手术速度
1.Michael Hobsley used to say, before starting a parotidectomy, "take the clock down, nurse, and put a calendar up."
【译文】迈克尔·霍布斯利在他开始做腮腺切除术前常说：“护士，取下壁钟，换本日历挂上。”
【点评】是讽刺这位前辈做手术太慢，还是赞扬他不计较手术速度的良好心态呢？
2.In the long pace of days and weeks and the long years of human life with remembrance of things past and apprehension of things to come, it is hard to remember that in preserving human life there are occasions when seconds count,minutes are too long.
—— Francis D.Moore, 1913——2001
【译文】在日复一日、年复一年的漫漫人生岁月中，人们难忘过去、心忧未来，我们却很难记住在拯救生命时，那些以分计嫌长，只能以秒计的场景。
3.Every case takes as long as it takes and is the only case in the whole world while it is going on.
—— Bob Crochelt
【译文】每台手术，该做多久做多久，应将正在进行的这台手术视作这世界上的唯一病例。
4.The physician can do all he has to do with speed and precision, but he must never appear to be in a hurry, and never absent-minded.
—— Theodor Billroth, 1829——1894
【译文】医生能迅速而精准地做他必须做的一切，但一定不要显得匆忙，也绝不能心不在焉。
【点评】这种井然有序、忙而不乱的工作状态应成为每位外科医生的基本素养。
5.Surgeons who take unnecessary risks and operate by the clock are exciting from the onlooker’s standpoint, but they are not necessarily those in whose hands you would by preference choose to place yourself.
—— Theodor Kocher, 1841——1917
【译文】从旁观者的角度来看，那些冒着不必要的风险，掐着计时器做手术的外科医生虽然令人兴奋，但他们并不一定是那些你愿意选择把自己交给他做手术的人。
6.There is no need ...to be rash or daring, but let them be foresighted, gentle and circumspect, in order that with the greatest deliberateness and gentleness they may operate under all circumstances with what gentleness they can.
—— William Stewart Halsted, 1852——1922
【译文】为了让他们在任何情况下都能尽可能地保持一种平和心态，深思熟虑、从容不迫地去完成手术，所需要的不是鲁莽或大胆，而是让他们有先见之明、轻柔与谨慎。
7.The worship of efficiency is the destruction of individualism ...to destroy individualism is in the long run to destroy civilization.A nation devoted purely to efficiency is a nation of brutes bent on savagery.
—— J.Chalmers Da Costa, 1863——1933
【译文】对效率的膜拜是对个人主义的践踏……从长远来看，践踏个人主义就是践踏文明。一个纯粹追求效率的民族是一个走不出蛮荒的野蛮民族。
【点评】实际上这是德国社会学家马克斯·韦伯（Maximilian Karl Emil Weber，1864——1920）有关“价值理性与工具理性”的概念。“工具理性”就是指行动只由追求功利的动机所驱动，行动借助理性达到自己需要的预期目的，行动者纯粹从效益最大化的角度考虑，而漠视人的感情和精神价值。简言之，就是极端的资本利益最大化。
8.Observers no longer expect to be thrilled in an operating room; the spectacular public performances of the past, no longer condoned, are replaced by the quiet, rather tedious procedures, which few beyond the operator, his assistants,and the immediate bystander can profitably see.The patient on the table, like the passenger in a car, runs greater risks if he has a loquacious driver, or one who takes close corners, exceeds the speed limit, or rides to admiration.
—— Harvey Williams Cushing, 1869——1939
【译文】观摩者不再指望在手术室里激动不已，过去引人入胜的公开表演不再被纵容，取而代之的是安静的、相当乏味的操作，除了手术者、他的助手和现场旁观者以外，几乎没有人能从观摩中受益。躺在手术台上的患者就像坐在车里的乘客一样，假如当司机的外科医生是一个饶舌、爱抄近路、超速或开着车看风景的人，这将蕴藏着更大的风险。
【点评】手术台上的特殊工作状态和环境其实是不合适实时直播的。印象中，历史上关于外科医生公开表演手术之类的事是有颇多争议的。但如今却大有卷土重来之势。
9.Speed in operating should be the achievement, not the aim, of every surgeon.
—— Russell John Howard, 1875——1942
【译文】手术速度应是每名外科医生的成就，而不是目标。
10.Waste of time must be avoided, but very often, when a difficulty is encountered, the time lost by a pause to appraise the situation is compensated by a job better done afterwards.
—— William Heneage Ogilvie, 1887——1971
【译文】必须避免浪费时间，但每每遇到困难时，暂停下来进行必要的评估所消耗的时间通常能由事后更好的工作来补偿。
【点评】磨刀不误砍柴工。
11.Every surgeon has his own normal speed, and to hurry is likely to produce deterioration in the quality of his work.
—— Charles F.M.Saint, 1886——1973
【译文】每名外科医生都有自己的正常手术速度，赶时间只会牺牲其工作质量。
【点评】欲速则不达。(https://www.daowen.com)
12．Despacio voy, porque de prisa estoy.Slowly I go because I am in a hurry.
—— Eric Olivero
【译文】正因为我赶时间，所以我才慢慢走。
【注】由西班牙语翻译过来的英语格言。
13.When in a hurry-slow down.
【译文】越是匆忙越要慢慢来。
14.Speed is nothing but economy of movements.
【译文】速度就是节省（不必要的）动作，仅此而已。
15.Fast surgeons do not hurry, they save time by not wasting motions.
As the Italians say: "chi va piano va lontano"——the one who walks slowly walks far.
【译文】“快手”外科医生并不匆忙，省时是因为他们没有废动作。正如意大利人所说：“chi va piano va lontano”—— “走得慢的人会走得远。”
16.Hurry we have to finish the operation before he dies.
【译文】快点，我们必须抢在患者死亡之前完成手术。
【点评】听起来有些荒唐，但绝非无中生有。
17.Operate in haste-repent in leisure.
—— Phil Caropreso
【译文】 匆忙赶工——闲下来时必定后悔。
【点评】 应该由“Act In Haste, Repent At Leisure（匆忙行事闲来悔）”这句话衍生而来。
18.To get good and fast, first you must get good; afterward you will get fast.If you get good, you will never really need to get fast, but if you are fast and not really good, it's really bad.Nuff said.
—— Tom Horan
【译文】要想又快又好，首先你必须求好，然后你才会做得快。如果你做到了好，实际上，你绝无必要再去追求快；但如果你只是做到了快而实际并不好，那就真糟糕了。好啦，说得够多的了！
19.Prolonged operation ...is due to lack of anatomical knowledge, making the operator fearful to do long arm strokes and sharp dissection so indispensable to clean and rapid operating.
—— Arthur E.Hertzler, 1870——1946
【译文】手术时间的冗长……是因为术者缺乏必要的解剖学知识，不敢做“长臂划水”和锐性解剖，而这恰恰是干净利索的手术操作所不可缺少的。
20.One time Dr.John Homans (1836——1903), Associate Professor at Harvard and author of Homans' Surgery, is said to have passed through Cheever's(David Cheever, 1831——1915) operating room at 8:30 as Cheever was starting a mastectomy.At noon, as Homans passed by again on his way to lunch, he told Cheever, "Hurry up, David, or it will metastasize."
—— George Crile, Ir, 1907——1999
【译文】据说有一次，哈佛大学副教授，《霍曼斯外科学》的作者约翰·霍曼斯医生（1836——1903）上午8:30路过手术室时，大卫·切弗（1831——1915）正开始做乳房切除术。正午，霍曼斯去吃午饭的途中再次经过时，他对切弗叫道：“快点，大卫，要不（肿瘤）都转移了。”
21.There is no time to think.There is only time to do or let die.
—— William D.Haggard, 1872——1940
【译文】没时间思考了，抓紧时间手术，否则会死人。
22.Any operation takes longer than the surgeon says it will.
—— Clifton K.Meador
【译文】任何一台手术实耗时间都会比外科医生术前吹嘘的要长。
【点评】看来外科医生容易高估自己的能力。
23.Like fishermen or lovers surgeons are rarely honest about their performance——including operative time.To any surgeon estimation on how long it takes him to perform a procedure: double the time, add 10 minutes for each glass of red the night before, subtract 5 minutes for each year of experience of the assistant,and add 12 minutes for each attractive scrub nurse and female anesthetist (male if you are a female surgeon), divide by the personal coefficient of efficiency, and finally add 5 minutes for each hour over 6 of operating time that day.
—— Barry Alexander
【译文】像渔民或情人一样，外科医生很少坦陈其表现——包括手术时间。对于任何一名外科医生而言，做一台手术预估所耗时间是：他自己的预估时间乘以2，手术前晚每多喝一杯红酒加10分钟，助手每多一年的资历减5分钟，每一名靓丽的洗手护士和女麻醉师（如果是女外科医生，则改为男性）加12分钟，除以个人效率系数，最后如果手术当天已完成6小时工作，之后每增加1小时加5分钟。
【点评】外科医生真有那么不靠谱吗？