Name: 【TED】Abraham Verghese:醫生的觸診 (Abraham Verghese: A doctor's touch)
Uploaded: 2013-07-25T09:15:34.000Z
Duration: 18 min 33 s

a 40 year-old woman came to an emergency room

Within a few minutes, she went into cardiac collapse.

because they were concerned about blood clots in the lung.

but it showed bilateral, visible, palpable breast masses,

但胸部兩邊，有許多明顯、觸即可知的腫塊

And the real tragedy was, if you look through her records,

真正可悲的是，若你翻閱其病歷表記錄

in four or five other health care institutions

to see the breast masses, touch the breast mass,

甚至也摸的出更早期就出現的胸部腫塊

that if you come to one of our hospitals missing a limb,

如果你斷了一肢手臂或腿來到全美任何一家醫院

no one will believe you till they get a CAT scan, MRI

沒有人會相信你，除非他們做了電腦斷層掃瞄、磁共振造影

I'm a physician practicing with cutting-edge technology.

我是一個以尖端科技執業的醫生

instead of talking to and examining the patient,

that can be diagnosed at a treatable, early stage,

在可療癒的初期階段就能被診斷 --

We're losing a ritual that I believe is transformative, transcendent,

我們正失掉了一種我相信是能改變、能超越的儀式

This may actually be heresy to say this at TED,

在TED大會說這個，也許確實怪異，

and that is the power of the human hand --

I'd like to introduce you first to this person

whose image you may or may not recognize.

他的照片你們也許認得，也許不認得

這是亞瑟‧柯南‧道爾先生( Sir Arthur Conan Doyle)

Since we're in Edinburgh, I'm a big fan of Conan Doyle.

從我們在愛丁堡，我就是個超級柯南‧道爾迷

You might not know that Conan Doyle went to medical school

你們可能不曉得柯南‧道爾進入醫學院

而他筆下的人物夏洛克‧福爾摩斯(Sherlock Holmes)

是以喬瑟夫‧貝爾 (Sir Joseph Bell)為創作靈感

Joseph Bell was an extraordinary teacher by all accounts.

根據各方說法，喬瑟夫‧貝爾是一位超凡出色的老師

So picture Bell sitting in the outpatient department,

patients signing up in the emergency room

and being registered and being brought in.

and Conan Doyle describes the following exchange.

Bell says, "What sort of crossing did you have

貝爾問：「從奔提斯蘭(Burntisland)

And he says, "What did you do with the other child?"

他接著問：「你的另一個小孩呢?」

She says, "I left him with my sister at Leith."

她回答：「我留他在里斯(Leith)我姊姊家。」

"And did you take the shortcut down Inverleith Row

「你走捷徑往印佛里斯(Inverleith Row)

And he says, "Would you still be working at the linoleum factory?"

他接著問：「你仍是在油蠟地板工廠工作嗎?」

And Bell then goes on to explain to the students.

He says, "You see, when she said, 'Good morning,'

他說：「你們瞧，在她說『早安』時

我學起她的Fife(位於蘇格蘭東方)口音

And the nearest ferry crossing from Fife is from Burntisland.

從Fife來最近的渡輪旅程是由奔提斯蘭(Burntisland)

And so she must have taken the ferry over.

你們有注意到她拿著的那件外套

is too small for the child who is with her,

對和她一道來的那孩子而言，太小了

and therefore, she started out the journey with two children,

因此，她開始是和兩個孩童同行

You notice the clay on the soles of her feet.

Such red clay is not found within a hundred miles of Edinburgh,

這樣的紅土在愛丁堡方圓一百英里內看不到

And therefore, she took a short cut down Inverleith Row

由此可知，她走捷徑往印佛里斯(Inverleith Row)

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【TED】Abraham Verghese:醫生的觸診 (Abraham Verghese: A doctor's touch)

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