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1、研究人员发现外科医生进行手术决策时When researchers studied the way surgeons make decisions in the OR 新手医生更为依赖they found newer surgeons tend to rely他们在医学院学习的标准手术流程on the standard operating procedures they learned in school.我不喜欢这家I dont like this one.你都还没参观呢要保持开放心态You havent even seen it. Keep an open mind.我在纽约和新罕布&he
2、arts;什♥尔时试过开放了I did that in New York and New Hampshire.布鲁克林STEAM中心有全国一流的科学项目Brookline STEAM has one of the best science programs in the country. 哈佛医学院就在这条街的尽头And, you know, Harvard Medical School is just right down the street.我想留在西雅图那里好多了I want to stay in Seattle. It was so much better there.
3、你说西雅图塔科马科技学校的学生很势利You said the kids at SEA-TAC Science were snobby.也没那么糟It wasnt that bad.你感觉担忧吗Are you feeling worried?需要深呼吸吗Do you need to take some deep breaths?不我只想回家No, I just want to go home.这不是惩罚This isnt a punishment.你是极有天赋的孩子You are an extremely gifted child.只有去一所学生同样有天赋的学校You are going to
4、do great in a school你才能发挥自我where other kids are as gifted as you.我们一会还可以去看看水族馆And we can check out the aquarium after.Zola我们现在在波士顿Zola, were in Boston.你报名参加学校参观了He can*t say dinoH.到了 日托还有两层才到-Alright. - Isnrt the daycare two floors up?爬楼梯对身体好Uh, stairs are good exercise.我太想念纸张了I miss paper.我也是Same.但
5、是电子病历更方便记笔记Except, at least with e-records, I can read my own notes.有一位患者39岁剖宫产瘢痕异位妊娠Fve got a 39-year-old with a cesarean-scar ectopic pregnancy. 剖宫产瘢痕吗C-section scar?是啊胚胎可能在子♥宫♥壁的瘢痕处着床Yes, the fetus can attach to the scar on the uterine wall.上午做超声检查时产科医生发现了Her OB found it on an ultra
6、sound this morning.但医生拒绝手术因为爱达荷州禁止堕胎He wouldnt remove it. Theyre in Idaho.性命攸关啊应该特殊处理的Its a life-threatening case, so there should be an exception.已经有胎心了而且医生不想冒风险Theres cardiac activity. He didnt want to take the risk.法律模棱两可The law is confusing.没人愿意破例否则会被吊销执照Nobody wants to be the first one to lose
7、their license甚至面临牢狱之灾or be charged with a felony.好吧交给我吧她在哪个房♥间Alright. Til see her. Which room?在爰达荷州的莫斯科镇Across the border in Moscow.她在产科诊所的停车场打来电♥话♥She called from the OBs parking lot.她的车也坏了Also, her car wont start.想帮她一把吗You wanted to help.我去拿车钥匙Fil get the keys.焦虑症发作是什么意思What
8、do you mean panic attacks?她会头晕目眩身体发抖You know, she gets dizzy, her body shakes呼吸困难she has trouble breathing.发作的频率怎么样呢How often is this happening?经常发作Often enough.她的成绩开始下滑I mean, her grades are slipping.也没法跟朋友相处She cant relate to her friends.因为她害怕阿尔茨海默症吗Because she*s scared of Alzheimerrs?她非常聪明的I mean
9、, shes very bright一般学校无法匹配她的能力and shes under-stimulated at school她的思维可能同时向17个方向发散and her mind goes in 17 different directions at one time.她知道Ellis死于早期阿尔茨海默症And shes very aware that Ellis died of early-onset Alzheimers. 所以当然了她肯定会害怕And so of course her mind goes there.她害怕我会患病害怕Maggie会患病Shes afraid tha
10、t I will get it； that Maggie will get it.好吧那你怎么处理的呢Alright. So, how you handling it all?去看心理医生吗Therapy or.每周去看一次We go to therapy once a week.但是还不够But itrs not enough.她有严重的焦虑但我之前完全忽略了I mean, she has severe anxiety, and I completely missed it.她总是开开心心的She was always my cheerful child.我从来没有担心过她I never h
11、ad to worry about her.是啊你没操过心Right. So you didnt.我就是想帮助她I just want to help her.我就是想安慰她I just want to comfort her.我不知道该怎么办我太累了I dont know what to do. I am so exhausted.我每天晚上熬夜I stay up every night看了一篇篇阿尔茨海默症的文献心里想着just reading pages and pages and pages about Alzheimers, thinking“如果我治愈了阿尔茨海默症就能帮到Zola
12、Oh, if I cure Alzheimers, I can help Zola.太可笑了Ridiculous.简直是天方夜谭Makes absolutely no sense.很可笑我知道但是我很无助Its ridiculous, I know, but I just feel powerless and.我很讨厌这种感觉.I hate that feeling.如果不是天方夜谭呢What if it wasnt ridiculous?什么What?如果你努力治愈阿尔茨海默呢What if you try to cure Alzheimers?HenryHenry.棒球表情笑脸向日葵Bas
13、eball emoji, smiley face, sunflower.我要解读为喜爱的意思Im going to interpret that as affection.等他长到十几岁吧Wait til hes a teenager你就只能收到缩略语了and you just get letters.“马上回”“我不造”还有神秘的“哦啦哦啦”.I-D-K, and the enigmatic K-K.怎么连着两遍Why the two K*s?Tuck声称这样更显尊重Tuck claims it*s more respectful.可是我又懂什么呢But, you know, what do
14、 I know?我就是他的司机而已Im just his chauffeur.说起来我来开吧Speaking of which, I can take over driving.我喜欢开车I like to drive.离莫斯科镇就20分钟了Its 20 minutes to Moscow.从没想过我还得开车跨州Never thought Id have to drive across state lines 去接患者to pick up a patient.感觉跟潜逃出境似的Feels like we*re on the lam.末路狂花医生版The medical Thelma and L
15、ouise.她俩开到悬崖底下去了吧Didnt they drive off a cliff?雌雄大盗怎么样Bonnie and Clyde.被枪杀了Shot to death.那就 Bailey 和 Addison 吧Bailey and Addison?美国英雄American heroes.Kyle五点后接她可以吗Is it okay if Kyle picks her up after five?非常感谢I really appreciate it.不No.我没事的PH be fine.对你帮得够多了Yeah. Youre doing plenty.她们到了Oh, theyre here
16、.-先挂了Susan吗-1 gotta go. - Susan?-Montgomery医生吗-是我-Dr. Montgomery? - Yes. That*s me.感谢来接我Thanks so much for the ride.我没想到诊所服务这么完善I didnt realize the clinic was such a full-service operation. 其实Bailey女士也是医生Well； Dr. Bailey is also a surgeon.对这只是我俩的副业Yeah, this is just our side hustle.喝水吗好的谢谢-Water? -
17、Ah, yes. Thank you.系好安全带Seat belts.您确定手术室不需要帮忙吗Are you sure no one needs an assist in the 0. R.?或者急诊室呢Or.pit?平结是所有打结的基础The square knot is the foundation for all knots.每天15分钟的练习非常值得投入15 minutes a day is a good investment in time.该死太松了Damn it. Too loose.是哦你的患者还在出血Yeah, your guys still bleeding.哎呀希望那不是
18、他的脸Oh, I hope thats not his face.-或者肾-或者心脏-Or his liver. - Or his heart.9-1-1.-希望不是需要缝合的人-有好病例吗-Oh, God forbid its someone who needs stitches. - Something good?还不知道急诊室吗-1 dont know yet. - The pit?Scout Lincoln在日托有紧急情况啊差不多吧Yeah, something like that.你确定你儿子还没发现我俩的事吗You sure your son hasnt got us figure
19、d out?-他看着有在怀疑你吗怎么不会呢-Did he seem suspicious ofyou? - How could he not be?吾乃希腊雕塑家之梦尔等不过凡人Im a Greek sculptors dream, and youre only human.拜托哦-说真的-Oh, please. - No.跟老板的老妈鬼鬼祟祟一起走Sneaking around with the bosss mom并不能给我的表现评价加分吧is not gonna help my performance review.这就是我俩之间的事This is between you and me.别
20、被Jackson扰乱了你的思绪Dont let Jackson get all up in your head.所以你是说我们得杀掉他Oh, so, what youre saying is were gonna have to kill him.认真点TomBe serious, Tom.好行我自己动手Okay, fine. Til kill him myself.但你可得对付你丈夫But you got to deal with your husband.Tom你就直接告诉我检查结果吧Tom, could you just please tell me about my scans?不是我
21、们希望的消息Its not the news we wanted.所以肿瘤更大了吗So, the tumor is bigger?两毫米Two millimeters.两毫米无所谓啦Two millimeters? Thats nothing.有所谓的它在长大It*s not nothing. Its growing.-你感觉怎么样一样-How you feeling? - The same.大多数时间挺好偶尔疼痛Mostly well. Occasional pain.两毫米根本不值得这么多口舌Two millimeters isnt worth this conversation.Cath
22、erine两个月前我们也做过检查Catherine, two months ago, we did a scan那时候就发现肿瘤在增长and we noted your tumor had grown.所以呢And?你说了如果再增长你会考虑接受更多治疗And you said if it grew further, youd consider more treatment.-我知道我说了什么-它长大了-1 know what I said. - And it grew.两毫米Two millimeters.你儿子以为你还在缓解期Your son thinks youre still in re
23、mission.-两毫米而已那就不算是缓解-Its two millimeters! - Its not remission.你需要更多治疗You need more treatment.也必须告诉你丈夫和你儿子And you need to talk to your husband and your son让他们知道你的情况and let them know whats going on.你必须记着这栋大楼上刻着我的名字And you need to remember that my name is on this building.所以我才能决定我需要什么So Ill be the one
24、 to decide what I need.我收到有关Scout Lincoln的信息I got a text about Scout Lincoln.发生什么意外了吗他还好吗Something about an accident? Is he okay?他挺好就是尿了He*s fine. He*s just wet.我们上周给他换了备用衣服We used his backup clothes last week 一直没送干净的过来好吧-and we never got new ones. - Okay.我们试过联♥系♥家长两位都在手术中We tried his
25、parents, but theyre both in surgery. 今早你送来时留过联♥系♥方式 We had your information from this morning. 什么所以我就要What? So Im supposed to.有些家长在礼品店买♥♥过合适的衣服A few parents have found clothes at the gift shop. 你肯定也不想他不舒服吧Im sure you dont want him to be uncomfortable.Tina会带Emily和Colette 一
26、起回家Tinas bringing Emily home with Colette 所以你可以下班之后去接她so you can pick her up there after work.我把钢琴课取消了I canceled the piano lesson你能去买♥♥水果下和泡芙球吗 and can you pick up fruit snacks and Pirates Booty? 这周轮到我们带零食去踢球了Its our week to bring the snacks to soccer.Martha说等我检查完了她会来接我Martha said shel
27、l come get me when Im done.我没事的PH be fine.我也爱你拜Love you, too. Bye.我的钥匙呢Whatd I do with my keys?你们接我时我拿着了吧I had them when you picked me up, right?抱歉我不记得了Im sorry. I dont remember.不用抱歉Dont be.本来我很有条理的Im usually ready for anything 但这次异位妊娠完全是计划之外 but ectopic pregnancy wasnt on my calendar. 我现在一团糟It kind
28、a threw me.完全理解Totally understandable.手链Bracelets.我女儿做的My daughter makes them.拿一条哎呀Take one. Heck.两条给你们Take two, please.她做的手链已经够密西西比河这边每人一条了Shes made enough for everyone this side of the Mississippi.但能让她忙起来不打扰我收拾去上班But it keeps her busy when Im trying to get ready for work.我们懂的我们也有孩子We get it. We ha
29、ve kids.你的女儿多大了How olds your daughter?五岁了Five.下周就六岁了She turns six next week.太可爰了Ooh, sweet.她只想要一个生日礼物She only asked for, one present.一个妹妹 a sister.她一直把宝宝叫圣代Shes been calling the baby Sundae因为她喜欢吃冰淇淋cause she loves ice cream.我之后还能怀孕的对吗I can still get pregnant after this, right?如果不做进一步的影像检查是很难判断的Its h
30、ard for me to know without doing further imaging tests. 不过有这种可能性But it is possible.Montgomery 医生Dr. Montgomery?这是不是很糟糕This is bad, right?IDH抑制剂CDK抑制剂免疫检查点抑制剂.IDH inhibitors, CDK inhibitors, immune checkpoint inhibitors.拜托我不喜欢用抑制剂Please. Tm not one for inhibition.之前的我很感谢这一点And historically Fve been g
31、rateful for that.但这些临床试验表明But these trials have really.我已经做过免疫治疗了Ive already done one of these.而且有效-是有效-And it helped. - It helped.但让我感觉生不如死But it made me feel like absolute hell.我是说我会考虑接受更多治疗I said I would consider more treatment.我也做了但不是我想要的I did. Its not what I want.好吧这次不为自己就当为了我Okay, so dont do i
32、t for you, do it for me.想想看这次是你欠我的If you think about it, you really owe me one.我在接受帮助了希望能安慰到你Im getting help, if that makes you feel any better.我在巴厘岛见了一位医师I met a medicine man in Bali.在秘鲁见了一位萨满I met a shaman in Peru.学了能量医学和频率医学的知识I learned all about energy medicine and frequency medicine 这些疗法不会让我觉得像
33、在受罪medicines that dont make me feel like Im suffering.那是因为这些都没用Thats because they dont work.那是你的想法According to you.有一位针灸师减轻了我的痛苦I have an acupuncturist whos done more for my pain比你开的那些药都管用Youre signed up to shadow.我们一起好好考察Let*s just check it out这样你才能做出明智的决定so you can make an informed decision.才能确定我是
34、真的讨厌To make sure I hate it.如果你讨厌我们就再也不来了If you hate it, you never have to come back here again.好吗Okay?走吧Lets go.这是合理的It makes sense.新手医生无法求助于经验Newer surgeons have limited experience to fall back on.有经验的医生则更相信直觉But seasoned surgeons are more intuitive.他们行医多年They mine from years of practice能够做出迅速有效的决策
35、to make quick and effective decisions.找过你的棕色夹克吗What about in your brown jacket?去看看Go look.让你♥爸♥接电♥话♥And put your dad on.如果不是找他的幸运棒球卡Instead of looking for his lucky baseball cardHenry就能把时间用来复习数学考试了Henry could be using this time to actually study for his math test. 好极了避免危机
36、了Oh, good. Crisis averted.好的宝贝明天见Okay, babe, Fil see you tomorrow.我爱你拜拜I love you. Bye.抱歉Sorry about that.than any pill you ever prescribed.研究也发现灵气是可以减轻疼痛的And studies show that Reiki will reduce pain还能帮助术后恢复and it can improve post-op recovery.-Catherine你听我说Tom-Catherine, please. - Tom.我知道你是好心I know
37、you mean well.也一直替我保守秘密And youve been carrying my secret.但得癌症的人是我But this is my cancer.这是我自己的选择This is my choice.找到了Got it.这群布鲁塞尔的神经科学家This group of neuroscientists from Brussels.申请了一笔资金想扩大他们的研究they applied for a grant to expand their research用于研究阿尔茨海默症和on the connection between Alzheimer*s and.肠道微生
38、物的关系我读过相关报告Gut microbial composition. Tve read studies on it.也有一些研究肠道完整性There are also some that link gut integrity与脑斑块形成和神经炎症之间的联♥系♥with brain plaque production and neuro-inflammation.我做帕金森治疗研究的时候看到过I saw this all in the Parkinsons research.也是Of course.你已经比申请资金的这群人懂得更多了You already kno
39、w more than the group who applied for the grant.也是你的专业领域肠道和大脑Its your areas of specialty. gut and brain.是的都只是理论设想Yeah. Its all theoretical.你也刚完成了一项史无前例的研究Like you didnt just do a record-breaking study攻克帕金森最初也是理论设想呀on Parkinson*s based on something that was initially theoretical?来吧你应该去做做看Come on. You
40、 should do this.我们可资助你We could help fund it.我们有设施和技术And we got facilities, equipment, tech.还跟麻省理工的脑科学项目有很好的合作关系We have this amazing partnership with MITs brain science program.他们可以提供资料They could be a resource.你就该直接资助布鲁塞尔的那群人You should just fund the people from Brussels.他们不是你Theyre not you!Meredith G
41、rey研究母亲死因的疾病Meredith Grey studying the disease that killed her mother?这种故事才能拿到资金Thats a story that would get funding有了资金资助才能治疗疾病and funding is what cures diseases.多好啊This is exciting.怎么了你想什么呢What*s going on? Where*d you go?Zola今天早上很难受Zola was miserable this morning.如果她不想来波士顿我是不会搬过来的And I could never
42、 move to Boston if she didnt want to.她经历得够多了I mean, shes been through so much.太多创伤了So much trauma.她的亲生父母和国土都离她而去了She lost her birth family, her birth country她爸去世了我也差点没了her father died, I almost died.现在所有这些都You know, all of that stuff is.开始在她身上显现出来了is just now coming to the surface.我需要把重点放在她身上I reall
43、y need to focus on her.好的我明白了Okay. I hear you.我很爱你们俩I love you both.我也不会就这么轻易放弃好吗Not exactly gonna give up on this entirely, okay?暂时还没有Not just yet.你什么时候变得这么无情了When did you become so relentless?从我接受这份工作以后When I took this job.911请问有什么紧急情况9-1-1. Whats your emergency?我是 Miranda Bailey 医生Yes, this is Dr
44、. Miranda Bailey.我这里有一位39岁女性I have a 39-year-old female剖腹产疤痕上的异位妊娠破裂with a ruptured ectopic pregnancy on a cesarean scar.意识清醒但是大出血Shes alert and oriented, but hemorrhaging.脉搏微弱腹肌紧张伴随腹胀Pulse is weak. Abdomen is rigid and distended.我们在270号♥高速格蕾斯隆医院的蓝色面包车We are in a blue Grey-Sloan van on Highwa
45、y 270. 能派一辆救护车来吗Can you send an ambulance?在路上了 谢谢-On its way. - Thank you.怎么样了Hows it going back there?没事We*re okay.没事的SusanDoing okay, Susan.你在找什么What are you looking for?子♥宫♥球囊填塞Uterine balloon tamponade?你找不到的Not gonna find one in there.我的产科医生之前说我没事My OB just said I was okay.异位妊娠很难预测
46、会不会破裂Well, it*s difficult to predict 以及什么时候破裂的Susan if or when an ectopic pregnancy will rupture, Susan. 看上去出血很多This looks like a lot of blood.是不是有很多血Is this a lot of blood?妊娠侵入到肌肉层了The pregnancy invaded the muscle layers 可能撕裂子♥宫♥的手术切口 了 and likely tore open the uterine incision 所以我们需要
47、有了which is why we have to. Ha!-那是什么弗利氏导尿管-What is that? - A Foley catheter.如果我将其插入阴♥道♥然后充气If I insert this into your vagina and inflate it 对子♥宫♥造成的压力能减缓流血 the pressure against your uterus will slow the bleeding. -可以吗安全吗-Is that okay? - Is it safe?比一直出血要安全It*s safer than letting you keep bleeding.好的来吧Yeah. Okay, do it.把血止住就好Just. make it stop.我在插入导管Ok