同 情 心
1.A surgeon leaves his mark on the bodies of his patients, but they plow their marks in the furrows and wrinkles of his brow.
—— Rudolph Matas, 1860——1957
【译文】外科医生在患者身上留下痕迹，患者则在医生额头刻下皱纹。
2.Can you witness without distress the gasping for breath in an organic distress of the heart? If you can, you had better leave the profession: cast your diploma into the fire; you are not worthy to hold it.
—— Jacob M.Da Costa, 1833——1900
【译文】目睹一个心源性呼吸困难的患者，你会毫无痛苦吗？如果可以，你最好离开医生这个职业，一把火烧了你的文凭，你不配拥有它。
【点评】此话看从哪个角度说，面对痛苦与生死，如果忘掉自己医生的角色与普通人和家属一样同悲切，一方面医生身心不堪重负，更重要的是不利于医生保持应有的理智与清醒履行救死扶伤的天职。所以英国著名心脏外科医生斯蒂芬·韦斯塔比（Stephen Westaby）强调：“如果有患者死亡，我们只能接受，不能被影响”。面对苦难，一名称职的医生如何做到既不冷若冰霜，又不能乱了阵脚，这个度的把握需要修炼。
3.Without a love of people, a doctor cannot function effectively for long and can never establish the requisite interpersonal relationships with patients …a genuine affection for patients is essential if one is to absorb ingratitude without anger, weariness without irritability, criticism without rancor.
—— Alexander J.Walt, 1923——1996
【译文】缺乏对人的爱，医生就无法长期有效地履职，也就永远无法与患者建立必要的人际关系……如果你想容忍忘恩负义而无所嗔怒、心身疲惫而不焦躁、 接纳批评而不怨恨，那么对患者的真情实意是必不可少的。
【点评】正所谓“德不近佛者不可为医”。
4.In the performance of our duty one feeling should direct us: the case we should consider as our own, and we should ask ourselves, whether, placed under similar circumstances, we should choose to submit to the pain and danger we are about to inflict.
—— Astley Paston Cooper, 1768——1841
【译文】我们在履职时，应心怀这样一种情感： 视患者为己身，扪心自问，设想在同样的情况下，我们自己是否会选择忍受我们即将带给患者的痛苦和危险。
5.With a novelist, like a surgeon, you have to get a feeling that you've fallen into good hands——someone from whom you can accept the anesthetic with confidence.
—— Saul Bellow
【译文】与小说家在一起就像和外科医生在一起一样，你必须有这样一种感觉，即：确信自己已落入一双好手——在他手上，你可放心接受麻醉。
【点评】信任外科医生比信任作家重要得多。
6.The ability of the old doctor was enhanced because he remained at the patient's bedside until his suffering was relieved even though it required many hours to achieve that end.While so engaged the doctor learned much about the nature of the illness.
—— Arthur E.Hertzler, 1870——1946(https://www.daowen.com)
【译文】之所以老医生的能力得到了加强，是因为他一直守在患者床边，直到患者的痛苦减轻。尽管需要花费很长时间，但医生在忙碌的同时学到了许多关于疾病本质的东西。
【点评】全心全意服务于患者的同时，自身的业务能力得到了提高，这就是临床医生必须坚持“临床”的原因。
7.The individual on whom we operate is more than a physiological mechanism.He thinks.He fears, his body trembles if he lacks the comfort of a sympathetic face.For him nothing will replace the salutary contact with his surgeon, the exchange of looks, the feeling that the doctor has taken charge, with the certainty, at least apparent, of winning.
—— Rene Leriche, 1879——1955
【译文】我们为其手术的机体不仅仅只是生理机制的载体，他会思考、会害怕。如果没有（医生的）同情和安慰，他会瑟瑟发抖。此刻，对他而言无可替代的东西是与外科医生良好的沟通、眼神的交流，以及来自医生那种胜券在握，哪怕是表面上的感觉。
【点评】仁心与仁术缺一不可。
8.No physician, sleepless and worried about a patient, can return to the hospital in the midnight hours without feeling the importance of his faith.The dim corridor is silent, the doors are closed.At the end of the corridor in the glow of the desk lamp, the nurse watches over those who sleep or lie lonely and wait behind closed doors.No physician entering the hospital in these quiet hours can help feeling that the medical institution of which he is part is in essence religious, that it is built on trust, no physician can fail to be proud that he is part of his patient's faith.
—— George Crile, Jr.1907——1992
【译文】如果不是感觉到信念的重要，不会有医生午夜回到医院，不眠不休，为患者担忧。昏暗的走廊里一片寂静，门都关着。长廊尽头，台灯下，护士守候在门外，看着那些孤独躺着或入睡的人们。在这宁静的时刻，作为这家医院的一分子，此刻进入医院的每一位医生都情不自禁地意识到，医院本质上是一家建立在信任之上的宗教机构。能成为患者信赖的一部分，没有哪位医生不为此感到骄傲。
【点评】真希望有一幅巨型油画再现这天使般的医护人员守护生命的动人场景。
9.A good trick is to remind yourself from time to time that family you are talking to could be yours.
—— James Rucinski
【译文】（做一名好医生）有一个不错的诀窍就是反复提醒自己，你正在与之交谈的人可能就是你的家人。
【点评】“视患者如亲人”是对同一个地球上所有医生共同的要求。
10.Physicians are the natural attorneys of the poor and social problems should largely be solved by them.
【译文】医生是穷人的自然辩护人，社会问题在很大程度上应该由他们来解决。
【考注】让我意想不到的是这句话竟然出自德国威名赫赫的病理学家Rudolph Virchow，更让人震惊的是，1848年6月，Virchow曾创办过一份名为《医改（Medical Reform）》的周报，旨在推广社会医学，其第一个口号就是“Physicians are the natural attorneys of the poor”。不幸的是，一年后，迫于政治压力关闭了这个刊物，Virchow被开除公职，流放到政治腹地。
尽管现实中医生不可能是普救众生的施主，但社会和患者总是有意无意之间会对医生有这种天使般的苛求。170年后的今天，美国加州大学尔湾（Irvine）分校的医学院副院长，医学、生物化学、公共卫生和流行病学教授Frank L.Meyskens博士在他的博文“The Physician Is the Natural Attorney of the Poor”: White Coat Conversations.（Frank L.Meyskens, MD@FrankLMeyskens Jan 28, 2015）中写道：如今这一祸患再次周期性地全面复燃，所有社会公平的重要指标都存在严重的不平等和偏见：健康、财富、司法和正义推动了这场祸患的复燃。并进一步呼唤身处这种环境，作为医生这个职业和医学本身应该参与进来为穷人代言，因为它正处于风险之中，治疗和同理心正在成为一种商品。
身处太平洋彼岸的我们正在经历一场新的、更深刻的医疗改革，恐怕我们也不能作壁上观。