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1、班和我正在办离婚BenandIaregettingadivorce.我真的只是想接受现实Ireallyjustwannamoveon.我会更频繁地出现在急症室llbearoundthe,E.D,moreoften.要是我能帮上忙IfIcaneverhelpout.你今天还要飞吗?Areyouflyinganymoretoday?不用了,我刚下班No,shiftjustended.七号♥治疗室Treatmentseven.欢迎加入我们,庄臣医生Welcometotheteam,DoctorJohnson.爸爸有点不对劲SomethingswrongwithDad.忘东忘西He,sf
2、orgettingthings.情况越来越糟Itsgettingworse.他不知道自己在哪Hedoesn,tknowwhereheis.可恶Damn.你已经在两家医院失败了Youvealreadyflamedoutattwohospitals你现在正努力在第三家医院搞砸andyou,redoingthebesttoflameoutatathird.所以说我没有被开除罗?So,mnotfired.医学伦理学课程Medicalethicscourse.如果我是你,我就会抄笔记IfIwereyou,dtakenotes.哇Wow.收到这个你有什么感觉?Howdoesthatmakeyoufeel?
3、我不确定mnotsure.事情就是这样吧Itiswhatitis.早安,彼得Morning,Peter.早安,玛姬Morning,Maggie.亚曼医生DoctorAhmad.我们医院有公♥证♥人吗?Dowehaveanotaryinhouse?我需要签一些文件1havesomepaperstosign.有,爰德华Yeah.Edward.要下班的时候我会请他下去ll,uh,sendhimdownattheendoftheday.你需要帮忙吗?Youneedsomehelp?对,你是医生吗?Yes,areyouadoctor?我是,怎么了?Iam.Whathappen
4、ed?我不知道Idontknow.我以前从没见过这个人veneverseenthismanbefore.他走过好几条街,一直说“帮帮贝蒂”Hewaswanderingacoupleblocksfromhere,keptsayingHelpBetty.他摸起来好冰Hesreallycold.好,先让他进来吧Okay,let,sgethiminside.贝蒂Betty.索伦森医生DoctorSorenson.不,我我是里普利医生Uh,no,m.mDoctorRipley.南茜,他体温过低Nancy,heshypothermic.我需要毯子和温点滴Ineedblanketsandwarm,I.V.b
5、ags.马上来Onit.你去五号♥治疗室Youregoingtofive.好Okay.帮帮贝蒂HelpBetty.贝蒂?Betty?嘿,丹尼尔Hey,Daniel.早安Morning.早安Goodmorning.你上次见到伯特是什么时候?Uh,whenwasthelasttimeyousawBert?好一段时间了Notforawhile.这样说让我想起来我几周前有打电♥话♥给他Imean,cometothinkofit.Ididcallhimacoupleweeksago.他当时在赶时间.Andhewasinahurry.说他会再回电给我saidhed
6、callmeback.我现在才想起来,他根本没回拨Andmnowrealizing,heneverdid.好,那你有注意到他哪里不对劲吗?他的记忆力?Yeah,andisthatsomethingyouvenoticed?Hismemory?还好耶Notreally.我想任何人都会发生这种事吧Imean,thatcouldhappentoanyofus.毕竟我就常常这样Imean,Idothatstuffallthetime.怎么了?你担心他吗?Why?Areyouworriedabouthim?我不知道,但是塔拉很担心,他之前来过医院IdontknowbutTarais,andhewashe
7、re.他照顾以赛亚的时候跌倒了hefellwhenhewaswatchingIsaiah.他跌倒了?Hefell?对,伤势不严重,但他的膝盖扭伤了Yeah,nothingserious,buthedidtwisthisknee.只是他有点迷糊,我本来不担心,但是伯特Hejustseemedalittleconfused,andIwouldntbeconcerned,butBert.的确有认知障碍症的家族史doeshaveafamilyhistoryofdementia.我们也许该帮他检查一下Weshouldprobablyhavehimcheckedout.要伯特去看医生比登天还难TogetB
8、erttoseeadoctorforanythingisanordeal.你很清楚Youknowthat.是啊,还用说吗?Right,tellmeaboutit.但是他今天因为膝盖的问题回来问诊But,he,scomingheretodayforafollow-uponhisknee好,那何不就让我顺势而为Oh,wellwhydontIjust,youknow,自然地经过?spontaneouslystopby?跟他闲聊一下Havealittlechat.那就太好了Thatwouldbegreat.谢谢你Thankyou.你好,亚力士Hi,Alex,-你好-我是亚曼医生-Hi.-mDoctor
9、Ahmad.我是艾蜜莉,这是我先生马克Emily,myhusbandMark.你好Hey.我看到你的心率很快SoIseethatyourheartrateisfast.我没感觉Idontfeelit.但是他的手表显示140Buthiswatchsaysitsatone-forty.大概没什么,但我们还是带他来医院Itsprobablynothing,butthatswhywebroughthimin.好哦,你的手表没说谎Well,yourwatchisn,tlying.是140One-forty.你其他的生命体征都正常Therestofyourvitalsaregood.你有什么烦心事吗?Is
10、thereanythingbotheringyou?不,我很好No.Ifeelfine.通常他食量大如牛Normallyheeatslikeahorse.但最近这几天他几乎没什么吃.butthelastcoupleofdays,heshardlyhadanything.我只是不饿Justwasnthungry.肺部听诊很正常1.ungssoundgood.淋巴结没有肿大1.ymphnodesarentswollen.压了会痛吗?Anytenderness?不会Uh-uh.这里呢?Howabouthere?这里会Yeah.有一点痛1.ittlebit.什么意思?Whatdoesthatmean?
11、我不太确定mnotsure.但是我想安排电脑断层扫描检查一下ButdliketoorderaC.T.tofindout.哦,好Oh,okay.我们先去安排,我尽快回来Wellputtheorderin,Illbebacktocheckonyousoon.-谢谢-别客气-Thankyou.-Yeah.谢谢Thankyou.罗兰?1.oren?玛姬,这位是凯特琳尼利,28岁,败血性休克Maggie,KaitlinNeeley,twenty-eight,septicshock.有白血球增多症和低血压1.eukocytosisandhypotensive.血压收缩压80,舒张压43,体温华氏103.5
12、度B.P.eightyoverforty-three,tempone-oh-three-point-five.她怀孕,15周时破水,小于可存活周数Shewaspregnant,waterbrokeatfifteenweeks,pre-viability.那是两周前的事Thatwastwoweeksago.已经没有了Itsnotthere.已经没有了It,snotthere.不要说出来Dontsayit.-不-亲爱的,一切都没事的-No,no!-Honey,everythingsokay.我们在医院,他们会照顾你Wereatthehospitaltheyregoingtotakecareofyo
13、u.听着,他们开车过来,但是她很不舒服,他们不得不停车1.ook,theyweredrivinghere,butshegotsosick,theyhadtopullover.乡村诊所没有能耐Ruralclinicdidnthavethecapabilities处理她的问题,所以他们打给我tocareforhersotheycalledme.了解Okay.我可以帮忙吗?CanIhelp?不,可惜这是妇产科的病例,汉娜No,unfortunatelythisis0.B.Hannah!怎么了?Yeah.凯特琳尼利,妊娠15周破水KaitlinNeeley.Fifteenweekswaterbroke
14、.白血球计数偏高Whitebloodcountishigh.这位是她先生,艾力Thisisherhusband,Eric.好的,玛姬,再打一条点滴Allright,Maggie,startasecond,1.V.没问题,医生Yougotit,Doc.-他们有进行扩张清除术吗?-没有-DidtheyperformaDandE?-No.医生说他们得等她自己排出残留物Thedoctorsaidtheyhadtowaitforhertopasstheremainsonherown.好,全套血液检查,综合代谢检查、乳酸、血液培养Okay,C.B.C.,C.M,P.,lactate,bloodcultures.哦,亲爱的Oh,honey!Honey!我需要马上帮你太太注射抗生素Ineedtostartyourwifeonantibioticsimmediately.你知道她有没有过敏史吗?Doyouknowifshesallergictoany?她没有Sheisnt.好,三种都上,氨莘西林、克林霉素、庆大霉素Okay,tripleupAm