Chicago Med《芝加哥急救》第八季第八集完整中英文对照剧本.docx

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1、嘿，迪恩，你还好吗？Hey, Dean. How are you doing?没有以前糟Had worse.嗨，玛姬Hey, Maggie.我刚找到我以前的校队夹克I just found my old varsity jacket.当然，你穿的次数比我还多Of course, you always wore it more than me.这是我先生，班-嘿-This is my husband, Ben. -Hey.我好像记得你跟我说过I do seem to remember you telling me你不会跟他扯上任何关系that you werent gonna have anyt

2、hing to do with him.这里是怎么回事？What is going on here?你穿得像我的工程师Youre dressed like one of my engineers.信不信由你，我们没有刷手服了Believe it or not, we*re out of scrubs.所以这都是你的功劳？So this is all youre doing?我只是想帮忙Just trying to help.有个守护天使真好It*s nice to have a guardian angel.你来得真早Youre here early.订错闹钟了Alarm mishap.我要在

3、上班前好好睡一觉Im gonna try to grab some shut-eye before my shift starts.有空床吗？Got an empty bed?有两张空床，不过我得先提醒你Twos open. I should warn you, though.昨晚喝醉的青少年把房♥间吐得到处都是Drunk teenager vomited all over that room last night.I had a drink, just one drink,然后and thats.这是我记得的最后一件事Thats the last thing I remembe

4、r.我今天早上醒来时When I woke up this morning, 我人还在那里，在那间仓库里I was still there, at the warehouse, 在那个我没看过的房♥间里 in this room I didnt recognize. 当时有人跟你在一起吗？Was there anyone there with you?但是我的内♥裤♥不见了But my underwear was gone.我不知道发生了什么事I dont know what happened.我们会一起想办法解决的We*re gonna figure

5、 this out together.跟我们来，好吗？Come with us, OK?莉迪亚患有自身免疫性疾病So Lydia has an autoimmune disease叫做原发性胆汁性胆管炎called primary biliary cholangitis.这种疾病会破坏胆管The disease, it destroys the bile ducts导致肝功能衰竭and can lead to liver failure, 不幸的是莉迪亚的情况就是这样which unfortunately is what we1 re seeing in Lydias case.她才15岁，她

6、连车都还不会开呢！Shes 15! She doesnt even drive yet!青少年中很少出现原发性胆汁性胆管炎It is rare to see PBC in adolescents, 尽管有儿科发病病例的报道although there have been reported cases of pediatric-onset.如果她的肝脏有问题为什么她的大脑会受到影响？If her liver is the problem, why is her brain being affected? 当肝脏不能正常运转时When the liver isnt functioning how

7、its supposed to,就会停止从血液中过滤毒素it stops filtering toxins from the bloodstream.然后这些毒素积聚并进入大脑And then these toxins build up and travel to the brain.但这种情况只是暂时的But the condition is only temporary.透过药物治疗，她的认知功能And with medication, her cognitive function就会恢复正常will return to normal.那她的肝脏怎么力,?What about her li

8、ver?莉迪亚需要肝脏移植Lydia is going to need a liver transplant.我们该怎么做？So how do we do that?我们要怎么帮她找新肝脏？How do we find her a new liver?我们会让莉迪亚接受Well get Lydia evaluated国家登记处的移植名单评估for the transplant list, the national registry,但她最快的选择是活体捐赠but her fastest bet would be a living donor.肝脏最酷的地方在于它能再生What*s pretty

9、 cool about the liver is it regenerates.所以你可以把你的一部分肝脏给别人So you can give someone a portion of your liver,移植后它会长回and it grows back to its original size原来的大小after the transplant.我可以马上把我的肝给她I would, um, give her mine in a heartbeat,但我正在戒酒but Im a recovering alcoholic.只要你戒酒满六个月As long as you*ve been sobe

10、r for six months,就不会被排除，好吗？thats not an exclusionary criterion, OK?我们要替你做一些肝功能检查We will want to run some tests to check your liver function.当然可以，要做什么都可以Of course. Whatever you need to do.我愿意付出一切来救我的女儿I would give anything to help my daughter.-玛姬最好是要紧事-Maggie. -This better be good.突袭我工作的地方Showing up

11、at my job unannounced实在是太过分了is quite the overstep.你没收到我的短讯吗？Didnt you get my text?没有，我手♥机♥整个早上都在充电有什么事？No, my phones been on the charger all morning. What is it?我外面有东西要给你看I got to show you something outside.不行，格兰，我在工作I cant, Grant. Fm working.只要五分钟就好，我只要求这么多Just five minutes. Thats all

12、 Irm asking.我不想烦你，但你是唯一I dont want to be a bother, but youre the only person能懂的人who will understand.给我20分钟，我会早点去吃午餐Give me 20 minutes. Ill take my lunch break early.前门见好-Meet you out front. -OK.兄弟，真是个好消息恭喜你，祝你好运Congrats on your big news, buddy. Mazel tov.谢谢你，我很期待Thank you. Tm pretty excited.但你应该多给我一

13、点时间让我整理我的旧礼服Could have given me a little more time to dust off the old tux, though.-真可恶我很抱歉-Damn. -Sorry about that.你知道，我父亲的过世让我理解You know, my dad*s passing crystallized a lot for me我想成为什么样的人about the man I want to be, the life I want to have,我想过什么样的生活还有我现在迫切需要做出这些改变and an urgency to get those chang

14、es now.很合理Makes sense.这可能就是为什么这次和艾普尔相处起来很轻松的原因Its probably why things are so easy with April this time around.我想我变得更像她在寻找的那个人了I guess I got closer to the guy she was holding out for.很好Nice.嘿，我需要帮忙Hey, I need some help.几个路口外有个人状况不太好I got a guy in trouble a few blocks away.嘿，我是崔医生，怎么回事？Hey, Im Dr. Cho

15、i. What*s going on?有个流浪汉叫巴迪Theres this homeless guy, Buddy.他就住在我公♥寓♥后面He kind of lives behind my apartment building.他有点怪怪的，我报案了Somethings wrong with him. I called 911.但他们说救护车要20分钟才会到But they said the ambulance is gonna take, like, 20 minutes.我不知道来不来得及，他看起来不太妙I dont know. He doesnt look

16、 so good.你能带我们去找他吗？ 好，跟我来-Can you take us to him? -Yeah, follow me.巴辿！Buddy!巴迪，嘿，巴迪Buddy. Hey, Buddy.他还有呼吸吧？Hes breathing, right?呼吸很浅，但没错，他还有呼吸Respirations are shallow； but yeah, hes breathing.他住在这里多久了？How long has he been here for?从我搬进来，巴迪就一直都住在这里Buddys been a fixture since I moved in,至少四年了so at le

17、ast four years.你知道他最近有什么变化吗？You notice any changes in his behavior recently?巴迪失踪了几个晚上，大概一个月前吧Buddy disappeared for a couple nights, maybe about a month ago.我不知道他去哪了，但他回来之后I don*t know where he went, but when he came back,就不太走动了he wasnt moving around as well.看起来比以前更心不在焉He just seemed more out of it t

18、han usual.我的名字不会出现在My name wont be on the.不会出现在任何东西上吧？It wont be attached to anything?全部都会匿名进行It can all be processed anonymously.你不会把我的任何信息And you won*t release any of my information透漏给警♥察♥吧？ 不会-to the police, right? -Mm-mm.除非你说可以，我们才会Not without your permission.哦，我忘了问了，这要花多少钱？Oh, I f

19、orgot to ask. How much is it gonna cost?我没有保险什么的，所以I dont have insurance or anything, so.完全不用钱Nothing.没有病人自付额Theres no patient responsibility.我们会给你一张代金券让你支付后续的额外费用And well give you a voucher for any additional follow-up costs.你要吃烦宁吗？Would you like a Valium?可以帮你镇定It can help calm your nerves.不用了我不想再断

20、片了No, no, no, I dont want to black out again.这其实只是一种温和的镇静剂Its actually just a mild sedative.不要！No!谢谢，但不用了Thanks, but no.好OK.我们准备开始做检查了可以吗，葛丽亚？Were ready to begin the exam. OK, Gloria?好，往后坐一点，把脚放在脚蹬上OK, so sit back a little, put your feet in the stirrups.如果任何时候你需要我停下来And if at any point you need me t

21、o stop, 如果你需要休息一下就告诉我，好吗？ if you need to take a break, you just let me know, OK? 好，我会把手放在你大腿内侧All right, Fm putting my hand on the inside of your thigh. 接下来，我要先快速检查一下外面的区域Next, Im gonna take a quick look at the outside area first. 来Here.你可以用力握紧，没有关系Squeeze as hard as you need.好了OK.现在你会感觉到窥镜的尖端Now yo

22、ure gonna feel the tip of the speculum.你做得很好Youre doing really great.你怎么看？我知道她的肝脏不太妙，可是So what do you think? I know her livers on the cusp； but. 我不同意你的看法，韦Ive got to disagree with you there, Will.这不叫不太妙，差远了Its not on the cusp. Not even close.这是什么意思？丹妮尔的肝功能很稳定啊Well, what do you mean? Danielles liver

23、function is solid. 现在是稳定，但伤害已经造成了Yeah, now, but the damage is done.肝脏有纤维化只有些微-The liver*s fibrotic. -Mildly.它无法接受部分切除It wont tolerate a partial resection.这只是个预测，不是事实Well, thats a prediction, not a fact.它很有可能无法再生A good chance itll fail to regenerate.然后妈妈就会需要肝脏移植And then Mom will need a liver transpla

24、nt.也许丹妮尔愿意冒这个险Maybe thats a risk Danielles willing to take.但如果丹妮尔在我们允许她捐献肝脏后But if Danielle ended up needing a new liver需要换一个新肝脏，这种糟糕的结果after we allowed her to donate, thats the kind of bad outcome可能会导致移植计划终止that could get a transplant program shut down.我很抱歉，兄弟Im sorry, man.天啊My, my, my.我的天啊My goodn

25、ess.这是没错-Is that. -It is.不可能！No!随风飘动的塑胶车棚What happened to the peeling vinyl top去哪了？that used to flap in the wind?没了，破掉的窗户也没了Gone. That and the cracked window.暖气和空调都修好了Got the heating and air fixed too.我的天啊Oh, my word.你知道，我很喜欢这辆车You know, I love this car.这是我高中愿意跟你在一起的唯一原因Its the only reason I gave yo

26、u the time of day in high school.这么多年来，我一直都在修这辆车Ive been restoring it for years now.这些都是你自己修的？You did all this yourself?大部分都是For the most part.刚把皮座椅重新装好，最后一步Just got the leather seats reupholstered. The finishing touch.哇怎么样？-Wow. -What do you say?看在老交情的份上我们去绕路口开一圈吧？A spin around the block, for old t

27、imes sake?哦Aw.好嘛Come on.快速地绕一圈A quick spin.我的休息时间只有半小时My break*s over in 30.遵命一天啊-Yes, maam. -Oh!你知道他的全名吗？Do you happen to know his full name?大家都叫他巴迪Everyone just calls him Buddy.他这个人很友善，但脑筋不大正常Hes a friendly guy but not all there.怎么说？How so?有时候我会看到他自言自语Sometimes Ill see him talking to no one,讲话也会一直

28、重复and he repeats himself a lot.他的反应好像有点迟钝It just seems like his, um, processing is kind of delayed.我真的很抱歉，但我上班快迟到了Hey, Im really sorry, but Im super late for work.听着，我们真的很感谢你Oh, look, we really appreciate you hanging around在我们安顿他时陪着我们，好吗？while we got him situated, OK?非常感谢Thank you very much.我在他腹股沟处发

29、现了一个部分愈合的穿刺点So I found a partially healed puncture site in his groin.看来他出现了术后脓肿It looks like he developed a postprocedural abscess.我要做引流，然后注射抗生素Fm gonna drain it and start antibiotics.不知道他是动了什么手术Wonder what the procedure was for.还有是在哪里动手术的Or where it was done.霍利社区医院Hawley Community Hospital.手环的形状还很完

30、整Ifs still in pretty good shape,所以一定是最近去的so it must have been a fairly recent visit.手环上有名字吗？Is there a name on that bracelet?威廉巴迪科士打William Buddy Foster.帮我把手环剪下来，好吗，朵莉丝？Clip that off for me, will you, Doris?我去查那家医院，然后打电♥话♥给他们Im gonna look up that hospital and then give them a call.霍利？H

31、awley?我是说，听起来很耳熟I mean, it kind of rings a bell,但我很确定是在芝加哥之外but Im pretty sure its outside of Chicago.他怎么会跑到那里去I wonder how he ended up there.是啊Yeah.还有其他家庭成员愿意接受评估吗？Any other family members that might be willing to get evaluated? 看能不能和莉迪亚配对？See if they*re a match for Lydia?没有了，她她是独生女No, shes, um. Sh

32、es an only child.她的父亲也有酗酒问题Her father also had problems with alcohol.两年前他开车撞到树，死了Smashed his car into a tree two years ago and died on impact.我们很遗憾We*re so sorry.有了移植名单With the transplant list,你觉得莉迪亚还要等多久？how long do you think Lydia will have to wait?这没办法预测It is impossible to predict.可能只需要几周，也可能需要几个

33、月It can take just a few weeks, or it can take months.有时候要等上几年Years sometimes.所以，我要做好心理准备，对吧？So, um, just prepare myself for anything?是的，我们等等再来看莉迪亚，好吗？Yeah. Well check on Lydia in a bit, OK?天啊，太残酷了Man, thats rough.我想这是世上最糟的感觉Worst feeling in the world, I imagine.在做搜救工作时，你会遇到有些父母Doing search and rescu

34、e, you meet these parents非常想要帮忙who are just so desperate to help.拒绝他们的协,助会让人心碎Its heartbreaking telling them they cant.是啊，丹妮尔的过去Yeah, only adds salt that Danielles past阻碍了她捐肝，更是雪上加霜is whats preventing her from donating.真是个残酷的玩笑Talk about a cruel twist, huh?如果是其他器官的话If it was any other organ.她的肾脏非常健康

35、I mean, her kidneys are perfectly healthy.霍土迪医生？-但已经打扫干净了 好-But its been cleaned. -Yeah.这样我就不会对刺鼻的气味感到意外了Then I wont be surprised by a pungent whiff.谢谢你的提醒Thanks for the heads-up.霍士迪医生、玛姬Dr. Halstead, Maggie, 这是急症室的新成员meet our newest member of Emergency Medicine.积斯甸刘你好-Justin Lieu. -Hello.你好-嗨，新来的主治

36、医生-Hello. -Hi. A new attending.太棒了，欢迎你Terrific. Welcome.刘医生其实是第一年的住院医生Actually, Dr. Lieu is a first-year resident.啊，我搞错了Ah, my mistake.听着，我想让他今天跟在你旁边Listen, Id like him to join your service today.当然那你就待在这边吧-Sure. -1,11 let you get settled.谢谢，葛云女士Thanks, Ms. Goodwin.想知道我为什么这么晚才行医吗？Wondering why Im so

37、 late to the party?我知道我跟一般的第一年住院医生相比大了好几岁I know Ive got some years on the typical first-year. 我在决定上医学院之前L uh. I spent a decade doing search and rescue 做了十年的搜救工作before deciding on med school.-真酷-嗯-Very cool. -Hmm.这家伙在烦你吗？Is this guy bothering you?你怎么会在这里？-嘿-What are you doing here? -Yo.我刚想起来今天是你第一天上班

38、Dr. Halstead?她的肾脏很健康Her kidneys are healthy.我想你说到重点了I think youre on to something.你在盯着我看You*re staring.我很抱歉Im sorry.我只是没想到你还会坐在这辆车的副驾驶座上I just never thought youd be riding shotgun in this car again.这个嘛Well.从前，看着你在我身边It used to give me such a rush back in the day,我都会有一种冲动looking over and seeing you n

39、ext to me.现在也是Still does.格兰Grant.不行No.格兰！Grant!你说的是配对交换捐赠，对吧？Youre talking about a paired exchange, right?这是行不通的It won*t work.两名捐赠者都要有健康的肝脏Both the donors need to have healthy livers.这倒不必Well, not exactly.这叫做跨器官配对交换Its called a trans-organ paired exchange.也是，我有次在会议上听到有人讨论这个问题Oh, yeah. I heard it dis

40、cussed at a conference.很新的概念，对吧？Pretty new concept, right?在美国，只有一组人进行过这种移植手术Only a couple have been performed in the U.S.这种情况很罕见，但这种移植是允许的Its rare, but this kind of swap根据国家器&hearts值♥移♥植♥法案is allowed under the National Organ Transplant Act.这样啊，谢谢你Uh-huh. Thank you.所以你是建议丹妮尔把她的肾S

41、o youre suggesting that Danielle donate her kidney捐给移植名单上的人to someone on the transplant list.某个已经有捐赠者的人Someone already with a willing donor但却因为肾脏原因被排除who was ruled out for a kidney-specific reason.然后让他们把肝脏捐献给莉迪亚？And then they would donate their liver to Lydia?就像配对交换只不过换的是不同的器官Like a paired exchange,

42、 except with different organs.好吧，这并不完全一样Well, ifs not exactly like for like.肝移植会让捐赠者面临更大的风险A liver transplant exposes the donor to greater risk.但如果我们能找到潜在的捐赠者和接受者But if we can identify a potential donor recipient match, 告诉他们增加的风险因素walk them through the added risk factors.我们还得考虑法律因素And we have to loo

43、p in legal.有各种事情需要考虑.当然-The whole nine yards. -Of course.我不想背着董事会做任何事Im not trying to do anything below board.好，我想我有第二个捐赠者的名单了OK, I think I have an idea for a second donor.法兰喜来登，快50岁Frank Sheraton. Late 40s.他的健康状况良好但由于肾丝球过滤率有轻微下降Hes in good health, but due to a mild reduction in GFR, 他无法把肾脏捐给他的妻子罗拔塔

44、he couldnt donate his kidney to his wife, Roberta.她在移植名单上已经三年了Shes been on the transplant list for three years.在我们让任何人抱持过多希望之前Before we get anyones hopes up,我们先确定法兰和莉迪亚的配对还有丹妮尔和罗拔塔的配对 lets make sure Franks a match for Lydia, Danielle for Roberta. 我去调他们的病历刘医生，能帮我一下吗？Ill pull up their charts. Dr. Lieu

45、, you want to give me a hand?没问题好-Happy to. -AH right.-我们等一下再回来-好-Well circle back in a bit. -Great.霍士迪，总算找到你了-怎么了？-Dr. Halstead, there you are. -Whats wrong?玛姬和一个朋友出了车祸Maggie and a friend were in a car accident.救护车在路上了The ambulance is en route.玛姬，你应该躺在轮床上Maggie, you should be on a gurney.我没事Im fine.我也这么跟她说，但她拒绝躺床Thats what I said, but she refused.去创伤部，马特，报告情况Going to Baghdad. Matt, talk to me.格兰杨，44岁，男性Grant Young. 44-year-old male.汽车高速相撞High-speed motor vehicle crash.昏迷