The step is painful, gut wrenching and overwhelming for all of these patients.
这一步十分痛苦，压倒一切地令所有病人都痛彻心扉。
It was this plea that moved the video from being just a game parody but a manifesto for freedom with gut wrenching emotional impact.
正是这一请求，使得这部视频不再仅仅是一部游戏恶搞作品，而是一个富有勇气的自由宣言，能够引发情感效应。
Going to court can be an expensive, time-consuming, and gut-wrenching experience that is best avoided.
上法庭会是种费钱，费时间，并带来精神痛苦的经历，最好能加以避免。
It's their first statement since their ordeal, and although they leave out many details, it's still gut-wrenching.
这是她们经历牢狱之苦后的首份声明，虽然她们隐藏了很多细节，但是这此经历依旧是揪心的痛。
I don't know where it came from... but its just this gut-wrenching fear of slipping up and doing something horrible.
我不知道这种感觉哪里来的……但这就是种令人伤脑筋的担心，担心出差错和做出什么可怕的事来。
This must have been a gut-wrenching experience, and I suspect it was often sung with tears.
这一定是柔肠百转的经历，我怀疑这经常是伴着泪水唱出来的。
But the Numbers mask what was at times gut-wrenching for investors.
这些数字掩盖了投资者为之担忧的情况。
Such was the case with Diane, who said the six years leading up to Lina's living as a woman were gut-wrenching.
戴安的例子就是这样，她说莉娜作为一个女人生活前的六年是极为痛苦的。
I've got three words for you: Gut-wrenching death scene.
我只有三个词：痛苦的死亡场景。
He's been on that magazine's cover an astounding 19 times. But even for a guy with a perfect six-pack like him, life sometimes can be gut-wrenching.
他居然令人羡慕地地占据了杂志封面19次，但是就是像他这样近乎完美的人，生活中也会有撕心裂肺的痛苦时候。
Your story: Many companies have interesting — and even gut-wrenching — histories.
—你的故事：许多公司都非常关注——甚至喜欢挖掘——你公司的历史。
Three weeks later, it happened again: a gut-wrenching dropoff left me overcome with sadness.
三个星期后，又发生了这种事儿：一次虐心的落差让我十分悲伤。
And it turns out we're all to blame for this gut-wrenching fact: 30% of all food produced in the world each year is wasted or lost.
而且结果是我们都要指责让无法接受的事实：每年世界上生产出来的粮食30%被浪费或丢弃了。
And that forces too many parents to make the gut-wrenching choice between a paycheck and a sick kid at home.
想想吧，这迫使太多父母在工资和生病的孩子之间作出艰难选择。
Sure, seeing you cry over a vaccination shot, being punished or getting dumped can be emotionally gut-wrenching for your mom, but will it hurt her more than it hurts you?
当你接种疫苗而哭泣时，当你被处罚或被甩时，你的母亲会感到很揪心，可是这对她的伤害难道比对你更大？
Sure, seeing you cry over a vaccination shot, being punished or getting dumped can be emotionally gut-wrenching for your mom, but will it hurt her more than it hurts you?
当你接种疫苗而哭泣时，当你被处罚或被甩时，你的母亲会感到很揪心，可是这对她的伤害难道比对你更大？
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