![医生的抉择 - [美]亨利·马什](https://static.book345.com/covers/s/9787220121326.jpg)
书籍介绍
翻开这本书前，大多数人期待看到一位顶级神经外科专家如何施展妙手回春的绝技。马什却反其道而行：他把自己的失败病例摊开给你看——误伤患者神经根、乌克兰落后器材下的冒险、没能救回相识十二年的老友。真正打动人的，正是这种近乎残酷的坦诚：他不回避外科医生的自大与狂妄，也不粉饰
作者简介
亨利·马什拥有30多年的丰富从医经验。他起初在伦敦皇家自由医院研习医学，于1984年担任皇家外科学院的研究员，1987年受邀担任英国古老的公立医学院——圣乔治医学院的神经外科高级顾问。2010年，他被授予大英帝国司令勋章。
马什医生是两部获奖纪录片的主人公：《你的生命在他们手中》获得皇家电视学会金奖，《英国医生》 获得艾美奖纪录片奖。后者以马什医生每年两次前往乌克兰进行定点医疗、为当地患者免费实施神经外科手术的真实经历为蓝本拍摄。
AI导读
核心看点
- 顶级神外医生坦诚记录手术失误与生死抉择
- 颠覆医生完美形象，展现其脆弱与挣扎
- 反思医疗局限，探讨生死、疾病与人性真相
读者共识
- 作者极度坦诚，直面失败令人敬佩
- 文字流畅且充满人性关怀，极具同理心
- 拉近医患距离，让人理解医生也是普通人
精彩摘录
- "主治医生宁愿做100例手术，也不愿培养1名初级医生。如果遇到笨拙的实习生，培养难度可能要再增加100倍了。 每一名医生心中都有一块墓地。 每天都需要在紧急又不确定的情况下，做出生死抉择。 作为神经外科医生，我在从业早期就学会了如何应对紧张与焦虑的情绪，这是每天工作的常态，无论如何都要坚持下去。 外科医生必须要拥有钢铁般坚强的意志、狮子般强大的内心、女人般精巧的双手。（鹰眼、狮心、女人手） 作为一名神经外科医生，患者完全康复、把我们忘却，我们就会有成就感。所有患者都会在手术成功之后立刻对我们表示感激，但是如果这种情绪一直持续下去，那就意味着潜在的疾病还没有被根治，他们担心将来某一天还会需要我们。"
- "As a practical brain surgeon I have alwyas found the philosophy of the so-called 'Mind-Brain Problem' confusing and ultimately a waste of time. It has never seemed a problem ot me, only a source of awe, amazement and profound surprise that my consciousness, my very sense of self, the self which feel"
- "All the skills that I slowly and painfully acquired to become an aneurysm surgeon have been rendered obsolete by technological change. Instead of open surgery, a catheter and wire is passed through a needle in the patient's groin into the femoral artery and fed upwards into the aneurysm by a radiolo"
- "My assistants are all as susceptible to the siren call of aneurysms as I am. They long to operate on them, but the fact that most aneurysms are now coiled rather than clipped means that it is no longer possible to train them properly and I can only give them the simplest and easiest parts of the occ"
- "Doctors like to talk of the 'art and science' of medicine. I have always found this rather pretentious, and prefer to see what I do as a practical craft. Clipping aneurysms is a skill, and one that takes years to learn. Even when the aneurysm is exposed and ready to take a clip, after the thrill of "
- "I left the room. Years ago, I would have stormed off in a rage, demanding that something should be done, but my anger has come to be replaced by fatalistic despair as I have been forced to recognize my complete impotence."
- "The patients and their families become unrealistic and start to think that they can go on being treated forever, that the end will never come, that death can be forever postponed. They cling to life. I told the meeting about a similar problem some years ago of a three-year-old child, an only child f"
- "Dying is rarely easy easy whatever we might wish to think. ... You don't just speak a few meaningful last words to your tearful family and then breathe your last. If you don't die violently, choking or coughing, or in a coma, you must gradually be worn away, the flesh shrivelling off your bones, you"
目录
用户评论
还好没读医
作者是脑外科顶级专家，书中却是非常坦诚地记录着自己的失败病例，对于失败病例的总结，以及医生自己作为患者作为濒临死亡患者家属的思考，构成一本值得推荐的书。
3.5
我承认，我承受不了做医生的压力。
不算医学科普书，属于纪实类，医学中比较偏人文视角的一本书，因为是医生的第一人称，读起来能够带入情绪感受到作为一名神经外科医生日常工作压力与成就感。神经外科手术是手术风险极大的疾病领域，手术失败后果也往往比其他手术失败的结果更严重——瘫痪、脑损伤，这种对一个患者生死决定权近乎是神权的日常工作，对医生来讲也要背负巨大的压力，作者没有把自己放在神位，对自己的失败和恐惧都异常坦诚，本书的意义是，医患关系应该更加“平等”一些，首先，需要认识到医生也是普通人，但就算医生不是神，也需要尊重、信任医生，形成良好的医患协作关系，尽全力面对疾病，面对未知。
科普不足，情绪太多
求书
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