芝加哥急救

Chicago Med S06E06

Part 5 March 16, 2021, 10:55 a.m.

Based on preliminary data, we can project an increase
2.7个质量寿命年
of 2.7 quality-of-life years.
这是巨大的提升
A tremendous improvement.
这种药可以减少
This drug could reduce hospital stays
高达22%的住院时间
by as much as 22%,
能极大地节省开支
resulting in significant savings.
而且经过我们初步的预估计算
And our initial calculations estimate that
节省的经费在头五年内将会超过1亿美元
to be well over $100 million in the first five years,
这笔钱可用来资助移植项目
money that could fund transplant programs
以及干细胞研究
and stem cell research
不仅可以促进心力衰竭的治疗
to not only advance the treatment of heart failure,
而且有朝一日可以完全根除它
but to one day eradicate it altogether.
感谢您的宝贵时间
Thank you for your time.
简直太棒了
That was spectacular.
非常有效
Very effective.
谢谢
Thanks.
瞧瞧这些评论
Look at that.
知道吗你应该考虑考虑做全职
You know, you should consider doing this as a full-time gig.
-是吗 -我是认真的
- Oh, yeah, really? - No, I'm serious.
做临床试验这一行你会有个光明的前途
You could have a bright future running clinical trials.
我不确定
Uh, I don't know.
我可以帮你安排一次会面
I could set up a meeting for you
去见肯德尔的总裁马克·巴拉甘
with Mark Barragan, Kender's CEO.
我很荣幸真的
Well, I'm flattered, really.
但我是一名急救医生
But I'm an ED doc.
医治病人这是我热爱的事业
You know, treating patients, it's, uh, it's what I love.
说到这个我得赶紧走了
Speaking of which, I'd better get going.
你不能留下来太可惜了
It's too bad you can't stay and wait
等着看其他的好评
for the rest of the rave reviews to come in.
到时候你转告我就行了
Oh, hearing them from you is all I need.
回头见
I'll see you.
颌面部疼痛的根本原因得到解释
鲍曼先生的超声结果正常
Mr. Bowman's echo was normal.
是的他的心脏没有问题
Yeah. There's nothing wrong with his heart.
那他为什么会晕倒
So why'd he pass out?
我还不清楚
I don't know yet.
我想弄清楚看是否和他的头痛有关
I'm trying to figure out if it's connected to the pain in his head,
也许是带状疱疹或者是神经失调
maybe shingles or a nerve disorder.
稍微睡一会儿也许更有用
A little sleep might be a better idea.
是鲍曼先生
It's Mr. Bowman.
他们来了
They're coming.
出什么事了
What happened?
他下颌疼得厉害整个人都在发抖
He got a horrible jolt of pain in his jaw,
现在他连嘴都张不开了
and now he can't even open his mouth.
让我看看
Let me take a look.
你看到了吗我几乎没碰到他
You see that? I barely touched him.
对好吧
Yeah... All right.
鲍曼夫人有什么特定的事会引起发作
Mrs. Bowman, do certain things seem to trigger an attack?
吃东西喝水刷牙之类的
Eating, drinking, brushing his teeth?
都会引起疼痛
Um, all of that.
我甚至不能打开卧室的风扇
I can't even turn the fan on in our bedroom
不然微风会吹疼他的脸
without the breeze hurting his face.
好的艾普尔 50毫升芬太尼
Okay, April, 50 of fentanyl.
我得给你的头部和脸部做核磁共振
I need to get you an MRI of your head and face.
埃里克埃里克听我说拜托
Eric, Eric, listen to me. Look, please.
我好像知道是什么原因了
I think I may know what's causing this,
其他的医生都没有考虑到这一点
something the other doctors never considered.
埃里克听医生的话
Listen to him, Eric.
-埃里克拜托 -埃里克让我帮助你
- Eric, please. - Eric, let me help you.
求你了听话
Listen please.
好的艾普尔告诉他们我们马上到
Okay, April, let them know we're coming up.
鲍曼夫人这位是艾布拉姆斯医生
Mrs. Bowman, this is Dr. Abrams.
我很惊讶崔医生其实是对的
Well, I'm amazed Dr. Choi was actually right.
这是典型的三叉神经痛病症
It's a classic case of trigeminal neuralgia.
那是什么意思
What is that?
这种情况下
It's a condition where an artery
一条动脉搏动时压♥迫♥着神经
is pulsating against a nerve,
最终神经的绝缘层会被磨损
and eventually, the nerve's insulation is worn down
每次搏动时都会触发神经放电
to the point where every pulse triggers the nerve to fire.
带来剧烈疼痛
Causes excruciating pain,
你肯定已经见过他发病的样子了
as I'm sure you've witnessed.
有时候疼痛过于剧烈
So bad that patients have been known
有的患者甚至会自杀
to take their own lives.
从这些扫描结果和神经损伤程度来看
Judging by these scans, the extent of the nerve damage,
正是这种疼痛导致了
I think the pain was what caused your husband
你丈夫今早的昏厥
to lose consciousness this morning.
我们看了很多医生
We've been to so many doctors.
为什么他们都没发现这个病
Why didn't any of them find this?
-都是庸医吧 -不是
- Incompetent, maybe? - Mm, no.
这种病症常被误诊为牙科疾病
Uh, it's often misdiagnosed as a dental issue
就是因为疼痛在下颌部
because of the pain in the jaw.
能治好吗
Is there a cure?
可以通过药物进行控制
It can be managed with medication,
但我建议进行手术
but I recommend surgery,
进行微血管减压手术
a microvascular decompression.
我会在他的头骨上开一个小口
I'd cut a small window in his skull
在那条动脉和神经之间
and insert a piece of Teflon cushion
插入一小块聚四氟乙烯垫
between the artery and the nerve.
听上去好危险
That sounds dangerous.
要是我来做就不会那么危险的
Much less so with me doing it.
好吧
Okay.
麦基他的血氧量在下降
Maggie, his sats are dropping.
我给他增加氧气流量
I'll up the flow of oxygen.
提升到10升
Go to 10 liters.
麦基如果他没有好转
Maggie, if he doesn't start to improve,
我就得给他插管了
I'm gonna have to intubate.
小家伙
Hey, little man.
你听得见我说话吗
Can you hear me?
妈妈
Mom?
宝贝不是我是麦基
Oh, no, sweetie, it's Maggie.
不就是妈妈
No. Mom.
我就在这儿
I'm right here.
-莎伦 -怎么了
- Sharon. - Yeah?
奥吉的情况恶化了
Auggie's getting worse.
他们马上要给他插管了
They're gonna have to intubate him soon.
麦基
Oh, Maggie.
我很抱歉
I'm so sorry.
我和本谈过了
I just spoke to Ben.
我们决定收养奥吉
We've decided to adopt Auggie.
-太棒了这真是好消息 -我知道
- Great! That's wonderful news. - I know.
他已经把我们当成父母了
He already sees us as parents.
加斯特恩说家属
Gastern said that a family member
可以同意移植
could consent to the transplant.
但你无法一夜之间
But you won't be granted
就有监护权麦基
parental rights overnight, Maggie.
我知道但奥吉快没时间了莎伦
I know, but Auggie is running out of time, Sharon.
如果他今天不接受移植
If he doesn't get the transplant today
就因为什么破规定
because of some stupid rule,
他可能会死
he could die.
好吧通知移植小组
All right, call the transplant team
带奥吉去手术室
and get Auggie to the O.R.
我会批准手术的
I'll sign off on the surgery.
儿童与家庭服务部怎么办
But what about DCFS?
如果他们想找茬没关系
Well, if they wanna raise a stink, fine.
我去找媒体
I'll go to the press.
相信我他们不希望这件事
Believe me, they don't want this tried
上民♥意♥法庭
in the court of public opinion.
谢谢
Thank you.
所以我觉得我们三个
So I thought it might be a good idea
应该坐在一起
if the three of us could sit together
好好沟通一下
and come to a better understanding