All language subtitles for Medical Investigation 1x07 alienation [hdtv vfua]-eng

자막제작 - NSC 자막팀
(http://club.nate.com/tsm)

You won't be wearing that long.

Sarah, you're not a little girl.

Thanks, Melanie.
You're the best.

You know you have to try it on.

- What?
- Come on, model it for us.

- Please, you guys.
- It's not a request.

It's a demand.

Don't be nervous, honey.

It's just marriage.

All right!

- We're waiting.
- How's it look?

I'm coming.

Darling, if you are in
there shaving your legs...

Don't even bother, because nothing
can ruin romance like fresh razor burns.

You guys, I need...

We're still waiting.

Sarah, are you all right?

Hello?

Sarah?

Oh, my god.

Just...

Just stay calm, Sarah.

Ashley, get some help. Please.

Medical investigation
시즌 1. 제 7 화. Alienation

영어대본
김철균(kim1047@nate.com)

자막편집/싱크
남효주(hyojunet@nate.com)

한글자막
(http://club.nate.com/tsm)

닐 맥다노우
(스티븐 코너 박사 役)

켈리 윌리엄스
(나탈리 듀런트 박사 役)

크리스토퍼 고햄
(마일즈 맥케이브 박사 役)

안나 벨크냅
(에바 로시 役)

트로이 윈부시
(프랭크 파웰 役)

ORIGINAL AIR DATE ON NBC: 2004/10/29

Miles.

You know, you'd think with a $28 billion budget
we'd be able to get a decent cup of coffee.

Let's go.

Maybe some cream.

All right, everybody,

Listen up.

Two days ago...

Sarah Doyle lost consciousness at her
bridal shower with flu-like symptoms.

24 hours later...

five other patients were admitted
with the same symptoms,

fever, chills, chest pains
and confusion.

- Three of them are now dead.
- Any initial commonalties?

All six were female, and they lived in
the same suburb outside of Philadelphia.

The flu doesn't
usually lead to confusion.

Yeah, not even the spanish flu.

We might be looking
at something neurological.

The respiratory distress could be
cutting off oxygen to the brain.

We should also look for some sort
of toxicity or chemical abuse.

Six stoned suburbanites.

It wouldn't be the first time.

We go to Philadelphia.

Do any of these three patients
have a medical history?

Minimal. One has a history
of hypertension.

And all three are non-smokers.

How about the three that've died?

The coroner hasn't released
the autopsy results.

Eva, contact the coroner's office.

Have him send those results
as soon as possible.

Dr. Eckhart, where are you
in initial testing?

We've started testing for viral
and bacterial pneumonia.

What about fungal?

If it's even a cousin of pneumonia,
we're testing for it, doctor.

Whatever this is irritates the lungs.

It may be an aerosolized pathogen.

Houses in the burbs are always
being rebuilt, repainted, fumigated.

I'll start with toxicity
tests and blood cultures.

These are the three surviving patients.

Sarah Doyle, 27, fell
at her bridal shower.

Kathy Owens, 42,
Mary Johnson, 55.

Sarah Doyle was
the first reported victim?

That's right. Her fiance,
Alex has not left her side.

McCabe, I want you
attending on this one.

Thank you, Dr. Connor.

Dr. Connor and I are gonna need some
substantial lab time while we're here.

Of course, it's this way.

Sarah's in great shape.

She even ran a 5k
for charity a week ago.

Ever hear her complain of
fatigue, chest pain, fever?

She said she's never felt better.

What about the other patients,
does she know any of them?

You're sure? / Look, we've
been together for three years.

I know all of her friends.
She knows all of mine.

What does she do for a living?

She's an art teacher.

She paint? / Yeah.

She works in oils, mostly.

Does that mean something?

It may. It may not.

Was she taking any medication?

She had a cold a few days ago.

Uh, sniffles, a minor cough.
Why is that important?

Alex,

I know that this is difficult,

but if we're gonna help Sarah,
we need to know everything about her.

Nothing is insignificant,
including her state of mind.

The only thing on her mind was the
wedding, where we were gonna live.

After fighting about it for awhile,

I decided I was gonna sell
my place and move into hers.

We're going to need
access to her home.

I'm guessing you have
your own set of keys.

Yeah.

Whatever killed the first three victims

is slowly killing the other three.

The initial autopsy reports
Eva received confirmed all three died

when the cells in their lungs were
destroyed, impairing their ability to breathe.

- That's a tough way to go.
- Which X-ray is Sarah Doyle's?

- Here.
- Well, she's lucky.

Her lungs appear to be in better
shape than the others.

It's not luck. There's no way of knowing
her level of exposure to whatever this is,

or predisposition compared
to other patients.

What else can you tell us?

Uh, she is an artist, so she may have been
overexposed to fumes from her oil painting.

Makes toxic gas exposure
worth looking into.

How does that play into the blood
cultures you're running?

There's no growth.
They're still pending.

Okay. Miles, you stay bedside.

If there are any visitors,
ask questions.

I want to know what connects Sarah Doyle
to Kathy Owens to Mary Johnson.

I'll keep a watch on the cultures and
compare our results against Dr. Eckhart's.

Great. Powell, you're
with me. Let's go.

Looks like nothing's been touched
since the bridal shower.

Even the cake's still here.

You smell that?

Paint fumes.

Miles said she's an artist.

Toxic paint fumes wouldn't explain
why the unrelated women got sick.

Unless some of
the others are artists.

Bag some samples.

Whatever caused
her sickness is here.

I want to find it.

McCabe.

Miles,

I want you to check the dextromethorphan
levels of all the patients and the victims.

Are you thinking
possible DXM overdose?

That could be the toxic exposure.

The symptoms match.

Blurred vision, hallucinations,
loss of consciousness.

With the right amount,

the reaction to the ingredients in cough
medicine can have the same effect as PCP.

Okay.

Looks like Sarah Doyle
has a lot of bridesmaids.

Sarah must get sick before
she gotta hand out her gifts.

What do these go for,
a couple hundred a pop?

You're asking me?

Right.

Connor.

You've gotta come
back and see this.

What do you got?

I checked it five times, to be sure.

Boxcar-shaped gram-positive rods
are present in all the patients.

Are you absolutely positive?

I've already called Eva.

She's going to
be busy on this one.

I'm on my way.

What is it?

Anthrax.

Anthrax? Should I put
out a health alert?

No, put out an EI-exchange,

since it only goes out to
the state's department of health.

There's no reason to incite a panic.

Well, I'll talk to the family
members of the patients.

And keep the press
two steps behind us.

That's what I do.

- Miles. / - Thank you.
- Where do we start?

We need to know if the source of the
anthrax is from something they ate,

touched or inhaled.

I'll check for acute inflammation
on the intestinal tract

to rule out gastrointestinal anthrax.

Any black lesions on Sarah Doyle?

None so far.

All right, then most likely it
isn't something they've touched,

or we would've already
seen the open sores,

but check again.

If it's inhalational exposure,
what's the fatality estimate?

75 percent.

Why is Sarah being moved?

Her fiance asked for a private room.

He said if these are her last days,
he'd like to spend them alone with her.

Okay.

How are we doing with
the other two of them?

I'm pushing two million
units of penicillin G-IV

every three hours and added cipro.

I want our team and the staff
treating these patients

given the anthrax vaccine,
and put on cipro as well.

Stephen, I know the vaccine isn't
available to the general public,

but what about
the patients' families?

As soon as the vaccine
arrives safe from NIH,

administer it to the families.

But they may have
already been exposed.

I'll take care of it.

Connor.

I'll be right there.

Agent Borman.

Stephen.

Good to see you again.

Didn't take the FBI long this time.

So, what kind of anthrax
are we dealing with?

Well, we're narrowing
down the possibilities.

Is there any indication whether it's naturally
acquired anthrax or weapons grade?

Well, right now,
we can't rule out anything.

So we can't rule out bioterrorism?

Remember the slaughterhouse?

Three farmers infected with anthrax
simply by petting their cattle.

They were back
to good health in a week.

Let's just hope we have
the same thing here.

Ah, let's hope.

How much longer till this is
taken out of my hands?

I can't promise anything.

That doesn't change my question.

You keep us in the loop.

When we find anything,
you'll be the first to know.

How are you doing?

It's been a long day.

I can only imagine.

but she's in good hands.

Anything that can be
done is being done.

Alex, there's never a good
time to bring this up.

God knows you've been
through enough already,

but I just want to make
sure you understand

the confidential
nature of what we do.

What I'm saying is...

no one has to know that Sarah's
been exposed to anthrax.

You're going through enough.

I wouldn't want reporters
beating down your door.

If they hear about anthrax,

they will.

Do you understand?

Sure.

I've checked all three patients.
None have any lesions.

That helps rule out
cutaneous anthrax.

According to the coroner,

there was no inflammation of the
gastrointestinal tract in any of the victims.

Okay, we can eliminate anthrax
contamination through touch or ingestion.

That just leaves inhalation.

Are there any side effects of
this vaccine I should know about?

Very mild headaches, itching
or fatigue in one out of five.

Oh, and a very sore arm.

One, two, three, four.

Oh, yeah, right.
Eva makes five.

Natalie, where are you with testing?

The cough medicine came back
negative for any traces of anthrax,

and Sarah's blood work showed no signs
of toxic gas poisoning from the paint fumes.

I just got a hit on the EI-exchange.

- How many?
- Five more cases.

They're being transferred here now.

This is a different crowd.

They're all African-american men.

Miles, start by taking a patient.

Powell, start by asking questions.

- If anything stands out...
- I know where to find you.

- Natalie?
- I'll start with an antibiotic push.

Check all their cultures
for gram-positive bacilli.

Eva, tell NIH the amount of anthrax
vaccine needed just doubled.

Dr. Connor?

Ian, this is Dr. Connor.

It is my pleasure to meet you.

Oh, the pleasure's mine.

How long have you had this?

- Just a few days.
- Does it hurt to touch?

I don't feel anything.

Any idea what may
have caused this?

I've seen spider bites like this
many times in Nigeria.

It's going to heal okay, am I right?

I'm sure you're gonna be fine.

Right now, I need to know
everything that you've done,

who you've seen,
where've you been,

what you may have touched.

What do you do for a living?

I am a college student.

A junior.

Where do you work?

Where do I work?

Uh, for a job.

You work on campus, off campus?

What are you going to do with that?

This will help us confirm that
the patients here at the hospital

have the same symptoms that you do.

Dr. Durant.

Are you saying there are more sick
people than those I have come in with?

Yeah, I'm afraid so.

Would you excuse us
just for a second?

Cutaneous lesion. He came
in direct contact with the anthrax.

I don't think he even
knows he's been exposed.

But he might help us find the source.

I'll start with his
culture first. / Good.

Miles,

take his chest X rays.

I want to know exactly how much
contact he's had with anthrax.

Okay.

Hi. Could I use your fax machine?

That's fine. / Thanks.

You with NIH?

That's cool.

Do you know that gentleman?

No. Never seen him before.

Do you have change for a dollar?

Get what you want.

It's on me.

You must not be from around here.

Sure I am. I was born and bred
in the city of brotherly love.

I love it. You could teach a few men
I know a thing or two.

I'll take the granola bar.

Watching your weight?

No. Should I?

Don't change a thing.

Thanks.

So, uh, are you here
visiting a patient?

Yeah. You?

Uh, just in for a physical.

How'd it go?

My physical?

Yes.

It went well.

How was your visit?

Good. Very good.

I got what I needed.

Okay,

let's cut the crap.
Who do you work for?

Philadelphia chronicle.

You must be Eva Rossi.

You look shorter in person.

I read your bio
on the NIH web site.

Oh, a reporter
who does his homework.

What a new twist. So...

Why don't you tell me
what you know.

So you can deny it?

No problem.

Three people are dead of anthrax.

The citizens of Philadelphia
should be the first to know

there's bioterrorism
running rampant in their city.

The citizens, or just your readers?

Well, that will be a win-win.

Tell me who your
misinformed source is,

before they make our
investigation any more difficult,

and I'll give you an exclusive
on the real story.

I'm not revealing my sources
to NIH or anyone else.

The fallout of publishing
this story too early

will risk the lives of the same
people you're trying to inform.

Too early?

That's a curious choice of words.

Don't get in my way, Mr. Hodge.

Stephen, we have a problem.

Someone's been talking to the press.

Someone?

A reporter from the Philadelphia
chronicle has the story.

My best bet,

is that "bioterrorism hits Philadelphia"
is gonna be the top story in the late edition.

Which means you only have a
few hours to do damage control.

Natalie, have you been able to
identify the strain of anthrax?

The good news is, None of the patients have
the strain used in the bioterrorist attacks of 2001.

The aames strain. / Right.

However, the strain I did
identify resembles moz-1,

an African isolate
found in Mozambique

that usually comes from farm
animals or animal products.

- Animal products.
- Wool, leather, fur...

Wait a minute. Africa.

- One of them is from there.
- Ian Adoti.

Right. What've you got
from his culture?

I confirmed his wound is due
to cutaneous anthrax exposure.

Which means he was infected
through a cut or incision.

I also ran an X-ray on him.

He shows signs of mediastinal
widening in his chest,

just like the first three patients.

So what do Ian and these new
patients have in common

with Sarah Doyle and the others?

- How are they connected?
- I'll talk to her fiance?

You know, in cities like Philadelphia,

people may not cross over that
invisible line that separates them,

but bacterial agents do.

We have to find out how.

Everything I know, Dr. Connor.

Are you sure about that?

Yes, I am sure.

We haven't told you everything.

Ian, you've been exposed to
anthrax in two different ways.

Cutaneous and inhalational.

We've already started medicating you

and we're doing everything
that we can,

but we still need to know how
you came in contact with anthrax.

But I don't know.

Have you recently come in contact
with imported wool items...

leather, animal products...

Such as meat?

Yes.

My hands...

work with meat.

You're a butcher.

Yes. With my friends.

We work part-time.

We sell meat from a shop.

Where exactly is that shop?

In the Nigerian community.

And the shop owner's
name is Mr. Ndulu.

North Phil...

Please, what have I done wrong?

I can fix it.

You haven't done
anything wrong, Mr. Ndulu.

One of your employees,
Ian Adoti, is very sick.

We think the source of that sickness
came from right here inside this market.

In my establishment?

Not possible.
I've been here for 20 years.

Mr. Ndulu, we're gonna need to
test your meat and send it to our lab.

But I have a family
to feed, employees.

What are my customers
going to think of me?

We're gonna do everything we can
to make this as easy as possible.

Mr. Ndulu, this way.

Why are they,
why are you doing this to me?

Miles was right.

I'm going vegetarian.

If Ian cut his hand on this machine,

then came in contact
with contaminated meat,

that's how it may have entered.

Through a crack in the skin.

But that doesn't explain
his inhalational exposure.

Maybe the meat
aerosolized. / How?

Through the cutting process.

Particles of aerosolized
meat may have traveled

through the ventilation system to
the front where the customers were.

No. That's not likely.

And it's not likely Sarah Doyle bought meat
from a butcher 30 miles from her house.

- McCabe.
- Ask Sarah's fiance

if she ever bought
meat from Ndulu's quality meats.

What part of town is it in?

- North Philly.
- Well, then the answer's no.

Miles, just ask.

Dr. Connor, I already have.

I talked to him about
where Sarah works, where she shops,

where she spends her time.
He told me she doesn't cross that

invisible line we talked about.

- How's she doing?
- The treatment's kicking in.

Her lungs are clearing,

breathing is stabilizing.

And the others?

- The same.
- Keep me posted.

Powell!

- We're here to help.
- Hold on, hold on.

- Relax, relax.
- Hey, hey, hey.

Why are you running?
You're sweating.

How long you been like this?

Quiet. Please.

It's solid.

His lungs are consolidated.

He's been exposed. Let's get him
to a hospital soon as we can.

Eva. / Hey.

Stephen wants you to start working on
broadening the search for other patients.

I'll do it as soon as I finish
the press conference.

I'm on my way there now.

Since the anthrax isn't a threat, why is
the press conference still a priority?

Because Randall Hodge is
gonna run with a bioterror angle

for the sake of a sexy headline,

and the potential public hysteria caused
by an erroneous leak from a sleazy source

is only gonna make
our jobs more difficult.

Give them hell.

We're taking every prudent
measure to protect the city.

That is why the CRI,
the cities readiness initiative,

is prepared to deploy
antibiotics, if necessary.

I will be able to answer
your questions in more detail

as soon as our
investigation is complete.

In the meantime, there's absolutely
no reason to create fear.

The people of Philadelphia should
go about their daily lives as usual.

I have time for one last question.

Yes, sir.

Ms. Rossi, regardless
of your opening statement,

my source reports that,
in fact, this is bioterrorism

and whether it's naturally acquired
anthrax or weapons grade,

three people have died,

and as far as their families are
concerned, they've been terrorized.

What's your response to that?

Mr. Hodge, your source is wrong.

This is not bioterror.

If it were, you all would have been medically
screened before coming on the premises.

If this were a biological attack,

a high-level suit-and-glasses type from
homeland security would be addressing you,

not me.

Our team is in control and doing
its very best to come to a resolution.

Thank you.

Ms. Rossi! Ms. Rossi!

McCabe.

A guy named Wali Tunde who works
with Ian at the butcher shop

is on his way to the hospital.

Is he another anthrax case?

I believe so, but
he doesn't speak English.

Get Ian to help us.

How long have you
been in the states?

Eight months and four days.

Did you arrive alone?

My brother was
supposed to join me,

and he got cold feet...

and stayed in Nigeria.

I have not heard from him.

How long have you
been a meatpacker?

That is only my job.

I am not a meatpacker.

You're right.

How long have you
worked at Ndulu's?

Four weeks.

The work is hard, but when
I am well enough, I will return.

What are you doing?

Giving you more oxygen
and medication.

Help your breathing.

I should have known that.

We went over it in physiology class.

Are you pre-med?

I have wanted to be a doctor
ever since I can remember.

No sleep, no friends,
no dating, ever.

You ready for that?

Yes.

All those things.

Wali?

That is my friend.

What is he doing here?

Your friend's very ill, Ian.

Unless we can talk to him,
we can't help him.

We need your help.

Me? What can I do?

You can talk for us.

Think of him as your first patient.

Whatever you need of me.

We need to know if someone was taking
care of him before he became sick.

Does Wali Tunde have a doctor?

I only gave Mr. Tunde
medication for his condition.

That is all.

Wali is very ill, Dr. Onyiuke.

He inhaled the anthrax
bacterium into his lungs,

possibly damaging his alveoli.

You know as well as I do that leads
to respiratory arrest, even death.

He's telling you the truth.

We need your help so
that others don't follow.

What is it you want to know?

Have you had any patients
with anthrax symptoms?

If so, did they talk about how
they may have been contaminated?

Did you hear me, doctor?

I will need certain assurances.

Assurances?

I need to know that you
will not contact immigration.

We're here for answers, doctor.

We're not interested
in deporting anybody.

Do I have your word?

You have my word.

And yours?

You do.

Come.

You must take good care of them.

Ndulu's meat market tested
negative for anthrax.

How are the men?

Three have a severe case of
cutaneous and inhalational exposure.

- And the others?
- Inhalational only.

Natalie's making them
as comfortable as she can

but the three with cutaneous exposure,
they're not likely to make it.

You know, they come to this country
illegally for a better life,

but without papers,
they're afraid to ask for help.

How can dying in America be better
than returning to Nigeria?

Maybe you're asking yourself
the wrong question.

Once they're here, why do
we turn our backs on them?

The sick men all
share this apartment.

They all moved here from
Nigeria three weeks ago.

Whenever they entered the country,

they may have brought a from of
naturally acquired anthrax with them.

Glove up.

The landlord paid two of them
to work around the building.

The others, they did
odd jobs around town.

Maybe it's the work that connects
them to Sarah and the others.

Musicians.

There's nothing here.

The landlord also said something
about selling products at a flea market.

Here's cologne...

clothes...

Different food,
different social circles,

different part of town,

but something links them with Sarah
Doyle and the other anthrax victims.

Whatever it is.

Check this out.

That's the same bag
we found at Sarah Doyle's.

Bridesmaids' gifts.

McCabe.

- Is Sarah Doyle conscious?
- She's in and out.

Ask her where she bought the designer
handbags for her bridesmaids.

Dr. Connor, she's not fully recovered.

McCabe, just ask her.

Sarah, can you hear me?

We need to know where you bought the
designer handbags for your bridesmaids.

They're fake...

She says they're fake.

She bought them at an African
street market in North philly.

That's where we are now.

Good job.

Well, I am glad to see
you're feeling better.

So am I, Dr. McCabe.

Come on in.

Love philly.

How many people do you suppose pass
through this intersection on a given day?

In this part of town,
hundreds, maybe a thousand.

All right,

up to a thousand possible contacts
with anthrax in this intersection,

and only 17 reported cases?
How could that happen?

I don't know.

Anthrax is transferred by
contact with infected animals.

If people bought infected clothing...

or ate infected meat...

that would cause at least
a hundred cases, not 17.

It has to be something more specific.

We're looking for a mode of anthrax
transfer that is both tactile and breathable.

- Excuse me.
- I have a license.

That's not why I'm here.

Do you usually perform
with five other musicians?

No. We don't.

They usually grab a spot over there.

But I haven't seem them
with their drums all day.

Thanks, man.

Sarah Doyle came here to buy
handbags for her bridesmaids.

Knockoffs.

She heard the music being played.

And we know that at least one
of them was playing a drum.

How were they all exposed?

Drums...

The surface of the drums is
made of stretched animal hide.

If the animal hide were infected
with naturally acquired anthrax...

the pounding of the drums
would've aerosolized the spores,

infecting anyone playing...

or getting too close to the drums.

The answer isn't here.
It's back at their apartment.

We found it.

An African drum.

Seems so harmless.

If anthrax can live on its surface
for years, it's not so harmless.

It's the same African strain
found in Mozambique

we identified in the lungs
of all the patients.

As well as the cutaneous
lesion on Ian's hand.

The spore encapsulates the
bacteria with a protective shell.

Of course, it can't hurt you
unless you touch it or inhale it.

In this case, pound
the crap out of it.

You know, remind me to keep my bongos
in the closet at the next NIH party, huh?

The risk of naturally contracting
anthrax is very low in the U.S.

You definitely broke the mold.

When can I go home?

A few more days,

then in a couple of months,
you'll be back to your old self.

It doesn't matter, Dr. McCabe,

because the vows say
"in sickness and in health," so...

he's stuck with me either way.

I'll be right back.

Okay, great. Thank you.

Excuse me.

It was me.

I'm sorry?

Mr. Hodge, the reporter.

I called him.

Why?

Why would you get in the way
of us trying to help?

Don't you realize that...

You weren't my priority, Ms. Rossi.

Sarah was.

Before you got here,
three people died.

No one knew about it,

nothing was being done, I mean...

What would you have done?

If I had what you and Sarah have,

not only would I have called the press,

I would have called the national guard.

Your O2 sats are
above 80% on room air.

What does that mean?

It means there's room
for improvement.

And the others?

We're doing everything we can.

I mean, will they be deported?

It's unlikely they'll be able to stay.

But you did everything
you could for them, Ian.

Thank you for you help.

Join me?

Step right in.

Long day.

Since when have
we ever had a short one?

Miles tells me that Sarah's wedding
is planned for the end of the month

and that two other women are
well on the road to recovery.

Powell has tracked down
the last of the drums,

including the one
that Wali sold to Ian.

The other owners have been vaccinated
and given a prophylactic dose of cipro.

You beat a drum,
celebrate life, and...

You come close to dying.

Three of them did.

Three more might.

We saved a community today.

That's worth something.

What?

You know, the fifth and sixth
plagues in the book of exodus

could've been the outbreak
of anthrax in cattle and humans.

No plagues today.

No.

No plagues today.

You want me to close your door?

I'm going for a little walk.

You do good work, Natalie.

We do good work.

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