豪斯医生（2004）

House M.D. S05E12

Part 3 Oct. 28, 2020, 2:30 p.m.

just because you grew up in a charles dickens novel...
就因为查尔斯·狄更斯小说伴随你成长
well, it's people like me who don't do it.
像我这样的人不会自杀
when your life sucks from the beginning,
要是你的生活从开始就很糟
there's nowhere to go but up.
除了迎头而上别无选择
thorax is clear.
胸腔没问题
no tumors in the lungs.
肺部没有肿瘤
the only betrayal comes from father of the year in there.
唯一的背叛来自那个年度最杰出父亲
he has a wife, a kid--
他的妻儿
people who count on him to have a pulse.
都指着他活着
okay.
好了
switching to high-res cuts of the abdomen.
切换至腹部检查高分辨率模式
my parents live very happily in queens.
我父母在皇后区快乐地生活着
they never attempted, thought about,
他们从来没试图考虑
or attempted to think about committ--
或是试图考虑自杀
what?
怎么
there,
看那里
along his diaphragm.
横隔膜那
that's not cancer.
不是癌症
no hurry.
别急
i already bathed once this week.
这礼拜我已洗过一次澡了
i wouldn't want to look elitist.
我不想看起来那么有才
can't do anything till i write up an estimate.
写完评价报告前我什么都做不了
fine. pad it all you want.
行随你用什么补
here's a check for the deductible.
这是免陪额的支票
don't touch the piano and lock up when you leave.
不要碰钢琴走时要锁门
sorry, deductible doesn't apply here.
不好意思免赔额没用
i'm no architect,
我不是建筑师
but i'm pretty sure the master bedroom is part of the home,
但我肯定主卧也是房♥子的一部分
which means the home warranty--
也就是说房♥屋担♥保♥
doesn't cover negligence.
不包括过失导致的毁坏
this pipe
这根管子
goes through the ceiling,
穿过天花板
over that wall, and into your shower.
穿过墙到浴室
it didn't burst. it was pulled apart.
它不是破裂了而是被扯开的
yeah, 'cause i'm clearly a guy who likes to knock out
我是那种喜欢每天早起
a few naked pull-ups before i greet the day.
赤身裸体做引体向上的人吗
you hang laundry in there?
你在那挂衣服吗
i'm about to hang a plumber in there.
我会挂个水管工人在那
look, there's no rust.
看没生锈
there's no corrosion.
没腐蚀
i don't know how it happened,
我不知道是怎么发生的
but i know what happened, and it's not covered.
但知道发生了什么而且不在理赔范围
so...
所以
whenever you're ready to spend the $2,200,
要么付2200美元
give somebody else a call.
要么找别人来修
i promise, i'm only holding your hand
我保证只是握住你的手
to check for choreiform movement.
检查是不是舞蹈病
i'm getting absolutely no intimacy from it.
绝对不是亲密举动
I told you, it has nothing to do with you. I know.
我说过和你无关我知道
that's the problem.
这就是问题所在
there's 80 reasons we shouldn't date,
我们有80条不能约会的理由
but you can't shut everyone out.
可你不能把所有人都拒之门外
you're gonna need help, support.
你需要帮助支持
look at our patient.
看看那个患者
32 years old, not dead yet,
32岁还没死
and already he's traumatized his
却让他的
wife, his son And i'll bet
妻子和儿子饱受精神创伤我打赌
they're cherishing every traumatic minute he has left,
他们珍惜他所剩的痛苦时光
wouldn't trade him for the healthiest guy in the world.
也不会拿他换世上最健康的人
true.
说的对
and they're stuck suffering with him, hating every day.
所以每天他们和他一起痛苦一起憎恨
only their pain
只是他们的苦楚
has no prospect of relief.
没有减轻的希望
this a bad time?
时机不对
No. Yeah.
不是
no trace of cancer in the patient.
患者体内没有癌症的痕迹
but we did find edema in his intestines,
但发现肠水肿
air in the intestinal blood vessels,
肠血管有气泡
and house won't answer his phone.
豪斯不接电♥话♥
his intestine must be damaged.
肠肯定有损伤
the air's leaking into his body.
空气渗入他的体内
if there's a blockage
要是肠系膜上动脉
in the superior mesenteric artery,
被堵塞
it could be choking off blood flow to his intestine.
血液会流入肠内
blockages all over his body would explain his pain,
全身堵塞可以解释疼痛
why the cramps come and go.
以及不时地绞痛
do an angioplasty on the superior mesenteric
上部肠系膜上做个血管成形术
and find the other blockages
在他下次心脏停跳前
before he has another cardiac arrest.
找出其他堵塞部位
i'll help.
我去帮忙
good thing we don't have a suicidal patient
真幸运我们没有一个有自杀倾向
with a horrific, undiagnosed pain disorder.
并且患有恐怖的未确诊的疼痛症患者
we did till we diagnosed it.
是有这么个人但确诊了
we found intestinal edema
我们发现肠水肿
and air in the blood vessels.
血管中有气泡
pain was vascular.
疼痛来自血管
if it was vascular, we would've seen uneven pulses.
如果是血管那脉搏应该会不稳定
his blood pressure was uneven.
他的血压不稳
thirteen and kutner are doing an angio.
13号♥和卡特那在做血管造影
he had hemorrhages in his fingers.
他手指出血
there's air in the intestine.
肠内有气泡
it has to have come from somewhere.
肯定有源头
yes...
对
it does.
没错
after we thread the catheter
导管穿过腹股沟
through his groin and into position,
到位后
the blood will start flowing freely again.
血液便会自♥由♥畅通
will that take away the pain?
那样就不疼了吗
it will be completely ineffective,
那样毫无用处
and the pain will completely go away.
疼痛将完全消失
cancel the angio.
取消血管造影
he has air in his blood vessels.
血管里有气泡
if we don't open the artery to his intestines--
要是不打开肠动脉
where can air come from?
空气能从哪里来
air can either com from a breach in the lumen
要么从小肠内腔
in the small intestine,
裂口处进入
or in rare instances,
要么难得一见地
air can come from the air.
从空气中进入
teeth marks.
牙印
i'm guessing from when he blew into his i.v. tube.
我猜他向输液管中吹气
air bubble caused the p.e.
气泡引发肺栓塞.
and cardiac arrest.
和心脏骤停
you tried to finish the job that you started
你想完结在家
at home.
未完之事
Jeff...
杰夫
why?
为什么
You said that you never I lied.
你说过你再也我撒谎的
i want to die.
我想死
please just let me die.
让我死吧
no.
不行
he's in a hyperbaric chamber.
他现在高压舱
a dose of high pressure
高压
ought to chase the air out of his blood.
应该能把空气赶出血液
is anyone keeping an eye on him, because the whole idea
有人看着他吗因为
of suicide watch was specifically created
自杀看管专门是为
for suicidal patients.
有自杀倾向的病人设立的
i realize how you might've thought the name
我知道你们一定在想名字
was just a coincidence.
只是巧合
are there any visuals in this room
这个房♥间里有可视设备吗
that are key to us learng our lesson?
那是我们学习的关键