豪斯医生（2004）

House M.D. S06E04

Part 4 Oct. 28, 2020, 2:38 p.m.

Since when has cancer been considered nothing?
啥时候起癌症等于没病了
I just said it's not cancer.
我刚说了不是癌症
The cell morphologies were all normal.
细胞形态都很正常
And so are the most recent ct scans.
最近的CT扫描结果也一样
On the other hand, andenocarcinoma of the stomach
而另一方面空肠腺癌
Would cause pain, constipation,
可能导致阵痛便秘
Nutritional deficiencies.
营养缺乏
That could cause seizures.
还可引发癫痫
And wouldn't show on a CT.
并且CT显示不出来
You're right about the cancer,
你关于癌症的说法是对的
Just wrong about the place.
只是地方错了
Continue to say nothing if you agree.
同意的话请保持沉默
Go scope him.
去做胃镜
Get another set of biopsies.
重取一组细胞做活检
I'd get canceling her ticket
如果你取消她预定的航♥班♥后
If you then showed up
再拿着两张飞去更好地方的机票
With two more to somewhere better.
去找她的话我还能理解
What are you talking about?
你说什么
Or showed up at all.
或者至少现个身
But how does just ruining her plans
但如何能毁了她的计划
Get her to agree to yours?
而让她认同你的呢
You talking about thirteen?
你在说十三吗
Where's she going?
她要去哪
Well, nowhere this week, thanks to you.
多亏了你她这周哪儿也去不成
I didn't stop her.
我才没有阻拦她
I'm not gonna stop her.
我也不会阻拦她
I've already done all I could.
我已经竭尽全力了
Now all I can do is move on.
现在我只能做的是忘记她
I think...
我想
I actually believe you.
我真的相信你的话
If you're telling the truth,
如果你说真话
You're even more rational than I...
你会比我更理智
Well, not more.
好吧一样理智
Then again, more sane.
应该是更理智
You're gonna be a good boss, boss.
你会是个好老板的老板
I told you there's nothing wrong.
我说了啥事都没有
There's obviously something wrong
肯定出了什么事
And I'm not even saying we need to talk about it right now.
并且我也没有说现在就要谈这事
I just don't see why you have to deny it.
我只是不懂你为何一定要否认
I'm not.
我没有否认
Now you're denying you're denying.
现在你在否认你否认的话
No, I'm denying that there's anything to deny.
我只是否认我在否认的事实
Robert, you can't do this.
罗伯特你不能这样
You can't hide things from me.
你有事不能瞒着我
There's a problem with the Dibala m and m.
迪巴拉的病理和死亡听证会有个问题
The hdl numbers on one of his early blood panels
他早期血小板中的高密度脂蛋白数
Don't match a later panel.
和后期血小板中的读数不一致
That's weird.
很诡异
Yeah.
是的
It's no big deal.
没什么大不了
Cholesterol didn't have anything to do with his death,
他的死与胆固醇无关
But, you know, after being let go from mercy
但是你知道自从被仁爱医院炒后
And then that thing with thirteen's drug trial,
加上后来十三的药物试验
Foreman's paranoid about people questioning the way
只要有人对他方式有疑问福曼就会妄想
That's ridiculous.
那真荒谬
If anything, Foreman should be feeling secure.
如果出了差错福曼才是最安全的吧
He's the one who had the right diagnosis.
他是诊断正确的人
We're the ones who talked him out of it.
我们是劝阻他的人
I know.
我知道
Don't tell him I told you.
别告诉他我已经告诉你了
He doesn't want to show any signs of weakness,
他不想表现得怯懦
Especially now that House is claiming
特别是在豪斯说出
He wants him to stay in charge.
他想让福曼继续管理的节骨眼上
All right.
那好吧
So it's still cancer?
意思是说他得的还是癌症
It's just somewhere else?
只是在别的地方
That's what we're looking for,
这也是我们要找的
But it would explain all the symptoms
不过这正好解释了所有的症状
And all the normal test and imaging studies.
所有的常规测试和图像研究的结果
Got biopsies of the mucosa and the submucosa.
我们已经活检了黏膜和粘膜下层活体组织
Moving towards the pylorus.
并逐步接近胃底部分
It's my fault.
这是我的错
Adenocarcinomas aren't caused by diet
腺癌不是由食物
Or environmental factors.
或者环境因素引发的
I inherited a $10 million pipeline business
我24岁的时候继承了
When I was 24.
一笔一千万的管道生意
By the time I was 30, it was worth over a billion.
我30岁的时候它价值过十亿
Since then, I have been involved
从那时候起我不断地接了
In over 50 deals that make that first one
50多笔生意第一笔生意跟它们比起来
Look like a loser.
就成了小巫见大巫
Everything I do, everything I touch
我做的任何事情我碰过的任何东西
Turns to gold...
都变成了金子
Except my family.
除了我的家人
First, my wife.
最开始是我的妻子
And now...my son.
现在是我的儿子
This is my fault.
这是我的错
It's Karma.
这是命啊
That's obviously not true.
你说的一点也不对
He's seizing again. Get the scope out.
他又开始抽筋了把胃镜拿开
Five milligrams diazepam.
加入5毫克镇定剂
How's the ICP?
颅内压多少
It's...eight.
显示为... 8
But the shunt's open and clear.
但是分流器是畅通的
This isn't Intracranial Pressure.
数字显示的并不是颅内压
What the hell is it?
那是什么
Seizures stopped, but he hasn't regained consciousness.
他停止了抽筋但是没有恢复意识
No sign of any masses
没有迹象表明他的胃
In his stomach or esophageal lining
或者食道组织里有包块
And he's still accumulating subdural and peritoneal fluid.
但是硬膜和腹膜积水仍在累积
And every time we look to see where it's coming from,
每次我们准备进一步查出根源
He starts seizing.
他就开始抽筋
You think we're setting this off?
你觉得是我们造成的吗
I think something is.
我觉得有东西会造成
One of his stomach biopsies shows an arteriole
他的胃活体组织表明细动脉
Partially occluded.
被部分阻隔
But with no abnormality in the other layers
但在其他层没有发现不正常
And no evidence of a cellular inflammatory reaction.
但是没有任何炎细胞反应
It's definitely not cancer.
肯定不是癌症
Then it has to be some sort of infection.
那应该是某种感染造成的
We already ruled out infection.
我们已经排除感染了
Only because he was treated for it and got worse.
只是因为他按此法治疗却恶化了吗
Seems like a sound reason.
看起来是个合理理由
Unless it's a drug-resistant strain.
除开耐药菌株这种情况
Drug-resistant strain of what?
什么的耐药菌株
Bacterial cultures,
细菌培养
Viral serologies, A.N.A. and A.N.C.A.
病毒血清抗核抗体和胞浆抗体
Were all negative.
都显示为阴性
Everything's negative.
所有检测都呈阴性
We obviously missed something.
我们肯定忽略了什么
Maybe the seizures aren't a new symptom.
也许抽筋并不是新的症状
They're an old one.
他们是旧症状复发呢
No doctor noticed a thrashing kid?
没有医生能注意到一个抽筋的孩子吗
Abdominal epilepsy.
腹型癫痫
The seizures would just look like pain
抽筋最初看起来只是疼痛
Until it spread to his motor cortex.
直到蔓延至运动皮层区
It wouldn't explain the fevers.
但这不能解释发烧症状
Protein malnutrition can cause fevers
蛋白营养不良会引起发烧
And nothing causes malnutrition
每次进食
Like excruciating stomach pain that gets worse
就会更恶劣的严重腹痛
Every time you eat.
绝不会引起营养不良