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1、良医前情提要Previously on The Good Doctor.我正在为 Hulu 制♥作♥一个关于非♥典♥型夫妇的现实婚礼系列 I'm producing a reality wedding series for Hulu about atypical couples.你不是一个真人 Show 的人 You are not a reality show person.你们有没有再考虑过出演我的 Show? Have you guys thought any more about doing

2、 my show?有些人需要知道你存在 尚恩 There are people who need to know you exist, Shaun.当我年轻的时候 我希望能看到一部电视节目 When I was younger, I would have liked to see a TV show关于像我这样的人 有幸娶到像你这样的女仔 about a man like me lucky enough to marry a woman like you.我们将成为真人 Show 的人 We are going to be reality show people.你和莉亚和你的关系 You a

3、nd Lea and your relationship,这将带来希望 that is what will give hope.惊喜的时间到了吗? Is it time for the surprise?恭喜你 尚恩和莉亚 Congratulations, Shaun and Lea.啊 我第一次见到尚恩 Ah, the first time I met Shaun.嗯 他又湿又冷 Um, he was wet and cold而且有点像 嗯. and a bit like, um.就像.我记得我认为他就像一只迷路的小狗 Like, I remember thinking he was lik

4、e a lost puppy.如此可爱 但又如此无助 So adorable, but so helpless,而且 绝对不像是医学见解的来源 and definitely not a likely source of medical insight.嗯 但他是唯一一个 Um, but he was the only one知道如何拯救那个小男孩生命的人 who knew how to save that little boy's life.热香饼上枱了 Pancakes are ready.我应该假装你不在这里I'm supposed to pretend you aren&

5、#39;t here.但也欢迎你来吃我的热香饼But you are also welcome to my pancakes.尽管我真的不喜欢Even though I really do not like你们所有人都在我的公♥寓♥里all of you being in my apartment.每件热香饼里有 11 块朱古力片There are 11 chocolate chips in each pancake.在短短两天内 做到这么多事情So much to do in just two days.这就是为甚么苏菲是天才的原因That is

6、why Sophie is the genius.每本书都是不同的主题Each book is a different theme.我们选一个 所有的决定就都做好We pick one and all the decisions are made.鲜花、装饰、食物、音乐Flowers, decor, food, music.实际上 我感觉挺好的I actually feel kinda great.哦 有人在门口Oh. Someone is at the door.哦 我听说会有热香饼Oh. I heard there would be pancakes并有机会见到我的朋友 and a cha

7、nce to see my friend!你好Hi.-噢 -很高兴你在这里- Aw. - I'm so glad you're here.哦 我不会错过这场世纪婚礼Oh, I wouldn't have skipped the wedding of the century.也许我也有点想你了And maybe I missed you a bit too.就像你怀念 Josefa Joe's 的柴火拿铁一样?As much as you miss the chai lattes from Josefa Joe's?几乎Almost.嗯?谢谢你Hmm? T

8、hank you.你一定为布朗医生感到非常自豪You must be very proud of Dr. Browne,很快就会追随你的脚步soon to be following in your footsteps.哦 呃 他们给我要约成为Oh, uh, they offered me危地马拉的外科主任chief of surgery in Guatemala.哇 祝贺你Wow, congratulations.我还没有决定 但.I haven't decided yet, but.好吧 无论如何 我 是的 非常自豪Well, either way, I'm, yeah, v

9、ery proud.离结婚的幸福 还有五十二个小时Fifty-two hours and counting till wedded bliss.我们走吧Let's move.好的 豪华巴士就在外面Okay, the limo-bus is outside.是时候让你修剪一下了Time for you to get manicured,按♥摩♥ 并为你的梦想礼服度尺massaged, and fitted for your dream dress.豪华巴士?A limo-bus?再见 我即将的丈夫Goodbye, my soon-to-be h

10、usband.再见 玩得开心Bye, have fun.啊 陆祖刚刚着陆 要准备好了Ah, Lucho just landed. Gotta get ready.好的Okay.克莱雅有男朋友吗?Does Claire have a boyfriend?苏菲需要知道他是否喜欢鸡肉、牛肉或蔬菜.Sophie will need to know if he likes chicken or beef or veg.不是男朋友 是病人Not a boyfriend. A patient.苏菲给了我一个同伴请柬Sophie offered me a "plus one,"而我决定要了

11、and I decided to go for it.显然 我有一些筹码Apparently I have some leverage.如果你要当外科主任If you're gonna be chief of surgery,你会有很多的you'll have a lot of it.你认为我可以担当主任吗?Do you think I could cut it as chief?当然Sure.哦 我的天哪 见到你真是太好了Oh, my gosh! It's so good to see you.外语Buenos dias.外语早上好 谢谢你 艾利莎Buenos dia

12、s y gracias, Alyssa.克莱雅医生 Doctora Claire!你好 陆祖 Hola, Lucho!你的行程怎样了?Como estuvo tu vuelo?我吃了薄饼和朱古力牛奶I had pizza and chocolate milk,我飞过了 呃 大峡谷和弗雷斯♥诺♥and I flew over the, uh, Grand Canyon and Fresno.-嗯 -你得到了皇家旅游的机会- Mm. - You got the royal tour.这些是你的朋友 他们要救我的命?These are your frien

13、ds who are going to save my life?是 是的Si. Y si.克莱雅医生说 你肾脏有颗肿瘤Doctora Claire nos dijo que tienes tumores en los rinones.是 是的Si. Y si.好的Okay.哦Oh.这些肿瘤These tumors have been多年来一直在增长growing for many years.陆祖来自一个小村庄Lucho is from a small village获得医疗服务的机会非常有限with very limited access to medical care.我还会再踢球吗?I

14、 will play futbol again?现在 你已经到了美国Ahora que viajaste a Estados Unidos,我们可以帮助你podemos ayudarte.你的西班牙文说得真好Your Spanish is impressive.事实证明 沉浸式工作Turns out, immersion works.但你确实念错You did mispronounceVia-chah-stayvia-chah-stay.Via-hah-stayVia-hah-stay.好的Okay.你的英文说得也很好Your English is impressive, too.我教克莱雅医

15、生西班牙文I teach Spanish.她教我英文Doctora Claire teach English.他教会了我如何观看足球比赛He taught me how to watch futbol.你们怎么说 外语?How you say marcando?入球Scoring.外语?El portero?守门员The goalkeeper.外语?El arbitro es un culo?裁判员是一个直肠The referee is a rectum.啊Ah.他的成像显示甚么?What did his imaging show?危地马拉 记得吗?Guatemala, remember?最近

16、的核磁共振成像要 11 小时的巴士车程Closest MRI is an 11-hour bus ride.我们在放射科见I'll catch up with you in radiology.再见了 陆祖Hasta luego, Lucho.他正在 V-tach 心律不整He's in V-tach.我们已经尝试给他除颤两次We already tried defibrillating him twice.他的心率超过 180His heart rate is over 180.我给他注射 12 毫克的腺苷I'm giving him 12 milligrams ad

17、enosine.节奏回复正常Rhythm's normalizing.他的心律有一个逆行的 P 波His rhythm had a retrograde P wave.在过去的 48 小时里 受体阻滞剂的效果全无问题The beta blockers were working perfectly the last 48 hours.发生了甚么事?What happened?病人昨晚没有获注射Patient didn't get them last night.为甚么无呢?Why not?谁在遮盖事情?Who was covering the floor?维拉纽亚Villanue

18、va.让我知道她甚么时候开始换班Let me know when her shift starts.嘿Hey.你今天看到克莱雅了吗?Have you seen Claire today?她和她那可爱到不得了的病人在这里She's here with her ridiculously adorable patient来自危地马拉from Guatemala.-肾脏肿瘤 对吗?-嗯 嗯- Kidney tumors, right? - Mm-hmm.还没有 我已经深受打击了Not yet. I've been slammed.然后你会很高兴待办事项列表中删除Then you'

19、;ll be glad to scratch getting Shaun and Lea我们替尚恩和莉亚购买♥♥一份结婚礼物a wedding present off your to-do list.我们送了甚么给他们?What did "we" get them?-一个面包机 -他们本来吃面包吗?- A bread maker. - Do they even eat bread?每个人都吃面包Everyone eats bread.而正确的回答是And the correct response is,谢谢你的照顾 我真的很感激&

20、quot;Thanks for taking care of that. I really appreciate it."很高兴你能和我一起逃离So happy you're playing hooky with me.姑娘 我愿意为这个请一个星期的假Girl, I'd take a week off for this.这比我的公♥寓♥还大This is bigger than my apartment.喔 Whoo!好吧 来吧 你必须帮助我选择主题Okay, come on. You have to help me cho

21、ose my theme.我不是乡村主义者I'm so not Rustic.传统的感觉很闷Traditional feels stuffy.魅力可能有趣Glam could be fun.太夸张了Too over-the-top.热带?Tropical?我绝对不要穿椰壳胸罩I am definitely not wearing a coconut shell bra.正如我所说的 热带 才不要As I said, Tropical, hard pass.复古又点?What about Retro?你穿上 50 年代的衣服不得了You would kill in a '50s

22、dress,而我可以想象到尚恩扮巴迪·霍利and I can see Shaun going Buddy Holly.太高兴的日子Too Happy Days.我在想一些更.精致的东西I'm thinking something more. sophisticated.那么航海风就出局Then Nautical is out.而天神族 不管那是甚么 总之不行And Celestial, whatever that is, just, no.哈利波特?Harry Potter?好吧 好吧 有一天.Okay, well, one day.有人会选择哈利波特.someone is

23、gonna choose Harry Potter.它将无比光荣And it will be glorious.那这个呢?What about this one?哦 高档次的优雅Ooh. Upscale Elegance.我想我有点喜欢它I think I kinda love it.缎子、水晶、蜡烛和鲜花无处不在Satin, crystals, candles, and flowers everywhere.它比我梦想中的还要美丽It's more beautiful than I could have dreamed.好了 现在你们两个要做的就是Okay, now all you

24、two have to do是选择放纵 或者格外放纵is choose between brut and extra brut在我们到达水疗之前before we get to the spa.好的Okay.苏菲给了你多少个戒指的选择?How many ring options did Sophie give you?94 个Ninety-four.但它们都非常昂贵But they are all very expensive.莉亚宁愿要一部新手提电脑Lea would rather have a new laptop.你确定吗?You sure about that?一个永恒的象征 象征着牢

25、不可破的爱的纽带An eternal symbol of the unbreakable bond of love与一个更快的中♥央♥处理器相比?versus a faster processor?有甚么事吗?Anything?现在开始成像了Imaging coming up now.你真的认为我可以成为一个好的外科主任吗?Do you really think I would make a good chief of surgery?林医生经常早过我收工Dr. Lim often leaves before I do,所以 这不可能是一个多么困难的

26、工作so it can't be that hard a job.也许那是我让它看起来云淡风轻Maybe that's me making it look easy.也许Maybe.我认为你会胜任I think you'd be great.但是.But.但.甚么都没有But nothing.来吧 你刚才犹豫了一下Come on. You hesitated earlier.我想知道你的真实想法I want to know what you really think.你的意见对我很重要Your opinion matters to me.有些日子可能非常具有挑战性Som

27、e days can be very challenging而且你必须准备好把你的情绪放在一边and you have to be prepared to put your emotions aside.对 所以你不认为我可以做到这一点?Right, so you don't think that I can do that?你是最善良、最有爱心的人You are the kindest, most caring.哦 来吧Oh, come on.和我所知道的有同情心的人.and empathetic person I know.这就是为甚么我想念有你在这里的原因It's why

28、 I miss having you here如此 非常挂住so, so much.但你可能会发现 经营一个部门But you may find, running a department,尽管时间很短 但比你想象的要棘手despite the short hours, trickier than you think.有时你必须成为一个真正的巾帼Sometimes you have to be a real hard-ass.哦 这个戒指太完美了Oh, this ring is perfect.莉亚可以卖♥♥掉它 换两部手提电脑Lea can sel

29、l it and get two laptops.还有就是肿瘤There's the tumors.哦 明显的血管性Oh, marked vascularity.将会有很高的出血风险Gonna be a high risk of bleeding.再看看这个 左心房♥And look at that, left atrium.他的心脏里也有一个肿瘤He has a tumor in the heart too.它很小 但会很难进入It's small, but it will be difficult to access.还有一个在他的大脑里And one

30、 in his brain.而且这一个还不小And that one is not small.原来不是给我们带来一个个案Rather than bring us one case,看来布朗医生实际上已经给我们带来了三个it appears Dr. Browne has actually brought us three.所有都是有可能致命的复杂手术All complex, all potentially fatal surgeries.因此 我已经建立三个手术小组So, I've assembled three surgical teams.格拉斯曼、布朗和墨菲医生都在大脑团队中Do

31、ctors Glassman, Browne, and Murphy are on Team Brain.心脏团队 林和沃克医生On Team Heart, Doctors Lim and Wolke.而肾脏团队 朴医生和我自己And on Team Kidney, Dr. Park and myself.我们的每个程序都将受到Each of our procedures will be enormously impacted由其他两人负责手术的巨大影响by the other two.我们需要有人来监督整个过程We need someone to oversee the entire pro

32、cess.我来I'll do it.我想的是一个更有.经验的人I was thinking of someone a little more. experienced.你是说一个更超脱的人You mean someone a little more detached.我认为那里有重迭I think there's an overlap there.不一定Not necessarily.交给你Take it away.我们现在有花束 有中心装饰We now have the bouquets, the centerpieces,音乐节目单the music set list,和餐

33、单上的额外刷子and the menus with the extra brut.你真了不起You're amazing.昨天 她是一个纪录片导演Yesterday, she was a documentarian.今天 她是一名野战将军Today, she's a field general.是的 最后期限是我的朋友Yeah. Deadlines are my friends.女家有 48 位客人已确认We have 48 guests confirmed for your side,而尚恩那边只有 9 位客人确认and only nine guests confirmed

34、for Shaun.没有父母?没有大家庭?No parents? No extended family?好吧 他的父亲和兄弟已经去世Well, his father and brother have passed,而且他不和他妈妈说话and he doesn't talk to his mom.哦 这很艰难Oh. That's hard.是的Yeah.诶 我们就用座位填充物把它盖起来Eh, we'll just cover it up with seat fillers.座位填充物?Seat fillers?哦 是的 没有人会知道其中的差别Oh, yeah. No on

35、e will know the difference.我们刚刚撞到了你的父母And we just bumped your parents让他们的航♥班♥上升至头等舱up to first class on their flight.真的吗?Seriously?哦 他们会喜欢这个的Oh! They're gonna love that.我将有一个摄制组等着他们I will have a camera crew waiting for them在机场 当他们降落时at the airport when they land.我相信 海草包来了An

36、d I believe, here come the seaweed wraps.是的 Yes!哦 我的上帝Oh, my God.嗯Mmm.剖析Dissecting.该死的 又过世了Damn. Going again.你决定了尚恩和莉亚的结婚礼物未?Have you decided on Shaun and Lea's wedding present?你知道我多么喜欢佳酿You know how I love a good cab,所以我周末决定去纳帕so I'm giving them a weekend in Napa.是的 它是一个运作中的葡萄园和奶牛场Yeah. It&

37、#39;s a working vineyard and dairy farm,所以莉亚饮酒 尚恩饮 Jolly Sandyso Lea drinks wine, Shaun drinks one percent.你呢?You?呃 一个面包机Uh, a bread maker.摩根拣的Morgan chose it.嗯 我不知道他们对面包有兴趣Mm. I didn't know they were into bread.我相信他们会喜欢它I'm sure they'll love it.肾脏团队怎么样了?How's Team Kidney?只是有太多曲折的血管T

38、here's just too many tortuous vessels.如果不过度出血 我们永远也做不到这一点We're never gonna do this without excessive bleeding.对 那么 我们还有甚么?Right. So, what else do we have?切除肾脏是最安全的选择Removing the kidney is the safest option.让他在余生中进行透析?Putting him on dialysis for the rest of his life?这可能是我们唯一的选择It may be our o

39、nly option.危地马拉的透析.Dialysis in Guatemala.陆祖会被送进机构Lucho would be institutionalized.你需要想出一个更好的计划You need to come up with a better plan.我建议穿过后墙I like going through the posterior wall.它使我们能够最好地接触到肿瘤It gives us the best access to the tumor.我们会切开大量的组织We'd be cutting through a massive amount of tissue.

40、那不是会严重削弱他的心肌吗?Wouldn't that seriously weaken his heart muscle?不像肿瘤那么多Not as much as the tumor will.嘿 有甚么进展吗?Hey. Making any progress?呃 你告诉我Uh, you tell me.嗯 这将减少他的心输出量Hmm. It'll decrease his cardiac output.不像肿瘤会那么多Not as much as the tumor will.这也是我想出的手术方案It's the same surgical plan that

41、I came up with.这就是为甚么我研究了一个非手术计划Which is why I've looked into a non-surgical plan.MTOR 抑制剂M.T.O.R. inhibitors.经证实对缩小小肿瘤有效Proven effective at shrinking small tumors就像陆祖心中的那个like the one in Lucho's heart.这些药物需要几个月才能发挥作用Those meds take months to work.几个月 陆祖有的Months that Lucho will have因为心脏手术不会杀

42、死他because the heart surgery won't have killed him.在其他手术中 他的心脏仍然会受到压力His heart will still be stressed during the other surgeries.他可能会在手术台上发生心脏骤停He could have a cardiac arrest on the table.这就是为甚么我们会有非手术团队Which is why we'll have a non-surgical team,摩根和阿什 在手术室观察是否有心律失常Morgan and Asher, in the O.

43、R. watching for any arrhythmias.林医生呢?What about Dr. Lim?她被提拔到大脑团队She's been promoted to Team Brain.好吧 我希望它能伴随着加薪Well, I hope it comes with a raise.我可以告诉你昨天晚上和我的男朋友在一起I could tell you everything that was happening所发生的一切with my boyfriend last night,但我知道你不想听借口but I know you don't want to hear e

44、xcuses.我很同情家里的情况不好I'm sympathetic that things are bad at home,但病人有权因此死亡but a patient could have died.如果你需要解雇我 我理解I understand if you need to fire me.剥夺你的收入 并不会有任何帮助Depriving you of income isn't gonna help anything.但我要让你担任行政职务But I am gonna put you on administrative duties.谢谢你 林医生 我.Thank you

45、, Dr. Lim. I.坐Dalisay.你需要帮助You need help.这位是贝沙尔妇女庇护所的主任This is the director of Bayshore Women's Shelter.我说了你会打过去She's expecting your call.这真是个好地方It's a really great place.这很复杂It's complicated.为我简化一下吧Simplify it for me.两年前 当我母亲Two years ago, when my mother被诊断出患有肝癌was diagnosed with li

46、ver cancer,这真的很艰难it was really tough.她是一个单身母亲 我是她唯一的孩子She was a single mom. I was her only child.而当她过世后And when she passed,我得返自己一个I was alone.就在这时 我遇到了澳文And that's when I met Owen.我迫切地需要一个人 而他就在我身边I desperately needed someone, and he was there for me.而现在And now,他.经历了很多he's. going through a l

47、ot.不是说他应该把气撒在我身上Not that he should take it out on me.我知道这一定很困难I know it must be hard.但我也知道这很有必要But I also know it's necessary.我给她打电♥话♥I'll call her.多谢你Thank you.看看那个心室Look at that ventricle.它有林肯隧♥道♥那么大It's the size of the Lincoln Tunnel.这就是我们要进

48、去的地方That's where we're gonna go in.它仍然可能无法让我们完全接触到肿瘤It still may not give us full access to the tumor.为了获得完整存取 我们必须弹出头骨To get full access, we'd have to pop off the skull然后钻进他的大脑and then burrow through his brain.如果我们不切除所有的肿瘤If we don't excise all of the tumor,你的手术将是浪费时间your surgery wi

49、ll be a waste of time.你怎么说 首领?Whaddya say, chief?我选择格拉斯曼医生I'm going with Dr. Glassman.这将是正确的答案That would be the correct answer.好了 我们都在这里了Okay, we're all done here.让我们把他关上Let's close him up.莉亚选择了我们的婚礼主题Lea chose our wedding theme.她给我发了一张我应该穿甚么的照片She texted me a picture of what I'm sup

50、posed to wear.这个叫高斯令装It is called The Gosling.哦 很有风度Ooh, very debonair.褡裢看起来很束缚The cummerbund looks very restrictive.哦Oh.而这种发型需要大量发泥And that hairstyle requires a lot of gel.我讨厌发泥 它让我的头感觉很紧I hate gel. It makes my head feel tight.好吧 那么你需要告诉莉亚Well, then you need to tell Lea所以你们两个人可以想办法解决其他问题so the two

51、of you can figure something else out.你怎么看 格拉斯曼医生?What do you think, Dr. Glassman?我想 如果在 30 年前 我的妻子让我穿这套衣服I think if, 30 years ago, my wife had asked me to wear that suit,我可能不娶她了I probably wouldn't have married her.而如果两年前 黛比问我And if Debbie had asked me two years ago,我可能会把她直接从房♥间里笑出来I p

52、robably would have laughed her right out of the room.那我就不用穿这套衣服了?So I don't have to wear the suit?不 你不一定要穿它No, you don't have to wear it.我只是说.I'm just saying that.我不知道 也许我的婚姻会变得I don't know, maybe my marriages would have turned out稍有不同a little bit differently如果我有 你知道 穿上这套衣服if I had,

53、you know, worn the suit.你认为莉亚不会想知道你对此事的感受吗?You think Lea wouldn't want to know how you feel about this?这是你的大日子 尚恩It's your big day, Shaun.血压为 201 对 123BP is 201 over 123.他癫痫病发作了 He's having a seizure!脑瘤阻碍了 CSF 流动 导致癫痫发作The brain tumor is obstructing CSF flow, causing seizures.它需要尽快移除It n

54、eeds to be removed as soon as possible.等我们切除肾脏肿瘤后After we remove the kidney tumors.如果我们在他的肾脏受损的情况下进入他的大脑If we go into his brain while his kidneys are impaired,我们有高血压、AML 破裂、脑水肿的风险we risk hypertension, AML rupture, cerebral edema.如果我们进入他的肾脏If we go into his kidneys而他的大脑正处于压力之下while his brain is under

55、 pressure,那么我们就有脑疝、中风和then we risk brain herniation, stroke,缺氧性脑损伤的风险anoxic brain injury.只有在严重失血的情况下Only in the case of serious blood loss.你看到他的肿瘤了吗?Have you seen his tumors?会有一些严重的失血There's gonna be some serious blood loss.嗯 我们认为我们有一个更好的计划Well, we think we have a better plan.我们在肿瘤切除前结扎进食动脉We li

56、gate the feeding artery before tumor resection.而且 如果我们先做肾脏手术And, if we do the kidney surgery first,我们也将 SIADH 不适当分泌症的风险降到最低we also minimize the risk of S.I.A.D.H.,这可能非常容易导致长♥期♥的心脏损伤which could very easily lead to long-term heart damage.所以 先做脑So, brain first,更安全 但更有可能使他受到损害safer, but more likely to leave him compromised.肾脏先Kidneys

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