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Young people in medical training must make an effort to become "comfortable"with the process and the event of dying.
医学培训期间，年轻医生要能够对整个过程以及临终病人坦然面对。
The problems of when to withdraw life support mechanisms or to withhold resuscitation may present deep emotional conflicts for medical students as well as for many very experienced physicians.
不管是对医学学生还是对资深医生，何时停掉生命维持器，或是何时停止抢救病患都会带来情感冲突。
Although medical ethics touches almost every aspect of health and the practice of medicine, the particular problems related to dying patients, stemming in part from legal considerations and from highly publicized special cases, put the physician in an especially difficult position.
尽管医学道德问题几乎牵扯到医疗以及治病救人的方方面面，然而这种特殊问题却让医生处在非常被动的位置上，部分是来自法律方面的考虑，而部分原因是它是公众高度关注的问题。
Only recently have objective conclusions begun to emerge from clinical investigation of outcomes from intensive care units.
直到最近，我们才从重症监护室的临床研究中得到了客观结论。
Although striking successes do occur, the survival rate with a high quality of life upon discharge from intensive care units is less than one would hope.
尽管我们取得过胜利，但是在病患本身条件良好的基础上，重症监护室的病患存活率要比人们所期望的低。
Therefore, the physician frequently may be required to make difficult decisions for or with the patient and his or her family.
以至于医生要被频繁要求与病患，或是病患家属作出艰难抉择。
Ultimately, society at large will have to make policy regarding those decisions, using information based on careful clinical studies and analyses of the costs of sustaining life in truly hopeless situations.
所以，社会需要就这些决策制定政策，并以细致的临床研究，对费用分析的基础之上利用这些信息，前提是这些费用是在无希望治愈，为了维持生命的情况下而产生的费用。
But that policy has not yet been established.
但是社会并没有制定这样的政策。
In this area the skilled internist plays a uniquely personal role in preparing patients for terminal situations, becoming their teacher and confidant as they come to understand the disease process and what to expect.
在这方面，资深的内科医生在帮助病患为临终做准备时扮演了非常特殊的个人角色，在让病患了解疾病过程以及期望时，他们变成了病患的老师和知己。
The physician is also called upon to help the patient's loved ones prepare for the outcome.
医生还要帮助病患的至亲做好准备。
Every patient must be considered individually, keeping in mind previously expressed wishes, the nature of the terminal illness, the likelihood of recovery with an acceptable quality of life, and family wishes and interactions.
每一名病患情况都必须进行考虑，把对之前的期许，疾病晚期的特征，治愈的可能性以及家属的希望和谈话牢记在心。
Although these factors are difficult to weigh in the care of dying patients, objective evaluation and an unswerving concern for the patient will lead the physician to the best course of action.
尽管，在治疗临终病患时这些因素很难权衡，但是对病患作出客观评估，对病患无微不至的关怀都将让医生采取最佳的诊疗方法。
译文属可可英语原创，未经允许，不得转载。
