书籍介绍
一位神经外科医生把自己三十年主刀生涯中的失误与失败和盘托出：因忽视感染迹象致患者瘫痪、实习生剪断神经、两次没能救回十一岁女孩。他不做粉饰，只承认'医生的价值正是用他人生命来衡量的'。真正打动人的，是他对'培养初级医生'体系的尖锐质疑——主治宁愿做一百台手术，也不愿花时间带出一个合格的年轻医生，而技术革新又让年轻外科医生连完整的手术都难有机会亲手完成。这本书最富争议之处，正在于它一面是惊心动魄的开颅现场，一面是对医疗体制与医生成长路径的冷峻反思。它适合那些不满足于'神医叙事'、想看清手术台背后系统性困境的读者；若只期待爽利的故事，或许会觉得它平淡。
作者简介
亨利·马什
全球知名神经外科医生
伦敦圣乔治医学院（英国最古老的公立医学院）高级顾问
英国笔会艾克理传记奖得主
皇家外科学院前研究员
亨利·马什谨守“严禁伤害”信条。行医初期，3个月大的儿子威廉罹患脑瘤。这段“魂不守舍”“极度绝望”“砸碎餐椅”“开车碾死黑猫”的经历，让马什医生明白“焦虑暴躁的患者亲属是所有医生必须背负的负担”。自此以后，他长期遵守这一信条，并言传身教实习医生。
亨利·马什拥有30多年丰富从医经验。他先在伦敦皇家自由医院研习医学。1984年，他担任皇家外科学院的研究员。1987年，马什医生受邀担任圣乔治医学院阿特金森-莫雷医院神经外科高级顾问。
两部获奖纪录片主角原型。《你的生命在他们手中》（Your Life in Their Hands）获得皇家电视学会金奖，《英国医生》(The English Surgeon)获得艾美奖最佳纪录片和上海白玉兰奖最佳纪录片。后者以马什医生每年两前往乌克兰进行定点医疗，为当地患者免费实施脑外科手术的真实经历为蓝本。
他的妻子凯特·福克斯是著名人类学家、作家。关于亨利·马什医生及本书的更多信息请访问：https://henrymarshdonoharm.wordpress.com/
AI导读
核心看点
- 顶尖神外医生坦诚剖析生死抉择与职业困境
- 直面手术失败、医疗失误及内心愧疚的墓地
- 揭露医院管理时弊与医生培训体系的残酷真相
读者共识
- 作者极度坦诚直白，展现了医生脆弱真实的一面
- 虽翻译和结构有瑕疵，但真实力量令人震撼共情
- 读完令人深思生命尊严，感受到忧郁与敬畏并存
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"
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