1 00:01:56,146 --> 00:01:58,153 疼痛等级分为一到十级 On a scale of 1 to 10, pain-wise, 2 00:01:58,154 --> 00:01:59,906 现在描述一下你的头痛程度 How would you describe the headache? 3 00:02:00,041 --> 00:02:02,017 现在感觉是五级 Uh, right now it's like a 5. 4 00:02:02,018 --> 00:02:03,565 之前更像是九级 Before it was more like a 9. 5 00:02:03,617 --> 00:02:05,196 现在你仍然觉得恶心吗 And you're still feeling nauseated? 6 00:02:05,537 --> 00:02:06,538 有点 A little. 7 00:02:10,592 --> 00:02:11,951 情况 Everything... 8 00:02:11,952 --> 00:02:13,626 快了 谢谢 Getting there. Thanks. 9 00:02:14,911 --> 00:02:15,458 我要 I got to... 10 00:02:16,952 --> 00:02:17,603 好的 Yeah, sure. 11 00:02:18,084 --> 00:02:19,151 Tina Tina? 12 00:02:19,812 --> 00:02:22,606 我只是想再次谢谢你的帮助 I just want to thank you again for helping out. 13 00:02:23,365 --> 00:02:24,057 非常感谢 Uh, much appreciated. 14 00:02:24,058 --> 00:02:25,849 我们知道是谁在帮谁 Gato Yeah, we know who's helping who, Gato. 15 00:02:25,850 --> 00:02:26,837 让我们去诊疗室 小心 什么 Let's get lab, stat! What the... 16 00:02:26,838 --> 00:02:27,761 呼吸 氧气 还有十二导联 Respiratory, come get gasses, and I want a 12 lead. 17 00:02:27,963 --> 00:02:29,240 你能不能至少出去约会一下 Can you at least go out on a date 18 00:02:29,241 --> 00:02:31,123 而不是回这里勾搭别人 And not come back here humping on somebody? 19 00:02:31,124 --> 00:02:32,078 你真有趣 Gato You're really funny, Gato. 20 00:02:32,079 --> 00:02:33,319 推我到冠心病重症监护室就是了 Just keep pushing me to C.C.U. 21 00:02:33,320 --> 00:02:35,215 别磨蹭了 快 Do not pass "Go." Move it! 22 00:02:38,393 --> 00:02:41,256 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. 23 00:02:41,257 --> 00:02:42,612 他进来的时候伴随恶心和偏头痛 He came in with nausea and a migraine. 24 00:02:42,613 --> 00:02:43,954 10毫升咪达唑仑 肌肉注射 10 milligrams of midazolam I.M. 25 00:02:44,680 --> 00:02:45,597 好的 我们马上送他进清创室 Okay. We're taking him into trauma. 26 00:02:46,061 --> 00:02:46,863 测量血糖水平 小心 I need a glucose level, stat. 27 00:02:46,864 --> 00:02:47,960 好的 医生 扶住他的头 Yes, doctor. Got his head. 28 00:02:48,003 --> 00:02:48,625 把他放上去 把他放上去 Get him on. Get him on. 29 00:02:49,026 --> 00:02:50,727 一 二 三 抬起来 1, 2, 3. Lift. 30 00:02:50,728 --> 00:02:51,939 保护他的通气道 Protect his airway. 31 00:02:53,528 --> 00:02:55,630 你知道今天他有服用什么药吗 Has he taken any medication today that you know of? 32 00:02:55,631 --> 00:02:58,352 -他说没有 -给他服用苯妥英钠 - He said no. - Give him dilantin. 33 00:02:58,353 --> 00:03:00,357 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. 34 00:03:00,358 --> 00:03:01,025 还有电解质 And lytes. 35 00:03:01,026 --> 00:03:01,997 我会做的 I'll do it. 36 00:03:03,555 --> 00:03:04,715 好的 把他翻过来 All right, roll him on his other side. 37 00:03:04,716 --> 00:03:05,829 注射器 Syringe. 38 00:03:06,305 --> 00:03:07,259 小心 Careful. 39 00:03:08,631 --> 00:03:09,617 好的 Good. 40 00:03:13,127 --> 00:03:16,145 把他翻回去 吸 Roll him back. Suction. 41 00:03:20,950 --> 00:03:22,064 手套 Gloves. 42 00:03:28,686 --> 00:03:29,831 Wayne医生 Dr. Wayne? 43 00:03:30,926 --> 00:03:33,127 吸 圆钳 suction and rotund forcep. 44 00:03:35,805 --> 00:03:37,911 好吧 那么 我们进行得怎么样了 Okay, then. How are we all doing? 45 00:03:38,797 --> 00:03:41,596 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. 46 00:03:41,597 --> 00:03:45,845 不用担心 我今天早上出奇的闲 Uh, not to worry -- my morning is remarkably free today. 47 00:03:45,900 --> 00:03:46,951 有什么事吗 What do? 48 00:03:47,355 --> 00:03:48,775 Park医生 Dr. Park! 49 00:03:49,019 --> 00:03:50,103 真荣幸 What a pleasure. 50 00:03:50,104 --> 00:03:53,889 你在这里帮助 学习 Uh, are you here to assist or -- or learn or... 51 00:03:54,232 --> 00:03:55,758 还是我听到的那些谣言 from the rumors I'm hearing, 52 00:03:55,759 --> 00:03:57,961 或者我应该向你学习 Perhaps I should be learning from you. 53 00:03:58,702 --> 00:03:59,901 你来这里干什么 what do here? 54 00:03:59,902 --> 00:04:01,529 什么 Uh, I beg your pardon? 55 00:04:01,599 --> 00:04:04,488 你来这里干什么 What do? Why here? 56 00:04:06,782 --> 00:04:08,512 我来这里是想 Well, I'm here to, uh, 57 00:04:09,513 --> 00:04:11,810 去除这个人的脑膜瘤 remove this man's meningioma, 58 00:04:11,811 --> 00:04:12,571 我的好兄弟 my good man. 59 00:04:12,572 --> 00:04:14,794 这就是他们付我高薪的原因 That's why they pay me the big bucks. 60 00:04:14,795 --> 00:04:15,688 手术刀 谢谢 Scalpel, please. 61 00:04:15,689 --> 00:04:18,456 不是脑膜瘤 是动脉瘤 Not meningioma. Aneurysm. 62 00:04:18,457 --> 00:04:20,227 不是男人 是女人 Not man. Woman. 63 00:04:21,016 --> 00:04:22,642 不是早上 是晚上 Not morning. Night. 64 00:04:23,080 --> 00:04:25,075 不是你的患者 是我的 Not your patient. Mine. 65 00:04:26,840 --> 00:04:28,716 很荣幸有你 Honor to have you, 66 00:04:28,717 --> 00:04:32,371 但是是动脉瘤 女人 晚上 我的 but aneurysm, woman, night, mine. 67 00:04:39,270 --> 00:04:40,273 好吧 Right. 68 00:04:53,508 --> 00:04:55,423 -什么情况 -安静 - What the hell was that? - Quiet. 69 00:04:56,166 --> 00:05:01,039 尊重点 这是传奇人物 Respect. Man legend. 70 00:05:20,283 --> 00:05:22,051 看那里 血管在振动 Look at that, the vessel shock. 71 00:05:22,378 --> 00:05:23,428 有什么情况吗 What's going on? 72 00:05:23,450 --> 00:05:25,587 他有一些严重的返流 He has some serious regurgitation. 73 00:05:25,737 --> 00:05:28,345 -他多大了 -仅仅48岁 - How old is he? - Only 48. 74 00:05:28,346 --> 00:05:30,041 天啊 看那里 到处都是感染 God, look at that. The infection is everywhere. 75 00:05:30,042 --> 00:05:31,779 布满了整个心脏 It's widespread throughout the heart. 76 00:05:32,073 --> 00:05:33,268 情况不妙 This is not good. 77 00:05:43,844 --> 00:05:45,198 Janeway 病变 Janeway Lesions. 78 00:05:45,956 --> 00:05:48,158 这家伙有细菌性心内膜炎 This man has bacterial endocarditis. 79 00:05:53,860 --> 00:05:56,403 -细菌性什么 -心内膜炎 - Bacterial what? - Endocarditis. 80 00:05:56,404 --> 00:05:57,085 一种感染 It's an infection 81 00:05:57,086 --> 00:05:59,224 在心室和瓣膜的内层 In the lining of the heart chambers and valves. 82 00:05:59,598 --> 00:06:01,800 -他会好起来吗 -是的 - Will he be okay? - We think so. 83 00:06:01,869 --> 00:06:03,991 我们要用微泵给他输入大量抗生素 We need to pump him full of antibiotics 84 00:06:03,992 --> 00:06:05,651 然后通过手术换掉瓣膜 And then surgically replace the valves. 85 00:06:05,652 --> 00:06:07,102 天啊 Oh, my god. 86 00:06:07,381 --> 00:06:09,376 我意思是 我知道他以前很疲劳 I mean, I knew he was tired, 87 00:06:09,377 --> 00:06:10,174 但想不到 but other than that... 88 00:06:10,195 --> 00:06:12,813 你老公最近看过牙医吗 Has your husband been to a dentist recently? 89 00:06:12,884 --> 00:06:15,130 是的 几个星期之前 Yes, a couple weeks ago. 90 00:06:15,131 --> 00:06:16,414 他去洗牙了 有什么不妥吗 He had his teeth cleaned. Why? 91 00:06:16,659 --> 00:06:19,840 是的 洗牙会导致细菌感染 Well, teeth-cleaning can sometimes cause bacterial infections. 92 00:06:19,841 --> 00:06:21,611 我打赌这就是诱因 My bet is that's where it started. 93 00:06:22,465 --> 00:06:24,137 从他洗牙开始 From getting his teeth cleaned? 94 00:06:24,432 --> 00:06:25,865 他的瓣膜会腐烂 His valves can rot? 95 00:06:29,424 --> 00:06:33,322 脑电图是正常的 有癫痫史吗 E.E.G.'s normal. Any history of epilepsy? 96 00:06:33,391 --> 00:06:34,313 没有 No. 97 00:06:34,495 --> 00:06:35,722 你从来都没有发作过吗 You've never seized before? 98 00:06:35,723 --> 00:06:37,513 我从来没有生过病 I've never even been sick. 99 00:06:37,514 --> 00:06:39,445 -最近有没有头部外伤 -没有 - Recent head trauma? - No. 100 00:06:39,626 --> 00:06:40,698 有运动吗 Sports? 101 00:06:40,699 --> 00:06:43,796 我游泳从没发生过意外 比如撞到头 I swam never, like bang my head. 102 00:06:44,667 --> 00:06:45,665 我激励我自己 I've pushed myself. 103 00:06:45,666 --> 00:06:46,755 我在Oregon游泳 I swim at Oregon, 104 00:06:46,756 --> 00:06:48,172 奥运选拔赛马上就到来了 and Olympic Trials are coming up. 105 00:06:48,418 --> 00:06:49,756 你的水合作用是怎么回事 How's your hydration? 106 00:06:50,290 --> 00:06:52,414 那天我花了半天在水里面 I spend half the day in water. 107 00:06:52,580 --> 00:06:55,277 好吧 我知道了 但是你需要喝水 Yeah, I know, but you need to drink it. 108 00:06:55,731 --> 00:06:57,884 你什么时候开始感觉恶心 When did you first start to feel nauseated? 109 00:06:57,956 --> 00:07:00,440 我想大概是晚餐时候吧 Uh, I think around dinnertime. 110 00:07:00,441 --> 00:07:02,355 -在你训练以后 -是的 - After you trained? - Yeah. 111 00:07:02,356 --> 00:07:05,024 癫痫发作 没有明显感染 Mm-hmm, onset seizure. No apparent infection. 112 00:07:05,025 --> 00:07:07,770 血细胞比容偏高 CT清晰 High hematocrits.. C.T's clean. 113 00:07:12,497 --> 00:07:15,713 -你有服用类固醇吗 孩子 -什么 - Do you take steroids, son? - What? 114 00:07:15,714 --> 00:07:17,860 Olympic充满希望 Olympic hopeful. 115 00:07:17,861 --> 00:07:19,421 你不是第一个 You wouldn't be the first. 116 00:07:20,786 --> 00:07:24,108 我没有服用类固醇 你是在开玩笑吗 I do not take steroids. Are you kidding me? 117 00:07:32,155 --> 00:07:33,125 Harding Harding. 118 00:07:35,371 --> 00:07:36,918 Wayne医生错了 Dr. Wayne not right. 119 00:07:37,083 --> 00:07:37,843 什么 I beg your pardon? 120 00:07:37,844 --> 00:07:38,471 来到手术室 Came into O.R. 121 00:07:38,472 --> 00:07:40,353 为一个长了肿瘤的男人做手术 To operate on man with tumor. 122 00:07:40,354 --> 00:07:41,981 没有肿瘤的女人 On woman with no tumor. 123 00:07:42,524 --> 00:07:44,005 你在说什么 What are you talking about? 124 00:07:44,059 --> 00:07:45,421 错误的房间 错误的患者 Wrong room, wrong patient, 125 00:07:45,422 --> 00:07:47,011 错误的时间 错误的手术 wrong time, wrong procedure. 126 00:07:47,012 --> 00:07:49,230 不对劲 显得很迷糊 Not well. Seemed confused. 127 00:07:49,231 --> 00:07:50,668 好吧 不是偏心 Sung Well, not to take sides, Sung, 128 00:07:50,669 --> 00:07:52,766 但是混乱却有条理 But confusion seems to be systemic 129 00:07:52,767 --> 00:07:54,713 什么时候轮到你来解释 When it's you doing the explaining. 130 00:07:54,926 --> 00:07:56,440 求你了 Harding Please, Harding. 131 00:07:58,862 --> 00:08:00,440 Wayne医生有问题 Dr. Wayne not well. 132 00:08:04,046 --> 00:08:06,158 Harding 我无意偷听 Harding, I couldn't help but overhear that. 133 00:08:06,159 --> 00:08:07,487 是的 这是偷听的副产品 Yes, that's one of the by-products of eavesdropping, 134 00:08:07,488 --> 00:08:08,705 不是吗 Buck Buck, isn't it? 135 00:08:08,706 --> 00:08:12,966 上个月我对Wayne医生有类似经历 I had a similar experience with Dr. Wayne myself last month. 136 00:08:12,967 --> 00:08:14,085 当时我们正一起做手术 We were doing a procedure together, 137 00:08:14,086 --> 00:08:16,004 然后他就离开手术室 And he just left the room. 138 00:08:16,005 --> 00:08:17,706 他就这样离开 "大喊大叫" He just went, "Va-voom." 139 00:08:17,707 --> 00:08:18,954 他离开 大喊大叫 He left. Va-voom. 140 00:08:18,955 --> 00:08:23,488 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. 141 00:08:23,489 --> 00:08:25,483 他的日常生活几乎都是手术 He routine nearly is procedures. 142 00:08:25,525 --> 00:08:27,319 有时候显得好象很自闭 Sometimes he react like closed. 143 00:08:27,320 --> 00:08:30,400 这是两码事 就像是他休止了 This was different. It was like he was off. 144 00:08:30,401 --> 00:08:32,647 -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. 145 00:08:32,648 --> 00:08:34,331 你说的是这个世界上一个超群的 You're speaking of one of the pre-eminent 146 00:08:34,332 --> 00:08:35,777 神经外科医生吗 neurosurgeons in the world. 147 00:08:35,778 --> 00:08:37,873 同时我也在说一个85岁的老人 Yet I'm also speaking of an 85-year-old man. 148 00:08:37,874 --> 00:08:40,067 和你一样爱他 Harding And as much as you love him, Harding, 149 00:08:40,068 --> 00:08:42,243 你有义务像参谋长一样 You have a duty as chief of staff -- 150 00:08:42,244 --> 00:08:44,264 我要走了 "大喊大叫" Now this is where I go, "Va-voom." 151 00:08:58,776 --> 00:08:59,938 怎么样了 How are we doing? 152 00:09:01,076 --> 00:09:03,037 好多了 我什么时候可以走 Much better. When can I leave? 153 00:09:04,388 --> 00:09:06,541 抓住我的手指 抓紧 Grab my fingers. Squeeze. 154 00:09:08,452 --> 00:09:09,479 -好的 -这个检查发现异常了吗 - All right. - Did the tests show anything? 155 00:09:09,480 --> 00:09:11,874 没事 很好 Uh, nothing bad. That's the good. 156 00:09:11,896 --> 00:09:13,363 那么 坏消息呢 So, what's the bad? 157 00:09:13,946 --> 00:09:15,362 我们有点为难 We're a little stumped. 158 00:09:15,688 --> 00:09:17,285 你确定你没有摔倒或者撞了头 Are you sure you didn't fall or hit your head. 159 00:09:17,286 --> 00:09:20,112 我确定 而且我没有服用类固醇 I'm sure. And I do not take steroids. 160 00:09:20,157 --> 00:09:21,432 他必须问 He had to ask. 161 00:09:21,485 --> 00:09:22,918 -你吸烟吗 -我吸烟吗 - Do you smoke? - Do I smoke? 162 00:09:22,919 --> 00:09:24,208 吸 那就是为什么我赢了400米竞赛 Yeah, that's how I win a 400-meter. 163 00:09:24,209 --> 00:09:26,304 我尽可能多的吸烟 I suck on as many cigarettes as possible. 164 00:09:26,305 --> 00:09:28,140 这个也是我必须问的 I have to ask, too. 165 00:09:28,849 --> 00:09:30,235 推我的手 Push against my hands. 166 00:09:30,737 --> 00:09:32,092 没有大麻 没有浴盐 No weed, no bath salts, 167 00:09:32,093 --> 00:09:34,261 没有伏加特浸泡过的粘粘的小熊 no vodka-soaked gummy bears. 168 00:09:34,262 --> 00:09:35,233 拉 Pull. 169 00:09:35,895 --> 00:09:38,145 也没有女朋友 如果这是下一个问题 No girlfriend, either, if that was your next question. 170 00:09:38,806 --> 00:09:40,129 不是 It wasn't. 171 00:09:40,214 --> 00:09:41,361 好吧 对不起 Yeah, sorry. 172 00:09:41,590 --> 00:09:42,670 我的 我的父亲曾经说过 My -- my dad just once said, 173 00:09:42,671 --> 00:09:44,096 "如果曾经有一个美丽的女人 "If you ever have a beautiful woman 174 00:09:44,097 --> 00:09:44,973 紧紧盯着你的眼睛 staring deep in your eyes, 175 00:09:44,974 --> 00:09:46,824 你懂的 抓住机会" you know, take your shot." 176 00:09:47,036 --> 00:09:50,411 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? 177 00:09:50,412 --> 00:09:51,687 你觉得这可能吗 Do you think could that? 178 00:09:52,756 --> 00:09:54,016 不 没有 No, not really. 179 00:09:55,141 --> 00:09:56,224 盯着 Follow. 180 00:09:59,045 --> 00:10:00,814 你从来没有发作过吗 You've never seized before? 181 00:10:01,141 --> 00:10:02,143 我保证 Promise. 182 00:10:05,477 --> 00:10:07,009 毒理学无异常 他现在感觉好吗 Toxicology showed nothing. And he feels fine now? 10183 00:10:07,086 --> 00:10:08,008 {\an8}放射科 184 00:10:08,010 --> 00:10:09,124 他是这样说的 He says so. 185 00:10:09,466 --> 00:10:11,092 他想回到泳池 Wants to get back in that pool. 186 00:10:11,593 --> 00:10:12,902 我们是不是应该给他办出院手续 Should we just discharge him? 187 00:10:12,903 --> 00:10:15,248 健康的孩子不会无缘无故的发作 Well, healthy kids don't seize for no reason. 188 00:10:15,249 --> 00:10:16,699 没有外伤性损伤的体征 There's no sign of traumatic injury, 189 00:10:16,700 --> 00:10:18,998 没有肿瘤 没有瘘管 没有脓肿 No tumor, no fistula, no abscess. 190 00:10:19,515 --> 00:10:20,741 可能是癫痫 Maybe it is epilepsy. 191 00:10:20,742 --> 00:10:23,023 在21岁的孩子的身上发病 不会的 With onset at age 21? No. 192 00:10:23,748 --> 00:10:25,520 我们正在想念一些事 人 We're missing something, people. 193 00:10:25,861 --> 00:10:28,494 我不知道是什么 只是思念着 I don't know what it is, but we're missing something. 194 00:10:29,237 --> 00:10:30,479 我们是不是要联系House Should we call House? 195 00:10:33,300 --> 00:10:34,334 对不起 Sorry. 196 00:10:35,078 --> 00:10:36,943 我的牙医把我弄成这样的吗 My dentist did this to me? 197 00:10:36,944 --> 00:10:38,298 我是说这是可能的 I'm saying it's possible. 198 00:10:38,543 --> 00:10:40,890 -那个笨蛋 -我不知道发生了什么 - That putz! - I don't understand what happened. 199 00:10:40,891 --> 00:10:42,141 他放了一个支架进去 He had a stent put in. 200 00:10:42,142 --> 00:10:43,952 这和支架无关 This is unrelated to the stent. 201 00:10:43,953 --> 00:10:46,366 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. 202 00:10:46,367 --> 00:10:48,550 你是说前者损害了他的心脏吗 You're saying it's the former that damaged his heart? 203 00:10:48,551 --> 00:10:50,058 不管你是否相信 洗牙 Believe it or not, teeth-cleaning 204 00:10:50,059 --> 00:10:52,767 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. 205 00:10:52,768 --> 00:10:54,141 细菌可以进入血液 Bacteria can get into the blood. 206 00:10:54,142 --> 00:10:56,267 如果进入了 就可以传播 And if it does, it can migrate. 207 00:10:56,268 --> 00:10:59,015 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. 208 00:10:59,147 --> 00:11:01,142 唯一的安慰就是我会更有钱 The only consolation is I just got richer. 209 00:11:02,092 --> 00:11:04,327 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. 210 00:11:05,940 --> 00:11:07,599 也许我们可以买那艘船了 Maybe we can get that boat now. 211 00:11:24,590 --> 00:11:27,704 现在别看 但是我们正在被监视 Don't look now, but we're being watched. 212 00:11:28,494 --> 00:11:32,520 事实上 我相信是我正在被监视 Actually, I believe it's me who's under observation.