I was once taking care of a frail, older patient who came to the hospital feeling very short of breath. It wasn't immediately clear why, but her breathing was getting worse. To look for accidental ingestions, I sent for a drug screen and, to my great surprise, it came back positive for cocaine. It didn't make sense to me, given her age and the person lying before me, and I was concerned she had been the victim of some sort of abuse. She told me she had no idea why there was cocaine in her system.
曾经有位虚弱的老年患者来我这里看病,她感觉自己呼吸特别困难。我们没能立刻探明原因,可她呼吸窘迫的问题却一天重过一天。为了查查她是否不小心摄入了什么毒物,我安排她进行了一次毒品筛查。让我大感意外的是,她的可卡因指标竟然呈阳性!对于一个像她这样年龄和身体状况的人来说,吸毒是无法想象的事儿,于是我担心她是否经受了某种虐待,但她告诉我她完全不知道这些可卡因是如何进入到身体内的。
When I walked out of the room, a nurse called me over to her computer. There, on MugShots.com, was a younger version of my patient's face, with details about how she had been detained for cocaine possession more than three decades earlier. I looked away from the screen, feeling like I had violated my patient's privacy. I resumed our medical exam, without bringing up the finding on the Internet, and her subsequent hospital course was uneventful.
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