He had no longer free energy enough for spontaneous research and speculative thinking, but by the bedside of patients, the direct external calls on his judgment and sympathies brought the added impulse needed to draw him out of himself.

他不再有足够的自由能量来进行自发的研究和推测性思考，但在病人的床边，对他的判断和同情的直接外部呼唤带来了将他从自我中拉出来所需的额外冲动。