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1、你是来这里会诊的吧Yourehereforaconsultation,Isee.他们向我推荐了马基亚里尼医生TheyrecommendedDr.Macchiarini.他是全球最好的医生Hesthebestintheworld.这些患者为了科学Thesearethebravepatientswhoaresteppingup勇敢地挺身而出inthenameofscience.而他作为医生勇于冒险Andheisthedaringdoctorwhoisdetermined决心给他们这个机会togivethemthatchance.我们的疗法只能用在没有其他治疗选项的患者身Wereshackledby
2、compassionateuse.让卡罗林斯卡把你交给Well,thatisquiteanasktohaveKarolinska俄♥罗♥斯♥这个要求不好办handyouovertoRussia.我打算让拉斯布雷医生IwashopingtohaveDr.Lasbreysetup去那边创办一个实验室andrunalabthere.我现在这种状态他怎么好意思说那些话的HowcouldhesaythosethingswhenIfeellikethis?我可能会因为来找你而丢了工作Icouldbefiredforcomingtoyou,突破了道德底线来到了敌方阵
3、营breachinganethicalwall,crossingenemylines.我的试验失败了Mytrialsfailed.本来就注定了要失败Theyweredoomedtofail.因为他们从来就没做过任何试验Becausetheyneverdidanytrialsinthefirstplace.患者才是他们的试验Thepatientsarethetrials.他把病人用作了小白鼠He,sexperimentingonpeople.米娜别折腾你兄弟了Mina,stoptorturingyourbrothers.那边天气怎么样Whatstheweatherlikethere?带外套了吗D
4、idyoupackajacket?需要钱买♥♥吃的吗Doyouneedmoneyforfood?我都准备好了爸爸mfine,Dad.去瑞典又不是去登月YouactlikeSwedenisonthemoon.要是你能等我一起去就好了Iwishyoudwaitforme.就是一次会诊ICsjustaconsultation.可是Still可是Still你来之前我不会下决定的Iwontmakeanydecisionsuntilyouarrive.而且我想去看看他们的博物馆和建筑物Plus,mexcitedtoseeafewoftheirmuseumsandarchitec
5、ture.你会拖慢我的进度的Youdjustslowmedown.你和我i样固执Youreasstubbornasme.谢rThankyou.就当你是在夸Itakethatasa耶西姆Yesim!耶西姆Yesiml我是棵树Imatreel耶西姆你别走呀Yesim,youcantgo.走了就看不到我的演出了Youregonnamissmyplayl看不到你的演出Missyourplay?什么演出Whatplay?耶西姆我是棵树Yesim.matreel对Ohthatsright.你是奥兹国最高的树YourethetallesttreeinallofOzl别担心我保证会去的Dontworry.Ip
6、romisellbethere.真的吗Youwill?-言Apromise为定isapromise.我们要做的手术风险很高Whatweretryingtodoisaveryriskysurgicalprocedure.为什么我来找马基亚里尼医生WhyIcometoDr.Macchiarini.他是全球最好的医生Heisthebestintheworld.我可爱的小病人来了Theresmylovelyyoungpatient.真开心终于见到你了耶西姆Sogoodtofinallymeetyouinperson,Yesim.欢迎来到卡罗林斯卡WelcometoKarolinska.这位是拉斯布雷医
7、生-你好ThisisDr.Lasbrey.-Hello.加梅里医生非常感谢Dr.GamelIi,thankyouverymuch.像你这样年轻漂亮的人Itreallypainsmetoseesomeoneasyoung受了那么多苦真让我心疼andbeautifulasyouaresufferinglikethis.但我们也很开心今天能见到你ButwerealsoveryhappythatyoureherewithUStoday.确实Absolutely.幸运的是天赋异禀的拉斯布雷医生AndwerealsoveryluckythatthetalentedDr.Lasbrey会和我们一起做最后一次
8、手术iswithusforonelastprocedure.你要去哪里拉斯布雷医生Whereareyougoing,Dr.Lasbrey?我要去俄♥罗♥斯♥为马基亚里尼医生mheadedtoRussiatosetupanotherfacility创建另一家机构forDr.Macchiarini.我爸肯定会问你带没带外套Mybabawouldaskifyouvepackedajacket.我带了两件Ipackedtwo.根据你土耳其的医生的记录来看SobasedonthenotesfromyourdoctorsinTurkey,为了治疗出汗过多你接受了一
9、次手术thisallstartedforyouafterasurgeryyouhad所有问题都因此而起toaddressexcessivesweating.对吗Isthatcorrect?据我们了解机器里卡了Andfromwhatweunderstand,therewasatinypiece据我们了解机器里卡了Andfromwhatweunderstand,therewasatinypiece一小块金属ofmetalstuckinthemachine.打开机器开始输氧时氧气将这块金属Whentheoxygenwasturnedon,theforceshotitout射入了插管射进了你的喉咙th
10、roughyourcannulatubingintoyourthroa对气管造成了严重损伤andthiscausedseveredamagetoyourtrachea,也就是气管插管现在所在的位置whichiswherethetrachisplacednow,肺部也受到了损伤andalsoyourlung.好奇怪的一场意外Afreakaccident.你的医生试过矫正移植Andyourdoctorstriedacorrectivegraft.你的医生试过矫正移植Andyourdoctorstriedacorrectivegraft.但不成功对吗Thatdidntwork,right?我咳嗽的时
11、候也会疼ItalsohurtswhenIcough.非常遗憾你要经历这一切Weresosorry,really,forallofthis.正如我们在电♥话♥里沟通的生物合成气管手术Aswediscussedonthephone,thebiosynthetictracheas还未被批准作为可选手术进行arestilltobeapprovedforelectivesurgery.所以我们得看看你的情况是否已经Sowewillhavetodetermineifyourcasewarrantsapproval没有其他疗法可选了forcompassionateuse.说实话我
12、更倾向于用二维数字扫描Tobehonest,Iwouldhavepreferred3Ddigitalscans因为从这些片子上很难看得出来becausewiththese,itsverydifficult损伤的范围和程度toseetheextentofthedamage.为了评估手术候选人的情况我们需要眼见为实Toassesscandidacy,weneedtoseeitwithourowneyes.什么意思呢Whatexactlydoesthatmean?麻醉之后Well,afteralittlebitofanesthesia,我们会在你的腹部切一个小口子Wewillmakeatinyinc
13、isioninyourabdomen,放一个摄像头进去看一看runacamerainside,andtakealook.这样一来我们就能确定生物合成气管Thatway,wecanbesurethatabiosynthetictrachea对你而言是否可行isaviableoptionforyou.这是手术吗Thatissurgery?或许我该等我爸来了再决定MaybeIshouldwaitformyfather.这个手术很简单Well,itisaverysimpleprocedure.明天晚上你就能出院回酒店了Youshouldbebackinyourhotelbydinnertimetomo
14、rrow.做了这个我们才能评估你的手术部位Thatway,wecanassessthesite,等你♥爸♥爸来了andwhenyourfathergetshere,我们就能一起决定下一步怎么做了thenwecanalldecideonnextstepstogether.我和你说那男的不喜欢我mtellingyou,theguydoesntlikeme.比约恩是瑞典人肯定有些不好捉摸BjornisSwedish,whichmeanshesalittlecomplicated.你的意思是他比约恩（生）来就是如此Soareyousayingthathewasbjornth
15、atway?每次和他说话我都好比约恩（无聊）It,sjusteverytimeItalktohim,Igetsobjored.,如果他不喜欢你估计就是因为这个吧Ifhedidntlikeyou,thismightbewhy.你看看你1.ookatyou.你就是块跑步的比约恩（料）Youwerebjorntorun.我喜欢你穿这件衣服Ilikethisonyou.太好了因为我会一直穿着的Good,becauseIamkeepingit.是吗-是啊Oh,yeah?-Yep.宝贝Sotnos?是斯文森ItsSvensson.他想见我Hewantstomeetme.聊聊马基亚里尼It,saboutMa
16、cchiarini.但我朋友马上就到了Butmyfriendswillbehereanyminute.我知道不好意思Iknow.msorry.我尽快回来llcomebackassoonasIcan.我是不是得注意一下这位通心粉医生ShouldIbeworriedaboutthisDr.Macaroni?你成天说起他当然不用It,sallyoutalkabout.-Absolutelynot.这哥们手臂汗毛巨多Thatdudesgotridiculouslyhairyarms.而比约恩嘛Bjorn,ontheotherhand,isMm.不好笑Yourenotfunny.你觉得你好笑但是不好笑Y
17、outhinkyourefunny,butyourenot.内特Nate.快点回来Hurryback.他用病人做试验Thepatientsarethetrials.他把病人用作了小白鼠Hesexperimentingonpeople.我以为但这Ithought-butthis-他说这些气管能促进动物的供血能力Oh,hisclaimsofthetracheasregeneratingbloodsupply,和上皮细胞再生之类之类的epitheliuminanimals,blah,blah,blah,都是瞎编的itwasallmadeup.老天爷啊JesusChrist.克里斯托弗莱尔斯Chris
18、topherLyles.抱歉msorry.我都无法想象他经历了什么Icantimaginewhathewentthrough.我可以Ican.你的老鼠Yourrats.它们的死因各不相同Theyallhaddifferentcausesofdeath-窒息心脏病休克suffocation,heartattack,shock.但它们有一个共同点都很痛苦Buttheyhadonethingincommon：theyallsuffered.克里斯莱尔斯也很痛苦ChrisLylessuffered.我们要把这个拿给赫德利看全都拿给他看WehavetoshowthistoHedley,allofthis
19、.我同意我们必须告诉赫德利Yeah,Iagree.WemustinformHedley.但我们不能用杜福尔的数据ButwecannotuseDufortsdata.你说什么Whatareyoutalkingabout?我们需要负面的资料越多越好Weneedasmuchdamaginginformationaspossible-我找她已经严重违规了Icrossedseriouslinesbygoingtoher,违反了患者隐私规定breachedpatientconfidentiality.我会被开掉的甚至更惨Icouldgetfiredorworse.可我们需要这些不我们不需要Weneedth
20、is.-No,wedont.我的试验数据已经足够Mytrialsareenough.好吧Fine.闭嘴我说什么了Shutup.-1didn,tsayanything.进来吧Comein.耶西姆赛提尔的第1次手术她的疼痛和持续咳嗽是怎么回事Herpainandpersistentcougharecomingfromsomewhere.可能是气管软骨上的薄膜Couldbeunseendamagetothemembrane受到了看不见的损伤alonghertrachealcartilage.马基亚里尼医生-我看见了Dr.Macchiarini?-1seeit.她都输注了什么Whatissheon?标
21、准鸡尾酒麻醉混合剂Standardcocktail.血压稳定BP,sstable.没有过敏记录Shesgotnoallergieslisted.不是药物的原因Itsnotthemedication.赶紧看一下呼吸机Checktheventquickly.不是呼吸机It,snotthevent.那肯定是她的气管漏气了Thenitmustbeanairleakinhertrachea.但气管刚Butitjust-右肺出血Theresableedinherrightlung.需要开胸Ineedtoopenupherchest但我们毫无准备Butwerenotprepared.听我的Justdoit!
22、三号♥手术室现在开始开胸手术StatthoracotomyORthree.三号♥手术室开始开胸手术ThoracotomyORthree.右肺积血Bloodspoolingintherightlung.血压和血氧都在掉Bloodpressure,02,sdropping.天啊有感染的组织Oh,myGod.There,sinfectedtissue.缝合不了Wecantsuture.怎公办WhatdoWedo?我的报告结论和我们所担心的是一致的赫德利医生Myreportsupportsourconcerns,Dr.Hedley.你的报告说小白鼠死于各种并发症Well,i
23、tsaysheretheseratsdiedofvariouscomplications:心力衰竭中风感染heartfailure,stroke,infection.它们都有一个共同点Andtheonethingincommon?气管Thetrachea.虽然结果还不确定Theresultsarenotdefinitive,但我们相信这足以证明butwewouldarguetheymaybeenoughtojustify应该开展更多的试验才能继续runningadditionaltrialsbeforecontinueduse为患者实施这种手术onourpatients.这些手术本就是试验性疗
24、法Theseareexperimentaltreatments,治疗的患者都是已经andthey1reusedtocareforpatients没有其他选项的患者withnootheroptions.我看到了大量正向的结果Iseeagreatdealofevidenceofpositiveresults,这肯定不是一次小白鼠试验就能否定的certainlynothingthatcouldbeoutweighedbyonerattrial而且你自己也说你的论证不充分thatyouyourselfdefinedasinconclusive.还有进一步的数据吗Doyouhaveanyfurtherd
25、ata?其实Actually-没有了赫德利医生目前没有了No,Dr.Hedley,notatthistime.这还不够吗那家伙就是个神棍Isntthisenough?Thisguysahack.他一来我就觉得他有问题vehadabadfeelingabouthimsincehesetfoot-赫德利医生我们强烈建议你看一看数据Dr.Hedley,wereurgingyoutoreviewthedata,得出自己的结论cometoyourownconclusion.不好意思Sorry.赫德利Hedley.好的Right.好的好的Yep,yep.好Okay.好Okay.d4xl-/-i-.谢谢一位
26、Thankyou,gentlemen.我们内部会对此进行评估Wewillreviewyourconcernsinternally.怎么回事Whatthehellwasthat?你怎么不让我说我的观点Youdidntgivemeachancetogetmypointacross.抱歉不知道你还有观点呢Oh,msorry.Ididn,trealizeyouhadone.他应该看到所有的信息-然后毁了我的前途吗Heneedsalltheinformation.-Attheexpenseofmycareer?他不需要你的意见Andhedoesntneedyouropinion.你觉得人身攻击能有什么用
27、呢Whatdoyouexpecttoachievebymakingpersonalattacks?这能怪我吗赫德利满嘴谎言Well,canyoublameme?Hedleysfullofshit.我们内部会对此进行评估We,llreviewyourconcernsinternally.他只在乎怎么给卡罗林斯卡赚更多的钱HisonlyprioritiesaremakingmoneyforKarolinska和存下更多的钱andkeepingmoneyforKarolinska.至少我们让他知道了我们有所怀疑Well,webroughtoursuspicionstohisattention.所以呢
28、所以我们只能做到这儿了So?-Sothatsallwecando.我们还能做更多-那我只能做到这儿了Thatsnotallwecando.-ThatsallIcandothen.一开始就是你Youweretheonewhowent去找杜福尔的afterDufortinthefirstplace.是你挖出了这些黑料Youretheonewhowentdigging.你把这些料挖出来却又不用Whatwasthepointifyourenotgonnause有何意义everythingyoufound?我们两个面临的世界不一样内特Weliveintwoverydifferentworlds,Nate
29、.我还有家人要照顾Ihavetotakecareofmyfamily.行吧Fine.你坚守好你的世界Yousticktoyourworld.对抗马基亚里尼的事交给我IlldealwithMacchiariniinmine.安娜Ana?你没事吧-你怎么了Areyouokay?-Hey,whatswrong?他就直接摘掉了Hejusttookitout.谁摘什么Whotookwhatout?保罗她的肺他就Paolo.Herlung,hejust-肺1.ung?等等Wait.耶西姆塞提尔吗YesimCetir?可她Butshes-她只是来会诊的Shesonlyinforaconsult.我们本来只想
30、探有卜她的情况Itwassupposedtobeasimpleexploratory.嘿Hey!你♥他♥妈♥做了什么什么Whatthehelldidyoudo?-Excuseme?加梅里医生Dr.Gamelli-耶西姆塞提尔只是来会诊的YesimCetir,inforaconsult.对啊没错Yes,thatsright.你♥他♥妈&hearts汗吗要给她做全肺切除术Yeah,howdoesthatendinafuckingpneumonectomy?我救了她的命-你疯了吗Isavedherlife.-Areyououtof
31、yourmind?是什么情况出血还是感染Whatwasit,ableed,infection?你可以烧灼阻止蔓延Youcouldhavecauterized,controlledit.加梅里医生Dr.Gamelli-给她用抗生素类固醇Runherthroughantibiotics,steroids.冷静Calmdown.而不是把她的肺直接摘掉该死Notjusttakeherfuckinglungout,Goddamnit!别激动Takeiteasy.我想这样一来她就成了你气管手术的Iguessthatmakesheraperfectcandidate完美候选人了吧foroneofyourtr
32、acheasnow,huh?加梅里医生Dr.Gamelli.你知道这些塑料管Doyouhaveanyideawhat会对人产生什么影响吗thosefuckingslinkiesdotopeople?我确定马基亚里尼医生msureDr.Macchiarinididwhat为病人做出了正确的选择wasrightforthepatient.是啊可不是吗Oh,Ibetyouare.小心讲话内特Careful,Nate.加梅里医生很抱歉造成了误会Dr.Gamelli,Iapologize我向你道歉ifthingsseemconfusingtoyou.别跟我来这一套Dontgivemethatbullsh
33、it.不幸的是我和我的团队Unfortunately,meandmyteamdeal面临的是非常极端的病例withveryextremecases.是啊不极端怎么掩盖Yes,justtheonesextremeenough病人是被你们害死的呢thatnobodywillnoticewhenyoukillthem,你这个胆大包天的人♥渣♥yourecklesssonofabitch!够了Thatisenough!加梅里医生也许你该考虑Dr.Gamelli,perhapsyoushouldthink休一段时间的假abouttakingsometimeoff.在开玩笑吧我
34、休假Areyoukidding?Me?对你Yes,you.希望你能保持克制冷静AndIhopeyoushowenoughself-control我就不让人把你送出医院了toleavethehospitalunescorted.你有什么要补充的吗Yougotanythingelsetoadd?不然你的情况就会很危险Otherwise,youwouldhavebeenatgreatrisk,有失血过多而死掉的危险ariskthatyouwouldbleedtodeath.抱歉马基亚里尼医生msorry,Dr.Macchiarini.你能再说一遍吗Canyousayagain,please?你醒来后
35、发现这个事实一定很震惊Thismustbeashockforyoutowakeuplikethis,但不幸的是我们在探意时butunfortunately,wediscoveredseveralissues发现了一些问题一些原本就存在whenwewentin,existingdamage但我们无法预料的损伤thatwecouldnothaveanticipated.我们只能切除了你的右肺AndWehadtoremoveyourrightlung.这个问题本来就有Thisproblemwasalwaysthere.你其实非常幸运因为你陷入危险时Actually,wewereveryluckyth
36、atyouwentcritical你正在手术台而不是在家onthetableinsteadofathome,要是没得到及时救治becausewithoutimmediatecare,youwouldhave-你你肯定会死的youwouldhavecertainlydied.我已经告诉了你父亲他正在来看你Ispoketoyourfather,andhesonhisway.至于你的生物合成气管Andregardingyourbiosynthetictrachea,已经作为同情治疗方案theprocedureisalreadyapproved获得批准undercompassionateuse.我知道
37、这很可怕Iknowthisisfrightening,但一切都在我们的预期之中butthiswaswhatwewerehopingfor.好吧Allright.谢谢你马基亚里尼医生Thankyou,Dr.Macchiarini.不敢相信你从没玩过这个Icantbelieveyouveneverplayedthisbefore.我以前常跟我妹妹一起玩Iusedtoplayitallthetimewithmylittlesister.闭嘴医生Shh,doctor!别影响我Youregoingtomakeme-啊该死Oh,damnit!这个游戏怎么让人紧张兮兮的我不喜欢Whyisthisgameso
38、stressful?Idontlikeit.你想再来一次吗Doyouwanttoplayagain?好的Yeah.好吧你不想玩就算了Oh,okay.Onlyifyouresure.抱歉我有点烦躁Sorry.mdistracted.我只是我一直IjustIcan,t-我一直在想马基亚里尼IcantstopthinkingaboutwhatMacchiarini对那个姑娘的所作所为didtothatpoorgirl.你曾说过人体是个顽强的系统Yousaidthebodyisresourceful,哪怕失去一个肺一个器官仍能活下去thatyoucanlosealung,organs,andstill
39、beokay.是没错Yeah,youcan.她还年轻也很健康Shesyoung.Shesstrong.可我知道当时还有别的办法IjustIknowtherewasanotherway.该你了It,syourturn.抱歉Sorry.很抱歉msorry.不用没什么好道歉的No,no,itsnothingtoapologizefor.正因为担心病人你才是个好医生Worryingaboutyourpatientsiswhatmakesyouagooddoctor.但是马基亚里尼工作ButMacchiarini,work,你这些天总在说这个it,sallyoutalkabout.你的被迫休假只剩最后一
40、天了Youonlyhaveonedayleftonthislittleforcedvacation.也许你应该好好享受Maybeyoushouldenjoyit.我没法不去想医院的事Icantgetmymindoffthehospital.我还真不懂是为什么呢Cantimaginewhy.不如给你那个跟班打电♥话♥聊聊Ormaybeyoucouldcallyourwingman.那天他独坐在酒吧Hewaswaitingforyouatthepubtheotherday等了你好久allbyhimself.挺可怜的Itwaspitiful.我差点都出产同情跟他上&hea
41、rts;床♥了Ialmostfeltbadenoughtosleepwithhimtoo.你有跟他联♥系♥过吗Haveyouspokentohimatall?我跟他没什么好说的1havenothingtosaytohim.耶西姆赛提尔的第2次手术耶西姆赛提尔的第2次手术欢迎回来Welcomeback.我猜马基亚里尼已经在地球另一端了吧IassumeMacchiarini1Shalfwayaroundtheworld毕竟他这里的任务已经完成了nowthathisworkhereisdone.你很有事业心安娜Youreambitious,Ana.我一直很喜
42、欢你这一点vealwayslikedthataboutyou.我对咱们的工作有信心Ibelieveinourwork.你当时不在场内特你并不知情Youwerentthere,Nate.Youdontknow.生物合成气管是她最好的机会Thebiosynthetictracheawasthebestoptionforher.祝你在俄♥罗♥斯♥好运GoodIuckinRussia.你开玩笑吧Yourekidding!没有她在空中挥舞着手臂No!Shehadherarmsintheair,她挥得很用力撞到了旁边的姑娘andsheswooshedsohard,
43、shebumpedintothegirlnexttoher.那个姑娘又撞到了自己旁边的姑娘Thatgirlbumpedintothegirlnexttoher,一个接一个撞倒shebumpedintothegirlnexttoher,转眼之间beforeyouknowit,整片还在说话的森林就倒下了thewholetalkingforestwasdown.小心点别让伤口裂开Oh,becareful.Dontpopastitch.你好加梅里医生Heno,Dr.Gamelli.这是我爸爸Thisismybaba.你好爸爸Hi,Baba.叫我海鲁拉就行ItsHayrullah,actually.挺好
44、Oh,nice.知道人们是怎么看艺术家的吗Youknowwhattheysayaboutbeinganartist?他们是最接近不朽的Itstheclosestthingtoimmortality.我能有父亲一半的才华就好了mhalftheartistmyfatheris.我会向年轻学生教授mgoingtoteachyoungstudents那些不朽的艺术品aboutthoseimmortals.耶西姆你的气管已经切除了So,Yesim,yourtracheostomyhasbeenremoved,你受损的气管已经换成了andyourdamagedtracheahasbeenreplaced马
45、基亚里尼医生的生物合成气管withoneofDr.Macchiarini1Sbiosynthetictracheas.KOUNSKAIwillkeephiminformedofourprogress,butmovingforward,我会随时通知他我们的进展但是今后将由我在第一线负责照顾你llbeonthefrontlinestotakegoodcareofyou.我一定会照顾好你的AndIwilltakegoodcareofyou.这是我和家里弟弟妹妹的仪式ItssomethingIdowithmysiblings.每次许诺就会贴一下大拇指Whenwemakeapromise,weputourthumbstogether.组
