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UNIT 6

TEXT

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 surgical 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 dreaded 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 abdomen 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 belly, of punctured 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 inevitably err 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 judgment. 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 conceited and I guess it is - but a surgeon needs conceit. He needs it to encourage him in trying moments when he's bothered by the doubts and uncertainties 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 immediate action 紧急情况；急症encounter

vt. be faced with (difficulties, danger, etc.); meet unexpectedly 遭到；意外地遇见dread

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 pointed 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)

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