英雄主義。
外科醫師多多少少都會有些個人英雄主義，在手術檯上不可一世，憑著自己的技術起死回生。可惜英雄主義是一回事，一條生命的挽回，往往是許多人許多事共同組合起來的結果。
有個大量內出血的病人，腹腔內失血7000cc.，一位英勇的外科醫師立即幫病人開刀止血，然而嚴重休克與失血的結果，病人出現了低體溫、代謝性酸中毒與凝血功能不良的「死亡三角」。也就是說，當病患喪失凝血功能之後，無論外科醫師的技巧再怎麼高超，都解決不了病人的問題。
這時候如果外科堅持在手術檯上搏鬥八個小時，企圖用手術技巧來對抗病情的變化，最後的結果應該就是越想止血越止不住血，然後病人就死掉了。這種「不眠不休拚了八小時，我盡力了！」「我就是要跟死神拚到底！」的英雄主義，即便想像起來很浪漫，但是方法卻不盡正確。
此時此刻，病人需要的不再是手術，而是強大的重症加護能力，讓病人的生理機能回到正常。
外傷醫療中有一個專有名詞，叫做「損害控制手術（damage control surgery）」，強調的不是如何「拚鬥」，反而是什麼時候該「撤退」，當出現上述已經超過外科手術所能處理的範圍時，外科醫師必須知道該是撤退的時候了，撤退不等於投降，而是轉換戰場到加護病房，把病人的生理狀況調整好，手術勝算提高後，重回手術室再戰。
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之所以會突然想講這件事，是昨天陪孩子讀英文課本，這一課講的是一個棒球投手的故事：這個投手在成名之前，和他的一位隊友是投球與打擊的搭檔。他倆常在練球的時候跟彼此說：「有一天我們兩個一定要對決，看看誰才是最強的棒球員！」
幾年之後，兩人分屬在不同球隊，然後在世界大賽對上了彼此。當九局下半兩人出局時，一壘上有跑者，投球的正是故事的主角，他選擇保送接下來的兩位打者，讓局面形成滿壘。
因為他知道這兩個打者之後，輪到的下一棒是他以前的隊友，他想要面對這名打者，他想要三振這名打者，他想要證明自己比他強。
「我等一下會投正中快速直球！」在投手丘上，他對著打擊者大喊，他就是要直球對決。
果然，對手被他給三振了，他證明自己是最強的投手。
和孩子一起讀完這個故事時，孩子覺得這個投手是英雄，而且很勇敢地面對挑戰。可是我和史迪普卻完全不是這樣想，我們一致認為，投手為了個人的英雄主義，而讓球隊冒著可能輸球的風險，就算最後三振對手，也不是成熟的表現。
英雄是為了成功或勝利而存在，而不是為了英雄主義而存在。
#教孩子英文的人生領悟
#當外科醫師的人生領悟
誰在一壘英文 在 [轉錄][相聲] 誰在一壘？ (中文版+ 英文版) - 看板Cross_talk 的必吃
※ [本文轉錄自 Kuan1202 信箱]
※ [本文轉錄自 AAAAAAAA 看板]
作者: gobbler () 站內: AAAAAAAA
標題: [相聲] 誰在一壘？ (中文版 + 英文版)
時間: Tue Jan 12 05:23:17 2010
https://freakshare.net/files/cymn4h2p/Who_is_on_first.rar.html
中文演出 是 趙自強和劉亮佐
英文演出 是 Abbott和Costello 在1945年的段子
英文全文如下：
Who's On First by Abbott and Costello
Abbott: Well Costello, I'm going to New York with you.
You know Bookie Harris, the Yankee's manager,
gave me a job as coach for as long as you're on the team.
Costello: Look Abbott, if you're the coach, you must know all the players.
Abbott: I certainly do.
Costello: Well you know I've never met the guys.
So you'll have to tell me their names,
and then I'll know who's playing on the team.
Abbott: Oh, I'll tell you their names,
but you know it seems to me they give these ball players
now-a-days very peculiar names.
Costello: You mean funny names?
Abbott: Strange names, pet names...like Dizzy Dean...
Costello: His brother Daffy.
Abbott: Daffy Dean...
Costello: And their French cousin.
Abbott: French?
Costello: Goof?
Abbott: Goof? Dean. Well, let's see, we have on the bags, Who's on first,
What's on second, I Don't Know is on third...
Costello: That's what I want to find out.
Abbott: I say Who's on first, What's on second, I Don't Know's on third.
Costello: Are you the manager?
Abbott: Yes.
Costello: You gonna be the coach too?
Abbott: Yes.
Costello: And you don't know the fellows' names?
Abbott: Well I should.
Costello: Well then who's on first?
Abbott: Yes.
Costello: I mean the fellow's name.
Abbott: Who.
Costello: The guy on first.
Abbott: Who.
Costello: The first baseman.
Abbott: Who.
Costello: The guy playing...
Abbott: Who is on first!
Costello: I'm asking YOU who's on first.
Abbott: That's the man's name.
Costello: That's who's name?
Abbott: Yes.
Costello: Well go ahead and tell me.
Abbott: That's it.
Costello: That's who?
Abbott: Yes.
PAUSE
Costello: Look, you gotta first baseman?
Abbott: Certainly.
Costello: Who's playing first?
Abbott: That's right.
Costello: When you pay off the first baseman every month, who gets the money?
Abbott: Every dollar of it.
Costello: All I'm trying to find out is the fellow's name on first base.
Abbott: Who.
Costello: The guy that gets...
Abbott: That's it.
Costello: Who gets the money...
Abbott: He does, every dollar. Sometimes his wife comes down and collects it.
Costello: Who's wife?
Abbott: Yes.
PAUSE
Abbott: What's wrong with that?
Costello: Look, all I wanna know is when you sign up the first baseman,
how does he sign his name?
Abbott: Who.
Costello: The guy.
Abbott: Who.
Costello: How does he sign...
Abbott: That's how he signs it.
Costello: Who?
Abbott: Yes.
PAUSE
Costello: All I'm trying to find out is what's the guy's name on first base.
Abbott: No. What is on second base.
Costello: I'm not asking you who's on second.
Abbott: Who's on first.
Costello: One base at a time!
Abbott: Well, don't change the players around.
Costello: I'm not changing nobody!
Abbott: Take it easy, buddy.
Costello: I'm only asking you, who's the guy on first base?
Abbott: That's right.
Costello: Ok.
Abbott: All right.
PAUSE
Costello: What's the guy's name on first base?
Abbott: No. What is on second.
Costello: I'm not asking you who's on second.
Abbott: Who's on first.
Costello: I don't know.
Abbott: He's on third, we're not talking about him.
Costello: Now how did I get on third base?
Abbott: Why you mentioned his name.
Costello: If I mentioned the third baseman's name,
who did I say is playing third?
Abbott: No. Who's playing first.
Costello: What's on base?
Abbott: What's on second.
Costello: I don't know.
Abbott: He's on third.
Costello: There I go, back on third again!
PAUSE
Costello: Would you just stay on third base and don't go off it.
Abbott: All right, what do you want to know?
Costello: Now who's playing third base?
Abbott: Why do you insist on putting Who on third base?
Costello: What am I putting on third.
Abbott: No. What is on second.
Costello: You don't want who on second?
Abbott: Who is on first.
Costello: I don't know.
Abbott & Costello Together:Third base!
PAUSE
Costello: Look, you gotta outfield?
Abbott: Sure.
Costello: The left fielder's name?
Abbott: Why.
Costello: I just thought I'd ask you.
Abbott: Well, I just thought I'd tell ya.
Costello: Then tell me who's playing left field.
Abbott: Who's playing first.
Costello: I'm not... stay out of the infield!
I want to know what's the guy's name in left field?
Abbott: No, What is on second.
Costello: I'm not asking you who's on second.
Abbott: Who's on first!
Costello: I don't know.
Abbott & Costello Together: Third base!
PAUSE
Costello: The left fielder's name?
Abbott: Why.
Costello: Because!
Abbott: Oh, he's centerfield.
PAUSE
Costello: Look, You gotta pitcher on this team?
Abbott: Sure.
Costello: The pitcher's name?
Abbott: Tomorrow.
Costello: You don't want to tell me today?
Abbott: I'm telling you now.
Costello: Then go ahead.
Abbott: Tomorrow!
Costello: What time?
Abbott: What time what?
Costello: What time tomorrow are you gonna tell me who's pitching?
Abbott: Now listen. Who is not pitching.
Costello: I'll break your arm, you say who's on first!
I want to know what's the pitcher's name?
Abbott: What's on second.
Costello: I don't know.
Abbott & Costello Together: Third base!
PAUSE
Costello: Gotta a catcher?
Abbott: Certainly.
Costello: The catcher's name?
Abbott: Today.
Costello: Today, and tomorrow's pitching.
Abbott: Now you've got it.
Costello: All we got is a couple of days on the team.
PAUSE
Costello: You know I'm a catcher too.
Abbott: So they tell me.
Costello: I get behind the plate to do some fancy catching,
Tomorrow's pitching on my team and a heavy hitter gets up.
Now the heavy hitter bunts the ball.
When he bunts the ball, me, being a good catcher,
I'm gonna throw the guy out at first base.
So I pick up the ball and throw it to who?
Abbott: Now that's the first thing you've said right.
Costello: I don't even know what I'm talking about!
PAUSE
Abbott: That's all you have to do.
Costello: Is to throw the ball to first base.
Abbott: Yes!
Costello: Now who's got it?
Abbott: Naturally.
PAUSE
Costello: Look, if I throw the ball to first base, somebody's gotta get it.
Now who has it?
Abbott: Naturally.
Costello: Who?
Abbott: Naturally.
Costello: Naturally?
Abbott: Naturally.
Costello: So I pick up the ball and I throw it to Naturally.
Abbott: No you don't, you throw the ball to Who.
Costello: Naturally.
Abbott: That's different.
Costello: That's what I said.
Abbott: You're not saying it...
Costello: I throw the ball to Naturally.
Abbott: You throw it to Who.
Costello: Naturally.
Abbott: That's it.
Costello: That's what I said!
Abbott: You ask me.
Costello: I throw the ball to who?
Abbott: Naturally.
Costello: Now you ask me.
Abbott: You throw the ball to Who?
Costello: Naturally.
Abbott: That's it.
Costello: Same as you! Same as YOU! I throw the ball to who.
Whoever it is drops the ball and the guy runs to second.
Who picks up the ball and throws it to What.
What throws it to I Don't Know.
I Don't Know throws it back to Tomorrow, Triple play.
Another guy gets up and hits a long fly ball to Because.
Why? I don't know! He's on third and I don't give a darn!
Abbott: What?
Costello: I said I don't give a darn!
Abbott: Oh, that's our shortstop.
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