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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.
兩天后，又輪到我在急診室值班。那時我的主任要我去她的辦公室里私下談談。
And she said the three words: Do you remember?
她說了那三個字： 記得嗎？
"Do you remember that patient you saw with the sore throat?"
“記得嗎？那位你看過的喉嚨酸痛的患者？”
Well it turns out, he didn't have a strep throat.
原來，他并沒有得鏈球菌性咽喉炎。
He had a potentially life-threatening condition called epiglottitis.
得的是一種有可能威脅到生命的病癥， 叫會厭炎。
You can Google it, but it's an infection, not of the throat, but of the upper airway, and it can actually cause the airway to close.
各位可以在谷歌上查詢，但它不是喉嚨，而是上呼吸道的感染，并有可能造成呼吸道阻塞。
And fortunately he didn't die.
幸好，他并沒有過世。
He was placed on intravenous antibiotics and he recovered after a few days.
在被安排做抗生素靜脈注射的幾天之后，他便痊愈了。
And I went through the same period of shame and recriminations and felt cleansed and went back to work, until it happened again and again and again.
而我又回到了那個愧疚和自責的時光中， 然后等情緒平復后，又回到了工作崗位， 直到這些錯誤再度重復的發(fā)生。
Twice in one emergency shift, I missed appendicitis.
在同一個急診的值班中，我兩次沒有發(fā)現病患得了盲腸炎。
Now that takes some doing, especially when you work in a hospital that at the time saw but 14 people a night.
這是很難想象會發(fā)生的事情，尤其是當你在一間一個晚上，只見十四名病患的醫(yī)院工作。
Now in both cases, I didn't send them home and I don't think there was any gap in their care.
雖然對這兩個病例，我都沒有讓他們回家，而我也不覺得在治療照顧過程中有任何空隙和差錯。
One I thought had a kidney stone.
其中一位我診斷他有腎結石。
I ordered a kidney X-ray.
并安排了腎臟X光，但結果正常。
When it turned out to be normal, my colleague who was doing a reassessment of the patient noticed some tenderness in the right lower quadrant and called the surgeons.
我的同事當時正在對病人的病情做重新的診斷。在他留意到病人右下腹的地方有些柔軟時，便聯(lián)系了外科醫(yī)生。
The other one had a lot of diarrhea.
另一位病患有嚴重的腹瀉。
I ordered some fluids to rehydrate him and asked my colleague to reassess him.
我給了他一些液體幫助他補充水分，并讓我的同事重新看了看。
And he did and when he noticed some tenderness in the right lower quadrant, called the surgeons.
他照做了。 當他注意到病人右下腹有些柔軟時，也聯(lián)系了外科醫(yī)生。
In both cases, they had their operations and they did okay.
這兩名病患 都做了手術并康復了。
