TheGoodDoctor《良医》第七季第一集完整中英文对照剧本.docx

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1、良医前情提要PreviouslyonTheGoodDoctor.嘿停车-丹尼Hey!Stop!-Danny!答应我一件事Justpromiseme.什么不要给我用阿片类药物What?Noopioids.他让你不要用Heaskedyounottodothat.他因为痛苦出现了心动过速Hestachycardicandhypertensive还有高血压他会休克的becauseofthepain.Hesgoingintoshock.他不会他在恳求你-他快死了Hesnot.Hespraying.He,sdying.原谅我Forgiveme.我要和家人回到德州去IneedtogobacktoTexasw

2、ithmyfamily.昨天的开颅手术你犯了个错Shaun:Youmadeanerrorinyesterdayscraniotomy.你缝合的时候只用了八针Youclosedwithonlyeightsutures.可那种尺寸的伤口应该缝十针Thesizeofthewoundrequired10.我们需要弄清楚原因Weneedtofigureoutwhy.我中风了vehadastroke.是的微中风Yes.Asmallone.格拉斯曼医生请告诉我们下一步该怎么做Dr.Glassman,pleasetelluswhatthenextstepis.谁叫一下保安肖恩你越界了Glassman:Some

3、bodypleasecallsecurity.Shaun,youareoutofline.回答Answer.是Its,um.你在我的手术室里在我的同事面前Youhumiliatedmeinpublicinmyoperatingroom当众羞辱了我infrontofmycolleagues.你知道这对我伤害有多大吗Doyouhaveanyideahowmuchthathurt?我不知道该怎么做1dontknowwhattodo.你可以别再烦我了Youcanjustleavemealone.我不认为你应该辞职Park：Idontthinkyoushouldresign.因为你不需要独自抚养孩子Be

4、causeyoudonthavetodoitallalone.你是我每天早上愿意醒来的理由YourethereasonIwakeupinthemorning,所以不管未来会发生什么sowhateverthereistofigureout,我唯一想要的就是我们能一家人一起面对allIwantintheworldisforustodoitasafamily.我想作为朋友给你个提醒Iwantedtogiveyouaheads-upasafriend.我决定辞职了Ivedecidedtoresign.恭喜你们荣升爸爸妈妈Dr.Glenn:Congratulations,MomandDad.看看我们的宝

5、贝啊1.ookatwhatwemade.你觉得格拉斯曼医生会来吗DoyouthinkDr.Glassmaniscoming?这是格拉斯曼医生送来的ThisisfromDr.Glassman.他怎么知道孩子会叫史蒂夫呢Shaun:HowdidheknowhisnamewouldbeSteve?因为他了解你Becauseheknowsyou.手套Shaun:Gloves.请开始计时Startthetimer,please.祝你好运了宝儿真是个好主意Goodluck,babe.Itsadoozy.他们每天早上都会在闹钟的响声中起床JTheygetupeverymorningfromthealarmc

6、lock,swarningJ坐8:15的车进城JTakethe8:15intothecityJ上面有个哨子JThere,sawhistleupaboveJ,人们推推操操J,Andpeoplepushing,peopleshovingJ姑娘们努力打扮的漂亮JAndthegirlswhotrytolookprettyJ我每天都要照顾生意JAndvebeentakincareofbusiness,everydayJ照顾生意方方面面JTakin,careOfbusinessjeverywayJ照顾生意都是我的Jvebeentakincareofbusiness,it,sallmineJ照顾生意加班加点

7、JTakin,careofbusinessandworkingovertimeJ37秒37seconds.干的漂亮Goodwork.是你最快的一次吧Ithinkthatwasyourfastestyet.第二快的Second-fastest.15分钟自♥由♥玩耍时间开始15minutesOfindependentplayisstartingnow.我记到小程序里Iwilllogitintomyapp.你确定在走之前不用再Yousureyoudontwanttogetinafewextrasnuggles多抱会了吗beforeyouleave?我今早已经抱了10分钟了

8、Oh,Ihad10minutesofsnugglesthismorning.非常好Verynice.我还在你手♥机♥上安装了小程序Ivealsosetuptheapponyourphone.会提醒你什么时候Itwillalertyouwhenitstime史蒂夫该小憩吃奶游戏forStevesnap,feeding,playtime-避免我忘记看你贴在冰箱上的JustincaseImisstheschedulespostedonthefridge,卫生间的还有我们卧室里的时间表thebathroom,andinourbedroom.对而且我在医院上班时也可以进行追踪

9、Yes.AndIwillbeabletotrackitwhilematwork.史蒂夫和我没事的啦SteveandIwillbefine.你第一天回去上班就别操心了Justenjoyyourfirstdayback.等我回家了Wecanfinishreadingthelatest我们可以一起读完最新的-hearts;期♥JournalofTraumaandAcuteCareSurgery创伤与急性护理外科杂♥志♥whenIgethome.在这之后史蒂夫需要至少Afterthis,Steveshouldhaveatleast5分钟的俯卧时间fivemin

10、utesoftummytime.昨天记录了他只有12分钟Yesterday,heonlylogged12minutes,这比计划中的少了3whichisthreelessthan-我爱你Iloveyou.替我跟大家问好Sayhitoeveryoneforme.好的我也爱你Okay.Iloveyou,too.我会想你们俩的Iwillmissyouboth.我不知道你的奶昔里Idontknowwhyyouneedthreeproteinpowders为什么需要三种蛋白质粉foryoursmoothies.功能不一样啊Theydodifferentthings.她连3毫升都没喝完Shesbarely

11、takenanounce.那是因为蛋白粉公♥司♥想让你那么以为Thatswhattheprotein-powdercompanieswantyoutobelieve.你抱的姿势对吗-对啊Areyouholdingherright?Yes.她需要保持身体直立头部得到适当的支撑Sheneedstobeuprightwithherheadproperlysupported.很好搅拌均匀了吗Good.Andyoumixeditenough?跟以前一样Thesameasalways.她就突然不想喝了Shesnotinterestedagain.而且她好像无精打采的Andshe

12、seemslethargic.我去找医生给她看看吧lltakehertogetcheckedout.呃我也想去Well,dliketocome,too.好啊你可以帮忙拿这个Sure.Youcancarrythis.早上好啊佩雷斯今早如何Goodmorning.How,sPereztoday?不知道Dontknow.都快8点了Itsalmost8:00a.m.严格来说今天已经过了8个小时了It,sbeentodayforawholeeighthours.你们俩还没互发消息呢Youtwohaventtextedeachotheryet?我们俩觉得彼此要给对方空间Webothdecidedwenee

13、dspace.他专注于自己的康复我还要上班Hesfocusedonhisrecovery.vegotmylifehere.我绝对支持你们这个决定Ifullysupportthat.而且你的下一篇章今晚就要开始了Andyournextchapterbeginstonight就咱俩喝酒听音乐聊聊有争议的决定Youandme.Drinks,music,questionabledecisions.你和杰罗姆终于可以做手术了YouandJeromefinallygotthesurgery!你们不再形影不离了吗Yourenolongerjoinedatthehip?杰罗姆正痴迷于看运动纪录片Jeromei

14、sobsessedwithsomedocuseries里面的运动正好又是我不太喜欢的aboutoneofthemanysportsthatIdon,tcareabout.去嘛多久没一起出去了Comeon.It,sbeentoolong.我一直很忙你一直vebeenbusy.You,vebeen闷闷不乐的mopey.好吧喝酒和音乐我同意Fine.Iagreetodrinksandmusic,至于有争议的决定看情况吧butmdefinitelya,maybeonquestionabledecisions.行吧那到时再努努力好吧Alright.Wellworkuptoit.Okay.我们今晚要出去喝

15、一杯开始人生新篇章Weregoingouttonightfordrinks,startinganewchapter.对我们称之为Thatsright.Werecallingit和好朋友一起做坏决定Baddecisionswithgoodfriends.我们才不要那么叫呢Weredefinitelynotcallingitthat.要一起来吗Wannajoin?不了谢谢No,thankyou.爸爸墨菲欢迎回归PapaMurphy,welcomeback.史蒂夫的照片PicturesofSteve.我正要问呢Iwasjustabouttoask.这样我就不用不停掏手♥机&hearts

16、;了Thisway,Iavoidthedisruptionofpullingoutmyphone.看看这笑容啊跟他妈一个样1.ookatthatsmile!Justlikehismom!那张他IE在拉臭这张是准备拉臭Hewaspoopinginthatone.Hereheisabouttopoop拉臭主题系列Athemedevelops.他的眼睛跟你一样哎肖恩He,sgotyoureyes,Shaun我得去找下林医生IneedtofindDr.Lim.你们留着吧我给所有人都备了一份Youmaykeepthose.Imadeenoughforeveryone.马库斯从西班牙发来问候Marcuss

17、endsgreetingsfromSpain.我还以为他去越南禅修呢Oh,IthoughthewasatameditationretreatinVietnam.本来是现在他正在走圣地亚哥之路Hewas,andnowhe,swalkingtheCaminodeSantiago.他就开心了Howniceforhim.我少了俩外科医师却没人肯批准再请一个新人mtwosurgeonsdownwithnoonetoapprovehiringanewone.我需要董事会任命一名临时主席立刻马上IneedtheBoardtoappointanInterimPresident,stat.希望不是奥布莱恩Jus

18、taslongasitsnotOBrien.不会的Theywouldnt.我从一位负责董事会会议的工作人员那里听说IheardfromastafferwhocoversBoardMeetings他的名字在候选人名单上thathisnamesontheshortlist.是最不适合这个职位的候选人Ugh.Oftheworstpossiblecandidatesfortheposition.早上好史蒂夫的照片Goodmorning!PicturesofSteve.你不用拄拐了Younolongerhaveyourcane.嗯PT说我好了很高兴见到你回来Yeah.PTsaidIwasready.mg

19、ladtohaveyouback.我想加入你正在跟的病例Iwouldliketojoinyourcase.他真可爱墨菲医生欢迎回归Hesadorable.Dr.Murphy.Welcomeback肖恩我很高兴见到你ShaUn,Imthrilledtoseeyou,但我不确定作为一个新手父亲来说butmnotsurethisisthecasewhereyouwant这个病例适不适合你tostartasanewdad.这是个令人激动且有挑战性的手术Itisanexcitingandchallengingsurgery.谢谢你们这么短时间内就能过来Thankyouforcominginonsuchs

20、hortnotice.你们好我是肖恩、墨菲医生Hello.IamDr.ShaunMurphy,主治医师也是个男宝的父亲attendingsurgeonandfatherofababyboy.他两周大而今天是我第一天回来上班Heistwoweeksold,andtodayismyfirstdayback,但这不会影响我作为你们儿子butthatwillnotaffectmyperformance医生的专业水准asyoursonsdoctor.有适合杰克的心脏这是真的吗IsittruetheremightbeaheartforJack?是的但是心脏暂时还没准备好Yes,buttheheartisn

21、tavailableyet,而且准备好后我们也韦必能拿到andwemaynotgetitonceitis.我们以前也经历过这种情况Wevebeenthroughthisbefore.心脏暂时还没准备好是什么意思Whyisnttheheartavailableyet?捐赠者家人还需要点时间Well,thedonorfamilyisstillsaying进行告别然后才会关闭生命维持系统theirgoodbyesbeforetheyturnofflifesupport.杰克跟捐赠者心脏完全匹配Jackisanexcellentmatchforthedonorheart,他的最新回声显示andhisl

22、atestechoindicates他的心肌病和整体心脏功能thathiscardiomyopathyandoverallcardiacfunction都变差了所以他应该排在名单的最前面hasworsened,soheshouldbeatthetopofthelist.我只是想多做几项测试Ijustwanttorunsomeadditionaltests确保他其它方面都很健康tomakesurehesotherwisehealthy.这有个问题Thereisaproblem.这里有一小块划伤应该是他指甲挠的Thereisasmallscratch,likelyfromhisfingernail

23、s,已经发展成蜂窝组织炎和脓肿whichhasdevelopedcellulitisandanabscess.如果感染扩散并发烧Iftheinfectionspreadsandhespikesafever,杰克就不能接受移植手术了Jackwillbeineligibleforthetransplant.我们必须马上解决这个问题WehavetoIanceanddebrideitrightaway.早Morning.这是史蒂夫我们的儿子现在已经两周大了ThisisSteve,ourson,whoisnowtwoweeksold.史蒂夫这就是住在走廊尽头的那个坏脾气男人Steve,thisisthe

24、grumpymanwholivesdownthehall你最爱的小毯子就是他送的andgaveyouyourfavoriteblanket.你能猜中他的名字肖恩深感意外Shaunwasveryimpressedyouguessedhisfirstname.要试试猜卜.中间名吗Wannatakeastabatthemiddle?艾伦Aaron.我一直想要叫他鲍伊IwaslobbyingprettyhardforBowie,既然起名为什么不用becausewhynotnameyourkidafter史上最酷的人名呢thecoolestpersonwhoeverylived?但是肖恩很坚持But-S

25、hauninsisted.你有时间应该过来看看他Youshouldcomeoversometime.你们俩可以一起发出哼唧声然后做鬼脸Youtwobothgruntalotandmakestrangefaces.我最近事情很多所以Ivegotalotgoingon,so.我们就住隔壁你根本就没什么事Welivenextdoor.Youhavenothinggoingon.你只是生气我明白Youremad.AndIgetit.但你真的打算无视肖恩史蒂夫和我到永远吗ButareyoureallygonnaignoreShaunandSteveandmeforever?你是这么打算的吗Isthatt

26、heplan?我没有无视你mnotignoringyou.而且他也很好看Andhesbeautiful.恭喜了Congratulations.我试过了Itried.吃奶的时候有发绢症状吗Anycyanosiswhileeating?昨晚她的嘴唇是有那么一丝丝发蓝MaybeahintOfbluishnessonherlipslastnight.我什么都没注意到Ihaventnoticedanything.但考虑到她之前的手术和特纳综合征ButgivenherpriorsurgeryandtheTurnersyndrome,我觉得我们还是1thoughtweshould血流量变少了Theblood

27、flowisreduced.看起来伊伊登的主动脉狭窄ItlookslikeEdensaorticstenosis发展得比我们预期的要快hasprogressedmorerapidlythanwewereexpecting.我们能给她服用受体阻滞剂吗Canweputheronbetablockers?可以试试但是鉴于瓣膜发育不良Wecantry,butgivenhowdysplasticthevalveis,我觉得这样川处不大Idontthinkitwilldomuchgood.你可能想多做几项医学成像但是Youllwanttogetmoreimaging,but.我认为伊伊登可能很快就需要再做

28、一次手术了IthinkEden,sgonnaneedanothersurgery-verysoon.心脏核磁证实瓣膜严重狭窄CardiacMRIconfirmedseverenarrowingofthevalve,梗阻和左心室功能障碍obstruction,andleftventriculardysfunction.伊伊登需要一个新的主动脉瓣Edenneedsanewaorticvalve,否则她的心脏衰竭会越来越严重orherheartfailurewillgetworse.你想用机械的还是冷冻活性同种带瓣主动脉Areyouthinkingmechanicalorcryopreservedh

29、omograft来代替forthereplacement?新生儿的机械瓣膜需要建造Mechanicalvalveforaneonateneedstobebuil未来需要手术anditwillrequirefuturesurgeries还要终身服川抗凝血药pluslifetimebloodthinners.冷冻保存的瓣膜有退化的风险Cryopreservedvalvesriskdegenerationdowntheline,但这是一个可靠的办法butitisasolididea,尤其是作为主动脉瓣置换手术的一部分especiallyaspartoftheRossProcedure.可能的并发症呢

30、Possiblecomplications?主动脉瓣功能不全肺动脉狭窄Aorticinsufficiency,pulmonarystenosis.我们需要点时间来讨论一下各种方宰Wecantakesometime,discussthedifferentoptions-做上动脉瓣置换手术DotheRossProcedure.我让亚设给她做准备1IhaveAshergetherprepped.你是时候进场了吧Itstimetogetoffthesidelines.我不知道你在说什么mnotsurewhatyourereferringto.你是打算扔球给我吗Areyougonnathrowmeaba

31、ll?你之前也管理过医院Youverunthehospitalbefore.再坚持几个月没有问题Youcanhandleafewmoremonths.我是可以但我为什么要这么做呢Ican,butwhywouldIwantto?所以你是拒绝咯-对Thatsano?Yes.那就准备好迎接临时院长奥布莱恩吧GetreadyforOBrien.不可能Theywouldnever.就像是毛与巴塞尔弗尔蒂碰面一样不可能ThatslikeMaomeetsBasilFawlty.这是晦涩且过时的比喻了Wow.Thatstwoobscureanddatedreferences.他们绝对不会让奥布莱恩上的They

32、renevergonnamoveonO,Brien.很明显他在董事会的候选名单上Well,apparently,hesontheBoardsshortlist.只要你下场他压根没有机会Throwyourhatinthering,hewon,tstandachance.我还是老实呆着吧不过我会处理好的Myhatsgonnastayonmyhead,butllhandleit.好的杰克Jordan:Okay,Jack.你知道自己耳朵后面有个小肿块吗Youknowthatlittlebumpbehindyourear?我们得用锋利的东西戳一戳Wehavetopokeitwithsomethingsh

33、arp,虽然会很痛但这是必须的whichwillhurt,butwehavetodoit希望你能得到一颗新的心脏sohopefullyyoucangetanewheart.抱抱熊先生来陪你咯ButMr.Snugglepuffisheretokeepyoucompany.亚设说墨西哥卷外卖♥♥♥车♥的菜单上加了西班牙辣香肠Ashersaidthetacotruckaddedchorizotothemenu,好吃到爆anditsbussin.找个晚上我们应该一起点份餐吧Thenextlatenight,weshouldshareanorder

34、.不是我的菜谢谢Notreallymything.Thanks.确证了是片状丘疹Thesheetpapooseissecure.好卡鲁医生把孩子抱起来Good.Dr.Kalu,cradlethebaby.艾伦医生请给耳朵后部消毒Dr.Allen,sterilizetheareabehindtheear.好了宝贝别看Okay,baby,dontlook.他的眼睛还没法聚集到8到12英寸Hiseyesarenotyetabletofocusbeyond8to12inches.脓肿很深Kalu：Theabscessisprettydeep.可能需要一段时间才能痊愈Itmaytakeawhiletoh

35、eal.伤口吸液器怎么样Whataboutawoundvac?我们没有那么小的Wedonthaveonesmallenough.没关系It,sokay.蛆虫Maggots.直接用抗生素不是更好吗Howarethosebetterthanjustusingantibiotics?蛆虫清理坏死组织的速度更快Maggotsworkfastertoclearnecroticdebris它们的唾液和其他消化分泌物onaccountoftheantimicrobialnature还有抗菌的特性oftheirsalivaandotherdigestivesecretions.把那些虫子放在我宝宝身上安全吗I

36、t,ssafetoputthosebugsonmybaby?幼虫而已-这些是医用蛆虫1.arvae.-Thesearemedicalmaggots.已经经过了特别消毒Theyvebeenspeciallydisinfected.绝对安全It,scompletelysafe.在这种情况下就算是我儿子史蒂夫我也会用蛆虫Iwouldusemaggotsonmyson,Steve,inthissituation.虽然不太可能有这种情况Thatisunlikelytohappen,但我举这样的例子是为了让你放松butIhopetheparallelputsyouatease.那就干吧Goahead.你想

37、喝点咖啡吗Youwantsomecoffee?我在办公室还有一些蛋白质棒OrIhaveastashofproteinbarsinmyoffice.不用了谢谢mfine,thanks.如果你想吃点什么去就好了Butifyouwantsomething,goahead.你的家人为什么来这里Whatsyourfamilyherefor?心脏移植希望是给我们的儿子杰克的Ahearttransplant,hopefully,forourson,Jack.他多大了Howoldishe?12周12weeks.我的女儿伊登11周大了Oh.Mydaughter,Eden,is11weeks.她现在正在做心脏于术

38、Sheshavingheartsurgeryrightnow.我会为你们祈祷的Yallwillbeinmyprayers.这是杰克的第一次手甫吗IsthisJacksfirstsurgery?他还做过其他手术He,shadotherprocedures,但这次是他第一次做心脏直视手术butthiswouldbehisfirstopenheartsurgery.还不一定呢Ifithappens.如果能做上我建议术后使用比秦芬乳膏Whenithappens,IrecommendBiafinecreamforpost-op.它含有一种叫做三乙醇胺的天然化合物Itcontainsanaturalcom

39、poundcalledtrolamine.对伊登的恢复很有帮助ItreallyhelpedwithEdensrecovery.你女儿做了儿次手术Howmanysurgerieshasyourdaughterhad?一次七周的时候做的Uh,one.Atsevenweeks.伊登和我都是老手了EdenandIareoldhands.你们都是非常坚强的女士Youretwoveryresilientladies.我是凯特皮尔斯这是我丈夫欧文mKatePierce.Thisismyhusband,Owen.我是摩根雷茨尼克MorganReznick.我是亚历克斯帕克AIexPark.你能不能Wouldy

40、ouliketo.你可以的来吧Yeah!YoucandoitlComeon.这就对了你成功了Oh!Thereyougo!Yougotit!Yougotit!你成功了Yougotit!嗨爸爸重问工作岗位感觉怎么样Hi,Daddy.Howisitbeingbackatwork?我刚在一个比史蒂夫大几个月的婴儿身上放了蛆IjustappliedmaggotstoababyafewmonthsolderthanSteve.是史蒂夫吗IsthatSteve?他应该去睡觉了Heissupposedtobeasleep.他的俯卧训练做得不错Mm.Hesdoingwellwithtummytime.你昨天说他

41、有点落后进度Andyoumentionedyesterdayhewasbehind,所以我想应该再加几分钟so!thoughtdaddafewextraminutes.不不No,no.俯卧训练不应该占用他的睡眠时间Tummytimeshouldnotbeextendedintohissleepwindow.你没有收到应用提醒吗Didyounotgettheappalert?他7分钟前就有应该睡觉rYouaresevenminutesintonaptime.没有收到我可能错过了Nope.IguessImissedit.睡眠时间不足会使他过度疲劳Delayinghisnapcouldmakehim

42、overtired也可能影响他下一次进食ordelayhisnextfeeding.时间安排很重要Thescheduleisveryimportant我知道了肖恩只是几分钟而已Iknow,Shaun,Iknow.Itsjustafewextraminutes.八分钟了这可不算少都好久了Eightminutes.Thatisnotafew.Itisseveral.我该让史蒂夫躺下来了Uh,IshouldgoputStevedown.再见Bye-bye.好吧Okay.我们不得不中止手术Wehadtoaborttheprocedure.伊登其中一个双尖肺动脉瓣Edenhasabicuspidpulm

43、onaryvalve.与主动脉之间的组织连接太少了Therewasntenoughtissuetoattachittotheaorta.我们还观察到瓣膜有泄露Andweobservedleakingatthevalve.她心脏衰竭的速度比我们想象的还要快Herheartisfailingevenfasterthanwethought.很抱歉msosorry.我们下一步怎么办Whatsournextmove?蛆虫起作用了Oh.Themaggotsworked!杰克宝宝的感染已经清除BabyJacksinfectionhascleared,心脏已经在来的路上了andtheheartisonitsw

44、ayhere.伊登有两个瓣膜有病变Edenhastwobadvalves并且心力衰竭在快速恶化andrapidlyprogressingheartfailure.我们只有一颗供移植的心脏但有两个婴儿都需要Wehaveonedonorheartandtwobabieswhoneedit.我们来决定哪个宝宝能得到这颗心脏Itsuptoustodecidewhichbabygetsthisheart.杰克已经等了三个月了Jackhasbeenwaitingforthreemonths.移植手术是他唯一的选择Atransplantishisonlyoption.他可以用心室辅助器直到找到合适的心脏He

45、couldgoonaVA.D.untilanotherheartisavailable.那可能需要几个月的时间Kalu:Thatcouldtakemonths.心室辅助器不适合杰克因为AndaV.A.D.isn,tagoodoptionforJackbecauseofthe摩根摩根Morgan.Morgan.你不能进来你们两个都不行Youcantbehere.Neitherofyou.我哪也不去Icantbeanywhereelse,要么你找人给我打镇静剂要么soeithersomeoneshouldsedatemeor.也不是不行Well,thatcanbearranged.我和帕克待在这并不是什么问题ItsonlyaproblemthatParkandIarehere除非干扰你们的决定你们自己做决定就好ifweinfluenceyourdecision,sodon,tletus.我什么也不会说的Iwontsayaword.卡鲁医生Dr.Kalu?至于杰克的心室辅助器他体重过轻asfarastheV.A.D.forJack,hesunderweight,所以并发症的风险很高soahighriskofcomplications,还可能感染出血中风infections,bleeding