Grey's Anatomy《实习医生格蕾》第十九季第十集完整中英文对照剧本.docx

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1、我的天哪！Oh, my God!不嘿不要住手No, hey, no, no, no, stop.住手我的天！-Stop. -Oh, my God!复杂的心脏手术中一个更折磨人的部分是One of the more harrowing parts of complex heart surgeries我们不再让患者依靠体外循环机is the moment we wean the patient off the cardiopulmonary bypass machine. 卢卡斯！Oh, Lucas!我们开始慢慢给患者增温We start slowly warming the patient.你起

2、得很早睡不着-Youre up early. -Couldn sleep.随着患者体温的上升As the patients temperature rises,我们要检查以确保心脏中所有的空气都已排除we check to make sure all of the air has been removed from the heart.早上好Good morning.嘿-早-Hey. -Good morning.要带咖啡上路吗？Coffee for the road?-今晚把它带回来谢谢-Bring it back tonight. -Thank you.有人想要除草机吗？Anybody wa

3、nt a weed whacker?拐角的那家人在送一堆免费的东西The house on the corner is giving away a bunch of stuff for free.我要迟到了晚上见Im going to be late, but fll see you tonight.-拜-拜-Bye! -Bye.她拿走了我的杯子！She took my mug!看来她今晚会把它带回来Apparently she1! bring it back tonight.找到了些不错的伴娘礼服要是你需要的话he cant be reevaluated for another six mo

4、nths.我还在等你的问题Im still waiting for the question.你可以监督他吗？Would you supervise him, please?-不行我不是你老板吗？-No. -What happened to Im your boss我可以要求你做任何事and I can ask for what I want?这并不意味着我必须答应我很忙我为他加油Doesnt mean I have to say yes, Im busy. And Im rooting for him.好吧Okay.林克你现在在做什么？Link, what are you doing rig

5、ht now?杰拉尔德李恩60岁Gerald Lien, age 60.勃起时阴♥茎♥弯曲且疼痛加剧History of increasingly painful curved erections that led最后诊断为佩罗尼氏病to a diagnosis of Peyronies disease.好谁能告诉我这种病的病理生理学是什么？Okay, so who can tell me the pathophysiology of this disease?这是一种炎症性疾病可导致阴♥茎♥弯曲Its an inflammatory c

6、ondition that can cause a bend in the penis,有可能是因为屡次受伤造成的and its thought to be caused from repeated injuries包括运动意外或性行为due to athletics, accidents, or sex.对好我们去看一下杰拉尔德Correct. Okay. Lets go meet Gerald.杰拉尔德很高兴又见到你Gerald, so nice to see you again.这位是施密特医生关医生和亚当斯医生This is Dr. Schmidt, Dr. Kwan, and Dr.

7、 Adams.他们今天会协助我They*re going to be assisting me today.大约在6个月前杰拉尔德第一次来找我那时他的症状刚开始Gerald first came to me about six months ago when his symptoms first started, 我们无法通过手术帮他因为我们需要等到and we werent able to help him surgically because we needed to wait发展趋于稳定没有进一步的弯曲until the progression stabilized and there

8、was no further curvature.你要等6个月？You had to wait six months?对不起Sorry.求你了帮我修复你可以的对吗？Please, just fix it. You can fix it, right?这样我就不必躲着我老婆So I can stop avoiding my wife?今天福克斯医生将切除堆积的斑块Today, Dr. Fox will resect the plaques that are built up然后放置一个异种移植物来修复损伤and then place a xenograft to repair the damag

9、e.你真的不想打电♥话♥告诉谁Gerald, are you sure there isnt anyone you want to call and let them know 你今天要做手术吗？youre having surgery today?我老婆和朋友们以为我正在开会My wife and our friends think Im at a conference right now.大约3小时后我会因为肌肉拉伤In about three hours, Im going to pull a muscle, 不得不在床上躺几天which will requi

10、re me to be in bed for a couple of days.明白了好的施密特关亚当斯Understood. All right, Schmidt, Kwan, Adams,我们去看一下他的阴♥茎♥超声波扫描我在手术室等你们Lets go and study his penal ultrasound, and 1 will see you in the O.R.谢谢你福克斯医生Thank you, Dr. Fox.我需要她的最新扫描结果这样我们可以采用我的方法和步骤ril need her latest scans so we can go ove

11、r my approach and positioning.不好意思薛波医生我和迪迪想知道Excuse me, Dr. Shepherd. Didi and I were wondering if you could 在哪里可以买♥♥到咖啡tell us where we could get some coffee.楼下有个餐厅There*s a cafeteria downstairs.或者安田医生可以从休息室拿一些Or Dr. Yasuda could grab some from the lounge.那太好了That would be great.-没问题两

12、杯咖啡马上就到-应该是三杯-Sure. Two coffees coming right up. -Actually, three.卡罗尔的那份要加奶油和糖她总是喜欢吃甜的And Carol takes hers with cream and sugar. She always had a sweet tooth. 好没问题Okay, sure.谢谢你安田医生Thank you, Dr. Yasuda.怎么给死人弄咖啡？How do I get coffee for a dead person?和你给活人弄咖啡一样的方法Same way you get coffee for a living

13、person.把它倒进杯中Pour it in a cup.你担心要是你搞砸了她的咖啡她会生气？You worried shell get mad at you if you screw up her order?好是的-Okay. -Yeah.它看起来像个回旋镖他怎么撒尿？It looks like a boomerang. How does he pee?侧面？Sideways?正如你们所看到的超声波检查显示出纤维性斑块的堆积As you can see, the ultrasound shows the build up of fibrous plaques,而这些斑块可能包含钙化或完全

14、骨化and these plaques can contain calcifications or completely ossify.-这意味着-组织会变成骨头-Which means- -The tissue can turn to bone.没错值得注意的是这不是一个正畸案例Correct. It*s worth noting this is not an ortho case.这很复杂Its very complex.所以一定要仔细看超声波分♥析♥So be sure to carefully review the ultrasound studies.做好

15、极其充分的准备然后让他去做术前准备Be extremely prepared, then get him up to pre-op.-所以他有骨头在他的阴♥茎♥里？-So hes got bone. -In his boner?不是Nope.阴♥茎♥手术也会非常复杂Penile surgery can be bloody and messy.如果出现任何问题这个男人的勃起功能And if anything goes wrong, this mans erectile function将会受到永久的损伤will be permanently

16、 impaired.就让我们来听听所有的现在So lets hear em, all of em, right now.现在把你们的笑话都说出来Get your jokes out now.踏出那扇门后就不许再说Not one more after you step foot outside that door.钩子船长短小黄瓜弯曲吸管Captain Hook, Gargo-gherk, and Bendy Straw.回去工作Get back to work.今天我会评估你的临床技能Today, Til be assessing your clinical skills, 你对患者的态度以及

17、诊断知识bedside manner and diagnostic knowledge.我希望你假装我不在这里像平常一样做每一件事I want you to pretend Im not here. Do everything like you normally would. 好的Okay.威廉姆斯先生我是杭特医生我来看一下那个伤口Mr. Williams, I am Dr. Hunt. I am here to take a look at that cut.能说一下情况吗？Can you tell me how it happened?他在这里做什么？-对不起-Whats he doing

18、 here? -Oh, sorry.我应该自我介绍一下我是林肯医生I should have introduced myself. Im Dr. Lincoln.你杀了坦克You killed the Tank.我不想让他碰我I dont want him touching me.林克医生是一位优秀的外科医生但他今天只是来观看Dr. Link is an excellent surgeon, but he is just here to observe today.观看什么Observe what?我正处于试用期不是因为任何医疗差错什么的Well, I am in a probationary

19、 period, not because of any malpractice更多是官僚主义的东西我向你保证or anything, more of bureaucratic stuff, I assure you.我是一名完全合格的创伤外科医生Im a fully board certified trauma surgeon,缝合一个小的头部划伤肯定不在话下more than capable of sewing up a small head laceration.如果你准备好了我要等另一位医生-So when youre ready- -Ill wait for another docto

20、r.-不是你-威廉姆斯先生-Not you. -Mr. Williams,我真的需要把伤口缝好否则它会感染所以I really need to close that up before it becomes infected, so.我想碰碰运气Fil take my chances.好吧Alright.PET扫描不会花很长时间So, the PET scan wont take long.一旦我们完成了你可以回去计划你的旅行You can go back to planning your trip once were finished.我们的第一站是莫奈创作黄昏的圣乔治马焦雷的那个岛Our

21、first stop is the island where Monet painted San Giorgio Maggiore at Dusk.他是我最喜欢的画家之一Hes one of my favorite painters.米林医生你在欧洲有最喜欢的地方吗？Do you have a favorite place in Europe, Dr. Millin?我从没去过I have never been,但我一直想有朝一日去巴黎but Ive always wanted to go to Paris someday.她有“有朝一日”问题She has the case of the s

22、omedays.什么？The what?娜塔莉亚总是说一个星期有七天Natalia always says that there are seven days in a week而有朝一日不在其中and someday isnt one of them.当你生活在“有朝一日时你会浪费今天When you live in someday, youll waste today.在遇到她之前我曾总是这么想是她改变了我I had a real bad case until I met her. She knocked it out of me.他最后一次使用“有朝一日”这个词时我让他睡在客房&hear

23、ts;The last time he used the word someday/11 made him sleep in the guest room. 也被称为走廊她让我睡在走廊上Also known as the porch. She made me sleep on the porch.天哪她在流血娜塔莉亚！Gosh, shes bleeding. Natalia!我需要抽吸和抢救车！呼叫伟柏医生！马上！I need suction and a crash cart! And page Dr. Webber! Now!没事的坚持住Its okay. Hey； hang in ther

24、e.吐在这里你能呼吸吗？Into this. Can you breathe?你知道佩罗尼氏病其实真的很常见？You know, Peyronies disease is actually really common?每11名男性中就有一名患者Affects one in eleven men.你担心在软管里有一个扭结？Worried you got a kink in the hose?如果你再把那只土狼带回家我今晚就睡在我车上If you bring that hyena home again tonight, I am sleeping in my van.这怎么会是威胁呢？ 她的名字是

25、卡拉How is that a threat? - Her name is Cara.是的内科的卡拉Yeah. Cara from Internal Medicine.她在床上戴听诊器吗？Does she wear her stethoscope in bed?那到底是什么意思？What does that even mean?你是因为她而担心自己有佩罗尼氏病吗？Is she why yourre worried you have Peyronies disease?-你担心佩罗尼氏病？ 没有-Youre worried about Peyronies? -No.我不相信一个能力有限的人I d

26、ont trust anyone who doesnt cut.也许我并不想要相信她You know, maybe Im not interested in trusting her.大家需要睡觉The people need sleep.你在跟我开玩笑吗？我必须离开这里！Are you kidding me? I have to get out of here!我明白看来还挺顺利的-I understand. -Seems like its going well.那个女人在他面前大喊大叫That woman is yelling in his face.这次不是你我是在鼓励你Well, if

27、s not you for once. This is me trying to be encouraging.-这是尿毒症也许是的It*s a UTI. Youre probably right.但我需要进行全面检查But I need to do a full work up只是为了确保没有其他问题just to make sure that nothing else is going on.小便时有烧灼感而且我老是要去厕所It burns when I pee and I have to go all the time.这是典型的尿毒症Its textbook UTI.给我抗生素就好啦我

28、还能腾出一张床Just give me the antibiotics and Ill free up a bed.不行我需要测你的生命体征并提取尿液样本We cant. I need to take your vitals and take a urine sample.那要花多长时间？And how long will that take?这要看实验室有多忙That depends on how busy the labs are.但我保证我们会尽快让你离开这里But I promise we will get you out of here as soon as we can.好吧我已经

29、错过了逻辑课的学习小组Okay, Tm already missing the study group for my logic class,然后下午5点要交一篇经济学论文and then I have an Econ paper due at 5:00 PM.7点要去餐馆打工我没时间耗在这里And my restaurant shift starts at seven. I dont have time for this.就用我朋友吃剩的抗生素啦Fil just use my friencfs leftover antibiotics.不行我不建议你这样做！No, no, no. I wou

30、ldnt recommend that!好接下来是什么？Okay, whats next?我只需把你的血型和筛查发过去然后就可以开始了I just need to send off your type and screen and then well be ready to go.-好啊-好-Okay, -Okay.现在只有我们俩我可以问你点事吗？Can I ask you something now that its just you and me?可以呀Of course.如果那里的手术不顺利会变成永久性的吗？If things dont go smoothly in there, cou

31、ld it be permanent?这些可能性总会有的包括组织损伤Theres always the possibility of tissue damage,神经损伤或更严重的勃起功能障碍nerve damage, or more severe erectile dysfunction,但发生率只有20%but that only happens in 20% of the cases.福克斯医生非常优秀And Dr. Fox is excellent.我老婆叫格洛丽亚但我叫她亮晶晶因为她My wifes name is Gloria, but I call her Glow becaus

32、e she.真的熠熠生辉just glows.她退休前是个历史教授She was a history professor before she retired.她喜欢大型音乐会普通餐馆和海洋She loves big concerts, dive restaurants, and the ocean.我没告诉她是因为我不想让她同情我And I didnt tell her because I didnt want her to feel sorry或是用不同的眼光看我for me or look at me differently.如果我在那20%中会怎样？So what if Im in t

33、hat 20%?你们结婚多久了？How long have you been married?37年Thirty-seven years.我觉得你的情况并不是永久性的I dont think that your condition will be permanent,但你的婚姻听起来是的but your marriage sounds like it is.好吧Alright.我几分钟后回来带你去做术前检查Fil be back in a few minutes to take you to pre-op.就在那里Right there.娜塔莉亚的食道肿瘤已经侵蚀到主动脉Natalias es

34、ophageal tumor has eroded into the aorta 和后部纵膈到处都是肿瘤and the posterior mediastinum, tumors everywhere.所以她的心脏血流不止？So her hearts bleeding out?基本上是的Essentially, yeah.可以切除吗？Can you resect it?我不知道该从何下手I wouldnt know where to begin.你呼我啦？You paged me?我需要听听你的意见I need a second opinion.大的食管肿块Large esophageal m

35、ass, 已经侵蚀了主动脉心包which has eroded into the aorta pericardium.很遗憾Sorry.你觉得下降支架移植会有用吗？You don*t think a descending stent graph will work?对她没有帮助-那我们现在该怎么办？-That wont help her. -So, what do we do now?没有办法Nothing.我们能为娜塔莉亚做的就是给她止痛药Best thing we can do for Natalia is give her pain medication 帮她安然离去and help h

36、er go peacefully.我还有多少时间？How much time do I have?要看情况It depends.从几天到几个小时It could be anywhere from a few days to a few hours.我很抱歉娜塔莉亚Im so sorry, Natalia.我们会尽量让你觉得舒服Well make sure youre comfortable.不管你需要什么Whatever you need.谢谢Thank you.等埃利奥特回来我们可以陪他走完这一程When Elliot gets back, we can walk him through t

37、his.我们知道这些对话可能是痛苦的We know that these conversations can be difficult.不让我们自己来安排这个旅行No, just let us plan our trip.娜塔莉亚你丈夫需要做好准备Natalia, your husband needs to be prepared.他需要告别He needs to say goodbye.不他不需要他不需要这个No, he doesnt. He doesnt need that.我们无法应对We cannot handle that.拜托Please.让我们自己来安排这个旅行Let us pl

38、an our trip.我和斯塔西护士谈过并得到了全部信息I talked to Nurse Staci and I got the full download.全部信息？ 对是狗不是猫The full download? -Yeah, Carlos. Okay: dogs, not cats.星际迷航不是星球大战挺好对吧？Star Trek, not Star Wars. Thatrs good, right?还有他去年去了哥斯达黎加就为了看树懒And then. Oh, he went to Costa Rica last year just to see the sloths.是不是好可

39、爱？Isnt that so cute?这是跟踪我可不想卷入一个跟踪案This is stalking. I really don*t want to be implicated in a stalking case.你和尼科一年多前就分手了You and Nico broke up over a year ago.我有个手术Found some good bridesmaid dress options, if youre looking.这些衣服应该放在博物馆里Those dresses belong in a museum.它们是免费的走开They*re free, and go awa

40、y.你觉得我可以去主持吗？因为我一直都想做Do you think that I could officiate? Cause Ive always wanted to do that. 我跟你又不熟I barely know you.真遗憾你们有打算吗？Oh, Im sorry. Are you going to do it?我和特里还有很多事要考虑Terry and I still have a lot to figure out.好啊我可以参与吗？Yes, Tm in the mix.一旦移开主动脉交叉钳Once the aortic cross clamp is removed, 所有

41、的目光都会集中在心脏上那是关键时刻all eyes are on the heart for that moment of truth.它会不会开始跳动？Will it start to beat?嘿可以借件衣服吗？Hey, can I borrow a shirt?我需要多带一点衣服过来I need to bring some more clothes over here.自己去看吧Help yourself.谢谢Thank you.我去做早餐You know, Pm going to go make breakfast.本想告诉你的已经没有好的格兰诺拉麦片了Meant to tell yo

42、u, we are out of the good granola.真的？我刚刚买♥♥了一些Really? I just bought some.我知道我一直很喜欢酸奶我会再去买♥♥一些的I know. Fve been on a yogurt kick. Til get some more.那是凯吗？能替我跟他们问好吗？Is that Kai? Will you tell them I said hi?他们啥时来这里？When are they coming back here?I have surgery.天哪你就不能和他谈谈吗？又不

43、是什么大不了的事Oh, my God. Will you just talk to him? Its not a big deal.我又不是你I am not you.为什么每一次像我这样的人感到不安全Why is it that every time someone like me feels insecure,一个非常好看的有魅力的人就会说a very good looking, charming person is like,“去做吧!没什么大不了的!这很有趣!会很容易的！ Just do it! It*s not a big deal! Its fun! Itll be easy!还有

44、他讨厌吸血鬼节目And he hates vampire shows.我知道你害怕吸血鬼！I know youre scared of vampires!你有孩子吗？So, you got kids?有Yes.好什么情况？Okay, what have we got?埃德加雷耶斯38岁交通事故没系安全带Edgar Reyes； 38. MVC, unrestrained driver胸部有钝性创伤双侧呼吸减弱with blunt trauma to the chest. Got diminished breath sounds bilaterally, 血氧饱和度为80%血压为95/40sat

45、ting at 80%. BP is 95/40插管和针式减压在现场已完成Intubated and needle decompressions done in the field.准备好了吗？听我口令一二三走You ready? On my count. One, two, three, letfs go.放上X光他的血氧饱和度在下降Okay, lets bring in the X-ray. His sats are dropping.我看到大量的皮下气肿Im seeing extensive subcutaneous emphysema.盘子已经准备好Plates already in.

46、好开始吧All right, here we go.该死的气管偏移Damn it. Deviated trachea.组织中有空气我无法确定是否有血气胸I cant make out if theres a hemothorax with all the air in the tissue.好没有氧气进入他的肺部Okay. Theres no oxygen getting to his lungs.收缩压在下降我们要进行支气管镜检查His systolic*s falling. We should call for bronchoscopy.到那时他就死了尤其是他的气道破裂Hell be de

47、ad by then, especially because he has a ruptured airway.给我一把10号♥刀手套和杀菌剂Give me a ten-blade, gloves and betadine.你到底在做什么？What the hell are you doing?他可能有气管损伤我们需要做点什么不然他就死了He might have a tracheal injury. We need to do something before he codes.要等支气管镜检查这样你就不会盲目地开刀So wait for the bronchoscopy so you dont go in blind.我们没有时间去检查每一项We dont have time for me to check all those boxes.去呼叫纳吉医生！Okay? S