一点英语

English Step by Step

No. 245

01

Medical Story Show

（7-2）

Clinical depression. Incredibly contagious.

自收治入院以来，他平均每天睡18小时

Every time I'm around one of them

每次我靠近他们

I get blue. It's not clinical depression.

我也会变得抑郁 不是临床忧郁症

Great. Got it all figured out. You don't need me.

行啊 你已经诊断出来了 没我的事了

Three E.R. Doctors, two neurologists

3个急诊医生 2个神经科医生

and a radiologist have all figured out what it's not.

还有放射科医生 已经排除可能的病因

We need to figure out what it is.

我们必须找出真正的病因

If any of the abovementioned doctors...

要是上述提到的诸位医生

were interested in my opinion, they would have asked for it.

对我的意见感兴趣 他们自己会来问的

None of them are willing to subject themselves to you.

没人想到你这里找罪受

No pain, no gain.

没有付出 哪有回报

The blood work shows no signs of inflammation

血检显示无炎症

and no one can figure out what's actually the cause

没人能查明到底是什么引起了...

What?

怎么

Husband described her as being unusually irritable recently.

丈夫提到她近期异常易怒

And?

那又如何

I didn't realize it was possible

女人通常都是易怒的

for a woman to be unusually irritable.

这可不算什么"异常"

Nice try, but you're a misanthrope, not a misogynist.

很好 不过你讨厌的是人类而非女性

What's the first thing

对于将病人转诊的医生

you ask a doctor who's referring a patient?

你问的第一个问题是什么

Are you questioning my ability to take a history?

你在质疑我记录病史的能力吗

What's the primary

初期症状是什么

Not "What." "Why?"

不是"什么" 是"为什么"

Diseases don't have motives. No, but doctors do.

疾病可没有目的性 对 但医生有

Why this patient? What interests you?

为什么是这个病人 什么地方吸引你了

Give me the chart. Why?

给我病历 为什么

I find your interest interesting.

我对你的兴趣很感兴趣

She's irritable and sleeping 18 hours a day.

她易怒 每天睡眠 18 小时

What's interesting about that?

这很有意思吗

Hypersomnia's usually accompanied by irritability in depressed patient

嗜睡和易怒是抑郁症患者的常见症状

True, but not relevant. She's not depressed.

对 但于此无关 她没有抑郁

Hello. She's sleeping 18 hours a day. Fever.

拜托 她每天睡 18 小时 发烧

Clinical depression does not cause fever.

临床抑郁症不会导致发烧

She could be sick and depressed. She's sick.

除了抑郁 她可能还患有其他疾病 其他疾病

Oh, damn it. Why didn't I think of that?

哦 该死 我怎么没想到

Yeah, that's what I meant.

对 我就是这个意思

Elevated sed rate indicates inflammation.

血细胞沉降率升高表示有炎症

Hypersomnia and personality changes point toward the brain.

嗜睡和性格变化显示问题出在脑部

Not the spleen?

不是脾吗

Thank goodness we hired a neurologist.

谢天谢地我们雇了个神经科医生

Brain symptoms. Hmm. Could this be a brain problem?

脑部症状 嗯 可能是脑部出问题吗

No other systemic signs of inflammation. Probably not vasculitis.

无全身性炎症症状 可能不是血管炎

What about parasites? Malaria, Chagas.

寄生虫呢 疟疾 锥虫病

But the patient's never been outside of the United States

但是病人从未出过美国

especially the tropics.

更别说去热带地区

You mean she claims she's never been outside the US

你是说她自称从未离开过美国

Very good

很好

Doesn't matter.

无关紧要

Blood and C.S.F. smears show no sign of parasites

血液和脑脊液涂片结果显示没有寄生虫

——From《House M.D》

重点词汇（Vocabulary）

1. admission [ədˈmɪʃ(ə)n]n. 入院治疗（检查）

2. contagious [kənˈteɪdʒəs] adj. （疾病）接触性传染的

3. figured out 解决；算出；想出；理解；断定

4. abovementioned [ə‘’bʌv ,menʃənd] adj. 上述的

5. subject sb to sth 使遭受；使服从

6. No pain, no gain. 一分耕耘，一分收获

7. misanthrope [ˈmɪsənθroʊp] n. 不愿与人来往者

8. misogynist [mɪˈsɑːdʒɪnɪst] n. 厌恶女人的人

9. chart [tʃɑːrt] n. 图表，曲线图；海图，星位图；排行榜