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1、UNIT6TheMakingofaSurgeonAfamoussurgeontellsabouttheimportanceofself-confidencefromhisownexperience.Howdoesadoctorrecognizethepointintimewhenheisfinallya"surgeon"?AsmyyearaschiefresidentdrewtoacloseIaskedmyselfthisquestiononmorethanoneoccasion.Theanswer,Iconcluded,wasself-confidence.Wh
2、enyoucansaytoyourself,"ThereisnosurgicalpatientIcannottreatcompetently,treatjustaswellasorbetterthananyothersurgeon"-then,andnotuntilthen,youareindeedasurgeon.Iwasnearingthatpoint.Take,forexample,theemergencysituationsthatweencounteredalmosteverynight.ThefirstfewmonthsoftheyearIhaddre
3、adedtheringingofthetelephone.Iknewitmeantanothercriticaldecisiontobemade.Often,afterIhadtoldWaltorLarrywhattodoinaparticularsituation,I'dhavetroublegettingbacktosleep.I'dreviewallthefactsofthecaseand,notinfrequently,wonderifIhadn'tmadeapoordecision.Morethanonceattwoorthreeinthemorning
4、,afterlyingawakeforanhour,I'dgetoutofbed,dressanddrivetothehospitaltoseethepatientmyself.ItwastheonlywayIcouldfindthepeaceofmindIneededtorelax.Now,inthelastmonthofmyresidency,sleepingwasnolongeraproblem.TherewerestillsituationsinwhichIcouldn'tbecertainmydecisionhadbeentherightone,butI
5、hadlearnedtoacceptthisasaconstantproblemforasurgeon,onethatcouldneverbecompletelyresolved-andIcouldlivewithit.So,onceIhadmadeaconsidereddecision,Inolongerdweltonit.Reviewingitwasn'tgoingtohelpandIknewthatwithmyknowledgeandexperience,anydecisionI'dmadewasboundtobeasoundone.Itwasanicefe
6、eling.IntheoperatingroomIwasequallyconfident.IknewIhadtheknowledge,theskill,theexperiencetohandleanysurgicalsituationI'deverencounterinpractice.TherewerenomorebutterfliesinmystomachwhenIopenedupanabdomenorachest.Iknewthatevenifthecasewasoneinwhichitwasimpossibletoanticipatetheproblemi
7、nadvance,Icouldhandlewhateverlfound.I'dsweatedthroughmyshareofstabwoundsofthebelly,ofpuncturedlungs,ofcompoundfractures.Ihadsweatedoverthemforfiveyears.Ididn'tneedtosweatanymore.NorwasIafraidofmakingmistakes.IknewthatwhenIwasoutinpracticeIwouldinevitablyerratonetimeoranotherandoperate
8、onsom
