几个地方不能确定？请老师指教

Some might say that medicine failed this family or that medicine reached its limits. Even though science has progressed rapidly with innovative discoveries, medicine has never been just about treatments and cures. Proximity, simply being with families and bearing witness in times of intense suffering and tragedy, often mean so much more than we might realize. During a code, dozens of medical staff flock to the scene, the frenzy palpable. When the hoped-for miracle does not occur, the contrast between before and after is stark.The medical team tends to scatter, and the rooms of dying patients fall quiet. Families can be left feeling abandoned. In trying not to impose our values on others or perhaps due to our own discomfort with death and suffering, we often shy away from difficult conversations and reserve these areas of care to palliative care teams, social workers or hospital chaplains.As a trainee, I have felt awkward, unqualified and fearful about inserting myself into a family’s pain. However, the wonderful support given to Gabriel’s family by spiritual care, Child Life and the PICU staff demonstrates that there is always a role for every member of the team to continue providing support and comfort. Preparing for death is not admitting defeat, but a way of caring well for our patients and their loved ones. It is a great privilege to share these intimate moments with families. Instead of meeting our patients’ most important needs and requests with silence and space, Gabriel’s story has taught me that the art of medicine can be beautifully displayed through small courageous acts of understanding, compassion and shared humanity.

有人可能会说，医学辜负了这个家庭（ failed this family），或者医学遇到了瓶颈（eached its limits）。尽管科学随着创新的发现而迅速发展，但医学从来就不只是治疗和治愈的问题。亲近，简单地与家人团聚以及在剧烈的痛苦和悲剧中见证，往往意味着比我们可能意识到的要重要得多。在突发事件时，数十名医护人员涌向现场，疯狂触手可及。当希望的奇迹未能发生，心情的落差是巨大的（the contrast between before and after is stark）。医疗团队倾向专科化（scatter），濒死患者的病房也变得安静。家人可能会感到被遗弃。在试图不将我们的价值观强加于他人或许是由于我们自己对死亡和苦难的不适，我们往往回避艰难的对话，并将这些关怀领域留给姑息治疗团队、社会工作者或医院牧师。作为一名住院医师，我对自己置身于一个家庭的痛苦感到尴尬、恐惧和不能胜任（awkward, unqualified and fearful ）。然而，精神关怀、儿童生活和PICU工作人员给予Gabriel家庭的精彩支持表明，团队中的每位成员都能继续提供支持和安慰。准备死亡并不是承认失败，而是一种很好地关爱我们的患者及其亲人的方式。与家人共度这些私密（intimate ）的时刻是我们的基本权利（privilege）。Gabriel的故事告诉我，与其用沉默和空间来满足患者最重要的需求和要求，不如通过理解、同情和分享人性的小的勇敢行为来展示医学之美。

辜负了这个家庭（ failed this family）

遇到了瓶颈（eached its limits）

心情的落差是巨大的（the contrast between before and after is stark）

尴尬、恐惧和不能胜任（awkward, unqualified and fearful ）

私密（intimate ）

基本权利（privilege）

Gabriel的故事告诉我，与其用沉默和空间来满足患者最重要的需求和要求，不如通过理解、同情和分享人性的小的勇敢行为来展示医学之美。这句话啥意思？

几个地方不能确定？请老师指教