SCALPEL AND THE SILVER BEAR(ISBN=9780553378009) 英文原版 下载 pdf 百度网盘 epub 免费 2025 电子版 mobi 在线

　　The first Navajo woman surgeon combines western medicine and

traditional healing.

A spellbinding journey between two worlds, this remarkable book

describes surgeon Lori Arviso Alvord's struggles to bring modern

medicine to the Navajo reservation in Gallup, New Mexico--and to

bring the values of her people to a medical care system in danger

of losing its heart.

Dr. Alvord left a dusty reservation in New Mexico for Stanford

University Medical School, becoming the first Navajo woman surgeon.

Rising above the odds presented by her own culture and the

male-dominated world of surgeons, she returned to the reservation

to find a new challenge. In dramatic encounters, Dr. Alvord

witnessed the power of belief to influence health, for good or for

ill. She came to merge the latest breakthroughs of medical science

with the ancient tribal paths to recovery and wellness, following

the Navajo philosophy of a balanced and harmonious life, called

Walking in Beauty. And now, in bringing these principles to the

world of medicine, The Scalpel and the Silver Bear joins

those few rare works, such as Healing and the Mind, whose

ideas have changed medical practices-and our understanding of the

world.

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　　Lori Arviso Alvord, M.D., is now the associate dean of

minority and student affairs at Dartmouth Medical School. She lives

in New Hampshire with her husband, Jon, and two children, Kodiak

and Kaitlyn.

　　Elizabeth Cohen van Pelt is a staff writer with the New York

Post. She lives in New York with her husband and daughter.

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　　Introduction

　　A Navajo weaver takes strands of wool and blends them into

something of great beauty and magic; warp and weft combine into a

pattern, and the pattern tells a story and has a spirit. This

pattern then becomes a piece of the culture and has a life of its

own. From the beginning I knew I had to do a similar thing with the

strands of my story–to tell how a girl from a small and remote town

on an Indian reservation was able to become a surgeon, able to work

in the high-tech realm of a surgical operating room, and combine

that with another story, about how ancient tribal ways and

philosophies can help a floundering medical system find its way

back to its original mission: healing.

　　The first strand of my story shows that anything is possible. The

words "Navajo" and "surgeon" are not often seen together. But a

minority woman can travel across cultural, class, and educational

borders and become a part of a medical world whose doors have been

closed to minority people for most of its existence. I hope that

native people will be encouraged by this story, and that they will

follow their own special dreams. The second story is about how I

have come to understand, after years of reflection, that my tribe

has knowledge about medicine and healing, ways of thinking about

health and illness that provide solutions to some of modern

medicine's most daunting problems.

　　It is common knowledge that modern medicine is in crisis. Never

before has such an astounding array of medical treatments been

available. The latest breakthroughs in research and methodology are

stunning achievements and should be acknowledged as such, but along

the way we have forgotten some of the things that heal us best–our

relationships, how we live our lives, our feelings of wholeness and

belonging. For all its technological advances and voyages into

previously uncharted waters, modern medicine still has much to

learn about healing. Now more than ever, patients themselves feel

removed and forgotten, powerless in the face of the institutions

that were created to help them. In many ways modern medicine has

become a one-way system–from physician to patient. Physicians do

the directing, talking at their patients. The other direction, the

listening on the part of the physician, is becoming lost. This has

left patients without a role in their own treatment. Patients want

to be involved in their care and the decisions about how medicine

is delivered to them. They want to feel like more than a set of

organs and bones, nerves and blood, and participate in the process

of restoring their bodies to health. Many patients want deeper,

caring relationships with their physicians, and want to be able to

choose their own physicians. Physicians complain that they are

robbed of the time they need in order to create lasting

relationships with their patients. In this new world of "managed

care," both patients and physicians suffer, and decisions about

health care are often out of the hands of both.　　

　　This book is about my journey and my struggles. From my own

mistakes, my own initial misadventures in patient care, I realized

that although I was a good surgeon, I was not always a good healer.

I went back to the healers of my tribe to learn what a surgical

residency could not teach me. From them I have heard a resounding

message: Everything in life is connected. Learn to understand the

bonds between humans, spirit, and nature. Realize that our illness

and our healing alike come from maintaining strong and healthy

relationships in every aspect of our lives.

　　In my culture–the Navajo culture–medicine is performed by a

hataalii, someone who sees a person not simply as a body, but as a

whole being. Body, mind, and spirit are seen as connected to other

people, to families, to communities, and even to the planet and

universe. All of these relationships need to be in harmony in order

to be healthy. Even the relationship between the patient and the

healer is important in order to achieve healing. Those types of

relationships, so key to us, are not strongly acknowledged in

medicine today, yet this is precisely what needs to be given

priority. People are looking for a better way to have their health

needs addressed. They want a medicine that understands their health

needs are not separate from the rest of their lives. A medicine

that does not isolate but connects.

　　Healing is not only a one-to-one relationship, it is

multidimensional. At the basis of Navajo philosophies of healing is

a concept called "Walking in Beauty." It is a way of living a

balanced and harmonious life, in touch with all components of one's

world. This is a path to better health and healing and life.

　　If modern medicine is lost–and many believe it is–perhaps it can

find its way by looking to the traditions and beliefs of some of

America's first inhabitants. It is my hope and vision that groups

of people can learn from one another–that the culture of medicine

can learn from the culture of Native Americans, and that both can

be richer for the experience.

　　I hope that my words illuminate the importance of this lesson,

and encourage doctors and patients everywhere that to walk in

beauty is to find the path to a balanced and healthier way of

life.–Lori Arviso Alvord

　　November 1998–>

　　Chantways

　　Music is a healing force all living spirits sing.

　　–Joanna Shenandoah, Oneida composer

　　In many places in the world when a person is ill, a song is sung

to heal. For this to be effective, that person must let the song

sink into her body, and allow it to penetrate to even the cellular

level of her being. In a sense she must breathe it in.

　　A song, in physical terms, is an action made of breath and sound.

It is made by the vibrations of air across a section of membranes

in the throat, which are then shaped by the placement of the tongue

and mouth. That is a literal description of singing, but of course

there is more, much more. A song is also made from the mind, from

memory, from imagination, from community, and from the heart. Like

all things, a song may be seen in scientific terms or in spiritual

terms. Yet neither one alone is sufficient; they need each other to

truly represent the reality of the song. Singing comes from that

misty place where human physiology, feeling, and spirit collide. It

can even be, for some people, a holy act, a religious act, an act

with great power.

　　Today's medical environment provides more healing options than

ever for a person who becomes sick. CAT scans and MRIs picture the

inside of the human body with astonishing detail; dangerous,

invasive surgery has been made commonplace; and intricate

operations are now performed with lasers. New drugs with

capabilities formerly unimagined are being discovered every day.

The Human Genome Project is mapping our DNA from prehistoric times

to the present, giving us a better understanding of the evolution

of genetic disorders and opening the door to the possibility of

someday being able to manipulate the human genetic strand and

create "better" human beings.

　　Yet another type of medicine is also being practiced on our

planet. It is one that involves not only the body but the mind and

the spirit; it involves not only the person but her family, her

community, and her world. It involves song.

　　The notion of singing a person to wellness and health may sound

strange. You may think it irresponsible of me, a trained physician,

even to mention it. But I am not talking about a New Age or

alternative treatment. I am speaking of the medicine ways of my

tribe, the Navajo, where a singer is called in when someone is

sick. As part of the cure, they perform a "sing" or ceremony,

called a chantway. The Beauty Way, the Night Chant, the Mountain

Way: different kinds of songs cure different kinds of illnesses. A

Shooting Way ceremony might be used to cure an illness thought to

have been caused by a snake, lightning, or arrows; a Lifeway may

cure an illness caused by an accident; an Enemyway heals an illness

believed to be caused by the ghosts of a non-Navajo. There even are

songs for mental instability.

　　Not long ago I learned that Navajos are not the only people on

earth to recognize the power of the human voice. In places in

Africa the people sing to broken bones in order to mend them. Yet

the power of a song lies not in a tested, quantifiable, and

clinical world and it will not be written about in The New England

Journal of Medicine. It will not be discussed at meetings of the

American Medical Association. Many physicians, good ones, cringe at

the very mention of it.

　　Yet one afternoon, at the hospital where I worked as a surgeon in

Gallup, New Mexico, singing was going on at the bedside of Charlie

Nez. As I stood in a doorway, watching the medicine man leave, I

was surprised to see the elderly man, who had stirred little in the

preceding days, sit up straighter, and look attentive. I glanced at

his chart: his heart rate was steady, and his blood pressure had

stabilized. There was a new red flush of circulation in his

cheeks.

　　Charlie Nez was being treated with chemotherapy, radiation, and

surgery for an advanced cancer. I know this because I was one of

the doctors participating in his treatment. I had performed surgery

on his colon to remove a tumor.

　　But this treatment was not the entirety of the medicine he

received. As I stood in the doorway listening to the song of the

medicine man who stood beside him, his voice rising and falling in

a familiar range of tones, I saw a minor miracle. In Charlie's

eyes, for the very first time since I'd met him, was hope.

　　Any physician–from an exclusive research program at Massachusetts

General, from a team of surgeons in Paris, or with Doctors Without

Borders in Afghanistan–will tell you that unless a dying patient

has hope and emotional strength, the will to live, a doctor can do

little to save him. Watching that hope come back into Charlie Nez's

eyes, I...

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编辑推荐

　　"If you're in the market for a captivating autobiography, look

no further."—South Carolina Herald

　　"Sheer pleasure to read from the very first page...

Absorbing."—Booklist

　　"Movingly details her quest to unify two cultures and two healing

traditions."—The Dallas Morning News

　　"Those who would enjoy an insider's look at how modern medicine

and life mix with the Navajo Way shouldn't miss The Scalpel and

the Silver Bear."—Tony Hillerman

媒体评论

　　"If you're in the market

for a captivating autobiography, look no further."

—South

Carolina Herald

　　"Sheer pleasure to read from the very first page...

Absorbing."

—Booklist

　　"Movingly details her quest to unify two cultures and two healing

traditions."

—The Dallas Morning News

　　"Those who would enjoy an insider's look at how modern medicine

and life mix with the Navajo Way shouldn't miss

The Scalpel a　nd

the Silver Bear.

"—Tony Hillerman

书籍介绍

The first Navajo woman surgeon combines western medicine and traditional healing.

A spellbinding journey between two worlds, this remarkable book describes surgeon Lori Arviso Alvord's struggles to bring modern medicine to the Navajo reservation in Gallup, New Mexico--and to bring the values of her people to a medical care system in danger of losing its heart.

Dr. Alvord left a dusty reservation in New Mexico for Stanford University Medical School, becoming the first Navajo woman surgeon. Rising above the odds presented by her own culture and the male-dominated world of surgeons, she returned to the reservation to find a new challenge. In dramatic encounters, Dr. Alvord witnessed the power of belief to influence health, for good or for ill. She came to merge the latest breakthroughs of medical science with the ancient tribal paths to recovery and wellness, following the Navajo philosophy of a balanced and harmonious life, called Walking in Beauty. And now, in bringing these principles to the world of medicine, The Scalpel and the Silver Bear joins those few rare works, such as Healing and the Mind , whose ideas have changed medical practices-and our understanding of the world.