Chicago Med《芝加哥急救》第八季第十八集完整中英文对照剧本.docx

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1、我告诉他我需要做透析，说得很模糊Told him I needed dialysis. Left it pretty vague.但你跟他说了，这样很好Its a good thing you told him, though.这么做不光是对他好Not just for his sake.嘿，嘉丽丝，这边Hey, Grace. Over here.听说她单身Word is shes single.或者我可以请你喝杯咖啡Maybe I could buy you a cup of coffee.不如去喝一杯吧？What about a drink instead?我们可以用积的眼界We can

2、help a lot more people和金钱帮助更多的人with Jacks vision and money in our corner.戴顿表示，从现在开始手术室2.0只提供给付费用户使用Dayton says from now on, 2.0 is for paying customers only.要是积有想要什么的话他就会死咬不放When Jack wants something, he can be like a dog after a bone. 是啊，我也是这么想的Yeah, well, that has been my impression as well.谁送的花？W

3、ho are the flowers from?你猜猜Guess.原来是举世皆知的仰慕者Oh, your not-so-secret admirer,佐治托马斯医生Dr. George Thomas.兰花Oh, orchids.他这个人很优雅错了-The mans refined. -No.他这个人很执着The man is persistent.少来了Come on.你别跟我说你一点也不觉得开心I just think, you know, you have to be.我不知道，要做这么大的决定时I dont know, always when you make a big move li

4、ke this,你都要问自己这个问题现在是买♥♥♥房♥♥的最佳时机 吗？you gotta ask the question, is now the best time to buy?你知道，如果你要花光积蓄You know, and if youre gonna wipe out your savings来付头期款，我的意思是for the downpayment, I mean,可能会有维修的问题maintenance issues will come along.你可能需要重新装♥修♥一下你

5、只是要确保You might want to do a renovation. You just gotta make sure.嘿，听我说，我真的Hey, look, I really.我并不想泼你冷水I dont mean to be a downer about this at all.我真的不想.没关系-I really dont. -No, its okay.有很多事情需要考虑Theres a lot to think about.我也还在考虑好-fm still thinking about it. -Okay.你想找别的地方继续聊聊吗?You want to go somewhe

6、re and talk about it some more?去喝杯咖啡之类的？Get a cup of coffee or something?我不行，我还有差事要办I cant. I have errands to run.晚点见了，丹尼尔And I will see you later, Daniel.好吧Okay.嘿，恭喜Hey, congrats.恭喜你Congrats.新系统会自动更新房♥间可用性The new system automatically updates room availability并在所有显示器上显示房♥间分配and display

7、s room assignments on all the monitors. 玛姬，现在不会有人每隔两分钟Maggie, now you wont have someone asking you就问你说“我要去哪一间？ every two minutes, uWhere am I going?还是会有人问的，好了，各位No, that1! still happen. Okay, everybody.都回去工作吧，非常感谢Lets get back to work. Thank you very much.不会不会再发生了，因为现在No, no, it wont happen because

8、now他们可以看显示器they can just look at the monitors.我知道他们可以，但他们会吗？I understand that they can, but will they?这些人是习惯的生物These folks are creatures of habit.随着时间的推移，这也会成为习惯Well, itll become habit over time.好吧，跟我说说这些灯的功能Okay, well tell me more about these lights.这些是房♥间分诊系统的一部分吗？Are they part of a room tr

9、iage system?不是，这些其实是噪音感测器So no, these are actually noise sensors.它们监控整个急诊室的音量级别They monitor volume levels throughout the ED.如果声音太大，灯就会开始闪烁When it gets too loud, they start flashing.灯闪了之后会怎样？What happens when they do?噪音警♥察♥会跑出来吗？哦Noise police just pops out? Oh.不会Well, no.希望这能提醒Hopefully

10、 its a gentle reminder附近的人小声点to anyone in the vicinity to lower their voice.-好,我-研究表示-Yeah, Tm. -Research shows急诊室的噪音太大that excessive noise in the emergency room会增加病人的压力和焦虑increases patients* stress and anxiety,提高他们的皮质醇水平raises their cortisol levels.这个嘛，我赞成提醒员工Well, Tm for the reminder to the staff必

11、须把不必要的噪音控制在最低限度that they must keep unnecessary noise at a minimum. 毕竟这是我每天都在做的事I mean, its what I do every day.你不应该做这些事Which you shouldnt have to.你已经够忙了，玛姬You got enough on your plate, Maggie.成年人应该要透过简单的视觉提示Adults should be able to self-monitor进行自我管理，对吧？with a simple visual cue, right?应该吧，嘉丽丝，我们等着瞧吧

12、I guess, Grace. Werll see.-你好,柏默女士 叫我艾莉西亚-Hello, Ms. Palmer, -Its Alicia.嗨，艾莉西亚，我是霍士迪医生Hi, Alicia. Irm Dr. Halstead.我这边看到你最近经常头痛I see youve been experiencing frequent headaches lately. 对，上个月每周两到三次Yeah, two to three a week for the last month.我现在的这次是目前为止最久的The one Im currently having is the longest so

13、 far.持续了 29个小时Going on 29 hours.这些应该都有写在病历上This should all be in my chart.我把我的头痛记录给了护士I gave the nurse a record of my attacks.对，我正在看Yes, Im seeing that here.还有包括我症状的And a list of conditions and diseases一系列病症跟疾病清单that include my symptoms.当然，我不是医生Im obviously not a doctor.我不是想侮辱你的智商Im not trying to in

14、sult your intelligence.不要紧No offense taken.我刚读到每年都有人I just read that people get misdiagnosed在急诊室里被误诊in the emergency room every year.这个嘛，我可以告诉你误诊往往发生在Well, I can tell you a misdiagnosis tends to happen病人的表现不典型的时候when a patients presentation is atypical.对，那篇文章就是这么说的Yes, that is what the article said.

15、但在这里，我们有个新的But here at Med, weve actually got a new.这个嘛，非常新是从今天开始使用的Well, really new, like, as of today.基于人工智能的诊断工具Al-based diagnostic tool帮我们确保我们没有错过任何问题that helps us make sure we don*t miss anything.虽然有很多功能，但重点是Theres a lot more to it, but the gist is它会提出监别诊断it creates a differential让医生与人工智能的诊断进行比

16、对for the doctor to compare against their own.监别诊断，就是我列出Differential. Thats the list of things可能是我病状的清单，对吧？that could be wrong with me； right?就像让同事检查你的工作一样So its like having a colleague double-check your work. 一个能在瞬间扫描A colleague that scans所有医学数据库和期刊的同事every medical database and journal in an instant

17、.好，没问题，我们一定要用机器人Okay, yeah. Lets definitely use the robot.因为我们还在试验阶段Well, because were in the pilot phase still,我需要你签一份同意书Im gonna need you to sign a consent form.我去拿，马上回来ril grab it and be right back.-谢谢-好-Thanks. -All right.很抱歉我没穿上病人袍Im sorry I didnt put on the gown.我知道我应该要穿I know Im supposed to,

18、但我现在穿脱要花很久but it would take me forever at the moment.我会放你一马的Fil cut you some slack.我也希望这不会花太长时间Im also kind of hoping this wonrt take long.赖恩全年的出勤率都很好Ryan has had perfect attendance all year.这样啊，那作为全勤俱乐部的校友Oh, well as an alumna of the perfect attendance club, 我会尽我所能让你们俩早点离开I will do my best to get y

19、ou both out the door. 莎拉，你今天开车去学校的时候头晕了吗？So, Sarah, you got dizzy driving to school today?只有几秒钟而已For, like, a few seconds.我把车停在路边观察了一下Yeah, I pulled over to study myself for a moment.然后我感觉好多了And then I felt fine.但我这个杞人忧天的孩子But my worrywart over here拜托我掉头来这里begged me to turn around and come here.她经常头

20、晕She gets dizzy a lot.有时还会呼吸困难Sometimes she has trouble catching her breath.-嗯我喘到得把车停在路边-Hmm. -I have to park on the street.有时候我从公♥寓♥走到车上I get a little winded sometimes会有点喘不过气来walking from our apartment to the car.是每天吧Every day?我跟赖恩解释过这样很正常I tried to explain to Ryan its normal.你的脚踝肿了We

21、ll, your ankles are swollen.就连在休息的时候你的呼吸似乎还是有点困难And your breathing still seems a bit labored, even at rest.是啊，我脚踝是肿的Yeah, I had swollen ankles还会一直气喘and I was panting all the time从我在赖恩这个年纪的时候就这样了when I was this big with Ryan too.去问我的前度吧Just ask my ex.等一下，没人找得到他Oh, wait. He*s nowhere to be found.这些都可能

22、是Well, these all could be symptoms妊娠晚期的症状，我同意of third trimester pregnancy, I agree,但为了安全起见我还是想做个全面检查but rd still like to do a full workup just to be safe.我和产科医生约好了周一见面Ive got an appointment with by OB on Monday.我真的希望我们现在就能进行检查fd really prefer if we could just check you out now.妈妈，你看后藤女士传给你的简讯Mom, lo

23、ok at this text you got from Ms. Goto.上面说只要我在午餐前到校It says as long as I get back before lunch is over,就不会影响我的纪录it wont mess up my record.所以你就让医生做检查吧，拜托你So let the doctor run tests and stuff please.好啦Okay, okay.好，尽量检查吧Yes, run all the tests and stuff.嘿，我真的没事Hey, Im just fine.我们会确保你的宝贝妹妹没事的，好吗？Well mak

24、e sure your baby sister is feeling good, okay?艾卓亚医生，却莱格的扫描结果出来了Dr. Archer, Kurt Legers scans are up.好Okay.对，今天摔倒造成第12节胸椎神经不稳定爆裂性骨折Yeah, unstable burst fracture at T-12 from the fall today.怎么了？What?他第10节胸椎神经以下有感觉并不是医学奇迹Well, it isnt a medical miracle hes got feeling below T-10.什么意思？What do you mean?脊

25、椎上没有外伤痕迹Well, no evidence of prior trauma at the vertebrae.对，这家伙没有瘫痪Yeah, this guy*s not paralyzed.却Kurt.我刚才在确认你的X光Wanted to review your imaging.首先To start with,你第10节胸椎神经没有受伤you donrt have an injury at T-10.我猜这对你来说不是新闻Im guessing this isn*t news to you.需要我再说一遍吗？Do I need to repeat that?我没想到扫描结果会I di

26、dnt think the scans would.会怎样，暴露身份？What, blow your cover?好，但真正要紧的是Okay, but whats really pressing.我不是想要残障人士福利Im not trying to get disability benefits 或更好的停车位or better parking.-这都不是原因当然-Thats not why. -Sure, sure.当然不是我不想让你认为-Of course, yeah. -I dont want you to think.嘿，我怎么认为一点都不重要Hey, it really doesn

27、t matter what I think.重要的是，你今天摔了一跤What does matter: your tumble today导致了第12节脊椎caused an unstable burst fracture不稳定爆裂性骨折in your T-12 vertebrae, 需要动手术修复and thats gonna require surgery to fix.要是不动手术呢？And without surgery?真的没有别的选择了There really is not another option.如果你是稳定性骨折If your fracture was stable, 我

28、会说你可以试试看支架I would say you can try a brace.不是我不是问你有没有其他选择No, no, Im not asking about other options.如果我不治疗会怎样？If I dont treat this, what will happen? 你到时候就真的需要坐轮椅了Youre gonna end up actually needing a wheelchair. 你会需要卧床数周Youre gonna be looking at weeks in bed.慢性背痛Chronic back pain.单腿或双腿无力Weakness in o

29、ne or both of your legs.麻木Numbness.甚至瘫痪Even paralysis.我不想动手术I dont want the surgery.我真的很感谢你让我查看你的精神病学记录So I really appreciate you giving me access to your psychiatric records.很有帮助-不客气-Its very helpful. -Of course.不如我来告诉你我对我读到的内容的理解How about I just, you know, give you my understanding of what I read,

30、 要是我遗漏了什么，你就告诉我and then you let me know if I missed anything.这样可以吗？Does that sound okay?好，所以你八年前All right, so you were diagnosed被诊断为身体完整性认同障碍with body integrity identity disorder eight years ago但从儿童早期就有症状but experienced symptoms from early childhood.至少从我五岁就开始了，没错Since I was at least five, yeah.对你来说，

31、身体完整性认同障碍And for you, BUD presents itself表现了一种非常强烈的瘫痪欲望？in the form of a very strong desire to be paralyzed?我满脑子都在想这件事Itrs all I think about.主宰了我生活的各个方面It dominates every aspect of my life.但轮椅似乎让你放松了一些But it seems like a wheelchair gave you some relief.一点点，但我的腿还是有感觉Some, but I can still feel my legs

32、.出于我无法解释的原因And for reasons I cant explain,这是一种极其痛苦的感觉thats an extremely distressing feeling.心理治疗师告诉我这是因为压抑的童年创伤Ive had therapists tell me its due to repressed childhood trauma, 神经学家认为这是我大脑皮层的一个小故障neurologists who think it*s a glitch in my cerebral cortex.有个灵媒告诉我这和前世有关A psychic told me it was linked

33、to a past life.好Right.好的，我的意思是我知道你已经尝试了Yeah, I mean, I can see that youve tried很多不同的治疗方法a number of different therapeutic approaches here.比如说行为疗法You know, kind of behavioral therapy,抗抑郁药、肌肉松弛剂antidepressants, muscle relaxants.甚至催眠Even hypnosis.没一项有用的Nothings worked.我希望我有什么特别的建议可以给你I wish I had somet

34、hing special in my toolkit for you,但是，坦白说，这些都是but, I mean, frankly, these are all the therapies我会推荐自己尝试的治疗方法I would recommend myself.你一定很沮丧吧Must be very frustrating for you.是的Yeah.老实说And honestly,今天是我这么久以来最充满希望的一天todays the most hopeful Fve felt in a really long time.我要做检查I want the tests.好Okay.-嘿，嘉

35、丽丝，你有空吗？-嘿-Hey, Grace, you got a sec? -Hey.Tell me youre not a little bit flattered.你不觉得他太超过了吗？Well, ifs a bit much, don*t you think?我觉得佐治喜欢上你了I think George has a crush.我觉得他该听得懂暗示Well, I think he needs to take a hint.他又约我出去喝酒了Hes asked me out for drinks again.你为什么不去？Why wont you go?他是董事会的人，玛姬Hes on

36、 the board, Maggie.你每天都在这里工作You work here every day.你还能到哪找对象？Where else you supposed to meet somebody?我只是觉得把工作和娱乐Well, I just think itrs not a good idea-混为一谈不是个好主意-好吧-to mix business with pleasure. -Fine.那当然，但真的有人能做到吗？Sure； but when has that ever worked for anyone?就拿急诊室来说I mean, take the ED, for exa

37、mple.有伊芬和艾普尔Youve got Ethan and April.有韦和妮妲莉Youve got Will and Natalie.有韦和汉娜You*ve got Will and Hannah.-还有韦和-好了-You got Will and. -Okay, all right.你不用跟我更新霍士迪医生的感情生活了Spare me the update on Dr. Halsteads love life.有可能是去工作吧-There could be. -Go to work.-葛和-再见-Goodwin and. -Bye.我很惊讶你今早居然有勇气出现Im surprised

38、 youve got the guts to show your face this morning, 所以我不知道在试验阶段是否会有So I dont know if there, like, a formal suggestion box正式的意见箱during this pilot phase.我就是意见箱，怎么了？Im the suggestion box. Whats up?新软件New software.在我病人的监别诊断中包含了巨细胞动脉炎It included giant cell arteritis in my patients differential. 你那个头痛的病人Y

39、our patient with the headaches.没错-巨细胞动脉炎很少见-Exactly. -GCA*s pretty rare.我想一万人之中有五个人会出现这种症状It presents in 5 out of every 10,000 people, I think.而且测试需要用到大量昂贵的实验室And testing for it requires a number of expensive labs.病人的保险会负担The patients insurance is gonna cover it,但我不喜欢安排不必要的检查but I donrt like orderin

40、g unnecessary tests.我喜欢在追斑马之前，先排除马I prefer to rule out horses before chasing zebras.当然，但你不用安排检查Of course, but you dont have to order the labs.医生可以无视任何关于监别诊断的建议A doctor can override any suggestion on the differential. 没错，但在医生这么做之前Right, but before the doctor can do that, 监别诊断会自动上传到the differentials a

41、utomatically uploaded病人的病历中to the patients chart.病人可以透过Which the patient can view in real time登入入口网站即时查看by logging in to the online portal.我的病人就去看了Which my patient did.现在，她坚持And now, shes insisting要我做这些不必要的检查I order all these unnecessary labs.所以你建议我们取消自动上传So your suggestion is to lose automatic uplo

42、ad, 但我们不能这么做因为只要病人签了同意书 which we cant because when the patient signs the consent form, 就保证他们能看到完整的结果theyre guaranteed access to the full results.我明白了Ah, I see.你知道吗？有备无患Well, you know what? Better safe than sorry.-对吧?-对-Right? -Yeah.没问题，而且还能让病人放松Absolutely, and itll ease the patients mind too.一有结果就告诉

43、我Well, let me know how it turns out.嗨，贝林，还记得我吗？我是玛姬Hello, Baylin. Remember me, Maggie?贝林自己开车来急诊室Baylin drove himself to the ED因为他觉得心脏跳得很大力because he feels like his heart is pounding.我很遗憾听到这个消息Im sorry to hear that.你能陪我走一小段路吗？You want to take a walk with me, okay?我们要走去三号♥房♥Were going ri

44、ght down here to three.谢谢你，莉亚Thanks, Leah.中情局在跟踪我The CIA is following me.我想我在等候区看到其中一个人I think I saw one of them in the waiting area.但我没办法肯定But I cant be sure.他一直在改变他的容貌Hes always changing his appearance.好，没有你的允许All right, I wont let anyone come 我不会让任何人进到你的房♥间 into your room without your perm

45、ission. 翠妮会帮你安顿下来Trini here is gonna help you get situated.嗨，贝林Hi, Baylin.不如你去床上坐下吧？Why dont you take a seat on the bed?我去拿件病人袍Ill grab a gown.翠妮-是的？-Trini. -Yeah?贝林是这里的常客，他患有精神分♥裂♥Baylins a frequent flier with schizophrenia 有严重的创伤后压力综合征，也有心理问题 with a complex PTSD, and psychs backed up. 明白了Got it.你介意陪他一会吗？Do you mind keeping him company for a bit?完全不会-谢谢你-Not at all. -Thank you.嗨Hi.嗨，莎拉，这位是马素医生Hi, Sarah. This is Dr. Marcel.-嗨-嘿,莎拉-Hi. -Hey, Sarah.你的手术服上写了手术两个字马素医生Um, I see