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1、还不到七点就已经这么Bare1yseveno,c1ockandit,sa1ready.你穿的这是什么Whatareyouwearing?可充电式降温背心Arechargeab1ecoo1ingvest凯文说今天气温能达到43摄氏度Kevinsaysit,sgoingtobe109degreestoday,而这件背心能维持凉爽的温度最长达八小时andthiswi11maintainmycoretemperatureforuptoeighthours.我还配了一台挂脖式风扇一个补水背包Ia1sohaveaneckfan,persona1hydrationpack,还有and.降温帽coo1ingh
2、oodie.你还真是装备齐全You.rea11ywentforit.这是对我们未来的投资Itsaninvestmentinourfuture.这些装备我们可以用很多很多次Wewi11needthesemany,manymoretimes.如果你需要Ifyouneedto,我的帽子可以借你用youcanborrowmyhoodie.刚出蒸笼又入火坑啊Outofthefryingpan,intothefire.搞什么Serious1y.空调开着吗IstheACevenon?反正老兵健身厉♥的空调运转正常ItsworkingfineattheVAgym.今天晚些时候我们的轮椅篮球队会过
3、去避难Ourwhee1chairbasketba11teamistakingrefugethere1atertoday.我们正需要一个得分后卫Wecou1duseashootingguard.我还没准备好坐在这玩意上投三分球mnotsuremquitereadytodrainthreesinthisthing.还是来一杯天乐雪吧Anicedcap,though.今天你跟我鲍威尔医生Yourewithmetoday,Dr.Powe11.真好作为墨菲小队的一员Sweet.DoIgetmatchinggear,你这套降温装备有没有我的份1ikeaTeamMurphyuniform?没有No.脊髓的损
4、伤破坏了体内的稳定Spina1cordinjuriesdisruptautonomichomeostasis.所以病人会对热更敏感So,patientsaremoresusceptib1etotheheat.如果她接受了我的手术方案IfshedhadthesurgeryIproposed,利姆医生就能更好地调节体内的温度Dr.1imwou1dbebetterab1etoregu1atethattemperature.对她来说现在做决定还太早了Itstooear1yforhertomakethatdecision.她拖得越久发生不可逆水肿的风险就越高No,the1ongershewaits,th
5、ehigherherriskofirreversib1eedema.要考虑的因素太多了Theresmanyfactorstoconsider.所以我跟她说不要着急做决定ThatswhyIto1dhernottorushintoit你是实习的住院医生Excuseme.Youareafirst-yearresident.我在手术方面的经验远比你丰富Ihavemuchmoresurgica1experiencethanyou.我在身体残疾方面的经验也远比你丰富AndIhavemuchmorephysica1disabi1ityexperiencethanyou.是急诊室ItstheER.一间养老院发
6、生停电Ab1ackouthitaseniorresidence,院内所有人都转移到我们这里了theirentirepopu1ationhasbeenevacuatedtous.也就是32名新病人-外加一个蛋糕Thatmakes32newpatients.-Andonecake.停电啦但还是要庆祝阿特的100岁生日B1ackout,SchmackoutWevegottoce1ebrateArts100th.检查所有老人是否有中暑的迹象Eva1uatethema11forheatstroke.除此之外他们本身患有的疾病也可能加重A1so,anypre-existingconditioncou1db
7、eexacerbated.剩下的归你们这些都是不用做手术的Therestareyours.A11ofthemnon-surgica1.有的会需要输液和降温毯Somewi11needIVsandcoo1ingb1ankets.甚至是防走失手环Andwanderbrace1ets.你想负责弗雷德和金杰还是斯坦利克沃斯基YouwantFredandGinger,orStan1eyKowa1ski?您的心跳很快汉密尔顿夫人Yourheartsrunningfast,Mrs.Hami1ton.高热天气加剧了您的心室性心博过速TheheatsmadeyourV-tachworse.我的心脏已经工作90年了
8、别对它要求太高Myheartskeptmegoing90years,sodontbetoohardonit.我叫艾德娜Andca11meEdna.90岁我可不信Ninety?Comeon.Idontbuyit.你让我想起了养老院里的杰瑞YouremindmeofJerryatthehome.不过你比他更养眼A1though,youreeasierontheeyes.给艾德娜五片美托洛尔1etsgiveEdnafiveofmetopro1o1.脉搏暂停拿除颤器来1ossofpu1se,needadefibri11ator.她的脉搏恢复了Gotherpu1seback.干得好医生Nicework,
9、Doc.但压断了她的肋骨Otherthancrackingherribs.给她拍个胸部CT看看骨折有多严重mgonnagetachestCT,seehowbadthedamageis.你不是老年人Yourenoto1d.这位是布鲁克斯莫西41岁ThisisBrooksMosey,41.在完成他的每日100公里骑行时昏倒Heco11apsedduringhisdai1y60-mi1ebikeride.我没料到天气会这么热我只是脱水了Theheatcaughtmeoffguard.mjustdehydrated.你最好多看看天气频道给他输液Youshou1dwatchTheWeatherChann
10、e1.StartanIV.我需要放置骨内注射导管但找不到清晰的静脉Oh.WeneedtostartanIO1ine.Ican,tfindagoodvein.那是因为你没有轻敲静脉使它扩张Thatsbecauseyoudidnttaptheveintomakeitdi1ate.他脱水了需要放置骨内注射导管Hesdehydrated.Heneedsan101ine.不他需要的是一位经验更丰富的医生No,heneedsadoctorwithmoreexperience.你去帮那位病人换导管袋吧P1easechangethatpatientscatheterbag.她的体温达到了41摄氏度情况危急He
11、rcoretemp,s106,shescritica1.已经用了冰袋盖了两条降温毯但没任何效果Sea1ispacked,twocoo1ingb1ankets.Noneofitishe1ping.血压在急速下降BP,stanking.高温正在烧伤她的器官Thisheatsfryingherorgans.是烟雾探测器的声音Thatsthesmokedetector.你是不是没关炉子马蒂You1eavethestoveon,Marty?她需要冷洗降温Sheneedsco1dnasa1gastric1avage.我很害怕马蒂mscared,Marty.梅我是佩雷兹医生May,mynameisDr.Pe
12、rez.您在医院里我们会好好照顾您的Youreatahospita1.We,regonnatakegoodcareofyou.相信我vegotyou.谢谢你小姑娘Gracias,senorita.今天是探戈星期二Oh,its,uh,TangoTuesday.我们会用阿根廷的方式来过这一天Wedoa11thingsArgentinean.怪不得Thatexp1ains.那家伙只上了三节舞蹈课她就黏在他身上了Thatguytakesthreedance1essonsandshe,sa11overhim.弗雷德和金杰他俩就像看上去一样有爱甜蜜FredandGinger,everybitasadora
13、b1easthey1ook.就像两只会跳舞的梅子干1iketwodancingprunes.一对已到暮年的情侣秀恩爱也能惹你不爽Acoup1eintheirtwi1ightyearsdisp1ayingaffectionmakesyoupissy?是因为探探吧ItsTinder,isntit?我在上面看到你了Isawyourprofi1e.你上探探做什么-偷♥窥♥我的同事们WhatareyoudoingonTinder?-Spyingonmyco-workers.我不怪你脾气这么暴Idontb1ameyouforbeingcranky.没有什么比没人约更让人糟心的了
14、Theresnothingmoredepressingthanafew1apsaroundthedatingpoo1.爱了Amor.亚瑟阿比特ArthurAbbott?阿特Art?他跑不远的-他今天刚满百岁了Hecou1dn,thavegonefar.He,s.-Ahundredyearso1d,asoftoday.阿特是个活泼的老混♥蛋♥Art,sonesprysonofabitch.听说你今天救了我的命Ihearyousavedmy1ifetoday.过程中还压折了你的几根肋骨Andfracturedsomeribsintheprocess,因此我们给您做了个C
15、Twhich1edtousdoingaCT在你的右肺里发现r一个肿瘤thatshowedatumorrunningfromyourright1ung.一直延伸到腹部toyourbe11y.你能把它切除吗Canyouremoveit?可以但您这个年纪Yes,butatyourage,我不确定您的身体是否能承受这样的大手术mnotsureyourbodycou1dhand1esuchabigsurgery.我建议您别去管它drecommendyou1eaveit.高质量的走完剩下几个月Youdhavesevera1goodmonths.几个月Months?大概六七个月Six,maybeseven.你已经救过我一次了我相信你可以再救我一次Yousavemy1ifeoncetoday.msureyoucandoitagain