死亡医师（2021）

Dr. Death S01E08

Part 6 July 28, 2021, 11:20 a.m.

不过还是祝你早上好
but good morning.
检方把她们刚才念的这封邮件
Now, the State is making a big deal out of this email
当作重要证据
they just read.
你知道克里斯托弗喜欢诗歌♥吗
Did you know Christopher liked poetry?
我后来才知道
I found out later.
但你对于他华丽的辞藻并不觉得奇怪
But you're not surprised by his--his flowery language.
我是说他经常给你写
I mean, he sent emails
那样的邮件不是吗
like that one quite often, didn't he?
是的
Yes.
你认为邓奇医生是一个冷血无情的杀手吗
Do you think Dr. Duntsch was a cold-blooded killer?
不
No.
我们都知道你与邓奇医生
Now, it's no secret that you and Dr. Duntsch
有过一段亲密关系
had an intimate relationship.
我们知道你们有过性关系
We know that involves sex,
但你们否动过真情呢
but was there an emotional element?
什么意思
Meaning?
与他生活中的其他人相比
Well, among the people in his life,
根据你与他共事期间
based on everything you saw
日常的所见所闻
working with him day in and day out,
包括共枕期间的
sleeping with him,
你认为你与他非常亲密吗
you thought you were pretty close?
我想是的
I thought so.
亲密到或许
Close enough that perhaps
你不愿意看清♥真♥♥相♥
you didn't allow yourself to see the truth?
真♥相♥
The truth?
关于他能力的真♥相♥
About his abilities.
我不明白你的意思
I don't understand.
他是一个优秀的外科医生吗
Was he a good surgeon?
这超出我的专业范围了
That's outside my area of expertise.
你在他的诊所工作你在手术室里协助他
You were in his office. You were in the O.R.
你没有专业的看法吗
You don't have a professional opinion?
没有
No.
好吧那么在雪莉·布伦南之后
Okay, well, after Shelley Brennan,
你再和邓奇医生共事过吗
did you ever work with Dr. Duntsch again?
-没有 -为什么
- No. - Why not?
我不想再待在那种环境里了
I didn't wanna be in that environment anymore.
那种环境哪种环境
That environment? What environment?
不健康的环境你懂吗
Unhealthy, you know?
你是指那种
You mean the environment in which patients
残害患者的环境吗
were being maimed and killed?
-反对 -有效
- Objection. - Sustained.
最后一个问题
Just one more question.
如果你认为邓奇医生
If you believed that Dr. Duntsch
企图伤害患者
wanted to hurt patients,
你完全可以告诉别人
you certainly would go and tell somebody about that,
不是吗
wouldn't you?
是的女士
Yes, ma'am.
问询完毕
Pass the witness.
保重摩根女士无论你身在何处
Stay safe, Ms. Morgan, wherever you've gone.
你感觉怎么样
How are you feeling?
如果他们问我关于邓奇培训的事
If they ask me questions about Duntsch's training,
我不能保证我会说些什么
I can't promise you what I'm going to say.
我理解
Yeah.
如果我们不能把整个案件交代清楚
If we can't present our entire case,
好的坏的所有一切
the good, bad, everything,
如果我们不能交代清楚却依然赢了
if we can't lay it all out and still win,
那我们其实不该赢
then we shouldn't win.
你接电♥话♥吧
You take that call.
喂妈等一下
Hey, Ma. Hang on a sec.
亨德森医生
Dr. Henderson.
如果他们问到你尽情回答
If they ask, answer how you want.
谢谢
Thank you.
喂我在听
Yeah, I'm here.
我们请你对被告完成的
We asked you here to give your opinion
四例不同的手术进行评价
on four different cases the defendant performed.
被告建议杰瑞·萨莫斯做什么手术
What surgery did the defendant recommend for Jerry Summers?
两处颈椎融合术
An anterior cervical fusion
颈椎C3-4和C4-5
at C3-4 and C4-5.
萨莫斯先生的手术结果如何
What was the outcome of Mr. Summer's surgery?
导致了他四肢瘫痪
He was rendered a quadriplegic.
你能给我们讲讲手术过程吗
Would you walk us through it?
术中出现大量出血
There was a lot of bleeding.
-抽吸 -抽吸
- Suction. - Suction.
纱布给我拿块纱布
Sponge. Give me a sponge.
出血量达到多少毫升
How many CCs were lost?
正常出血量在25到200毫升之间
A typical loss is somewhere between 25 and 200 CCs.
萨莫斯先生失血1900毫升
Mr. Summers lost 1,900 CCs.
是什么导致了如此大量的失血
What accounts for that amount of blood loss?
伤及重要器官
Injuring a major structure.
肿瘤摘除钳
Pituitary.
他移除了C3-4和C4-5处的椎间盘
He removed the disc from C3-4 and C4-5,
如他应该做的那样
as he was supposed to do,
然后他从左侧移除了
and then he removed a tremendous amount of bone
非常大量的骨骼
on the left side.
超过三分之一的椎体
Over a third of the vertebral body.
在此过程中他划破了椎动脉
And in doing so, he lacerated the vertebral artery.
被告选择再进行第二次手术
The defendant chose to go back in for a second surgery.
他做了什么手术
What procedure did he perform?
双关节咬骨钳
Double action.
椎板切除术来缓解脊柱受到的压♥迫♥
A laminectomy in order to relieve pressure on the spine.
但由于移除了前后方
But by removing excessive bone
过多的骨骼
from both the front and the back,
导致整体结构受到影响
you're compromising the entire structure.
通俗来讲呢
In layman's terms?
他的头和脊柱之间几乎没有连接了
His head was barely attached to his spine.
我们接着讨论雪莉·布伦南
Let's move on to Shelley Brennan.
邓奇建议的手术
The surgery Duntsch recommended,
能够治愈她的病症吗
was that a surgery that would fix her issue?
能
Yes.
布伦南太太的手术结果如何
What was the outcome of Mrs. Brennan's operation?
患者死亡
She died.
这属于这类手术的正常结果吗
Is that normal for this type of procedure?
死亡率不到万分之一
Mortalities are less than 1 in 10,000.
髓核钳穿透了
The pituitary rongeur went through
前端的韧带划破了旁边的
the ligament in the front and lacerated the iliac vessels
髂动脉
that lie directly on the side.
所以布伦南太太在术中出血了
So Mrs. Brennan was bleeding?
大量出血
Heavily.
手术视野中是否
Would there have been blood
能看到患者出血
visible in the operative site?
有时候可以
Sometimes, yes.
虽然这例手术中似乎未见出血
It doesn't appear to have been the case here,
但他们应该注意到患者出现血压下降
but they should have noticed a drop in her blood pressure.
神经外科医生应该知道血压下降
Should a neurosurgeon know that a drop in blood pressure
意味着有出血情况吗
means there's a bleed somewhere?
这是基本原理但他们找到
It's a fundamental rule, but the likelihood of them
出血点的几率很小
being able to address the issue is small.
他们一般会请血管外科医生来协助
They'd call in a vascular surgeon for assistance.
但他没有这样做
But he didn't do that.
他没有
No.
桃乐西·伯克
Dorothy Burke.
伯克太太先前在C5-6和C6-7两处
Mrs. Burke had a previous anterior cervical fusion
做过颈椎前路融合术暂时缓解了她的病症
at C5-6 and C6-7 that resolved her symptoms for a time,
但她开始感觉脖子和肩膀疼痛
but she began experiencing neck and shoulder pain
这与她先前的手术无关
that had nothing to do with her prior surgery.
邓奇医生诊断她患有C4-5椎间盘突出
Dr. Duntsch diagnosed a disc protrusion at C4-5
C7T1椎间盘脱出
and a disc extrusion at the C7 T1 level.
他又一次划破了椎动脉
He sliced through the vertebral artery again.
我们多次提到椎动脉
We've been talking a lot about the vertebral artery.
它在手术中很容易被划破吗
Is it common for it to be hit during surgery?