实习医生格蕾
Grey's Anatomy S16E21
Part 2
June 24, 2020, 9:38 a.m.
Because you don't need this surgery.
你现在这个样子就很美
You're beautiful just the way you are.
自从妈妈死后 你就惧怕医院
You've been scared of hospitals since mom died.
但我明年就要上高中了
But I start high school next year,
我想要交朋友
and I want to have friends.
可以一起笑一起哭还能理解我的朋友
Friends I can laugh and cry with and who understand me.
因为现在没人理解我
Because right now, no one understands me.
我理解
I do,
我觉得你很完美
and I think you're perfect.
抓拍到了
Now we're talking.
小心了 单身女士们
Look out, single ladies.
答应我不要再打退堂鼓
Promise not to chicken out again
我就不发图了
and I won't post it.
21岁男性 棒球棒插入胸部
21-year-old male. Took a baseball bat to the chest.
-钝挫伤 -不全是
- Blunt trauma? - Not exactly.
天
Oh, my God.
你应该看看另外一个人
You should see the other guy.
他完全没事
He's totally fine.
好吧 你 听着 你不懂
Okay, you -- Look, you don't understand.
好吗 你在犯一个大错
Alright? You're making a huge mistake.
德卢卡 这不关你的事
DeLuca, this doesn't concern you.
这和我有关 好吗 理查德是我的朋友
Yes, it does concern me, okay? R-Richard's my friend.
你用了几周的时间 依旧一无所获
You've had weeks and have found nothing.
我要带我丈夫回家
I'm taking my husband home.
即使这意味着你会杀了他
Even if it means you're gonna kill him?
因为你就在这么做 你知道的 对吗
'Cause that's what you're doing. You know that, right?
-你 -安德鲁
- You -- - Andrew!
出去走走
Take a walk.
对不起 凯瑟琳 他太累了
I'm sorry, Catherine. He's exhausted.
我们都累了
We're all exhausted.
没有那些指控都已经够难了
This is hard enough without the accusations.
但 但我跟他说了 别来这里
But -- But I told him not to come up here.
因为他太会"遵守"规则了
Yeah, 'cause he's so great at following the rules.
够了 我不是一个小孩了
Okay, I-I'm not a child!
这不会很久的 就只是到大门口
I-It won't take long. Just to the exit.
我要带你回家了 宝贝 记得吗
I'm taking you home, sweetheart, remember?
听着 我想走路
Look, I want to walk.
好吧 好吧
Okay. Okay.
天呐
Man.
-该死 -别气 你只是脚滑了
- Damn it! - Alright, you just slipped.
我的腿"睡着"了 因为你们只让我躺床上
My leg fell asleep because you people keep me in this bed.
你还好吗
Are you okay?
-我只是要休息会儿 好吗 -好的
- I just need a minute, okay... - Okay.
等我感觉到我的脚趾就好了
'til I can get the feeling back in my toes.
什么叫你感觉不到你的脚趾了
What do you mean you have no feeling in your toes?
你的脚就没有"睡着"过吗
Your feet have never fallen asleep?
跟我说说
Humor me.
它们 它们又麻木又刺痛
They're -- They're numb and tingly.
梅瑞狄斯 他刚刚滑着了
Meredith, he just slipped.
你的手指呢 你的手指麻木吗
Well, what about your fingers? Are your fingers numb?
我来检查一下你的小腿 好吗
I'm gonna check your calf, okay?
好吧
Okay.
四肢的刺痛感以及对触摸的敏感
Tingling in the extremities and sensitivity to touch
不是阿兹海默的症状
are not signs of Alzheimer's.
一定要做个肌电图来检测下他的神经
Definitely should do an EMG to test his nerves.
你真的觉得有必要吗 格蕾
You really think that's warranted, Grey?
是的 因为如果我对了 那就给了我们希望
I do, because if I'm right, then it gives us some hope.
如果你错了 那就是折磨了
And if you're wrong, then it's torture.
我不要做检测了
I don't need any more tests!
凯瑟琳
Catherine...
我知道你不想见他受苦
I know you don't want to see him in pain.
我也不想见他受苦
I don't want to see him in pain.
但我们真的要忽略这个吗
But are we really willing to ignore this?
做检测
Do it.
宝贝 我们必须做 我们必须做
Baby, we have to. We have to.
验血型 毒理检测 拍胸片
Let's type and screen him. Let's get a chest X-ray
做创伤CT
and a CT trauma series.
施密特 做超声波检查
Schmitt, let's get the ultrasound
来评估一下损伤的程度
so we can assess the extent of this damage.
接球手喊躲开
Catcher called for heat.
接下来就...
Next thing I know -- Boom.
碎片像回旋镖一样向我飞来
Shards came at me like a boomerang.
呼叫心脏科
Let's page cardio.
-插♥进♥我心脏了吗 -我们不知道
- It's in my heart? - We don't know.
所以我们叫了心脏科 好吗
That's why we paged cardio, alright?
我可以帮你拿着这个
I-I can take that for you.
卡斯卡德联盟吗
Cascades, huh?
是的
Yeah.
我的梦想是去西雅图水手队
My dream's to go to the Mariners.
现在似乎每个人的梦想都是这个了
Seems to be everybody's dream these days.
好了 超声波不清楚
Okay, ultrasound's unclear.
我们要带你去做CT 订一间手术室
We're gonna get you up to CT, and let's book an O.R.
-手术室 -相信我
- An O.R.? - Trust me --
当我把这个取出来时
you do not want to be awake
你不会想醒着 好吗
when I pull this thing out of you, okay?
你会没事的 好了 我们走 我们走
You're gonna be fine. Okay, let's move. Let's go.
所以你注意到感官缺陷
So, you noticed sensory deficit
和对疼痛的敏感性增加 这意味着...
and an increased sensitivity to pain, which means...
神经系统就像一个电网
The nervous system is like an electrical grid.
通过向特定区域发送少量电荷
By sending a small charge to certain areas,
我们可以知道这些线路是否都连接
we can see if all those lines are connected.
或线路是否断开了
Or if a power line is down.
这种强度的电击应该
The shock of this should send
能让他的十只脚趾活蹦乱跳
all ten of his little piggies squealing.
主任之间的小玩笑 不好意思
From one chief to another, sorry.
增加电量
Adding more juice.
别再电他的腿了
No motor output going to the legs.
测试证实了我们刚才看到的事情
The test confirmed what we saw with the fall,
他患有严重的急性
which is he has severe acute onset
运动和感官神经退化
motor and sensory nerve degeneration,
完全相悖于阿兹海默的症状
which is inconsistent with an Alzheimer's diagnosis.
我的神经科医生怎么说
I'd like to hear from my neurosurgeons.
格蕾是对的 这个发现很棒
Grey's right. It's a fantastic catch.
我也要撤回我的阿兹海默票
I'm also withdrawing my Alzheimer's vote.
不只是他的大脑出了问题
I -- it's not just his mind that's failing him.
他的身体也一样
It's his body.
不是阿兹海默吗
Not Alzheimer's?
天呐 太棒了
Oh, my God. That-- That's fantastic.
那还有可能是什么病
Well, what is it? Where does that leave us?
用神经学的术语讲 我们从头开始
In neuroscience, the official term is square one.
重新开始研究
We keep hunting.
那我们先从腓肠神经活检开始
Right. Then we should start with a sural nerve biopsy
重新检查他的扫描图
and re-check his pan-scan
排除肿瘤的可能性
to rule out a -- an occult tumor
然后再来确定
and just try to determine
到底是什么在破坏他的神经系统
what exactly is destroying his nerves.
同意
Agreed.
糟糕 创伤咨♥询♥
Damn it. Trauma consult.
随时通知我进展 谢谢你 梅瑞狄斯
Please keep me posted. And thank you, Meredith.
谢谢你们
Thank you all.
我去把今天的档期清出来
Okay, I am, uh, clearing the rest of my schedule today.
手术室见 格蕾
I'll meet you in the O.R., Grey.
告诉卡洛西科你的进展
Uh, let Koracick know what you find.
我的工作由他接手
I'm gonna let him take over.
你不用在这时候承认我比你好 谢博德
Oh, you don't have to tell me I'm better than you, Shepherd.
-我知道 -你不是
- I know I am. - You're not.
可我的羊水破了
But my water just broke.
需要轮椅吗 你就这么走着去吗
Uh...you want a wheelchair? You're gonna walk?
你去看理查德 我走着去
You do Richard. I'm good to walk.
抱歉弄脏了你的地板
Sorry about the floor.
我给林打电♥话♥
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