匹兹堡医护前线（2025）

The Pitt S01E14

Part 6 May 20, 2025, 4:18 p.m.

Step aside. - Pull the pigtail, Dr. Mohan.
让开 - 你可以的
Step aside! - You got this.
正常窦性心律 92次每分钟血氧饱和度有改善高压112低压84
Normal sinus rhythm, 92. Pulse ox is improving. BP's 112 over 84.
还不错吧沃尔什医生我想我们现在可以把他转到普外科了
Not too shabby, huh, Dr. Walsh? I think we can admit him to General Surgery now.
不行 - 他是枪击受害者
Hell, no. - - He's a gunshot victim.
把他转到心脏重症监护室我们在那里会诊
Admit him to the cardiac ICU. We'll consult from there.
或者你可以自己把他转到心脏科会诊
Well, you can admit him yourself, with Cardiology consulting.
我以为你喜欢开飞机 - 坠毁的时候除外
I thought you liked flying the plane. - Not when it's gonna crash.
干得不错 - 那是你的功劳不是我的
Solid work. - That was your save, not mine.
享受胜利吧莫汉医生
Take the win, Dr. Mohan.
谢谢
Thanks.
再说了我自己做太冒险了
Besides, it was a little too risky for me to do myself.
什么 - 缝合吧
What? - Suture.
这太酷了
Whoa, this is so cool.
蓝色加蓝色是粉红色
Blue plus blue equals pink.
能告诉我们你的名字吗 - 麦克斯
Can you tell us your name? - Max.
麦克斯能说说你吃了什么吗 - 睡觉
Max, can you tell us what you took? - Sleep.
如果他的高铁血红蛋白水平保持在30以上
Yeah, he might need a second dose of methylene blue
他可能需要第二剂亚甲蓝
if his methemoglobin level stays above 30.
这绝对不是兴♥奋♥剂♥
This definitely wasn't poppers.
他得吸上一加仑才会有这种效果
He would have had to have sniffed, like, a gallon of it.
所以是什么导致了服药过量
So what caused the overdose?
得等他醒来才能得到更多答案了
Got to wait for him to wake up so we can get more answers.
翠西有个特别访客要见你
Trish... I have a special visitor for you.
妈妈你还好吗
Mom, are you okay?
我很好
Yeah, I'm fine.
我好害怕 - 我知道
Okay. I was so scared. - I know.
还有爸爸
And Dad.
你没事吧
You okay?
我的病人一直没见到她女儿然后... 我不会再这样了
Just--my patient hasn't seen her daughter, and it won't-- it won't happen again.
永远不要因为共情你的病人而道歉
Never apologize for feeling something for your patients.
今天很混乱你做得很棒
Today was chaos. You were awesome.
我真的很高兴有你加入我们的团队金医生
I'm really glad you're with us, Dr. King.
罗比弗林的父母来了那个麻疹孩子
Robby, Flynn's parents are here, the measles kid.
你该回家了
You should go home.
弗林怎么会得麻疹的 - 被他妹妹传染的
How did Flynn get measles? - Uh, from his sister.
嗨我是罗比医生乔治娅没事她在我们的员工室
Hi. I'm Dr. Robby. Georgia is fine. She's in our staff room.
是她拨♥打♥了911 可能救了她哥哥的命
She's the one who actually called 911 and probably saved her brother's life.
乔治娅之前生病了但她很快就好了
Georgia was sick, but she got better on her own quickly.
是的很多人都能像乔治娅那样自愈
Yeah, many people get better on their own, like Georgia.
然而每20个麻疹患儿中就有一个会得肺炎就像你儿子一样
However, as many as 1 in 20 kids that get measles get pneumonia, like your son.
你的孩子接种过麻疹疫苗吗
Are your children vaccinated against measles?
没有
No.
三联疫苗非常安全麻疹则不然
The MMR vaccine is perfectly safe. Measles is not.
我们担心有炎症
We're concerned about inflammation
以及弗林的大脑和脊髓可能受损
and possible damage to Flynn's brain and spinal cord.
麻疹影响到了他的大脑 - 他的脑CT是正常的
The measles got to his brain? - Well, his head CT was normal,
但唯一能确诊的办法是做腰椎穿刺
but the only way to find out if he's okay is to perform a lumbar puncture.
脊椎穿刺
A spinal tap?
我读过有孩子因为脊椎穿刺导致瘫痪的案例
I've read about kids who've been paralyzed from a spinal tap.
瘫痪的风险为零
There is zero risk of paralysis.
出血或感染呢
What about bleeding or infection?
这是非常安全的手术我们每天都做
It's a perfectly safe procedure--we do it every day.
我们需要抽取脊髓液看看弗林是否有急性播散性脑脊髓炎
We need spinal fluid to see if Flynn has acute disseminated encephalomyelitis.
如果有呢 - 我们用高剂量类固醇治疗
And if he does? - We treat with high-dose steroids
以降低失明耳聋智力残疾甚至死亡的
to decrease the risk of blindness, deafness, intellectual disability,
风险
even death.
他可能会死吗 - ADEM的死亡率很高
He could die from this? - Yes, the death rate from ADEM is high--
有20%
1 in 5.
那就做穿刺吧 - 不行
Do the spinal tap. - No!
你们不能不做穿刺直接给他用类固醇吗
Can't you just give him steroids without the spinal tap?
如果没有ADEM 那类固醇药会抑制他的免疫系统
If there's no ADEM, the steroids could suppress his immune system,
更难抵抗肺炎
making it harder to fight off the pneumonia.
但这上面说... - 你能把手♥机♥收起来吗
But it says here that-- - Can you put your damn phone away?
你儿子病得很重我们拖得越久
Your son is critically ill. The longer that we wait,
永久性脑损伤的风险就越高哪句话听不懂
the higher the risk of permanent brain damage. What is not clear here?
希拉里他喉咙里有根管子他不能自主呼吸
Hillary, he has a tube down his throat. He can't breathe on his own.
他们不能在我儿子的脊椎上戳洞
They're not poking holes in my son's spine!
我们等等看他是否会好转
Let's just wait and see if he gets better.
金医生你能带弗林的父母去找他们的女儿吗
Dr. King, could you please take Flynn's parents to see their daughter?
没问题
No problem.
他们要去见他们的女儿了
They are going to see their daughter.
该死的网络看病他们想要治病
Fucking Dr. Google bullshit. They want medical treatment,
但不想要医疗建议那还要我们干什么
but they don't want medical advice. What the actual fuck are we doing?
是啊我明白我们会继续努力
Yeah, I know, and we'll keep trying.
你没事吧老大 - 没事
Hey, you okay, boss? - Yes.
嘿维塔克你有时间吗 - 有
Hey, Whitaker. You got a minute? - Yeah, yeah.
我只是想谢谢你之前...
I just wanted to say thank you for earlier when I was, um...
你那短暂的沉思时刻
Oh, your brief moment of silent reflection?
对你没跟任何人提起过吧 - 没有绝对没有
Yeah. You didn't mention that to anybody? - No, no. God, no. No.
我不知道我是怎么了感觉像溺水了一样
I don't know what that was. I was just-- felt like I was drowning.
你当时在念什么
What was that you were reciting?
那叫示玛祷文是对上帝的信仰宣言
It's called the Shema prayer. It's a declaration of faith in God.
我小时候和祖母一起生活
I lived with my grandmother when I was little,
她和我每天早上都会背诵
and she and I used to recite it every morning.
“就是少年人也要疲乏困倦强壮的也必全然跌倒
"Even youths grow tired and weary, and young men stumble and fall.
但那等候耶♥和♥华♥的必从新得力
"But those who hold hope in the Lord will renew their strength
他们必如鹰展翅上腾”
and soar on wings like eagles."
这是《以赛亚书》第40章我本科是神学专业
It's Isaiah 40. I was an undergrad theology major.
我不知道我为什么说这个
I don't know why I said that.
我不知道我是否真的相信上帝尤其是在今天这样的日子
I don't know if I actually believe in God, especially on days like today.
一位智者曾经告诉我你要学会与它共存
A wise man once told me that you learn to live with it,
学会接受它并找到平衡
learn to accept it, and find balance if you can.
我希望我们都能做到
I hope we all do.
只剩一个粉区的了剩下的都送到楼上了
Only one pink left. The rest all went up.
嘿你们需要帮忙治疗新病人吗
Hey. You guys need any help with new patients, or...
不用都是些简单的收尾工作回家吧
No, no, no. We're good. It's quick and easy stuff. Go home.
是吗 - 是的
Yeah? - Yeah.
你有空吗 - 有的
Hey, you got a second? - Yeah.
罗比怎么了 - 他好多了
What is up with Robby? - He's been better.
我很担心他我从没见过他这样你呢
I'm really worried about him. I've never seen him like this. Have you?
没有你怎么样了大姐大
No. How about you, slugger?
好多了 - 不愧是你
Been better. - Preach.
好了
Yeah.
抱歉打扰了
Sorry to interrupt.
你要是找斯特凡诺警官他一小时前去做手术了
Oh, uh, if you guys are looking for Officer Stefano, he went up to surgery about an hour ago.
我们找凯西麦凯医生
We're looking for Dr. Cassie McKay.
对是我
Uh, yeah, that's me.
我们收到警报你的脚踝监视器被篡改了
We were alerted about your ankle monitor being tampered with.
县缓刑部门早些时候打过电♥话♥来核实但你没有回应
County probation called to check in earlier, but you never responded.
是的它发出哔哔声并提示错误信息
Yeah, it was--it was beeping and giving an error message.
我们当时正在处理匹兹堡音乐节的大规模伤亡事件
And we were in the middle of a mass casualty from PittFest.
你动了脚踝监视器吗
Did you tamper with your ankle monitor?
对我可能在上面钻了个洞
Yeah, I, um--I might have-- I might have drilled a hole in it.
警官看看四周她在拯救生命
Officers, look around. She was saving lives.
把手放在头上
Put your hands behind your head.
等一下 - 你在开玩笑吗
Whoa, whoa, whoa, hang on a second. - Are you joking?
警官等一下 - 你被捕了
Officers, wait a second. - You're under arrest.
好极了
Great.