实习医生格蕾 S18 E4

第四集 With a Little Help From My Friends

Surgeons like to believe they're the center of the universe, that their million-dollar hands are the only thing that matters. You only need a scalpel and a patient to use it on. No one else. I used to believe it, too. But that was before I had kids. Truth is, from the time your patient first gets sick to the time they're lying on your table, a team of internists, specialists, and nurses have all already interacted with that patient more than you ever will. I've had to operate alone before in circumstances I would've never thought possible. By now, I know what I'm capable of, how much I can handle on my own. And you know what? I can handle a lot. But that doesn't mean I'm going to turn down an assist from another pair of skilled hands. Because at the end of the day, just because I can do a surgery alone, doesn't mean I have to. Knowing someone else has your back? It's everything.

——Meredith Grey

“韦伯教学法”强调“work smarter, not harder”，虽然从业外人士以及未来潜在患者的角度来看会两个都想要，既聪明又努力不行么？但是解决医生数量逐渐下降的问题，韦伯的方法可能会真的见效。一天完成了13台腹腔镜胆囊切除术。

这规模令人想起第五季的第五集，S5E5 There is no "I" in Team，贝利组织的那场涉及12个人六对肾脏移植的多米诺手术来。

《良医》S4E10搞过移植链。但目前看写得最好的还是Grey's Anatomy S5E5。

手术中闪光的还是施密特，编剧现在偏爱他，着墨甚多，情场也颇得意；作对比的是Helm，腹腔镜术中误伤静脉，不得不转身开腹。近年来编剧写实习生群戏的功底不及以前，其他实习生还是面目不清，其中有个实习生在手术前模仿了Amelia的超人动作，令人好奇背景故事和当时的互动，前人激励后者可以非常励志。在大规模的手术教学中成功和失败都有意义，学会求助也很重要，前来救场的贝利直接推开了Helm，浪费了一个宝贵的教学机会，好在后面做了补偿，两人下班后有一场暖心的谈话。即便是已经成为传奇的Meredith Grey在当年的肾脏移植多米诺手术中也曾失手将健康肝脏掉落在地。

艾迪森多停留了一集，是意外的惊喜，患者完好无损对她本人的意义更大一些，与Amelia推心置腹的谈话揭示两人都有过的暗黑经历。观众也更清楚地了解了Amelia的想法——但是，为什么不这样与林克聊聊呢？

Joe成功地接生了孩子。这条线更有意思的是孕妇与她仅相识了一个月的男友，嗯，可能叫床伴更恰当。说实话我觉得这位男士并没有义务陪产，但这位女士口口声声骂渣男，非常真实的人间写照。

Maggie继续失踪，温斯顿与欧文再次联手，两人合作默契，但欧文这次的患者老兵几乎一出场就知道结局不妙，欧文也因此受到Noah的指责。下班后心情不顺畅，与Hayes一起喝一杯，这个安排很有意思，因为Hayes一整天都在接治梅根的孩子，还要保守她的秘密。感觉Hayes和欧文快要成为亲戚了，梅根的孩子应该不会有事，将来两方组成一个大家庭。

本集三首歌：

Something New / TIGGS DA AUTHOR【实习生联合大手术，韦伯、Mer和贝利在各个手术室穿梭】

The Coast / NOAH GUNDERSEN【艾迪森和Amelia与子宫移植患者交谈；Joe接生了尼基的宝宝】

Puzzle Peace / SAILR【结尾】

本季前三集的画外音：

S18E3 Hotter than Hell

When the body's exposed to rising temperatures, it has the ability to cool itself down. We sweat, our blood vessels dilate, and our heart rate increases. Our body releases as much excess heat as it can. But when the temperature starts to inch above 100 degrees, our bodies have to work overtime, leading to heat exhaustion. We become nauseated, dizzy, and confused. And we fight like hell to cool down before it's too late. For me, the boiling point is more about stuff bubbling up from the bottom. It's about stuff you haven't thought about in a while. It's about stuff that's been heating up while you weren't even paying attention. The question is, how well can you contain things before they boil over? The thing is, even if things don't boil over completely, they can still simmer. And as long as you're careful how you handle yourself, you won't get burned. ”

— Meredith Grey

S18E2 Some Kind of Tomorrow

Homeostasis is our body's way of maintaining a consistent and steady internal state. Multiple system work in sync to regulate factors like temperature, blood pressure, even sodium levels. These systems are designed to resist and combat anything that tries to throw our bodies off. It's a continual loop with checks and balances. Until something manages to break the cycle. There is such a thing as predictive homeostasis. It's when our body anticipates responses to future challenges. It understands that change is inevitable and doesn't have to be catastrophic. ”

— Meredith Grey

S18E1 Here Comes the Sun

Several years ago, someone welcomed me to the game. They said how well I played, that was up to me. The competition was tough. The mentors were even tougher. I pushed myself to the breaking point. And I didn't crack under pressure, even though, let's be honest, I probably should have. I've played the game pretty damn well. Or so I thought I did. You try just as hard. You do the same things you've done for years, even better than you used to. But what if it still doesn't feel like a win anymore? Does that mean you've stopped playing? No. It means it's time to change the game. ”

— Meredith Grey