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演讲简介：
每个医生都会犯错。但是，医师布莱恩·高德曼提道，医学界的否认（和耻感）文化让医生们无法诉说他们曾经犯过的错误，以至于无法从错误中学习与进步。从讲述自己的故事开始，他号召医生们开始谈论他们曾经犯过的错误。
n. 抗生素，抗生学
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- And two days later I came to do my next emergency shift, and that's when my chief asked to speak to me quietly in her office.
- 两天后，又轮到我在急诊室值班。那时我的主任要我去她的办公室里私下谈谈。
- And she said the three words: Do you remember?
- 她说了那三个字： 记得吗？
- "Do you remember that patient you saw with the sore throat?"
- “记得吗？那位你看过的喉咙酸痛的患者？”
- Well it turns out, he didn't have a strep throat.
- 原来，他并没有得链球菌性咽喉炎。
- He had a potentially life-threatening condition called epiglottitis.
- 得的是一种有可能威胁到生命的病症， 叫会厌炎。
- You can Google it, but it's an infection, not of the throat, but of the upper airway, and it can actually cause the airway to close.
- 各位可以在谷歌上查询，但它不是喉咙，而是上呼吸道的感染，并有可能造成呼吸道阻塞。
- And fortunately he didn't die.
- 幸好，他并没有过世。
- He was placed on intravenous antibiotics and he recovered after a few days.
- 在被安排做抗生素静脉注射的几天之后，他便痊愈了。
- And I went through the same period of shame and recriminations and felt cleansed and went back to work, until it happened again and again and again.
- 而我又回到了那个愧疚和自责的时光中， 然后等情绪平复后，又回到了工作岗位， 直到这些错误再度重复的发生。
- Twice in one emergency shift, I missed appendicitis.
- 在同一个急诊的值班中，我两次没有发现病患得了盲肠炎。
- Now that takes some doing, especially when you work in a hospital that at the time saw but 14 people a night.
- 这是很难想象会发生的事情，尤其是当你在一间一个晚上，只见十四名病患的医院工作。
- Now in both cases, I didn't send them home and I don't think there was any gap in their care.
- 虽然对这两个病例，我都没有让他们回家，而我也不觉得在治疗照顾过程中有任何空隙和差错。
- One I thought had a kidney stone.
- 其中一位我诊断他有肾结石。
- I ordered a kidney X-ray.
- 并安排了肾脏X光，但结果正常。
- When it turned out to be normal, my colleague who was doing a reassessment of the patient noticed some tenderness in the right lower quadrant and called the surgeons.
- 我的同事当时正在对病人的病情做重新的诊断。在他留意到病人右下腹的地方有些柔软时，便联系了外科医生。
- The other one had a lot of diarrhea.
- 另一位病患有严重的腹泻。
- I ordered some fluids to rehydrate him and asked my colleague to reassess him.
- 我给了他一些液体帮助他补充水分，并让我的同事重新看了看。
- And he did and when he noticed some tenderness in the right lower quadrant, called the surgeons.
- 他照做了。 当他注意到病人右下腹有些柔软时，也联系了外科医生。
- In both cases, they had their operations and they did okay.
- 这两名病患 都做了手术并康复了。
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| 重点单词 | 查看全部解释 | |||
| antibiotics | [.æntibai'ɔtiks] | |||
| tenderness | ['tendənis] | |||
| shift | [ʃift] | |||
| kidney | ['kidni] | |||
| infection | [in'fekʃən] | 联想记忆 | ||
| colleague | ['kɔli:g] | 联想记忆 | ||
| reassessment | [.ri:ə'sesmənt] | |||
| potentially | [pə'tenʃəli] |
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