医院革命

New Amsterdam S02E06

Part 5 Nov. 22, 2019, 10:51 a.m.

Why is that, Dr. Duke?
因为我们拿掉了病人自己的心脏
Because we're harvesting the patient's own heart.
超过两小时器官活性就不足以
After two hours, the organ will degrade
重新启动了
beyond viability.
肿瘤呢
And the mass?
是左心房♥后侧肿瘤
Is presenting posterior as a left atrial mass.
我需要45分钟来完全切除肿瘤
And I can resect it with clean margins
另外需要45分钟来
in about 45 minutes, maybe another 45
重建心脏肌肉
to restructure the heart muscle.
那么留给你只有30分钟
That leaves you with 30 minutes
来缝合和恢复体温
to sew it back in and warm the trunk.
时间够吗
Is there enough time for that?
四摄氏度保存
Sitting about 4 degrees Celsius.
好吧
Okay.
女士们先生们
All right, ladies and gentlemen,
听好
listen up.
这场手术也许不同寻常
Now this may be an atypical surgery for us,
但司空见惯的是我们的效率
but what is typical is our efficiency
和精准度
and our precision.
好好发挥
So use them today,
我们今天将有机会挽救生命
and we may have a chance to save a life.
如何
Okay?
动手吧
Let's get after it.
体外循环已接通
You're fully on bypass.
上腔静脉部分切除完成
SVC partial dissection complete.
正在横切升主动脉
Transecting the ascending aorta.
已固定分割肺动脉
Pulmonary artery clamped and dissected.
闭合大动脉阻断钳
Aortic cross-clamp off.
取出心脏
Removing the heart.
托盘在你身后
Resection tray right behind you.
心脏转移中
Heart is on the move.
计时开始
Start the clock.
怀孕尚特你怀孕了吗
Pregnant? Chante, you pregnant?
是的阿姨
Yes, ma'am.
是马里欧的吗
Is it Mario?
我不是让你别和那小子乱来吗
What'd I tell you about messing around with that fast-ass boy?
孩子
The baby.
孩子还好吗事故...
Is the baby okay? What with the accident...
据目前所知胎儿安然无恙
The fetus is totally unharmed as far as we can tell.
感恩耶稣
Thank you, Jesus.
好
Okay.
我们来想办法
We're gonna figure this out.
我不想当妈妈
I don't wanna be a mommy.
噢孩子
Oh, baby.
我知道这事现在看起来很可怕
I know it may seem scary right now,
但凯伊阿姨在你身边
but Auntie Kaye will be right here.
从前我就照顾你对吗
I took care of you, didn't I?
我们一起挺过去
We'll get through this.
亨利女士
Ms. Henry.
尚特的意思不只是
Chante has expressed more than not wanting
不想当妈妈
to be a mother.
什么意思
Meaning?
不如趁这个机会让尚特说说看
Well, why don't we let Chante take this opportunity
她自己是怎么想的
to share her feelings?
我想要流产
I want an abortion.
是你教她的吗
Did you put her up to this?
不是但她说得很清楚
No, but she is clearly articulating
她想终止妊娠
her choice to end this pregnancy.
那她也应该清楚地说过
Then she should have clearly articulated
我是她的法定监护人
that I am her legal guardian,
她的决定由我负责
and I am in charge of her decisions,
包括医疗上的决定
including her medical ones.
好吧
Okay.
我... 请你了解我的作用是
I--you need to know that I'm just here
支持尚特和她的想法
in support of Chante and what she wants.
这场妊娠对她来说
And it seems like this pregnancy
似乎是种负担
would be a burden.
你觉得我们没能力照顾这个小孩
Because you think we couldn't care for this baby?
我不是这个意思
That's not what I'm saying--
我们完全有能力照顾好自己
We are more than capable of taking care of our own.
这个家庭的每个小孩都备受宠爱
Every child born into this family is loved
被照顾得万无一失
and extremely well taken care of.
尚特的孩子也不例外
Chante's child will be no different.
但这对尚特是最好的吗
But is that what's best for Chante?
你和她待了45分钟就有资格这样问吗
Based on what, your 45 minutes of knowing her?
不是
No.
有些人口口声声让你选
Folks always want you to make a choice,
当你选的和他们想得不一样
then look at you funny when you don't make the choice
就用奇怪的眼神看你
they wanted you to make.
一半人不断摇头说你受人胁迫
One side shakes their heads, saying you're oppressed,
另一半斥责所谓的「基♥督♥徒」
the other filled with so called "Christians"
说只要孩子一生出来你们就撒手不管
who don't give a damn as soon as the baby gets pushed out.
我可说清楚了
But let's be clear.
你眼前这个黑人家庭
This black family right here
绝不受迫于别人的十字架
ain't being co-opted for anyone's crusade.
麦克斯
Oh, Max!
我请你吃饭怎么样
What about if I got you a food service?
不用
Don't need it.
免得你还得自己做饭
It would take the pressure off of cooking.
卢娜还在喝奶所以...
Luna's still bottle feeding, so...
不是说孩子是说你
Not for the baby, for you.
-噢 -我请客
- Oh. - Be my treat.
不用请我
Yeah, I'm good.
反正我都在医院吃
I eat most of my meals at the hospital anyway.
你试过椒盐脆饼配鹰嘴豆泥吗
Have you tried the pretzel and hummus combo?
-特别... - 麦克斯
- It's very-- - Max.
我没事
I'm good.
为什么不让我帮你
Why won't you let me help you?
要不这样
You know what? How 'bout this?
需要你的时候我主动找你
When I need your help, I'll ask for it.
语言治疗师请到四区
Speech therapist to distro four.
教友们怎样了
How's our group?
大部分在恢复中对状况不严重的女士
Most are recovering, and we've got aftercare plans
已经准备好了病后方案...
for the noncritical ladies--
你是医疗主任吗
Are you the medical director?
是我没交停车罚单吗
Is this about my unpaid parking tickets?
我们在跟进罗斯福东河公园大道的事故
We're following up on the accident on the FDR.
我是格罗夫探长这是瓦斯克兹探长
I'm Detective Grove. This is Detective Vasquez.
不如我们去外面谈
Oh, why don't we discuss this outside?
我们要和司机谈话
We'd like to have a conversation with the driver,
凯伊·亨利
Kaye Henry.
她还在恢复中
Well, she's recovering.
如果她清醒且有意识我们想和她谈谈
If she's awake and conscious, we wanna talk to her.
如果还没醒我们在这等
And if she isn't, we'll wait.
凯伊警♥察♥来找你谈话了
Kaye, the police are here to speak to you.
你知道一旦他们发现你是故意撞车
You understand there will be repercussions
后果会很严重
if they find out the crash was intentional.
唯一的办法是说出真♥相♥
And the only option is to tell the truth.
你要说什么
So what are you saying?
我不想你去坐牢
That I don't want you to go to jail
也不希望你的朋友失去保险金
or your friends to lose their insurance.
可是他们没犯任何错
But they didn't do anything wrong.
连我做了什么都不知道
They don't even know what I did.
这不重要
It doesn't matter.
蓄意行为会使保单失效
Deliberate actions negate the policy you purchased.
有那么一阵子
For a while there,
我真的以为我在行神的旨意
I really thought I was doing God's will.
但现在这样尚特又...
But this and Chante...
我大错特错
I was all wrong.
是时候匡行正道了古德温医生
Now it's time to do righ, Dr. Goodwin.
这事从不在我掌握之中