本帖最后由 gutmom 于 2013-4-23 13:39 编辑
[手打的，可能會有TYPO，見諒。
不知道應該發哪里，所以發這裏了，如果錯了，請版主移動，THX。不要刪貼，我打了快半小時了，邊聽邊打字，請尊重我的勞動。]
剛在看SUNDAY MORNINGS第9集，有點無聊，又想放點正能量，我就來玩“聽寫”了。這個醫務劇還不錯呢，喜歡的可以看看。看到入面一個辯論，覺得好好玩，所以打出來讓大家玩一下。
如果我們考雅思時口語有這水平，應該能有10分了，哈哈。不過事實上是，如果在國外求學，平時上課辯論也是這水平了，雅思10分不算什麼，哈哈。（不信的，想拍我的，麻煩先看看名牌名校的公開課然後再來拍我，謝謝！）
The plot:
人物：Dr. Robidaux是一位年輕的實習醫生（樣子不年輕下），她剛在急症室處理完一個緊急的事件（我不告訴你是什麼
）
）Dr. Harding是這醫院(Chelsea General)的外科主任。
地點：room 311
事件：每週一例會，主要是總結發病率，死亡率，錯誤率，並吸收教訓。
（中文不好啊，我能寫到這樣都好好了，不要太高要求下）
Okay, let's get right to the first activity, shall we? Dr. Robidaux, please, would you join us as our celebrated guest of honor? Adulation well earned, I have to say. News has traveled fast regarding your life-saving heroics... Threading a pediatric tube through a gasping patient's vocal cord. Talk us through the excitement, doctor, would you?
Uh, Ellen Coolidge... the 42-year-old female brought in unconscious following a vehicular rollover. She was unresponsive to pain. Her pulse was 100 and dropping. Her O2 sat was 90 on 100%. A decision was made to intubate her after we ascertained that her lungs were okay.
And how did that intubation go?Terribly at first. I couldn't visualize her cords, and due to her girth, the tube wouldn't pass. She started turning cyanotic, so I decided to bag her to get her O2 sat back up. A decision was then made to perform an emergency tracheostomy.That decision was made by you?
Dr. Villanueva, actually.
Was he there?He was treating the husband nearby.
Continue, please.
Uh, I proceeded to do the trach, only I couldn't locate her cartilage, again, due to her weight.
And for how long had the patient been without oxygen by this time?
Almost three minutes.Three minutes? My, my. At four minutes, she would have suffered permanent brain damage. Sounds like it was getting a little hairy. Go on.I made a left-to-right swipe. I hit a vein. Blood started...
You hit a vein?Which we pinched off pretty quickly.Uh, finally, I located her cricothyroid and got in, and we then tubed her...
Splendid....only it was blocked.
Dr. Villanueva then came over to assist. She went into asystole. He started performing chest compressions. Finally, I got the pediatric tube in, and she normalized, thank God.
That was a close call.
Very close.And how's the patient doing now?
She's fine. She's celebrating her 22nd wedding anniversary.
Yes, I bet she's very grateful.
She seems so, yes.Yes, I hear she refers to you as her guardian angel. That must be a warm feeling... Performing a life-saving tracheostomy, and they don't always go that well. Trust me, I know from my own experience. Tell me, doctor, from your experience, do they usually go that well?
Uh, well, this was my first one.
Your very first one, you say?
Uh, I've assisted on some...
In emergency situations?No, never in an emergency, before now.
Your very first emergency tracheostomy, and things went well. Good for you.
Why did you make a left-to-right incision in her throat? If you'd made a vertical incision, you might have missed hitting her blood vessel, no?
Well, it's a small mistake, I suppose.As you say, this was your very first emergency trach. Well, then it's possible that's why your cricothyroidectomy was unsuccessful and possibly why you couldn't find the cartilage, and why you were having trouble intubating, which deprived the patient of air for something like three minutes. Did you ask for help?
Everyone was preoccupied.
You didn't even call for help? You couldn't get the bloody tube in, you nicked a vein, your patient was circling the drain, and you couldn't even bother to ask for help.
I came over.
Yes, to her rescue. Are you coming to her rescue now, Gato? By the time you arrived, the patient was in full cardiac arrest. You saved the day, Dr. Robidaux, but not before very nearly losing it. Still, no matter As you say, the patient is eating cake, ice cream, delightfully enjoying her satisfactory outcome. Perhaps she's not even aware that because of her prolonged deprivation of oxygen, she might be just a wee bit less smart. She'll think nothing of struggling with Wednesday's crossword in the New York Times, whereas before, she would have breezed through Thursday's.
We tested her. Mentally, she's fine.So she seems, and perhaps she is. Or she may have lost a tick. See, these are the minor mishaps that we never get called on. Somebody dies, we get sued. Leave a pair of forceps inside a patient, cut off the wrong leg, puncture an aortic valve...For those catastrophic gaffes, we are surely held accountable, but it's these little errors that we make... The ones that are way more prevalent. We get away with those mistakes, don't we? Nobody's any the wiser. Sometimes they're the dumber. Imagine, Ellen Coolidge is in her room eating cake, thanking her lucky stars with no idea that her guardian angel very nearly killed her.
Harding. It wasn't her fault.
No. It was mine, and it was yours. This was not Chelsea General's best work. A woman comes to our ER, we should at least be able to proffer a doctor who is capable of performing a tracheostomy. Or failing that, one who is adept at intubating. Or failing that, one who can at least find the thyroid cartilage. Or failing that, one who might not improperly slit her throat. This was shoddy, shoddy work, and the fact that we got away with it doesn't make it any less inexcusable. You know, I have a niece, lovely girl... She reminds me a little bit of you, Dr. Robidaux. She was recently fired from her waitressing job at the Ritz-Carlton. She set a table incorrectly. The knife and the fork were in the wrong place or some such thing. The Ritz-Carlton doesn't even countenance mistakes like that. Count yourself lucky that you work in a hospital and that you're a surgeon.
That's enough. I am not a bad doctor, and you know it.
Indeed... but my role here isn't simply to prevent the bad doctors from killing patients. It's to keep the good ones from doing so.
Uh, Ellen Coolidge... the 42-year-old female brought in unconscious following a vehicular rollover. She was unresponsive to pain. Her pulse was 100 and dropping. Her O2 sat was 90 on 100%. A decision was made to intubate her after we ascertained that her lungs were okay.
And how did that intubation go?Terribly at first. I couldn't visualize her cords, and due to her girth, the tube wouldn't pass. She started turning cyanotic, so I decided to bag her to get her O2 sat back up. A decision was then made to perform an emergency tracheostomy.That decision was made by you?
Dr. Villanueva, actually.
Was he there?He was treating the husband nearby.
Continue, please.
Uh, I proceeded to do the trach, only I couldn't locate her cartilage, again, due to her weight.
And for how long had the patient been without oxygen by this time?
Almost three minutes.Three minutes? My, my. At four minutes, she would have suffered permanent brain damage. Sounds like it was getting a little hairy. Go on.I made a left-to-right swipe. I hit a vein. Blood started...
You hit a vein?Which we pinched off pretty quickly.Uh, finally, I located her cricothyroid and got in, and we then tubed her...
Splendid....only it was blocked.
Dr. Villanueva then came over to assist. She went into asystole. He started performing chest compressions. Finally, I got the pediatric tube in, and she normalized, thank God.
That was a close call.
Very close.And how's the patient doing now?
She's fine. She's celebrating her 22nd wedding anniversary.
Yes, I bet she's very grateful.
She seems so, yes.Yes, I hear she refers to you as her guardian angel. That must be a warm feeling... Performing a life-saving tracheostomy, and they don't always go that well. Trust me, I know from my own experience. Tell me, doctor, from your experience, do they usually go that well?
Uh, well, this was my first one.
Your very first one, you say?
Uh, I've assisted on some...
In emergency situations?No, never in an emergency, before now.
Your very first emergency tracheostomy, and things went well. Good for you.
Why did you make a left-to-right incision in her throat? If you'd made a vertical incision, you might have missed hitting her blood vessel, no?
Well, it's a small mistake, I suppose.As you say, this was your very first emergency trach. Well, then it's possible that's why your cricothyroidectomy was unsuccessful and possibly why you couldn't find the cartilage, and why you were having trouble intubating, which deprived the patient of air for something like three minutes. Did you ask for help?
Everyone was preoccupied.
You didn't even call for help? You couldn't get the bloody tube in, you nicked a vein, your patient was circling the drain, and you couldn't even bother to ask for help.
I came over.
Yes, to her rescue. Are you coming to her rescue now, Gato? By the time you arrived, the patient was in full cardiac arrest. You saved the day, Dr. Robidaux, but not before very nearly losing it. Still, no matter As you say, the patient is eating cake, ice cream, delightfully enjoying her satisfactory outcome. Perhaps she's not even aware that because of her prolonged deprivation of oxygen, she might be just a wee bit less smart. She'll think nothing of struggling with Wednesday's crossword in the New York Times, whereas before, she would have breezed through Thursday's.
We tested her. Mentally, she's fine.So she seems, and perhaps she is. Or she may have lost a tick. See, these are the minor mishaps that we never get called on. Somebody dies, we get sued. Leave a pair of forceps inside a patient, cut off the wrong leg, puncture an aortic valve...For those catastrophic gaffes, we are surely held accountable, but it's these little errors that we make... The ones that are way more prevalent. We get away with those mistakes, don't we? Nobody's any the wiser. Sometimes they're the dumber. Imagine, Ellen Coolidge is in her room eating cake, thanking her lucky stars with no idea that her guardian angel very nearly killed her.
Harding. It wasn't her fault.
No. It was mine, and it was yours. This was not Chelsea General's best work. A woman comes to our ER, we should at least be able to proffer a doctor who is capable of performing a tracheostomy. Or failing that, one who is adept at intubating. Or failing that, one who can at least find the thyroid cartilage. Or failing that, one who might not improperly slit her throat. This was shoddy, shoddy work, and the fact that we got away with it doesn't make it any less inexcusable. You know, I have a niece, lovely girl... She reminds me a little bit of you, Dr. Robidaux. She was recently fired from her waitressing job at the Ritz-Carlton. She set a table incorrectly. The knife and the fork were in the wrong place or some such thing. The Ritz-Carlton doesn't even countenance mistakes like that. Count yourself lucky that you work in a hospital and that you're a surgeon.
That's enough. I am not a bad doctor, and you know it.
Indeed... but my role here isn't simply to prevent the bad doctors from killing patients. It's to keep the good ones from doing so.
说说我的看法高级模式
挺有趣的。谢谢推荐。
lz哪里看这部片呀？
辩论、演讲能力比我们强许多！
但是医生不比其它行业，要求太高了。这位医生确实技术不行，再辩论也没有用。