临床医学专业PS四(中英点评).

2017-07-20 作者： 621阅读

　　Life

　　When a pod of 55 pilot whales recently beached themselves on a stretch of Cape Cod, vacationers and beach-goers came to the rescue. By high tide, they managed to save 46 whales. In explaining his motivation for jumping in to help, one volunteer simply answered, “Life.” The same purpose inspires my ambition to become a physician.

　　Medicine appeals to my deep appreciation for human life, inculcated by studying man as both a human being and biological machine. The decision to practice stems from a perpetual fascination with science combined with this basic love for life. I grew up capturing insects and watching PBS, always questioning the complexities of how the body works. Through academics and medical research, I have begun to answer this question.

　　My passion for knowledge of the inner workings of the human body led to proactive involvement in medical research, enriching my view of medicine as well as nurturing the desire to continue research endeavors throughout my medical career. For the past two years, I have studied the relationship between structural damage and preserved clinical function in multiple sclerosis patients through functional MRI, under the tutelage of Drs. Cranston and Mahoney. Although unsure how these two factors correlate, we hypothesize that a critical period exists when the brain undergoes reorganization. In a concurrent study, I am investigating the role of the pelvic veins in cryptogenic stroke, funded through a grant awarded by the American Heart Association. The objective is to determine, via MRV, whether the pelvic veins are the source of thrombolytic emboli in cryptogenic stroke patients who also harbor a patent foramen ovale. The results of these studies not only will contribute to the advancement of medicine, but may also hold therapeutic benits for those afflicted with such neurological damage.

　　The rewards of medical research lie in its practical application, and there is no better place to observe the miracle of life than in the NICU. Each day, newborns struggle to survive, illustrating the inherent advancements and limitations of medicine. I have witnessed preemies, from 24 weeks of gestation and on, live and die. Exposure to patients revealed that people are much more than collections of cells and organs -- we all share the special gift of life. My role in helping to care for them abounded with both challenge and joy.

　　My first patient, Baby S, arrived nine weeks prematurely and spent the first month of life in the NICU. Due to the presence of an extrachromosomal fragment, he suffered slight mental retardation. His mother, who had the same condition, visited infrequently during his hospital stay. When she did, her visits were bri and inattentive. I grew quite fond of Baby S, often watching him snuggle into the blankets like a small burrito. Although his sky blue eyes moved in a spastic manner, they gave life to his somewhat immobile body. He rarely showed signs of discomfort, whether hungry or needing a change. I tried to give him the extra attention he lacked. At times, he rewarded my forts to interact with a smile; other times, he gave me a dirty diaper.

　　Rlecting on my experiences, I realize that the practice of medicine entails more than remembering and dispensing scientific facts. It requires exercising both mind and heart, along with a genuine respect for life. Baby S and my other NICU patients instilled in me a sense of how precious life is, and I am certain that my current EMT training and planned medical mission to southeast Asia will reaffirm my conviction to improve the lives of others.

　　The career of a physician will allow me to balance an intellectual curiosity with my desire to help those in need. By helping man at his best and his worst, combining a passion for life with the pursuit of scientific knowledge, I can help heal and comfort others. I eagerly anticipate a vocation in which my patients fuel my search for knowledge, and that search embodies reciprocal benits to my patients. When asked why I have chosen a medical career, I can confidently respond, “Life.”

　　点评：

　　这是一篇临床医学生的Essay，从文章的内容以及最后一段的宣言可以看出，作者想要申请的也是临床医学，并且立志当一名医生。

　　1、主题思想：

　　对于一个医生来说，什么是最重要的呢?当然是最生命的重视，并且是发自内心的珍爱。因为作为一名好的医生，最首要的是医德，其次才是医术。文章就是紧紧地抓住了这一点来写的，动之以情，从一开始阐述自己当医生的理由、到后来文章中所提到的在医院的实习经历，都可以看出，作者想要强调的首先是自己对于医学事业的一份热忱和对于生命的高度尊重。试问，这样一份对于医学的赤诚之心，有那位教授不会为之感动呢?

　　2、开场：

　　应该说，文章一开头引用的一个实例是非常好的，因为对于那些被搁浅的鲸的拯救行动，完全是出于一种对于生命的尊重，并且每一个前去救助的人，都是出于自愿的。这样的精神可以说是一名医生的最高道德标准，也是对于立志向要做一名医生的来说最难能可贵的精神。

　　3、中段：

　　文中的一段实习经历，对于一名智力低下的婴儿的照顾，也很好地体现了这样一种精神，那就是对于生命都有一种平等的尊重的态度。

　　总结：

　　从整篇文章来看，作者强调的并非是自己学术上的东西，而最主要的是对医德、对于医生这个职业的理解，这一层面上来重点来描述的，而这样写的好处也就是能打动人心。总的来说，由于医学是一门比较特殊的学科，它结合了科学的谨慎态度与人文的关怀，还需要一份社会责任感，所以在临床医学的Essay总，除了冰冷的学术阐述和探讨，也非常需要有人性的温暖参与其中，这样写出来的效果会好很多。

　　译文：

　　生命的意义

　　前不久，55头巨头鲸在位于科德角的一段海滩上搁浅了，周围正在度假的人们以和行人都纷纷前去解救。在涨潮的帮助下，他们得以解救了46头巨头鲸。别人问起，究竟出于什么动机使得你们去解救这些鲸时，其中一个志愿者简单的回答道：“因为生命”。是的，同样是因为这个原因，使我想要成为一个医生。

　　对于生命的感激让我对医学产生了兴趣，也促使我不仅学习人类的医学也包括生物医学。而这一切都是源于我对于生命的热爱。过去我捕捉昆虫并且观察PBS，总是对于它们复杂的身体构造以及工作方式充满了疑问，通过医学的研究，我开始寻找答案。

　　对于人体内部结构运作方式的热忱，使我全身心地投入了医学研究中，在这期间丰富了我对于医学的眼界，同时也更坚定了想要投身医学从而不断的作相关研究的决心。在过去的两年中，我通过运用MRI，对大量肝硬化病人做了研究，学习了结构损伤以及临床性防御机构，在Cranston 教授以及 Mahoney 教授的指导下，尽管对于这两个因素是如何关联的还不清楚，但目前的猜测是大脑在危急时刻所进行的信息重组。在最近的研究中，我研究了在遭受不明原因的撞击后骨盆腔静脉会有所变化，研究所用的基金是来自美国心脏协会的资助。目的是用来研究，对于遭受过不明撞击并且是卵圆孔未闭的患者来说，是否骨盆腔静脉是造成溶血栓栓赛物的原因。这些研究的结果不仅对于医学进步做出了贡献，并且很大程度上使遭受此类神经性损伤的患者造福。

　　对医学研究最好的回报就是能运用于实践，再也没有比在NICU更好的地方了，因而在这里总能发现生命的奇迹。每一天，都有不少的新生婴儿必须努力挣扎着才得以生存下去，医学既有其进步的一面也有其局限性。我曾经亲眼看到孕育了24周的早产儿，出生然后死亡。也曾经向患者解释道，其实人类只不过是细胞和器官的累积——生命是上天赐与我们的一份特别的礼物。作为我来说，在帮助和照顾这些患者的过程中，既充满了挑战也得到一种满足感。

　　我的第一个病人，是个早产9个星期来到人间的婴儿，叫S。他在出生的第一个月里是在NICU度过的。由于存在染色体的多余片段，他有一些轻微的智力低下。他的母亲，和他有同样的病症因此很少在S住院期间来看望他。每次母亲到来都很短暂和匆忙。而我渐渐开始喜欢上了S，经常去看望他，看他在小小的篮子里努力挣扎着。尽管他天蓝色眼睛的转动和一般人不同，上天赐与他生命却给于他不太灵活的身体。他很少表现出任何的不舒适，比如饥饿或者需要换姿势。有时我会给于他更多的照顾，而他会给我一个微笑作为回报;当然，更多的时候，他给我的是一片脏尿布。

　　回顾我所经历的一切，我意识到医药的实际应用不仅仅对科学原理的熟识以及运用，还有对精神上以及内心的历练，以及对生命发自内心的尊重。婴儿S以及我在NICU的其他病人，让我渐渐明白了生命是多么的珍贵，而我现在也正在进行急诊医师的实习，并且，我打算去东南亚的决定也可以证明我想要救助更多人的这份决心。

　　职业医师的职业让我在对于知识的好奇以及对帮助别人的渴望之间找到一种平衡。在别人最好或最坏的状态下帮助他们，并且抱着对于科学知识探索之情以及对生命的热情，我想我能帮助极抚慰别人的能力。我渴望在与患者的相处的过程中，寻找真理，而在这探索的过程中，同时也反过来造福患者。每当别人问我为什么选择医学作为一生的职业时，我会自信得回答：“因为生命”。