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【一起练翻译-1】医生越来越冷漠,但这是他们的错吗?(节选)

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译者:coco_chocolat 原文作者:David Scales
发布:2016-08-23 14:34:52 挑错

医生越来越冷漠,但这是他们的错吗?(节选)

“我不喜欢吃药。”何南铎(化名)听到我为他的拇指痛推荐了一剂强效的布洛芬后,这么回应了我,那天我所工作的初级诊所里工作比平时更忙碌。 我不是他的常规医生,所以他试着向我解释他更喜欢自然疗法,而不是用合成药。这不难办,我想。但紧接着他说:“我也不想戴手环。”而手环是他的腱炎治疗里重要的一环。

这次问诊并没有朝着我所希望的方向发展。那天我忙得不可开交,比原定时间晚了四十分钟,努力想要赶上进度。但是跟何南铎的问诊花去了许多时间,不仅要应付他的诊疗偏好,还得对付那厚重的电子记录系统好为他开工作上的病假条。到那个点上,我甚至比看诊前承受着更大的压力,沮丧也显而易见。我看得出他也并不满意。深感羞愧的我赶着看下一位病人,心想:“刚才真不顺利。”

与何南铎一样,大部分人想要一位能与他们共情的医生:他既能开药,也能倾听并明白他的病人。但现在人们能合理地抱怨,如今诊所和医院的医生似乎越来越缺乏共情心。研究者们发现医学院学生的共情能力随着医学教育的进程下降,医学杂志也哀叹医生们越来越冷漠。大部分研究致力于搞清楚并解决“共情缺口”的问题,将关键指向于针对医生个体的训练,但是若医生的工作环境不发生改变的话,这一切都徒劳无功。

问题的关键在于医学上的共情要求执业医生们做到真正的感同身受。医生必须有足够的探奇心,使之能完全地,从情感上设身感受到病人的处境,想法和感受,并将他的理解通过交流反馈给病人。

不时的,共情的影响似乎比生理上的影响更有魔力。当共情指数高时,普通感冒患者能更快痊愈,糖尿病患者能更好地控制血糖,患者能更严格遵循治疗方法,病人对抗击疾病有更大的信心。有良好共情能力的医生享有更好的个人福利,也更少被起诉。

就算搞懂了共情,共情的激发却复杂不易。新的研究表明,冥想和交心可以提高医生的共情,由此也涌现了大量的训练课程。然而人们却忽视了医生工作环境的严重缺陷,而正是这吞噬了医生的共情力。


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稍许发表于:2016-09-13 07:29:25

“我不喜欢吃药。”何南铎(化名)听到我为他的拇指痛推荐了一剂强效的布洛芬后,这么回应了我,那天我所工作的初级诊所里工作比平时更忙碌。 我不是他的常规医生,所以他试着向我解释他更喜欢自然疗法,而不是用合成药。这不难办,我想。但紧接着他说:“我也不想戴手环。”而手环是他的腱炎治疗里重要的一环。 "I don't like popping pills。” Nanduo Ho responded to my recommendation of the extra-strength Ibuprofen for the pain in his thumb. It was much busier that day for a general clinic where I worked. I was not his regular doctor, so that he tried to explain to me that he preferred natural medicine to synthetic medications. "It doesn't sound complicated." I thought. He continued,"I don't want to wear wrist splints, either" while immobilizing the wrist in a splint is vital in treating carpal tunnel syndrome."

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similingeyes发表于:2016-09-22 20:30:05

医生们变得少有同情心,这是他们的错吗?
Doctors become less empathetic ,but is it their fault?
"我不喜欢吃药!”Hernando(并非实名)告诉我,当我给他开了一份重剂量的布洛芬来缓解他指头的疼痛时,那天是我工作的小诊所异常忙碌的一天。我并不是他一直再看的医生,所以他解释说他宁愿选择自然治疗而不是通过药物在解决。我想我们可以解决这个问题。但是他却说:“我也不太喜欢带着绷带”,而绷带是治愈他腱鞘炎最关键的治疗方式。
Hernando (false name)told me :"I do not like take medicines !",when I gave him a  heavy dose of ibuprofen to release his headache ,which is an extraordinary busy day in my small clinic .I am not his regular doctor, so he explained that he would rather chose natural treatment than medicine. I thought we could fix this problem together ,but he said :"And I do not like bandages ".but bandages is the key therapy to heal his tendosynovitis .
这次诊疗并没有沿着我希望的方式进行。我很着急并且比计划拖延了40分钟,我希望能赶上。但是我对Hernando的治疗方式与他自己的喜好达到统一,当他需要一份休假证明时我还得同笨重的电子记录系统做斗争,所有这些都需要时间。在那种时刻,我比诊疗之间更有压力并且显得很沮丧,我发现他也很不高兴。惭愧的说,我很着急看我的下个病人,心想“事情并不顺利”
This treatment turned out to be out of my way . I was so nervious and put things off behind my planning, hoping to catch up .I had to balance between the style of his treatment and his own likes ,and I also had to fight with the heavy and dumpy electronic record system when he need a certificate of sick leave .All those needed time , It seemed obvious that I was far more depressed than during the treatment at that moment .I found he was not happy either .It was a shame to say that I hoped to deal with the next patient with the feeling of things went tough .
就像Hernando一样,大多数人需要更有同情心的医生,一个既能开处方,由懂得倾听和理解你的医生。然而事实上病人却经常抱怨来自诊所和医院的医生看上去很少有同情心。调查者发现在医学教育中医学生的同情分下降,并且医学杂志在为医生同情心的下降而悲恸。好多研究希望通过训练独立的医生来了解并且解决“同情心门”,但是如果工作环境保持不变的化这项研究注定会失败。
Most people ,like Hernando, need a doctor with more sympathy ,who can both give a prescription and be willing to listen and understand you .While on the contrary , patients usually complain that  their doctors seem to be less sympathetic in their clinic or hospital .The researchers  found that there is a decline of sympathy among medical science education  students , and the medical magazines express their mourn for it .A large quality of studies had been made ,hoping to cope with sympathy scandal through individual training ,which would be doomed to failure if their working condition remain the same level .
答案就在临床移情本身,这需要执业医生能正确的出现。医学专家需要本能的从情感上对病人的现状、前景及感觉保持关心,然后同病人交流这些感觉。
The answer lies in clinical transference , which need the doctor to show up at the right time .Medical speciallists need naturally  show their care for patients' current condition, prospect and their feeling from emotional and exchange this feeling with them .
好多次,移情的影响看上去比生物学更有魔力。当移情的分数较高时,那些的普通感冒的人更快康复,糖尿病患者能更好的控制血糖,人们更容易坚持遵照遗嘱,病人感觉能控制住他们的病情。有同理心的医生更能得到较高的个人评价且较少被投诉。
Many times, the influence of physical empathy looks more appealing than biology. The higher score of it , the quicker recovery of ordinary sick patients . Meanwhile, the doctors with empathy will more likely get high reputation and less complains .  
如果同理心的效果很明确,宣扬它的方式就会变得五花八门。新的研究表明冥想和“意念治疗”可以提高医生的同理心,催生了一项有利可图的商机:训练课程。然而这种偏见掩盖了工作环境的明显不足,而这样的工作环境阻碍了医生本有的对人们的同理心。
As the empathy is of positive effect ,there will be various methods  to publicize it .A new research suggested that meditation and mental remedy can enhance the empathy among doctors , creating a business opportunities of profitability :training courses . To our disappointment ,this kind of prejudice covers the inefficiency of working environment which in itself obstacle doctors aboriginal empathy to others .




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