-
It`s this damned belly that gives a man his worst troubles.
-
这该死的肚子给我们带来多少麻烦！
-
--- Homer
编者注：是啊，每天有多少医生在诊室里为这「区区小肚」绞尽脑汁啊！
-
Pains occurring about the stomach, the more superficial they are, the more slight are they; and the less superficial, the more severe.
-
腹痛时，疼痛越浅表，病情越轻，反之，越深则问题越严重。
-
--- Hippocrates
-
Never give up in acute disease.
-
面对急症，不要轻言放弃。
-
--- Mark. M. Ravitch, 1910--1989
编者注：疾病的诊断与观察应该是多维的，密切关注病情随「时间轴」的变化而发生的变化,对急腹症的诊断和治疗都特别重要。
因此，在强调「不要轻易放弃急症患者」的前提下，由同一医生「连续照料病人」尤为重要，因为只有同一医生才可能对同一病人的一些主观感觉的动态变化做出更为细微的判断，譬如病人的神情、腹壁抵抗的张力、肢体末梢皮肤温度、弹性的变化等等，这些对病情的准确判断都有着很重要的作用。
-
How to advance rapidly in a modern surgical academic career? Publish more about less.
-
现代外科学术生涯中, 尽快出人头地的秘诀是多发表你在某一不大的领域持续深入研究的见解。
-
--- Moshe Schein
编者注：一个外科医生一辈子做精一点就足够牛的了。
-
Unless professor of surgery are actually surgeons, the whole structure of American surgery is threatened with collapse.
-
除非外科教授是真正的外科医生，否则美国外科的整体架构将有坍塌的危险。
-
---J Engelbert Dunphy
编者注：远离临床的外科学是无本之木，无源之水。
-
There is a lot of room at the top of the profession, but it is a long, hard climb, and there is no elevator running above the lower elevators. Some people wait for life for an elevator to start, or take an attractive lift that only goes part of the way. Others sit down and complain and abuse all who toiled up the stairs. Many things come to him who waits, but seldom the thing he waits for.
-
职业生涯的顶端有很多空间，但需要一个长而艰难的爬升，低层电梯之上再没有直升梯可上去。一些人一辈子都在等直升梯启动，或者取道那个极具诱惑但只能抵达有限高度的电梯。还有些人干脆坐在那抱怨和谩骂那些奋力往上爬楼梯的人。许多事情会降临到等待着的那个人身上，但极少能得到他所期待的。
-
---J Chalmers Da Costa
-
There is an inverse relationship between a surgeon`s ability and the frequency he asks for more muscle relaxant.
-
外科医生的能力和他要求增加肌松剂的频度成反比。
-
---佚名
-
Fifteen minutes spent preoperatively with a patient is worth 15 mg of morphine as premedicant.
-
术前和病人多聊 15 分钟不亚于 15 毫克的吗啡用药。
-
--- Stephen J Prevoznik
编者注：人什么时候最孤独？最感到恐怖？……陌生环境陌生人、无法预知的风险、清醒且有时间思考。
病人从被推进手术室到麻醉诱导开始这段时间这三个要素全具备了……已混熟的主诊医生（手术医生）还没进来，刚刚握别了至爱亲朋，被推进了有几分肃杀气的诺大的手术间，交给了一个完全陌生的麻醉师和几个陌生的护士，这与噩梦中突然坠落到一个黑咕隆咚冷风嗖嗖的深渊有区别吗？
此刻站立在患者头侧的伟大的麻醉师的一举一动，一言一行都无不牵动着患者无比脆弱的心，无比紧张的神经，此刻的每一个抚摸，每一点的关怀都是患者巨大的依靠和安慰，所以此时麻醉师与病人多聊 15 分钟岂止 15 mg 吗啡能比拟？
-
It is usually a bad sign if the anesthesiologist is asking you if you are losing a lot of blood during a case especially when you`re not.
It is usually a bad sign if there are three or more anesthesiologists in the operating room at the same time and none of them is reading the newspaper.
-
通常，大事不妙的两个手术室场景是：麻醉师问你手术是否正在大出血。
而实际并无大出血；好几个麻醉师聚在一个手术间不停地忙碌着。
-
--- Michael Hoffman
-
No amount of post-operative antibiotics can compensate for intre-operative mishaps and faulty technique, or can abort post-operative suppuration necessitating drainage.
-
术后抗生素既不能弥补手术的瑕疵和失误，也无法中止应该通过引流来解决的术后化脓。
-
--- Moshe Schein