豪斯医生吧 关注：52,175贴子：392,269
第四集
（婴儿传染病的那集）
Ethics and parenting were the themes this week, the former just hinted at while the latter was stated rather blatantly — especially in House’s overdone diatribe against antibiotics. The final diagnosis and the path to reach that decision all made good sense, and there was barely any random jumping from idea to idea this episode. The medicine seemed sound and logical (though I’ll happily admit that neonatology is not my specialty). I was surprised that they “forgot” that babies initially share their mother’ antibodies, since that was the “a-ha!” moment of the second episode.
论理与父母之爱的抉择是本周的主题，前者略有暗示而后者则表现得很明显——特别是当豪斯决定停用抗生素的时候。最后的诊断及其诊断的过程都很合乎逻辑，中间几乎看不到毫无道理的跳跃性推理。医疗部分很合情合理（尽管我会很痛快地承认新生儿专科不是我的特长），不过我有点奇怪他们“忘记”了新生儿在出生后受到母亲的免疫系统保护这个现象，这可是第二集里豪斯灵光一闪的时刻啊。
Robert Sean Leonard’s character (oncologist Dr. Wilson) is growing on me, as is the previously-quiet Dr. Chase (James Spenser). This was a strong character episode for Dr. Cameron (Jennifer Morrison).
Wilson让我越来越着迷，还有那个之前默默无闻的Chase，Cameron在这一集里也表现她坚强的一面。
As an aside, we saw that not only do the Young Gun doctors run every test and procedure themselves (notice that they ran the MRI, ran the laboratory equipment and drew the blood), but Dr. House himself has the same compulsion (and where did he get credentials to do autopsies?).
除了上述内容，我们看见了不仅仅小鸭子们负责做每个测试（做MRI，在实验室里测试病毒，抽血），豪斯他也亲自下场做了测试。（不过他何时搞到许可做解剖的？）
Best line of the season so far! Dr. House to patient: Sometimes the best thank-you is never having to see you again.
到目前我最喜欢的一句台词，豪斯：对我最好的感谢就是不要让我再看见你。（翻译：也许作者低估了豪斯对“与病人接触”的厌恶程度。）
（婴儿传染病的那集）
Ethics and parenting were the themes this week, the former just hinted at while the latter was stated rather blatantly — especially in House’s overdone diatribe against antibiotics. The final diagnosis and the path to reach that decision all made good sense, and there was barely any random jumping from idea to idea this episode. The medicine seemed sound and logical (though I’ll happily admit that neonatology is not my specialty). I was surprised that they “forgot” that babies initially share their mother’ antibodies, since that was the “a-ha!” moment of the second episode.
论理与父母之爱的抉择是本周的主题，前者略有暗示而后者则表现得很明显——特别是当豪斯决定停用抗生素的时候。最后的诊断及其诊断的过程都很合乎逻辑，中间几乎看不到毫无道理的跳跃性推理。医疗部分很合情合理（尽管我会很痛快地承认新生儿专科不是我的特长），不过我有点奇怪他们“忘记”了新生儿在出生后受到母亲的免疫系统保护这个现象，这可是第二集里豪斯灵光一闪的时刻啊。
Robert Sean Leonard’s character (oncologist Dr. Wilson) is growing on me, as is the previously-quiet Dr. Chase (James Spenser). This was a strong character episode for Dr. Cameron (Jennifer Morrison).
Wilson让我越来越着迷，还有那个之前默默无闻的Chase，Cameron在这一集里也表现她坚强的一面。
As an aside, we saw that not only do the Young Gun doctors run every test and procedure themselves (notice that they ran the MRI, ran the laboratory equipment and drew the blood), but Dr. House himself has the same compulsion (and where did he get credentials to do autopsies?).
除了上述内容，我们看见了不仅仅小鸭子们负责做每个测试（做MRI，在实验室里测试病毒，抽血），豪斯他也亲自下场做了测试。（不过他何时搞到许可做解剖的？）
Best line of the season so far! Dr. House to patient: Sometimes the best thank-you is never having to see you again.
到目前我最喜欢的一句台词，豪斯：对我最好的感谢就是不要让我再看见你。（翻译：也许作者低估了豪斯对“与病人接触”的厌恶程度。）
第五集
I wasn’t as enthralled by this week’s House as I have been previous episodes. It was still an engrossing medical mystery; the character elements just seemed superficial this week. First, I was misled by the TV schedule which suggested that the mystery was going to involve stigmata. That sounded intriguing and I was looking forward to discovering what diagnosis Dr. House would pin on bleeding palms. Unfortunately, the episode did not deal with stigmata, although it did focus on a nun. This particular nun had a wide variety of puzzling symptoms which some of the other nuns at her monastery (and I always thought monks lived in monasteries while nuns lived in convents) thought she was simp*1y a hypochondriac. For the second week in a row, lessons learned in previous episodes were forgotten as the solution to this week’s mystery involved two separate and unrelated diagnoses — which violates the principle of Occam’s Razor.
相比于前面几集，我并不是很欣赏这周的豪斯医生。其医学谜团依然很吸引人，但是却并没有涉及太多的神秘符号。（我想其）主要原因是我被电视预告里面关于“圣痕”的部分误导了，我的兴趣都集中在了豪斯将会如何研究修女手上的红斑，没想到后面却没有提到多少。这个和其它修女一起住在寺院中的修女（我觉得僧侣才是生活在寺院里，而修女应该是生活在修道院里）的症状确实很怪异。不过正如在之前的剧集里面曾经提到过：尽量不要用两个不相关的诊断来解释病人的症状——这可是违反奥卡姆剃刀原则的。
The main character moment involved Dr. Chase, who was revealed to have been studying for the priesthood at one time. Other than that, the character moments were few and far-between. Sure, there were nunѕ,and but that was pretty much a shortcut the writers used to suggest a deeper meaning to the episode instead of actually writing a deeper meaning. On the plus side, there was at least one Sound of Music joke.
本集中最有特点的小鸭子是Chase医生，在剧中揭示了他曾经在神学院学习的事情，除此之外，其他的角色就毫无光彩了。是的，本集涉及到了修女，但是（修女）更像是编剧用来增加本集“内涵”的投机取巧而不是表述什么实际的“内涵”。略微好点的是，本集至少有一个笑话是来自《音乐之声》。
一年后重评论这集：
This episode of House, “Damned If You Do,” is a repeat of one of the early episodes from last season. My review at the time was fairly brief. I stand by it, but I thought I’d take a second look at the episode, particularly the medicine. As usual, there are some significant spoilers in the review…
今天我重新看了豪斯医生的第一季第五集《罪有应得》，上次我的评论非常的简洁，那并没有什么不好，不过我想我应该重新对这集中的医疗部分做些评论，不喜欢剧透的童鞋可以不看下面的部分。
——————————————我是了不起的防止剧透的分割线——————————
House’s final clinic patient of the day is Sister Augustine, a nun complaining of a rash on her hands. He diagnoses her with contact dermatitis and recommends an over-the-counter antihistamine and a topical steroid cream. Shortly after taking the antihistamine, Sister Augustine develops severe wheezing. House gives her a shot of epinephrine; it restores her breathing, but unfortunately it knocks her into cardiac arrest. Epinephrine is the medical name for the hormone adrenalin. Sister Augustine is successfully resuscitated and admitted to the hospital.
第十集
This was the first episode of House with an unhappy ending. The medical mystery was fairly involved and several personal mysteries were thrown in as well. Why is the homeless patient seizing and photophobic? Why does Dr. Foreman detest the homeless? Why does Dr. Wilson go out of his way to help them? All the mysteries were answered — except for the one about Dr. Foreman, which was dropped halfway through the show and never picked up again (even though it was the driving force of the first half-hour).
豪斯医生中第一次出现了悲剧结局。本次的医疗谜团和几个角色的个人经历交织在一起，组成了情节复杂的一集。为何这个无家可归的病人出现噬咬和避光的症状？为什么4man讨厌无家可归者？为什么Wilson会主动帮助无家可归者？ 在结尾，所以的悬念都有了答丨案——除了4man，其与患者的冲突是前半集的主要情节，可是在后半集却消失不见了。
This was the first episode of House with an unhappy ending. The medical mystery was fairly involved and several personal mysteries were thrown in as well. Why is the homeless patient seizing and photophobic? Why does Dr. Foreman detest the homeless? Why does Dr. Wilson go out of his way to help them? All the mysteries were answered — except for the one about Dr. Foreman, which was dropped halfway through the show and never picked up again (even though it was the driving force of the first half-hour).
豪斯医生中第一次出现了悲剧结局。本次的医疗谜团和几个角色的个人经历交织在一起，组成了情节复杂的一集。为何这个无家可归的病人出现噬咬和避光的症状？为什么4man讨厌无家可归者？为什么Wilson会主动帮助无家可归者？ 在结尾，所以的悬念都有了答丨案——除了4man，其与患者的冲突是前半集的主要情节，可是在后半集却消失不见了。
The ultimate solution to the medical mystery was good and bad with the one-two punch of an abdominal tuberculoma and rabies. Abdominal tuberculomas are uncommon, but there have been several well documented cases. It was a bizarre presentation for rabies, both in the patient and Dr. Foreman, so I’m suspicious of the diagnosis with the information presented.
医疗谜团的最终的解决方案由于腹部结核瘤与狂犬病的冲突而好坏参半。腹部结核瘤并不常见，但还是有一些医疗案例的纪录。而在狂犬病中出现则非常奇怪——不管是对于患者还是4man来说，所以我对与本次的诊断结论有些怀疑。
医疗谜团的最终的解决方案由于腹部结核瘤与狂犬病的冲突而好坏参半。腹部结核瘤并不常见，但还是有一些医疗案例的纪录。而在狂犬病中出现则非常奇怪——不管是对于患者还是4man来说，所以我对与本次的诊断结论有些怀疑。
第17集
A rising black politician has just finished giving a speech when he suddenly collapses. He blames it on being overworked and under the weather for the past few weeks. A physical exam turns up some neurological abnormalities and a lumbar puncture and brain MRI are performed. The MRI shows a suspicious lesion that is ultimately determined (after brain biopsy) to be toxoplasmosis. Dr. House and team suspect that this means the politician has AIDѕ, because that iѕ by far the most common cause of disseminated toxoplasmosis. The politician swears he does not have AIDS, and while a first HIV test is positive, a second test is negative. Discarding the AIDS diagnosis, the doctors concentrate on cancers that could be causing his symptoms such as hairy cell leukemia. Ultimately, House diagnoses the patient with Combined Variable Immune Deficiency (CVID) based on the combination of a seizure medication and common infection the patient had as a child. Some immunoglobulin shots and the patient is good to go.
一名正在上升的黑人政治家刚刚结束演讲突然病倒。他自己认为只是由于过去几周内过度劳累以及天气的影响，但是他的体检显示是神经系统问题，于是决定检测腰椎穿刺和脑部MRI。MRI显示为弓形虫病感染（包括脑部活体检测）。豪斯和诊断小组认定这名政治家患有艾滋病，因为这是导致病人感染弓形虫的最常见的原因。政治家发誓说他没有艾滋病，而第一次艾滋病测试是阳性，第二次确实阴性的。否定艾滋病诊断后，医生们考虑了癌症也可能引起他的症状，比如说：毛细胞白血病。最终，豪斯根据病人儿时生病的用药状况诊断病人得了变免疫缺陷病（CVID）。在注射了免疫球蛋白杆后病人好转并出院了。
AIDS is a logical thought when severe toxoplasmosis is found. The idea of repeating the HIV test doesn;t make much sense as most HIV tests are already a double test – an ELISA followed by a Western Blot if the ELISA is positive (to check for false positives, such as was the case in this episode). The seizure medication phenytoin (brand name Dilantin) haѕ been associated with CVID, as has Epstein-Barr Virus. However, it’s not the double whammy of the two together that can cause CVID as House suggests; instead it appears that that either one alone can cause it (though genetics seems to be a more common cause of CVID). I also find it suspicious that the patient’s CVID had remained quiet for thirty yearѕ before suddenly showing up as two serious (and dramatic) fungal infections in a matter of days. A more realsitic scenario would have the politician suffering recurrent common infections for yearѕ before developing a more serious infection such as toxoplasmosis or PCP.
当发现弓形虫感染时，艾滋病是一个合乎逻辑的判断。重复做艾滋病测试则不是那么合理，因为现实中大多数的艾滋病测试已经是进行过两次的了——先做ELISA测试，如果ELISA测试是阳性再测试Western Blot。（以防假阳性，如这集中的这样）。剧中导致病人生病的药物苯妥英（品牌名称仑丁）可以引发变免疫缺陷病，如同艾滋病病毒那样。但是，他不会如同豪斯说的那样需要两次才会产生变免疫缺陷病，而是任意一次测试都可能（虽然通常更普遍的原因是遗传缺陷）。我对于病人之前的疾病一直潜伏着，直到其30年后才突然在一天之内由两次严重（或者说是戏剧性）的真菌感染引发感到怀疑。更合乎现实的情况应该是病人长期承受普通疾病感染的痛苦，直到感染上更严重病症，如弓形体病或者PCP。
A rising black politician has just finished giving a speech when he suddenly collapses. He blames it on being overworked and under the weather for the past few weeks. A physical exam turns up some neurological abnormalities and a lumbar puncture and brain MRI are performed. The MRI shows a suspicious lesion that is ultimately determined (after brain biopsy) to be toxoplasmosis. Dr. House and team suspect that this means the politician has AIDѕ, because that iѕ by far the most common cause of disseminated toxoplasmosis. The politician swears he does not have AIDS, and while a first HIV test is positive, a second test is negative. Discarding the AIDS diagnosis, the doctors concentrate on cancers that could be causing his symptoms such as hairy cell leukemia. Ultimately, House diagnoses the patient with Combined Variable Immune Deficiency (CVID) based on the combination of a seizure medication and common infection the patient had as a child. Some immunoglobulin shots and the patient is good to go.
一名正在上升的黑人政治家刚刚结束演讲突然病倒。他自己认为只是由于过去几周内过度劳累以及天气的影响，但是他的体检显示是神经系统问题，于是决定检测腰椎穿刺和脑部MRI。MRI显示为弓形虫病感染（包括脑部活体检测）。豪斯和诊断小组认定这名政治家患有艾滋病，因为这是导致病人感染弓形虫的最常见的原因。政治家发誓说他没有艾滋病，而第一次艾滋病测试是阳性，第二次确实阴性的。否定艾滋病诊断后，医生们考虑了癌症也可能引起他的症状，比如说：毛细胞白血病。最终，豪斯根据病人儿时生病的用药状况诊断病人得了变免疫缺陷病（CVID）。在注射了免疫球蛋白杆后病人好转并出院了。
AIDS is a logical thought when severe toxoplasmosis is found. The idea of repeating the HIV test doesn;t make much sense as most HIV tests are already a double test – an ELISA followed by a Western Blot if the ELISA is positive (to check for false positives, such as was the case in this episode). The seizure medication phenytoin (brand name Dilantin) haѕ been associated with CVID, as has Epstein-Barr Virus. However, it’s not the double whammy of the two together that can cause CVID as House suggests; instead it appears that that either one alone can cause it (though genetics seems to be a more common cause of CVID). I also find it suspicious that the patient’s CVID had remained quiet for thirty yearѕ before suddenly showing up as two serious (and dramatic) fungal infections in a matter of days. A more realsitic scenario would have the politician suffering recurrent common infections for yearѕ before developing a more serious infection such as toxoplasmosis or PCP.
当发现弓形虫感染时，艾滋病是一个合乎逻辑的判断。重复做艾滋病测试则不是那么合理，因为现实中大多数的艾滋病测试已经是进行过两次的了——先做ELISA测试，如果ELISA测试是阳性再测试Western Blot。（以防假阳性，如这集中的这样）。剧中导致病人生病的药物苯妥英（品牌名称仑丁）可以引发变免疫缺陷病，如同艾滋病病毒那样。但是，他不会如同豪斯说的那样需要两次才会产生变免疫缺陷病，而是任意一次测试都可能（虽然通常更普遍的原因是遗传缺陷）。我对于病人之前的疾病一直潜伏着，直到其30年后才突然在一天之内由两次严重（或者说是戏剧性）的真菌感染引发感到怀疑。更合乎现实的情况应该是病人长期承受普通疾病感染的痛苦，直到感染上更严重病症，如弓形体病或者PCP。
The soap opera was good again this week, but not quite as tense as the previous episode. I get the feeling that the writers are setting us up for something big. The writers also seem confused about Vogler’s motivation. He wants to get rid of House becuase he’s costing the hospital money, but also chooses him to speak on his newest drug because he’s a well-known and well-respected physician. Anyone who’s well-respected enough to introduce a new cardiac drug — if they’re not a cardiologist — would be well-known enough to bring a great deal of money into the hospital. The writers are trying to have it both ways: House is famous enough to for Vogler to pull his little stunt, but not famous enough for Vogler to want to keep him around. Puzzling. And don’t get me started on Vogler’s conflicts of interest…
本集的剧情也很优秀，但是没有前几集那么紧张了。我觉得编剧正在酝酿着什么大动作。也许编剧在为黑人BOSѕ的动机感到头痛。他想要开除豪斯，因为他觉得豪斯在浪费医院的成本，同时他又希望豪斯在他的新药发布会上演讲，因为豪斯是一名著名的受尊敬的医生。任何尊敬程度足够推广一种新的心脏病药物的医生——特别是他还不是心脏病学专家——其知名度也足以为医院带来更多的收入。编剧似乎想表述两个概念：豪斯的知名度可以让黑人Bosѕ拿来做小噱头，但是却不足以让他想把豪斯留下来。令人费解阿，今后别让我为了黑人Boss的兴趣头痛了……
The mystery gets a B+ with the ultimate solution getting a B- (the timing is just a little too coincidental). The medicine earns an A-. The soap opera earns a B.
本集悬念为B+，迷底为B-（时机过于巧合了）。医疗部分是 A-，剧情为B。
________________________________________
When Dr. House announces that the patient has AIDS, my wife looks at the clock then looks back at me.
“He can’t have AIDS,” she says. “We’re only fifteen minutes into the episode.”
And she was absolutely correct. The show’s writers really need to make this a little less predictable.
___________了不起的老婆大人分割线_____________________________
当豪斯说患者得的是艾滋病的时候，我妻子看了眼时钟，然后看回我说：
“他不可能是艾滋病，我们这集才开始15分钟。”
后面证明了她是绝对正确的——编剧们你们确实需要在不可预知性上多下些功夫了。
本集的剧情也很优秀，但是没有前几集那么紧张了。我觉得编剧正在酝酿着什么大动作。也许编剧在为黑人BOSѕ的动机感到头痛。他想要开除豪斯，因为他觉得豪斯在浪费医院的成本，同时他又希望豪斯在他的新药发布会上演讲，因为豪斯是一名著名的受尊敬的医生。任何尊敬程度足够推广一种新的心脏病药物的医生——特别是他还不是心脏病学专家——其知名度也足以为医院带来更多的收入。编剧似乎想表述两个概念：豪斯的知名度可以让黑人Bosѕ拿来做小噱头，但是却不足以让他想把豪斯留下来。令人费解阿，今后别让我为了黑人Boss的兴趣头痛了……
The mystery gets a B+ with the ultimate solution getting a B- (the timing is just a little too coincidental). The medicine earns an A-. The soap opera earns a B.
本集悬念为B+，迷底为B-（时机过于巧合了）。医疗部分是 A-，剧情为B。
________________________________________
When Dr. House announces that the patient has AIDS, my wife looks at the clock then looks back at me.
“He can’t have AIDS,” she says. “We’re only fifteen minutes into the episode.”
And she was absolutely correct. The show’s writers really need to make this a little less predictable.
___________了不起的老婆大人分割线_____________________________
当豪斯说患者得的是艾滋病的时候，我妻子看了眼时钟，然后看回我说：
“他不可能是艾滋病，我们这集才开始15分钟。”
后面证明了她是绝对正确的——编剧们你们确实需要在不可预知性上多下些功夫了。
第18集
A pregnant woman has is admitted to the hospital for changes in her mental status. Dr. Chase suspects that this is pre-eclampsia (sometimes called “toxemia of pregnancy”) – but seems not to notice that she is missing the three cardinal signs: edema in the feet, high blood pressure and protein in the urine. Sure, she has some abnormal liver labs and that does happen with pre-eclampsia, so I’ll give him a pass on this one. Dr. Foreman thinks that she has some form of vasculitis. Dr. Cameron…isn’t around because she quit last week. Labs and radiology studies quickly show that both of these diagnoses are wrong.
一名怀孕的妇女因为精神状态的改变而住院。Chase怀疑是先兆子痫（有时也称为“妊娠毒血症”）——但是病人并没有子痫的三个基本迹象：脚水肿，高血压和尿蛋白质。不过病人得测试显示病人确实有肝异常——子痫的症状之一，所以这个诊断还不算太糟糕。4man认为病人是某种血管炎。Cameron在上个星期辞职所以不在。实验室的监测和放射检测都显示不是上述诊断。
When the patient develops trouble swallowing, House orders a CT scan of her chest which shows a prominent lung cancer. Her neurological symptoms were due to a paraneoplastic syndrome caused by this cancer. This is a very aggressive cancer and Dr. Wilson wants to start treatment as soon as possible. This would require an immediate caesarean section, but the patient refuses because she wants to carry the baby longer and give it a better chance at life. She confides to House that her first child died of Alexander’s Disease and she wants to give this second baby every chance. He reassures her that babies born at 28 weeks gestation (as opposed to the normal 40) have a high survival rate and ultimately she agrees to the c-section.
当患者出现吞咽困难的症状时，豪斯安排病人做了CT胸部检测，确认了病人有肺癌。神经系统副肿瘤综合征引发了病人的神经系统症状。这是一种极其具有攻击性的癌症，Wilson希望尽快开始可能的治疗——这要求马上进行剖腹产，但是病人拒绝，因为她希望胎儿可以在母体中尽量多成长一些，来确保胎儿健康。她告诉豪斯她的第一个孩子死于亚历山大病，此时她希望第二个病人可以尽量好的机会。对此，豪斯再次保证，在怀孕28周出生（正常为40周）的婴儿具有很高的成活率，最终病人同意做剖腹产。
A pregnant woman has is admitted to the hospital for changes in her mental status. Dr. Chase suspects that this is pre-eclampsia (sometimes called “toxemia of pregnancy”) – but seems not to notice that she is missing the three cardinal signs: edema in the feet, high blood pressure and protein in the urine. Sure, she has some abnormal liver labs and that does happen with pre-eclampsia, so I’ll give him a pass on this one. Dr. Foreman thinks that she has some form of vasculitis. Dr. Cameron…isn’t around because she quit last week. Labs and radiology studies quickly show that both of these diagnoses are wrong.
一名怀孕的妇女因为精神状态的改变而住院。Chase怀疑是先兆子痫（有时也称为“妊娠毒血症”）——但是病人并没有子痫的三个基本迹象：脚水肿，高血压和尿蛋白质。不过病人得测试显示病人确实有肝异常——子痫的症状之一，所以这个诊断还不算太糟糕。4man认为病人是某种血管炎。Cameron在上个星期辞职所以不在。实验室的监测和放射检测都显示不是上述诊断。
When the patient develops trouble swallowing, House orders a CT scan of her chest which shows a prominent lung cancer. Her neurological symptoms were due to a paraneoplastic syndrome caused by this cancer. This is a very aggressive cancer and Dr. Wilson wants to start treatment as soon as possible. This would require an immediate caesarean section, but the patient refuses because she wants to carry the baby longer and give it a better chance at life. She confides to House that her first child died of Alexander’s Disease and she wants to give this second baby every chance. He reassures her that babies born at 28 weeks gestation (as opposed to the normal 40) have a high survival rate and ultimately she agrees to the c-section.
当患者出现吞咽困难的症状时，豪斯安排病人做了CT胸部检测，确认了病人有肺癌。神经系统副肿瘤综合征引发了病人的神经系统症状。这是一种极其具有攻击性的癌症，Wilson希望尽快开始可能的治疗——这要求马上进行剖腹产，但是病人拒绝，因为她希望胎儿可以在母体中尽量多成长一些，来确保胎儿健康。她告诉豪斯她的第一个孩子死于亚历山大病，此时她希望第二个病人可以尽量好的机会。对此，豪斯再次保证，在怀孕28周出生（正常为40周）的婴儿具有很高的成活率，最终病人同意做剖腹产。
House enrolls her in an experimental study, but she is turned down abruptly once the researcher in charge is informed she is pregnant. Before any other action can be taken, the patient develops a pulmonary embolus. House presents her husband with a choice: his wife or the baby, because he states that a c-section will kill her “in her weakened condition”, but treating the pulmonary embolus will most likely kill the baby. The husband chooses his wife, but she hemorrhages during the procedure and as she dies a c-section is performed to save the baby.
豪斯决定把病人加入一种试验性治疗，但是研究人员知道其是孕妇后拒绝接受她作为实验对象。在还没有来得及采取其他治疗方式之前，病人的病情恶化，出现了肺动脉栓塞。豪斯向病人的丈夫提出两个选择：妻子还是孩子，如果选择治疗肺动脉栓赛会杀死胎儿，而选择另外一个保护胎儿治疗方式则会杀死“已经非常虚弱的病人”。丈夫选择了拯救自己的妻子，但是病人在治疗过程中出现大出血，于是最后只能选择另一种治疗方式挽救婴儿。
A strong episode that was never going to have a happy ending. The medicine was pretty good. I’m disappointed in Dr. Chase’s call of pre-eclampsia (as I explained earlier), but Foreman’s theory made sense. The lung cancer and paraneoplastic syndrome diagnosis made for some good drama. House is right that the survival rate for a 28-week premature infant is decent, but he neglects to point out the key fact that most of these premature babies have severe problems both in the nurseyr and later on in life. The wife-or-baby choice seems a little forces and I can’t really see why they can’t try both (but then I’m not an obstetrician or a critical care physician).
似乎凡是优秀的剧集都是悲剧结局。本集的医疗部分非常不错。我对于Chase诊断是前期子痫很失望（前面解释了），4man的判断还算有些道理。肺癌和副肿瘤综合征是很优秀的，豪斯对于28周出生的婴儿的成活概率的描述是正确的，但是他没有指出这些早产儿通常在神经方面和将来的生活上都会出现一些问题。后面在孕妇和婴儿中二选一的选择有些牵强，我看不出为什么不能选择让两者都活下来。（不过我不是一名产科医生或保健医生，也许豪斯是对的）
豪斯决定把病人加入一种试验性治疗，但是研究人员知道其是孕妇后拒绝接受她作为实验对象。在还没有来得及采取其他治疗方式之前，病人的病情恶化，出现了肺动脉栓塞。豪斯向病人的丈夫提出两个选择：妻子还是孩子，如果选择治疗肺动脉栓赛会杀死胎儿，而选择另外一个保护胎儿治疗方式则会杀死“已经非常虚弱的病人”。丈夫选择了拯救自己的妻子，但是病人在治疗过程中出现大出血，于是最后只能选择另一种治疗方式挽救婴儿。
A strong episode that was never going to have a happy ending. The medicine was pretty good. I’m disappointed in Dr. Chase’s call of pre-eclampsia (as I explained earlier), but Foreman’s theory made sense. The lung cancer and paraneoplastic syndrome diagnosis made for some good drama. House is right that the survival rate for a 28-week premature infant is decent, but he neglects to point out the key fact that most of these premature babies have severe problems both in the nurseyr and later on in life. The wife-or-baby choice seems a little forces and I can’t really see why they can’t try both (but then I’m not an obstetrician or a critical care physician).
似乎凡是优秀的剧集都是悲剧结局。本集的医疗部分非常不错。我对于Chase诊断是前期子痫很失望（前面解释了），4man的判断还算有些道理。肺癌和副肿瘤综合征是很优秀的，豪斯对于28周出生的婴儿的成活概率的描述是正确的，但是他没有指出这些早产儿通常在神经方面和将来的生活上都会出现一些问题。后面在孕妇和婴儿中二选一的选择有些牵强，我看不出为什么不能选择让两者都活下来。（不过我不是一名产科医生或保健医生，也许豪斯是对的）
一些挑剔：
1）医生们又是亲自做超声波。（还有，超声波是如何发现心脏栓赛的？肯定有更好的选择。）
2）MRI的急救推车上不太可能有特布他林。（一种药物，通常不会——或者是永远不会——出现在救护推车中。）
3）剧中最后出现的婴儿大概是真正的28周早产儿身材的两倍大。（不过确实很难找到早产儿做为演员吧。）
4）对病人的心跳停止的治疗是错误的。
This episode deserves a B+ for the mystery and an A- for the solution. The medicine this week only receives a C (due to Chase’s incorrect diagnosis and House withholding key facts from the patient). The soap opera aspects earn an A+.
本集的悬念为B+，迷底为A-，但是医疗部分只有C(由于Chase不正确的诊断和豪斯没有对病人提及的那些重要因素)。剧情方面则是A+。
第19集
At first, this seemed like it would be an excellent episode of House, but by the end it had degenerated into a “Look at us, we’re so clever” hour of television.
本集的开头让我觉得似乎可以是很精彩的一集，可是后半部分却变成了另一个“看我多聪明啊”的肥皂剧。
There are two main problems with the medical care presented. First, while it is possible to ultrasound the brain, ultrasound waves cannot penetrate the skull. The procedure must be performed either before the skull bones have fused or on a surgically opened skull. Neither was the case here. Second and more important, termination of the pregnancy is not required in cases of TTP. The goal is to succesfully treat both the mother and the fetus; terminating the pregnancy does not affect the course of the disease.
在医疗部分有两个主要问题：首先尽管超声波探测大脑是可能的，但是超声波无法穿透头骨。测试设备要么是已经和头骨合并在一起，要么就要做开颅手术，而剧中两者都不是，其次而且更重要的问题，终止妊娠并不能治好紫癜。治疗紫癜的最终目标是母婴平安，而终止妊娠不能治愈疾病引起的问题。
A few medical nit-picks: Those weren’t absence seizure waveforms on the EEG. There are many more causes of TTP than the ones mentioned, though pregnancy is a major cause. Did they ever get around to explaining why the patient had neck pain?
其他医疗部分的挑剔：剧中的脑电波形不是失神发作的脑电波形。虽然怀孕是最常见的一个原因，但是紫癜的病因并不仅仅是怀孕。而且，剧中解释了病人为什么有颈部疼痛了吗？
This episode earns a B+ for the mystery but a pitiful C- for the solution. The medicine receives a barely passing D. The soap opera aspects earn a B.
本集的悬念为B+，但是迷底勉强给C-，医疗部分只有D，剧情部分是B。
At first, this seemed like it would be an excellent episode of House, but by the end it had degenerated into a “Look at us, we’re so clever” hour of television.
本集的开头让我觉得似乎可以是很精彩的一集，可是后半部分却变成了另一个“看我多聪明啊”的肥皂剧。
There are two main problems with the medical care presented. First, while it is possible to ultrasound the brain, ultrasound waves cannot penetrate the skull. The procedure must be performed either before the skull bones have fused or on a surgically opened skull. Neither was the case here. Second and more important, termination of the pregnancy is not required in cases of TTP. The goal is to succesfully treat both the mother and the fetus; terminating the pregnancy does not affect the course of the disease.
在医疗部分有两个主要问题：首先尽管超声波探测大脑是可能的，但是超声波无法穿透头骨。测试设备要么是已经和头骨合并在一起，要么就要做开颅手术，而剧中两者都不是，其次而且更重要的问题，终止妊娠并不能治好紫癜。治疗紫癜的最终目标是母婴平安，而终止妊娠不能治愈疾病引起的问题。
A few medical nit-picks: Those weren’t absence seizure waveforms on the EEG. There are many more causes of TTP than the ones mentioned, though pregnancy is a major cause. Did they ever get around to explaining why the patient had neck pain?
其他医疗部分的挑剔：剧中的脑电波形不是失神发作的脑电波形。虽然怀孕是最常见的一个原因，但是紫癜的病因并不仅仅是怀孕。而且，剧中解释了病人为什么有颈部疼痛了吗？
This episode earns a B+ for the mystery but a pitiful C- for the solution. The medicine receives a barely passing D. The soap opera aspects earn a B.
本集的悬念为B+，但是迷底勉强给C-，医疗部分只有D，剧情部分是B。
