心跳（2016）

Heartbeat S01E01

Part 6 Aug. 27, 2020, 8:15 a.m.

Turn around.
求你了
Please.
医生我们需要谈一谈
Doctor, we need to talk.
你不能这么冒进
You need to slow down.
现在我不是你的学徒你也不是我的老师
I'm not your protégé, and you're not my mentor.
我已经决定这么做了杰西
I'm gonna do this, Jesse.
你的决定太草率
You're making a decision
资格委员会根本还没时间来批准...
before the Credentialing Committee has had a chance to approve...listen.
我们用静脉穿刺针
We're using single cannulation stitches.
不用脱脂棉听到了吗
No pledgets. You got that?
我的患者没时间等委员会来讨论决定了
My patient doesn't have time to wait for the committee to debate this.
从那个人拿枪自杀的那一刻起
You've been planning to do this from the minute
你就计划这么做了
that guy blew his brains out.
我了解你亚历克丝
I know you, Alex.
你等到现在是因为你觉得委员会
You waited until now because you think the committee
没有时间来阻止你了
won't have time to stop you.
我是外科主任亚历克丝
I'm Chief of Surgery, Alex.
我绝不可能批准这个手术
There's not a chance in hell I'll approve this.
我不是在请求你批准
I'm not asking for your approval.
而且作为技术创新主任我也不再需要了
And as Chief Innovations Officer, I no longer need it.
我想现在是这样的
I suppose that's true now.
我准备好了干活吧
I'm ready to do this! Let's move!
马蒂我需要你给我做点事
Marty, I need you to do something for me.
你去告诉麦吉她妹妹现在的情况
I need you to tell Maggie what's happening to her sister.
你跟她说手术会持续八个小时
You tell her the operation will take eight hours
我会尽量派人出去
and I'll do my best to send someone out there
告诉手术情况
to let her know how things are going.
告诉她我理解坐在这个屋子里
Tell her I know what it's like to be sitting in this room,
等着听到某人是否平安的心情
waiting to hear if everything's okay.
说明这个手术叫异位移植
Explain the procedure is called... heterotopic transplant.
德亚娜的心脏会留在她体内
Deana's heart will stay inside her.
我们会拿来托马斯的心脏
We'll take Thomas's heart and connect it
紧挨着德亚娜的心脏与之相连
on top of Deana's piggyback.
心脏只知道怎样跳动
The heart only knows how to beat,
但有时候会忘了
but sometimes it forgets.
托马斯的心脏会唤醒德亚娜心脏的记忆
Thomas's heart will teach Deana's to remember.
她的余生将会拥有两个心脏
She will have two heartbeats for the rest of her life.
给我吧小潘
Give it to me, Pants.
没有哪两个心脏是一样的
No two hearts are alike.
我就喜欢她这样子
I love it when she does this.
-你个白♥痴♥ -我想要你
- You're an idiot. - I want you.
就像雪花一样
Like snowflakes,
每一个心脏都是
every heart is...
冰冻的
Frozen?
这他妈要我怎么解冻
How the hell am I supposed to defrost this?
袋子是无菌的我让里面的空气再循环一下
It's sterile. I'm just recycling the air in here.
让他的心脏归位吧
Let's get his heart where it belongs.
受心者左肺静脉管套和
The left pulmonary vein cuff of the recipient is anastomosed
供心者房♥间沟后的左心房♥相吻合
to the donor left atrium behind the interatrial groove.
可我还是得
I need to somehow...
我要
I need to...
我还是得修补这里
I need to compensate here somehow
心脏大小不一的问题
for the size discrepancy.
它们必须得并列起来
They've got to line up.
医生
Doctor?
输出流量稳定
Pump flows are stable.
你可以的小潘
You got this, Pants.
好了给我详细说一遍流程
Okay, walk me through this.
不需要我我能行
I don't need to. I... I got this, just...
不我是说我想知道这是怎么做的
No, I mean I'd like to know how it's done.
给我说一遍流程医生
Walk me through this, Doctor.
我要割出一个楔形
I'm gonna take a wedge out
拉长左心房♥的缝合线
to add some length to the left atrial suture line
让它们能恰好衔接起来
so they match perfectly.
供心者的主动脉需要在
The donor aorta needs to be shortened
头臂动脉的源头那里剪掉一部分
at the... the origin of the brachiocephalic trunk.
我可能需要
I might need some...
一些移植材料来搭设血管桥
some graft material to bridge the vessels.
心脏不跳了
They're not beating.
心脏不跳动了
The hearts aren't beating.
背驮式心脏移植没用
The piggyback isn't working.
你能做的都做了不是什么都有用的
You've done everything right. It doesn't always work.
还没结束
It's not over.
-关掉血泵 -收到正在关
- Take me off pump! - Roger that. Coming off.
你在干什么小潘
What are you doing, Pants?
我要重新激活供心者的心脏
I need to restart the donor's heart.
心脏起搏器能维持12个小时
The VAD can sustain her for 12 hours.
到两升时重启心脏起搏器
When you hit two liters of flow, restart the VAD.
五升四升
Five liters. Four liters.
快到三升了
Coming down to three liters.
两升重启心脏起搏器
Two liters. Restart the VAD.
现在是一升
I'm at one liter.
500毫升
Flowing 500.
-体内电极板 50焦耳 -血泵关了
- Internal paddles, 50 joules. - Off pump.
充电
Charge.
它们它们只是需要点时间
They... they just need time.
它们必须得弄明白怎么样靠自己一起跳动
They have to figure out how to beat together on their own.
她再也折腾不起了
She won't survive another transplant.
加油德亚娜
Come on, Deana.
贝尼我会带你去吃早饭的
Beni, I'm gonna take you for breakfast, okay?
我先跟潘蒂尔医生说个事
Just as soon as I'm done talking to Dr. Panttiere.
你进行了一场
You performed a procedure
未经医院资格委员会批准的手术
the hospital's Privileging Committee hasn't approved yet.
也别想着要抱歉
And don't even attempt to apologize.
我没想
I didn't intend to.
进行手术是我决定的
Performing that procedure was my call to make.
直到今天我才后悔把你提上来
I have never regretted promoting you until today.
你这次太过分了亚历克丝
You've gone too far this time, Alex.
如果你的患者死了
If your patient dies...
离拔掉心脏起搏器还有六个小时呢
I have six hours to wean her off that VAD.
那就祈祷那个能管用吧
Well, let's hope it works.
如果成功你就是做了件举世瞩目的大事
And if it does, you'll have done something remarkable,
但违背了道德
sans ethical.
而我就该
And it'll be my job...
像往常一样给你挽回面子
as usual to make you look good.
我会让你上奥兹医生的《今日秀》
I'll get you on Dr. Oz, "The Today Show,"
《艾伦秀》《吉米·肥伦秀》
"Ellen," Jimmy Fallon.
我们会搞场盛大的宣传活动来提升医院口碑
We'll do a huge publicity campaign promoting the hospital.
好呀
Cool.
如果你的患者死了
If your patient dies,
委员会会立刻开除你
the committee will fire you on the spot.
我为我的患者做了该做之事
I did what was right for my patient.
-再来一次也一样 -我知道
- And I'll do it again. - I know.
我们实习的时候你就这样
This is who you were when we were interns.
听着亚历克丝
Look, Alex...
你是位出色的外科医生
you're a brilliant surgeon,
但让我把话跟你说明白
but let me be clear about something.
如果你的患者因为你未经医院委员会同意
If your patient dies because you performed a procedure
就进行的手术而死
the hospital's committee didn't approve,
他们可不会开除你就完事了
they won't just fire you.
他们会保证你找不到饭碗的
They'll make sure you never work again,
而且这次我没法护着你了
and I will not be able to protect you this time.
有起色吗
Any change?
好了 15分钟后他们会介绍到你
All right, they're gonna introduce you in 15 minutes.
乔治·克鲁尼来了
George Clooney showed up.
你妈会杀了我的
Your mom is gonna kill me.
我不害怕给出承诺
I'm not afraid of a commitment.
所以我在医院这里
Which is why I'll spend 36 hours straight
整整守了36个小时
at this hospital.
我会为病患辗转反侧
I-I'll lose sleep over a patient.
我会忘了今天是星期几