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True confessions

机译：真正的忏悔

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As the solo intern in charge of a Chicago emergency room one August night in 1960,I was grappling with three dozen former passengers (by then, aspiring personal injury claimants) of a city bus involved in a minor collision. Most had demanded x rays in hope of fracture, and groaned to potential witnesses as they limped about the emergency room.Into this cacophony descended a thirty-ish scrub woman who said she'd developed a non-productive cough and increasing shortness of breath over the previous two weeks. She wouldn't wait for blood work or a chest film, so I conducted a quick exam in a noisy cubicle. All I found were hyper-resonance to percussion over her upper lung fields and an evanescent wheeze. I prescribed the contemporaneous asthma regimen, arranged a follow up appointment in the medical clinic, and promptly forgot about her...... until she was presented at grand medical rounds six weeks later as an interesting patient whose lymphoma had presented as bilateral pleural effusions. When she described being told by a doctor in the emergency room that she had asthma, the audience snickered in derision, I froze in mortification, and the physician in chief did three remarkable things: he didn't call me out of the audience to chastise me before my peers and betters; he took me aside after the round, both to discuss my error and to teach me about "Skodatic resonance" above pleural effusions; and he didn't hold my dumb mistake against me, but became my mentor during my first residency in internal medicine.
机译：芝加哥的独奏实习生负责急诊室一晚上1960年8月,我前乘客(通过应对三打然后,有抱负的人身伤害索赔)城市客车参与轻微碰撞。在骨折的希望要求x射线,呻吟着他们一瘸一拐地潜在证人急诊室。30年代擦洗女人说她了非生产性咳嗽和增加呼吸急促呼吸在过去两个星期。等待血液工作或胸部的电影,所以我进行了一次快速考试在嘈杂的隔间。发现hyper-resonance打击她上肺字段和一个消散喘息。规定的哮喘方案,安排了一个在医学跟踪约会诊所,立即忘记她……她是大医学6轮几周后,一个有趣的病人的淋巴瘤表现为双边胸膜胸腔积液。医生在急诊室,她有哮喘,观众在嘲笑窃笑起来,我僵住了屈辱,在首席医生三个显著的事情:他没有打电话给我观众在我的同行和惩罚我长辈;讨论我的错误,教我上面的“Skodatic共振”胸膜腔积液;他没有握住我的愚蠢的错误攻击我,但是成为我的导师在我第一次实习内科。

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