You will not find a surgeon operating you quite likable. You find a doctor trying to convince you that you are in a great shape, that you do not need an operation that you will get better by drinking teas, much more amiable. I want people to respect my work, not to like me. My goal is to have the Serbian government evaluated for what it benefited for this country using existing chances and own efforts and potentials, rather than by its smooth talk, paying court to the people and talking about its good intentions.
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"There is a saying about surgeons, meant as a reproof: "Sometimes wrong; never in doubt." But this seemed to me their strength. Each day surgeons are faced with uncertainties. Information is inadequate; the science is ambiguous; one's knowledge and abilities are never perfect. Even with the simplest operation, it cannot be taken for granted that a patient will come through better off - or even alive. Standing at the table my first time, I wondered how the surgeon knew that he would do this patient good, that all the steps would go as planned, that the bleeding would be controlled and infection would not take hold and organs would not be injured. He didn't, of course. But still he cut."
[I]n medicine... ... not manipulation or coercion, is when... as a doctor or... authority, you genuinely believe that this action is in the person's best interests, but they don't... want to do it. ...How do you make that an ethical persuasion? It's based on... two things, first... respecting the autonomy of the individuals, that they can refuse... no matter what, respect their ability to choose... the other thing is your authenticity, your integrity, that... you are doing this on behalf of that individual, for their best interest; not... to keep your clinic numbers up or to stop this person being a nuisance...[etc.]
Later the assistant chief surgeon told people that he had been a surgeon for eleven years, had seen not a few patients die and consequently had become quite cold and indifferent. He was interested only in diseases as such and had no feelings for his patients as people. But what Chiu Tsai-kang had said impressed him deeply. Even after he left the patient's room he thought it over for quite a long while. Here was a man awaiting death who had to clench his teeth to endure the searing pain of his whole body, but who constantly had the nation's steel production on his mind and who wholeheartedly desired to return to his furnace. In the past, he had read of people with such public spirit and unselfish character only in novels. He had regarded them as nothing but ideal, imaginary creations of literary writers. Now he has seen such a hero in the flesh with his own eyes.
You see I am like a surgeon in a hospital; all these [sketches / watercolors] lying around me are my patients, and as I walk about among them I notice those most in need of doctoring. I pick out some sickly looking specimen and say to myself, 'Only wait a moment, and I will find some remedy for you'; some need much medicine, and some even require a severe operation to bring them round. Look at that one in the corner. I believe it is suffering from jaundice, but doubtless I shall find a cure for it.
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Even worse than losing self-confidence, though, is reacting defensively. There are surgeons who will see faults everywhere except in themselves. They have no questions and no fears about their abilities. As a result, they learn nothing from their mistakes and know nothing of their limitations. As one surgeon told me, it is a rare but alarming thing to meet a surgeon without fear. “If you’re not a little afraid when you operate,” he said, “you’re bound to do a patient a grave disservice.
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