2020年2月26日
加州进入紧急状态前一周
-真抱歉 -没关系 - So sorry. - It's okay.
给您的找零 And... there you go.
-谢谢 -不客气 - Thank you. - No worries.
非常感谢 Thank you very much.
-祝您今天愉快 -你也是 - Have a good day. - You too.
你看到我的工卡了吗 Have you seen my ID badge?
-没有 -昨晚还在的 - No. - I had it last night,
可能在我买披萨时从包里掉出去了 but maybe it fell out of my bag when I paid for the pizza.
如果你在这留宿就不会这样了 This wouldn't happen if you stayed over.
如果你还记得我住在这时的情况 If you'll remember back to when I lived here,
我丢三落四的能力可是一流的 my ability to lose things has always been top-notch.
如果你留宿了 If you stayed over,
你就不用在发现东西不见时 you wouldn't have had to come all the way back here
大老远赶过来 when you realized --
太快了 肖恩 It's too soon, Shaun.
为什么 Why?
如果我留宿了 If I stayed over,
我们都会少睡很多 we both would've gotten a lot less sleep.
为什么太快了 Why is it too soon?
因为我们只在一起几周 Because we've only been together a few weeks.
那要在一起多少周 How many weeks of being together are required
才能让你留宿呢 before you can stay over?
找到了 Yes!
周六 Saturday.
我这周六留宿 I'll spend the night, Saturday.
我很高兴我们来这里了 I'm glad we come here.
我不想之后就不来了 I don't want to stop coming.
怎么会呢 Why would we?
因为事情就是这样 Well, that's the way it works.
你哀悼 哭泣 然后忘记 You mourn, you cry, and then you forget.
你不会忘的 You don't forget.
你会 开始继续生活 You... start to move on.
我不想之后就不来了 I don't want to stop coming.
你的体温接近38.3度 Your temperature's almost 101.
还有其他症状吗 Your other symptoms?
一开始是喉咙疼 First it was a sore throat,
然后我的身体也开始疼 then my body started aching.
还有咳嗽 And then there's this cough.
我都打了流感疫苗 I even had my flu shot.
很不幸 流感病毒经常变异 Unfortunately, influenza is constantly mutating.
疫苗总是滞后的 The shot always lags behind.
希望你的疫苗能让你快点恢复 Hopefully, you'll recover faster because of it.
我女儿担心我感染了这个 My daughter's very worried that I might have this...
中国来的病毒 叫什么来着 virus from China. What's it called?
你最近去过中国 Have you been to China
或身边有去过中国的人吗 or been around anyone who's been to China recently?
坐游轮了吗 Taken any cruises?
新冠病毒不会让人喉咙疼 The coronavirus doesn't cause sore throats.
你这是流感病情严重了 This is a bad case of the flu.
回家 好好休息 多喝水 Go home, rest, drink plenty of fluids.
一两周你就会痊愈 You'll be fine in a week or two.
两周后
病毒摧毁了你母亲的肺 The virus has damaged your mother's lungs.
她的身体在努力让她能呼吸 Her body is working harder and harder to breathe,
但她的血氧饱和度还在持续下降 but her blood oxygen levels continue to drop.
她新冠确诊了吗 She definitely has Corona?
我们会尽一切力量救她 We're doing everything we can to help her.
本集「良医」根据仍在持续的抗疫实情改编
致敬英雄
医生 护士及其他前线工作者 他们许多人为此献出了生命
尽好本分 戴好口罩
你得了新冠肺炎 You have COVID-19.
但你还没给我检测 But you haven't tested me.
你的胸片显示磨玻璃状阴影 Your chest X-rays suggest ground glass opacities.
那就是新冠 我不用检测也知道 That's covid. I don't need a test,
这是件好事 因为我们做不了检测 which is good because we don't have any.
但我失去嗅觉了 But I can't smell.
我看了好多报道 这不是症状之一 I've been reading about it, and that's not a symptom.
我想现在是了 I guess it is now.
你得了新冠肺炎 You have COVID.
好 那现在怎么办 Okay, now what?
马上回家 Now you go home.
就这样吗 That's it?
就是这样 目前还无法治疗 That's it. There's no treatment.
与其他人保持距离 Stay away from people.
如果你觉得呼吸困难就来医院 Come back if you have trouble breathing.
再见 Goodbye.
检测25例 25 tests?
每天吗 Per day?
不 告诉我明天能检测多少 No, just give me one of tomorrow's.
喂 县卫生局 Hello? County Health Department.
我没空理他们 I don't have time for them,
显然他们也没空理我 and apparently they don't have time for me.
这个病人 Patient.
需要做乳房肿瘤切除术吗 Needs a lumpectomy?
对 需要 但还没做 Yes. Needs. And yet.
手术取消了 Surgery canceled?
他们把它定为择期手术 They ruled it elective.
它就是择期手术 It is elective.
你刚才说「需要」 You just said "needs."
我没说何时需要 I didn't say when.
这个手术可以等到疫情结束之后 This can wait till after the pandemic.
对 我们医院的规模是圣荷西总医院的两倍 Yeah, I-I'm twice the size of SJ General.
我们检测的病例数也应该是他们的两倍 I should have twice the amount of tests.
那我该找谁说 Well, who do I speak to?
你觉得气短吗 Do you feel shortness of breath?
有点 A little.
如果我病了 我的宝宝是不是也病了 If I'm sick, is my baby sick?
这种疾病对儿童或婴儿的影响似乎 This disease doesn't really seem to affect children
不像成人那么大 or babies like it does adults.
要收她住院吗 Should we admit her?
她在家里可能更安全 She's probably safer at home.
你家里有些什么 有生命支持系统吗 What's at home? Do you have a support system?
万一你的情况恶化 有人能来帮你吗 Can anyone come help you in case you get worse?
只有我和宝宝 It's just me... and the little one.
给她找间病房 Get her a room.
通过鼻腔插管给她吸氧 Start her on oxygen via nasal cannula,
试试万古霉素和头孢吡肟 and let's try some vancomycin and cefepime.
喂 米娅 Hey, Mia.
我今天或者这周都回不去了 I'm not headed back there today or this week.
我在这里找了个临时住处 I found a temporary place here.
凤凰城也有医院 There are hospitals in Phoenix, too.
如果我回家 你愿意让我跟你一起住吗 If I come home, do you want me living with you?
当然 这就是关键 Of course. That's the point.
每晚跟新冠患者相处12小时之后 Every night after 12 hours with COVID patients,
再跟你和凯兰在一起 to hang out with you and Kellan.
而且他有哮喘 And his asthma.
他会很失望的 He's gonna be really bummed.
-他就要毕业了 -6月才毕业 - His graduation... - Isn't till June.
到时候疫情早就结束了 This'll be over long before then.
一定有人有人脉 Someone must have connections.
县医院吗 范·克里克和吴都认识 At county? Van Kleek does, Woo does,
阮的丈夫是在... Nguyen's husband works at --
很好 让他们中的一个去打电话 Well, great. Get one of them to call.
关键是每家医院的董事会也都有人脉 The problem is the board of every hospital has connections.
他们也都在给公共卫生局打电话 They're all calling Public Health.
却都没有任何进展 They're all getting nowhere.
所以我们就坐以待毙吗 So we do nothing?
不 我们会尽一切努力 No, we do everything we can.
我们要不断询问官方渠道和我们接触的 We hammer at official channels and every manufacturer's rep
所有厂商代表 看看哪些公司 that we deal with and see what companies,
有没用过的... if any, have undisturbed --
要加坚果吗 Nuts or no nuts?
抱歉 我正在... I'm sorry. I'm -- I'm in the middle of, uh,
跟董事会开会 a-a-a meeting with the Board.
大家好 Hey, everyone.
我在做香蕉面包 I'm just making... banana bread.
你们知道吗 我们... You know what? Let's just take a --
我要休息一下 I'm gonna take a quick break.
麻烦谁能给我一份当地的 If someone can get me a list of
个人防护装备供应商名单 谢谢 PPE suppliers in the area, thanks.
我马上回来 I'll be back.
我不想吃香蕉面包 I don't want banana bread.
我想回医院工作 I want to be back at the hospital.
我是院长 而我现在却在家里干看着 I'm the president, and I'm at home, watching.
你在做工作啊 You're doing your job.
不管你要采取什么措施 Whatever you gotta do,
你要做什么决定 whatever decisions you need to make,
你只要在这里做就行了 you just do it all right here.
我会 I can --
我会采取必要的预防措施 I can take the necessary precautions.
会议在讨论个人防护装备短缺的问题 That whole meeting was about PPE's mitigation.
亚伦 你是个有癌症病史的65岁老人了 Aaron, you are 65 years old with a history of cancer.
你要是感染了那个病毒 那怎么办 You get that virus, then what?
我不知道我在做什么 I don't know what I'm doing.
你是在保持理智 你 你是在保护自己 You're being smart. You're -- you're being safe.
这有什么不好呢 What is wrong with that?
我们在家待一段时间有什么不好 And what is wrong with being home together for a while?
没什么不好 Nothing, I guess.
我们没有选择 We have no choice.
就好好享受吧 Let's enjoy it.
加坚果还是不加 Nuts or no nuts?
加坚果 Nuts.
好的 Okay.
出什么事了 What's going on?
你妈妈的血氧饱和度已经非常低了 Your mother's oxygen saturation has gotten critically low.
我们要给她上呼吸机了 We need to get her on a ventilator.
这样就能让她好起来吗 And that'll help her get better?
能保住她的命 希望能给她身体 It'll keep her alive, hopefully long enough
足够的时间来抵抗病毒 for her body to fight off the virus.
她有危险吗 Is it dangerous?
我们的风险更大 More for us.
她麻醉了 She's out.
肿胀严重 Lots of swelling.
慢点 Slow.
你想尽快做完这个程序 You want this over with as soon as possible,
但你也不能让她咳嗽 but you also don't want her to cough.
紧急状态
第三周
-你好 -抱歉 我吵醒你了 - Hello. - Sorry. I woke you?
-我以为你起床了 -我是起了 - I thought you had to be up now. - I do.
-我点了两次小睡 -我看到数据了 - I pushed snooze twice. - I read the numbers.
昨天圣卡拉拉县有七人死亡 You guys had seven deaths in Santa Clara County yesterday.
有圣何塞圣文德医院的吗 Any at Saint Bonaventure?
圣何塞圣文德医院每天都有人死亡 凯兰 We have deaths at Saint Bonaventure every day, Kellan.
我想你了 I miss you.
我知道 你已经说过了 I know. You already said that.
我想强调下这点 I wanted to reinforce the point.
你说过你很想我了 You said you missed me a lot.
而且我们现在正在一起 And we're together right now.
那跟真正的在一起不一样 It's different not being actually together.
你的意思是不能做爱吗 You mean not being able to have sex?
没有 我没有检测 因为没必要 No, I haven't been tested because there's no need.
我很好 没有任何症状 I'm fine. No symptoms.
你可能是无症状感染者 You can be asymptomatic and still have it.
我知道 I know.
你还在健身吗 You still working out?
不因为居家而耽误了健身 Don't want to lose arm strength while you're off?
我正在做沙拉 我想带上沙拉 I'm making a salad. Figured I'd bring it by
戴口罩和你共享隔离晚餐 and we'll have a masked, distanced dinner.
戴着口罩没法吃东西 You can't eat with a mask on.
好吧 那就吃饭时取掉口罩 Okay, we'll take them off when we're eating
不要面向对方 and turn our heads.
他们说普通的口罩不起作用 They say the regular masks don't work.
好吧 那你从医院给我带一个 Okay, you can bring me one from work.
不行 No.
你们有足够的PPE吗 Do you have enough PPE?
啥PPE PPE?
个人防护装备 老爸 Personal protective equipment, Dad.
看来有人是做足功课了 Someone's been doing their research.
是的 装备够 我也很谨慎小心 Yes, we have enough. Yes, I'm being careful.
听你妈妈说你加入了一个读书会 I heard your mother joined a book club.
肖恩谨慎小心吗 Is Shaun being careful?
对 我非常谨慎小心 Oh, yes, I am -- very.
我也是 所以我过来应该也很安全 So am I, so it should be safe for me to come over.
你不能因为我们安全就过来 You can't come over because we are being safe.
苹果呢 你家苹果够吃吗 What about apples? Do you have enough apples?
我可以去买 I could go shop for --
他有得吃 He does.
看 一切都在掌握之中 See? Everything is under control.
一切都在掌握之中 Everything's under control.
我告诉过你除非呼吸变困难 否则不用来 I told you not to come back unless your breathing got worse.
他不停发烧咳嗽 都没法睡觉 Between the fever and the cough, he's barely sleeping.
是谁说的 Who said that?
我妻子想陪我来的 但她要工作 My wife wanted to come with me, but she has to work.
她脱不了身 She's essential personnel.
他瘦了4.5公斤 He's lost 10 pounds.
呼吸 Breathe.
他一周前就该来的 He should've come in a week ago.
我听诊时请不要说话 Please don't talk when I'm listening.
呼吸 Breathe.
他还咳嗽 咳得厉害 He's also coughing. A lot.
他还没告诉你 但他确实咳嗽 He hasn't told you, but he is.
-抱歉 -你刚刚是替我道歉吗 - I'm sorry. - Did you just apologize for me?
就因为我担心你 Because I'm worried about you?
真抱歉 So sorry.
我是个担心丈夫的妻子 I'm a wife who is worried about her husband.
请见谅 我很恶毒 Forgive me. I'm -- I'm evil.
幸好你脾气这么冲 It's lucky that you're so irritating.
什么 What?
你丈夫的血氧含量极低 Your husband's blood oxygen level is dangerously low.
这 这不 这不可能 That -- that can't -- that can't be.
我没 我没有觉得特别难受 I mean, I don't -- I don't feel that bad.
虽然不舒服 但我呼吸 Not great, but my breathing...
有意思 That's interesting.
你没感觉到难受 但事实如此 You don't feel bad, but you are.
安排他去新冠肺炎区 Admit him to the COVID Floor.
把加温加湿高流量鼻导管开到8升/分钟 Start heated humidified high-flow nasal cannula at 8 lpm.
谢绝访问 新冠疫情期间谢绝访问
她的C反应蛋白 血沉 铁蛋白 D二聚体 Her CRP, ESR, Ferritin, D-dimer,
转氨酶和白介素6都很高 transaminases, and IL-6 are all way up.
给她试试用地塞米松 Try her on dexamethasone.
我在线上医生群组看到 I read in my online physicians group
英国用这种药取得了一些成功 that the UK's had some success with that.
谢谢你 Thank you.
抱歉 你说什么 Sorry, what'd you say?
我戴着面罩没听见 I couldn't hear with the mask.
谢谢你 Thank you.
我听说你替 I heard you stepped in
今天没来的理疗师代班 for a therapist that didn't come in today.
我儿子有哮喘 My son has asthma.
我做这事很多年了 I've been doing this kind of stuff for years.
我买了一个梳妆台 I got a dresser.
和一个婴儿床 And a crib.
都固定在墙上了 Bolted them both to the wall.
最重要的是她 All that matters is her.
我要事事都做好 I'm gonna do everything right.
你要为人父母了 You're gonna be a parent.
不可能把每件事都做好 No way you're doing everything right.
公平交易 200个多余药瓶 Even trade -- 200 surplus vials
换你的新冠检测试剂盒 for your COVID test kits.
那你需要什么 Well, what do you need?
我有羟氯喹 利巴韦林 I've got hydroxychloroquine, ribavirin --
心电图导联 EKG leads?
没有 我没说不行 No, no. I-I'm not saying no.
我们两小时内准备好这些 We'll pick 'em up in two hours.
我们有多余的心电图导联吗 We have a surplus of EKG leads?
没有 我们短缺 No, we've got a shortage.
但这个问题可以延后 But that's a problem that can wait.
穆德莉的氧合指数低于50 Mildred's P-to-F is below 50.
她有心原性休克的迹象 She's showing signs of cardiogenic shock.
-开始给她用类固醇药 -我已经用了 - Start her on steroids. - I already have.
如果她继续下降 我想加上体外膜肺氧合 If she continues to go downhill, I'd like to add ECMO;
缓解心脏和肺部的压力 take the strain off her heart and lungs.
不错 Good idea.
我需要心电图导联 I need EKG leads.
你需要什么 What do you need?
我们该给他插管吗 Should we intubate him?
还没到需要插管的时候 Not yet. Not a minute before we need to.
他的血氧饱和度一直在下降 His oxygen saturation has been dropping steadily.
现在74了 It's 74 now.
-照这样下去 -要让他俯卧 - At this rate... - We're gonna prone him.
一个纽约的朋友说这招好用 A buddy in New York says it helps.
偶尔好用 Sometimes.
克莱尔现在感觉如何 How is Claire feeling?
我猜她筋疲力尽 I assume she's exhausted?
那不是一种情感 她感觉怎样 That isn't a feeling. How is she feeling?
这很难讲 肖恩 她戴着口罩 It's a little tough to tell, Shaun. She's wearing a mask.
没错 你看不出她高不高兴 Exactly. You can't tell if she's happy.
你看不出她难不难过 You can't tell if she's sad.
你看不出我是喜是悲 You can't tell if I'm sad or if I'm happy.
你看起来挺高兴的 肖恩 Well, you seem distressingly happy, Shaun.
太好了 我看不懂别人 It's exciting. I can't read people.
现在谁都看不懂别人 Now no one can read people.
我们被迫去找些更可靠的信号... We're all forced to rely on more reliable markers...
像是别人说的话 like what people are saying.
既然你看不懂我的脸 我就用说的 Well, since you can't tell from my face, I'll use my words.
我感觉糟透了 I feel terrible.
我们大家都感觉糟透了 We all feel terrible
因为过去的十八个小时里我们一直 because we spent the last 18 hours
看着人们病情加重 watching people get sicker.
却无计可施 We didn't help anyone.
我们只是短暂地避开了死亡而已 We just fended off death for a little while,
我们受够了 and we're all pretty disgusted
你在这种情况下还能高兴的起来 at the joy you're taking in this situation.
-放过他吧 -你也乐此不疲 - Give him a break. - You're enjoying this, too.
所有择期手术都取消了 All elective surgeries have been canceled,
所以现在没人是外科医生了 不仅是你 so no one is a surgeon anymore, not just you.
克莱尔... Claire...
我们现在都疲惫不堪 明天也好不到哪去 We're all exhausted, and tomorrow won't be any different.
但到那时 如果我们不互相怨恨 就大有裨益 But it'd help if we didn't hate each other when that time comes.
想你 愿一切安好 我爱你
紧急状态
第四周
你在医院工作 You work in a hospital?
是的 Yes.
你能搭下班电梯吗 Could you wait for the next elevator?
非常感谢 I appreciate you.
不要 No.
-怎么了 -别 不要 - What's wrong? ? - No, no.?
这有卫生纸...有十二卷 双层的 But they had toilet paper... 12 rolls, double-ply.
不行 No, no.
这是莉亚的橱柜 This is Lea's cabinet.
-她现在又不用 -不能动 - She's not using it now. - It needs to stay free.
她随时可能回来 For when she comes back.
这是我的公寓 This is my apartment.
未经我的同意你没有权力乱动我的东西 You had no right to put anything anywhere without my permission.
我也很想念凯兰和米娅 I miss Kellan and Mia, too.
他们和莉亚的橱柜有什么关系 What do they have to do with Lea's cabinet?
你想她了 肖恩 You miss her, Shaun.
不 我不想她 如果我见莉亚 No, I don't. If I saw Lea,
她可能会感染新冠 可能会生病 she might be exposed to COVID and she might get sick.
我不想那样 I don't want that.
然而...你还是想她 And yet... you miss her.
为什么我想要那些我不想要的东西呢 Why would I want something that isn't what I want?
为什么减肥的人想吃冰淇淋呢 Why do people on diets want ice cream?
我还以为体外膜肺氧合对她的心脏有帮助 I thought the ECMO was supposed to help her heart.
它可以分担心脏张力 It's taken some of the strain off of it,
但她本身的免疫系统仍在攻击她的器官 but her own immune system is still attacking her organs.
但这些类固醇是用来阻止攻击的 And the steroids were supposed to stop that.
我们改用了一种特效药 We switched to a stronger medication,
希望能奏效 so hopefully that'll help.
这是放在她家里床头柜上的 This is from her bedside table at home.
是我十三岁时送给她的母亲节礼物 I gave it to her for Mother's Day when I was 13.
你想让我... Would you like me to...
求求你 我能亲手给她吗 Please. Can I bring it to her?
非常抱歉拉谢勒 我法帮你 I'm... I'm sorry, Lashelle, I can't.
这太危险了 It's just too risky.
我不在乎我会怎么样 I don't care what happens to me.
我妈在里边孤身一人 My mother is in there, all alone,
身上连着仪器 hooked up to a machine.
我需要看着她 告诉她... I just need to see her and -- and tell her...
我爱她 that I love her.
不行 I can't.
你的肺部充满了液体和分泌物 Your lungs are filling with fluid and secretions.
请给我抽吸导管 Suction catheter, please.
是新冠引发的吗 Is that from COVID?
可能吧 我不知道 I guess so. I don't know.
病状一直在变 It keeps changing.
部分症状可能来自 Probably in combination with
他感染上的细菌性肺炎 the bacterial pneumonia he's developed.
可能是我先把病毒带回家传染给了他 First I probably brought this home to him,
然后我又把他送进医院 害他... then I sent him to the hospital where he's gotten --
亲爱的 别自责了 我不会有事的 Honey, don't blame yourself. I'll be fine.
我要给你做肺部抽吸 I need to suction out your lungs.
我会把这跟管子插入你的鼻腔 I'm going to feed this tube up your nose
顺进你的呼吸道 and down into your airway.
这会很难受 It will be quite uncomfortable.
尽量不要抓我的手臂 Please try not to grab my arm.
深呼吸 Take deep breaths.
我们得让她俯卧 We need to prone her.
不行 她有身孕 We can't; she's pregnant.
所以我从物理治疗的米歇尔那里买了这个 That's why I bought this off Michelle in PT.
她会做妊娠按摩 She does pregnancy massage.
不好意思 I'm sorry! I'm -- I'm sorry!
我在打电话 你能小点声吗 I'm on another call! Can you hold it down?
你可以关上门 Yeah. You can close your door.
-好吧 -我在做「商船夜」的意式海鲜汤 - Okay. - I-I'm making cioppino for "Merchant Marine Night."
哪里来的蛤蜊 Where did you get the clams?
我去了趟超市 Oh, I ran out to Bruno's.
你出门去买蛤蜊吗 You ran out to buy clams?
是 我 我戴了口罩 Yeah, I wore -- I wore a mask,
而且超市的社交距离保持得很好 and they were really good about social distancing.
不好意思 我不能去 I'm sorry, I'm not -- I'm not supposed to go to the hospital
我能救治病患的医院 where I possibly could save lives
但是你却能去超市 but you can go to Bruno's
为了「商船夜」买蛤蜊 to buy clams for "Merchant Marine Night"?
我比你年轻 I'm younger than you are,
我没有任何病史 I have no history of health issues,
而且不像医院 and unlike a hospital,
超市可不是新冠病毒的培养皿 Bruno's is not a Petri dish of COVID.
我计划好了全套菜单 I have this whole menu planned.
我觉得我可以穿上我的制服 你可以... I thought I could wear my uniform, and you could --
我们是在隔离 不是在游船度假 We're on quarantine. We're not on a cruise.
我知道 不过我想既然我们被困在家里 I know, but I thought since we're stuck at home,
我们可以困得有意思点 we could have some fun.
这不是开派对 这是全球范围的传染病 It's not a party; it's a pandemic.
我没时间搞什么主题晚餐 I don't have time for theme dinners
复杂的菜单和酸面团 and elaborate menus and sourdough starter.
好吧 Okay.
我们至少可以为晚餐打扮一下吧 We could -- We could at least dress up for dinner?
好 Yeah...
你把他的肺部清理干净了吗 Were you able to drain his lungs?
是的 Yes.
你为什么在这里 Why are you...here?
马丁知道我在 会更放松 It helps Martin relax... knowing that I'm around.
你觉得这样能减少马丁对你的思念吗 Do you think it helps Martin miss you less?
是的 Yeah. Yes.
马丁出现心脏杂音 Martin has a heart murmur.
-什么 -马丁 马丁 - What? - Martin! Martin!
很高兴你醒了 Hello. I'm glad you're awake.
你的心瓣可能有细菌感染 You may have a bacterial abscess on your heart valve.
-听起来很糟糕 -没错 - That sounds really bad. - It is.
新冠引起的并发症变化多端 COVID's complications are not at all consistent.
越来越让人头疼了 It's becoming annoying.
去做手术的路上我再跟你细说 I'll tell you more on the way to the procedure.
体外膜肺氧合疗法对她不管用 ECMO isn't working for her.
她出现无脉性室速 给我肾上腺素和救生车 She's pulseless V-tach. Epi and the crash cart.
推注肾上腺素 Pushing epi.
120焦 离手 120 joules. Clear.
室颤了 V fib now.
注射三百单位的胺碘酮 Pushing amiodarone 300 in.
充电两百焦 200 joules.
离手 Clear.
昨天整个郡十七人死亡 17 deaths in the county yesterday,
比前天增加了两例 up by two from the day before.
样本量太小了 没法得出任何结论 Too small of a sample to draw any conclusions.
新增病例有多少来着 What were the new case numbers again?
也在上升 有112例了 Also up. By 112 --
你觉得肖恩看起来状态还好吗 Hey, does Shaun look okay to you?
我挺好的 I'm fine.
他看上去还不错 He looks fine.
我没问你 你会骗我 I wasn't asking you. You'll lie.
凯兰 肖恩看起来怎么样 Kellan, how does Shaun look?
我挺好的 I'm fine.
他看起来很累 是吧 He looks tired, right?
我是很累 但我也挺好的 I am tired, but I'm also fine.
莉亚 肖恩挺好的 他只是很想你 Lea, Shaun's fine. He just misses you.
不 我没有 我只是想念和你做爱 No, no, I don't. I miss having sex with you.
你可不是一个人啊 这儿有未成年呢 Hey, not alone -- teenager present.
凯兰难道不知道什么是做爱吗 Does Kellan not know what sex is?
他两周后都要高中毕业了 He's graduating high school in two weeks.
-恭喜你啊 凯兰 -谢谢你 肖恩 - Congratulations, Kellan. - Thanks, Shaun!
他当然知道 但并不想听你说你做爱的事 He knows. He doesn't want to hear about you having it.
我也不想听 Neither do I.
难道他觉得我和莉亚不做爱吗 Does he think Lea and I don't have sex?
因为我们可是经常做啊 Because we do, a lot.
或者说 以前经常做 Or, we did.
我相信你们有做 我们都相信 I'm sure you do. We're all sure you do.
-但不需要聊这件事 -性行为是美好的 - We don't need to talk about it. - Sexual intimacy is beautiful.
我吃不进去早餐了 I'm gonna skip breakfast.
你想我了啊 You miss me.
没有 咱们每天聊两次天 No, we talk twice a day.
唯一的区别就是缺少了肌肤接触 The only difference is the lack of physical contact,
这样也就减少了你被感染的风险 which reduces your risk of infection.
但是 我确实怀念做爱 But... I do miss sex.
你不想吗 Don't you?
我也想 I do.
咱们又不能通过电话做爱 We can't do that over the phone.
那可不一定 That's not really true.
说下去 Go on.
下班后没有别人的时候 给我打电话 Call me after work when you're alone.
你开静音了吗 Are -- Are you muted?
-是的 -抱歉打扰你 - Yeah. - I'm sorry to bother you.
你 你什么时候可以休息 When, uh -- When can you take a break?
你可以一小时之后再来吗 Can you come back in an hour?
你真的该休息一下了 You really should take a break.
就出去转转也好 Just get out of the house for a bit.
这样能让你工作得更高效 It'll help you work better.
你需要伸伸腿 也放松放松头脑 You need to stretch your legs and stretch your mind.
你可以 一个小时后再... Can you come back in -- in a --
天啊 aw, man!
你是在工作吗 Are you working?
用户 宝地迷弟793 获胜
宝地迷弟793是谁 Who's GoodPlaceFan 793?
我不知道 但不管他是谁 I don't know, but whoever he is,
他都比五分钟之前更有钱了 he's richer than he was five minutes ago.
我想出去走走 但能让我玩完这把吗 I want to go on a walk. Can I just finish this?
不 没必要了 No. No need.
你就和你朋友玩吧 玩多久都行 You just play as long as you want with your friends.
脓肿引起的赘生物已经植入你的左房室瓣了 Vegetations from the abscess had implanted on your mitral valve.
沿窄缘的锐剥离留下了足够的小叶结构 A narrow margin sharp dissection left enough
足以进行一期修补术了 leaflet to allow a primary repair --
我们希望心脏能够痊愈 We expect a full recovery of the heart.
只心脏吗 那其他部分呢 Of the heart? What about the rest of me?
十分不幸 你的肺部仍然... Unfortunately, your lungs are still compro--
BGM: Celebration by Kool & The Gang
那是什么声音 What -- What was that?
有人出院了 Someone's going home.
♪ Celebrate good times, come on ♪
♪ Let's celebrate ♪
♪ There's a party ♪
你的肺部有炎症并且严重肿胀 Your lungs have a lot of inflammation and swelling,
我们需要给你戴上非再吸入面罩 and we need to put you on a non-rebreather mask
希望能提高你的血氧水平 and hope it gets your O2 level up.
听起来不太妙 That doesn't sound overly promising.
你们还有别的办法吗 I-Isn't there anything else you can do?
没有 No.
你需要插上呼吸机 所以先给你镇定剂 You need to go on a ventilator, so I'm gonna sedate you.
插多久 For how long?
乐观的话就几天 Hopefully just a few days.
也有可能会更长 But it could be longer.
我的预产期还有不到两个星期 My baby's due in two weeks.
这对你们两个都有好处 This is better for both of you.
-要是我没挺过去 -不会的 - If I don't make it. - You will.
你的宝宝很安全 你很年轻 很强壮 Your baby's safe, you're young, you're strong.
性爱不只是触摸 Sex is not just about touch.
还有意象 情感 联结 It's about imagery, emotion, connection...
不过触摸非常非常重要 Oh, but touch is very, very important.
我是说过程中会有触摸 I mean, there will be touch.
但是现在我摸不到你 你也摸不到我 But I won't be touching you, and you won't be touching me.
你的耳朵还好吗 Are your ears okay?
有点疼 They hurt.
为防新冠 我得戴两副口罩 Because of COVID, I have to wear two masks,
松紧带勒进了我耳后的皮肤 and the elastics cut into the skin behind my ears.
我们同时自慰吗 You're going to masturbate while I masturbate?
没错 而且还要交谈 Yeah. And we'll talk to each other.
感觉会分心 That sounds very distracting.
肖恩 我们会谈论性爱 Shaun, we're going to talk about sex.
告诉我你在对我做什么 Tell me what you're doing to me.
看着屏幕上的你 Looking at you on my computer.
你希望对我做什么 What do you wish you were doing with me?
亲你 Kissing you.
但万一我得了新冠呢 那你... But what if I have COVID? Then you'd --
我正在解你的皮带 I'm unfastening your belt.
不 你没有 No -- No, you're not.
我没戴皮带 I-I don't have my belt on.
好 不解皮带 Okay, no belt.
肖恩 闭上眼想象我们正在 Shaun, just close your eyes and imagine we are --
如果我闭上眼 就看不见你了 莉亚 If I close my eyes, then I can't see you, Lea,
不过反正我现在也看不见你全身 and I can't see most of you anyway.
-你可以回忆 -不不 太蠢了 - You can remember. - No, no, this is stupid.
我不想和你假装做爱 I don't want to pretend to have sex with you.
我想和你在一起 I want to be with you.
我也很想你 肖恩 I miss you, too, Shaun.
紧急状态
第五周
咳嗽吗 Any cough?
发烧吗 Any fever?
没有 No.
呼吸困难吗 Any shortness of breath?
有喉咙痛 嗅觉减退吗 Sore throat, loss of smell?
没有 都没有 No, no, none of that.
只是有点腹部灼痛和腹泻 J-Just searing abdominal pain and the runs.
我很确定是我的憩室炎又犯了 I'm pretty sure it's my diverticulitis acting up.
我室友沉迷于烘焙潮流 My roommate is deeply into pandemic baking...
我不敢进去 我不想得新冠 I've avoided coming in. I don't want to catch COVID.
请坐 Have a seat.
非新冠楼层 禁食 排队等着查 Non-COVID floor, NPO, I.V. acetaminophen for pain
腹部CT的时候 静脉给扑热息痛镇痛 while he waits on his abdominal CT.
不能吃东西吗 No food?
通常我接到腹痛病人的时候 Usually my first stop with an abdominal pain patient
第一站就是餐厅 is the cafeteria.
安巴尔呼叫我 重复性胎心过缓 It's Ambar. Repetitive late decels.
-婴儿要生了 -去吧 - I've got a baby coming. - Go.
谢谢 我知道你很忙 Thank you. I-I know you're busy.
我能帮你什么吗 你还好吗 What can I help you with? Are you doing okay?
我妈妈有个项链 一个十字架 My mother had a necklace -- a cross.
她生前每天都戴着 我想把它拿回来 She wore it every day. I'm hoping to get it back.
病人的东西都被集中存放在一起 Uh, the patients' things are all being held in one place.
紧急状态解除之前不能发还它们 We're not supposed to release them until after the crisis.
非常抱歉 I'm so sorry.
谢谢 Thank you.
好吧 Okay.
我会找找看 Let me see if I can find it.
我会把它清洁干净 然后还给你 I'll -- I'll clean it and get it back to you.
跟你说一声 这里会很安静 Wanted to let you know that it'll be quiet around here
安静一阵子 for a little while. I'm...
我和苏茜要去沙滩上散散步 taking a walk on the beach with Susie.
我们会保持六英尺的距离的 We will stay six feet apart.
至少要六英尺 Six feet is the absolute minimum.
但是还是有风险 It's still considered quite a risk.
所以你不仅不想和我待在一起 So not -- not only do you not want to do things with me,
你还不想让我和其他人待在一起 now you don't want me to do things with other people?
我想让你小心些 就像你让我多加小心一样 I want you to be careful, like you want me to be careful.
你想让我什么都不要做 You don't want me to do anything.
我不能去购物 不能去散步 I can't go shopping, I can't take a walk,
你也不愿意和我待在一起 you won't spend any time with me.
我有点忙 I'm a little bit busy.
你在玩扑克牌 You're playing poker!
我工作间隙玩了一小时扑克 I played poker for one hour while I was working.
我每天每分每秒都和你在一起 I spend every minute of every day with you.
那你应该很高兴我要出门了 Oh, well, you should be so happy that I'm taking a hike.
我要出去好一会儿 It'll be a long one.
-请问你可以 -带上你的口罩 - Could you please -- - Wear your damn mask.
罗德里格兹还是基特 Rodriguez or Jeter?
简单 基特 Easy -- Jeter.
我对罗德里格兹的讨厌已经到了白热化的程度 I hate A-Rod with a white-hot hate,
但是打败我们的是基特 but it's Jeter who beat us.
洋基队里你最讨厌的球员是谁 Who's your most-hated Yankee?
我从来都不喜欢保罗·里维尔 I never cared for Paul Revere.
你的血常规显示白细胞数值不高 Your CBC doesn't show a high white count,
这对急性憩室炎来说并不常见 which is atypical for acute diverticulitis.
我们再看看影像怎么显示 We'll see what the imaging shows.
把沃尔特带去做CT好吗 Can we bring Walter down to CT?
没问题 Sure thing.
你记得他们第七场输给了亚利桑那响尾蛇队吗 You remember when they lost game 7 to the Diamondbacks?
我高兴哭了 Oh, I cried tears of joy.
我摸到臀部了 用力压住 I feel the rump. Apply the pressure there.
别害羞 我们现在需要把孩子拿出来 Don't be shy. We need this baby out now.
孩子出来了 Baby's out.
她看起来怎么样 朴医生 How's she looking, Dr. Park?
不错 Good.
她脸色红润 精力充沛 呼吸状况良好 She's pink, active, and breathing great.
看起来没翻转但实际上翻转了的 The third fuse on the left that looks like
左数第三根保险丝 it hasn't been flipped but it has.
你只要 把它关掉 把它关掉再开起来 You just -- You turn it -- turn it off and then back on.
这是烘干机用的吗 This is for the dryer?
我不想让你叫维修工上门 I don't want you calling a repairman
就为了一根倾翻的保险丝 just because of a tripped fuse.
烘干机挺好的 The dryer is fine.
你也会好的 You're gonna be fine.
我爱你 I love you.
你不需要说这句话 You don't need to say that.
-但我想说 -你不需要说 好吗 - But I want to. - You don't need to, okay?
现在不是什么生死攸关的时刻 This isn't a big moment.
你会好起来的 You'll be fine.
莉莉 大部分 Lily...most -- most people
用上呼吸机的人 who go on a ventilator...
都再也离不开了 don't come off.
让医生接电话 Put the doctor on.
告诉他 他会好起来的 Tell him he's going to be fine.
我做不到 I can't.
他说得没错 He's right.
大部分用上了呼吸机的新冠肺炎患者 The majority of COVID patients
就再也离不开呼吸机了 who go on a ventilator never come off.
让另一个医生接电话 Put the other doctor on.
积极的一面是马丁还比较年轻 Martin's relative youth is a positive.
我很抱歉 我也希望可以告诉你更多的信息 I'm sorry. I wish I could give you more.
你女儿很漂亮 Your daughter's beautiful.
体重6.5磅 身高19英寸 6 1/2 pounds, 19 inches,
没有感染新冠病毒 completely COVID-free.
她的鼻子很像你 She's, uh, got your nose...
胃口也很好 eats like a champ.
饿了的时候 每个人都能听到她嘹亮的哭声 Everyone on the floor knows when she's hungry.
她需要你赶快好起来 这样你才能抱着她 She just needs you to get better so you can hold her.
目前为止都是好消息 So far, good news.
没有憩室炎的迹象 No signs of diverticulitis.
只需要再扫描一下你的 Just need to scan y--
怎么了 What?
扫描我哪里 Scan my what?
-喂 -戴上口罩 - Hello. - Put on a mask.
-但我现在在 -戴上口罩 马上 - But I'm in the... - -Put on a mask. Now.
沃尔特的腹部CT检查到了他的肺下部 Walter's abdominal CT caught the lower portion of his lungs.
那不是憩室炎 是冠状病毒 It's not diverticulitis. It's covid.
我们都暴露了 We've both been exposed
还有沃尔特坐了一个小时的走廊 and so has everyone who passed through that hallway
所有穿过那儿的人也都暴露了 Walter was sitting in for an hour.
安巴尔的酸中毒越来越严重了 Ambar's acidosis is getting worse.
她氧气吸收不足 She's not getting enough oxygen.
她的呼吸机设定值为多少 What's her ventilator setting?
已经最大值了 She's maxed out.
再给她加压 We can't increase pressure without risking
就有把肺撑破的危险了 blowing out her lungs.
她有家人吗 Does she have any family?
是时候通知她近亲了 It might be time to notify next of kin.
我读到过一个小型临床抢救治疗试验 I read about a small clinical rescue therapy trial --
冰冻治疗 the CHILL study.
她是个合适的候选人 没有细胞因子风暴 She's a good candidate, no cytokine storm,
她的肌钙蛋白值很低 肝功和肌酐也很低 her troponin's low, so are her LFTs and creatinine.
她器官状况都很好 Her organs are in good shape.
那为什么不把它们冻住然后实际麻痹 So why not freeze them and paralyze
几乎她身体的每一块肌肉 virtually every muscle in her body?
再持续降低体温来帮她减少 Lowering the temperature reduces her
身体的炎症反应和对氧气的需求 inflammatory response and her need for oxygen.
总比通知她近亲要好 And it's better than calling her next of kin.
那她就需要持续监测 She's gonna require constant monitoring.
-我们已经超负荷了 -我来负责 - We're all already overstretched. - I'll do it.
我会对她负全部责任 I'll take full responsibility for her.
是谁 Who's there?
我是莉亚 It's Lea.
你不能进来 You can't come in.
我给你买了点东西 I got you something.
那真是太糟了 That's too bad.
你没法进来给我 You can't come in to give it to me.
我网上看到医生们在用这些 I saw online doctors are using these
帮他们戴着口罩 to help with their masks.
你在每只口罩腿儿上绑一根橡皮筋 You attach an elastic to each arm
他们就不会勒住耳朵了 so they don't rub your ears.
是更舒服了 It is better.
谢谢你 Thank you.
我知道我不能进去 但我也不想离开 I know I can't come in, but I don't want to leave.
BGM:Through Your Eyes by Jordan Critz (feat. Birdtalker)
你可以待在那里 You can stay there.
♪ Where can I go when you don't hide ♪
♪ Who am I if not seen through your eyes ♪
明天早餐吃什么 What's for breakfast tomorrow?
朴要做煎饼 Park's making pancakes.
太好了 That's great.
他以前做过 He's done it before.
♪ Swallow me up in the dead of night ♪
不是很好吃 They weren't very good.
为什么 Why?
他们不是很好吃 They -- They were not very good.
♪ Feel you all in my skin in the morning light ♪
我也不知道 我就告诉他说 I-I don't know, but I told him, I said,
「朴医生 这些煎饼...」 "Dr. Park, these pancakes are..."
♪ Oh, when I love ♪
♪ You're falling from the sky ♪
♪ You're rolling in my mind ♪
♪ Whispering my breath ♪
♪ How can I be without you ♪
♪ Try to grab hold, got nothing left ♪
♪ Oh, but love, my dear, is stern as death ♪
♪ Wherever I go ♪
那是我的床头柜吗 Is that my nightstand?
什么 What?
既然你觉得我们在一起 Oh, since you feel that our time together
是需要彼此忍受而不是享受 is something to be endured instead of enjoyed,
我就决定让你更自在些 I decided to make that easier for you.
这是我现在能去的最远的地方 This is as far away as I can get right now,
所以能请你把门关上 so can you just please shut the door
回你房间去吗 and go back to your room?
一切都会好起来的 Things will be okay.
♪ Where can I go when you don't hide ♪
♪ Who am I if not seen through your eyes ♪