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And Conan Doyle, writing about Bell, described the following exchange between Bell and his students. | E Conan Doyle, escrevendo sobre Bell, descreve a seguinte cena entre Bell e seus alunos. | en-pt-br |
So picture Bell sitting in the outpatient department, students all around him, patients signing up in the emergency room and being registered and being brought in. | Deci imaginaţi-vi-l pe Bell stând în ambulatoriu cu studenţii în jurul lui, cu pacienţi intrând în camera de urgenţă şi fiind înregistraţi şi aduşi înăuntru. | en-ro |
And a woman comes in with a child, and Conan Doyle describes the following exchange. | 彼女は子供を連れていました コナン・ドイルはこんな会話を残しています | en-ja |
The woman says, "Good Morning." | La mujer dice: "Buenos días". | en-es |
Bell says, "What sort of crossing did you have on the ferry from Burntisland?" | Bell nói, "Chị đi phà qua sông từ Burntisland có suôn sẻ không?" | en-vi |
She says, "It was good." | 「よかったですよ」患者は答えます | en-ja |
And he says, "What did you do with the other child?" | و بل مى پرسد، " با كودك ديگر چه كردید؟" | en-fa |
She says, "I left him with my sister at Leith." | เธอตอบว่า"ฉันฝากเขาไว้กับน้องสาวที่ลีท" | en-th |
And he says, "And did you take the shortcut down Inverleith Row to get here to the infirmary?" | 他说 那你来诊所有没有 从 Inverleith Row抄近路？ | en-zh-cn |
She says, "I did." | 她回應：「是的。」 | en-zh-tw |
And he says, "Would you still be working at the linoleum factory?" | Белл опять спрашивает: "А вы и сейчас работаете на линолеумной фабрике?" | en-ru |
And she says, "I am." | E ela diz: "Estou." | en-pt-br |
And Bell then goes on to explain to the students. | E poi Bell spiega agli studenti. | en-it |
He says, "You see, when she said, 'Good morning,' I picked up her Fife accent. | "Когда она сказала "Доброе утро", я уловил ее файфский акцент. | en-ru |
And the nearest ferry crossing from Fife is from Burntisland. | Dan pelabuhan feri terdekat dari Fife adalah Burntisland. | en-id |
And so she must have taken the ferry over. | ดังนั้นเธอต้องขึ้นเรือข้ามฟากจากที่นั่นแน่ | en-th |
You notice that the coat she's carrying is too small for the child who is with her, and therefore, she started out the journey with two children, but dropped one off along the way. | Zauważcie, że płaszcz, który niosła jest za mały dla dziecka, z którym przyszła. A więc zaczęła podróż z dwójką dzieci, ale po drodze zostawiła jedno z nich. | en-pl |
You notice the clay on the soles of her feet. | Sie bemerken den Lehm an ihren Schuhen. | en-de |
Such red clay is not found within a hundred miles of Edinburgh, except in the botanical gardens. | Таква црвена глина се не може наћи у близини Единбурга, осим у ботаничкој башти. | en-sr |
And therefore, she took a short cut down Inverleith Row to arrive here. | och således tog hon genvägen nedför Inverleith Row för att komma hit. | en-sv |
And finally, she has a dermatitis on the fingers of her right hand, a dermatitis that is unique to the linoleum factory workers in Burntisland." | وأخيراً، لديها إلتهاب جلدي على اصابع يدها اليمنى, إلتهاب جلدي خاص بالعاملين في مصنع مشمع في بيرنتايلاند." | en-ar |
And when Bell actually strips the patient, begins to examine the patient, you can only imagine how much more he would discern. | και οταν ο Bell στη πραγματικότητα 'γυμνώνει' τον ασθενή, αρχίζει τη φυσική εξέταση, Μπορείτε απλά να φανταστείτε πόσα περισσότερα θα διέβλεψε. | en-el |
And as a teacher of medicine, as a student myself, I was so inspired by that story. | Као професора медицине и као ученика, та прича ме је веома инспирисала. | en-sr |
But you might not realize that our ability to look into the body in this simple way, using our senses, is quite recent. | Но можеби не знаете дека нашата способност да го посматраме телото на едноставен начин, користејќи ги своите сетила, е сосема скорешна. | en-mk |
The picture I'm showing you is of Leopold Auenbrugger who, in the late 1700s, discovered percussion. | A imagem que vos estou a mostrar é de Leopold Auenbrugger que, no final do século XVIII, descobriu a percussão. | en-pt |
And the story is that Leopold Auenbrugger was the son of an innkeeper. | Historien går, at Leopold Auenbrugger var søn af en krofatter. | en-da |
And his father used to go down into the basement to tap on the sides of casks of wine to determine how much wine was left and whether to reorder. | O pai dele costumava ir à cave bater ao de leve nos barris de vinho para determinar quanto vinho ainda restava e se era preciso encomendar outra vez. | en-pt |
And so when Auenbrugger became a physician, he began to do the same thing. | ولذلك حينما أصبح أوينبرويجر طبيباً بدأ بفعل الشيء ذاته. | en-ar |
He began to tap on the chests of his patients, on their abdomens. | Počeo je lupkati po prsima pacijenata i po njihovim trbusima. | en-hr |
And basically everything we know about percussion, which you can think of as an ultrasound of its day -- organ enlargement, fluid around the heart, fluid in the lungs, abdominal changes -- all of this he described in this wonderful manuscript "Inventum Novum," "New Invention," which would have disappeared into obscurity, except for the fact that this physician, Corvisart, a famous French physician -- famous only because he was physician to this gentleman -- Corvisart repopularized and reintroduced the work. | И скоро се што ние знеме за перкусијата, кое што можете да го наречете и „ултразвук на тоа време" зголемување на орган, течност околу срцето, течност во белите дробови, стомачни промени -- сè ова е објаснето во неговото прекрасно дело „Инвентум Новум“ - „Ново откритие," кое ќе исчезнело во заборав, да не бил еден лекар, Корвисар, познат француски доктор -- познат само затоа што му бил лекар на овој господин -- кој повторно не претставил неговото дело. | en-mk |
And it was followed a year or two later by Laennec discovering the stethoscope. | Kjo vazhdoi pastaj me Laennec i cili pas një apo dy vitesh zbuloi stetoskopin. | en-sq |
Laennec, it is said, was walking in the streets of Paris and saw two children playing with a stick. | Прича се да је Ленек шетао париским улицама и видео двоје деце како се играју са штапом. | en-sr |
One was scratching at the end of the stick, another child listened at the other end. | Uma arranhava uma ponta do bastão, e a outra criança ouvia na outra ponta. | en-pt-br |
And Laennec thought this would be a wonderful way to listen to the chest or listen to the abdomen using what he called "the cylinder." | แลเน็กคิดว่าสิ่งนี้น่าจะเป็นวิธีที่เยี่ยมยอด ที่จะใช้ฟังน่าอกหรือช่องท้อง โดยใช้สิ่งที่เขาเรียกว่า"ทรงกระบอก | en-th |
Later he renamed it the stethoscope. | Senere omdøbte han det stetoskopet. | en-da |
And that is how stethoscope and auscultation was born. | Dhe kjo është si stetoskopi dhe dëgjim i organeve ka lindur. | en-sq |
So within a few years, in the late 1800s, early 1900s, all of a sudden, the barber surgeon had given way to the physician who was trying to make a diagnosis. | Bir kaç yıl içinde, 1880'lerin sonu, 1900'lerin başında, berber cerrahların yerini birdenbire teşhis koymaya çalışan hekimler almıştı. | en-tr |
If you'll recall, prior to that time, no matter what ailed you, you went to see the barber surgeon who wound up cupping you, bleeding you, purging you. | Se lembrarem, antes dessa época, não importa o que o incomodasse, você iria ver o barbeiro cirurgião que o machucaria causando-lhe hematomas, sangrando-o, dando-lhe purgantes. | en-pt-br |
And, oh yes, if you wanted, he would give you a haircut -- short on the sides, long in the back -- and pull your tooth while he was at it. | 當然，若你想的話 他會幫你理髮 -- 兩旁短，後面長 -- 順便拔掉你的牙 | en-zh-tw |
He made no attempt at diagnosis. | 完全没有诊断环节 | en-zh-cn |
In fact, some of you might well know that the barber pole, the red and white stripes, represents the blood bandages of the barber surgeon, and the receptacles on either end represent the pots in which the blood was collected. | در واقع، بعضى از شما ممكن است به خوبى بدانيد كه ميله آرايشگاه، با راه راه سفيد و قرمز، نشان دهنده باندهاى خونى جراح آرايشگر است، و مخزن هاى انتهايى هر طرف نشان دهنده ظروفى است كه خون در آن جمع آورى مى شد. | en-fa |
But the arrival of auscultation and percussion represented a sea change, a moment when physicians were beginning to look inside the body. | 聴診と打診の登場は 転換期を象徴するものでした 医師が患者の体内に注目しはじめたのです | en-ja |
And this particular painting, I think, represents the pinnacle, the peak, of that clinical era. | ئەم تابلۆ تایبەتییە. پێم وایە، ئەمە لوتکەی پزیشکییە. | en-ku |
This is a very famous painting: "The Doctor" by Luke Fildes. | É um quadro muito famoso: "O Doutor" de Luke Fildes. | en-pt-br |
Luke Fildes was commissioned to paint this by Tate, who then established the Tate Gallery. | Luke Fildes lo dipinse commissionato da Tate, che dopo creò la Tate Gallery. | en-it |
And Tate asked Fildes to paint a painting of social importance. | I Tate poprosił Fildesa o namalowanie obrazu o znaczeniu społecznym. | en-pl |
And it's interesting that Fildes picked this topic. | 有趣的是菲尔德斯选择了这个主题 | en-zh-cn |
Fildes' oldest son, Philip, died at the age of nine on Christmas Eve after a brief illness. | 필데스의 큰 아들 필립은 크리스마스 전날 가벼운 질병으로 인해 9살의 나이로 세상을 떠났었습니다 | en-ko |
And Fildes was so taken by the physician who held vigil at the bedside for two, three nights, that he decided that he would try and depict the physician in our time -- almost a tribute to this physician. | ฟิลเดสเกิดความสนใจในแพทย์คนนั้นมาก ผู้ซึ่งคอยเฝ้าอยู่ข้างเตียงสองสามคืน, จนตัดสินใจว่าเขาจะพยายามวาดภาพ แพทย์ผู้นั้น ในยุคของเรา-- เกือบเป็นการให้เกียรติแก่แพทย์ผู้นี้ | en-th |
And hence the painting "The Doctor," a very famous painting. | 「医師」はとても有名で | en-ja |
It's been on calendars, postage stamps in many different countries. | Bila je na kalendarima, poštanskim markama mnogih zemalja. | en-hr |
I've often wondered, what would Fildes have done had he been asked to paint this painting in the modern era, in the year 2011? | Saya sering berpikir, apa yang akan dilakukan Fildes jika dia diminta menggambar lukisan ini pada jaman modern di tahun 2011? | en-id |
Would he have substituted a computer screen for where he had the patient? | Zou hij de patiënt door een computerscherm hebben vervangen? | en-nl |
I've gotten into some trouble in Silicon Valley for saying that the patient in the bed has almost become an icon for the real patient who's in the computer. | زۆر توشی کێشە بووم لە دۆڵی سلیکۆن بە وتنی ئەوەی نەخۆشی سەر جیگاکە وەک ئامرازێکی لێهاتووە بۆ نەخۆشە ڕاستییەکە کە لە کۆمپیوتەرەکەیە. | en-ku |
I've actually coined a term for that entity in the computer. | Auch prägte ich einen Begriff für diese Computereinheit. | en-de |
I call it the iPatient. | ผมเรียกมันว่า ไอเพเชี่ยน(iPatient) | en-th |
The iPatient is getting wonderful care all across America. | iPacient recibe un magnífico cuidado en Estados Unidos. | en-es |
The real patient often wonders, where is everyone? | Pasien yang sesungguhnya sering bertanya-tanya di mana semua orang? | en-id |
When are they going to come by and explain things to me? | Hvornår kommer de og forklarer mig tingenes tilstand? | en-da |
Who's in charge? | ¿Quién está a cargo? | en-es |
There's a real disjunction between the patient's perception and our own perceptions as physicians of the best medical care. | بين ادراك بيمار و ادراك ما به عنوان پزشكان بهترين سیستم پزشكى يك جدائى واقعى وجود دارد. | en-fa |
I want to show you a picture of what rounds looked like when I was in training. | אראה לכם תמונה של איך נראו ביקורי-רופא כאשר אני למדתי. | en-he |
The focus was around the patient. | Tâm điểm chú ý là bệnh nhân. | en-vi |
We went from bed to bed. The attending physician was in charge. | Одевме од кревет до кревет. Дежурниот лекар беше надлежен. | en-mk |
Too often these days, rounds look very much like this, where the discussion is taking place in a room far away from the patient. | Molto spesso oggi i turni sembrano più così, dove la discussione si svolge in una stanza lontana dal paziente. | en-it |
The discussion is all about images on the computer, data. | A megbeszélésen számítógépes adatokról, felvételekről van szó. | en-hu |
And the one critical piece missing is that of the patient. | Och den väsentliga biten som saknas är patienten. | en-sv |
Now I've been influenced in this thinking by two anecdotes that I want to share with you. | 전 여러분들과 나누고 싶은 이 두 일화에 많은 영향을 받아왔습니다 | en-ko |
One had to do with a friend of mine who had a breast cancer, had a small breast cancer detected -- had her lumpectomy in the town in which I lived. | 한 일화는 유방암을 가지고 있던 제 친구와 관련이 있습니다 제 친구는 가슴에 작은 종양이 발견되었고, 제가 사는 곳에서 종양을 제거했습니다 | en-ko |
This is when I was in Texas. | Damals lebte ich in Texas. | en-de |
And she then spent a lot of time researching to find the best cancer center in the world to get her subsequent care. | 而且她那時花了好多時間研究 為了找出世界最佳癌症中心 獲得後續照護 | en-zh-tw |
And she found the place and decided to go there, went there. | و او آن محل را پيدا كرد و تصميم گرفت به آنجا برود، و رفت. | en-fa |
Which is why I was surprised a few months later to see her back in our own town, getting her subsequent care with her private oncologist. | دوای چەند مانگێک سەرم سوڕما کە بینیم هاتبوەوە بۆ شارەکەمان، تاکو چارەسەری زیاتر وەرگرێت لەگەڵ پسپۆڕی شێرپەنجە تایبەتیەکەی. | en-ku |
And I pressed her, and I asked her, "Why did you come back and get your care here?" | من او را تحت فشار گذاشتم، و از او پرسيدم، "چرا به اينجا برگشتى تا اينجا تحت درمان قرار بگيرى؟" | en-fa |
And she was reluctant to tell me. | Ze was wat weigerachtig om het me te vertellen. | en-nl |
She said, "The cancer center was wonderful. | Μου είπε "Το Ογκολογικό κέντρο ήταν εξαιρετικό. | en-el |
It had a beautiful facility, giant atrium, valet parking, a piano that played itself, a concierge that took you around from here to there. | 设施一流 大堂超级大，服务生停车 自动弹奏的钢琴 有人待你到处溜达“ | en-zh-cn |
But," she said, "but they did not touch my breasts." | Por," tha ajo, "ata nuk ma prekën gjoksin." | en-sq |
Now you and I could argue that they probably did not need to touch her breasts. | Eu e você poderíamos argumentar que eles provavelmente não precisariam tocar os seios dela. | en-pt-br |
They had her scanned inside out. | Pregledali su je iznutra i izvana. | en-hr |
They understood her breast cancer at the molecular level; they had no need to touch her breasts. | הם הבינו את הסרטן שהיה לה ברמה המולקולרית; לא היה להם צורך לגעת בשדיה. | en-he |
But to her, it mattered deeply. | Αλλά αυτήν την έννοιαζε βαθιά. | en-el |
It was enough for her to make the decision to get her subsequent care with her private oncologist who, every time she went, examined both breasts including the axillary tail, examined her axilla carefully, examined her cervical region, her inguinal region, did a thorough exam. | Lo suficiente para que decidiera recibir el tratamiento con su oncólogo particular quien, cada vez que iba, examinaba ambos senos y también la cola axilar, examinaba su axila con cuidado, examinaba la región cervical, la región inguinal. Realizaba un examen completo. | en-es |
And to her, that spoke of a kind of attentiveness that she needed. | Njoj je to govorilo u prilog pažnji, koju je trebala. | en-hr |
I was very influenced by that anecdote. | Eu fui muito influenciado por esta história. | en-pt |
I was also influenced by another experience that I had, again, when I was in Texas, before I moved to Stanford. | Y también otra experiencia que tuve, cuando vivía en Texas, antes de ir a Stanford. | en-es |
I had a reputation as being interested in patients with chronic fatigue. | Имах имиджа на лекар, интерсуващ се от пациенти с хронично чувство на отпадналост. | en-bg |
This is not a reputation you would wish on your worst enemy. | To ne biste poželjeli svojem najgorem neprijatelju. | en-hr |
I say that because these are difficult patients. | Taip sakau, nes tai iš tiesų sudėtingi pacientai. | en-lt |
They have often been rejected by their families, have had bad experiences with medical care and they come to you fully prepared for you to join the long list of people who's about to disappoint them. | Dažnai šeimoje jų nesupranta, turėję blogą patirtį su sveikatos priežiūros sistema ir jie ateina pas tave pilnai pasiruošę įrašyti tave į ilgą sąrašą žmonių kurie tuojau juos ir vėl nuvils. | en-lt |
And I learned very early on with my first patient that I could not do justice to this very complicated patient with all the records they were bringing in a new patient visit of 45 minutes. | Bereits bei meinem ersten Patienten wurde mir klar, dass ich diesen überaus komplizierten Patienten mit all den Akten, die sie herbei schleppten, und 45 Minuten Zeit für eine erste Visite nicht gerecht werden konnte. | en-de |
There was just no way. | Απλά δεν υπήρχε τρόπος. | en-el |
And if I tried, I'd disappoint them. | 만약에 제가 시도를 한다고 해도, 그들을 실망시킬게 뻔했죠 | en-ko |
And so I hit on this method where I invited the patient to tell me the story for their entire first visit, and I tried not to interrupt them. | Então encontrei este método em que convidava o doente a contar-me a história toda durante a primeira consulta e tentava não o interromper. | en-pt |
We know the average American physician interrupts their patient in 14 seconds. | Sabemos que el médico estadounidense promedio interrumpe a sus pacientes cada 14 segundos. | en-es |
And if I ever get to heaven, it will be because I held my piece for 45 minutes and did not interrupt my patient. | 만약에 제가 천국에 간다면, 그건 아마도 제가 45분 동안 제 환자를 방해하지 않았기 때문이라고 할 수 있겠네요 | en-ko |
I then scheduled the physical exam for two weeks hence, and when the patient came for the physical, I was able to do a thorough physical, because I had nothing else to do. | Så planlagde jeg den fysiske undersøgelse to uger senere, og da patienten kom for undersøgelsen, kunne jeg foretage en grundig fysisk undersøgelse, fordi jeg intet andet havde at gøre. | en-da |
I like to think that I do a thorough physical exam, but because the whole visit was now about the physical, I could do an extraordinarily thorough exam. | 我喜歡認為自己執行一個徹底的身體檢查 但因此時這整個回診是有關身體檢查 我可以執行徹徹底底的檢查 | en-zh-tw |
And I remember my very first patient in that series continued to tell me more history during what was meant to be the physical exam visit. | Jól emlékszem az első ilyen betegemre, akinek be nem állt a szája, mikor a fizikális vizsgálatra kellett koncentrálnom. | en-hu |
And I began my ritual. | I počeo sam svoj ritual. | en-hr |
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