Sunday 15 November 2015

It is a medical axiom not to advance treatment uphill for the patient

It is a military axiom not to advance uphill against the enemy, nor to oppose him when he comes downhill.

Do not pursue an enemy who simulates flight; do not attack soldiers whose temper is keen.

Do not swallow bait offered by the enemy. Do not interfere with an army that is returning home.

When you surround an army, leave an outlet free. Do not press a desperate foe too hard.

Such is the art of warfare.

From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"
Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

Again creativity was required in translating the word "enemy" in this part. With agreements of wordings in mind, utilised various contexts where clinicians are required comparable manoeuvres.

Translation:

It is a medical axiom not to advance treatment uphill for the patient, nor to operate him when the patient's complications are downhill.

Do not prescribe for a patient who hoards medications; do not administer drugs whose adverse reaction is keen.

Do not swallow bribe offered by the patient. Do not interfere with a patient that is returning home.

When you summon a patient, leave an outlet free. Do not press a desperate family too hard.

Such is the art of healthcare.

Ray Murakami

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