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Not all the cultures are back

The Good Doctor

It was nevera great fit. It's a better fitthan surgical error. What if it is bacterialbut...

The Good Doctor • S01E18 • 2017

Not all the culturesare back. But since he's not respondingto any antibiotics,we can rule out bacterial. DR. REZNICK:It was nevera great fit. It's a better fitthan surgical error. What if it is bacterialbut resistant to all...Then he's dead. What about ParoxysmalNocturnal Hemoglobinuria? PNH? The incidenceis literally one in a million. What's the oddsof Murphy screwing up? I'd put themabout that. No, it's not PNH. Caden hadnormal flow cytometry. Exotic snake venom can triggerconsumptive coagulopathies. So can pre-eclampsia,but he's not pregnantand he wasn't charming snakes. ♪♪ Murphy,any thoughts here? It is kind ofyour ass on the line. ♪♪

Full Transcript

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Not all the cultures are back

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But since he's not responding to any antibiotics we can rule out bacterial

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DR REZNICK It was never a great fit

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It's a better fit than surgical error

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What if it is bacterial but resistant to all Then he's dead

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What about Paroxysmal Nocturnal Hemoglobinuria

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PNH The incidence is literally one in a million

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What's the odds of Murphy screwing up

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I'd put them about that

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No it's not PNH

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Caden had normal flow cytometry

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Exotic snake venom can trigger consumptive coagulopathies

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So can pre eclampsia but he's not pregnant and he wasn't charming snakes

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Murphy any thoughts here

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It is kind of your ass on the line

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لم تأت نتائج كل المزارع

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ولكن طالما أنه لا يستجيب لأية مضادات حيوية

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فيمكننا إقصاء العدوى البكتيرية لم تكن ضمن أقرب الاحتمالات أبدا

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إنه احتمال أفضل من الخطأ الجراحي

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ماذا لو كانت عدوى بكتيرية ولكنها مقاومة لكل

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إذن فهو ميت

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ماذا عن البيلة الهيموغلوبينية الانتيابية الليلية

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بي إن إتش نسبة الإصابة بها 1 في المليون حرفيا

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ماذا عن احتمالات إخفاق مورفي

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أظنني ميال لذلك

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كلا ليست بي إن إتش لدى كيدن تدفق خلوي طبيعي

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يمكن لسم ثعبان دخيل أن يبدأ اعتلالات التخثر الاستهلاكية

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وهكذا تفعل مقدمات الارتعاج

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لكنه ليس حاملا ولم يكن يسحر الثعابين

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ألديك أية أفكار يا مورفي إن سمعتك على المحك هنا

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还有培养结果没出来

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既然他对任何抗生素都没有反应

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我们就可以排除细菌感染了细菌感染从一开始也不是什么最对症的原因

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至少比手术失误更好

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如果是细菌造成的但对所有抗生素都有抗药

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那他就死了

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如果是阵发性睡眠性血红蛋白尿症呢

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PNH吗几率微乎其微

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那墨菲失误的几率有多大

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我觉得也是微乎其微

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不不是阵发性睡眠性血红蛋白尿症卡登刚刚接受了正常流式细胞术

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蛇毒会引发消耗性凝血病

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先兆子痫也可以

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但他没有怀孕也没摆弄蛇

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墨菲有什么想法吗这是对你利害攸关的大事

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Ikke alle prøverne er tilbage

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Men eftersom han ikke reagerer på antibiotika

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kan vi udelukke bakteriel infektion Det var et skud i tågen

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Det var bedre end en kirurgisk fejl

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Hvad hvis det er bakterielt men resistent over for al

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Så er han død

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Hvad med proxystisk nocturn hæmoglobinuri

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PNH Tilfældet er bogstaveligt talt en til en million

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Hvad er chancerne for at Murphy lavede fejl

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De noget nær det samme

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Nej det er ikke PNH Caden har et normalt flow cytrometri

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Eksotisk slangegift kan udløse konsumtive koagulopatier

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Det kan svangerskabsforgiftning også

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men han er ikke gravid og han tæmmede ikke slanger

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Murphy nogen ideer Det er dit job der er på spil

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Niet alle kweekjes zijn al klaar

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Maar hij reageert niet op antibiotica

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dus bacteriën zijn uitgesloten Daar leek het toch al niet op

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Dat was beter geweest dan een chirurgische fout

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En als het nou bacteriën zijn maar resistent tegen alle

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Dan is hij dood

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En een paroxysmale nachtelijke hemoglobinurie

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Een PNH De kans daarop is letterlijk een op een miljoen

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En de kans dat Murphy het heeft verpest

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Net zo groot

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Nee het is geen PNH Caden had een normale flowcytometrie

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Exotisch slangengif kan voor stollingsafwijkingen zorgen

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Dat kan een pre eclampsie ook

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maar hij is niet zwanger en had niets met slangen

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Murphy weet jij nog iets Jouw baan staat op het spel

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Tulokset eivät ole vielä tulleet

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Mutta koska hän ei reagoi antibiootteihin

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voimme jättää bakteerit huomiotta Se ei edes sopinut oirekuvaan

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Paremmin kuin kirurgin virhe

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Entä jos se on bakteerin aiheuttama mutta resistentti

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Sitten hän kuolee

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Entä kohtauksittainen yöllinen hemoglobiinivirtsaisuus

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PNH Sen esiintyvyys on yhdellä miljoonasta ihmisestä

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Entä Murphyn mokaamisen esiintyvyys

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Yhtä todennäköistä

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Ei se ei ole PNH Cadenin virtaussytometria on normaali

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Eksoottisen käärmeen myrkky voi laukaista kuluttavan koagulopatian

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Niin voi raskausmyrkytyskin

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mutta hän ei ole raskaana eikä käärmeenlumooja

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Murphy mitä mietit Sinä olet tulilinjalla

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On n'a pas les cultures

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Les antibiotiques sont inefficaces ce n'est pas bactérien

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C'était improbable

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Moins qu'une erreur humaine

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Si c'est bactérien mais résistant aux

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Il mourra

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Une hémoglobinurie paroxystique nocturne

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La probabilité est très faible

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Comme celle pour que Murphy se soit trompé

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Non sa cytométrie en flux était normale

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Certains venins de serpents déclenchent une coagulopathie

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Je ne crois pas qu'il soit charmeur de serpents

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Murphy

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Des idées

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C'est vous qu'on défend

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Nicht alle Kulturen sind wieder da

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Da er aber auf kein Antibiotikum anspricht

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können wir Bakterien ausschließen Die Annahme war nie sehr passend

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Sie war passender als ein Kunstfehler

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Was wenn es Bakterien sind die resistent gegen alle

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Dann stirbt er

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Was ist mit einer paroxysmalen nächtlichen Hämoglobinurie

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Eine PNH Die Wahrscheinlichkeit liegt bei eins zu einer Million

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Und dass Murphy es vermasselt hat

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Etwa genauso hoch

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Nein es ist keine PNH Caden hat eine normale Durchflusszytometrie

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Schlangengift kann konsumtive Koagulopathien auslösen

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Genauso wie Schwangerschaftstoxikose

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aber er ist nicht schwanger und hat keine Schlangen beschworen

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Murphy was denken Sie Sie stehen in der Schusslinie

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לא כל התרביות חזרו

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אך מאחר שהוא לא מגיב לאנטיביוטיקה

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אפשר לפסול זיהום בקטריאלי זה אף פעם לא ממש התאים

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התאים יותר מטעות רפואית

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מה אם זה כן בקטריאלי אבל עמיד בפני כל

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אז הוא מת

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מה לגבי המוגלובינוריה לילית התקפית

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פי אן הייץ' השכיחות היא אחד למיליון

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מה הסיכויים שמרפי פישל

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אני חושב שזהים

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לא זה לא פי אן אייץ' ספירת התאים של קיידן הייתה נורמלית

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ארס נחשים אקזוטיים יכול להביא לליקוי מוגבר בקרישת הדם

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גם רעלת היריון

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אבל הוא לא בהיריון ולא היפנט נחשים

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מרפי מחשבות זה אתה שמונח פה על הכף

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Kulturnya belum semua kembali

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Tetapi karena dia tak merespons semua antibiotik

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kita bisa hilangkan bakteri Dari sebelumnya memang tak pas

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Lebih pas daripada kesalahan dokter

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Bagaimana kalau ini bakteri tetapi resisten terhadap semua

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Kalau begitu dia mati

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Bagaimana dengan paroksismal nokturnal hemoglobinuria

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PNH Insiden ini satu dari sejuta

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Berapa peluang Murphy berbuat salah

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Aku akan pakai itu

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Tidak bukan PNH Sitometri aliran Caden normal

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Racun ular eksotis bisa memicu koagulopati konsumtif

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Begitu juga preeklampsia

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tetapi dia tak hamil dan dia tak menjinakkan ular

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Murphy ada pendapat Ini reputasimu yang dipertaruhkan

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Non abbiamo tutte le colture

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Ma visto che gli antibiotici non stanno facendo effetto

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possiamo escludere i batteri Non mi avevano mai convinto

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Meglio dell'errore umano

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E se fosse batterico ma resistente a tutti

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Allora è spacciato

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E se si trattasse di un'emoglobinuria parossistica notturna

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C'è una possibilità su un milione

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E se Murphy stesse sbagliando tutto

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Potrebbe essere

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Non è quello Caden ha la citometria a livelli normali

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Il veleno di serpenti tropicali potrebbe causare coagulopatie

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Anche la preeclampsia

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ma non aspetta un bambino e non lavora coi serpenti

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Murpy ti viene in mente qualcosa Sei sul filo del rasoio qui

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배양 결과가 다 안 나왔어요

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항생제가 안 들으니

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박테리아는 제외야 처음부터 아니었어요

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의사 실수보다는 가능성 있어

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박테리아가 맞는데 항생제가 안 듣는 거면

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죽겠지

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발작성야간혈색뇨는요

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PNH 그건 진짜 백만분의 일이잖아

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머피가 실수할 확률은요

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그것도 비슷할걸요

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PNH는 아니야 유세포 분석 결과는 정상이었어

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외래 뱀독도 심각한 응혈을 일으킬 수 있어요

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임신중독증도 그렇지만

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임신이나 뱀도 아니잖아

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머피 의견 없어 네 문제이기도 하잖아

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Ikke alle kulturer er klare

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Men siden han ikke reagerer på antibiotika

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kan vi utelukke bakterier Det passet heller ikke

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Det passer bedre enn legefeil

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Hva om det er en bakterie som er motstandsdyktig mot alle

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Da er han død

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Hva med paroksystisk nattlig hemoglobinuri

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PNH Sjansen er én til én million

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Hva er sjansen for at Murphy dreit seg ut

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Omtrent de samme

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Det er ikke PNH Han hadde normal strømningscytometri

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Eksotisk slangegift kan utløse konsumpsjonskoagulopatier

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Det kan svangerskapsforgiftning også

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men han er ikke gravid og han temmet ikke slanger

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Murphy hva tror du Du har en utsatt posisjon her

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Nie mamy wszystkich kultur

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Ale skoro nie reaguje na antybiotyki

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możemy wykluczyć bakterie Nigdy nie pasowały

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Pasują lepiej niż błąd chirurga

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A co jeśli to bakterie odporne na wszystkie

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Wtedy umrze

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A napadowa hemoglobinuria nocna

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PNH Zdarza się raz na milion

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A szanse na to że Murphy nawalił

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Podobne

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To nie PNH Miał normalną cytometrię przepływową

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Zaburzenia krzepnięcia są czasami wywoływane przez ukąszenia węży

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Tak jak i stan przedrzucawkowy

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ale nie jest w ciąży ani nie zaklinał węży

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Jakieś pomysły Murphy Tu chodzi o twoją głowę

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Nem todos os exames estão prontos

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Mas já que ele não responde a nenhum antibiótico

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podemos descartar infecção Nunca foi um bom palpite

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É uma opção melhor do que erro médico

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E se for bacteriana mas resistente a todos

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Então ele morre

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E hemoglobinuria noturna paroxismal

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Uma HNP A incidência é literalmente de uma em um milhão

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Quais as chances de Murphy ter errado

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Colocaria acima

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Não é HNP Caden apresentou citometria de fluxo normal

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Veneno de cobra exótico pode disparar coagulopatias tísicas

00:00:27.026 --> 00:00:28.277

Pré eclâmpsia também

00:00:28.361 --> 00:00:30.196

mas ele não está grávido e não encantava serpentes

00:00:33.366 --> 00:00:38.537

Murphy alguma ideia Está com o seu na reta

00:00:01.000 --> 00:00:02.418

Пришли не все культуры

00:00:02.501 --> 00:00:04.545

Но раз он не реагирует на антибиотики

00:00:04.629 --> 00:00:07.214

бактерии можно исключить Это был плохой вариант

00:00:07.034 --> 00:00:08.841

Лучше чем ошибка хирурга

00:00:08.966 --> 00:00:11.218

А если это бактерия но стойкая ко всем

00:00:11.302 --> 00:00:12.303

Тогда он мертв

00:00:12.386 --> 00:00:14.805

Пароксизмальная ночная гемоглобинурия

00:00:14.889 --> 00:00:17.725

ПНГ Один случай на миллион

00:00:17.808 --> 00:00:19.101

Каковы шансы что Мерфи ошибся

00:00:19.185 --> 00:00:20.436

Примерно такие же

00:00:20.519 --> 00:00:23.439

Это не ПНГ Проточная цитометрия в норме

00:00:23.522 --> 00:00:26.734

Яд экзотической змеи может вызывать коагулопатии

00:00:27.026 --> 00:00:28.277

Как и преэклампсия

00:00:28.361 --> 00:00:30.196

но он не беременная и не заклинатель змей

00:00:33.366 --> 00:00:38.537

Мерфи есть идеи Твоя судьба на кону

00:00:01.000 --> 00:00:02.046

No tenemos los resultados de todos los cultivos

00:00:02.543 --> 00:00:04.545

Pero dado que no responde a ningún antibiótico

00:00:04.629 --> 00:00:07.256

podemos descartar que sea bacteriano Nunca cuadró mucho

00:00:07.382 --> 00:00:08.841

Más que un error quirúrgico sí

00:00:08.966 --> 00:00:11.052

Y si es bacteriano pero resistente a todos

00:00:11.135 --> 00:00:12.345

Entonces está muerto

00:00:12.428 --> 00:00:14.847

Y hemoglobinuria paroxística nocturna

00:00:14.931 --> 00:00:17.725

HPN La incidencia es de una entre un millón

00:00:17.809 --> 00:00:19.143

Y las probabilidades de que Murphy metiera la pata

00:00:19.227 --> 00:00:20.436

Diría que son semejantes

00:00:20.052 --> 00:00:23.481

No no es HPN Caden tenía citometría de flujo normal

00:00:23.564 --> 00:00:26.776

El veneno de serpiente exótica puede desencadenar coagulopatías por consumo

00:00:27.001 --> 00:00:28.319

Y también la preeclampsia

00:00:28.403 --> 00:00:30.196

pero ni está embarazado ni es encantador de serpientes

00:00:33.408 --> 00:00:38.538

Murphy alguna idea Eres tú quien se juega el pellejo

00:00:01.000 --> 00:00:02.418

Alla blodprov har inte kommit tillbaka än

00:00:02.501 --> 00:00:04.545

Men eftersom han inte svarar på någon antibiotika

00:00:04.629 --> 00:00:07.214

kan vi utesluta bakteriellt Det var aldrig särskilt troligt

00:00:07.034 --> 00:00:08.841

Mer troligt än ett operationsfel

00:00:08.966 --> 00:00:11.218

Tänk om det är bakteriellt men resistent mot allt

00:00:11.302 --> 00:00:12.303

Då är han död

00:00:12.386 --> 00:00:14.805

Och en paroxsmalt nattlig hemoglobinuri

00:00:14.889 --> 00:00:17.725

PNH Det förekommer bokstavligen en gång på miljonen

00:00:17.808 --> 00:00:19.101

Vilka är oddsen för att Murphy skulle göra fel

00:00:19.185 --> 00:00:20.436

Ungefär desamma

00:00:20.519 --> 00:00:23.439

Det är inte PNH Caden hade normalt flöde av cytometri

00:00:23.522 --> 00:00:26.734

Exotiskt ormgift kan trigga sjukdomsblödningar

00:00:27.026 --> 00:00:28.277

Det kan även för eklampsi

00:00:28.361 --> 00:00:30.196

men han är inte gravid och han tämjde inte ormar

00:00:33.366 --> 00:00:38.537

Några tankar här Murphy Det är du som står på spel här

00:00:01.000 --> 00:00:02.418

Tüm kültürler sonuçlanmadı

00:00:02.501 --> 00:00:04.545

Hiçbir antibiyotiğe cevap vermediği için

00:00:04.629 --> 00:00:07.214

bakteriyel seçeneği eleyebiliriz Zaten pek uymuyordu

00:00:07.034 --> 00:00:08.841

Cerrahi hatadan daha iyi

00:00:08.966 --> 00:00:11.218

Ya bakteriyelse ama hepsine karşı direnç

00:00:11.302 --> 00:00:12.303

O zaman ölür

00:00:12.386 --> 00:00:14.805

Ya proksisimal nokturnal hemoglabinüri

00:00:14.889 --> 00:00:17.725

PNH mi O tanı resmen milyonda bir görülür

00:00:17.808 --> 00:00:19.101

Murphy'nin batırmış olma ihtimali kaç

00:00:19.185 --> 00:00:20.436

Ben olsam onu düşünürdüm

00:00:20.519 --> 00:00:23.439

Hayır PNH değil Caden'in akış sitometrisi normaldi

00:00:23.522 --> 00:00:26.734

Egzotik yılan zehirleri tüketim koagülopatilerini tetikleyebilir

00:00:27.026 --> 00:00:28.277

Preeklampsi de öyle

00:00:28.361 --> 00:00:30.196

Ama hamile değil Yılanlarla oynamadığı da belli

00:00:33.366 --> 00:00:38.537

Murphy bir fikrin var mı Burada kıçı tehlikede olan sen sayılırsın

Available in 19 languages

Duration

42 seconds

Views

18

Timestamp in Movie

00:27:37

Uploaded

Mar 08, 2026

Season

1

Episode

18

Genres

Production

ABC Studios,3AD,Sony Pictures Television,ABC Signature

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Movie Summary

Shaun Murphy, a young surgeon with autism and Savant syndrome, is recruited into the surgical unit of a prestigious hospital.