On Saturday, a mobile clinic opened beside a school where a football tournament, a basketball game, and a youth baseball competition were taking place.
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星期六，一家流动诊所在学校旁开放；那里正在举行足球锦标赛、篮球比赛和青少年棒球比赛。
Reading 20：诊所如何复盘一次延误诊断
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正文
The trainee nurse expected a quiet morning, but an ambulance arrived after a player twisted his ankle and fell heavily on his shoulder.
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实习护士原以为上午会很平静，但一名球员扭伤脚踝并重重摔到肩膀后，救护车赶到了。
His knee, leg, elbow, wrist, thumb, and little finger were sore, while a deep scratch ran from his cheek to his chin.
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他的膝盖、腿、肘、手腕、拇指和小指都很疼，面颊到下巴还有一道很深的抓伤。
A graze covered one toe, a bruise darkened his chest, and a small wound near the nail began to bleed.
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一处擦伤覆盖着他的一个脚趾，胸口出现青肿，指甲附近的小伤口开始流血。
The nurse used a first-aid kit, cleaned the tissue around the cut, applied a bandage, and pinned it without making it too tight.
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护士使用急救包，清洁伤口周围的组织，贴上绷带，并用别针固定，但没有绑得太紧。
Because the boy could not tolerate the pain, the doctor gave him an aspirin tablet and adjusted the support around his ankle.
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因为男孩无法忍受疼痛，医生给了他一片阿司匹林，并调整了脚踝周围的支撑物。
An optical scan showed no broken bone, but a faint line on the image suggested that the joint remained vulnerable.
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光学扫描没有显示骨折，但影像上一条很淡的线表明这个关节仍然脆弱。
The doctor compared the injured side versus the healthy one, checked the socket, and asked him to move each finger and toe.
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医生把受伤一侧与健康一侧进行比较，检查关节窝，并让他活动每根手指和脚趾。
He could bend his elbow but his neck was stiff, so the doctor examined his skull, brain responses, sight, and hearing in each ear.
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他能弯曲手肘，但颈部僵硬，因此医生检查了他的颅骨、大脑反应、视力和双耳听力。
The overhead lamp shone into his eye, and a special lens helped the doctor test his vision without creating a yellow illusion.
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头顶的灯照进他的眼睛，一枚特殊镜片帮助医生检测视力，同时避免产生黄色错觉。
When he briefly became unconscious, the team lowered his head, raised his legs, loosened his collar, and watched his heart and lung function.
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他短暂失去意识时，团队放低他的头、抬高双腿、松开衣领，并监测心肺功能。
He recovered within a minute, gave a weak grin, and said the sudden faint had frightened him more than the fall.
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他在一分钟内恢复过来，勉强咧嘴一笑，并说突然昏厥比摔倒更让他害怕。
The clinic did not release him until the doctor had ruled out extreme danger and linked the faint to dehydration rather than a head injury.
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诊所在医生排除极端危险并把昏厥与脱水而非头部受伤联系起来后，才允许他离开。
A second patient arrived with a fever, cough, sore throat, headache, and an ache behind the eyes.
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第二名患者到来时发烧、咳嗽、喉咙痛、头痛，而且眼后也隐隐作痛。
The symptoms could indicate flu, another virus, or a bacterial infection, so the doctor took a sample before choosing a drug.
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这些症状可能说明是流感、另一种病毒或细菌感染，因此医生先取样，再选择药物。
The pharmacy had the prescribed medication in pill form, but the patient preferred a liquid because every tablet hurt his mouth and throat.
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药房有药丸形式的处方药，但患者更喜欢液体药，因为每片药都会让他的口腔和喉咙疼痛。
The doctor explained that an antibiotic could not cure an ordinary virus and warned him not to abuse the medicine.
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医生解释说，抗生素无法治愈普通病毒，并提醒他不要滥用药物。
Rest, warm water, and the correct dose would relieve most discomfort, although a worsening fever would require another examination.
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休息、温水和正确剂量能够缓解大部分不适，但发烧加重时仍需再次检查。
Across the room, a pregnant woman felt sick and reported an odd pain in her stomach and lower back.
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房间另一边，一名孕妇感到恶心，并报告胃部和下背部有一种异常疼痛。
The doctor listened to the baby's heart, examined the mother's breast and abdomen, and found no sign of disease or immediate trouble.
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医生听了胎儿的心跳，检查母亲的胸部和腹部，没有发现疾病或即时危险的迹象。
An organic change in hormone levels could explain the pain, but the doctor arranged a scan to protect both mother and child.
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激素水平的生理变化可能解释这种疼痛，但医生仍安排了扫描，以保护母亲和孩子。
The scan was normal, and the woman gave a long sigh when she saw the baby's tiny nose, lip, mouth, and hand on the screen.
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扫描结果正常；当这名女子在屏幕上看到胎儿小小的鼻子、嘴唇、嘴巴和手时，她长长地松了一口气。
In the dental room, a dentist examined a cracked tooth, swollen gum, tongue, and jaw after a patient bit a tough sweet.
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在牙科诊室里，一名患者咬了坚硬糖果后，牙医检查了他裂开的牙齿、肿胀的牙龈、舌头和下颌。
The tooth could not heal by itself, so minor surgery was scheduled after medication had reduced the infection.
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这颗牙无法自行愈合，因此医生安排在药物减轻感染后进行小手术。
Another visitor worried that a bald patch and a changing mark on his skin meant cancer, but the first test found no malignant gene change.
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另一名来访者担心秃斑和皮肤上一处变化的斑点意味着癌症，但第一次检查没有发现恶性基因变化。
The specialist treated the scan as a necessity rather than a luxury, photographed the area, and arranged a follow-up instead of promising an instant cure.
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专科医生把扫描视为必需而非奢侈，给该部位拍照，并安排复诊，而没有承诺立即治愈。
Outside, a cigarette burn had started a small fire in a waste vessel; a nurse put a lid on it to cut off the air.
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外面，一处香烟灼烧点燃了垃圾容器里的小火；一名护士盖上盖子以隔绝空气。
Smoke made a receptionist cough, and the sharp smell hurt her nose, but fresh air soon cleared her lung irritation.
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烟雾让接待员咳嗽，刺鼻气味伤到她的鼻子，不过新鲜空气很快缓解了肺部刺激。
The emergency drill had taught everyone how to behave: sound the alarm, call for help, and never blow on a chemical fire.
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应急演练教会了每个人如何行动：拉响警报、呼救，而且绝不要朝化学火焰吹气。
At noon, a veterinary surgeon brought in a working dog whose paw had been caught beneath a heavy metal base.
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中午，一名兽医带来一只工作犬；它的爪子被压在沉重的金属底座下。
The animal had a torn pad and a damaged claw, but careful massage restored circulation and no bone was broken.
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这只动物的脚垫撕裂、爪子受损，但小心按摩恢复了血液循环，而且没有骨折。
The veterinary team wrapped the paw in a soft blanket and used a smart portable scanner to confirm the superb result.
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兽医团队用柔软毯子包住爪子，并使用先进的便携扫描仪确认良好结果。
Meanwhile, the sports coach organized a gentle exercise drill for patients recovering from knee and shoulder injuries.
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与此同时，体育教练为正在从膝伤和肩伤中恢复的患者安排了温和的训练。
They began with play rather than competition: a light balloon game was safer than football, soccer, basketball, or baseball.
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他们先从游戏而不是比赛开始：轻柔的气球游戏比足球、英式足球、篮球或棒球更安全。
One patient hoped to ski and dive again, while another wanted only enough strength to catch a ball and join a local sport club.
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一名患者希望再次滑雪和潜水，另一名患者只想恢复到能接球并加入当地体育俱乐部的力量。
Therapy was not always fun, yet the shared game reduced loneliness and built a bond among people facing similar pain.
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治疗并不总是有趣，但共同游戏减轻了孤独，并在面对相似痛苦的人之间建立了联系。
A young man with a moustache tried to look bold, but tears filled his eyes when movement caused a sudden twist of pain.
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一名留着小胡子的年轻人努力显得大胆，但动作引起一阵扭痛时，泪水还是涌上了他的眼睛。
The therapist told him not to tear the support, scratch the sore skin, or hide discomfort merely to appear tough.
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治疗师告诉他，不要扯坏支撑带、抓挠疼痛皮肤，也不要只为显得坚强而隐瞒不适。
After each session, staff deleted outdated instructions, released a revised exercise sheet, and matched every task to the patient's ability.
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每次训练后，工作人员删除过时说明，发布修订后的练习表，并把每项任务与患者能力相匹配。
Likewise, the clinic compared its own performance with national standards instead of assuming that a busy service was automatically a good one.
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同样地，诊所把自身表现与国家标准比较，而不是认为服务繁忙就自动等于服务优良。
The review found that a loose electrical socket near the examination chair created a risk, so maintenance repaired it immediately.
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复盘发现检查椅旁一个松动的电源插座构成风险，因此维修人员立即修好了它。
By evening, the clinic had treated injuries, infection, pregnancy concerns, dental pain, and an animal wound without losing sight of the person behind each case.
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到傍晚，诊所已经处理了外伤、感染、孕期担忧、牙痛和动物伤口，同时始终没有忽视每个病例背后的具体的人。