UNIT 6 The Making of a Surgeon課文翻譯大學(xué)英語(yǔ)二

UNIT6TheMakingofaSurgeon課文翻譯大學(xué)英語(yǔ)二UNIT6TheMakingofaSurgeon課文翻譯大學(xué)英語(yǔ)二UNIT6TheMakingofaSurgeon課文翻譯大學(xué)英語(yǔ)二資料僅供參考文件編號(hào)：2022年4月UNIT6TheMakingofaSurgeon課文翻譯大學(xué)英語(yǔ)二版本號(hào)：A修改號(hào)：1頁(yè)次：1.0審核：批準(zhǔn):發(fā)布日期：UNIT6TheMakingofaSurgeonAfamoussurgeontellsabouttheimportanceofself-confidencefromhisownexperience.Howdoesadoctorrecognizethepointintimewhenheisfinallya"surgeon"AsmyyearaschiefresidentdrewtoacloseIaskedmyselfthisquestiononmorethanoneoccasion.Theanswer,Iconcluded,wasself-confidence.Whenyoucansaytoyourself,"ThereisnosurgicalpatientIcannottreatcompetently,treatjustaswellasorbetterthananyothersurgeon"-then,andnotuntilthen,youareindeedasurgeon.Iwasnearingthatpoint.Take,forexample,theemergencysituationsthatweencounteredalmosteverynight.ThefirstfewmonthsoftheyearIhaddreadedtheringingofthetelephone.Iknewitmeantanothercriticaldecisiontobemade.Often,afterIhadtoldWaltorLarrywhattodoinaparticularsituation,I'dhavetroublegettingbacktosleep.I'dreviewallthefactsofthecaseand,notinfrequently,wonderifIhadn'tmadeapoordecision.Morethanonceattwoorthreeinthemorning,afterlyingawakeforanhour,I'dgetoutofbed,dressanddrivetothehospitaltoseethepatientmyself.ItwastheonlywayIcouldfindthepeaceofmindIneededtorelax.Now,inthelastmonthofmyresidency,sleepingwasnolongeraproblem.TherewerestillsituationsinwhichIcouldn'tbecertainmydecisionhadbeentherightone,butIhadlearnedtoacceptthisasaconstantproblemforasurgeon,onethatcouldneverbecompletelyresolved-andIcouldlivewithit.So,onceIhadmadeaconsidereddecision,Inolongerdweltonit.Reviewingitwasn'tgoingtohelpandIknewthatwithmyknowledgeandexperience,anydecisionI'dmadewasboundtobeasoundone.Itwasanicefeeling.IntheoperatingroomIwasequallyconfident.IknewIhadtheknowledge,theskill,theexperiencetohandleanysurgicalsituationI'deverencounterinpractice.TherewerenomorebutterfliesinmystomachwhenIopenedupanabdomenorachest.Iknewthatevenifthecasewasoneinwhichitwasimpossibletoanticipatetheprobleminadvance,Icouldhandlewhateverlfound.I'dsweatedthroughmyshareofstabwoundsofthebelly,ofpuncturedlungs,ofcompoundfractures.Ihadsweatedoverthemforfiveyears.Ididn'tneedtosweatanymore.NorwasIafraidofmakingmistakes.IknewthatwhenIwasoutinpracticeIwouldinevitablyerratonetimeoranotherandoperateonsomeonewhodidn'tneedsurgeryorsitonsomeonewhodid.Fiveyearsearlier-evenoneyearearlier-Iwouldn'thavebeenabletolivewithmyselfifIhadhadtotakesoleresponsibilityforamistakeinjudgment.NowIcould.Istilldreadederrors-woulddomybesttoavoidthem--butIknewtheywerepartofasurgeon'slife.IcouldacceptthisfactwithcalmnessbecauseIknewthatifIwasn'tabletoavoidamistake,chanceswerethatnoothersurgeoncouldhave,either.ThisallsoundsconceitedandIguessitis-butasurgeonneedsconceit.Heneedsittoencouragehimintryingmomentswhenhe'sbotheredbythedoubtsanduncertaintiesthatarepartofthepracticeofmedicine.Hehastofeelthathe'sasgoodasandprobablybetterthananyothersurgeonintheworld.Callitconceit-callitself-confidence;whateveritwas,Ihadit.一位著名的外科大夫告訴說(shuō)，在他的經(jīng)歷中自信是重要的。一名外科大夫的成功之道諾蘭博士一名醫(yī)生是怎樣看待他成為一名外科大夫那一刻的？當(dāng)我做為一名住院醫(yī)生的歲月即將結(jié)束時(shí)我不止一次地這樣問(wèn)自己。這個(gè)答案，我判斷，是自信。當(dāng)你能對(duì)自己說(shuō)，"沒(méi)有外科病人我不能熟練治療，就像其他外科大夫治療的一樣好甚至比他們還要好"——那么，一直到這時(shí)候，你才確實(shí)是一名外科大夫。我正在期待著這一刻。例如，我們幾乎每天夜晚都要遇到緊急狀態(tài)。這一年開(kāi)頭的幾個(gè)月我害怕電話鈴聲響起。我知道它意味著另一次批評(píng)的機(jī)會(huì)被制造。經(jīng)常，當(dāng)我告訴瓦特或勞瑞在一個(gè)特殊的情形下做什么之后，我很難再入睡了。我回想這件事的全部事實(shí)，不是少有的，想知道我是否已經(jīng)做了一個(gè)糟糕的決定。不止一次在凌晨2點(diǎn)至3點(diǎn)，我醒著躺在床上一個(gè)小時(shí)，就起床，穿上衣服并驅(qū)車(chē)到醫(yī)院看望我的病人。這是我能夠找到的讓心靈平靜并松馳下來(lái)的惟一途徑。現(xiàn)在，在我的住院實(shí)習(xí)的最后一個(gè)月，睡覺(jué)不再是一個(gè)問(wèn)題。依然有我不能確定我的決定是否正確的情形，但我已經(jīng)了解到一名外科大夫存在的經(jīng)常的問(wèn)題，他從來(lái)不能夠完全能解決——并且我能夠與它同在。于是，我做出了一個(gè)深思熟慮的決定，我不再想這事?；叵雽⑹菬o(wú)助的并且我知道憑我的知識(shí)與能力，我所做出的決定是正確的。這是一種很不錯(cuò)的感覺(jué)。在手術(shù)室里，我通常是自信的。我知道我有知識(shí)、技術(shù)，和在以往實(shí)踐中遭遇到的緊急情形的把握能力。沒(méi)有更多的緊張當(dāng)我切開(kāi)一個(gè)腹部或一個(gè)胸腔時(shí)。我知道即使這個(gè)病例不能夠預(yù)見(jiàn)前進(jìn)中的問(wèn)題，但我能夠把握住我發(fā)現(xiàn)的什么。我出的汗流過(guò)戳傷的肺、刺穿的胃和粉碎性骨折的我的部分。我已經(jīng)流汗淌過(guò)這些部位有5年了。我不需要出更多的汗?，F(xiàn)在我也不害怕出錯(cuò)。當(dāng)我結(jié)束實(shí)習(xí)期后我知道自己不可避免地要出一次又一次錯(cuò)，并且為不需要做手術(shù)的人做了手術(shù)或者忽視了某人的這種情形。5年前——甚至一年前——我還不能夠單