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兒童心臟專科醫師 國防醫學院醫學系102年班

2010年11月28日 星期日

摘錄豪斯醫生劇本裡饒富興味的一段對話


最近迷上了豪斯醫生,簡直是鑑別診斷之神啊!

第一季 第九集

描述了一個傳奇的黑人爵士樂手 John Henry Giles,因為漸進性的癱瘓,
被診斷出疑似患有 ALS (Amyotrophic lateral sclerosis),然而劇情的ˊ最後被神通廣大的Dr.House排除了
這項診斷,也醫好了他,讓他能重回舞台,演奏感動人心的樂曲。

對劇情有興趣可參考連結: http://en.wikipedia.org/wiki/DNR_(House)

對話如下:

John: You know I didn't wanna be saved.

House: That's what's interesting.  Your thyroid was low, but not low enough to cause depression.

John: So, you came here to tell me that even if I can't walk I can still hear the birds sing?  Enjoy the rainbow, and feeling the sun shine on my face?

House: Those things are fun.  Okay, life sucks.  Your life sucks more than most.  It's not as bad as some, which is depressing all by itself.  But do me a favor.  Just let me find out what's wrong with you.  And if you still want to kill yourself, I』ll give you a hand.  That sound fair?

John: Yeah, sure.  I』ll stick around to indulge your obsession.  It's over.  I lost my air.  The session the other night, with those kids?  That was a test to see if I could still play.  I can』t.

House: And that』s all you are?  A musician?

John: I got one thing, same as you.

House: Really?  Apparently, you know me better than I know you.

John: I know that limp.  I know the empty ring finger.  And that obsessive nature of yours, that's a big secret.  You don't risk jail and your career just to save somebody who doesn't want to be saved unless you got something, anything, one thing.  The reason normal people got wives and kids and hobbies, whatever.  That's because they don't got that one thing that hits them that hard and that true.  I got music, you got this.  The thing you think about all the time, the thing that keeps you south of normal.  Yeah, makes us great, makes us the best.  All we miss out on is everything else.  No woman waiting at home after work with the drink and the kiss, that ain't gonna happen for us.

House: That's why God made microwaves.

John: Yeah, but when it's over, it's over.

House: Yeah. [He walks to the door and opens it.  Suddenly, he walks back and starts to undo the cords connecting John to the monitors.]

John: What are you doing?

House: It's not over for me.  Either you're gonna call the cops again, or we're doing this. [He starts to wheel John』s bed out the door.]  If you wanna die, you can do it just as easily inside an MRI machine. [At this point, the nurses at the desk are looking at House like he』s crazy.]

DNR是 Do Not Resuscitate的縮寫,通常在病情不可能好轉的情況下,
為了減輕急救中種種積極的處置所造成的痛苦,病人有權利簽署DNR,
這集Dr.House違反了John的意願,幫他做了插管,在法庭上與法官的精彩攻防戰,
和面對病人在不完全清楚自己病情時所做的決定,醫師所面臨的倫理問題,
都是這集可看的幾個點。

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