疼痛等级分为一到十级 On a scale of 1 to 10, pain-wise,
现在描述一下你的头痛程度 How would you describe the headache?
现在感觉是五级 Uh, right now it's like a 5.
之前更像是九级 Before it was more like a 9.
现在你仍然觉得恶心吗 And you're still feeling nauseated?
有点 A little.
情况 Everything...
快了 谢谢 Getting there. Thanks.
我要 I got to...
好的 Yeah, sure.
Tina Tina?
我只是想再次谢谢你的帮助 I just want to thank you again for helping out.
非常感谢 Uh, much appreciated.
我们知道是谁在帮谁 Gato Yeah, we know who's helping who, Gato.
让我们去诊疗室 小心 什么 Let's get lab, stat! What the...
呼吸 氧气 还有十二导联 Respiratory, come get gasses, and I want a 12 lead.
你能不能至少出去约会一下 Can you at least go out on a date
而不是回这里勾搭别人 And not come back here humping on somebody?
你真有趣 Gato You're really funny, Gato.
推我到冠心病重症监护室就是了 Just keep pushing me to C.C.U.
别磨蹭了 快 Do not pass "Go." Move it!
垫板 马上推一个轮床过来 我去拿 Backboard! Let's get a gurney in here now! Man: I'll get it.
他进来的时候伴随恶心和偏头痛 He came in with nausea and a migraine.
10毫升咪达唑仑 肌肉注射 10 milligrams of midazolam I.M.
好的 我们马上送他进清创室 Okay. We're taking him into trauma.
测量血糖水平 小心 I need a glucose level, stat.
好的 医生 扶住他的头 Yes, doctor. Got his head.
把他放上去 把他放上去 Get him on. Get him on.
一 二 三 抬起来 1, 2, 3. Lift.
保护他的通气道 Protect his airway.
你知道今天他有服用什么药吗 Has he taken any medication today that you know of?
-他说没有 -给他服用苯妥英钠 - He said no. - Give him dilantin.
当他发作时 马上给他测全血细胞计数 As soon as he's postictal, get a C.B.C.
还有电解质 And lytes.
我会做的 I'll do it.
好的 把他翻过来 All right, roll him on his other side.
注射器 Syringe.
小心 Careful.
好的 Good.
把他翻回去 吸 Roll him back. Suction.
手套 Gloves.
Wayne医生 Dr. Wayne?
吸 圆钳 suction and rotund forcep.
好吧 那么 我们进行得怎么样了 Okay, then. How are we all doing?
我知道你们在努力为我省时间 Well, I see you're all trying to save me a little time.
不用担心 我今天早上出奇的闲 Uh, not to worry -- my morning is remarkably free today.
有什么事吗 What do?
Park医生 Dr. Park!
真荣幸 What a pleasure.
你在这里帮助 学习 Uh, are you here to assist or -- or learn or...
还是我听到的那些谣言 from the rumors I'm hearing,
或者我应该向你学习 Perhaps I should be learning from you.
你来这里干什么 what do here?
什么 Uh, I beg your pardon?
你来这里干什么 What do? Why here?
我来这里是想 Well, I'm here to, uh,
去除这个人的脑膜瘤 remove this man's meningioma,
我的好兄弟 my good man.
这就是他们付我高薪的原因 That's why they pay me the big bucks.
手术刀 谢谢 Scalpel, please.
不是脑膜瘤 是动脉瘤 Not meningioma. Aneurysm.
不是男人 是女人 Not man. Woman.
不是早上 是晚上 Not morning. Night.
不是你的患者 是我的 Not your patient. Mine.
很荣幸有你 Honor to have you,
但是是动脉瘤 女人 晚上 我的 but aneurysm, woman, night, mine.
好吧 Right.
-什么情况 -安静 - What the hell was that? - Quiet.
尊重点 这是传奇人物 Respect. Man legend.
看那里 血管在振动 Look at that, the vessel shock.
有什么情况吗 What's going on?
他有一些严重的返流 He has some serious regurgitation.
-他多大了 -仅仅48岁 - How old is he? - Only 48.
天啊 看那里 到处都是感染 God, look at that. The infection is everywhere.
布满了整个心脏 It's widespread throughout the heart.
情况不妙 This is not good.
Janeway 病变 Janeway Lesions.
这家伙有细菌性心内膜炎 This man has bacterial endocarditis.
-细菌性什么 -心内膜炎 - Bacterial what? - Endocarditis.
一种感染 It's an infection
在心室和瓣膜的内层 In the lining of the heart chambers and valves.
-他会好起来吗 -是的 - Will he be okay? - We think so.
我们要用微泵给他输入大量抗生素 We need to pump him full of antibiotics
然后通过手术换掉瓣膜 And then surgically replace the valves.
天啊 Oh, my god.
我意思是 我知道他以前很疲劳 I mean, I knew he was tired,
但想不到 but other than that...
你老公最近看过牙医吗 Has your husband been to a dentist recently?
是的 几个星期之前 Yes, a couple weeks ago.
他去洗牙了 有什么不妥吗 He had his teeth cleaned. Why?
是的 洗牙会导致细菌感染 Well, teeth-cleaning can sometimes cause bacterial infections.
我打赌这就是诱因 My bet is that's where it started.
从他洗牙开始 From getting his teeth cleaned?
他的瓣膜会腐烂 His valves can rot?
脑电图是正常的 有癫痫史吗 E.E.G.'s normal. Any history of epilepsy?
没有 No.
你从来都没有发作过吗 You've never seized before?
我从来没有生过病 I've never even been sick.
-最近有没有头部外伤 -没有 - Recent head trauma? - No.
有运动吗 Sports?
我游泳从没发生过意外 比如撞到头 I swam never, like bang my head.
我激励我自己 I've pushed myself.
我在Oregon游泳 I swim at Oregon,
奥运选拔赛马上就到来了 and Olympic Trials are coming up.
你的水合作用是怎么回事 How's your hydration?
那天我花了半天在水里面 I spend half the day in water.
好吧 我知道了 但是你需要喝水 Yeah, I know, but you need to drink it.
你什么时候开始感觉恶心 When did you first start to feel nauseated?
我想大概是晚餐时候吧 Uh, I think around dinnertime.
-在你训练以后 -是的 - After you trained? - Yeah.
癫痫发作 没有明显感染 Mm-hmm, onset seizure. No apparent infection.
血细胞比容偏高 CT清晰 High hematocrits.. C.T's clean.
-你有服用类固醇吗 孩子 -什么 - Do you take steroids, son? - What?
Olympic充满希望 Olympic hopeful.
你不是第一个 You wouldn't be the first.
我没有服用类固醇 你是在开玩笑吗 I do not take steroids. Are you kidding me?
Harding Harding.
Wayne医生错了 Dr. Wayne not right.
什么 I beg your pardon?
来到手术室 Came into O.R.
为一个长了肿瘤的男人做手术 To operate on man with tumor.
没有肿瘤的女人 On woman with no tumor.
你在说什么 What are you talking about?
错误的房间 错误的患者 Wrong room, wrong patient,
错误的时间 错误的手术 wrong time, wrong procedure.
不对劲 显得很迷糊 Not well. Seemed confused.
好吧 不是偏心 Sung Well, not to take sides, Sung,
但是混乱却有条理 But confusion seems to be systemic
什么时候轮到你来解释 When it's you doing the explaining.
求你了 Harding Please, Harding.
Wayne医生有问题 Dr. Wayne not well.
Harding 我无意偷听 Harding, I couldn't help but overhear that.
是的 这是偷听的副产品 Yes, that's one of the by-products of eavesdropping,
不是吗 Buck Buck, isn't it?
上个月我对Wayne医生有类似经历 I had a similar experience with Dr. Wayne myself last month.
当时我们正一起做手术 We were doing a procedure together,
然后他就离开手术室 And he just left the room.
他就这样离开 "大喊大叫" He just went, "Va-voom."
他离开 大喊大叫 He left. Va-voom.
大喊大叫 他善变而忙碌 这样 Va-voom? He's a mercurial man, and a very busy one, at that.
他的日常生活几乎都是手术 He routine nearly is procedures.
有时候显得好象很自闭 Sometimes he react like closed.
这是两码事 就像是他休止了 This was different. It was like he was off.
-我保证你搞错了 -我肯定没搞错 - I'm sure you're mistaken. - I'm sure I'm not.
你说的是这个世界上一个超群的 You're speaking of one of the pre-eminent
神经外科医生吗 neurosurgeons in the world.
同时我也在说一个85岁的老人 Yet I'm also speaking of an 85-year-old man.
和你一样爱他 Harding And as much as you love him, Harding,
你有义务像参谋长一样 You have a duty as chief of staff --
我要走了 "大喊大叫" Now this is where I go, "Va-voom."
怎么样了 How are we doing?
好多了 我什么时候可以走 Much better. When can I leave?
抓住我的手指 抓紧 Grab my fingers. Squeeze.
-好的 -这个检查发现异常了吗 - All right. - Did the tests show anything?
没事 很好 Uh, nothing bad. That's the good.
那么 坏消息呢 So, what's the bad?
我们有点为难 We're a little stumped.
你确定你没有摔倒或者撞了头 Are you sure you didn't fall or hit your head.
我确定 而且我没有服用类固醇 I'm sure. And I do not take steroids.
他必须问 He had to ask.
-你吸烟吗 -我吸烟吗 - Do you smoke? - Do I smoke?
吸 那就是为什么我赢了400米竞赛 Yeah, that's how I win a 400-meter.
我尽可能多的吸烟 I suck on as many cigarettes as possible.
这个也是我必须问的 I have to ask, too.
推我的手 Push against my hands.
没有大麻 没有浴盐 No weed, no bath salts,
没有伏加特浸泡过的粘粘的小熊 no vodka-soaked gummy bears.
拉 Pull.
也没有女朋友 如果这是下一个问题 No girlfriend, either, if that was your next question.
不是 It wasn't.
好吧 对不起 Yeah, sorry.
我的 我的父亲曾经说过 My -- my dad just once said,
"如果曾经有一个美丽的女人 "If you ever have a beautiful woman
紧紧盯着你的眼睛 staring deep in your eyes,
你懂的 抓住机会" you know, take your shot."
即使她正在寻找你癫痫的原因 是吧 Even if she's looking for why you might have epilepsy, huh?
你觉得这可能吗 Do you think could that?
不 没有 No, not really.
盯着 Follow.
你从来没有发作过吗 You've never seized before?
我保证 Promise.
毒理学无异常 他现在感觉好吗 Toxicology showed nothing. And he feels fine now?
放射科
他是这样说的 He says so.
他想回到泳池 Wants to get back in that pool.
我们是不是应该给他办出院手续 Should we just discharge him?
健康的孩子不会无缘无故的发作 Well, healthy kids don't seize for no reason.
没有外伤性损伤的体征 There's no sign of traumatic injury,
没有肿瘤 没有瘘管 没有脓肿 No tumor, no fistula, no abscess.
可能是癫痫 Maybe it is epilepsy.
在21岁的孩子的身上发病 不会的 With onset at age 21? No.
我们正在想念一些事 人 We're missing something, people.
我不知道是什么 只是思念着 I don't know what it is, but we're missing something.
我们是不是要联系House Should we call House?
对不起 Sorry.
我的牙医把我弄成这样的吗 My dentist did this to me?
我是说这是可能的 I'm saying it's possible.
-那个笨蛋 -我不知道发生了什么 - That putz! - I don't understand what happened.
他放了一个支架进去 He had a stent put in.
这和支架无关 This is unrelated to the stent.
开玩笑 他洗完牙 然后放了个支架 Oh, come on. He had his teeth cleaned. Then he had a stent.
你是说前者损害了他的心脏吗 You're saying it's the former that damaged his heart?
不管你是否相信 洗牙 Believe it or not, teeth-cleaning
就是导致感染性心内膜炎主要原因之一 is among the leading causes of infective endocarditis.
细菌可以进入血液 Bacteria can get into the blood.
如果进入了 就可以传播 And if it does, it can migrate.
我可以告诉你 我在这里非常生气 I'll tell you this -- I am very pissed off here.
唯一的安慰就是我会更有钱 The only consolation is I just got richer.
让我们祈祷那个笨蛋赔偿医疗事故保险费 Let's hope that putz paid his malpractice premium.
也许我们可以买那艘船了 Maybe we can get that boat now.
现在别看 但是我们正在被监视 Don't look now, but we're being watched.
事实上 我相信是我正在被监视 Actually, I believe it's me who's under observation.