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大学英语精读第二册 Unit Six:The Making of a Surgeon

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A famous surgeon tells about the importance of self-confidence from his own experience.

The Making of a Surgeon

How does a doctor recognize the point in time when he is finally a "surgeon"? As my year as chief resident drew to a close I asked myself this question on more than one occasion.
The answer, I concluded, was self-confidence. When you can say to yourself, "There is no surgical1 patient I cannot treat competently, treat just as well as or better than any other surgeon" - then, and not until then, you are indeed a surgeon. I was nearing that point.
Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded3 the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I'd have trouble getting back to sleep. I'd review all the facts of the case and, not infrequently, wonder if I hadn't made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I'd get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.
Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn't be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved - and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn't going to help and I knew that with my knowledge and experience, any decision I'd made was bound to be a sound one. It was a nice feeling.
In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I'd ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen4 or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever l found. I'd sweated through my share of stab wounds of the belly5, of punctured6 lungs, of compound fractures. I had sweated over them for five years. I didn't need to sweat any more.
Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably7 err8 at one time or another and operate on someone who didn't need surgery or sit on someone who did. Five years earlier - even one year earlier - I wouldn't have been able to live with myself if I had had to take sole responsibility for a mistake in judgment9. Now I could. I still dreaded errors - would do my best to avoid them -- but I knew they were part of a surgeon's life. I could accept this fact with calmness because I knew that if I wasn't able to avoid a mistake, chances were that no other surgeon could have, either.
This all sounds conceited11 and I guess it is - but a surgeon needs conceit10. He needs it to encourage him in trying moments when he's bothered by the doubts and uncertainties12 that are part of the practice of medicine. He has to feel that he's as good as and probably better than any other surgeon in the world. Call it conceit - call it self-confidence; whatever it was, I had it.

NEW WORDS

surgeon
n. doctor who performs operations 外科医生
self-confidence
n. 自信心
making
n. means of gaining success 成功之道
resident
n. 住院医生
conclude
vt. arrive at a belief or opinion by reasoning 得出结论
surgical
a. of, by, or for surgery 外科的;手术的
competently
ad. with the necessary skill 称职地;胜任地
competent
a.
near
vt. approach; come closer to
emergency
n. sudden and dangerous happening needing immediate13 action 紧急情况;急症
encounter
vt. be faced with (difficulties, danger, etc.); meet unexpectedly 遭到;意外地遇见
dread2
vt. fear greatly 畏惧
critical
a. important at a time of danger and difficulty 紧要的;关键性的
particular
a. belonging to some one person, thing, or occasion 特定的
case
n. instance of disease or injury 病例
infrequently
ad. seldom; not often
relax
vi. become less tense 放松
relaxation
n.
residency
n. the last stage of a doctor's training at a hospital 高级专科住院实习(期)
constant
a. happening all the time; unchanging 不断的;始终如一的
resolve
vt. solve 解决
resolution
n.
considered
a. carefully thought out 经过深思熟虑的
dwell
vi. live (in a place) 居住
bound
a. very likely; certain 一定的,必然的
sound
a. correct; based on good judgment 正确的,合理的
confident
a. sure of oneself and one's abilities 自然的
confidence
n.
handle
vt. manage, deal with 处理
butterfly
n. 蝴蝶
abdomen
n. belly 腹(部)
anticipate
vt. see beforehand 预期
anticipation
n.
sweat
n. 汗
vi. 流汗
stab
n. thrust made with a pointed14 weapon 刺;戳
belly
n. 肚,腹部
puncture
vt. make a small hole in (sth.) with sth. pointed 刺穿
compound
a. having more than one part 复合的
fracture
n. break in a bone 骨折
compound
n. 复合性骨折
inevitably
ad. unavoidably 不可避免地
inevitable
a.
err
vi. make mistakes; do wrong
operate
vi. perform a surgical operation 动手术
surgery
n. 外科;外科手术
sole
a. unshared; one and only 唯一的
responsibility
n. 责任;责任心
avoid
vt. escape; keep or get away from 避免
conceited
a. having too high an opinion of oneself 自负的
conceit
n. too high an opinion of oneself
trying
a. hard to endure or bear; very difficult 难受的;恼人的
bother
vt. annoy, trouble 烦扰,麻烦
uncertainty
n. uncertain condition; doubt

PHRASES & EXPRESSIONS

draw to a close
come to an end 结束
live with
learn to accept (sth. unpleasant); tolerate 学会;适应;容忍
dwell on
think, write, or speak a lot about 老是想着;详述;强调
(be) bound to (do)
(be) certain to (do) 一定..., 必然...
in practice
(医师,律师等) 在开业中;在实践中
butterflies in the stomach
feelings of nervousness 忐忑不安
open up
cut open 切开,给...开刀
in advance
ahead of time 预先,事前
at one time or another
sometime or other 早晚
sit on
delay taking action on; do nothing about 拖延;搁置

PROPER NAMES

Nolen
诺兰(姓氏)
Walt
沃尔特(男子名 Walter 的昵称)
Larry
拉里(男子 Lawrence 的昵称)


点击收听单词发音收听单词发音  

1 surgical 0hXzV3     
adj.外科的,外科医生的,手术上的
参考例句:
  • He performs the surgical operations at the Red Cross Hospital.他在红十字会医院做外科手术。
  • All surgical instruments must be sterilised before use.所有的外科手术器械在使用之前,必须消毒。
2 dread Ekpz8     
vt.担忧,忧虑;惧怕,不敢;n.担忧,畏惧
参考例句:
  • We all dread to think what will happen if the company closes.我们都不敢去想一旦公司关门我们该怎么办。
  • Her heart was relieved of its blankest dread.她极度恐惧的心理消除了。
3 dreaded XuNzI3     
adj.令人畏惧的;害怕的v.害怕,恐惧,担心( dread的过去式和过去分词)
参考例句:
  • The dreaded moment had finally arrived. 可怕的时刻终于来到了。
  • He dreaded having to spend Christmas in hospital. 他害怕非得在医院过圣诞节不可。 来自《用法词典》
4 abdomen MfXym     
n.腹,下腹(胸部到腿部的部分)
参考例句:
  • How to know to there is ascarid inside abdomen?怎样知道肚子里面有蛔虫?
  • He was anxious about an off-and-on pain the abdomen.他因时隐时现的腹痛而焦虑。
5 belly QyKzLi     
n.肚子,腹部;(像肚子一样)鼓起的部分,膛
参考例句:
  • The boss has a large belly.老板大腹便便。
  • His eyes are bigger than his belly.他眼馋肚饱。
6 punctured 921f9ed30229127d0004d394b2c18311     
v.在(某物)上穿孔( puncture的过去式和过去分词 );刺穿(某物);削弱(某人的傲气、信心等);泄某人的气
参考例句:
  • Some glass on the road punctured my new tyre. 路上的玻璃刺破了我的新轮胎。 来自《简明英汉词典》
  • A nail on the road punctured the tyre. 路上的钉子把车胎戳穿了。 来自《现代汉英综合大词典》
7 inevitably x7axc     
adv.不可避免地;必然发生地
参考例句:
  • In the way you go on,you are inevitably coming apart.照你们这样下去,毫无疑问是会散伙的。
  • Technological changes will inevitably lead to unemployment.技术变革必然会导致失业。
8 err 2izzk     
vi.犯错误,出差错
参考例句:
  • He did not err by a hair's breadth in his calculation.他的计算结果一丝不差。
  • The arrows err not from their aim.箭无虚发。
9 judgment e3xxC     
n.审判;判断力,识别力,看法,意见
参考例句:
  • The chairman flatters himself on his judgment of people.主席自认为他审视人比别人高明。
  • He's a man of excellent judgment.他眼力过人。
10 conceit raVyy     
n.自负,自高自大
参考例句:
  • As conceit makes one lag behind,so modesty helps one make progress.骄傲使人落后,谦虚使人进步。
  • She seems to be eaten up with her own conceit.她仿佛已经被骄傲冲昏了头脑。
11 conceited Cv0zxi     
adj.自负的,骄傲自满的
参考例句:
  • He could not bear that they should be so conceited.他们这样自高自大他受不了。
  • I'm not as conceited as so many people seem to think.我不像很多人认为的那么自负。
12 uncertainties 40ee42d4a978cba8d720415c7afff06a     
无把握( uncertainty的名词复数 ); 不确定; 变化不定; 无把握、不确定的事物
参考例句:
  • One of the uncertainties of military duty is that you never know when you might suddenly get posted away. 任军职不稳定的因素之一是你永远不知道什么时候会突然被派往它处。
  • Uncertainties affecting peace and development are on the rise. 影响和平与发展的不确定因素在增加。 来自汉英非文学 - 十六大报告
13 immediate aapxh     
adj.立即的;直接的,最接近的;紧靠的
参考例句:
  • His immediate neighbours felt it their duty to call.他的近邻认为他们有责任去拜访。
  • We declared ourselves for the immediate convocation of the meeting.我们主张立即召开这个会议。
14 pointed Il8zB4     
adj.尖的,直截了当的
参考例句:
  • He gave me a very sharp pointed pencil.他给我一支削得非常尖的铅笔。
  • She wished to show Mrs.John Dashwood by this pointed invitation to her brother.她想通过对达茨伍德夫人提出直截了当的邀请向她的哥哥表示出来。
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