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1、本集内容涉及心理健康及自杀请斟酌观赏一个细胞遭到感染破坏时Whenaninfectiondestroysacell,周围细胞会互相通知进行围堵thesurroundingcellssignaleachothertowallitoff.救命，我做了尼森胃底折叠术，我无法吞咽Help.IjusthadaNissenfundoplicationandIcantswallow.我怎么了？Whatshappeningtome?你是你，或仍是食道弛缓不能的50岁男性？Areyouyou,orareyoustilla50-year-oldmanwithachalasia?上面没写Itdoesntsay.它们
2、隔离受感染的细胞，避免它扩散Theyisolatetheinfectedcelltopreventitfromspreading不让它危害身体其他部位andharmingotherpartsofyourbody.你觉得他们以后还会讲话吗？Youthinktheyllevertalktoeachotheragain?不知道，管他的Dontknow,dontcare.只要他们完成处置纪录就好Aslongastheyfinishtheirprocedurelogs.而且我忙着把你送回手术室Besides,mtoobusyrushingyoubacktotheOR松开你胃部的折叠toloosenthe
3、wrapofyourstomach.答对，你获得薯条CorrectYougetafry.隔离是暂时的，但这么做很重要Theisolationistemporary,butimportant.我比较喜欢你那晚用的学习法Ipreferthestudytechniqueyouusedtheothernight.我不会在这里脱衣服mnottakingmyclothesoffhere.这能给身体时间触发免疫系统Itgivesyourbodytimetotriggeryourimmunesystem阻止感染扩散andstoptheinfectionfromspreading.今早你买♥&he
4、arts;了里欧爱的优格没？Didyoupickupthoseyogurtthingsthat1.eolovesthismorning?抱歉，来了车祸伤患Sorry.AnMVCcamein.普儿有过只吃两种东西的阶段吗？Hey,doesPrugothroughthosephaseswhereshellonlyeattwothings?我们家目前是优格和全麦饼干Wereatyogurtandgrahamcrackers.我们家处于把食物藏在盘子下假装吃了的阶段Oh,Weareat,mgoingtoshovefoodundermyplateandpretendthatIateit.-贝利，今晚有计
5、划吗？有的-Anyplanstonight,Bailey?-Ihaveplans.我计划洗个澡1haveplanstotakeabath,七个小时不去想实习生andnotthinkaboutinternsforsevenhours.然后我还要去AndthenImalsogoingto.急诊室.thepit.我要去急诊室，多名伤患？mgoingtothepit.Multipletraumas?对，我也要去，我会呼叫实习生Yeah,metoo.llpagetheinterns.好，我会买♥♥优格，祝你好运Allright,llpickuptheyogurt.Goodlu
6、ck.直到不需要隔离为止Untilisolationisnolongerneeded.今晚准备好没？Readyfortonight?我的提议你肯定无法拒绝,mgonnamakeyouanofferyoucan,trefuse.-那是什么？-教父-Whatisthat?-TheGodfather.电影之夜-Oh.-It,smovienight.我们要待命，该趁机补觉Wereoncall.Weshouldsleepwhenwecan.每次我选片，你都嫌累不想看EverytimeIpickthemovie,youretootiredtowatch.才没有！Nottrue!我看完整部棒球电影，这点该加
7、分吧Isatthroughthatwholebaseballmovie.Ishouldgetextrapointsforthat.那是五周前了Thatwasfiveweeksago.-才不是-就是！-No,itwasnot.-Yeah!隔了三部惊声尖叫一部神鬼认证和洋基的骄傲ItwasthreeScreams,oneJasonBourneandPrideoftheYankeesago.五周了Fiveweeks.那我就是迟到了Thenmlate.什么事迟到？Forwhat?我的月经Myperiod.-急诊室-别管它吗？-It,stheER.-Shouldweignoreit?是紧急状况Its91
8、1.这件事也是Soisthis.还真不是开玩笑的Ineverthoughtdmeanthisliterally,我在阅读不明人士的大便资料butmreadingaboutabunchofrandompeoplescrap.这些都是阿兹海默症患者的成年子女？ArealloftheseadultchildrenofpeoplewithAlzheimers?必须确认肠道中的特定细菌Well,weneedtoconfirmcertainbacteriainthegut.我们的假设才更站得住脚Ourhypothesiswillbeevenmoresolid.要掌握可靠数据，我才能再去找凯瑟琳谈mgoin
9、gtoneedharddataifmevergoingtoapproachCatherineagain.你居然能边吃边分♥析♥这些结果？Howcanyoueatwhilewe,reanalyzingtheseresults?我很怕步上我妈的后尘Mmm,becomingmymotherterrifiesmethatmuch.佐拉问：艾莉丝能吃冰淇淋吗？Zola.CanEllishaveicecream?她不能吃冰淇淋，太晚了No,shecanthaveicecream.Itssolate.用简讯管小孩，了不起Parentingbytext.mimpressed.能川这
10、招是因为佐拉诚实又成熟Well,itonlyworksbecauseZolashonestandmature.就是这点了不起Thatsthepartthatsimpressive.尼克该为艾莉丝念故事，那就去找尼克NickissupposedtoreadEllisastory.Well,askNick.你觉得炒饭能抗发炎吗？Doyouthinkfriedriceisanti-inflammatory?如果是糙米呢？Whatifitsbrownrice?尼克带贝利去医院了NicktookBaileytothehospital.实习医生我连值两个夜班，只有我填完处置纪录卡Iworkedtwonig
11、htsagoandmtheonlypersonwithmyprocedurecardfilledout.应该让我回家读书或睡觉Ishouldbeathomestudyingorsleeping-拜托你的副总医师让你走啊Askyourco-chiefresidentforanexemption.借过-这招没用-Comingthrough.-Nicetry.天啊Oh,wow.Man.怎么了？Whathappened?二楼露台塌落，大多是轻微撕裂伤和肌肉骨骼损伤Secondfloordeckcollapsed,mostlyminorlacerationsandmusculoskeletalinjur
12、ies,但还仃救护车会到butwerestillwaitingonafewrigs.-他们都是医.-医学生-Theyreallmed-Medicalstudents.他们刚拿到白袍，开了白袍派对Theywerehavingawhitecoatparty.Theyjustgottheirs.我记得那派对，我超醉Irememberthatparty.Igotsuperdr-超激动，因为踏上职涯的新阶段Dramaticaboutreachinganothermilestoneinmycareer.大家来拿病历，今晚要加把劲Everybodygrabachart.It,sgonnabealongnig
13、ht来吧Comeon.帮他做全套血液检查，分型与筛检跟测量血红素Hey,someonegethimaCBC,typeandscreen,andhemoglobin.-快点-我没事-Stat.-It,sokay.mokay.奥立维先生？是我，艾迪-Mr.Oliver?-Thatsme.Eddie.看样子他是左肩脱臼1.ookslikehedislocatedhisshoulder.帮肩膀复位，做磁振造影，再跟我说结果.soreduceit,getanMRIandpagemewiththeresults.-X光显示没骨折？没错-SotheX-rayshowedit,snotbroken?-Exac
14、tly.先帮你局部麻醉再复位手臂Welldoalocalblockandthenlladductyourarm.要帮忙吗？Needanyhelp?关说会帮我什么？-Uh,Kwansaidhellhelpme.-What?对，有我在Oh.Yeah,I-Igotit亚当斯，救护车来了，拿袍子-Adams,rigscomingin.Grabagown.-Uh.-要做什么？-谢谢-Whatarewedoing?-Thankyou.我正想打给你Hey.1wasjustgonnacallyou.贝利在哪里？Where,sBailey?我们在医院Okay,sowereatthehospital.他有初期阑尾
15、炎Hehasearlyappendicitis.医院给他抗生素跟吗♥啡♥止痛Theygavehimantibioticsandmorphineforthepain.他有点昏昏沉沉He,salittleoutofit.-他要做阑尾切除术，谁值班？-安可卢-Heneedsanappy.Whosoncall?-Ankrom.她会打去征求你同意Shesgonnacallyouaboutconsent.至少有人想到这点Well,atleastsomeonewasthinkingaboutthat.我本来要打的，但Yeah,look,Iwasgonnacall,but-这我现在
16、不想谈，我要改班机Idontwannatalkaboutthisnow.Ihavetochangemyflight.告诉贝利，我会尽快过去TellBaileyIwillbethereassoonasIcan.好的Okay-梅若迪丝？Meredith?小梅？Mer?急诊入口什么情况？Whatdowegot?苏非亚瓦德兹，26岁，被木梁刺穿SophiaValdez,26,impaledbyawoodbeam.未给氧时的血氧浓度96%,血流动力稳定Oxygenatingat96%onroomair,hemodynamicallystable.两条腿都有双侧神经功能缺损Bilateralneurode
17、ficitsinbothlowerextremities.拜托，一定要帮我Please,youhavetohelpme.苏菲亚，我是杭特医生，你一定很痛Sophia,mDr.Hunt.Iknowyoureinalotofpain.简直要我的命Thisiskillingme.我们会尽一切努力保住你的命Weregonnadoeverythinginourpowertomakesurethatwonthappen.不，我的白袍被人拿走了No,no.Mycoat-Theytookmywhitecoat.让大家知道我要当医生的白袍Theonethatletseveryoneknowmgonnabeado
18、ctor.我会帮你找ll-lltrytofinditforyou.我都还没在医院里穿上白袍Ididntevengettowearitatanactualhospital.我的右腿没感觉Icantfeelmyrightleg,我只是一年级生，但这样很严重吧？andmonlyafirst-year,butthat,sreallybad,right?三号♥创伤室，通知神经科，走Traumathree,pageneuro.1.etsgo.温斯顿杜古医生？是的-Dr.WinstonNdugu?-Yes?好的，速战速决Allright,letsmakethisquick.我要巡心脏重症监护室
19、跟去急诊室门诊vegotCCUroundsandaconsultinabit,allright?吉伯特，抱歉来晚了，今天很多急诊Gilbert,sorryforthedelay.vehadalotofemergentcasestoday.没关系，我不会再乱跑了Itsokay.Idontgoanywhereanymore.陌生环境、大声响、突然的动作Strangeplaces,loudnoises,suddenmovements,都让我的心跳theyallmakemyheartgo-我们今晚会处理，好吗？Allright.Welltakecareofthattonight,allright?米伦
20、医生Dr.Millin?吉伯特昆西，41岁，有间歇、快速的心率不稳定Uh,GilbertQuincy,41,intermittent,rapidandirregularheartrate伴随呼吸急促accompaniedbyshortnessofbreath.初步诊断为上心室心律不整，合并房♥室回路频脉，并且有抗药性-InitialdiagnosisisSVT.-Hi.初步诊断为上心室心律不整，合并房♥室回路频脉，并且有抗药性.withAVRTthatisresistantto,uh,medication.-已经帮病患安排了没事的-Thepatientissched
21、uledfora,uh.Itsokay.已经帮病患安排了心导管消融术Thepatientisscheduledfora.cardiacablation.你们知道我们看得见吧？Well,youknowwecanseeyou,right?安琪拉是职业拥抱者Angelasaprofessionalcuddler.吃抗焦虑药也没用后，我只能另辟蹊径Whentheanti-anxietymedsstoppedworking,Ihadtogetcreative.你靠拥抱别人赚钱？Youchargepeopletohugthem?拥抱会释出脑内啡和催产素Cuddlingreleasesendorphinsa
22、ndoxytocin.因此减轻压力和焦虑.whichlowersstressandanxiety.这挺妙的Thatsfascinating.或是挺捞的Oraracket.吉伯特，我们要看你的化验数据Okay,Gilbert,wegottacheckonyourlabs,allright?这时候最不适合考虑生小孩Thisistheworstpossibletimetoconsiderhavingababy.做不完的工作，我就要笔试，露娜开始上托儿所Workneverstops,mywrittenexamsarecomingupand1.unasstartingpreschool-天啊，尿布Oh,
23、myGod,thediapers.你知道要买♥♥多少尿布Doyouknowhowmanydiaperswewouldneed给二个不会上厕所的幼儿吗？ifwehadthreekidswhoarentpottytrained?先别慌，搞不好没什么Trynottopanic.Thiscouldbenothing.一个小孩一天六片尿布，一周就要一千片Sixdiapersadayperkid.Thats,like,athousanddiapersaweek.差太多了怎么会这样？我是妇产科医生-Notevenclose.-Howcouldthishappen?mob-gyn.
24、我的工作有一半是帮女性避孕Halfmyjobistohelpwomennotgetpregnant一天啊，找到了-你越来越激动-Oh,myGod,hereitis.-Yourespiraling.你怎么能不激动？Howareyounot?虽然不容易，但会有办法的Itwontbeeasy,butwellfigureitout.而且这个州还可以选择终止Also,weliveinastatewherewehaveoptions.如果你想的话，或不想，我Ifthatswhatyouwant,ornot.I-我想说的是Ijustmean不管怎么，我们都一起面对wereinthistogethernoma
25、tterwhat.病患腹部疼痛Patientwithabdominalpain.你知道的吧，这个给我验没有用YoudorealizethisdoesntworkifItakethetest.苏菲亚，抱歉来迟了，我是薛波医生Sorrymlate.Sophia,mDr.Shepherd.你感觉怎样？Howareyoufeeling?跟我想象的第一次创伤不一样ThisisntexactlyhowIpicturedmyfirsttrauma.我的X光结果如何？HowaremyX-rays?肺部周围无明显损伤Okay,novisibleinjuryaroundthelungs,腹部或心脏周围无积液nof
26、reefluidintheabdomenoraroundtheheart.-她是一年级医学生知道了-Shesafirst-yearmedstudent.-Gotit.Um.动动脚趾让我看Wiggleyourtoesforme.在动吗？Aretheymoving?好，你感觉得到我碰这里吗？Okay.CanyoufeelitwhenItouchhere?要马上做电脑断层-好-WeneedaCTrightnow.-Okay.从有记忆起，我就想当外科医生vewantedtobeasurgeoneversinceIcanremember.我小时候会看惠普式手术的网络视频IwatchedWhippleso
27、nYouTubeasakid.你们做过吗？Haveyoueverdoneone?天啊，那是Oh,myGod.Isthat-对，医护人员本来要丢掉，但我及时赶到Yeah,theparamedicsweregonnatossit,butIgottherejustintime.白袍都-苏菲亚，听我说-It,sso-Sophia.Hey,hey,hey.深呼吸，好吗？别动Hey,hey,hey,hey.Deepbreaths,okay?Staystill.深呼吸，我要带你去做电脑断层Deepbreaths.mgonnatakeyouuptoCTnow.好吗？我们现在就走，走吧Okay?Rightnow
28、.We,regoingnow.1.et,sgo.你不明白Idontthinkyouunderstand.我儿子在医院，我必须今晚搭机Mysonisinthehospital.1needaflighttonight.可以，我等你Yes,Icanhold.梅若迪丝？Meredith?怎么了？Wh-Whatsgoingon?贝利要做阑尾切除术Baileyneedsanappendectomy.他跟尼克在波上顿He,swithNickinBoston.要我帮忙吗？你会开飞机吗？-CanIhelp?-Canyouflyaplane?不会，但我能打给凯瑟琳不，我不想烦她-No.ButletmecallCa
29、therine.-No,IdontwanttobotherCatherine.他是你儿子，跟我来Hesyourson.Now,comeon.好，不好意思Allright.Excuseme.史密特医生，我处理完三号♥床的撕裂伤，再来呢？Dr.SchmitIfinishedthearmlacinbedthree.Whatsnext?我们在七号♥床附近设了快速通道，处理简易伤病Wesetupafasttracknearbedsevenforthesimplercases.你应该能快速处理完Youshouldbeabletomovethroughthatprettyquic
30、kly.我在医学院是最快的预先巡房♥员Iwasthefastestpre-rounderinmedicalschool.好的Allright我是安田医生Hi.mDr.Yasuda-你知道我多想跟你一样吗？DoyouhaveanyideahowmuchIwannabeyou?我两天没睡了，你还是三思吧Ihaventsleptintwodays.Youmightwannarethinkthat.你有过太渴求而痛苦的感觉吗？Haveyoueverwantedathingsomuch,ithurts?就像体内有股疼痛，而你只差一点，却偏偏得不到1.ike1.ikeyoucanfeelit
31、inyourbodywhenyou,resoclosetogettingit?我我应该懂那种感觉Yeah,I.IthinkIunderstand.那你就会知道一定要治好我Thenyouknowyouhavetofixme.拜托Please.亚当斯，走吧Adams,letsgo.当你在电视上看到露台塌了，你想的是好惨WhenyouseeadeckcollapseonTV,areyouthinking,“Gee,thatssad,或是因为有很多创伤而开心？老实回答orareyouhappybecauseofallthetraumas?Behonest.你还好吗？Areyouokay?我没事Yeah
32、,mfine.扫描出来了，亚当斯Scansareup.Adams.看样子木头在胸椎第四和第五节处，截断了她部分脊髓ItlookslikethewoodpartiallyseveredherspinalcordatT4andT5.布朗塞卡氏综合征Brown-Sequardsyndrome.她脊髓中的血肿还在扩大Itsanexpandinghematomainherspinalcord表示血液供应薄弱whichmeansthebloodsupplyistenuous.你们会怎么做？Sowhatdoyoudo?我们会取出异物，冲洗血肿Weremovetheforeignobject,weirriga
33、tethehematoma,缝合伤口，希望有好结果wecloseher,andwehopeforthebest.希望？-Hope?-Mmm.所以你们只是希望她以后能走或能站？What-Youjust-Youjusthopethatshesgonnabeabletowalkorstand?做太多可能导致她脊髓中风Doingmorecouldcauseherentirespinalcordtostrokeout.甚至死于并发症Orshecoulddiefromcomplications.这是她最好的选项，去安排手术室吧Thisisherbestoption.1.etsbookanOR.格瑞弗斯，累
34、吗？Tired,Griffith?有一点Alittle.正常，我看到你的工时，快超过上限，回家吧Youshouldbe.Icheckedyourhours.Yourealmostatyourmax.Gohome.我在等艾迪奥立维的磁振造影结果mjustwaitingforEddieOliversMRIresults.你知道实习生太累会怎样吗？Youknowwhatexhaustedinternsdo?会犯错Makemistakes.害我的生活被搅乱，格瑞弗斯，你想害我吗？Whichmakesmylifemessy.Youwantmylifetobemessy,Griffith?我会交接给关，然
35、后回家IwillpassitofftoKwanandthengohome.我必须把病患交给你Ihavetogiveyoumypatient.如果磁振造影没问题，他就能出院，他在四号♥床Uh,ifhisMRIisclear,hecanbedischarged.Hesinbedfour.那张床空一阵子了Thatbedsbeenemptyforawhile.而你袖手旁观？Andyoudidnothing?他那时不归我管Hewasn,tmypatientthen.如果我们让酒醉的医学生在医院乱跑，贝利会杀了我们Baileywillkillusifweletadrunkmedicalstu
36、dentlooseinthehospital.找到他-是你弄丢他-Findhim.-Uh-Youlosthim.闭嘴，帮我Shutupandhelpme.他还好吗？Howishe?很好，他去做术前准备He,sgood.Theytookhimtopre-op.他还说服护理师，他醒来后要吃冰棍AndnotbeforehelobbiedthenurseforPopsiclesafterhewakesup.那时我应该也到了-好-Well,Ishouldbetherebythen.-Good.他会很开心的Hellbehappy.我早点知道就能更早到Well,Icouldhavebeentheresoon
37、erhadIknown.小梅，要现在讨论这个？Mer,weregonnahavethisconversationnow?你带我的孩子去医院Well,youtookmykidtothehospital.对，练完曲棍球回家路上他说肚子疼Yeah.Hesaidhisstomachhurtonthewayhomefromhockeypractice.我快速检查，他有反弹痛Ididaquickexam.Hehadreboundtenderness.我打给安可卢，她说带他住院，所以IcalledAnkrom.Shesaidtobringhimin.Imean-你应该打给我Youshouldhavecall
38、edme.对，我是应该Yes,Icouldhave.我想先听医生怎么说，不让你太担心Iwantedtoseewhatthedoctorsaidbefore1worriedyou.我就是医生-是的-Iamadoctor.-Yes.我也是SoamI.我是他妈妈，要打给我mhismother.Youcallme.好，知道了Okay,copythat-下次再这样-没有下次-Thenexttimethishappens-Nonexttime.如果需要做什么决定，立刻打给我Ifanydecisionsneedtobemade,callmeimmediately.听起来谈得挺顺利的Soundedliketh
39、atwentwell.视线跟着灯光Trackthisforme.这边Thisside.很好死，活-Okay,good.-Dead.Alive.死，活Dead.Alive.死,活-别玩了-Dead.Alive.-Dontdothat.死Dead.只有我一人处理快速通道vebeenrunningthefasttrackareasolo.我知道，很强1heard.Thatsawesome.是吗？目前我已经被尿，被吐口水、被搭讪Oh,isit?Causesofar,vebeenpeedon,spiton,andhiton.前两件是意外，但还是很呕Imean,thefirsttwowereacciden
40、ts,butstill.你被搭讪？Someonehitonyou?你只关心这个？Thatswhatyoureconcernedabout?可以把我换走吗？Canyoupleaseswapmeout?我想想办法-好-1.etmeseewhatIcando.-Okay.-我能吃三明治吗？不行-CanIhaveasandwich?-No.退后Back.轮椅不是玩具Wheelchairnotatoy.你还没帮吉伯特昆西准备好Hey.GilbertQuincystillisntprepped.她做心脏超音波时，他的心率一直上升Hisheartratekeptgoingupwhileshewasdoing
41、theecho.我建议再等30分钟再试试看Isuggestwewaitanother30minutesbeforetryingagain.我从今天早上五点忙到现在1.ook,vebeenonmyfeetsince5:00thismorning还有八小时等着我,andvegoteighthoursaheadofme.我不会改变工作行程mnotgoingtoshiftaroundmyschedule去配合病患的人肉毯子需求becausemypatientneedsahumanweightedblanket.安琪拉，你去看吉伯特好吗？Uh.Angela,wouldyoupleasegocheckon
42、Gilbert?我们待会就过去Wellbeinwithyouinaminute.谢谢Thankyou.身为实习生，你要完成我的任务，懂吗？Youreanintern.Igiveyouatask,youdoit.Understood?去做心脏超音波Gettheecho.我会再试试看Iwilltryagain.其实我不要Youknow,actually,no.你可以趁他术中睡着时做YoucandoitIntraoperativelywhilehesasleep.你说什么？Excuseme?我待会要说的话很逾矩Iknowwhatmabouttosayiswayoutofline,但很晚了，我认为你该
43、听听butitslateandIthinkyouneedtohearit.你曾是最酷的主治医生，大家都想跟着你做事Youusedtobethecoolestattending.Everybodywantedtobeonyourservice.但你最近有点混♥蛋♥-没错，这太逾矩了-Butlately,youvekindabeenajerk.-Correct.Thisiswayoutofline.Yes.我非常想向你学习，但我无法忍♥受不被尊重Okay,Iamdesperatetolearnfromyou,butnotifitmeansbeingdisr
44、espected也无法冷眼看你不尊重病人orstandingbywhileyoudisrespectourpatients.吉伯特痛苦又害怕Gilbertisinpain.Heisscared.如果花钱找人拥抱对他有用，我们凭什么批评？Andifpayingsomeonetohughimhelpshimwiththat,whoarewetojudge?我要病人在20分钟内做好手术准备Iwantthepatientpreppedwithin20minutes.你还好吗？Areyouokay?我以前没进过手术室IveneverbeeninanORbefore.我爸说手术室有种无形的能量Um.My-
45、MydadsaidtheORhadaninvisibleenergy.就像星球大战的原力1.iketheForceinStarWars.现在我懂了NowIgetit.你♥爸♥在哪个外科？Well,whatkindofsurgeonisyourdad?创伤科，但他两年前过世了Trauma.Buthediedtwoyearsago.好的Okay.我们要开始麻醉了Wearegonnastarttheanesthesia.你准备好没？Areyouready?可以保管好我的白袍吗？Canyoumakesuremycoatiswithmystuff?就算白袍破了，我还是想留着1dontcareifitsruined.Istillwannakeepit.没问题
