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1、血压下降BP,sdropping.他在失血-我能搞定He,sbleeding.-1canfixthis.你敢相信吗这一切终尸要成真了Canyoubelieveit?It,sfinallyfuckinghappening.尤利娅的订制气管出了问题Yuliastracheas,theyredefective.对不起Sorry.再等久一点Justwaitalittlebitlonger.好吧Okay.你对他的判断是对的全对了Youwererightabouthim,aboutallofit.安迪贝耶恩AndyBeyene.他刚过世了Hejustdied.我要想看看他的气管Iwannaseeit-hi
2、strachea.我想亲眼看看Iwannaseeitwithmyowneyes.那我问你在你回忆这一天时Now,whenyourememberthisday,你会感到羞耻吗willyoufeelshame?没有解决办法成型错了Donthaveasolution.Weldedwrong.显然没起作用Clearlynotworking.没有解决办法Idonthaveasolution.成型错了Weldedwrong.我们得换一下材料Wehavetochangethematerial.显然不起作用Clearlynotworking.那用在贝耶恩先生身上的气管呢Whatoftheonesweusedo
3、nMr.Beyene?腔内表面光秃Theendoluminalsurfaceisbarren.这里应该看到吻合迹象Weshouldbeseeinganastomosis,植入物周围应该有血管发育才对bloodvesselsdevelopingaroundtheimplant.但貌似气管从周围软骨处Itlookslikethetracheaateaway断开了atthesurroundingcartilage.来在左主支气管附近Here,takeasampleofthetissue取点组织样本neartheleftmainbronchus.哦天呐Oh,holy-这是晚期变性组织全部坏死Thats
4、advanceddegeneration.Necrosis.我们会测试的Welltestit.你再怎么测试那也是一团烂肉Youtestitallyouwant.Thatisrottingflesh.我倾向于同意Itendtoagree.我看不到血管形成黏膜层的证据Iseenoevidenceofvascularizedneomucosas.这太恶心了Thisis-thisisgross.坚持住伙计Staywithus,man.拜托尽量快点Justbequick,please.我们得在早班开始前出去Weneedtobeoutbeforethemorningshift.好了拿到了Okay,go.那
5、些干细胞本该Thestemcells,theyweresupposedto-本该生长下去才对theyweresupposedtocomealive.现在不是找答案的时候拉斯布雷Itsabadtimetofindenlightenment,Lasbrey.来吧取样Comeon,letsgo.安德斯深呼吸Anders,breathe.我没事我很好mgood.mfine.mtotallyfine.内特你看Nate,look.气管几乎脱落了Itsbarelyattached.他都把这破玩意儿咳掉了Hecoughedthedamnthingloose.他究竟是怎么呼吸的Howthehellwashebr
6、eathing?好了Allright,pal.帮我盯着门口Justkeepaneyeonthatdoor.赫德利已经盯上我们了Hedley,salreadygotahard-onforus.所以现在最怕让他发现Thelastthingweneedisforhimtofindout我们在背着他等等等等wewentbehindWait,wait,wait.该死Ah,shit.真棒你会做这个么Yahoo.Canyougolikethis?这样子然后再1.ikethat?Andthen.马基亚里尼你看到那封邮件了吗Macchiarini.Didyouseetheemail?对我们加班加点地研究Yeah
7、,we,veworkedaroundtheclockfor-但还是找不到解决办法westilldonthaveasolution.因为这种材料完全不起作用Thematerialbecausetheseareclearlynotworking.完全不起作用Areclearlynotworking.换材料因为Tochangethematerialbecausethese-完全不起作用clearlynotworking.抓到你了王八蛋Igotyou,yousonofabitch.时间到了亲爱的Yo,time,sup,toots.别别别我刚找到线索No,no,no,Ifoundsomething.你说
8、只用两个小时Yousaidyouneededtwohours.这都快用了6小时了-我知道但你听我说You,reroundinguptosix.-Yeah,yeah,butholdon.等等你得在早班开始前Holdon.-Yougottagetoutofhere离开这儿beforethemorningshift.你听1.isten.对我们马不停蹄地研究了两个星期Yeah,weveworkedaroundtheclockfortwoweeks,还是找不到解决办法andwestilldonthaveasolution.这让我很不开心Andmveryunhappy.我摸到那根气管时WhenIfeltt
9、hetracheas,能感觉出铸造出错了theywerecompletelyweldedwrong.表面干燥得太快Theydriedouttooquickly.就跟我们用在贝耶恩先生身上的一样TheywereliketheonesweusedonMr.Beyene.对我是说我们必须换材料Yes,Imean,definitely,wehavetochangethematerial因为这种材料显然不管用becausetheseareclearlynotworking.他的气管不起作用Histracheasdontwork.完全不管用他知道的金Theydontwork,andheknew,Kim.贝
10、妮塔你已经不在这儿工作了B,youdontwork,nothere,notanymore.他明知不起作用还要把气管植入人体内Theydontwork,andhekeptputtingtheminpeople,植入汉娜沃伦这样的真人体内inrealpeople,inHannahWarren.我以为他只骗了我他还骗了他的患者Ithoughtitwasjustme,butitshispatientstoo.妈的金迷雾那团迷雾FUCk,Kim,thefog.Thefog.我找到出路了Thisisthewayout我必须揭发他Ihavetoexposehim.好吧你去哪儿揭发他都行Okay,youcan
11、exposehimallovertheplace,但现在今日秀的团队马上会到butrightnow,theTodayShowpeoplearecomingin,如果有人看到你andifanyoneseesyou-等等等等现在几点了Wait,wait,wait,wait,whattimeisit?该死Oh,shit.我得走了得走了Igottago.Igottago.抱歉抱歉非常感谢Sorry.Sorry.Thankyousomuch.想背背惰性气体么不用了我都记得Wannarunthenoblegases?-Nah,Igotit.丽兹1.izzi!真抱歉两位我忘了时间Sorry,guys,Ido
12、n,tknowwhathappened.前一分钟还是午夜下一分钟就Oneminuteitwasmidnight,andthenext-妈妈没事的MOm,itsfine.你今天的发型真可爱Yourhairlooksreallycutetoday.你写完作业了吗Didyoufinishyourhomework,我一会可以帮你检查一下,causeIcouldcheckitforyoubefore-亲爱的我知道今天是你带零食的日子oh,honey,Iknowitsyourdaytobringsnacks,亲爱的我知道今天是你带零食的日子oh,honey,Iknowit,syourdaytobrings
13、nacks,就买♥♥r各式各样的麦芬还有soIgotawholeassortmentofdifferentmuffinsand-我们在路上买♥♥过了Wepickedupsomeontheway.哦-对不起Oh.-Sorry.没事的这很好No,no,no,no,no,that,sgreat.多谢你了Iappreciateit拜拜亲爱的Bye,love.妈妈我同学都在看Mom!Mom!抱歉我知道Sorry.Sorry.Okay.去把多余的送给老师或同学吃吧Goaheadandgivetheextrastoyourteachersorclass
14、mates你做主orwhatever.好的电♥话♥带了吧Allright.Phone?钥匙Keys?听着这种行为绝不能接受1.ook,thisiscompletelyunacceptable.我们要规章制度做什么Thisiswhywehaveprotocols.你是安全主管你必须给我个交代You,retheheadofsecurity.Youtellmehowithappened.我不管谁签了什么Idontcarewhatwassigned.这么做值得吗Wasitworthit?整个后面区域都破裂了Oh,theentireposteriorquadrantisrup
15、tured.气管直接穿过了他的脖子Tracheaateitswayrightthroughhisgoddamnneck.我们有从尸检中Wehavethesamples偷带出来的样本Ismuggledoutfromtheautopsy.大部分测试我可以自己做Icanrunmostofthetestsmyselt但有些我得送去化验butsomeIneedtosendouttothelabs.几周内就会有结果Weshouldhaveresultswithinafewweeks.没问题Sure.你是担心赫德利那边吗IsitHedley?他威胁要采取纪律处分那是他的事Hecanthreatendisci
16、plinaryactionallhewants.我们手里有科学依据Wehavethescienceonourside.不不是赫德利No,itsnotHedley.只是这种情况似曾相识It,sjustthis-itsalltoofamiliar.耶西姆Yesim.那边有消息吗Ah.Anyword?她在美国完成了移植手术ShemadeitthroughhertransplantintheU.S.人体肺移植和气管移植Donorlung,donortrachea.但在她的身体已经饱受摧残Butaftereverythingshesbeenthrough-合成气管只是个开始Tracheaswerejus
17、tthebeginning.后续还有更多器官Wehadmoreorgansreadytogo-以及相应的动物实验原型等等一切animaltesting,prototypes,allofit.在哪里儿俄♥罗♥斯♥Where?-Russia.在你负责的实验室里吗Inalaboverseenbyyou.我这不是回来了吗mherenow.是啊你突然的良心发现Yeah,andyoursuddenurgetogiveback还真是振奋人心呢istrulyinspiring.移植后两个月Twomonthsaftertransplantation,患者症状消失thep
18、atientisasymptomatic,呼吸正常战胜了肿瘤breathesnormally,andistumorfree.,安德斯这是我们发表的那篇文章Anders,thisiswhatwepublished.我们的名字都在上面Ournamesareonthis.但看到那一幕后我们必须揭露他Afterwhatwejustsaw.wehavetoexposehim.马基亚里尼来到从卡罗林斯卡后HowmanypapershasMacchiarinipublished发表过多少篇论文sincehistimeatKarolinska?六篇还有几篇正在准备中Six,withmoreinthepipel
19、ine.没事我的墙随你钉No,that,sfine.Justusemywall.马基亚里尼利用这些论文Macchiariniusedthesepublications树立了自己的名声tobuildhisname.也许终将会被反噬Perhapstheyllleadtohisruin.六篇论文三个患者Sixpapers,threepatients从现在起我们称为患者ABfromhereonoutknownaspatientsA,B-抱歉了Sorry.我们问头帮你粉刷We,llrepaintitlater.我们自己再写篇论文Wellwriteourownpaper.一份报告Areport用患者的实际
20、临床结果contrastingtheresultsPaoloreleased与保罗对比公布的结果作对比withhispatientsactualclinicaloutcomes.我们找出矛盾之处证明他知情Weshowthediscrepancies,showthatheknew,proving-证明他伪造学术造假Fabrications.Falsifications.至少是学术不端的行为Scientificmisconductattheveryleast.我们直接把结果交给董事会Andwewalkthisstraighttotheboardofdirectors.但这会牵扯出k罗林斯卜This
21、implicatesKarolinskaaswell.他们会试图掩盖这一切的Theylltrytoburyit.对掩盖的同时再钉三个洞Yeah,anddigthreemoreholeswhiletheyreatit.把我们钉死在耻辱架上Theyllcrucifyus.如果我们照章办事就不会Notifwedothisbythebook.我们保持患者匿名Wekeepthepatientanonymous.我们会征得家属同意We,11needpermissionfromthefamilies,取得他们的病历accesstotheirfiles-卡罗林斯卡不会让我们好过的Karolinskawillm
22、akeourlivesmiserable.赫德利警告过我们Hedleywarnedus.去他的Fuckit我们坚持到底Weseethisthrough.你揭发的是全世界最有权势的Youwannablowthewhistleononeofthemostpowerful医疗机构medicalinstitutionsintheworld.我宁愿后脑勺挨一枪Well,drathertakeabullettothebackofthehead也不愿植入这种鬼气管thangetoneofthosetracheas.好吧咱们动手吧Allright,letsgo,beforeMacchiariniadds免得马
23、基亚里尼祸害下一个患者anotherlettertoouralphabet.睁开眼睛吧Openyoureyes.尤利娅Yulia.欢迎问来Welcomeback.你能说话吗Canyouspeak?说点什么吧Saysomething.成成Is-isit-手术很成功Theoperationisasuccess.瞧我早说过See,Itoldyou.我说过手术会很顺利的Itoldyouitwouldgoperfectly.你应该庆幸自己改变了主意Arentyougladthatyouchangedyourmind?成Isit-成功了吗isitworking?当然成功了Ofcourseitsworkin
24、g.我觉有点不对劲Somethingsnotright.很疼Ithurts.你得保持冷睁尤利娅Youhavetoremaincalm,Yulia.你才能康复得更快Itwillhelpyouhealfaster.尤利娅一切安好Yulia,everythingisfine.我能和我儿子一起玩了吗WillIbeabletoplaywithmyson?当然Yes.你的生活恢复正常了亲爱的Everythingisasitshouldbe,mydear.一切正常Everything.保罗马基亚里尼是个骗rPaoloMacchiariniisaconartist你在网上可以搜到他铺天盖地的正面报道Googl
25、ehim,andyoullfindaseaofgoodpress,用心良苦创造奇迹的人goodintentions,amiracleman.但这只是一场骗局Butitsalljustacon.这些材料讲述了他的真是为人Thisisastoryaboutwhohereallyis,我越是了解他andthemoreIlearnedabouthim,越是对他充满质疑themorequestionsIhad.从意大利到伦敦Heleftatrailofbodiesbehindhim他身后留下了一串尸体fromItalytoLondon.在那之前他还在德国汉诺威Beforethat,itwasHanove
26、r,Germany.法国巴黎出现过Paris,France.每隔两三年Everytwoorthreeyears,他就会突然换工作hesuddenlyrelocateshiswork.为什么Why?他在跑路Hesrunning,试图逃避自己圆不回来tryingtodistancehimselffromthelies的那些谎言heleavesbehindhim.居家软禁被指控贿赂Housearrest-chargesofbribery,敲诈但都不了了之extortion,exceptnoneofthemstick.这一切都牵扯回这块小块塑料上Anditallcomesbacktothislittl
27、epieceofplastic,这块变成了气管的小塑料thislittlepieceofplasticthatturnsintoawindpipe,但这只是个谎言butnoneofitstrue.来听听这个Here,here,listentothis.用在贝耶恩身上的一样UsedonMr.Beyene.没错我们绝对需要更换材料Yeah,well,definitely,wehavetochangethematerial因为这些都不起作用becausetheseareclearlynotworking.他在视频里说的那个人Thatmanthathe,stalkingaboutinthevideo,
28、贝耶恩先生已经去世Mr.Beyene,died.但马基亚里尼医生的手术仍在继续ButDr.Macchiarinikeepsonoperating.我承认我一开始也信了这个故事AndlladmitIboughtintothisfictionmyself.我也想相信他的确是一个Iwantedtobelievethathewasamanwhocouldperform创造奇迹的人allofthesemiracles,但保罗马基亚里尼更像是海市蜃楼butPaoloMacchiariniismoremiragethanman.这些材料可以证明Andthisstoryproves这个海市蜃楼有多致命just
29、howdeadlyamiragecanbe.确实是篇不错的故事Theresastoryhere,allright.我早说过吧Itoldyou.但不能从这个角度去做Butit,snottheoneyou,reselling.之前在底特律你我和约翰BackinDetroit,youandmeandJohn,我们任竞争极其激烈记得吗wehadquitethelittlerivalrygoing,didntwe?一场三人拔河比赛你是最无情的那个Athree-waytug-of-war,andyou,youweremerciless.每次有了报道材料你都据为己有Whenyouhadastory,youh
30、adastory.你不会分享更别说拱手送人了Youwerentsharingit,letalonegivingitaway.珀西过去这么多年你还是没学会Alltheseyears,Percy,andyoureallyhaventgotten清晰的表达观点对吗anybetteratgettingtoyourpoint,haveyou?如我所言这个故事很不错1.ikeIsaid,there,sastoryhere,你怎么会把它送给我不送给别人呢andtheresareasonyourebringingittome,不送给你们27楼我为喜剧狂的toanyone,forthatmatter,samer
31、easonyoudonthave随便一个制♥作♥人呢halfthe27thfloorof30Rockonthisrightnow.我认为这个故事写成文字更合适Ifeellikethisisamuchstrongerwrittenpiece,加上你们杂♥志♥的背书andwithyourmagazinebehindit,我知道我们可以-扯淡IknowwecouldBullshit.你忽略了自己的消息源You,reneglectingyourlead.你跟这家伙的关系是我要切入的重点You,withthisguy,thatsthestorydp
32、ublish.我不知你听到了什么Yeah,Idontknowwhatyouheard,但我没有一呵呵好吧行吧butIhavenotOkay,okay,fine,fine.我们来分♥析♥一下你的角度1.etsbreakdownwhatyou,repitching.合成气管根本没人在平Synthetictracheas,noonegivesasyntheticfuck.干细胞人们要么支持要么反对Stemcells,peopleareeitherforemoragainst,em.没人想去读报道Theydontwannareadabout,em.他他在残害病人Hes-he
33、skillingpeople.也许吧但说到底Maybe,butattheendoftheday,你的指控没有任何实质证据youdonthaveanyproofofwhatyoureclaiming.你也说了大家看到的全都是1.ikeyousaid,aseaofgoodpress铺天盖地的正面报道isallthatmseeing.也许没人敢报他的负面新闻Maybenoonehastheballstoprintanythingelse.这个故事按你这么讲太复杂Thisversionofthestoryistoocomplicated,太医疗化rtoomedical.读者需要一条引子贝尼塔Wenee
34、daroadintothisworld,Benita,这条引子就是你andthatboulevardisyou.别从那个方向切入Dontgothere.这是唯一的切入方向It,stheonlyplacetogo.欺骗越界偷♥情♥Deception,crossedlines,secretaffairs-这是通往任何科学议题的必经之路Imean,thatsthethroughlinetothisotherscienceyshit.我错了吗AmIwrong?你想揭发他Youwannaexposehim,yousaid.是的-为了拯薪生命Yes.-Tosavelives.没
35、错这就是我的目的Yes.Thatswhatthisis.讲述这个故事是我的Ihaveajournalisticresponsibility记者责任totellthisstory.可你之前好像并不在乎Itdoesntseemyouweretooworried什么记者责任aboutyourjournalisticresponsibilitybefore.感谢你的时间珀西Thankyouforyourtime,Percy.好我们来回顾一下并发症Okay,letsreviewcomplications.咳嗽Tussis.患者A有患者B有PatientA,yes.-PatientB,yes.患者C也有P
36、atientC.yes.你拼错败血症了Youspelledsepsiswrong.什么我没有What?No,Ididnt.这是个P吗IsthataP?重点别放我身上Dontworryaboutme.放患者A身上WorryaboutpatientA.你俩真是简直了Thisisgoingtobehell.接下来气管食管痿Okay,tracheoesophagealfistula.患者A有PatientA,yes.B有B,yes.C也有C,yes.拉克希米医生这表我想起了Hey,Dr.Lakshmi,mhavingflashbacks之前在青隼篮球队的时候toJVbasketballhere.什么意
37、思msorry?我好像没在轮班表上看到我名字Icantseemtofindmynameontheroster.本周你没手术Nothingforyouthisweek.你让我一周上六天班一场手术都不安排Youvegotmeworkingsix-dayshiftswithoutanysurgery?所以我要干什么帮病人换液体吗Som,what,changingIVs?也许你可以帮你同事Perhapsyoucanhelpyourcolleagues填填文件啥的withtheirpaperwork.他们想让我们陷入孤立（把我们关在橡胶房♥）Theyrestickingusintherub
38、berroom.但不是听上去的那样It,snotwhatitsoundslike.他们安排我连续120小时待命vebeenoncall120hoursstraight,却只让我帮别的医生填文件andallmdoingisotherdoctorspaperwork.我都连轴转了no个小时了mclocking110.说实话我从俄♥罗♥斯♥跑回来Honestly,msurprisedtheyevenletmetouchacase他们居然让我碰病例sinceIcamebackfromRussia.我碰不到病例只能碰病历mnottouchingcases,onl
39、ycasefiles.我一台手术没做过Ihaventdoneasurgery.没有收治过病人Ihaventdoneanintake.都好几周没见过病人了Ihaventseenapatientsfaceinweeks.我今天收到通知我的邮件被审查了Ireceivednoticetodaymyemailsareunderaudit.什么意思Whatdoesthatmean?他们在追查我过去两年Theyretracingbackthrougheveryemail收发过的每封邮件vesentandreceivedoverthelasttwoyears.你俩应该也会收到同样的要求Iexpectyoutw
40、owillbereceivingthesamerequest.他们在找什么Whataretheylookingfor?疏忽失误违反患者保密协议的细节Slip-ups,mistakes,breachesinpatientconfidentiality,能导致我们被解雇的证据whatevertheycanfindtojustifyourdismissal.所有这些额外审查无休止的轮班Allthisextrascrutiny,theunendinghours.他们想把我们逐个击破Theyretryingtobreakus.他们会成功公Isitworking?我们越快完成报告Thesoonerweco
41、mpleteourreport,工作就能越快恢复正常thesoonerWecangetbacktoourregularwork.患者A气管材料由POSS-PCU制成PatientA,trachealmaterialsweremadefromPOSS-PCU.但保罗发现原始材料太干燥ButPaolofoundtheinitialmaterialstobetoodry,给患者B用上了纯PET材料SOpatientBwaspurePET.暂停一下Time-out.纯PETPurePET?这个材料的试验数据在哪Wherearethetrialstobackthatup?你们给贝耶恩和莱尔斯用了不同材料
42、YouswitchedmaterialsbetweenBeyeneandLyles却没经过事先测试么withoutanypriortestinginplace?我们给每个患者用的材料都不同Weswitchedmaterialswitheverypatient.B呢有B?-Yes.还要喝茶么Moretea?不我不想喝没味的水了No,Idonotwanthotplantwater.那你觉得咖啡是什么Thefuckdoyouthinkcoffeeis?是谁一直开着衡户Whokeepsopeningthewindow?这儿都30度了我需要新鲜空气Ifs30degreesinhere.Ineedair.
43、真有30度的话Ifits30degrees,then-别用摄氏度开玩笑DontmakeaCelsiusjoke.你应该觉得冷才对Youshouldbecold.天啊你住在欧洲Oh,myGod,youliveinEurope.你住在欧洲YouliveinEurope.真是服了我家七岁的孩子SweetbabyJesus,myseven-year-oldis都比你俩乖betterbehavedthanyoutwo.他太固执了真是可笑Hessostubborn.Itsridiculous.不她这么难搞Oh,no,shejustgetspissed只是因为没得到想要的whenshedoesntgetwh
44、atshewants.内森够了Nathan,stop.你最近总爱挑她刺儿You,vebeendifficultenoughonher.你为什么总是袒护她Whyareyoualwaysstickingupforher?要不是她我们也不会陷如此境地Shesthereasonwereinthisshit.木已成舟Whatsdoneisdone.我们不能再这样下去了Wecan,tcontinueonlikethis.谢天谢地ThankGod.你好Hello.这公♥寓♥我们待不下去了Weneedtogetoutofthisapartment.这不可能Thatcantbe.什么不可能Whatcantbe?我测试了马基亚里尼的干细胞溶液IhadMacchiarini1Sstemcellsolutiontested.实验室结果显示TGF3含量明显升高ThelabfoundelevatedtracesofTGFbeta3.不肯定弄错了No,that,samistake.化验结果里都写着呢It,srighthereinthelabs.这是什么Whatisit?这是一种生长因子Ifsagrowthfactor.但禁止用于实验室之外Butit,sbarredforuseo
