And it wasn't because of my attending; he was a doll. 而这也不是因为我的主治；他人非常好。 He talked to the family, and I'm quite sure that he smoothed things over and made sure that I didn't get sued. 他和那家人好好的谈过。我确定他为
It's a system in which there are two kinds of physicians -- those who make mistakes and those who don't, 在这个制度当中，只有两种人 -- 犯错的不犯错的， those who can't handle sleep deprivation and those who can, those who
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 r
And that was the message that I absorbed when I was in med school. 这就是我在医学院时得到的信息。 I was an obsessive compulsive student. 我是一个有着强迫症倾向的学生。 In high school, a classmate once said that Brian Goldman would
Now let's take this back into my world of medicine where I'm a lot more comfortable, 现在让我们回到我的世界，医疗领域。这个领域我比较熟悉， or perhaps a bit less comfortable after what I'm going to talk to you about. 但我接下来要说的却让
But each time, they were gnawing at me, eating at me. 但每当我想到这两起病例，那种感觉都会折磨啃噬我。 And I'd like to be able to say to you that my worst mistakes only happened in the first five years of practice as many of
I think we have to do something about a piece of the culture of medicine that has to change. 我觉得在当今的医学文化中，有一部份文化必须要开始改变。 And I think it starts with one physician, and that's me. 而这个改变可以从一个医生开始，那就是我。 A
What they need is an environment to be able to do that. 他们只是需要一个场合来吐露心声。 What they need is a redefined medical culture. 他们需要的是一个重新定义的医学文化。 And it starts with one physician at a time. 从一位又一位个别的医生开始。 Th
And that wasn't a difficult diagnosis to make. 这不是一个困难的诊断。 I made it and I set to work treating her. 作出诊断后我开始着手帮她治疗。 I gave her aspirin. I gave her medications to relieve the strain on her heart. 我开给了
So I signed the discharge papers, and an ambulance came, paramedics came to take her home. 我在出院单上签了名， 一辆救护车来后急救人员将她送回了家。 And I went back to my work on the wards. 之后我回到了我在诊所的工作。 All the rest of that da
And I was shocked and shaken to the core. 我震惊不已， 吓得不得了。 And I went through this roller coaster, because after they stabilized her, she went to the intensive care unit, and I hoped against hope that sh
