实习医生格蕾

Grey's Anatomy S13E19

Part 4 Jan. 26, 2020, 11:01 a.m.

可能是这个
It could be that.
你吸烟吗
Do you smoke?
我奶奶吸烟
My grandmother did.
二手烟
Secondhand exposure.
不
No.
不不不
No, no, no, no, no. No.
什么很糟吗
What? Is it that bad?
是啊憩室炎
Yes, diverticulitis.
憩室炎没那么糟吧
Diverticulitis... is not even that bad.
我知道
I know.
但确实很糟
Except it is,
因为现在我得承认克罗斯是对的了
'cause now I have to live in a world where Cross was right.
10号♥刀
10-blade.
你要看皮尔斯是不是会崩溃吗
You watching to see if Pierce melts down?
不我只是感兴趣这是非常罕见的手术
No. I'm just interested. It's a very rare surgery.
胎儿内的肿瘤呢
A tumor inside a fetus?
还是在她母亲的子♥宫♥内
Inside a womb inside a woman --
是啊就像套娃一样
yeah, it's like a nesting doll.
就像套娃一样
It's like nesting dolls.
太棒了
It's fascinating.
你怎么来了
Why are you here?
和你一样
Uh, yeah. Same.
天啊怎么这么多人
God. Why so many people?
很罕见这个手术很吸引人
It's pretty rare. It's fascinating.
是啊
Right.
她会成功的
She's gonna do fine.
布洛迪下一步
Brody, next step?
打开子♥宫♥ 外置胎儿
You'll open the uterus and exteriorize the baby.
很好然后呢
Good. Then?
皮尔斯医生会完成胎儿胸骨切开术
Dr. Pierce will perform a fetal sternotomy,
然后切下肿瘤
then excise the tumor.
接下来就没有回头路了
This is kind of the point of no return.
你是在问我还好吗
Are you seriously asking me if I'm okay?
我们要将这个孩子带离她安全而温暖的家了
We're about to take this child from her safe, warm home.
离开她母亲的身体来到阴冷的世界
She's leaving the mother ship into cold, dark space,
我要确保我们能带她回去
and I want to know that we can bring her back.
我要确保一切都正常
I want to know that everything is okay.
好吗
Okay?
好的
Okay.
艾萨克你患了穿孔憩室炎
Isaac, you have perfed diverticulitis.
憩室炎就只是憩室炎吗
Diverticulitis? That's it?
德卢卡医生在准备手术室
Dr. DeLuca is prepping an O.R. for Dr. Edwards...
爱德华兹医生会是你的主刀医生
...who will be your lead surgeon,
我也会全程在那里的
and I will be there the whole time.
就只是个普通的憩室炎连美克尔氏憩室炎都不是
It's just run-of-the-mill diverticulitis? Not even Meckel's?
好吧对我而言我也希望是更酷的
Okay, i wish it were something cooler, too,
但确实不是
for my sake, but it's not.
我之前真的感觉很糟
I just had such a bad feeling.
那种感觉叫做“做实习生”
That feeling is called "being an intern."
好吧
Okay, okay.
谢博德医生我让你脑胶质瘤切除术的病人出院了
Dr. Shepherd... .I discharged your glioma resection.
2243号♥病人颅内压降下来了
And 2243's ICPs are coming down.
好的有什么消息请通知我
Okay. Keep me posted.
他们是你的朋友对吗
They are friends of yours, right?
是啊欧文在退伍军人局遇到的
Yeah. Owen met them at the VA.
珍娜和利奥在阿富汗时是在一个部队内
Jenna and Leo were in the same unit in Afghanistan.
毫不夸张她真的是把他从一座倒塌的楼房♥下拖出来的
She literally dragged him out of a collapsed building.
然后他们结婚了
Yeah, and then they got married.
接着怀孕了
Then they got pregnant,
便有了这个孩子
and then the kid has a tumor in her heart.
你不是有局部磁共振吗
I thought you had a TMR.
是的你不是还有腹疝修复手术吗
Yeah, I thought you had a ventral hernia repair.
我把它推迟了
I did, and I pushed it.
我也是
Me too.
-罗宾斯让你在这么守着的吗 -没有这回事
- Robbins has you on standby? - No, I wouldn't say that.
我觉得是个好主意
Well, i think it's a good idea.
以防万一
Just in case.
红色橡胶导管谢谢
Red rubber catheter, please.
让泵开始工作
Start the pump.
有人知道是用来干什么的吗
Does anyone know what it's for?
用来补充丢失的羊水
For irrigation to replace the lost amniotic fluid.
太棒了
So cool.
好了
All right.
脉氧和静脉输液针都好了
Pulse ox and IV in place.
皮尔斯医生该你了
Dr. Pierce, you are up.
烧灼器
Bovie.
梅欧剪
Mayo's.
牵开器
Retractor.
那是畸形瘤吗
That's the teratoma?
-是啊真大 -像个怪物一样
- Yeah, it's a big one. - It's a monster.
那让我们杀死怪物吧
Let's slay a monster, then.
好...了
And...there.
杀死怪物了
Monster slain.
3-0号♥普迪斯缝合线
3-0 PDS.
现在我很嫉妒了
Hmm. And now I'm just jealous.
看到没我告诉过你了她没事
See, I told you -- healthy.
她心动过缓了吗
The baby's getting bradycardic?
皮尔斯皮尔斯
All right, Pierce. Pierce?
皮尔斯医生
Dr. Pierce?
她代谢失调了
Uh, she's decompensating.
皮尔斯医生接下来怎么办
Dr. Pierce, what's your move here?
皮尔斯医生你得做点什么
Dr. Pierce, you need to do something.
皮尔斯医生
Dr. Pierce!
什么都不用做
There's nothing that needs to be done.
好吧立刻注射10毫升生理盐水
All right, push 10 cc of saline now!
-她怎么不动 -加油她僵住了吗
- Why isn't she moving? - Come on. Is she freezing?
-别呀 -她不能这样
-No. -She can't.
里格斯
Riggs.
加油啊麦琪动起来
Come on, Maggie. Move.
皮尔斯医生做点什么我不是在问你
Dr. Pierce, do something! I'm not asking!
宝宝的心率在下降
The baby's heart rate's dropping.
下去做点什么
Well, go down there and do something.
不用
No.
等着就好
Just wait.
好了零点一的阿品托
All right, 0.1 of atropine.
不要不要注进去
Don't. Don't push that IV.
那你有什么计划皮尔斯
All right, what's your plan here, Pierce?
做点什么
Do something!
我不是在问你皮尔斯
I'm not asking, Pierce!
我听到了
I hear you.
我的计划就是给她一点时间
My plan is to give her a minute.
她刚刚失去了重要的东西
She just lost something huge,
自她在世就伴随她的东西
something that has been with her since Day One.
她的心脏只是要学会
Her heart just needs to learn how to beat
如何摆脱重负自♥由♥跳动
without that extra load.
她只是需要点时间去调整
She just needs a little time to adjust.
心率回升了
Heart rate's going back up.
好了小不点我们要帮你缝合起来咯
Okay, little one, let's -- let's get you closed up.
3-0普迪斯缝合线
3-0 PDS again.
看到没皮尔斯不需要后援
See? Pierce doesn't need backup.
他安静的时候其实也没那么坏嘛
He's actually not so bad when he's quiet.
抽吸
Suction. ?
止血棉
Lap pad.
把肠子取出来
Moving the bowel.
等等这是
Wait. What are --
这些是
What are all these...
克罗斯最近出去旅游过吗
Huh. Has Cross traveled recently?
不清楚怎么了
No idea. Why?
因为他如果有腹腔结核的话就会这样子
Because it would appear that he has abdominal tuberculosis.
所以我们刚打开了一大箱子结核病毒
So, we just opened a big box of TB?