All language subtitles for [ドラマ][医龍4 第08話]「坂口憲二、稲森いずみ、小池徹平、阿部サダヲ」[720p x264 AAC].cht
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1
00:00:09,443 --> 00:00:12,079
病人是患1型糖尿病的男孩
2
00:00:12,079 --> 00:00:15,816
早川醫生在接診的時候和孩子媽媽吵起來了
3
00:00:16,082 --> 00:00:17,751
你是醫生吧
4
00:00:18,452 --> 00:00:20,420
怎麼這麼說話
5
00:00:21,421 --> 00:00:22,589
怎麼了
6
00:00:24,324 --> 00:00:26,059
你是想說
7
00:00:26,059 --> 00:00:27,461
這孩子生病都我們父母的錯 對吧
8
00:00:27,461 --> 00:00:29,062
我可沒這麼說
9
00:00:29,062 --> 00:00:29,997
只是想問問你們家庭中
10
00:00:29,997 --> 00:00:32,732
有沒有患過1型糖尿病的人
11
00:00:32,732 --> 00:00:35,435
居然說每天都要打針
12
00:00:35,702 --> 00:00:36,503
這孩子這麼小
13
00:00:36,503 --> 00:00:38,605
哪能遭這麼大的罪
14
00:00:38,605 --> 00:00:42,309
為了補充胰島素的分泌 只能這樣啊
15
00:00:43,443 --> 00:00:45,379
既然您這麼不滿意
16
00:00:45,946 --> 00:00:48,415
我介紹您去有專業兒科醫生的L&P醫院吧
17
00:00:48,415 --> 00:00:50,217
你是想打發我們嗎
18
00:00:53,387 --> 00:00:54,388
換班吧
19
00:00:59,993 --> 00:01:04,263
在日本成功進行心肌細胞層治療的L&P醫院
20
00:01:04,263 --> 00:01:06,400
得到了美國食品藥物管理局的認可
21
00:01:06,400 --> 00:01:10,671
已為5位病人進行了心肌細胞層治療
22
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開發負責人藤吉圭京研究員表示
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00:01:13,874 --> 00:01:16,743
明年想在日本也開始臨床使用
24
00:01:16,743 --> 00:01:17,811
早川醫生
25
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麻煩你為病人抽血 測量生命體徵
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我早就想說了
27
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這不是醫生的工作吧
28
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院長和朝田醫生都會親自做
29
00:01:31,725 --> 00:01:34,394
在L&P護士測好的數據
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會第一時間顯示在電子病歷上
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醫生只要確認一下就好了
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我們又不是L&P
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醫生親自測量什麼的 在別的醫院也不會啊
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因為直接測量
35
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醫生會良好地掌握病人狀態 方便立即處理
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這是院長的方針
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拜託了
38
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痛
39
00:02:02,489 --> 00:02:05,025
喂 你好好抽啊
40
00:02:05,025 --> 00:02:07,761
你的靜脈血管太細了
41
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好痛
42
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已經是第三次了 你找準點啊
43
00:02:17,037 --> 00:02:19,239
這血管誰來抽血都困難
44
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你就忍一忍
45
00:02:21,742 --> 00:02:24,578
朝田醫生 救救我
46
00:02:24,611 --> 00:02:28,248
這樣下去胳膊會被紮得滿是針眼
47
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一點都不痛呢
48
00:02:41,194 --> 00:02:43,597
都是醫生 怎差距就這麼大呢
49
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朝田醫生用了平常不會用的動脈穿刺術
50
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從外周靜脈抽血
51
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只會紙上談兵啊
52
00:02:52,939 --> 00:02:57,177
血壓有點高啊 開點降壓藥吧
53
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早川
54
00:03:06,753 --> 00:03:09,189
如果可以的話 我也要朝田醫生來抽血
55
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我也是
56
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小哥
57
00:03:17,731 --> 00:03:19,466
那個 我好歹也是個醫生
58
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好了 好了
59
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怎麼了
60
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我肩膀好酸
61
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給我揉揉肩
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什麼
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這裡
64
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我受夠了 讓我回L&P吧
65
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我不適合櫻井醫院
66
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你是我那裡配不上你嗎
67
00:03:38,318 --> 00:03:41,521
這裡的病人一點都不尊重醫生
68
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就因為我是年輕的實習醫生 就對我頤指氣使
69
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全是院內暴力
70
00:03:47,427 --> 00:03:50,664
你在櫻井醫院
71
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應該還有要做的事
72
00:03:56,036 --> 00:03:57,471
朝田醫生的資訊嗎
73
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跟著朝田醫生的話會學到很多吧
74
00:04:01,641 --> 00:04:02,843
可是
75
00:04:03,110 --> 00:04:04,511
有勞
76
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明天是麻醉科的實習
77
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這樣堅持下去 大家就會是精通全科的超級醫生
78
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不只是自己的專科 在各科室輪轉
79
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習得醫生應有的綜合能力 是很重要的
80
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聽好了
81
00:04:27,634 --> 00:04:31,204
我超級醫生木原毅彥就是榜樣
82
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那 伊集院醫生
83
00:04:32,439 --> 00:04:33,974
明天也麻煩你了
84
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聽說明天是麻醉科
85
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好期待
86
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我說 你可別得意啊
87
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怎麼了
88
00:04:42,482 --> 00:04:43,950
你很得意吧
89
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看來伊集院醫生的新實習計畫
90
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已經步入正軌了啊
91
00:04:48,388 --> 00:04:51,691
很高興他們在成長
92
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我也很高興 伊集院
93
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剛認識你那會 你還是個弱小的實習醫生
94
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可現在都已經可以教這麼多實習醫生了
95
00:05:02,569 --> 00:05:05,672
木原醫生倒是一點都沒變
96
00:05:07,541 --> 00:05:11,111
他是想說 我從來都是個優秀的醫生
97
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髮型也一直沒變吧
98
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對 木原髮型就是我獨一無二的標誌
99
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我一直都覺得
100
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不太適合你啊
101
00:05:19,352 --> 00:05:21,855
什麼 一直 7年前就這麼認為
102
00:05:21,855 --> 00:05:23,723
真的嗎 不會吧
103
00:05:24,224 --> 00:05:25,025
為什麼現在才說
104
00:05:25,025 --> 00:05:25,959
我就先走了
105
00:05:26,359 --> 00:05:27,494
岡村先生
106
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晚上我可以去櫻井醫院幫忙嗎
107
00:05:30,597 --> 00:05:33,133
當然 這是我們說好的
108
00:05:42,876 --> 00:05:45,078
有時間的話做做這個怎麼樣
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00:05:45,912 --> 00:05:48,114
岡村先生也已經同意了
110
00:05:48,181 --> 00:05:49,916
我哪有時間做這個啊
111
00:05:49,916 --> 00:05:50,417
什麼
112
00:05:50,417 --> 00:05:51,885
連你都去L&P了
113
00:05:51,885 --> 00:05:52,852
我的負擔加重了
114
00:05:52,852 --> 00:05:54,221
所以從早到晚都被呼來喚去
115
00:05:54,221 --> 00:05:55,889
哪裡有什麼時間做這個
116
00:05:57,123 --> 00:05:58,959
而且 這個實習計畫
117
00:06:00,026 --> 00:06:01,494
有意義嗎
118
00:06:03,897 --> 00:06:06,032
有時間定期去各科室輪轉
119
00:06:06,032 --> 00:06:08,168
還不如緊早定下自己的專業 並專注其中
120
00:06:08,168 --> 00:06:09,936
那才對未來更有利
121
00:06:12,639 --> 00:06:15,442
你為什麼要當醫生呢
122
00:06:18,111 --> 00:06:20,513
其實不當醫生也挺好的
123
00:06:20,714 --> 00:06:21,481
什麼
124
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我一直都很聰明 成績總是第一
125
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真敢說
126
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醫學部對偏差值要求高 醫生有技術 又有社會地位
127
00:06:31,758 --> 00:06:33,793
所以我就參加了醫學部的考試 僅此而已
128
00:06:36,963 --> 00:06:38,698
不過 要不要辭掉醫生的工作呢
129
00:06:39,733 --> 00:06:41,001
即便現在開始準備司法考試
130
00:06:41,001 --> 00:06:43,003
一年以後也應該能考得上了
131
00:06:43,503 --> 00:06:44,771
取得國際律師資格
132
00:06:44,771 --> 00:06:47,574
成為像岡村先生一樣的經營顧問也不錯
133
00:06:48,275 --> 00:06:50,210
你可以的
134
00:06:51,077 --> 00:06:55,248
不過 如果你不改變 還是會在同一個地方跌倒
135
00:06:56,950 --> 00:06:58,218
什麼意思
136
00:06:58,418 --> 00:06:59,853
不管是什麼工作
137
00:07:00,153 --> 00:07:03,623
沒有堅定的信念 都做不久的
138
00:07:22,242 --> 00:07:25,211
找到能為櫻井醫生做手術的腦外科醫生了
139
00:07:25,345 --> 00:07:26,513
是誰
140
00:07:26,980 --> 00:07:28,848
在日本 誰都不敢做
141
00:07:28,982 --> 00:07:31,518
不過 在美國的話就有
142
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是他
143
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邁克 鮑德溫
144
00:07:35,789 --> 00:07:38,024
那個全美第一的腦外科醫生嗎
145
00:07:38,024 --> 00:07:40,794
這十年 在全美最佳外科醫生評選中
146
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他經常獲得第一
147
00:07:41,828 --> 00:07:46,533
他成功解決了很多像這次這樣難的病例
148
00:07:46,800 --> 00:07:49,736
邁克醫生聯手醫龍團隊
149
00:07:50,070 --> 00:07:52,138
就可以救回櫻井醫生了
150
00:07:54,040 --> 00:07:57,444
我會儘快把櫻井醫生的病例送過去商量
151
00:07:57,444 --> 00:07:58,712
2個月
152
00:08:01,881 --> 00:08:04,250
從櫻井醫生現在的狀況來看
153
00:08:04,484 --> 00:08:06,453
我想在2個月之內進行手術
154
00:08:11,524 --> 00:08:13,793
壓軸戲終於要上演了
155
00:08:13,993 --> 00:08:17,864
在挖他們牆腳的時候有一個大問題
156
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就是櫻井醫生
157
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櫻井
158
00:08:22,202 --> 00:08:23,002
對
159
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櫻井醫生的手術不成功的話
160
00:08:27,640 --> 00:08:29,743
就得不到朝田醫生了吧
161
00:08:29,743 --> 00:08:30,844
為什麼會這樣
162
00:08:30,877 --> 00:08:33,746
櫻井醫生將櫻井醫院交給朝田醫生了
163
00:08:34,847 --> 00:08:37,082
您認為他會留下抱病的恩師
164
00:08:38,551 --> 00:08:40,620
去印度嗎
165
00:08:41,821 --> 00:08:42,956
而且
166
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櫻井醫生是真正的醫生
167
00:08:53,099 --> 00:08:57,070
這個世上不能沒有他那樣的醫生
168
00:08:57,837 --> 00:08:59,606
真不可思議呢
169
00:09:01,074 --> 00:09:03,543
感覺一和你說話
170
00:09:04,010 --> 00:09:07,247
就有和朝田在說話的感覺啊
171
00:10:04,838 --> 00:10:07,507
朝田醫生 麻煩接診
172
00:10:08,174 --> 00:10:11,110
不好意思 來了個急著要看病的患者
173
00:10:11,110 --> 00:10:12,245
早川醫生
174
00:10:12,912 --> 00:10:14,948
讓他等等朝田醫生不就得了
175
00:10:15,114 --> 00:10:16,816
拜託了
176
00:10:19,219 --> 00:10:21,921
我在第一診療室 有什麼事叫我
177
00:10:21,921 --> 00:10:24,557
當然 如果我又被怪獸患者鄙視了
178
00:10:24,557 --> 00:10:26,292
請您務必來接替我
179
00:10:34,734 --> 00:10:38,905
難得來一個實習醫生 我還很期待來著
180
00:10:41,074 --> 00:10:43,643
院長培養出了你
181
00:10:44,444 --> 00:10:47,614
你又培養出了伊集院
182
00:10:48,548 --> 00:10:53,219
所以 我以為早川醫生也能被你們帶出來
183
00:10:54,420 --> 00:10:56,589
可是沒那麼簡單啊
184
00:11:03,763 --> 00:11:05,365
請把隨身物品放在那邊
185
00:11:09,802 --> 00:11:10,803
請坐
186
00:11:16,509 --> 00:11:18,144
我是您的主治醫生朝田
187
00:11:19,646 --> 00:11:21,514
我看了您以前的病歷
188
00:11:22,081 --> 00:11:25,518
您時不時會失去知覺對吧
189
00:11:25,852 --> 00:11:29,556
不是 就幾秒鐘會突然沒知覺
190
00:11:29,556 --> 00:11:32,492
恢復之後就沒事了
191
00:11:34,327 --> 00:11:35,328
請進
192
00:11:36,796 --> 00:11:37,730
請把隨身物品放這邊
193
00:11:37,730 --> 00:11:38,731
好的 好的
194
00:11:41,034 --> 00:11:41,901
我是主治醫生早川
195
00:11:41,901 --> 00:11:45,371
唉呀 不是朝田醫生嗎
196
00:11:45,939 --> 00:11:47,707
好年輕啊
197
00:11:48,541 --> 00:11:51,277
你就是那個抽血老是抽不好的醫生對吧
198
00:11:51,477 --> 00:11:54,914
我聽在這裡住院的朋友說的
199
00:11:54,914 --> 00:11:57,750
真是的 居然是個實習的小跟班來幫我看
200
00:11:57,750 --> 00:11:59,352
如果您希望朝田醫生來幫您看的話
201
00:11:59,385 --> 00:12:00,420
請稍等片刻
202
00:12:00,420 --> 00:12:02,689
我很忙得 實習的就實習的吧
203
00:12:05,291 --> 00:12:06,759
腿部浮腫是嗎
204
00:12:06,759 --> 00:12:07,660
沒錯
205
00:12:10,730 --> 00:12:12,732
我聽一下您頸部的聲音
206
00:12:12,732 --> 00:12:13,733
頸部
207
00:12:14,400 --> 00:12:15,635
不好意思
208
00:12:16,703 --> 00:12:18,004
屏住呼吸
209
00:12:18,004 --> 00:12:18,738
好
210
00:12:22,542 --> 00:12:25,979
沒什麼大問題 就是最近不好受
211
00:12:25,979 --> 00:12:28,481
工作的時候需要一直站著
212
00:12:28,481 --> 00:12:29,882
您是做什麼的
213
00:12:29,882 --> 00:12:31,618
賣魚的
214
00:12:32,151 --> 00:12:34,153
我說你 平常吃魚嗎
215
00:12:34,153 --> 00:12:37,423
最近的年輕人都不吃魚了
216
00:12:37,423 --> 00:12:38,992
我來看看您浮腫的地方
217
00:12:38,992 --> 00:12:39,759
好
218
00:12:42,395 --> 00:12:43,863
這裡啦 你看
219
00:12:46,466 --> 00:12:47,967
是下肢靜脈曲張
220
00:12:47,967 --> 00:12:48,868
什麼
221
00:12:48,868 --> 00:12:51,604
靜脈瓣膜損壞 無法正常關閉
222
00:12:51,604 --> 00:12:54,340
導致血液倒流所引起的
223
00:12:54,340 --> 00:12:55,908
這病嚴重嗎
224
00:12:55,908 --> 00:13:00,913
是女性以及需要站著工作的人 經常出現的症狀
225
00:13:01,314 --> 00:13:01,948
好痛
226
00:13:01,948 --> 00:13:04,350
不嚴重的話 你倒是早說呀
227
00:13:04,350 --> 00:13:05,585
對吧
228
00:13:08,054 --> 00:13:09,055
對不起
229
00:13:17,897 --> 00:13:21,668
您來看診的時候 走起來似乎有點吃力啊
230
00:13:22,702 --> 00:13:27,106
另外 單手沒有力氣 看東西模糊
231
00:13:27,173 --> 00:13:30,343
舌頭不靈活 嘴角麻痺
232
00:13:30,610 --> 00:13:32,378
您有以上症狀嗎
233
00:13:33,413 --> 00:13:34,714
你這麼一說的話 好像有耶
234
00:13:34,747 --> 00:13:37,116
從您的頸部聽到了血管雜音
235
00:13:37,583 --> 00:13:39,919
很有可能是因為頸部血管堵塞所引起的
236
00:13:39,919 --> 00:13:43,122
左側頸內動脈狹窄
237
00:13:43,523 --> 00:13:44,323
啥
238
00:13:45,124 --> 00:13:48,394
就是即將出現腦梗塞的預警
239
00:13:50,897 --> 00:13:52,298
腦梗塞
240
00:13:53,533 --> 00:13:57,036
也就是說 要接受大手術咯
241
00:13:57,036 --> 00:14:00,039
現在通過介入治療就有可能痊癒
242
00:14:00,707 --> 00:14:05,111
在L&P醫院有一位擅長做介入治療的醫生叫伊集院
243
00:14:05,111 --> 00:14:06,746
我來給您寫介紹信
244
00:14:09,415 --> 00:14:10,783
沒事的
245
00:14:22,528 --> 00:14:24,363
我給您開個彈力長筒襪
246
00:14:24,363 --> 00:14:26,999
男 男人穿的長筒襪嗎
247
00:14:28,134 --> 00:14:31,637
腿部施加適當的壓力 防止多餘的血液堆積
248
00:14:31,637 --> 00:14:34,140
我有長筒襪啦
249
00:14:34,140 --> 00:14:36,609
必須是醫療用的橡皮長筒襪才有效果
250
00:14:36,609 --> 00:14:37,744
要多少錢
251
00:14:37,744 --> 00:14:38,945
5000日圓
252
00:14:39,145 --> 00:14:40,680
你這是漫天要價啊
253
00:14:40,680 --> 00:14:42,515
這個價格非常公道了
254
00:14:42,515 --> 00:14:44,751
白花錢
255
00:14:44,751 --> 00:14:48,921
真是的 還好沒被你抽血
256
00:15:01,134 --> 00:15:02,502
早川醫生
257
00:15:02,502 --> 00:15:04,771
似乎和病人起了爭執啊 沒事吧
258
00:15:05,805 --> 00:15:06,806
真是的
259
00:15:06,839 --> 00:15:09,175
這家醫院的病人 素質太差了
260
00:15:09,842 --> 00:15:11,944
就算是病人也不能為所欲為啊
261
00:15:11,944 --> 00:15:16,682
早川 病人沒有素質高低
262
00:15:16,682 --> 00:15:17,583
我在L&P的時候
263
00:15:17,583 --> 00:15:20,686
從來沒有病人對我口吐惡言過
264
00:15:20,686 --> 00:15:24,056
這裡的病人對醫生一點尊重都沒有
265
00:15:24,056 --> 00:15:27,560
是因為你和病人之間沒有構建起信賴關係吧
266
00:15:28,761 --> 00:15:31,898
朝田醫生在診療室總是面對患者
267
00:15:31,898 --> 00:15:33,699
認真的看著病人的眼睛說話
268
00:15:34,167 --> 00:15:38,171
早川醫生總是在看螢幕或者病歷
269
00:15:38,304 --> 00:15:40,506
你是說沒有必要確認資訊嗎
270
00:15:40,506 --> 00:15:42,575
在確認資訊之後
271
00:15:42,708 --> 00:15:44,744
如果能認真面對病人
272
00:15:44,977 --> 00:15:47,847
就能看出資訊上沒有顯示的疾病徵兆
273
00:15:47,847 --> 00:15:50,283
你讓我怎麼認真面對那種病人
274
00:15:50,416 --> 00:15:53,252
她說腿部浮腫 我就開外科用橡皮襪給她
275
00:15:53,252 --> 00:15:55,521
她倒說我漫天要價 誰受的了啊
276
00:15:56,989 --> 00:16:00,760
做出正確的診斷 告知治療方法
277
00:16:00,793 --> 00:16:04,130
如果我們醫院無法處理的話就給L&P寫介紹信
278
00:16:04,564 --> 00:16:06,632
該做的事我都有做
279
00:16:23,382 --> 00:16:25,351
找到櫻井醫生的主刀醫生了嗎
280
00:16:25,351 --> 00:16:28,287
正在和中央匹茲堡大學醫院的腦外科醫生
281
00:16:28,287 --> 00:16:30,623
邁克 鮑德溫交涉
282
00:16:32,491 --> 00:16:34,060
他應該能勝任
283
00:16:34,060 --> 00:16:35,561
您認識他嗎
284
00:16:35,828 --> 00:16:36,629
嗯
285
00:16:37,029 --> 00:16:40,433
在美國重建某醫院的時候見過一面
286
00:16:41,100 --> 00:16:44,971
他的開顱夾閉手術
287
00:16:45,204 --> 00:16:48,507
用微彈簧圈和明膠海綿進行的血管內拴塞治療
288
00:16:48,541 --> 00:16:52,678
NBCA栓塞術 還有伽瑪刀手術等等
289
00:16:52,678 --> 00:16:55,014
無論哪個都擁有超一流的技術
290
00:16:55,014 --> 00:16:56,983
他是世界第一的腦外科醫生
291
00:16:58,284 --> 00:17:00,253
你知道得好詳細啊
292
00:17:01,721 --> 00:17:04,390
我的工作需要經常跟醫生接觸
293
00:17:04,423 --> 00:17:07,760
當然也需要一些專業知識了
294
00:17:10,262 --> 00:17:11,329
有什麼問題嗎
295
00:17:11,830 --> 00:17:12,765
沒有
296
00:17:14,967 --> 00:17:19,038
岡村先生你為什麼要當醫療顧問呢
297
00:17:23,742 --> 00:17:25,877
做什麼經營顧問不行
298
00:17:25,978 --> 00:17:29,982
為什麼要局限于醫療方面呢
299
00:17:34,987 --> 00:17:36,222
因為醫療的某些方面
300
00:17:39,558 --> 00:17:45,298
只能通過商業的力量改變
301
00:17:47,934 --> 00:17:51,470
我願意為此付出一生
302
00:17:55,041 --> 00:17:58,744
這就是我的想法
303
00:18:34,914 --> 00:18:39,418
怎麼樣 能拿下朝田嗎
304
00:18:40,820 --> 00:18:43,522
要看他能不能治好櫻井醫生了
305
00:18:44,223 --> 00:18:47,093
位於基底動脈頂端的動脈瘤
306
00:18:47,727 --> 00:18:50,896
沒有幾個腦外科醫生做得了這個手術
307
00:18:51,931 --> 00:18:52,732
醫龍團隊似乎
308
00:18:52,732 --> 00:18:54,867
正在和全美第一的腦外科醫生進行交涉
309
00:18:54,867 --> 00:18:56,535
邁克 鮑德溫嗎
310
00:19:01,674 --> 00:19:03,642
你的老熟人啊
311
00:19:05,978 --> 00:19:06,946
不過
312
00:19:07,713 --> 00:19:12,485
邁克醫生也救不了櫻井醫生
313
00:19:18,924 --> 00:19:23,295
這個你應該最清楚
314
00:19:41,480 --> 00:19:42,214
喂
315
00:19:42,915 --> 00:19:44,617
朝田醫生在嗎
316
00:19:44,850 --> 00:19:45,551
不在
317
00:19:46,085 --> 00:19:48,220
出診去了
318
00:19:49,922 --> 00:19:52,625
這個 是我家種的桔子
319
00:19:54,627 --> 00:20:00,132
昨天朝田醫生看出我有腦梗塞的前兆
320
00:20:00,666 --> 00:20:03,969
要是放任不管的話 就出大事了
321
00:20:04,670 --> 00:20:06,238
他是我的救命恩人啊
322
00:20:07,473 --> 00:20:11,644
請你替我跟他問好
323
00:20:12,878 --> 00:20:13,612
好
324
00:20:16,549 --> 00:20:20,519
在確認資訊之後 如果能認真面對病人
325
00:20:20,853 --> 00:20:24,423
就能看出資訊上沒有顯示的疾病的徵兆
326
00:20:24,590 --> 00:20:25,925
早川醫生
327
00:20:26,926 --> 00:20:28,127
有急診病人
328
00:20:28,394 --> 00:20:31,597
昨天你看診過的長沼芳江女士
329
00:20:36,969 --> 00:20:38,204
長沼芳江 60歲
330
00:20:38,204 --> 00:20:40,039
在工作中突然呼吸困難 倒地不起
331
00:20:41,674 --> 00:20:42,341
抬上來
332
00:20:42,341 --> 00:20:42,842
好
333
00:20:42,875 --> 00:20:43,409
要移到上面
334
00:20:43,409 --> 00:20:44,977
1 2 3
335
00:20:45,211 --> 00:20:46,312
要把頭部抬起來了
336
00:20:46,345 --> 00:20:47,213
好
337
00:20:47,613 --> 00:20:50,349
不是氣胸或肺炎 也不是心衰
338
00:20:50,382 --> 00:20:52,751
長沼女士 什麼時候開始難受的
339
00:20:52,952 --> 00:20:56,288
覺得很累就一直坐著
340
00:20:56,455 --> 00:20:59,725
站起來的時候
341
00:20:59,725 --> 00:21:01,293
這麼說來 昨天
342
00:21:10,703 --> 00:21:13,372
左邊大腿部出現了異常的浮腫
343
00:21:13,472 --> 00:21:14,974
小腿肚的靜脈也曲張得很厲害
344
00:21:14,974 --> 00:21:17,176
真是的 所以讓她穿彈性襪嘛
345
00:21:17,176 --> 00:21:18,878
早川醫生 看看右腿
346
00:21:18,878 --> 00:21:20,212
不好意思
347
00:21:21,447 --> 00:21:23,082
右腿完全沒有異常
348
00:21:23,082 --> 00:21:25,017
如果是靜脈曲張 一般兩條腿都會有吧
349
00:21:25,284 --> 00:21:25,951
這是
350
00:21:25,985 --> 00:21:28,020
下肢深靜脈血栓
351
00:21:28,020 --> 00:21:29,955
是經濟艙症候群嗎
352
00:21:30,356 --> 00:21:31,924
左右腿差別這麼大 很有可能是的
353
00:21:31,924 --> 00:21:35,327
醫生 昨天看診的時候沒有兩條腿都看嗎
354
00:21:35,895 --> 00:21:38,197
也有很多下肢深靜脈血栓的患者
355
00:21:38,197 --> 00:21:40,065
本身患有靜脈曲張的
356
00:21:40,065 --> 00:21:40,766
朝田醫生呢
357
00:21:40,766 --> 00:21:41,901
沒必要叫他
358
00:21:44,003 --> 00:21:47,306
用血栓溶解療法 用肝素溶解血栓
359
00:21:47,306 --> 00:21:48,340
去準備
360
00:21:48,908 --> 00:21:50,342
是 是
361
00:21:51,076 --> 00:21:52,411
沒事的
362
00:22:00,853 --> 00:22:03,455
跟傳聞一樣 手藝真差啊
363
00:22:04,690 --> 00:22:06,425
早川醫生 我來吧
364
00:22:07,726 --> 00:22:09,461
會稍微有點痛哦
365
00:22:12,698 --> 00:22:16,936
什麼啊 護士還更熟練一點嘛
366
00:22:20,673 --> 00:22:24,944
這樣就沒事了 血栓應該會溶解了
367
00:22:33,552 --> 00:22:35,421
血氣飽和度80 正在惡化
368
00:22:35,421 --> 00:22:36,689
開大氧氣嗎
369
00:22:38,591 --> 00:22:39,992
提高到5升
370
00:22:39,992 --> 00:22:42,127
肝素溶解血栓後用t-PA
371
00:22:42,127 --> 00:22:44,363
可是 用了t-PA的話 萬一要手術
372
00:22:44,363 --> 00:22:45,331
血會止不住的
373
00:22:45,331 --> 00:22:46,765
不會需要手術的
374
00:22:47,766 --> 00:22:48,701
馬上去拿過來
375
00:22:48,701 --> 00:22:49,435
是
376
00:22:57,543 --> 00:22:58,644
長沼女士
377
00:22:58,777 --> 00:23:00,679
長沼女士 長沼女士
378
00:23:00,713 --> 00:23:01,714
馬上插管
379
00:23:01,714 --> 00:23:02,681
我去準備急救推車
380
00:23:02,681 --> 00:23:04,049
長沼女士
381
00:23:04,049 --> 00:23:07,620
血栓跑到肺裡去了 是肺栓塞
382
00:23:08,621 --> 00:23:10,956
在腿部靜脈裡淤積的血栓塊
383
00:23:10,956 --> 00:23:15,227
隨著血液流到了肺部 堵在了肺部動脈裡
384
00:23:15,728 --> 00:23:19,498
因此流向肺部的血液被堵死
385
00:23:19,498 --> 00:23:21,333
無法進行氧氣交換
386
00:23:21,533 --> 00:23:23,769
氧分壓就會急速降低
387
00:23:23,969 --> 00:23:27,840
呼吸變得困難 最糟糕的可能導致窒息死亡
388
00:23:31,877 --> 00:23:33,212
去叫朝田醫生來
389
00:23:33,245 --> 00:23:33,979
是
390
00:23:36,815 --> 00:23:37,850
長沼女士
391
00:23:39,318 --> 00:23:40,486
長沼女士
392
00:23:46,091 --> 00:23:47,259
8.0的插管導管
393
00:23:47,259 --> 00:23:48,027
是
394
00:24:02,941 --> 00:24:05,577
只能通過手術取出肺裡的血栓了
395
00:24:05,644 --> 00:24:07,079
準備用經皮心肺輔助法
396
00:24:07,079 --> 00:24:07,813
是
397
00:24:07,813 --> 00:24:08,314
手術
398
00:24:08,314 --> 00:24:09,815
快準備手術
399
00:24:09,815 --> 00:24:11,650
但是今天麻醉師不在
400
00:24:15,654 --> 00:24:16,422
叫荒瀨來
401
00:24:16,422 --> 00:24:17,189
是
402
00:24:19,825 --> 00:24:21,393
病人家屬來了
403
00:24:21,393 --> 00:24:23,429
要求解釋一下 究竟發生了什麼事
404
00:24:25,464 --> 00:24:26,432
早川
405
00:24:27,566 --> 00:24:30,436
這是你的病人 你去解釋
406
00:24:39,111 --> 00:24:44,683
現在開始要進行手術 清除堵在肺動脈的血栓
407
00:24:44,683 --> 00:24:45,784
手術
408
00:24:46,418 --> 00:24:50,322
腫的是腿 為什麼是肺動手術
409
00:24:51,123 --> 00:24:53,158
昨天在這裡看過
410
00:24:53,225 --> 00:24:54,927
說是沒什麼大問題的
411
00:24:57,496 --> 00:25:01,433
為什麼會變成這樣 能治好的吧
412
00:25:03,969 --> 00:25:05,504
我們會盡力的
413
00:25:05,504 --> 00:25:06,805
拜託您了
414
00:25:06,972 --> 00:25:08,140
拜託您了
415
00:25:10,209 --> 00:25:12,745
莫西幹那臭小子 盡給人惹麻煩
416
00:25:12,978 --> 00:25:14,113
好了 站臺拿來
417
00:25:14,113 --> 00:25:14,880
是
418
00:25:20,285 --> 00:25:22,421
1
419
00:25:22,855 --> 00:25:25,190
2
420
00:25:25,724 --> 00:25:27,926
3
421
00:25:28,560 --> 00:25:30,796
4
422
00:25:31,864 --> 00:25:34,466
5
423
00:25:35,501 --> 00:25:38,036
6
424
00:25:39,204 --> 00:25:42,808
7
425
00:25:43,575 --> 00:25:44,777
好了 麻醉成功
426
00:25:57,589 --> 00:25:58,991
準備就緒了
427
00:26:04,930 --> 00:26:07,266
你的位置不在這裡
428
00:26:12,905 --> 00:26:17,109
長沼女士是你的病人 你來主刀
429
00:26:18,444 --> 00:26:22,648
長沼女士是你的病人 你來主刀
430
00:26:23,482 --> 00:26:24,016
但是
431
00:26:24,016 --> 00:26:27,386
因為你的誤診 病人有了生命危險
432
00:26:29,021 --> 00:26:33,859
你有責任把病人救活
433
00:27:05,390 --> 00:27:06,725
拜託了
434
00:27:12,197 --> 00:27:16,435
現在開始 進行肺栓塞的緊急血栓清除手術
435
00:27:16,435 --> 00:27:16,935
手術刀
436
00:27:16,935 --> 00:27:17,436
是
437
00:27:17,436 --> 00:27:17,936
鑷子
438
00:27:17,936 --> 00:27:18,437
是
439
00:27:18,437 --> 00:27:18,937
紗布
440
00:27:18,937 --> 00:27:19,505
是
441
00:27:19,505 --> 00:27:20,038
電刀
442
00:27:20,038 --> 00:27:20,772
是
443
00:27:29,748 --> 00:27:34,219
確保體外循環是從升主動脈進 從右心房出
444
00:27:34,219 --> 00:27:35,020
是
445
00:27:35,087 --> 00:27:35,587
手術刀
446
00:27:35,587 --> 00:27:36,188
是
447
00:27:36,255 --> 00:27:37,189
抓緊
448
00:27:37,189 --> 00:27:40,859
就算換氣是100% 血氧飽和度也已經到80%了
449
00:27:40,959 --> 00:27:41,693
是
450
00:27:42,794 --> 00:27:44,897
對準動脈 垂直切開
451
00:27:44,897 --> 00:27:45,664
是
452
00:27:50,636 --> 00:27:51,737
不要推擠
453
00:27:51,770 --> 00:27:53,639
是
454
00:28:06,251 --> 00:28:07,686
人工心肺流量開到最大了
455
00:28:09,254 --> 00:28:10,889
停搏心臟
456
00:28:23,702 --> 00:28:25,437
我可是實習醫生啊
457
00:28:26,438 --> 00:28:27,706
這裡開始還是由朝田醫生來吧
458
00:28:27,706 --> 00:28:29,441
主刀醫生是你
459
00:28:31,510 --> 00:28:36,715
這個病人的性命掌握在你的手裡
460
00:28:47,392 --> 00:28:49,194
別磨蹭了 莫西幹
461
00:28:52,064 --> 00:28:52,998
給我血管阻斷鉗
462
00:28:52,998 --> 00:28:53,732
是
463
00:28:55,400 --> 00:28:57,469
回輸開始
464
00:29:00,038 --> 00:29:01,306
阻斷主動脈
465
00:29:01,807 --> 00:29:02,641
輸入心臟停搏液
466
00:29:02,641 --> 00:29:04,042
心臟停搏液開始注入
467
00:29:04,042 --> 00:29:05,043
準備復蘇
468
00:29:05,043 --> 00:29:06,445
復蘇就緒
469
00:29:28,633 --> 00:29:30,235
開始切開肺動脈
470
00:29:30,235 --> 00:29:30,736
手術刀
471
00:29:30,736 --> 00:29:31,370
是
472
00:29:34,873 --> 00:29:36,041
頭端放低
473
00:29:36,942 --> 00:29:39,478
加長右肺動脈的切口
474
00:29:39,711 --> 00:29:40,212
梅氏剪
475
00:29:40,212 --> 00:29:40,812
是
476
00:29:46,651 --> 00:29:47,786
就是這個
477
00:29:50,956 --> 00:29:52,758
找到血栓了
478
00:29:53,792 --> 00:29:55,894
要仔細地清除
479
00:29:56,428 --> 00:29:56,928
鑷子
480
00:29:56,928 --> 00:29:57,562
是
481
00:30:02,567 --> 00:30:03,135
膿盤
482
00:30:03,135 --> 00:30:03,869
是
483
00:30:25,357 --> 00:30:26,591
朝田醫生
484
00:30:42,674 --> 00:30:44,443
停止人工心肺
485
00:30:44,443 --> 00:30:45,243
什麼
486
00:30:48,547 --> 00:30:50,048
體外循環停止
487
00:30:50,916 --> 00:30:52,484
阻斷血液供應
488
00:30:52,484 --> 00:30:53,218
準備頭部冷卻
489
00:30:53,218 --> 00:30:53,752
是
490
00:30:53,752 --> 00:30:54,553
膀胱溫度多少
491
00:30:54,553 --> 00:30:55,821
35.2度
492
00:30:55,821 --> 00:30:56,822
開啟冷卻用的墊子
493
00:30:56,822 --> 00:30:57,722
吸引
494
00:30:57,722 --> 00:30:58,323
甘油
495
00:30:58,323 --> 00:30:59,091
是
496
00:30:59,424 --> 00:31:00,025
監視器
497
00:31:00,025 --> 00:31:00,792
是
498
00:31:00,792 --> 00:31:02,094
準備福格蒂導管
499
00:31:02,094 --> 00:31:02,861
是
500
00:31:03,195 --> 00:31:04,796
冷靜 莫西幹
501
00:31:04,796 --> 00:31:09,000
只是因為清除了血栓 末梢的血液溢出來了而已
502
00:31:18,610 --> 00:31:20,612
準備就到這裡了
503
00:31:22,814 --> 00:31:24,616
接下來你來做
504
00:31:46,571 --> 00:31:49,674
肉眼能看到的血栓全部清除了
505
00:31:50,142 --> 00:31:51,276
給肺部施壓
506
00:31:51,276 --> 00:31:52,210
好
507
00:31:54,012 --> 00:31:55,380
沒有發現血栓
508
00:31:55,447 --> 00:31:58,316
很好 剩下的就是縫合了
509
00:32:01,520 --> 00:32:02,120
恢復體溫
510
00:32:02,120 --> 00:32:02,888
是
511
00:32:09,694 --> 00:32:10,195
梅氏剪
512
00:32:10,195 --> 00:32:10,896
是
513
00:32:14,466 --> 00:32:16,134
肺動脈縫合結束
514
00:32:17,435 --> 00:32:18,703
鬆開血管鉗
515
00:32:19,070 --> 00:32:20,038
準備回輸
516
00:32:21,339 --> 00:32:22,674
回輸開始
517
00:32:23,808 --> 00:32:26,244
鬆開血管鉗 準備復蘇
518
00:32:34,186 --> 00:32:35,687
心跳沒有恢復
519
00:32:48,366 --> 00:32:49,167
鉀含量呢
520
00:32:49,167 --> 00:32:50,402
沒有問題
521
00:32:54,439 --> 00:32:58,843
回來 回來
522
00:33:00,245 --> 00:33:05,050
回來 回來
523
00:33:06,685 --> 00:33:10,188
回來 回來
524
00:33:11,056 --> 00:33:12,224
回來
525
00:33:14,025 --> 00:33:17,429
回來 回來
526
00:33:22,534 --> 00:33:23,935
監視器有反應了
527
00:33:34,145 --> 00:33:35,380
心跳
528
00:33:39,384 --> 00:33:40,919
恢復了
529
00:34:37,375 --> 00:34:41,279
都是我的錯
530
00:34:46,384 --> 00:34:50,855
因為你的處理 病人得救了
531
00:35:29,060 --> 00:35:31,363
長沼太太恢復意識了
532
00:35:36,601 --> 00:35:37,802
去吧
533
00:36:04,162 --> 00:36:05,997
非常抱歉
534
00:36:07,565 --> 00:36:10,568
如果當初診斷沒有失誤的話
535
00:36:10,635 --> 00:36:13,271
其實本來沒有做手術的必要 是嗎
536
00:36:14,205 --> 00:36:14,973
是的
537
00:36:17,609 --> 00:36:21,946
如果診斷得再仔細一點 就應該看出問題的
538
00:36:24,416 --> 00:36:27,318
真的非常抱歉
539
00:36:47,605 --> 00:36:49,641
那孩子 是小兒糖尿病那個
540
00:36:52,076 --> 00:36:53,812
竟然笑得那麼開心
541
00:36:54,779 --> 00:36:57,916
治療方法本身跟你說的一樣
542
00:36:57,916 --> 00:37:00,919
只能不斷注懾胰島素
543
00:37:01,186 --> 00:37:07,158
但是朝田認真面對病人的不安
544
00:37:07,158 --> 00:37:12,263
解釋了今後只要跟病魔共存就行了
545
00:37:13,198 --> 00:37:18,369
只要堅持注射 就能跟其他孩子一樣健康地生活
546
00:37:18,436 --> 00:37:24,609
將來也有可能開發出更簡單的療法
547
00:37:25,710 --> 00:37:29,647
只有被病人信賴的醫生 才是真正的好醫生
548
00:37:30,949 --> 00:37:34,886
病治好了 病人就會笑
549
00:37:34,886 --> 00:37:39,390
並且 會對我們說謝謝
550
00:37:40,959 --> 00:37:43,061
沒有比這更讓人高興的事了
551
00:37:44,362 --> 00:37:46,965
所以 櫻井醫生您
552
00:37:47,732 --> 00:37:50,768
有些事只有醫生能做到
553
00:37:51,569 --> 00:37:56,407
所以我想做醫生到最後一刻
554
00:38:10,788 --> 00:38:13,057
為什麼這裡會有
555
00:38:13,091 --> 00:38:14,425
這麼多魚
556
00:38:25,270 --> 00:38:27,705
過來 過來下
557
00:38:31,709 --> 00:38:33,378
魚寄到了嗎
558
00:38:34,712 --> 00:38:37,215
寄來那麼多 謝謝了
559
00:38:37,215 --> 00:38:38,583
別在意
560
00:38:38,583 --> 00:38:41,553
那些 全是賣不出去的小魚
561
00:38:42,153 --> 00:38:45,890
但是啊 那些小魚可是最好吃的
562
00:38:46,357 --> 00:38:48,259
早川醫生
563
00:38:51,362 --> 00:38:56,467
早川醫生
564
00:38:56,501 --> 00:38:58,169
醫生
565
00:39:01,272 --> 00:39:02,740
把胳膊伸出來 我要抽血了
566
00:39:02,740 --> 00:39:05,276
什麼 唯獨這個你饒了我吧
567
00:39:05,276 --> 00:39:06,311
別這樣 今天我會好好做的
568
00:39:06,311 --> 00:39:07,245
我不要
569
00:39:07,245 --> 00:39:08,813
你們大家的也是我來
570
00:39:13,251 --> 00:39:14,285
特地要你來一趟 不好意思
571
00:39:14,285 --> 00:39:15,553
突然這是怎麼了
572
00:39:15,553 --> 00:39:17,355
竟然說要聽聽培訓計畫
573
00:39:17,355 --> 00:39:19,724
我想有時間的話就參加一下
574
00:39:20,325 --> 00:39:22,327
請跟我詳細說一下
575
00:39:23,194 --> 00:39:24,329
怎麼了
576
00:39:25,330 --> 00:39:29,367
可以嗎 已經過了五點了哦
577
00:39:31,936 --> 00:39:34,906
才五點而已
578
00:39:36,908 --> 00:39:38,076
拜託你了
579
00:39:52,523 --> 00:39:56,227
岡村征 Entlassen
580
00:39:57,895 --> 00:40:00,298
他的任務完成了
581
00:40:00,298 --> 00:40:04,535
關鍵的朝田還沒有弄到手
582
00:40:04,769 --> 00:40:08,806
關於這個 Miss鬼頭 我想交給你來
583
00:40:16,581 --> 00:40:19,017
無論多曲折
584
00:40:19,417 --> 00:40:23,221
河流終將入海
585
00:40:24,522 --> 00:40:26,658
印度諺語
586
00:40:27,859 --> 00:40:29,727
岡村與朝田
587
00:40:30,261 --> 00:40:35,166
我怎麼都覺得 這兩個人正在流向同一片海呢
588
00:40:36,000 --> 00:40:40,571
等到遊說者被人遊說了 可就遲了
589
00:40:40,772 --> 00:40:45,376
要得到朝田 岡村是必要的
590
00:40:47,245 --> 00:40:50,782
你還完全不瞭解那個男人
591
00:41:15,306 --> 00:41:16,708
辛苦了
592
00:41:17,075 --> 00:41:19,877
邁克醫生願意接受手術了嗎
593
00:41:20,878 --> 00:41:22,914
我寄去了櫻井醫生的病歷
594
00:41:22,914 --> 00:41:26,651
在得知不止腦部有病 心臟也有問題後
595
00:41:26,651 --> 00:41:29,087
回信說了手術可行
596
00:41:29,087 --> 00:41:30,321
是嗎
597
00:41:31,189 --> 00:41:32,123
只是
598
00:41:34,459 --> 00:41:35,393
只是什麼
599
00:41:38,062 --> 00:41:40,965
手術要等到2年以後
600
00:41:42,467 --> 00:41:44,669
世界各地都有病人找他
601
00:41:45,036 --> 00:41:48,106
手術的預定已經排到2年以後了
602
00:41:48,306 --> 00:41:51,509
而且費用在5000萬以上
603
00:41:54,979 --> 00:41:57,148
美國是自由診療的國家
604
00:41:58,883 --> 00:42:00,818
病人可以選擇主刀醫生
605
00:42:00,852 --> 00:42:03,788
醫生根據其實力得到報酬
606
00:42:03,788 --> 00:42:06,924
本身是這種體制 沒有辦法
607
00:42:07,158 --> 00:42:12,163
朝田希望手術在2個月以內進行
608
00:42:12,430 --> 00:42:13,431
2個月
609
00:42:13,431 --> 00:42:14,999
如果超過2個月
610
00:42:19,270 --> 00:42:22,306
櫻井醫生就會有危險了
611
00:42:29,447 --> 00:42:31,082
竟然要等2年
612
00:42:31,315 --> 00:42:35,119
真是的 明明是第一個說可以做手術的醫生
613
00:42:35,453 --> 00:42:38,856
除了邁克以外 沒有能做這個手術的醫生
614
00:42:39,690 --> 00:42:40,458
咦
615
00:42:40,992 --> 00:42:41,692
幹嘛
616
00:42:41,692 --> 00:42:46,330
不是 邁克醫生在2004年的時候
617
00:42:46,330 --> 00:42:47,965
好像還是第二外科醫生
618
00:42:47,965 --> 00:42:49,667
是指還有更厲害的人嗎
619
00:42:50,668 --> 00:42:52,837
但是資料被刪除了
620
00:42:53,771 --> 00:42:56,073
寫著這人放棄從醫了
621
00:42:56,407 --> 00:42:58,342
結果還是只有邁克醫生一個人
622
00:42:58,342 --> 00:43:00,478
等於又回到原地了嗎
623
00:43:00,478 --> 00:43:02,246
怎麼辦 朝田醫生
624
00:45:09,941 --> 00:45:11,676
將軍
625
00:45:45,509 --> 00:45:49,814
聽說要用巨額資金找美國的腦外科醫生來
626
00:45:49,814 --> 00:45:51,682
有周產期心肌病的可能
627
00:45:51,682 --> 00:45:53,217
周產期心肌病
628
00:45:53,217 --> 00:45:56,420
醫生救病人 沒有任何借貸關係
629
00:46:11,102 --> 00:46:15,072
不管是多麼優秀的醫生 都有救不了的病人
40815
