30 year old Lucas has come to a e with a
30 岁的卢卡斯因疑似尿路感染来到急诊室，
suspected urinary tract infection
yeah just take a seat thank you
是的，请坐下，谢谢，
which even I'm one of the a e doctors
即使我是急诊室医生之一，
nice to meet you so tell me what's been
很高兴见到你，所以告诉我
going on with you a long story I've had
你发生了什么事，这是一个很长的故事，我已经
a little bit of a raise of you so I know
你的病情有点严重，所以我知道
that you've had these Urology problems
你从小就患有泌尿系统疾病，
I'm going for since you were a child
essentially that's right and then you've
基本上是这样的，然后你
had recurrent urine infections yeah on
反复出现尿路感染，是的，
Sunday I got the first symptoms of a UTI
周日我出现了第一个症状 尿路感染，
okay um and then that progressed quite
嗯，然后
badly yesterday
昨天病情恶化了，
um to uh quite a bad fever Shivers
嗯，发烧很厉害，发抖，
fatigue okay um trouble passing
疲劳，嗯，排尿困难，嗯，
um also I self-catheterize because
我自己导尿，
because of my condition there's not much
因为我的情况，
that we can really do JK if I examine
我们真的没什么可以做的，开玩笑的，如果我检查一下，
yeah
是
of course all right that's fine all
的 当然没关系，
right just gonna have a feel of your
好​​吧，我只需要轻轻地摸一下你的
tummy gently
肚子，
I was born with major issues with my
我出生时
kidneys and my bladder
肾脏和膀胱就有严重问题，
my bladder didn't develop as it should
我的膀胱没有发育，就像它应该
have done
发育的那样，
it was basically scrunched up like a
它基本上像一个塑料袋一样被揉成一团，
plastic bag
and the effect of that meant that my
这意味着 我的
kidneys were damaged is that okay here
肾脏受损了，好吧，这里
it's just um stings a bit and I'm just
只是有点刺痛，我
gonna feel like your kidneys as well
也会感觉你的肾脏也一样，
okay sure
好吧，
until probably the age of five I'd be in
直到大概五岁的时候，我都会
and out of intensive care
进出重症监护室，
and I at some points would spend weeks
有时 会在医院呆上几个星期
and months in hospital
甚至几个月，
I had to have major surgery when I was
我五岁时不​​得不接受一次大手术，
five it really saved my kidneys because
这真的救了我的肾脏，因为
it gave them breathing space
它给了它们喘息的空间，
can you take a deep breath in yeah
你能深吸一口气吗，是的，
but that wasn't the end of the story
但这并不是故事的结束，
because my kidneys were still damaged
因为我的肾脏 仍然受损，
had to use catheters to help my bladder
不得不使用导管帮助我的膀胱
empty just wait and see what the blood
排空，只需等待，看看血液
test show and I'll have a chat with
测试结果如何，我也会和
Urology too sounds good I'm going to get
泌尿科聊聊，听起来不错，我会从
a urine sample from you as well
你那里得到尿液样本，
as a kid my mum was my my nurse she
还有一个孩子，我的妈妈 是我的护士，她
taught herself to understand
自学了如何了解
my conditions
我的病情，
I'm Tom I'm one of the nurses my mum was
我是汤姆，我是一名护士，我妈妈是
my companion she was my my comfort my
我的陪伴，她是我的安慰，我的
safety she took control of my health so
安全，她掌控着我的健康，所以
kidney flare up yeah is that right and
肾脏发作了，是的，那是对的，
that's not a brand new thing for you
那是 对你来说这不是什么新鲜事，
yeah so I would you know go to hospital
是的，所以我会和她一起去医院
with her for appointments and she would
预约，她会
you know
你知道
take my hand and do everything and and
牵着我的手，做所有的事情，
take the lead they didn't have to worry
带头，他们不必担心
about my health
我的健康，
all right well you're definitely not
好吧，你肯定不会
about to it in the next 20 minutes
在接下来的 20 分钟内就搞砸了，
but when I was a teenager especially
但当我还是个青少年的时候，尤其是
when I was about 15 16 when that
当我 大约 15 16 岁时，
responsibility switched over to me
责任转移到我身上，
that's when it became hard
那时事情就变得困难了，
do you think you can do away mate all
你认为你能摆脱它吗，伙计，
right I'll give it a go oh can I go to
好吧，我会试试看，哦，我可以去
the waiting room bathroom oh yeah let's
候诊室的卫生间吗，哦，是的，
we can do it together that's the way
我们可以一起做，就是这样
easy for him if you get stuck just give
对他来说这很容易如果你被卡住了只要给
us a couple of knocks out we'll find you
我们敲几下我们就会找到你
thank you
谢谢
你谢谢你
[Music]
[音乐]
my name is Juliet's one of the nurses
我的名字是朱丽叶是一名护士
hey how do you feel it I'm okay okay I'm
嘿你感觉怎么样我没事没事我' 我
going to give you antibiotic okay
要给你开抗生素，好的，
you're having just someone say the
你只需要有人说
stronger form of antibiotic
更强效的抗生素，
let's see what the blood test is okay
让我们看看血液测试结果如何，好的，
as an adult you really have to take
作为一个成年人，你真的必须
ownership of your health
对自己的健康负责，
because there's no one pushing you along
因为没有人像
like you like they did when you were a
你一样强迫你 当你还是个
kid it's very proud my mother is from
孩子的时候，我很自豪我的母亲来自
Argentina my father is English so I'm
阿根廷，我的父亲 是英语，所以我
half and half yeah where are you from
一半是，你是哪里人，
from Nigeria from Nigeria
来自尼日利亚，来自尼日利亚，
going into my teenage years I wasn't
进入青少年时期，我
interested in my health
对我的健康不感兴趣，
I wouldn't take my medication or I
我不会吃药，也
wouldn't use catheters
不会使用导尿管
and I went for my hospital visits and
，我去找我的 医院检查
the results showed that my Bloods
结果显示我的血液指标
weren't as they should have been
不正常，我不在乎
I didn't care
I wanted to to be normal
我想恢复正常，
the doctor told me off he was quite
医生责备了我，他很
frustrated
沮丧，
he said
他说
if I don't look after myself
如果我不照顾好自己
I could be looking at kidney failure
我可能
within five years
在五年内面临肾衰竭，
I remember he told me
我记得他告诉我，
we all have our load to carry
我们都有自己的负担，
what makes yours any different to the
你和你身边的人有什么不同，
person next to you
another teenager you you take that very
另一个青少年，你把这看得很
personally
个人化，
I think I had to grow up very quickly
我想我必须很快成长
have you been here long
你来这里很久了吗？
going 17 years 17 years actually that's
17 年了？17 年其实已经
long enough
够久了，
but now that I'm 30 I think that I've
但现在我 30 岁了，我想我
really finally realized that it's up to
终于意识到，
me to look after him my health thank you
照顾他的健康是我应该做的。谢谢
see you later
你，待会儿见，
is that you beeping mate I think I'm all
你的嘟嘟声 伙计，我想我已经
done
完成了，很
beautiful thank you oh yes it is hi
漂亮，谢谢你哦，是的，嗨，
Lucas nice to meet you my name is Emma
卢卡斯，很高兴见到你 我叫艾玛，
I'm the Urology registrar how are you I
我是泌尿科的注册医生，你好吗？我
know that you're well known to the
知道你在这个
department I'm quite new so we've not
部门很出名，我是新来的，所以我们还没有
been yeah we have a minute how are you
来过，是的，我们有一分钟的时间，你好吗，
doing
um yeah just the same story I'm just a
嗯，是的，还是同样的故事 我只是
bit frustrated so I noticed you're
有点沮丧，所以我注意到你
admitted quite recently right with some
最近刚刚入院，有
flank pains and fever and you were
腰痛和发烧，你
treated for infection yeah we're gonna
接受了感染治疗，是的，我们将
go ahead with the test yeah the
继续进行测试，是的，
infection your Bloods Today Show that
感染了你的血液，今天的节目显示，
luckily your kidney function is actually
幸运的是你的肾脏 功能实际上
at Baseline for you okay
处于基线水平，
um but your markers of infection are up
嗯，但你的感染标志物上升了，
yeah and um you say that last time you
嗯，你说上次
were in that was the worst infection
感染是最严重的一次，
that you've had the markers this time
这次的标志物
are actually higher right so you know
实际上更高，对吧，所以你知道
you're young and you're quite fit which
你 你还年轻，身体也很健康，这
means even though sometimes you look
意味着，即使有时你看起来
quite well and you compensate quite well
很好，而且你补偿得很好，但
you know I think you do have an
我认为你确实
infection Brewing yeah and I think the
感染了，是的，我认为
best thing is that we admit you and give
最好的办法是我们让你住院，给
you some antibiotics through the vein
你一些抗生素 静脉
all right so I'll see you upstairs on
好吧，所以我会在水上看到你，
the water all right and you
I've got a funny relationship with
我有一个 与医院的关系很有趣
hospitals I've always felt quite
我一直觉得很
comfortable like I was safe in hospital
舒服就像在医院里很安全
you're okay to walk across with me yeah
你可以和我一起走过去是的
you want me to push you in a chair yeah
你想让我推着你坐在椅子上是的
nice okay all right yeah it's also
很好好的好的是的
important to have that one hospital that
拥有这样一家医院也很重要 那
is your dedicated place to go
是你专属的去处
St George's has been my home
圣乔治一直是我的家，
it's not so much a sanctuary but it's
它不是一个避难所，而是一个
somewhere familiar
熟悉的地方，
that I know where to go if I'm not
如果我感觉不舒服，我知道去哪里
feeling well
I would like to have a stable future I
我想有一个稳定的未来，我
think
想过
and just live a normal life without the
一种 正常的生活，不用
worry of my health
担心我的健康