肾脏衰竭 and they both died from kidney failure.
抱歉 Sorry to hear that.
他们做了肾移植吗 Were they able to get kidney transplants?
他们都没被列入移植等候名单 They weren't even able to get on the list.
我也是 And neither am I.
你不在移植等候名单中吗 You're not on the transplant list?
没有 Nope.
奥提兹 帮我安排会诊 Ortiz, set me up a consult
和拉希达的肾病医师 克劳斯医生 with Rashida's nephrologist, Dr. Krause.
我知道这很糟糕 Look, I know it's bad.
不过没关系 But it's okay.
所以我才会把所有的东西都录下来 That's really why I record everything.
我想在疾病带走... 我的生命之前 I want the world to know who I am
让这个世界了解我 before this disease... ends me.
急诊
我的住院医生在哪 Where's my resident?
他们不归我管 I'm not their keeper.
-什么情况 -诺亚·杨 35岁 - What do we got? - Noah Young, 35,
机动车撞上树 很冷静的司机 auto vs. Tree, restrained driver,
否认失去意识 血氧饱和度89% denies loss of consciousness, O2 sats 89%,
-胸部无可见伤痕 -好 - no visible chest trauma. - Okay.
我儿子 我要找我儿子 My son! I need to find my son!
这是丹尼.杨 7岁 现场昏迷指数15 Okay. We got Danny Young, 7, GCS 15,
生命体征稳定 面部撕裂出血 vital signs stable, bleeding facial laceration.
-爸爸 -我的大家伙在这 - Daddy! - There's my big guy!
我要见我儿子 求求你了 I need to see my son, please!
好 我们先把你们推进去 好吗 Okay. Let's get you both inside first, okay?
我没事 我只要 I'm fine! I just need to --
一号创伤室 我们拍一个胸片 检查下创伤情况 Trauma one, let's get a chest X-ray and a full trauma panel.
走 有没有人帮我找一个住院医生 Let's move! Somebody find me a resident!
成为一名技术精湛的外科医生如同学习驾驶 Becoming a skilled surgeon is like learning how to drive.
练习得越多 你就变得越好 The more you do it, the better you become.
去年 你们参与的外科手术 And over the last year, you have participated
比任何一届外科医生都要少 in fewer surgeries than any class of surgeon ever has.
也就是说你们不具备 Which means that you are not
现在本该有的水平 各位 where you're supposed to be, people.
我们一大早起来就是来接受羞辱的 We woke up early to be shamed.
今天 你们要进行 Today, you will embark
一项你们有史以来遇到的最严格的外科练习 on the toughest surgical workout you have ever experienced.
通过一系列的模拟和技术评估 Through a series of simulations and skill assessments,
我们将从四个方面对你们进行评估 each of you will be evaluated in four areas --
腹腔镜技术 laparoscopic,
缝合
缝合技术 血管技术 suturing, vascular skills,
内窥镜技术 and endoscopic techniques.
你们的成绩将根据熟练程度和速度来评分 You will be graded on your proficiency and speed,
由你们的主治医生来评判 有问题吗 judged by your attendings. Any questions?
像是奥林匹克手术比赛 It's like the surgical Olympics.
或者饥饿游戏 Or the Hunger Games.
我以为现在负责住院医生项目的格蕾医生 I thought Dr. Grey was running the residency program now.
你们认为是谁教了格蕾医生 Who do you think taught Dr. Grey?
还有一件事 Oh, and one more thing.
得分最高的住院医生 The resident with the highest score
今天下午可以在手术室主刀 flies solo in the OR this afternoon
一台难度匹配的手术 with a surgery that's appropriate to their level.
腹腔镜技术现在... 开始 Laparoscopic skills start...now.
-放松手腕 -在我那个年代 - Relax your wrist for me. - You know, back in my day,
和我一起工作的神经外科医生都是自大狂 every neurosurgeon I worked with was an egotistical prick.
所以你可以想象我现在的喜悦心情 So you can imagine my delight right now.
你既聪明又迷人 谢博德医生 You are brilliant and charming, Dr. Shepherd.
除了当我是一个自大狂时之外 Oh, except when I'm being an egotistical prick.
正如我的朋友斯蒂芬·桑德海姆所说 Well, as my friend Stephen Sondheim said,
"友善与出色是两回事" "Nice is different than good."
你和斯蒂芬·桑德海姆是朋友 You're friends with Stephen Sondheim?
有可能啊 Oh, I could be.
好 照着我的动作做 Okay. Follow my movements.
谢博德医生 你的宝贵意见是什么 So, Dr. Shepherd, what's your golden opinion?
我看起来怎么样 How do I look?
你只有轻微的静息性震颤 Well, you only have a mild resting tremor
和轻微的运动迟缓 这是好现象 and slight bradykinesia, which is good,
但帕金森症难以预测 but Parkinson's is unpredictable.
你的多巴胺能神经元正在逐渐退化 Your dopaminergic neurons are degenerating gradually,
只是时间问题 and it's only a matter of time.
你想过换药 Have you considered switching your meds
或者大脑深部刺激吗 or deep-brain stimulation?
我对创口贴式的治疗没兴趣 You know, I'm not interested in a Band-Aid.
我需要能让我重新完整的东西 I need something that'll make me whole again.
汉密尔顿医生 Dr. Hamilton,
帕金森症不是手术能解决的病症 Parkinson's is not a condition that surgery can fix.
暂时 是手术暂时还不能解决 Yet. A condition that surgery can't fix yet.
所以才需要才华横溢 迷人 自负的你 Enter brilliant, charming, egotistical you.
只要我们能说服你的嫂子过来工作 As long as we can convince your sister-in-law over here.
胸痛 没有 Chest pain, no.
开放性骨折 太专业了 Open fracture, too specialized.
右上部疼痛 那情况乐观 Oh, right upper quadrant pain -- now, that's promising.
贝利医生 Dr. Bailey.
王 Wong.
理查德在主持奥利匹克手术比赛 Uh, Richard's holding the surgical Olympics.
今天很清闲 所以我在找一个好病例 It's a slow day, so I'm looking for something good
来主刀 你手头上有什么吗 to be the solo. You got anything?
贝利医生 我们的会议你改了两次 Dr. Bailey, you've rescheduled our meeting twice now.
-你在回避我 -没有 - You're avoiding me. - No --
我有手术 很重要的手术 I had surgeries. Uh, important ones.
他也在找裁判 He's also looking for judges,
如果你想帮忙的话... so if you'd prefer to help out that way...
不 我是来递交辞呈的 No, I'm here to tender my resignation,
我已经试着提交好几天了 which I've been trying to do for days now.
我知道 我只是不想要你辞职 I know. I just didn't want you to.
主任 我要退休了 Chief, I'm retiring.
我已经买了套公寓 选好了瓷砖 I already bought a condo, picked out tile.
好吧 除了手术你还想做什么 Okay, what could you possibly want to do instead of surgery?
神秘小说 Mystery novels.
-什么 -我有一个系列 - I'm sorry? - I have a series of books
主角是私人侦探兼外科医生 where the main character is a PI and a surgeon.
"便衣医生" "Doc Undercover."
听起来... 不错 Uh, sounds...n-nice.
王 医院 国 国家 Wong, look, the hospital, t-the country --
我们急需医生 we're in dire need of physicians with yo--
玛兰达 Miranda.
说实话 就是没意思了 Truthfully? It's just not fun anymore.
我给你开始走流程吧 I'll start your paperwork.
完美的缝合确保伤口正常愈合 Perfect suturing ensures proper wound closure,
少流血 less bleeding,
降低感染风险 and a lower risk of infection.
优秀很重要 Excellence matters.
这是一个非创伤性结 This is an atraumatic tie.
你们有二十秒的时间打三个方结 You will have 20 seconds to tie three square knots.
不要移动易拉罐 任何移动都要扣分 Do not move the soda can. Any movement counts against you.
绝对不能有气结 And absolutely no air knots.
各就各位 准备... On your mark, set...
开始 Go!
有点马虎 曾 Kinda sloppy, Tseng.
那是什么意思 What's that supposed to mean?
意思是 "哼" It means, "Huh."
-好些了吗 -没有 - Is that better? - Nope.
如果我是你的话 就重来 I'd start over if I were you.
先礼后兵是惯例 Opening with a compliment is customary.
时间到 Time's up!
林肯 谁赢了 Lincoln, do we have a winner?
-施密特获得第一名 -棒 - Schmitt takes the gold. - Yes!
有第二名吗 Is there a silver?
歌曲名是什么 Name that tune.
我不知道 I don't know.
你说 How long did you say
你的肚子痛了多久 that you have been experiencing abdominal pain for?
-几天 -好 - Uh, a few days. - Okay.
吹口哨让我平静 Whistling calms my nerves
如果有人检查我的小妹妹 when someone's, you know, inspecting my hooha.
等等 我 我摸到什么了 Sorry, but I-I feel something.
是《一闪一闪亮晶晶》 It was "Twinkle, Twinkle, Little Star."
-什么 -我刚才吹的歌曲 - What? - The song I was whistling.
"一闪一闪" "Twinkle, Twinkle"?
严格说来 这首和字母歌是同一首曲子 Technically, it's the same melody as the ABCs.
《小黑羊》也是 And "Baa Baa Black Sheep."
谁知道呢 Who knew.
好吧 我 Okay, I --
对 里面有东西 Yep, there's something in here --
我 I --
罗宾 有一粒草莓卡在你的 Robin, there was a strawberry lodged in your --
好吧 没错 Yep. That tracks.
那我的腹痛是这个引起的吗 So would that explain my abdominal pain?
应该不是 It shouldn't.
为什么 还有什么 Why? Is there something...
奇怪的东西在里面吗 strange in there, too?
也许吧 Maybe?
丹尼 Danny.
感觉怎样 How you feeling?
看来你经历了一场大冒险 Looks like you had quite the adventure.
对 Yeah.
坐了救护车 Got to ride in an ambulance.
现在你有了超级英雄的印记了 And now you have superhero marks.
印记有魔力吗 Do they come with powers?
也许吧 如果你吃够多的樱桃果冻和冰棍的话 Maybe, if you eat enough cherry Jell-O and popsicles.
欧文的妹妹是吗 Owen's sister, right?
对 你是儿科医生 Oh, uh, yeah. You're peds?
科马克·海斯 Cormac Hayes.
你是要加入我们卑微的员工大家庭吗 You coming to join our humble staff?
贝利只是叫我来帮忙 Bailey just asked me to help out,
接受一些格蕾的病人 cover some of Grey's cases.
格蕾的病人 这可不简单 Grey? Big shoes to fill.
她做过一个腹壁移植手术 So she performed an abdominal-wall transplant.
了不起 但这其实是我的主意 Big whoop. It was actually my idea
把整块腹壁都更换掉 to even need an entirely new abdominal wall
好让格蕾能获得福克斯奖 so Grey could win the Fox award,
所以 谁才是那个天才呢 so, who's the genius now?
-所以你是那个病人 -对 - So you were the patient? - Yep.
好了 丹尼 我会再回来看你 好吗 Alright, Danny, I'll be back to check on you, okay?
我爸爸在哪 Where's my dad?
请问我能去陪他吗 Can I please go sit with him?
不能留他一个人在那 He shouldn't be alone out there.
我们已经通知了你的妻子 她正在来的路上 We have contacted your wife, and she is on her way, okay?
这本来是个父子周末 It was supposed to be a father-and-son weekend.
去钓鱼 在诡计湾露营 Fishing, camping out by Deception Bay.
-我不知道发生什么事了 -也许你晕倒了 - I don't know what happened. - Maybe you passed out.
你的氧饱和度非常低 Your oxygen levels are very low.
你喘不上气的情况持续了多久了 How long have you had shortness of breath?
这没什么 It -- It's nothing.
麻烦给他拍个X光片吧 Okay, let's do an X-ray, please?
不 不做X光 No! No X-ray!
你看 我完全没事 Look, I'm fine.
庆幸我和丹尼都还活着 Relieved that me and Danny are alive.
你能现在就放我离开这 Could you please let me out of here
好让我补救一下这个周末吗 so I can try to salvage this weeken--
我看到你的纹身了 你是巴塞特步兵团的吗 I, uh -- I saw your tattoo. Bassett Infantry?
三代从军 都是巴塞特步兵 3rd generation, Bassett Infantry.
你呢 You?
创伤外科军医 去了两趟伊拉克 Army trauma surgeon, two tours Iraq.
我去了两次阿富汗 Two tours Afghanistan,
一次约旦 一次布吉提 两次伊拉克 one Jordan, one Djibouti, two Iraq.
反而从未去过温哥华 And I've never been to Vancouver.
听起来你得换家旅行社了 Well, sounds like you need a new travel agent.
给他输高纯度氧 Let's put him on high-flow O2.
打50毫克芬太尼 找个人叫阿尔特曼来 Let's push 50 of fentanyl, and somebody page Altman!
我们得送他上去照CT We're gonna get him up to CT!
准备好没 Okay?
克劳斯医生 你好 Dr. Krause, hi.
我是温斯顿·恩都古 心血管外科医生 Winston Ndugu, cardiothoracic surgery.
-我能占用你一点时间吗 -几乎没有 - Do you have a minute? - Barely.
我手上堆满了病例 I've been drowning in cases.
我的病人都排到几个月后了 My patients put off seeing me for months,
而我现在正在处理积压的工作 and now I'm dealing with the backlog.
-你找我有什么事 -我想就 - What can I do for you? - Yeah, I'm consulting
你的病人拉希达·福劳尔问点事 on your patient Rashida Flowers.
她说她不在器官移植名单上 She mentioned that she's not on the transplant list.
拉希达 她挺不容易的 Yeah. Rashida, she's been through a lot.
不幸的是 她不满足做移植手术的条件 Unfortunately, she doesn't fit the transplant criteria.
但拉希达的肾功能测试 But Rashida's renal function tests
结果显示她是个绝佳候选人 seem to make her a prime candidate.
貌似如此 但拉希达的估算肾小球滤过率很高 Well, you would think, but Rashida's eGFR is high.
已经超20了 这使得她上不了移植名单 It's over 20, disqualifying her from the list.
-估算值 -你说什么 - Estimated. - I'm sorry?
那只是个对她肾功能的估算数据 It's an estimated number of what her kidney function should be,
并不是实际值 not what it really is.
恩都古医生 估算肾小球滤过率是个 Dr. Ndugu, the eGFR is the standard clinical formula,
在此领域实行了20年的临床标准参数 used in the field for the past 20 years.
这是我们用以决定疗法和评判 It's what we use to determine care and qualification
肾移植手术资格的参照 of kidney transplant.
移植手术能一步到位使她 A transplant could save her from having to need dialysis
无需肾透析 而且我们都知道 in the first place, which we both know
肾透析有很高的死亡率 has high mortality rates,
特别是开头的三个月 especially in the first three months.
我也知道 但拉希达并不符合条件 I'm aware, but Rashida just doesn't qualify.
信我 我也跟你一样 And believe me, I hate that,
不愿见到这个状况 at least as much as you do.
如果我们失败了怎么办 So, what if we fail?
我们怎么能知道你能活下去 How do we know you'll even survive it?
我想我们都知道 I think we can both agree
你能从尝试的过程而不是结果中学到更多 that you learn more in the attempt than the outcome.
而且我很清楚这其中的风险 And I am under no delusion about how risky it is.
但生活何处无风险 But what's life without risk?
梅瑞狄斯 Meredith?
梅瑞狄斯 Meredith.
这是那个做细胞培养的机械臂吗 Is this that robot arm that does cell culture?
是的 请别碰它 It is. And please don't touch it.
格蕾医生 谢泼德医生 这是凯·巴特利医生 Dr. Grey, Dr. Shepherd, please meet Dr. Kai Bartley,
一个接受了难以拒绝的条件的脑神经科学家 a neuroscientist who accepted an offer they couldn't refuse.
很高兴见到你 It's great to meet you.
我看过你关于干细胞研究的论文 I've been reading your stem cell research.
简直太棒了 Which is brilliant.
我关注了好几年了 I've been following it for years.
他们晚我几年去霍普金斯 Um, they were at Hopkins a couple years behind me.
当你把细胞输进脑部 Um, o-okay. When you inject the cells into the brain,
如何避免这些细胞转化成肿瘤的风险呢 what about the risk of the cells developing tumors?
这个问题也困扰了我整整两年 That very question stalled my research for two years.
但在我和大卫合作后 But once I teamed up with David --
当他们接受了我的赞助之后 Once they took my funding.
我发现了一种中药成分 I uncovered a Chinese herbal compound
能彻底除去未分化的细胞 that completely removes the undifferentiated cells.
这太棒了 他们太棒了 That's amazing. They're amazing.
不好意思 我有个电话会议 Excuse me, I have a conference call.
我们迟点再聊 But we'll talk more later?
-见到你很高兴 -谢谢你 巴特利医生 - Great to meet you. - Thank you, Dr. Bartley.
谢谢你 大卫 Thank you, David.
如何 So?
你觉得 What do you --
好 当然是好 Yes. All the yeses.
一个能治愈帕金森症 改变世界的机会 An opportunity to impact Parkinson's, change the world,
有这样的设备和团队 with this equipment and this team?
我入伙 我加入 I am -- I'm in.
格蕾医生 Dr. Grey?
快答应他 Just say yes.
我们该收起那套艾尔莎的衣服吗 Should we shelve the Elsa costume?
-什么 -就是把利奥打扮得更 - What? - You know, put Leo in more...
穿点短袖和牛仔裤 T-shirts and jeans?
这会不会才是正确的教育 Just, is that the right parenting move?
-发生什么事了吗 -没有 我只是 - Did something happen? - No, I just --
只是 日托的其他孩子都 You know, none of the other kids at daycare
不穿奇装异服 所以我 are wearing costumes, so I just...
-什么情况 -连环车祸伤员 没有明显外伤 - What do we got? - MVC with no visible trauma.
一个数次派遣伊拉克的年轻退役军人 A young vet who did several tours in Iraq.
他有杵状指 发绀 呼吸困难 He has finger clubbing, cyanosis, dyspnea.
他刚在楼下咳血了 He coughed up blood when he was downstairs.
他的胸片不是很乐观 His chest X-ray does not look good.
我在想他有什么呼吸系统疾病 And I'm thinking it's some kind of respiratory illness.
你确定没发生什么吗 Are you sure nothing happened?
我的天啊 欧文 Oh, my God. Owen...
他的肺部简直满目疮痍 His lungs look like a war zone.
皮尔斯要去波士顿工作了吗 Is Pierce taking a job in Boston?
这是你叫我来的原因吗 Is that why you paged me?
因为如果我再失去多一个医生 Because if I lose one more surgeon --
不是 是她的爸爸要做髋部手术 No, her dad is having hip surgery.
我现在感觉糟透了 Well, now I feel badly.
主任 我有个三十四岁的病人 Uh, Chief, I have a patient, 34,
一个有因糖尿病诱发的慢性肾病的黑人女性 Black woman with chronic kidney disease from diabetes.
因为她有凝血问题 She hasn't been able to get on dialysis
所以没法做透析 due to a clotting disorder.
她在移植名单上吗 A candidate for transplant?
她的估算肾小球滤过率太高了 Well, her eGFR is too high,
她的肾病医生说 according to her nephrologist.
但你看 But look.
看这个在名单上的患者 Here's another patient on the transplant list.
和我的病人的他各种条件简直完全一样 Almost the same age, weight, and health profile to my patient.
唯一的不同是他们是白人 The only real differentiating factor is that they're white.
所以他们的肾小球过滤率会算的低点 So their eGFR measures lower,
这让他们更容易上名单 making them better transplant candidates.
当肾小球过滤率估算方法建立时 When the estimated GFR was developed,
他们假设黑人有更高的肌肉比例 it was assumed that Black people have higher muscle mass.
这样计算数值的时候黑人的数值就会被加倍 It added a multiplier to account for that assumption,
从而提高了黑人患者的肾小球过滤率 which then increases a Black patient's GFR
然后他们被标记为患病情况 and registers them as having less severe disease
相对较轻的人 than other people.
让他们不符合上名单的条件 Making them ineligible for transplants.
这事怎么会这样 How does this even happen?
这是从一系列 Stems from a long line
对黑人的"假设"中产生的 of "Assumptions" About Black people
剥夺他们就医权力的指标 that have snaked their way into medicine --
例如我们对疼痛有更高的耐受力 you know, that we have a higher tolerance for pain...
不同的骨密度 肺功能低下 ...different bone density, lower lung capacity.
而且这些假设仍然存在于临床惯例中 And yet these assumptions still exist in clinical formulas.
我从未想过估算肾小球滤过率的问题 I-I never even stopped to think about the eGFR.
我们有办法能解决这事吗 主任 Is there any way around it, Chief?
我能写个申诉给器官移植委员会吗 Uh, can I write an appeal to the transplant board?
这只有在 That only works
病人已然符合病危情况时才有用 if the patient qualifies for medically urgent status.
拉希达可能没有那么多时间了 Rashida might not have that kind of time.
但还有很多人都像拉希达一样 There's a lot of Rashidas, though.
你也要为了他们努力 Fight for them, too.
放射科病房准备好了 The IR suite is ready for us.
杨军士 这位是泰迪·阿尔特曼医生 Sergeant Young, this is Dr. Teddy Altman.
少校泰迪·阿尔特曼 Major Teddy Altman.
-丹尼在哪 -他和海斯医生在一起 - Where's Danny? - He's with Dr. Hayes.
他没事 但为了保险起见他需要做一个脑部CT He's fine, but we need to do a head CT just to be sure.
你的片子上显示严重的双肺疤痕 Your scans reveal severe scarring in both your lungs.
我们希望收治你入院 We'd like to admit you and --
我有肺纤维化 I have pulmonary fibrosis.
谜题解开了 Mystery solved.
所以我不想做任何检查和治疗 That's why I didn't want any work-ups, no treatments.
我知道自己得了不治之症 I know what I have, and I know there's no cure.
治疗的费用支出只会给家里徒增负担 Just a crap-ton of different ways to the poor house.
你什么时候被诊断出来的 军士 When were you diagnosed, Sergeant?
大概一年以前 About a year ago.
第二次伊拉克驻扎回来之后 我开始咳嗽 I started coughing after the second Iraq tour.
一直都没有好 I couldn't shake it.
我开始从兄弟们那里听说 I started hearing from buddies about the burn pits,
燃烧坑会导致很多种癌症 how they were linked to all these cancers
还有不知名的疾病 and mystery illnesses.
退伍军人事务部应该报销这些治疗费用的 The VA's gotta cover these conditions.
几乎没有 Barely.
他们只报销哮喘一类的疾病 They just started covering stuff like asthma.
但我从来没听说过他们 But I haven't heard of a single vet
为任何一位退伍军人报销我这样的疾病 who's been covered for conditions like mine.
他们有各种方法扭曲事实 All kinds of ways to twist it
以至于你不能证明是服役导致了疾病 so you can't prove it was service-related.
更严重的是 我因为身体虚弱 无法完成轮班 Cherry on top? I lost my job at the seafood plant
而丢了海鲜种植场的工作 'cause I was too weak to finish my shift.
所以我没有医疗保险和工作 So I got no insurance, no job,
欠了一大堆医疗账单 and a stack of medical bills.
-军士 -叫我诺亚就好 - Sergeant, look... - Please, just call me Noah.
诺亚 你愿意见一位我们的肺脏学家吗 Noah, would you sit down with one of our pulmonologists?
我们会重新做检查 替你做一些测试 We'll redo your workup, and we will get you in for some tests
为你开始治疗 so that we can start some treatments --
不要 我不要检查 也不用治疗 Pass. No tests, no treatments.
没有针对你们的意思 但剩下的生命里 Nothing against you guys, but whatever time I have left,
我希望和我的儿子一起度过 I'd like to spend it with my son.
-快移动 已经四个了 -我知道了 - Move. That's four. - I know, I know, I know!
戳破那些气球 曾 加油 Pop these balloons, Tseng! Come on!
如果你输给了一个第二年住院医生 If you lose to a second-year,
你要打扫半年的洗手间 you're cleaning the bathroom for six months!
你别烦我了 Get away from me!
做内窥镜的时候 熟练度和速度同样重要 Endoscopic proficiency is just as important as speed.
稍稍失手 你就有可能穿透了结肠 One slip could mean you've perforated a colon.
还剩二十秒 20 seconds!
-太好了 -再来一个 - Yes, yes, yes! - One more.
他们进行到哪一项了了 What category are they on?
内窥镜 Endoscopy.
他们做的一团糟 It's a trash fire.
你现在是个住院医生了 You're a resident now.
有时间的时候 多睡觉多吃饭 Sleep when you can, eat when you can.
不用了 我现在是杂活饮食 Nah, I'm on the scut diet.
你在做直肠检查吗 Rectal exams?
阴道检查 Vaginas.
没错 粉色 Right. Pink.
我说的是你的手术服 The scrubs!
我在病人体内发现了一颗草莓 I found a strawberry in my patient.
以前读医学院的时候 Back in med school,
我还发现过山药 我赌二十美金曾会赢 I found a yam. 20 bucks on Tseng.
-我赌赫尔姆 -加油啊 - Okay, I'll take Helm. - Come on, come on, come on!
-加油 -泰伦 就在那里 - Go, go! - Taryn, it's right there,
气球就在那里 it's right there, it's right there!
上上上 加油 加油 Go, go, go! Come on, come on, come on!
继续 Go, go.
-结束了 -我先完成的 - Done! - Finished, finished. Me.
是曾先完成的 It's Tseng.
今天比赛的胜利者是... Today's winner of the competition...
施密特 你今天可以主刀手术了 Schmitt, you will be flying solo today.
我赢了 我居然赢了 I won. I won, I won! I won! Oh!
又没有见血 他当然会赢 Of course he won. There was no actual blood.
别这样 等等 那个 那个 Oh, come on! Wait, wait. What's the -- What's the --
我做什么手术 What's the surgery?
-有什么好的手术吗 -威尔逊找到了 - Find anything good? - Wilson did.
取出体内异物的剖腹探查 Ex-lap on foreign-body extraction.
太好了 Yes! Oww!
真棒 Get it, get it!
太棒了 Yes!
我爱你 I love you!
我们考虑一下 Hmm, let's think.
无限资金 无限时间和空间 Deep pockets, unlimited time, space,
凯·巴特利的开创性研究 Kai Bartley's groundbreaking research,
以及一个治愈神经退化性疾病的机会 and a chance at curing a neurodegenerative disease.
你忘记了剩下的部分 You're forgetting about the part
我们有孩子 他们需要稳定生活 where we have kids who need stability.
以及我刚回到我热爱的工作 And I have a job that I love that I just got back to.
我不想抛弃他们 I don't want to abandon them.
我们没有抛弃任何人 We're not abandoning anyone.
我们在革新医学 We're revolutionizing medicine,
这对我们的孩子来说也是一个好榜样 and that's a great example to set for our kids.
格蕾·斯隆医院看到我们参与 And Grey-Sloan, they're gonna be proud
如此高规格的研究也会为我们骄傲 to have us be part of something so high-profile.
没错 如果手术顺利 那就是巨大的成功 Exactly. If this surgery works, it's huge.
如果手术失败 我们就杀死了一位厉害的外科医生 If it doesn't, we've killed an incredible surgeon
让研究倒退好多年 and set the research back years.
多相信我们自己一点吧 梅瑞狄斯 Give us more credit than that, Meredith.
你让我来 是询问我的意见 You asked me here for my opinion.
我的意见是可以 I'm saying yes.
因为帕金森症患者需要的不仅仅是希望 Because people with Parkinson's need more than just hope.
这是她最后一个透析的输液口了吗 Is this her last possible access port for dialysis?
没错 我们要把导管往回拉一点 It is. We need to pull back the catheter just a bit.
经过肝脏或者腰部主动脉透析呢 What about transhepatic or translumbar access?
这样太危险了 她还有凝血问题 It'd be too dangerous, given her clotting disorder.
荧光镜 医学不应该是这样的 Fluoro. This isn't how medicine should work.
任何需要救命的人都应该得到医治 Anybody who needs life-saving care should get it.
肝素化盐水 Heparinized saline.
如果这个输液口也凝血 没机会了呢 What if this port clots off and she loses it?
你觉得呢 You tell me.
废物会堆积在她的血液了 导致尿毒症 Waste will build up in her blood, leading to uremia,
她的器官会接连衰竭 and her organs will start to shut down, one after the other.
用缝针把导管固定住 Secure the catheter with stitches on the wings and shaft.
做一个胸部X光 Get a chest X-ray.
你要去哪 Where are you going?
去帮她找一个肾脏 To get her a kidney.
你不用送我出来 You don't need to escort me off the premises.
我没有送你 That's not what I'm doing.
回家见你的孩子吧 Go home to your baby.
我只是想确保 I just wanted to make sure that
我在享受这一切 I'm not being completely ridiculous
看起来并没有很荒谬吧 for even entertaining this.
不 荒谬的原因是 No, you're being ridiculous
你居然还没接收这份邀请 because you haven't accepted the offer yet.
这可是治愈帕金森 梅瑞狄斯 I mean, we're talking about curing Parkinson's, Meredith.
帕金森啊 你到底在想什么 Parkinson's. I mean, what is the matter with you?
这个著名的医生在给我们资金 This -- This famous surgeon is basically throwing money at us
使用世界上最创新的设备 to play with the most innovative equipment in the world.
不仅如此 他还把自己得病了的大脑 And not only that, he wants to give us his diseased brain
提供给我们进行实验 as a testing ground!
你的职业生涯刚刚开始的时候 I mean, when you started your career,
你想当神经外科医生 you wanted to go into neuro.
现在是你回归初心的机会了 This is your chance to get back to that.
这或许是你命中注定的 I mean, maybe this is what you're supposed to do.
这就是我们应该做的 What we're supposed to do.
我完全无法理解 And I-I -- I cannot, for the life of me, understand
为什么你会放弃这样的机会 我... why you would walk away from something like this. I --
别放弃 So don't.
回家见 I will see you at home.
我插入了拉希达的输液口 I inserted Rashida's access point.
太好了 谢谢 Great. Thanks.
拉希达需要进入移植名单 Rashida needs to be on the transplant list.
我们在移植名单上找到了六个和她 We found six cases of patients with similar clinical profiles,
有相同临床症状的病人 who are on the list.
唯一的区别就是 这些病人都是白人 The only major difference is that these patients are white.
这些病人里有我负责的吗 Are those cases patients of mine?
有几个 A few.
肯定不止这个 病人的肾小球滤过率 There's got to be more to it than that. The patients' eGFR --
他们的肾小球滤过率更低 所以才符合移植条件 Yeah, their eGFR is lower, which makes them eligible,
但这只是因为 but that's only because
计算公式不合理地把种族作为一个判断标准 the formula unjustifiably uses race as a factor.
克劳斯医生 我们都知道 Dr. Krause, we all know
种族和肾脏功能无关 race doesn't play a role in kidney function.
-恩都古医生 -我知道你很忙 - Dr. Ndugu... - I know, you're busy,
但你如果看一下拉希达的肾小球滤过率 but if you look at Rashida's eGFR
不考虑她的种族 without accounting for her race,
她的数值会低于二十的标准 she falls below the criterion of 20.
我不明白 肾小球滤过率是这个领域的标准 I don't understand. The eGFR is the field's standard.
是经过反复试验的评判标准 It's a tried and true formula.
是的 也是时候该质疑我们的标准了 Yes. And it's time we start questioning our standards.
我现在有门诊 但我会看看的 Look, I have clinic right now, but I'll look into it.
拉希达没有其他透析端口可选了 Rashida doesn't have other options for a dialysis port
-如果这次失败的话 -我知道 - if this one fails. - I hear you.
我会看看的 恩都古医生 谢谢你 I'll look into it, Dr. Ndugu. Thank you.
罗宾·杰特 23岁 腹痛 Robin Jeter, 23, abdominal pain.
X光片显示有晶体卡住导致了肠梗阻 X-ray shows a lodged crystal causing intestinal obstruction.
我猜你是想说肠结石吧 I think you mean to say intestinal stone.
-不 不是 -不 她不是 - No, I don't. - No, she didn't.
是个晶蛋 It's a yoni egg.
具体来说是紫水晶 Amethyst, specifically.
是个水晶蛋 It's -- It's -- It's a crystal egg
通常是插入阴道内的 that is typically inserted into the vagin--
了解 Got it.
我在做一个我在社交媒体上看到的仪式 Uh, I was doing a ritual I saw on social media
它本该给你的生活带来爱和治愈 that was supposed to bring love and healing into your life.
但我动作太快了 把它们搞混了 But, um, I was doing it so fast, I mixed it all up.
我本该吃下草莓 I was supposed to eat the strawberry
然后插入晶蛋 and insert the yoni egg.
你把草莓怎么了 What did you do with the strawberry?
我明白了 I-I see.
没错 该我了 Oh! Right. I'm up.
你好 罗宾 我是施密特医生 Hello, Robin. I'm Dr. Schmitt.
今天由我来为你做手术 移除那个... I'll be doing your surgery today, uh, to remove, uh, the...
-那个 -晶蛋 - The -- - Yoni egg.
他多大了 How old is he?
这些症状听起来很熟悉 Yeah, these symptoms sound familiar.
我治疗过几十个暴露在燃烧坑里的士兵 I have treated dozens of soldiers exposed to burn pits.
什么是燃烧坑 What are burn pits?
电子产品 塑料 脏制服 人类排泄物 Electronics, plastics, soiled uniforms, human waste.
浇上点燃油 用火柴点燃 Douse it all with some jet fuel, light it with a match,
然后嘭 能出什么问题呢 then fwoosh -- I mean, what could possibly go wrong?
其中有些人的病 I mean, some of these men have illnesses
我们甚至都没有命名 that we haven't even named yet.
其他人全天候处于痛苦之中 Others are in pain 24/7.
退伍军人管理局起不到任何作用 They get nowhere with the VA.
这家伙上过六次战场 The guy did six tours of service.
为了保护我们 To protect us.
从不质疑 从不抱怨 Never questioning, never complaining.
只是服从命令 He just answered the call,
我们同样也要这样对他 and we need to do the same for him.
明天我会去趟退伍军人管理局 Tomorrow, I'm gonna go down to the VA.
我需要答案 I'm gonna demand answers.
那么在你打败美军之后 Okay, so after you defeat the US military,
可能先吃个午饭 然后再去对付普京 maybe grab some lunch, and then take on Putin?
-他儿子怎么样 -丹尼会没事的 - How's his kid? - Danny's gonna be fine.
头部CT没有问题 他今天晚些时候就可以出院 Head CT was clear. He can be discharged later today.
也许艾弗里可以通过基金会帮助诺亚 Maybe Avery can help Noah through the foundation.
我们连董事会投票都等不到他就会死 He'll be dead before we even line up the votes on the board.
我们救不了诺亚 We can't save Noah.
他只需要紧急治疗让自己舒服点 He just needs immediate medical care just to be comfortable.
这点我们可以做到 稍后再解决细节问题 And we can give him that. We'll figure out the details later.
看看你俩 打破规则 拯救生命 Look at you two, breaking rules and saving lives.
很庆幸我帮你俩结婚了吧 Aren't you glad I got you to tie that knot?
-出什么事了 -她的血氧下降了 - What happened? - Her sats dropped,
她的脸和脖子越肿越厉害 and her face and neck keep swelling more and more.
上腔静脉综合征 Superior vena cava syndrome.
导管肯定完全阻塞了她的上腔静脉 The catheter must have blocked her SVC entirely.
我得取出来 I'm taking it out.
我们能把她送回介入放射治疗室重新放置吗 Can we take her back to the IR suite and reposition it?
不行 No.
那她还怎么做透析 How else would she get dialysis?
-她做不了了 -恩都古医生 - She wouldn't. - Dr. Ndugu --
她的多个端口都凝血了 She's already clotted off multiple access points.
谁能保证不会再次发生 Who's to say it wouldn't happen again?
呼叫克劳斯医生 Page Dr. Krause!
没事的 大家都在看 本来就会这样 It's fine. Everyone's watching. That's what happens.
人们眼看着你搞砸 People watch, you screw up,
然后你不干了 找块石头躲起来 and then you quit and go find a rock to hide under.
你准备好了吗 You ready?
手术刀 Scalpel.
-干得不错 施密特 -谢谢 - Nice extraction, Schmitt. - Thank you.
3-0缝合线 谢谢 3-0 chromic, please.
多普勒仪 Doppler.
放松 施密特 Relax, Schmitt.
只要你冷静 大家都冷静 If you're calm, everyone else is calm.
这可不能发生 Oh, this can't happen.
加油 加油 思考 Come on, come on, come on, come on. Think.
你能做到 思考 You can do this. Think.
我开扬声器了 I'm turning the speaker on.
大家帮帮他 Help him out, people.
相邻区段信号好吗 Are you getting a good signal from the adjacent segments?
是的 两边都好 Yes, both sides.
切除那个部分 做个缝合 Resect that segment. Do a hand-sewn --
端端吻合术 End to end anastomosis.
吻合器 Uh, stapler.
先用薇乔缝线将肠道缝合 To close, start bringing the bowel together with a vicryl suture,
用康奈尔式缝合法缝合拐角 coming around the corner with a Connell stitch and --
每两针之间要有三毫米的距离 And a 3 millimeter gap between every two sutures.
明白 Got it.
抽吸 泰伦 Suction, Taryn --
赫尔姆医生 Dr. Helm.
出什么事了 What happened?
导管引起了并发症 There was a complication from the catheter,
-我只能把它取出了 -那么你会重新放置它吗 - so I had to remove it. - So you'll reinsert it?
我不会 而且因为我们无法做透析 I won't. And because we couldn't gain access for dialysis,
拉希达需要马上被列入移植名单 Rashida needs to be placed on the transplant list immediately.
拉希达做我的病人好几个月了 Rashida's been my patient for months.
这些不是你能决定的 These aren't your decisions to make.
但她现在也是我的病人 Except that now she's also my patient.
她经历了很多不必要的手术 And she has suffered from multiple unnecessary procedures,
我不会再让她经历更多了 so I'm not putting her through even more.
这不符合规定 This is not protocol.
不符合 这是一条命 It's not. It's a life.
拉希达的命 Rashida's.
就算我们把她列入移植名单 Even if we list her,
我们也不知道什么时候才会有肾源 we don't know when a kidney will come through.
会比不在移植名单上快 It'll come faster than if we didn't.
海斯 我在找丹尼和诺亚 Oh, Hayes, uh, I'm looking for Danny and Noah.
他们离开了 Uh, they left.
什么叫离开了 我没有放诺亚出院 What do you mean they left? I didn't discharge Noah.
你没有 但我放他儿子出院了 No, but I discharged his son,
他说他想跟他一起回家 and he said he wanted to go home with him.
所以你就让他走了 也不问问我 So you just let him go? Without asking me?
他说他拒绝所有进一步的化验 He said he declined all further testing,
然后他签署了拒绝执行医嘱 and then he signed an AMA.
他的双肺严重的纤维化 He has severe fibrosis in both lungs.
他需要补充氧气 做全面肺部检查 He needs supplementary oxygen, a full pulmonary workup,
由专家评估 an evaluation by a specialist,
-我们需要做更多的研究 -好吧 - and we're gonna need to do more studies, - okay,
-如果我们要 -亨特 他已经晚期了 - if we're gonna -- - Hunt, he's terminal.
你知 我知 You know that, I know that,
诺亚知 也接受了 Noah knows that, and he's accepted that.
-海斯 -当你家里有个小家伙时 - Hayes, just -- - Which is very difficult to do
很难做到接受绝症 when you've got a little one at home.
相信我 Believe me.
所有这些你想为他做的事 需要时间 All those things you want to do for him, they take time.
需要精力 They take energy.
这是诺亚想留给他儿子的两样东西 They're two things Noah wants to give his son right now
趁他现在还能做到 while he still can.
抱歉我没有征求你同意 Look, I'm sorry I didn't ask you,
但不抱歉放他走 but I'm not sorry I let him go.
你看着真美 You look amazing.
但你可能得换身衣服 But, yeah, you may want to change.
抱歉 Sorry.
没关系 It's okay.
你听见了吗 Listen. You hear that?
-听见什么 -就是这个意思 - What? - Exactly.
就这里 这就是我缩短工作时间的原因 I mean, this right here, this is why I pulled back on my hours.
我忽略了周围的一切 I was -- I was ignoring everything around me.
你知道吗 You know?
完美的寂静 The perfect silence,
在我家后面的树林里徒步两英里 the 2-mile hike through the woods behind my house,
只是坐在这里 仰望星空 just sitting here, sitting, staring up at the stars.
我不怎么看星星 I don't stargaze much.
从什么时候开始的 I'm sorry, since when?
一直都是 Since ever.
我们肯定会很快乐 Ooh, we're gonna have so much fun.
我还有好多要教你 I've got so much to teach you.
跟我说说这个绝密项目 Hey, tell me about this, um, top-secret project.
如果我告诉你 就不是绝密项目 Well, If I told you, it wouldn't be top-secret.
好吧 告诉我一个细节 Fine. Tell me one thing.
你真的不懂什么是秘密 You really struggle with the concept of secrets.
我想是的 I guess I do.
我害怕答应 I'm scared to say yes.
我很少害怕 And I am very rarely scared.
什么吓到你了 What are you scared of?
失败 Failure.
这项目要花掉几百万美元 This project will cost millions of dollars,
这很冒险 will be very risky,
无论输赢 都会被铭记 win or lose, will eventually be written about.
我只是不确定 And I'm just not sure
从新冠疫情中幸存之后要做的第一件事 that I want the first thing that I do after surviving COVID
是在众人面前失败 to be a public failure.
我知道这是因为自尊心 And I know that's my ego.
我在西雅图过得很舒服 I have a very comfortable situation in Seattle.
又安全又舒适 I have safety. I have comfort.
现在你要抛弃这一切 And now you're gonna trade all of that in.
去冒险 You're gonna risk it all.
梅瑞狄斯 你不是个安于现状的人 Listen, you're not a safety person, Meredith.
你不喜欢困在舒适圈里 You're not a comfort person.
-这不是你的天性 -你怎么知道 - It's not your nature. - How do you know?
因为我跟你一样 同类相知 Because it's not mine, either. And it takes one to know one.
无论输赢 你都会冒这个险 You're gonna risk it all, and win or lose...
都是个难忘的旅程 it's gonna be a hell of a ride.
很抱歉 拉希达 I'm really sorry to say this, Rashida.
我们没法给你做透析 We couldn't gain access for your dialysis.
但你在移植名单上 拉希达 But...you're on the transplant list, Rashida.
等等 什么 Wait, what?
你认真的吗 Are you serious?
当然 Yeah.
老实说我从没想过会有这一天 I honestly never thought I would see this day.
你们不仅是救了我的命 You're not just saving my life.
还改变了我的人生 You're changing it.
我终于能做回自己了 I can go back to who I was.
我不知道该怎么谢你 I don't know how to thank you.
我迫不及待要告诉所有人 I can't wait to tell everyone.
恩都古医生 Oh, and, Dr. Ndugu,
等我粉丝知道你怎么帮我的时候 when my followers find out how you helped me --
你单身吗 Are you single?
不 I'm not.
我和这家医院的另一个 I'm actually married to another cardiothoracic surgeon
外科医生结婚了 她是皮尔斯医生 at this hospital -- Dr. Pierce.
她也很厉害 And she fly.
真的吗 What?
可爱的医生夫妻 A cute doctor couple?
厉害啊 Okay!
我得赶快去见见她 I gotta meet her ASAP.
你们想过当网红吗 Ooh, have you guys ever thought about becoming influencers?
品牌方会蜂拥而至的 The brands would come flocking.
当网红 干嘛 宣传健康吗 Influencers? For what? Health?
有各种各样的网红啊 Yeah, I mean, there are influencers for everything.
比如说 电影类 探店类 园艺类 Okay, movies, restaurants, plants.
还有狗狗网红呢 There are dog influencers, too.
哈巴狗老大有两百多万粉丝呢 Biggie the Pug has 2 million followers.
来吧 来 我们直播了 Ha! Come on. Okay. We gotta go live.
好久没看到大家这么开心了 I haven't seen them this happy in months.
赫尔姆比施密特还激动 Helm's more thrilled than Schmitt.
他把那个水晶给她了 He let her keep the crystal.
你好像是最开心的啊 And you seem to be the happiest of them all.
回到他们面前的感觉真好 Feels good to be back, in front of them.
王医生今天交了退休信 Well, Dr. Wong gave me his retirement notice today.
王医生 他以前是我学生 Dr. Wong? He used to be a student of mine.
出什么事了 Is something wrong?
他很健康 就是不想干 Healthy as a horse.
理查德 这种情况越来越严重 And it's getting worse, Richard.
每天都有人退休 辞职 搬到明尼苏达州 Every day, someone retires or quits or moves to Minnesota...
我们没法确定格蕾要不要走 We don't know if that's happening.
不管是累了还是厌烦了 Whether it's burnout or exhaustion
或者只是想要做出一些改变 or just needing a change,
需要重新开始的不只是住院医生 these residents aren't the only ones that need to reset.
整个医院都要想想初心是什么 This whole hospital needs to remember why we're here.
新冠夺走了我们的初心 COVID took that from us.
我们之前还有披萨之夜呢 You know, remember when we used to have, like, pizza night
还有团建 住院医师互相恶作剧 and retreats, and -- and residents would prank each other
你不是看不惯这些吗 and --You hated that.
但那时候有很多欢乐 But there was joy
大家都沉浸其中的感觉非常好 and the feeling that we were all in this together,
为了比我们个人更大的东西 for something bigger than ourselves.
我想为那些腾点地方 I want to make room for that.
我想让大家再次拥有欢乐的空间 I want to make space for that again.
你想让大家想起初心 You want people to remember the why.
我也是 So do I.
我有主意了 贝利 I got some ideas, Bailey.
大主意 Big ones.
*如果知更鸟不再歌唱* *And if that mockingbird don't sing*
*爸爸会给你买钻戒* *Daddy's gonna buy you a diamond ring*
*如果钻戒也没用了* *And if all of those rings don't work*
*爸爸会觉得自己是个老混蛋* *Daddy's gonna feel like a big old jerk*
好了 别唱这么消极的催眠曲了 Okay, you need to stop with the depressing lullabies.
但让他睡着了 Put him to sleep.
林 我知道你很难过 Link, I-I know that you are upset
伤心 默哀自己理想的未来消失了 and sad and grieving the future you thought you had.
当然我也经历过 Obviously, I have been there.
然后你干了什么 And what did you do?
我尽可能去寻找快乐 I looked for joy anywhere that I could.
然后我去了妇产科 Then along came Ob...
还有卢娜 and Luna.
我知道你现在很难过 但会好起来的 I know that it sucks right now, but you're gonna be okay.
之前利奥确实出了点事 Something did happen earlier with Leo.
我以为一个家长对他的艾莎裙子评头论足 I-I-I thought a parent was being judgy about his Elsa costume,
-我就和他当面对峙了 -谁啊 - so I-I confronted him. - Who was it?
不重要 因为他没有评头论足 No, no one. He wasn't being judgy.
我只是很担心 欧文 I'm just -- Owen, I'm worried.
我想让利奥在这世上开开心心的 I-I want Leo to be okay in the world,
我担心如果 如果我们 and I'm -- I'm -- I'm worried, what if we...
如果我们让他做自己会怎么样 What if we let him be himself?
我担心世界对他没有善意 I'm worried that the world won't be kind.
我担心生活的残酷 I'm worried that it will be hard.
我担心人们的残忍 I'm worried that people will be cruel.
或许他们会这样 And maybe they will be.
但我们不会 But we won't be.
利奥现在很幸福 Leo's happy. Let's --
我们就让他幸福 好吗 Let's just let him be happy, okay?
好 Okay.
-妈妈 -他来了 - Mommy! - Oh, there he is. Hey!
你怎么样 Hey. How are you?
看看这是什么 Look what I got.
艾莎的新斗篷 A new cape for Elsa,
冰雪女王 the Snow Queen.
喜欢吗 You like it?
当然 Yeah.
喜欢 I love it.
-交给你们了 -好 - You got her? - Yeah.
-我来吧 -你好啊 - I'll take him. - Hi!
-回家吧 -好 - Let's go home. - Okay.
今天过得怎么样 How was your day?
有一种东西叫做预测性内稳态 There is such a thing as predictive homeostasis.
这么晚了 Late night.
我不属于你 You don't own me.
我知道 I know.
我需要自主选择团队 I need autonomy picking the team.
没问题 Absolutely.
我需要这个过程中取得的任何进展 I'd like any progress that we make from this process
让全世界所有的帕金森患者都能知晓 to be public and accessible to everyone with Parkinson's.
当然 Of course.
就是我们的身体对未来的挑战做出反应的时候 It's when our body anticipates responses to future challenges.
我想把这个项目带回格蕾-斯隆纪念医院 I'd like to move the whole project to Grey-Sloan.
那就不行了 That I can't do.
这很贵的 It's -- It's expensive.
实话说我没那么多时间了 Frankly, I don't have the time.
这里什么都有 We have everything we need here.
我不能搬来明尼苏达 I can't move to Minnesota.
我需要你尽可能待在这 I need you here as much as possible.
我可以在西雅图组个卫星实验室 I could set up a satellite lab in Seattle.
一周来回一次 I could travel back and forth once a week.
只能这样了 That's the best I can offer.
成交 Done.
它知道有些改变无法避免 It understands that change is inevitable...
这意味着你加入吗 Does this mean you're in?
我加入 It means I'm in.
而且也并非就是大灾难 ...and doesn't have to be catastrophic.
实习医生格蕾 第十八季第二集