驻院医生

The Resident S04E14

Part 6 July 28, 2021, 1:03 p.m.

出现了大面♥积♥脑水肿
in her subdural abscess patient.
行说说看
-So, lay it out for me.
我为何要跳槽去约翰·霍普金斯那里
Why should I move to Johns Hopkins?
有很多理由
A host of reasons.
但是首当其冲的是我们能为你提供
But top of the list, we can offer you
前所未有的手术量和世界一流的设施
unprecedented surgical volume and world-class facilities.
需要接电♥话♥吗
Do you need to take that?
不用
No.
我是巴雷特·凯恩请在滴声后留言
This is Barrett Cain. Please leave a message at the beep.
我们需要神经外科医生我不能继续了
KIT: We need a neurosurgeon. I can't do anymore.
等一下基特
Whoa, whoa, whoa, whoa. Kit.
- 基特怎么回事 - 得让比莉接手
-Kit, what's happening? -KIT: Billie has to take over.
我的医生执照只允许我做到这一步
I've reached the end of what my license allows me to do
我们不能再等杨医生了
and we can't wait any longer for Dr. Yang.
她都不是主治医生
She is not even an attending.
拜托基特这样下去要出大问题
Come on, Kit, this is a train wreck waiting to happen.
这对实习医生来说太复杂了
It's too complex for a resident!
他是对的我做不到
BILLIE: He's right. I can't.
你可以的
Yes you can.
我们等得越久脊髓
The longer we wait, the less chance we have
恢复的可能性就越低
that the spinal cord will recover.
你必须得做比莉
You have to do this, Billie.
这是他妈妈唯一的机会了
It's his mother's only chance.
你得等主治医生来
NURSE: You have to wait for the attending.
这只是个脑膜瘤
BILLIE: It's just a meningioma.
我可以处理的
I'll pop it out no problem,
在他来之前咱们就能去吃饭了
and we'll be at lunch before he even scrubs in.
血压下降
- -NURSE 2: Pressure's dropping.
抽吸快
BILLIE: Give me suction, now.
你是个实习医生
NURSE: You're a resident.
凭什么你觉得自己可以
Why did you think you could do this?
我告诉过你叫你等主治医生来了
I told you to wait for the attending.
比莉集中注意力
KIT: Billie, focus.
你必须在10分钟内完成椎体切除术
You have to finish the corpectomy within ten minutes.
时间越长骨出血越严重
The longer it takes, the longer the bone bleeds.
我已经准备好要输的血了所以你一开始
I've got blood waiting to go, so when you begin,
我就给她输血我了解这种手术
I will start slamming it in. I know these surgeries.
就算是最优秀的医生也并不好做
Even in the best of hands, this is messy.
比莉动手
Billie! Do it now.
我们没时间了
We're running out of time.
我是巴雷特·凯恩
CAIN: This is Barrett Cain.
请在滴声后留言
Please leave a message at the beep.
我会确保没有人能再伤害你了
I'm gonna make sure no one hurts you ever again.
我是巴雷特·凯恩我是巴雷特·凯恩
This is Barrett Cain. This is Barrett Cain.
我是巴雷特·凯恩请在滴声后留言
This is Barrett Cain. Please leave a message at the beep.
请给我高速电钻
- -BILLIE: High-speed drill to me.
该死这样什么都看不清
Damn it, we're operating underwater.
- 沃斯医生帮帮我 - 马上抽吸
-Dr. Voss, help me. -KIT: On it. Suction.
- 她的平均动脉压在降 - 骨出血很严重
-CHU: Her MAP is dropping. -BILLIE: Bone bleeds voraciously.
等我都取出来了出血就会停止了
Once I get it all out, the bleeding stops.
马上做个评估
KIT: Run us a motor, now.
状况不好
CHU: It's not good.
消耗50% T8躯体感觉诱发电位下降了80%
50% decrement, SSEPs down 80% at T8.
我碰到椎弓根了
BILLIE: I've reached the pedicles.
只有一块骨头
There's just one piece of bone.
拜托比莉你可以的
Oh, come on, Billie. Come on, you've got this.
- 动起来 - 第五包血
-Move, move. -CHU: Unit number five going in.
- 什么状况 - 我刚完成了椎体切除术
-CAIN: Status? -BILLIE: I just finished the corpectomy.
骨头取出来了但她的血压没有回升
The bone is out, but her pressure isn't rebounding.
氧饱和度在下降这种情况
CHU: Oxygen saturation's dropping. She's not gonna survive
- 她坚持不了多久的 - 拜托让一下沃斯医生
-much longer in this state. -CAIN: Excuse me, Dr. Voss.
周把气管导管往回拉
CAIN: Chu, pull back on the endotracheal tube,
2公分
two centimeters.
起效了各项指标都回升了
CHU: It worked. Her sats are rising.
术野当中有气泡你不可能看到的
CAIN: Air bubbles in the surgical field. You had no way
因为你被遮蔽了视线
of knowing that because you're behind the curtain.
找人来插胸管
Let's get somebody in here to place a chest tube.
给我刮匙椎骨骨膜分离刀给我的同事萨顿医生
Curettes to me, Cobb elevator to my colleague Dr. Sutton here.
沃斯医生能帮我们
Dr. Voss, will you give us a hand
继续抽吸吗
and continue with suction?
- 今晚不会容易 - 没问题
-It's gonna be a long night. -KIT: Certainly.
请有空的实习医生到3号♥重症监护室
WOMAN : Any available resident to ICU 3.
你做得很好
You did well.
她差点死了
She almost died.
如果不是你我
You know, if it weren't for you, I...
不你才是英雄
No, no, you're the hero.
你及时将骨头取了出来
You took that bone out in record time.
是因为你她才活了下来甚至可能再次走路
It's because of you she's alive, and may even walk again.
可能
May.
这个病例很危险
This was a dangerous case.
我们尽力了
We did our best.
神经外科手术的本质就是不确定的结果
Uncertain outcomes are the nature of neurosurgery.
听我说
Listen to me.
你可以为自己自豪
Be proud.
就像我为你是我的实习医生一样自豪
Just like I am that you're my resident.
她稳定下来了
She's stable.
这是个好征兆
That's a good sign.
但是我们不知道手术是否成功
But we don't know if the surgery was a success.
除非她醒过来
Not until she wakes up.
我早上会回来查房♥
I'll be back in the morning for rounds.
你不接我电♥话♥
You never answered any of my calls.
怎么知道要回来手术室
How did you know to come to the OR?
你打我电♥话♥只可能有一个原因
There was only thing you would be calling me for.
所以我来帮忙了
So I came to help.
谢谢你
Thank you.
这是我们的工作
It's what we do.
你知道吗我
You know, I, um...
我曾经以为我们不可能做同事
...I thought that wecouldn't work under the same roof.
我错了
I was wrong.
约翰·霍普金斯那边邀请我去
I have an offer from Johns Hopkins.
我或许会留在这里或许不会我也不知道
I may stay here, I may not. I don't know.
我需要作出决定
I have a decision to make.
昨天是很棒的一天
-Yesterday was a great day.
吉吉来到了这个世界
GiGi came into the world.
阿斯特里德活了下来有了新肝
-Aw. -Astrid survived, she got a new liver.
贝尔的病人在恢复期了
Bell's patient is in recovery.
- 还有菲尔 - 对
-And then there's Phil. -NIC: Yeah.
背叛是一种很糟糕的感觉
Betrayal's a terrible feeling.
就好像他在背后捅了我一刀
Yeah, it's like he just stabbed me in the back.
我真的相信我们都希望像罗斯那样
I really do believe that we both wanted a cure
生病却没有保险的人能彻底好起来
for people like Rose, sick and uninsured,
而不是变成大型医药公♥司♥
and not some bonanza for Big Pharma
- 和健康保险公♥司♥的摇钱树 - 事实是
-and health insurance companies. -Here's the thing--
- 这并不罕见 - 对
-this story is not new. -No.
但这里的结局比大部分情况好
But it has a happier ending than most.
- 罗丝痊愈了 - 确实
-Rose is cured. -DEVON: Yes, she is.
查斯顿重新壮大成为了公立医院
And Chastain's strong again. Public, not private,
预备好迎接所有到来的病人
ready to serve everyone who comes through that door.
我们希望下一代吉吉的这一代
Yeah, we just want the next generation, GiGi's generation,
能有最棒的医疗保障
to have the best health care.
- 所有人都有 - 对我们需要继续为了病人抗争
-For everyone. -Absolutely. We have to keep fighting for our patients.
这样吧我们会找到其他有治愈可能的
And you know what? We'll find other start-ups
创业企业
with other cures.
我们要从失败中学习就像昨天
And we will learn from our losses, like yesterday,
并且在未来使其成功
and we will turn them into wins in the future.
亲爱的
Honey.
是时候了
It's time.
你准备好了吗
-You ready? -Mm-hmm.
去吧
There you go.
- 给我吧 - 好
-CONRAD: I got her. Just... -Okay... Oh.