第十二章 责任心
1.The leaving of an order never cured a patient.
—— Mark M.Ravitch, 1910——1989
【译文】只留下医嘱绝不可能治好患者。
2.Beware the surgeon who is good at getting out of trouble.
—— Mark M.Ravitch, 1910——1989
【译文】小心那个擅长躲避麻烦的外科医生。
3.Other people's life is a serious responsibility， one's own frequently not.Don't get this mixed up.
—— Charles F.M.Saint, 1886——1973
【译文】面对他人的生命是一种严肃的责任，自己的（生命）往往不是，别搞混了。
【点评】这就是一种职业担当。
4.A major difference between responsibility of pilot and surgeon is that the former shares directly in the consequences of his error or neglect, while the latter does not.
—— John S.Lockwood, 1907——1950
【译文】飞行员和外科医生之间的主要区别在于前者直接分担其错误或疏漏带来的后果，后者则不然。
【点评】每当我们想到这一点，每一名外科医生就没有理由不对我们的所作所为负责任。
5.The surgeon, like the captain of the ship or a pilot of an aircraft, is responsible for everything that happened.His word is the only one that cannot be gainsaid.
—— Francis D.Moore, 1913——2001
【译文】外科医生，就像船长或飞行员，要为发生的一切负责。唯有他的话不可违抗。
6.Drinking, whoring, and gambling should not be indulged in by the surgeon,for because of them he may well forget or omit something today concerning the patient which cannot be corrected tomorrow.
—— Wilhelm Fabry von Hilden, 1560——1624(https://www.daowen.com)
【译文】外科医生不可沉溺于酒、色、赌，这些东西足以让你忘记或遗漏一些今天须关注，延至明天则无法弥补的有关患者的事情。
7.One man alone and only one should be in charge of a case ...two men in charge is a surgical duet and like a musical duet is an arrangement by which each one may lay blame on the other.
—— J.Chalmers Da Costa, 1863——1933
【译文】独自一人，也只能一人对病例负责 …… 两个人负责那就成了外科二重奏，就像音乐剧的二重奏一样，容易引发两人相互责怪。
8.The surgeon may in some degree share his responsibilities with others, but the chief responsibility must always lie with him.And being his must be exercised not only during the operation but also before, perhaps long before, and also after,perhaps long after the operation is performed.
—— Berkeley Moynihan, 1865——1936
【译文】某种程度上，外科医生可与他人分担责任，但主要责任必须由他本人承担，他不仅要在手术中行使责任，也许会在术前，甚至术前很久，并且还要在手术后，或许术后很长时间还要承担起这种责任。
9.And he is alone.No matter how many others crowd about the mouth of the wound, no matter their admiration and encouragement, it is he that rappels this crevasse, dangles in this dreadful place, and he is afraid——for he knows well the worth of this belly, that it is priceless and irreplaceable.
—— Richard Selzer
【译文】他独自一人。无论有多少人围着敞开的伤口，无论赞赏和鼓励，他就像一个挂在绳索上的救援人员，在这个可怕的悬崖裂缝中晃来晃去，他害怕——因为他很清楚这个肚子的价值，是无价之宝、无可替代。
【点评】把外科医生在手术中所面临的孤独和压力描写得惟妙惟肖！
10.Everybody's business is nobody's business.
【译文】人人负责，等于没人负责。
11.Believe nobody, question everything.
【译文】不要相信任何人，质疑每一件事。
12.Surgery is done by a committee of one.
【译文】手术由只有一个人组成的委员会完成。
【点评】工作由团队相互协作完成，但主要责任在核心人物，这一工作特点在外科表现得尤为突出。