Making medicine bespoke
Making medicine bespoke
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医药定制
DOI：
10.1016/s0140-6736(16)32568-5
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Kneebone R
中科院分区：
文献类型：
--
作者：
Kneebone R
几年前，一次与伦敦萨维尔街的定制裁缝约书亚的偶然相遇，让我质疑我对医学的了解。在我职业生涯的一个阶段，在20世纪80年代，我是一名创伤外科医生，在南非约翰内斯堡的索韦托镇为刺伤和枪伤患者做手术。那时我做了很多缝合手术--肠切除术、血管闭塞术、修补术和重建术--我认为自己很擅长。几十年后，当我看着约书亚在夹克上缝袖子时，那段经历如潮水般涌来，尽管我已经多年没有做过大手术了。但当我请求约书亚让我试一试时，我吓了一跳，坐在那里，膝盖上放着夹克，手指上戴着顶针，手里拿着一根直针，我觉得自己完全没有能力，完全不知所措。我意识到我根本不擅长一般意义上的缝纫，只是在手术室的特殊环境中使用针和线，周围有一个团队，他们递给我仪器，安装我的缝线，并确保我有一个好的视野。改变上下文，任务看起来非常不同。
A few years ago a chance meeting with Joshua, a bespoke tailor from London's Savile Row, made me question what I thought I knew about medicine. At one stage in my career during the 1980s, I was a trauma surgeon, operating on patients with stab and gunshot wounds in Johannesburg's Soweto township in South Africa. I did a lot of sewing then—bowel resections, vascular anastomoses, repairs, and reconstructions—and I thought I was good at it. As I watched Joshua sewing a sleeve onto a jacket decades later, that experience came flooding back, although it was years since I did major surgery. But when I asked Joshua to let me have a go I got a nasty shock.Sitting with the jacket on my knee, a thimble on my finger, and a straight needle in my hand I felt completely incompetent and out of my depth. I realised that I hadn't been good at sewing in a generic sense at all, only at using a needle and thread in the very particular context of the operating theatre, surrounded by a team who handed me instruments, mounted my sutures, and made sure I got a good view. Change the context and the task looks very different.