良医

The Good Doctor S01E12

Part 3 Jan. 5, 2020, 7:41 p.m.

我可能不太看得惯他
I may have my issues with him,
但是无论这个想法有多愚蠢
but no matter how stupid an idea this may be,
我不会阻止他去追求他想要的
I'm not gonna stop him from going after what he wants.
我旁边还有一个签名档
There's another signature line next to mine.
是医院院长签字的地方
It's where the president of the hospital has to sign.
首席肿瘤科医生
The chief oncologist.
这是在我来之前发生的 12月14日
This is before I came here in December of '14.
马歇尔医生在一次术后讨论时
Dr. Marshall shoved a scrub nurse
推了一个器械护士
during a post-op discussion of some sort.
你记得吗
Do you remember that?
记得
I do.
你的回应是和护士和解
Your response - was to settle with the nurse
而马歇尔医生则得到了一个警告
while Dr. Marshall - was let off with a warning.
那年的早些时候还有件几乎一样的事例
There's another almost identical instance earlier in that year.
在这两件案子中有问题的医生都是白人
In both cases, the doctors in question were white.
他们仅受到了批评而卡卢医生被解雇了
They were censured. Dr. Kalu was fired.
你觉得这是种族问题
You think - this was a racial matter?
你觉得我种族歧视
Do you think I'm racist?
我更偏向白人
That I favor white people?
那为什么那时候宽大处理现在却不行
Then why the leniency then and not now?
他们是明日之星...
They're stars...
碰巧是白人而已
that happened to be white.
像马歇尔那样的医生让圣何塞圣文德医院
Doctors like Marshall allow St. Bonaventure
有能力和西海岸的其他机构竞争
to compete with other West Coast institutions.
所以那就是我们的辩词
So, that's our defense?
「我们不是种族歧视
"We're not racist.
我们只是允许我们的医生殴打他人
We just allow our doctors to assault people
只要他们能带来足够多的捐赠人」
as long as they bring in enough donors."
他们被惩戒了
They were reprimanded.
也没有再生事端
And there were no further incidents.
你觉得这套说辞在法庭上有用吗
And how do you think all of this is gonna play out in court?
和解
Settle.
好
Okay.
去几层
Floor?
四层
Four.
肖恩问梅伦德斯医生要了推荐信
Shaun asked Dr. Melendez for a letter of recommendation.
我知道
Yeah.
我只要签字他就可以走了
All I have to do is sign it and off he goes.
我觉得...
I think...
他可能认为你生他的气了
he might think that you're mad at him.
如果你不签就更加证实了他的想法
If you don't sign, it reinforces what he thinks.
但是如果你签了
But if you do,
会让他知道你是相信他的
it lets him know that you believe in him.
我能摸摸她吗
Can I touch her?
当然
Of course.
再见宝贝
Goodbye, baby.
-准备好了吗 -好了
- Are you ready? - Yes.
她稳定下来了
She's stabilizing.
我不明白
I don't understand.
怎么了
What's going on?
凯蒂还不想死
Katie's not ready to go.
她能自主呼吸了
She's breathing on our own,
也就是说凯蒂的脑干功能是正常的对吗
which means Katie has normal brain stem function, correct?
当移除呼吸机的时候生命是可以继续
When a ventilator is removed, life can continue.
很少见但是的确是可能的
It's rare, but it can happen.
这也改变不了对她清醒的预后
It doesn't change the prognosis for awakening.
移除了呼吸机生命体征正常
Off the ventilator with normal vitals
也就是长♥期♥处于植物人状态是吗
suggests long-term vegetative state, right?
是的
Yeah.
这个办法不行了
We just lost our remedy for Jenny's heart.
体外膜肺氧合呢
What about ECMO?
用机器作为珍妮心脏的替代品
Use the machine as a replacement for Jenny's heart.
能给我们争取两周的时间
Buys us... two weeks of life?
我不喜欢这个提议
I don't like it.
体外膜肺氧合需要用到血液稀释剂
ECMO requires blood thinners.
她刚做完脑部手术
She just had brain surgery.
这样可能会造成大出血
It could cause a catastrophic bleed.
体外膜肺氧合和可能出现的并发症
Well, ECMO and its complications
也许是我们唯一的办法了
may be our only avenue.
重新把她们连接起来
R-Re-conjoin them.
你想把她们的头部重新连接起来吗
You want -- You want to put their heads back together?
不是头部
Not the heads.
是大腿股动脉
The thighs, the femoral vessels.
很好笑吗
Is it a funny idea?
我觉得很好笑我居然没想到这个办法
I think it's funny - that I didn't think of it.
两个女孩的血液是完全一样的
The girls' blood is identical.
不用打抗血栓的药物不会引发出血
No need for anti-clotting meds, so no possibility of a bleed.
一旦她们被连接
As long as they're attached,
凯蒂的心脏就能为珍妮供血
Katie's heart will beat for Jenny.
如果凯蒂去世了
When Katie dies,
我们就切断她们股部的血管连接
we sever the femoral connection
将凯蒂的心脏移植给珍妮
and transplant Katie's heart into Jenny.
我们刚花了四十个小时将她们分开
We just spent 40 hours separating them,
现在我们又要将她们重新连接到一起
and now we want - to put them back together.
你想让凯蒂死去
You tried to kill Katie?
不
No.
你们撤掉了她的生命支持系统
You took her off life support.
你觉得这是什么
What do you call that?
仁慈不仅仅是对于她
Mercy. Not just for her.
如果没有新的心脏你就会死
You need a heart or you're going to die.
凯蒂还活着
Katie's alive.
她本来就活着现在更有生命力了
She was then, and she's even more now.
凯蒂活着只是指她的器官功能还没有衰退
Katie's alive in the sense that she has basic organ function,
但她的大脑没有任何高级认知活动
but she has no higher-cognitive brain activity.
她尚且留有一口气
She's surviving,
但不能算活过来了
but she is not living.
几个小时前
Hours ago,
直到你要终止她的生命时
you thought she'd die
你还觉得她会死
as soon as you pulled the plug.
你判断错了
You were wrong.
我怎么知道你这次没有判断错呢
How do I know you're not wrong this time, too?
凯蒂现在处于昏迷状态
The demand on -- on Katie's heart
她对心脏的需要是很小的
is minimal in her resting state.
她要帮你是很轻松的
She can easily tolerate helping you.
我不想让凯蒂做我的生命支持机器
I won't ask Katie to be my life-support machine.
安德鲁斯医生
Dr. Andrews.
让她们姐妹俩在一个房♥间过夜吧
Let's put the sisters in the same room overnight.
我觉得珍妮没有把自己看作一个独♥立♥的个体
I don't think that Jenny sees herself as an individual yet.
我觉得唯一能让珍妮改变想法
You know, I'm thinking the only thing that'll change Jenny's mind
重新跟凯蒂连接在一起的只有凯蒂
about the reattachment is Katie.
让她们俩靠近些也许能让珍妮看见
Being close might help Jenny to
凯蒂已经撑不了多久了
see her as lifeless.
也可能会起到反作用...
Could backfire...
让她更加觉得自己在亲手杀死她姐姐
and cement her feelings that she's killing her sister.
是有这种可能
Yeah, possibly.
反正现在的状况也好不到哪儿去
And then we're in the same position anyways.
好吧就按你说的办
Okay, do it.
那这个棒球呢
Well, what about baseballs
这是本姑娘在巨人队比赛的时候拿到的
that this girl caught at a Giants game
亨特·彭斯还在上面签名了
signed by Mr. Hunter Pence?
虽然他没击过这个球但也无所谓
He didn't hit it, but that doesn't matter.
-体育用品放在哪儿 -这儿
- So, where is the sporting-goods one? - There.
不这个不放在体育用品里
Oh, no, that does not go in sporting goods.
不放在那儿吗
It doesn't?
我在申请去宾夕法尼亚州郝尔希镇
I'm applying to move my residency to
继续做住院医生
Hershey, Pennsylvania.
真的吗
Really?
是的宾州州立医疗中心
Yes. Penn State Medical Center.
你是跟着我去宾州的吗
Are you following me?
我得确保你这么做
I need to make sure