ChicagoMed《芝加哥急救》第九季第六集完整中英文对照剧本.docx

那个男孩今天差点就死了Thatboyalmostdiedtoday.我认为医院应该停用伊索麦朵IthinkthehospitalshouldpullExsomadex.我们这里不是这样处理事情的lt,snothowthingsworkhere.这个议题的意义不只是一个病人Thisisbiggerthanjustonepatient.我很佩服你扭转了你的人生Iamimpressedwithhowyouturnedyourlifearound.名列第一的？也许是少年监狱？Topofthelist,maybeCountyJuvenile?毕竟你得克服很多难关Youhadalottoovercome.你会忘东忘西，伯特You'reforgettingthings,Bert.我们先跟神经科医生约诊1.et'smakeanappointmentwithaneurologist.你们两个编造出这个谬论，你们就能得到我的钱Thetwoofyouarecookingupthisnonsensesoyoucangetmymoney.我会接受检查，免得免得你再来烦我llgettested,justtogetyouoffmyback.太好了Oh,good.你来了Youmadeit.你在暗中监视我吗？Areyouspyingonme?你在我工作的地方有约诊Youhaveanappointmentatmyplaceofemployment.我只是想把事情排开陪着你Ithoughtdmakemyselfavailabletoyou.听着1.ook.你如果会紧张我也可以理解.Iunderstandifyou'renervous.我不紧张，我跟你说过我没事，莎伦mnotnervous,Itoldyoumfine,Sharon.我不需要该死的保母看着我做每件事1don'tneedadamnbabysitterwatchingmyeverymove.这样吧，如果你那么排斥，那我就不管你了Youknowwhat,ifyoufeelthatstronglyaboutit,llbackoff.但要让孩子知道医生怎么说Justletyourchildrenknowwhatthedoctorsays.-谢谢-请享用-Thanks.-Enjoy.嘿，我想要来个Hey,uh,lldoa.早安Goodmorning.嘿，早安Hey,goodmorning.你要喝点什么吗？Getyouanything?哦，不用，我在家就泡好咖啡了Oh,no,Imakemycoffeeathome.我对我的咖啡比较要求m"bougie"aboutmycoffee.是这样吗？Oh,isthatso?麻烦给我一杯中杯手冲黑咖啡Uh,lldoamediumdripblack,please.1射谢Thankyou.我显然不太要求mdecidedly"un-bougie."不，我听说你把你的好品味，留给奇怪的鸡尾酒No,Ihearyoureserveyour.yourrefinedtasteforweirdcocktails.你是指我的萨泽拉克？YoureferringtomySazerac?你去纽奥良讲这种话试试看GotoNewOrleansandsaythat.钱给你Thereyougo.零钱不用找了，谢谢Keepthechange.Thankyou.你错rYouweresaying?亚曼医生DoctorAhmad.马素医生DoctorMarcel.我有一些消息，你们听了一定会很开心Ihavesomenewsmsureyou'llbegladtohear.医院决定暂停使用Thehospitalhasputatemporaryhold伊索麦朵，等到ontheuseOfExsomadexpending完成全面性的安全查核athoroughsafetyreview.太棒了That'samazing.我还以为IthoughttheDrug药物与处方集委员会不打算采取行动andFormularyCommitteeweren'tgonnatakeaction.他们本来没有Theyweren't.但是有一位董事会成员极力要求，埃弗雷特占土Butattheurgingofoneofourboardmembers,EverettJames,委员会决定推♥翻♥他们的决定theCommitteedecidedtoreversetheirdecision直到食品药物管理局厘清问题untilthe"F.D.A."sortsitout.太好了Great.-好的-谢谢你，葛云女士-Allright.-Thankyou,MissGoodwin.不客气You'rewelcome.看看你1.ookatyou.我一直以为组织惯性Ialwaysthoughtinstitutionalinertia代表我们败局已定，但我们成功了meantwewere"deadinthewater"butwedidit.是你成功了Youdidit.恭喜Congratulations.听我数，三、二、一Onmycount,three,two,one.卢卡斯，别担心Hey,Lucas.We'vegotyou.我需要照X光，单一枪伤？Ineedanx-ray!Single"G.S.W."?就我目前所知是这样AsfarasIcouldtell.我在背后没看到任何伤口1didn'tseeanythinginthesack.但是血止不住Butcouldn'tstopthebleeding.血压一直往下掉，心率110"B.P.,s"falling.Rate'sone-ten.输注-单位的0型阴性血Hangaunitof"0"-neg.米高，胸腔X光Mike,chestx-ray.好Yep.好，听我数，我们两个交换，三、二、一Okay,onmycount,let,sswapplaces,three,two,one.对，是锁骨下动脉Yeahthat,sthesubclavianartery.谢谢你，高尼，这里交给我们吧Thanks,Courtney.Wegotthis.远离Clear!没错，子弹F在锁骨后面Yeah,bullet'sretainedbehindtheclavicle.我我没办法呼吸I.Ican,tbreathe.好，你尽量保持清醒Okay,juststaywithus.我们得想办法止血Wegottagetthisbleedundercontrol.用止血钳吗？Clamp?没办法找到适合的角度夹上去Won'tbeabletogetanangleonit.给我一条导尿管Getmeafoleycath.-用来处理枪伤？-快点-Foragunshot?-Comeon.我会插入导尿管拦住血流llinsertthefoleytocapturethebleed,把气囊充气andwhenweinflatetheballoon就能拖延时间it'lltemporize.帮我们争取一点时间Buyussometime.好Yeah.血压还是偏低但稳定"B.P.'s"stilllowbutstable.呼叫创伤科，请他们开一间手术室，我们走吧Pagetrauma.Havethemopenan"0.R."Let'sgo.要来点提神饮料吗？1.ittlepickmeup?不用，我已经有一杯了，谢谢Oh,no,Ialreadyhaveone.Thankyou.是预防性准备It'sprophylactic.我想你需要第二轮Figuredyou'dneedasecondround毕竟你又在值班室过夜了afterspendinganothernightintheon-callroom.你怎么知道我睡在那里？How,dyouknowIslepthere?你在梳刚起床的一头乱发You'rebrushingyourbedhair.你还好吗？Areyouokay?自从离婚之后You'vebeenspendingalotoftimeinthe"E.D."你待在急症室的时间很长sincethedivorce.因为家里再也不像家了Becausethehousedoesn'tfeellikehomeanymore,我觉得自己在那里好似陌生人andIfeellikeastrangerthere.玛姬Maggie.我需要助手Ineedanassist.好，马上来Yep,rightbehindyou.谢谢你的咖啡Thanksforthecoffee.不客气Yeah.你好，我是艾卓亚医生Hello,mDoctorArcher.这位是洛活护士ThisisNurseLockwood.你们早安Morning,morning.听说你的回肠造口有点问题？Ihearyou'rehavingsometroublewithyourileostomy?我是黛，这是我儿子，加列Deb.It,smyson,Caleb.医生你好-你好-Hey,doc.-Hi.我敢说是脱垂了Prettysureit'saprolapse.又一次Again.可以让我看一下吗？Huh?Youmind?抱歉，我知道很恶心Sorryknowit'snasty.不用担心，我们没那么脆弱Don'tworry.We'renotsqueamishhere.没错Yeah.绝对是脱垂了Yeah,it,sdefinitelyprolapsed.你说这以前发生过？Yousaythishashappenedbefore?卷次他偷溜出门打篮球的时候Everytimehesneaksofftoplaybasketball.你在冬天的时候带我来芝加哥YoutookmetoChicagointhewinter.不然你希望我怎么打发时间？Whatelsedoyouexpectmetodoforfun?不要跑出门还伤害自己Notrunoffandhurtyourself.我们是从奥克兰来玩的We'revisitingfromOakland.现在发炎太严重，没办法处理Well,it'sstilltooinflamedtomanipulaterightnow,但是我们可以缓解肿胀，洒一些but,uh.wecanreducetheswellingwithsome.糖Sugar.我想就是这样处理Ifiguredthatwasthecase.是啊，现代医学的奇迹Yeah,miraclesofmodernmedicine.我还想安排一些实验室检直Ialsowannaordersomelabs?全套血液检查、基本代谢指数，和腹部电脑断层扫描A,C.B.C,"andanabdominal,C.T,".没问题，医生Yougotit,doc.我可以问吗？这里还看到另一道疤痕CanIask,Iseesomeotherscarshere,allright?有些是手术疤痕，但其他的Somearesurgicalbuttheothers.加列秋天的时候被开了两枪Calebwasshottwotimesinthefall.天啊Oh,myGod.我家那里常发生入室抢劫1.ottacarbreak-inswheremfrom.有一次演变成枪战，我被流弹波及OneturnedintoashootoutandIcaughtacoupleofstrays.我很遗憾Sorrytohearthat.但你看起来恢复得还不错Youseemtobedoingwell.他是坚强的孩子He'satoughkid.在球场上也很强Toughonthecourt,too.在我装上回肠造口之前，是加利福尼亚最强的后卫OneofthebestguardsinCaliforniabeforethis.等你接受造口关闭术之后Wellafterthereversalprocedure,你马上就能回到球场上了you'llbebackonthecourtinnotime.不重要了Won'tmatter.我们的小儿外科医生，戴维斯医生DoctorDavis,ourpediatricsurgeonbackhome,说加列还要再等十个月saidCalebhastowaitanothertenmonths.到时候夏天就结束了，大学球探也离开了Bythenthesummer,sgoneandsoareallthecollegescouts.我们先处理好眼前的问题，好吗，亲爱的？Whydon'twefocusongettingthroughthisfornow,okayhon?你愿意让我们联♥系♥,你们的外科医生吗？Dowehaveyourpermissiontocontactyoursurgeon?取得加列的病历记录？TogetCaleb'smedicalrecords?当然可以Ofcourse.-好的-与此同时，先别乱跑-Okay.-Well,inthemeantime,sittight.我们去安排一些检直We'regonnagetthesetestsgoing我很快就回来看你andthenllbebacktocheckonyoushortly.谢谢Thankyou.沙利文先生，医生很快就过来看诊MisterSullivan.adoctorwillbewithyousoon.我们只是需要你先躺卜.♥床♥Wejustneedyoutogetinthebed.好，只是你们两个至少退后六尺Fine!Just.justbothofyougivemesixfeet!好哦Okay.好的，先生Okay,sir.好Okay.我会给你空间，没问题mgivingyouspace.It,sfine.早安，安妮塔Morning,Anita.这公早就这公失控？Earlystarttothemadness?有人报案说有酒吧斗殴Gotacallaboutabarfight.到现场接到这位万人迷，罗伯特沙利文Pickedupthischarmer,RobertSullivan.我不想量生命体征1don'twantanyvitals.我什么都不想量，我不想要量血压Idon'twantanything.Idon'twantany"P.P.".他还在酒醉，不愿意安静下来He'sstillintoxicatedandwouldn'tsettledown,所以我跟他说，要么送医包扎他的伤口soItoldhimit'seitherthehospital不然就是去酒鬼监禁室forhisinjuriesorthedrunktank.-算他聪明-是啊-Well,noidiot.-Yeah.而且他很坚持要送他来芝加哥医院AndhewasadamantaboutbeingbroughttoMed.说他认识这里的医生Saidheknowsadoctorhere.他有说是谁吗？Hesaywhichone?他一直说“里普”Hekeptaskingfor"Rip."“里普,？For"Rip?"-我只是要量你的脉搏-我不想量什么心跳-Ijustneedtotakeyourpulse.-Idon'twantany"B.P.M's."一下子就好我什么都不要-Ijustwantasec.-Iwantnothing.嘿，沙利文先生，你还好吗？Hey,MisterSullivan,howyoudoing?你又是哪位？Whothehellareyou?我是查理斯医生mDoctorCharles.南茜只是想要量你的生命体征Youknow,Nancy'sjusttryingtogetyourvitals,确保你没事，只要两秒钟就好makesureyou'reokay,taketwoseconds.不用，我好得很No,malreadygood.我好极了Ifeelgood.里普在哪里？我要找里普Where,sRip?1wannatalktoRip.你是说里普利医生吗？DoyoumeanDoctorRipley?去找他来就对了Justgethim.南茜，我们先让沙利文先生静一静Nancy,let's,uh,giveMisterSullivanalittlespace.去呼叫里普利医生AndpageDoctorRipley.好Okay.谢谢Thankyou.创伤科来电Hey,traumacalled.锁骨下修复很顺利Subclavianrepairwentsmoothly.病人一切平安Patient'sdoingwell.好，谢啦，翠妮Good.Thanks,Trini.嘿，你呼叫我Hey,1gotyourpage.什么事？Whafsup?你认识五号♥治疗室这位先生吗？Oh,areyou,uh.areyoufamiliarwiththisgentlemaninfive,here?嗯什么名字去了Misteuh.沙利文先生？罗伯特沙利文？MisterSullivan?RobertSullivan?认识Yeah.这位先生太超过了Gentlemanispushingit.怎么了？-扯入酒吧斗殴被揍了-顿-Whathappened?-Gotbangedupinabarfight.坚持要送来芝加哥医院，因为你InsistedonbeingbroughttoMedbecauseofyou.不让任何人治疗他Won'tletanybodyelsetreathim.我不要No.至少让我量你的体温Attheveryleast,Ineedyourtemperature.不要No.好极了Great是啊Yeah.他一直要我们找“里普”Hekeepsonaskingfor"Rip."是啊Yeah.对沙利跟我以前常常Uh,SullyandI,usedto,uh,一起在街上鬼混，在我离开芝加哥之前runthestreetstogetherbeforeIleftChicago.是吗？Oh,yeah?你诊治你的老朋友没问题吧？You.youokaytreatinganoldbuddy?我可以请别人来Icanfindsomebodyelse.我们没那么熟，应该不会有什么问题We'renotthatclosesoitshouldn'tbeaproblem.谢啦Thanks.好Okay.我不想跟你对话了Idon'twannahavethisconversationwithyou.先生，你不能离开Sir,you'renotgoinganywhere.嘿，终于出现啦Hey!Thereheis!好的，不要那么大声，沙利Allright,let,skeepitdown,Sully.就跟你说我认识他吧ItoldyouIknewhim.我来就好，谢谢Igotthis.Thankyou.感谢老天ThankGod.终于可以放松一下了Canfinallyrelax.你想都别想Don'teventhinkaboutit.天啊，警♥察♥可能也会把我丢进监牢Jeez,copmightaswellhavedroppedmeoffatjail.如果你-直这样闹，那就还是有可能发生Stillanoptionifyoukeepactingthisway.跑来这里为难每个人Showinguphere,givingeverybodyahardtime.大清早在酒吧斗殴？搞什么鬼，沙利？Andabarfightatthecrackofdawn?Whatthehell,Sully?嘿，有人在说我的公牛队的坏话Hey,someguysweretalkingdownonmyBulls,我回嘴了，他们却开不起玩笑，所以我们就去外面解决andIretortedandtheycouldn'ttakeajoke,sowehandleditoutside.是哦，看起来是他们解决了你Yeah,looksliketheyhandledyou.他们还伤到你哪里？Whereelsedidtheygetya,?被喑算了几拳Couplecheapbodyshots.更不用提你的下巴Nottomentionyourjaw.但我还是很帅mstillasexsymbol,though.对方就比我惨多了Can'tsaythesameforhimandhisboy.他们承受了我的铁拳Theywereonthereceivingendofthis.看起来像是我们惯称的拳击手骨折1.ookslikewhatwecallaboxer'sfracture.听起来是好消息Hm,likethesoundofthat.不得不说，你终于学会用你的手，真让我刮目相看Gottasay,mimpressedyoufinallylearnedhowtouseyourhands.以前就应该好好用你的手Could'veusedthembackintheday免得我还要忙着救你，以防你被揍扁whileIwasbusysavingyoufromgettingyoura*kicked.还会说笑话嘛Stillgotjokes.看你这样穿着高级的白袍，顶着美男发型Fancywhitecoatandaprettyboyhaircut,但至少你的幽默感还在butatleastyoukeptyoursenseofhumor.有点呼吸短促吗？Alittleshortofbreaththere?只是咳嗽而已，应该是放假的时候感冒了JustalittlecoughIpickedupovertheholidays.让我听听看1.etmetakealisten.深呼吸Deepbreath.好的，保险起见，我要安排血液检验和X光Allright,mgonnaorderbloodworkandax-raytobesafe.我只是想检查我的手，现在你却要推销我更多？Oh,Ijustwantedmyhandlookedatbutnowyou'retryingtoupsellme?穿上病人袍，不要乱跑Justputthegownonandstayput.马上有人会进来帮你照胸腔和手的X光Someone'llbebysoontoimageyourchestandhand.还有不要为难人家And,urn,don'tgivethemahardtime.喉咙看起来还好Throatdoesn,tlookthatbad.你已经这样多久了，阿德瑞娜？Howlonghaveyoubeenfeelingthisway,Adriana?几个礼拜了吧？说不准Afewweeks?Hardtosay.我一直在旅行，所以时间感有点混乱Beentravelingalotsomysenseoftimeisouttawhack.去了哪些好玩的地方吗？Anywherefun?中西部酒店大会巡回赛壮游GrandtouroftheMidwest'shotelconventioncircuit.我办了一场桌游展Iorganizetabletopandboardgamecons.总之，我还以为这只是又一次展览咳Anyway,Ithoughtthiswasjustanothercon-cough.就是在满是玩家的宴会厅里Youknow,somethingyoupickup会被传染的病，可是whenyou'restuffedinaballroomfullofgamersbut.可以呼吸一下吗？Canyoubreatheforme?那样会痛Thathurt.你的肺听起来的确有点罗音Yourlungsdosoundalittlejunky.意思是里面有很多痰Justmeansthatthere,salotofphlegm.有可能是流感、冠状病毒病或肺炎造成Couldbefromflu,Covidorapneumonia我们要先做一些检查确认才能知道病因butwewon'tknowuntilwerunafewteststobesure.我才刚打过疫苗，但肺炎？天啊Ijustgotmyshots,butpneumonia?Wow.交给我们吧We'lltakegoodcareofyou.先从胸腔X光开始1.et'sstartwitha,uh,chestx-ray,全套血液检查、基本代谢指数，拭子检验冠状病毒病、流感和链球菌"C.B.C.,"B.M.P."fswabsforCovid,fluandstrep,安排胸腔和颈部电脑断层扫描andputina"C.T.forchestandneck.-好哦-我很快就回来-Okay.-llbebacktocheckonyousoon.嘿，我只是想再确认，关于电脑断层扫描的医嘱Hey,Um,IjustwantedtodoublecheckonthoseCATscans.我们不用先等胸腔X光的结果吗？Shouldn'twewaitforthechestx-rayfirst?这样似乎有点躁进Itseemsaggressive.老实说，我不确定这会否只是感染Honestly,mnotevensurethatthisisjustaninfection.但是检查结果出来的时候还是呼叫我吧Butpagemewhenthosetestsareback.好，没问题Yeah,yougotit.洒一点糖Thereyougo.你真的很擅长这个You'rearealproatthis.我也没想过我会擅长这个，但谢啦It,snotaskillIplannedonmasteringbut,thanks.加列，黛Caleb.Deb.好消息，你的实验室检验报告都正常Goodnews.Yourlabscamebacknormal.真是太好了，宝贝Oh,that'sgreat,hon.看起来你的脱垂Well,itlookslikeyourprolapse消肿的速度并没有如我们所愿hasn'treducedasquicklyaswe'dlike.也许是因为持续充血的关系It,sprobablybecauseOfpersistentcongestion.根据我看到的状况，还有加列最新的电脑断层扫描So,basedonwhatmseeinghereandCaleb'slatest"C.T.'我想接着进行造口关闭术会比较好Ithinkitwouldbebetterifwewentaheadwithyourreversalsurgery.你说什么？等等，什么意思？-Excuseme?-Waitwhat?说实话，我建议越快进行越好Truthfully,myrecommendationwouldbetodothisassoonaspossible.你的意思是我可以摆脱这东西？就在今天？You'retellingmeIcangetridofthisthing?Like,today?我应该可以帮你安排在几个小时后手术Ishouldbeabletogetyouonthescheduleinafewhours.没错Yeah.动手术吧1.et'sgo!妈，我们可以打电♥话♥给马克教练Mom,wecancallCoachMark.跟他说我今年夏天可以在战士队打球TellhimmrunningwiththeSoldiersthisSummer.这是好消息Thisisgoodnews.方便借一步说话吗？CanIspeakwithyouforamoment?我不明白Idon'tunderstand.你你不能在病房♥把脱垂复位吗？You.youcan'treducetheprolapsebedside?这个嘛，我应该可以Well,Iprobablycan,但我想这时候，长♥期♥来看，手术应该是更好的解决方法butIthinksurgeryisthebetterlong-termsolutionatthispoint.加列已经手术完几个月，他的复原状况很好Calebisseveralmonthsoutandhisrecoveryisgoinggreat.他的检验报告显示他很健康，很强壮His,uh,labsindicatethathe,shealthy,he'sstrong.恕我直言，戴维斯医生，从一开始就是他的医生Allduerespect,DoctorDavishasbeenwithussincedayone.但我们才认识你多久，两小时？We'veknownyouforwhat,twohours?艾卓亚医生在这方面经历丰富DoctorArcherhasalotOfexperiencewiththis.我们的医生坚持要我们等Ourdoctorwasadamantwewait.再加上加列所有的手术ThatwithallofCaleb,ssurgeries,沾黏需要时间才能消退，我们才能关闭造口theadhesionsneededtimetobreakdownbeforewecoulddothereversal.那是很周全的计划Thatwasasolidplan.不过However,加列的脱垂复发Caleb'srecurringprolapses会令他更有可能再次脱垂couldmakeitmorelikelyforhimtoprolapseagain.有可能导致最后的修复更棘手Andpossiblymaketheeventualrepairmorechallenging.你们又不能确定Youdon,tknowforsure.我不会用我儿子的健康来交换Iwon'ttrademyson,shealthforthat.我知道你希望等到回家再处理1knowyouwannaholdoffuntilyougethome,但我很乐意跟你的小儿外科医生沟通butdbehappytospeakwithyourpediatricsurgeon.就像我说的1.ikeIsaid,戴维斯医生认为加列最好再等等DoctorDavisbelievesCalebisbetteroffwaiting,所以除非他有不同看法，不然我都不想再讨论手术的事了sountilhesaysotherwise,mnotdiscussingsurgeryanyfurther.我可以请你帮我看个东西吗？CanI"getyoureyesonsomething?"当然,Course.直接跳到电脑断层扫描啊？Skippedrightto,C.T.scans,huh?病人到院时出现典型的感染迹象Patientcameinwithclassicsignsofaninfection.但是又有呼吸短促和胸痛butwiththeshortnessofbreathandchestpain,我担心这是败血性肺栓塞Iwasafraidthatitwasasepticpulmonaryembolism.我知道这不太可能Knowthat'salongshot.不，完全正确，你看No,youwere',onthemoney."Look.绝对是一个小小的肺栓塞Definitelyasmall,P.E."你看这个颈部的电脑断层扫描Checkoutthisneck,C.T."我不确定自己看到什么mnotsureexactlywhatmlookingat.扁桃腺周围脓疡，浸润渗入颈静脉Peritonsiliarabscesswithinfiltrationintothejugularvein.拭子检验结果是什么？What'dtheswabcomebackas?链球菌Strep.这样啊Hm.这是雷米尔氏症，对吧？ThisisLemierre1SSyndrome,isn,tit?我只有在书上看过veonlyreadaboutit.颈部有感染的血块，没错Infectedbloodclotintheneck,yeah.非常罕见Veryrare.非常危险Verydangerous.这样很多问题都说得通了Explainsalot.感染是从喉咙开始Infectionstartsinthethroat,扩散到颈部，血块顺流向下spreadstothejugular,startsthrowingclotsdownstream.好，我们需要尽快，让你的病人接受抗凝血药Okay,we,uh.weneedtoanticoagulateyourpatientASAP.开始帮病人输注肝素Sogoaheadandstartheronaheparindrip,以防原有的