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罗伯特·R·肖医学博士:胸外科英雄、阿富汗医学先驱、患者权益捍卫者,却从未担任过外科协会主席。

Robert R. Shaw, MD: thoracic surgical hero, Afghanistan medical pioneer, champion for the patient, never a surgical society president.

机构信息

Baylor University Medical Center, Dallas, Texas 75246, USA.

出版信息

Ann Thorac Surg. 2012 Jun;93(6):2111-6. doi: 10.1016/j.athoracsur.2012.03.060.

Abstract

Dr Robert R. Shaw arrived in Dallas to practice Thoracic Surgery in 1937, as John Alexander's 7th Thoracic Surgical Resident from Michigan University Medical Center. Dr Shaw's modus operandi was, "You can accomplish almost anything, if you don't care who gets the credit." He was a remarkable individual who cared the most about the patient and very little about getting credit for himself. From 1937 to 1970, Dr Shaw established one of the largest lung cancer surgical centers in the world in Dallas, Texas. It was larger than M.D. Anderson and Memorial Sloan-Kettering Hospitals put together regarding the surgical treatment of lung cancer patients. To accomplish this, he had the help of Dr Donald L. Paulson, who trained at the Mayo Clinic and served as Chief of Thoracic Surgery at Brook Army Hospital during the Second World War. Following the War, because of his love for Texas, he ended up as a partner of Dr Shaw in Dallas. Together, they pursued the development of this very large surgical lung cancer center. Dr Shaw and his wife Ruth went to Afghanistan with Medico multiple times to teach men modern cardiac and thoracic surgery. They also served as consultants on Medico's Ship of Hope in Africa. Dr Shaw initiated multiple new operations including: 1) resection of Pancoast's cancer of the lung after preoperative irradiation; 2) upper lobe of the lung bronchoplasty, reattaching (and saving) the lower lobe to prevent the "disabling" pneumonectomy; and 3) resections of pulmonary mucoid impaction of the lung in asthmatics. Because of his humility and giving "the credit to others," Dr Shaw was never President of a major medical or surgical association.

摘要

罗伯特·R·肖博士于 1937 年抵达达拉斯,作为密歇根大学医学中心的约翰·亚历山大的第 7 位胸外科住院医师,开始从事胸外科工作。肖博士的工作方式是:“如果你不在乎功劳归谁,你几乎可以完成任何事情。”他是一个非常了不起的人,最关心的是病人,而对自己获得荣誉则关注甚少。从 1937 年到 1970 年,肖博士在德克萨斯州达拉斯建立了世界上最大的肺癌外科中心之一。该中心比安德森癌症中心和斯隆凯特琳纪念医院加起来的肺癌患者外科治疗规模还要大。为了实现这一目标,他得到了唐纳德·L·保尔森博士的帮助,后者曾在梅奥诊所接受培训,并在第二次世界大战期间担任布鲁克陆军医院胸外科主任。战后,由于他对德克萨斯州的热爱,他最终成为了肖博士在达拉斯的合作伙伴。他们一起致力于发展这个大型的肺癌外科中心。肖博士和他的妻子露丝曾多次与美科一起前往阿富汗,为当地医生教授现代心脏和胸外科技术。他们还在美科的“希望之船”上担任非洲的顾问。肖博士开创了多项新手术,包括:1)术前放疗后切除肺尖癌;2)肺上叶支气管成形术,重新连接(并保留)下叶以防止“致残性”肺切除术;3)治疗哮喘患者肺部粘液嵌塞。由于他的谦逊和将功劳归功于他人,肖博士从未担任过主要医学或外科协会的主席。

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