好书推荐CountingBackwardsbyHenryJayPzybylo,MD

好书推荐CountingBackwardsbyHenryJayPzybylo,MD
Counting Backwards:
A Doctor’s Notes on Anesthesia
Przybylo博士在书中分享了他在麻醉学科临床执业30年以来的轶事。

在书中，他写道“Luck is for sports and betting. Mine is a world of skill.”
" I AM AN ANESTHESIOLOGIST. I ERASE CONSCIOUSNESS, deny memories, steal time, immobilize the body; I alter heart rate, blood pressure, and breathing. And then I reverse these effects. I eliminate pain during a procedure, and prevent it afterwards. I care for sick people and I have saved lives, but it’s rare that I’m the actual healer. As an anesthesiologist, I do nearly all of my hands-on work behind automatic double doors, sequestered, allowing surgeons to cut, gastroenterologists to probe, cardiologists to stick. The patients I care for place their faith in me, but we’ve usually been introduced only a few minutes
before, and they rarely remember my name after their surgery or procedure is completed.
我是一名麻醉医生。

我消除病患的意识，让他失去记忆，偷走那段时间，让他的身体动弹不得；我调控他的心率，血压和呼吸。

再将其逆转。

我消除手术时的疼痛，且预防术后疼痛的产生。

我关心病患，拯救生命，但我往往不是那个真正治愈他们的人。

作为一名麻醉医生，我几乎是在那双层自动移门后面完成了所有实际工作，仿佛与世隔绝，配合外科医生动刀，胃肠科医生探查，心脏病专家穿刺。

我关心的病患信任我，但我们经常是几分钟前才互相认识，手术或操作结束后他们几乎不会记得我的名字。

“ I put people into a coma, and the medications I administer cause paralysis. Yet only a handful of times each year do patients or family members ask how anesthesia actually works. The truth is there is much about anesthesia that even modern science can’t yet explain. But I know, as sure as the sun rises in the morning, that when I add a gas to the inhaled breaths, loss of consciousness follows; and when I remove the gas, awareness returns. This is a harrowing responsibility, and one I never take for granted.
我让人们进入昏睡状态，注射的药物使人麻痹。

然而，一年到头对麻醉的作用机理好奇的病患或家属少之又少。

实际上，关于麻醉，仍有太多现代科学无法解释的谜题。

但我却像确信清晨太阳会升起一样确信，让病患吸入麻醉气体，他们的意识就会消失；清除麻醉药，他们就会苏醒。

我从不把这种让人苦恼的责任当做是理所当然。

“ Forty million people in the United States undergo anesthesia every year. It is the most frequently performed medical procedure that entails risk to the patient. The anesthesiologist is ubiquitous but largely invisible. Before the slash of the scalpel, the insensibility to pain is taken for granted. More people, up to a hundred million per year, seek relief from
pain, both acute and chronic. Pain is the most common human health issue.
在美国，每年有四千万人经历着麻醉。

患者需要同时承担这种常见医疗行为伴随的风险。

麻醉医生无处不在却总被忽视。

谴责手术刀之前，漠视疼痛似乎是想当然的。

更多的人，甚至每年达百万之多，希望摆脱急、慢性疼痛的折磨。

疼痛是最常见的人类健康问题。

“ As an anesthesiologist of more than thirty years’ experience, working in a come-one-come-all practice within a large university health care system, I have administered anesthesia more than thirty thousand times during my career. T o newborn babies, to kids, to adults in the prime of life, to centenarians. To patients dealing with the most benign conditions (removing a skin mole or placing infection-clearing tubes in eardrums) and to those facing potentially fatal ones (clipping a cerebral artery aneurysm). I specialize in pediatric anesthesiology, caring for about a thousand children in an average year—from one-and-a-half-pound micropreemies with skin so new that the tissues and bones beneath are clearly visible, to massively obese teenagers.
作为一名有超过30年临床经验的麻醉医生，在一个“一个来，大家都来”的大型综合大学医疗保健系统的诊所工作，我的职业生涯中之至少实施过三万例麻醉。

从新生儿，儿童，到青壮年，甚至百岁老人。

从最良性病症的患者（去除皮肤上的痣，鼓膜上放置无菌管），到那些面对潜在致命疾患的人（夹闭脑动脉瘤）。

我专长儿科麻醉，平均每年照顾千名儿童——从只有体重1.5磅、皮肤下的组织和骨骼都清晰可见的早产儿，到严重超重的青少年。

Anesthesiologists don’t keep regular hours; our care and expertise are called upon at all times, from midday elective colonoscopies to middle-of-the-night emergency trauma. There’s always an on-call anesthesiologist ready to respond.
Day in, day out, most of the waking hours of my life are spent in that cloistered place behind the automatic double doors.
麻醉医生作息并不规律，从正午的择期结肠镜检查，到午夜的创伤急诊，我们随时准备提供关爱和专业技术。

总有随时待命的麻醉医生。

日复一日，我生命中多数的复苏时刻都在那与世无争的自动双层移门后度过。

”
“心电图之父” 诺贝尔生理学/医学奖获得者 Williem Einthoven 威廉-艾恩芬托
Andersen, "the sun of children's literature in the world"
医学术语9.Elsevier Medical Terminology for Practicing Nurse。