【受访者简介】来自澳大利亚的Dr. Dan Pron (@dantacmed)在军队奖学金的赞助下完成了医学院课程。在其军医生涯中，他曾主要在特种作战部队服役，包括四次阿富汗经历和逾100次的出战任务。现在，他是澳洲一家地方医院急诊部门的高级医学官，也是军医咨询机构TacMedAustralia的医学主管，同时在为政府机关和警察部门提供医学策略咨询。
Q: Hey doctor, just a quick thank you bothfor your service and for showing that those of us in medicine who havedifferent haircuts or tattoos are worthy of respect too. Dan，
问：首先是要感谢你来这里讲述自己军旅生涯，其次是想说你完全证明了留奇怪发型的医护人员一样值得尊重！
A:Haha! We should never judge a book byits cover, or a medical professional by their haircut! You\\\'ll be happy to knowthat I don\\\'t cut my own hair anymore! Kind regards, dan.
答：哈哈，千万不要以貌取人，或评判一个医生！既然你这么说，我可以告诉你其实现在我连头发都不剪了!
Q: Really inspired by your story! I amreally interested to know what proved to be the most challenging case for youtill date.. Also how do you manage to balance being a medical advisor, amedical officer and everything else?
问：很受您故事的启发。我好奇的是你至今为止遇到过最有挑战性的病患是怎样的，其二，你是如何平衡医学顾问，医院主管种种身份的？
A: Thanks for your question. There\\\'s been afew challenging cases over the years. One that springs to mind is a man with acut throat who had transections of both his internal jugular veins and an 80%trachea transection. The wound had also opened up both sides of his upper chestgiving him bilateral pneumothoracies. That one took a bit of work to stabilise!
答：谢谢你提问。过去几年，我有遇到过一些比较棘手的病患。首先想到的是一名被切喉的男性伤员，两侧劲内静脉和80%的气管都被截断，伤口暴露了上胸部两侧，引发了双侧气胸。当时对这个病患用了好多治疗方法才得以稳定下来。
The work-life balance is never easy, but Ifind by chipping away a few hours a day, week in, week out, I can manage toaccomplish most of what I want to.
工作和生活的平衡从来就不简单，但是我发现每天花一点时间，一周周积累之后，我也能做成大多数我想做的任务。
Q: How did Afghanistan change you as adoctor, and would you recommend an intern to go there? And indeed thank you foreverything.
问：阿富汗的军旅生活如何改变了你对从医的态度，你会推荐实习医生参军吗？谢谢您的分享！
A: I think the Afghan experiencedesensitised me to severe trauma and has allowed me to function relatively wellunder stress. It was a great opportunity to refine techniques such asintercostal drains, surgical airways, and IOs (Intraosseous infusion) amongstothers, that we don\\\'t get as much exposure to in civilian ER environments inAustralia.
答：我觉得阿富汗的经历让我对严重的创伤情况能够做到脱敏，从而使我在压力之下能够相对正常地工作。同时，军旅经历对于修习肋间引流，气管切开，骨髓输液等等都是绝佳的机会，相比之下，我们在澳大利亚的急诊部门就少有类似的机会。
As to whether an intern should try and getto a war zone, that\\\'s a tough one. Medically it would be excellent experienceif you could link up with the right medical facility, however that risk wouldneed to be weighed up very carefully. As a civilian you might be quite exposed.
至于实习生是否应该参军，这个问题挺难回答。从医学角度来说，如果你能为一个合适的医疗机构工作的话，那肯定是难得的经验，但也需要对其中的风险充分权衡，对于一个平民百姓来说，战场可能会带来过度的刺激。
Q: I\\\'ve been in ems for the past 4 yearsnow. I feel I have a different approach and way of thinking than that of mycolleagues in med school. How do you think prehospital care changes us? Weobviously gather strengths from all the violence and chaos of the environmentwe face but do you think we also have disadvantages? What really sets us aside?
问：我过去四年一直在紧急医疗服务站工作。我感觉自己的思维方式方法和以前医学院的同事很不一样。你如何看待院前急救对我们的改变？我们可能更能直面感受到暴力冲突、环境骚乱的强度，但你觉得我们的劣势在哪里呢？
A：We hear a lot about PTSD, which is ofcourse a huge issue, but little is heard about Post traumatic Growth (PTG). I\\\'ma huge believer in this concept - basically that we can grow from trauma wehave experienced if we mentally process it properly and use the experience tobetter prepare us for future similar situations. I believe pre-hospital experiencecan lead to PTG in the right person.
答：我们经常听说PTSD，创伤后应激障碍，这当然是个很严峻的问题，但是却鲜少听到PTG，创伤后精神再生。我是这个概念的拥趸，也就是说，如果我们在精神上恰当地加以处理，利用这段经历来为今后类似的生活做些准备，那我们就能从自己的创伤经历中获得成长。我相信院前急救的经历能让部分医护人员得到创伤后的精神成长。
Q: What recommendations do you have forthose of us in civilian practice whose colleagues are returning from militaryservice to working once again in the civilian setting? What ought we be awareof, do or not do, say or not say....besides thank you?
问：对于那些在文明医疗环境下工作的医护人员来说，我们应该如何与那些服役归来的同事相处？我们需要意识到什么，应该做什么，应该说什么？十分感谢！
A: Great question! Firstly, never, ever askthem if they\\\'ve killed anyone. That topic is on that comes up a bit and is anatural curiosity to have, but is obviously hugely emotionally charged for anycombat veteran. Aside from that, I guess just understanding that they may behaving some adjustment issues coming back from deployment and just beingunderstanding of that, and being there for them.
答：很好的问题，首先，千万不要问他们有没有在战场上杀了人。这个话题可能会比较自然的出现，但对任何战地军人来说，这在情绪上很难掌控。除此之外，我想就是对他们在工作上的适应问题能够多包容、理解，或是单纯的陪伴。
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