Chicago Med《芝加哥急救》第八季第十集完整中英文对照剧本.docx

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1、等我们度完蜜月我们想到外面治疗病人After our honeymoon, we*d like to start treating people.这是离职通知吗？Are you giving me notice?是的，女士Yes, maam.迪恩，跟我说你怎么了？Come on, Dean. Whats going on?我能帮你什么吗？Is there anything I can do?不要说出去You can keep it to yourself.积斯旬刘Justin Lieu.我在决定上医学院之前I spent a decade doing search and rescue做了十年

2、的搜救工作before deciding on med school.我是莉莉安娜Im Liliana.我打扫你的办公室I clean your office.你想不想跟我去喝杯咖啡？Would you like to have some coffee with me?不如现在吧？How about now?你在搞外遇吗？Are you having an affair?没有，绝对没有No. Never.他认为我们需要分开一段时间He thinks that we need time apart.感谢戴顿先生的慷慨解囊And thanks to Mr. Daytons generosity,芝

3、加哥医院才能够Chicago Med is able to provide提供高水平的外科手术a whole new level of surgical intervention.我很懂技术I know the tech.动手术？Surgery?你得固定好臀部Youre gonna need to have your hip pinned.恢复要多久时间？Whats the recovery time for that?至少一个月，也许会更久At least a month, but likely longer.整形外科医生可以给你一个更准确的估算An orthopedic surgeon c

4、an give you a more accurate estimate.我会请值班的骨科住院医生过来111 page the ortho resident on call to come down.不用了，我不能动手术Dont, please. I cant go through a surgery like that.谁要来照顾亚历山大？Who will take care of Alexander?难道没有别的家庭成员There isnt another family member能帮上忙吗？who might be able to help?没有，从他小时候起就没有No, not si

5、nce he was a baby.一直都只有我们两个Its always just been the two of us.好，有没有让他觉得舒服的朋友，或者Right. No friend that he feels comfortable with or.你也看到他刚才的情况You saw how he was earlier.像这样的暴怒至少每天发生一次Blow ups like that happen at least once a day.在我认识的人里面，没人想担这个责任No one I know would want to take that on.那我们要做的就是指定Then

6、what were gonna do is were gonna appoint一个短期监护人a short-term guardianship.除了我以外，亚历山大谁都不听Alexander won*t listen to anyone but me.我是唯一能让他冷静下来的人Im the only one who can calm him down.所以我不会动手术So no surgery.奶奶？Grandma?你看Look.我可以喝吗？Can I have it?可以，但要先吃午餐Yes, but not before lunch.嗨，索菲亚，我是霍士迪医生Hi, Sophia. Im

7、 Dr. Halstead.你是她妈妈吗？Are you her mom?我是她的游泳教练，仙蒂Her swim coach, Cindy.她爸爸应该很快就来了Her dad should be here soon.他住的地方离这里有几个小时车程He lives a few hours away.索菲亚在市区的圣若瑟预备学校上学Sophia goes to St. Joseph Prep here in the city. 是寄宿学校吧？Oh, the boarding school, right?-对-好-Mm-hmm. -OK.发生了什么事，索菲亚？So whats going on, S

8、ophia?老实话，我不清楚I dont know honestly.这是最怪的部分It was the weirdest thing.索菲亚和她的队友正在练习Sophia and her teammates were practicing个人混合泳their individual medley races,在索菲亚完成最后一次翻转之后and right after Sophia made her last flip turn, 她落后了其他人she fell behind all the others.然后她整个人不动了Then she stopped swimming altogether

9、.我觉得胸口闷闷的I think I felt something in my chest, 然后就晕倒了 but then I passed out. 我可以简单听诊一下吗？ OK if I give a quick listen? 太可怕了Oh, it was terrifying.我是说，她脸朝下浮在水上I mean, she was just floating there, face down. 另一位教练帮我把她抬出泳池One of the other coaches helped me get her out of the pool. 她本来不省人事And she was unco

10、nscious at first. 几秒钟之后，她就醒了，谢天谢地 And then after a few seconds, she came to, thank goodness. 以前有发生过这种事吗？Anything like this ever happened before? 没有，从来没有No, never.索菲亚是个出色的游泳运动员 Sophia is a fantastic swimmer. 去年我打破了I broke the state record 两百米蛙泳的州纪录 for the 200-meter breaststroke last year. 哇，真厉害Wow.

11、Impressive.好，我们做个胸部X光、全套血液检查All right, lets get a chest X-ray, CBC, 综合代谢检查、心电图跟心脏检查 CMP, EKG, and cardiac labs. 不如我们让索菲亚换上病人服吧？ And why dont we get Sophia a gown? 请问，这是积戴顿买♥♥下的医院吗？ Hey, is this the hospital Jack Day ton bought? 是的It is.我有机会见到他吗？Any chance Ill get to see him?你才16岁，就知道积戴

12、顿是谁了？Youre 16 and you keep up with Jack Dayton? 积戴顿16岁的时候When Jack Dayton was 16, 就已经建立了后来成为 hed already created the beta version SapphireC的测试版 of what would become SapphireC. 你对他了若指掌？ 当然-You know a lot about him? -Of course. 我是个开♥发♥者 Im a dev.开♥发♥者？ 开♥发♥人员

13、-Dev? -Developer.很难不崇拜积戴顿这样的人Its hard not to look up to somebody like Jack Dayton. 可惜的是，我不认为积今天会来医院Unfortunately, I doubt Jack will make an appearance today. 他是个大忙人，抱歉Hes a pretty busy guy. Sorry.但我们会做检查搞清楚到底发生了什么事But well get these tests and figure out whats going on.可以吗？-好-Sound good? -Mm-hmm. 好Ye

14、ah.我发誓I swear, 我绝对不希望我最讨厌的人患了局部性肠炎I would never wish Crohns disease on my worst enemy. 胃管肯定堵塞了The gastric tube is definitely clogged. 你猜对了，洛伊You called it, Roy.这是过去三个月里第四次了Thats the fourth time in the last three months.是啊，你有冲洗过胃管吗？Yeah. You flushing it out?我用过温水Ive used warm water, 气泡水、苏打水 seltzer,

15、soda,除了通乐，我什么都用过了everything short of Drano.那好吧，我们把管子加大一点OK, well, lets upsize the tube a little bit.拜托，马素医生这只是暂时的解决办法Come on, Dr. MarceL Its a temporary solution.肯定有比这音乐管游戏更好的方法Theres got to be something better than this game of musical tubes.我知道你很难受，洛伊Yeah, look, I get that youre frustrated, Roy,但我

16、们得想办法让你得到营养but we got to get you nutrition somehow.你不明白You dont understand.我受不了了I cant take this.我需要吃东西I need to eat something.听我说，很遗憾，进食已经不可能了Look, sadly, thats not possible anymore因为你的食道狭窄because of your esophageal strictures.你没办法吞咽食物You wont be able to get the food down.那我能动手术吗？What about my surg

17、ical options?我在网络上看到有方法能切除并替换食道I read online you can remove and replace my esophagus.我们可以动这种手术吗？Can we do something like that?这个嘛，如果要动手术，我需要Well, if I do that, Til need to replace it重建一个新的食道by reconstructing a new esophagus从你的胃或肠的一部分来替代from a part of your stomach or intestine.但这是个复杂的手术But its a comp

18、licated procedure,尤其是对你来说especially for you.听我说，这些年来你动了很多手术Look, youve had a lot of surgeries over the years,留下的疤痕组织让你很难and all of that resulting scar tissue makes it very difficult找到有用的肠子to find a piece of intestine that can work.但你可以试试看吧？But you could try, right?手术里有太多可能失败的因素Too much can go wrong.

19、还会比现在这样更糟吗？How much worse can it be than this?你怕你会害死我？You worried you might kill me?我受不了要这样过日子了I cant stand the idea of having to keep living like this.我是认真的Im serious.我不知道我还能撑多久I dont know how much longer I could go on.我知道了，洛伊I hear you, Roy.好吧，这样吧All right, well.让我考虑一下，好吗？let me have a think on it

20、, OK?杜普雷医生，早安Dr. Dupre, morning.你能帮我建档吗？Can you input that for me?马素医生，我无意间听到Dr. Marcel, I couldnt help but overhear你在讨论像艾弗刘易斯you discussing what sounded to be like an Ivor Lewis operation 替腹部有不良反应的局部性肠炎患者的手术on a Crohns patient with a hostile abdomen.你在偷听吗？Eavesdropping much?我不是故意的Not intentionally.

21、听着，我很乐意为手术提供2.0服务Look, I would love to offer 2.0 services for the operation.谢谢，但我跟他说了Thanks, but I told him 我们不会动手术were not gonna go the surgical route. 洛伊的局部性肠炎和之前手术的黏连Roys Crohns disease and adhesions from prior surgeries 让他动手术的风险非常高他不适合手术make him a very high risk and poor surgical candidate.我认为这是

22、利用2.0成像的完美案例I think this is the perfect case to take advantage of 20s imaging. 如果2.0会给外科手术带来革命性的变化If 2.0 is gonna revolutionize surgery, 这正是它应该用于的病例this is exactly the kind of case it should be used on. 洛伊的情况很不稳定You know, Roys situation is very precarious.我不相信2.0能带来改变Im not convinced 2.0 can make a

23、difference.我理解你有疑虑I understand your reservations, 但你不认为这值得一试吗？ but dont you think its worth exploring? 你一定是索菲亚的爸爸You must be Sophias dad.我是格连伊士曼，不好意思，我迟到了Glen Eastman. Tm sorry Im late. 我住在洛歇尔，我已经尽快赶过来了I live out in Rochelle. Got here as soon as I could. 我很高兴你来了，我是霍士迪医生Im glad you made it. Im Dr. Ha

24、lstead. 我拿到化验报告了I have your lab results.我去外面等Ill step outside.不用，教练，请留下来No, Coach, please stay.你就像是我们的家人，仙蒂You*re basically family, Cindy.在过去的几年，她对索菲亚的生活Shes been a wonderful influence in Sophias life 产生了巨大的影响over the past few years, 尤其是因为我住得很远especially since I live so far away.那好OK.好消息是你的化验报告和心电图都

25、很正常Well, the good news is your labs and EKG came back normal.知道是什么引起的吗？Any idea what did cause this then?还不清楚，但我想给索菲亚Not yet, but Id like to test Sophia做个布鲁格达氏综合征的测试for something called Brugada syndrome.这是种非常罕见的疾病会导致心律失常Its a very rare disorder that causes arrhythmias或心率不整or irregular heartbeats,尤其会

26、发生在especially if someone who has it过度劳累的情况下就像你今天游泳一样overexerts themselves like you did swimming today.听起来很严重That sounds serious.在最糟糕的情况下In the very worst cases,这种疾病会导致心脏完全停止跳动it can cause the heart to stop altogether.但有治疗方法可以防止这种情况发生But there are treatments that will prevent that from happening. 所以我

27、想再做一次心电图Thats why Id like to do another EKG.但这次，我想用一种But this time, Id like to administer a medication叫普鲁卡因胺的药，如果索菲亚真的called procainamide that will trigger an irregular EKG result患有布鲁格达氏综合征就会导致心电图异常if Sophia does in fact have Brugada Syndrome.我们不得不做吧？Weve got to do it, right?这样才知道到底有没有So we know eit

28、her way.好，我马上叫护士替你准备All right, Til have a nurse get you set up right away.班顿的电脑断层扫描Brandons CT.他有二级脾裂，没有出血Hes got a grade 2 splenic crack with no blush.好，你有什么建议？All right. Whats your recommendation?追踪他24小时内的血红蛋白Track his hemoglobins over the next 24 hours.我认为只要有保持稳定As long as it remains stable,就没有必要

29、动手术I dont see any need for surgical intervention.他还通过了自主呼吸测试He also passed a spontaneous breathing test.很好，我们来拔管吧Good. Lets extubate.来吧Here you go.班顿，我们现在要取出你的气管插管，好吗？Brandon, were gonna remove your endotracheal tube now, OK?好了，班顿，我把带子松开All right, Brandon, Fm just gonna loosen the strap.好，慢慢来There y

30、ou go. Nice and easy.呼吸Breathe.做得很好Good job.蒂芬妮还好吗？Is Tiffany OK?蒂芬妮？Tiffany?我太太，他们有送她来这里吗？My wife. Did they bring her here?我听不懂I dont understand.她在车上吗？Was she in the car?对Yes.她怀孕了Shes pregnant.要生了In labor.她人在哪？Where is she?我刚才问过现场的当地消防部门了Just spoke to the local fire department on the scene.恐怕他们没在那里

31、找到其他人Im afraid they didnt find anyone else there.什么？What?不可能，我怎么会你在说什么？No, I. what are. What are you saying?班顿，你确定Brandon, are you sure你没有记错吗？youre not misremembering what happened?我没有胡说Im not making this up.她就坐在我旁边She was sitting right next to me.我可以证明，我我的手♥机♥呢？I can prove it. Just. w

32、heres my phone?好OK.你们看，地图上的点就是她的手♥机♥Look, this dot on the map is her cell phone.就在55号&hearts洲际公路旁边Thats right by Interstate 55.我就是在那里出车祸的吧？Thats where I crashed, right?好，既然如此，我自己回去找OK, Fil go back there myself if I have to.班顿，你的情况不适合出院Brandon, you*re in no shape to leave the hospital.交

33、给我们处理，你坐好Were gonna get on top of this. You just sit tight.拜托你了Please.我保证，它不会让你失望的I promise you, it wont let you down.你懂技术，但你不懂手术You know tech, but you dont know surgery.积戴顿买♥♥卜了Jack Dayton has bought controlling interest 加夫尼医疗集团的控股权 in the Gaffney Medical Group.我猜他现在是老大了So I guess hes

34、 in charge now.天啊，到处都能看到这些2.0的广&hearts浩♥Man, Tve been seeing these 2.0 ads everywhere. 都让我想要动手术了Kind of makes me wish I needed surgery. 是啊，太多广♥告♥ 了 Yeah. These are a lot of signs.我想还有比I guess there are worse things 积戴顿的公♥关♥机器 than having Jack Dayton*s PR machine 更糟

35、的事吧？ .嘿，听我说-in our corner, though, right? -Hey, look.只要他能让我们避免供应短缺As long as he keeps us ahead of the supply shortages, 我就没什么好抱怨的你知道吗？-I am not complaining. -You know what?说到这个，我看到了一批全新的Come to think of it, I saw a whole new shipment 个人防护设备 of PPE came in.你先走吧Let me catch up with you later.嗨，玛姬Hey,

36、Maggie.嘿，莎伦Oh, hey, Sharon.你还好吗？How you doing?我很好Im OK.班以前每天早上都会帮我做早餐她长这样This is what she looks like.我们会尽一切努力找到她Well do everything we can to find her.朵莉丝，打给伊利诺伊州警♥察♥Doris, call the Illinois State Police和当地治安部门and the local sheriff department.跟他们说我们锁定了一个可能的地点Tell them weve pinned a poss

37、ible location.我应该去帮他们I should go out there to help them.我有搜救经验I have experience in search and rescue.是啊，但还有很多人在搜救Yeah, but there are other people for that.听我说，在科罗拉多州Look, back in Colorado,经常有徒步旅行者失踪hikers would go missing all the time.我们有指派的意外指挥官We would have a designated incident commander跟经验丰富的紧急小

38、组，随时准备好and experienced hasty teams at the ready直升机、卡车和通信技术with helicopters and trucks and commtech.我不认为当地治安部门有这么多资源Im not sure the local sheriff has those kind of resources.也许我能帮得上忙Maybe I can make up for some of that.但你又不是直升机Yeah, you*re not a helicopter.但我有过63次成功救援经验But I do have 63 rescues under

39、my belt.为了让蒂芬妮和她的孩子For Tiffany and her baby有最大的生存机会to have the best chance of survival,我必须到现场I need to be out there.我可以把医院搬去救她I can bring the hospital to her.艾莎医生Dr. Asher.嗯？什么事？Hmm? Whats up?有个孕妇在森林里失踪了Theres a pregnant woman missing out in the woods 刘医生似乎很肯定and Dr. Lieu here seems to be convinced他

40、需要加入搜救行动that he needs to join the search and rescue.我想要你跟他一起去I want you to go with him.她可能要生了，好吗？Shes reportedly in labor, OK?63次成功救援经验？63 rescues, huh?让蒂芬妮成为第6♥4♥次Make Tiffany number 6♥4♥.胃纤维化太严重，满是伤痕The stomach is just too fibrotic and scarred无法重组成食道to manipulate into a

41、n esophagus.那结肠间置术呢？How about a colonic interpositioning?你能用他的结肠吗？Can you use his colon?整个肠道有太多限制了There*s too many strictures throughout the bowel, 更不用说扫描上not to mention the extensive adhesions看不到的大面&hearts积♥黏连we cant see on the scans.听着，我也希望手术能成功，真的Look, I want this to work. I do.我不想要洛伊承受这么多

42、痛苦I hate that Roy has to suffer this much,但我不会在没有计划的情况下but Im not gonna open him up冒着进一步损伤肠道的风险and risk further damage to his intestine给他开膛破肚，好吗？without a plan in place, OK?也许换个更好的角度会有所帮助Perhaps a better angle can help.2.0，让我们看看病人洛伊图力的数位双胞胎2.0, show us the digital twin for patient Roy Tooley.载入中Load

43、ing.根据洛伊的图表和扫描Based on Roy*s charts and scans,2.0创造了这个在解剖学上完全相同的双胞胎2.0 has created this twin that is anatomically identical.你可以随意点点看Feel free to poke around in there.什么意思？What do you mean?我启用了 2.0的一个功能Ive enabled a function with 2.0可以让你用感应手套that allows you to manipulate the hologram操纵全息影像using the s

44、ensory gloves.来，试试看Here, try it.好OK.好OK.开始吧Here we go.肠区有肠吻合史Area of bowel has previous intestinal anastomosis.真厉害Neat trick.但这只是全息影像But its just a hologram.我们不知道洛伊的身体在现实生活中Theres no telling how Roys body would respond会有什么反应to any of this in real life.2.0可以模拟现实的反应2.0 can simulate the real-life respo

45、nses基于以前手术输入的广泛数据库based on an extensive database of previous surgical input同时不断重新校准while continuously recalibrating以纳入洛伊的个人数据to incorporate Roys personal data as well.嗯Mm.听着，如果你担心2.0Look, if you*re worried about that little hiccup质疑你缝合技术的小问题where 2.0 questioned your suturing technique,这不会再发生了it wont happen again.2.0是来帮你的，不会阻碍你2.0 is here to assist, not hinder.好吧，我想做个模拟也无妨Well, I guess theres no harm in running a simulation.准备好了吗？OK, we ready?到目前为止一切正常，就跟第一次一样OK, it all looks normal so far, just like the first time.注射普鲁卡因胺Push t