首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
外语
(1)The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. She also has adva
(1)The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. She also has adva
admin
2017-06-21
66
问题
(1)The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. She also has advanced arthritis in her knees and end-stage circulatory disease, which have left her with two useless legs that are red, swollen and infected. Now her shoulder has started to hurt. She can’t raise her arm to comb her hair. Five or six other things are wrong with her — she tells me about each. Some we can help: most we can’t. I tell her as much.
(2)In my office, she listens carefully. I hardly ever have to repeat myself with Doris(not her real name). She asks questions — mostly good ones. She needs lots of tests, various therapies. I ultimately recommend an operation on her shoulder. Sick, weakened by multiple symptoms and with lousy insurance, Doris is — surprise — a really good patient. She communicates efficiently with her doctors and treats us with respect and trust. She has reasonable expectations. I can tell she looks things up, but her knowledge is helpful — never challenging. I’ve talked about her with other doctors, and we agree on this: when you see Doris’ name on your day’s list, you know you’re going to work hard. But you’re usually glad her name is there.
(3)Few patients realize how deeply they can affect their doctors. That is a big secret in medicine — one doctors hate to admit. We think about, talk about, dream about our patients. We went into clinical medicine because we like dealing on a personal, even intimate level with people who have chosen to put their bodies in our hands. Our patients make or break our days.
(4)Take the compliment. Our career choice means we really do think that you — with your aches and pains — are more interesting than trading hot securities, more fun than a courtroom full of lawyers. Massaging the ego is the key to manipulating responsible types like doctors. When we feel your trust, you have us.
(5)The most compelling reasons to be a good patient are selfish ones. You will get more than free drug samples if your doctor is comfortable and communicates easily with you. You’ll get more of the mind that you came for, a mind working better because it’s relaxed — recalling and associating freely, more receptive to small, even unconscious clues. That means better medical care. But you should try to be a good patient for unselfish reasons too. We worry about you 60 hours a week. We gave up our 20s for you. Why not show us some love? It’s not hard.
(6)The medical relationship is intrinsically one-sided. It’s about you and your problem. I am going to find out more about you in the next 20 minutes than you will find out about me. Don’t fret about that. We don’t expect you to ask much about us. Good patients answer questions accurately and completely. They ask questions too.
(7)But many patients talk too much. You might notice that we are writing when we see you—we are creating your chart. We need specific facts but not every fact in your life. Here’s a classic exchange:
(8)How long has your shoulder hurt, Beatrice? "Oh, for quite some time now." But for how long? How many months? "Oh, at least since the wedding—well, then again it did act up a bit when Margaret came back from Ireland..."
(9)All I want to do is write something like "Right shoulder, 6 months, no trauma" on my chart. Although I lack the heart to tell her, Beatrice would be a better patient if she tried to be a bit more concise. There are lots of Beatrices.
(10)Here’s another classic:
(11)"Well, I don’t need to have good manners—I’m sick—and I’m not going to be a patsy for some smooth talker in a white coat. The squeaky wheel gets the grease, you know."
(12)That is the mind-set of many patients who abuse their doctors: my bet is they abuse other people as well. Any good doctor knows when you’re too sick to be polite and will let it roll off his back. The squeaky wheel we don’t like is the one playing a dominance game. That big wheel is likely to get a shorter, less sensitive examination and more tests, and then still more tests to follow up the abnormalities in the first tests, followed by extra consultations with specialists—anything to relieve the doctor’s responsibility for a bad patient.
(13)Are doctors good patients? Others may disagree, but I think they are. Medical terms don’t faze them, so communication is easier, and their expectations tend to be more reasonable. Anyone in medicine is painfully aware that there are plenty of problems for which we have no good answer. Nurses tend to be even better patients, being adept at following doctors’ orders — a virtue lacking in doctors.
(14)Doctors and nurses also know when to respect an educated opinion. When the MRI says one thing and I want to do another, they are more likely to be on my side. But you need not be a medical professional, or educated at all, to be a great patient. It’s pretty much the same strain of human decency—a truthful consideration of who the people around you are and of what they are trying to do — that infects a good patient and any good person.
If one intends to become a good patient, he should learn
选项
A、to find out more about his doctor.
B、to respect both doctors and nurses.
C、to become as unselfish as possible.
D、to accurately follow his doctor’s orders.
答案
D
解析
细节推断题。根据题目及各选项内容定位到倒数第二段末句。该句指出护士是比医生更好的病人,因为她们完全服从医生的指令,所以要成为好病人就要像护士一样,完全服从医生,D为正确答案。
转载请注明原文地址:https://kaotiyun.com/show/rtsK777K
0
专业英语八级
相关试题推荐
Thereisnolink,whatsoever,betweentheproducersandusersofmanpowerwiththeresultthatinstitutionsoflearning,essent
Thereisnolink,whatsoever,betweentheproducersandusersofmanpowerwiththeresultthatinstitutionsoflearning,essent
Thedebateaboutproblemdrinkingandhowtostopitnowadayscentresmostontheworking-classyoung.Theyare【M1】______highly
Thedebateaboutproblemdrinkingandhowtostopitnowadayscentresmostontheworking-classyoung.Theyare【M1】______highly
(1)Whatmakesagreatcommunicator?Awillingnesstosharethatdrivingsenseofmissionandaburningfaiththatotherswillem
(1)Whatmakesagreatcommunicator?Awillingnesstosharethatdrivingsenseofmissionandaburningfaiththatotherswillem
Atsometimeinyourlifeyoumayhaveastrongdesiretodosomethingstrangeorterrible.However,chancesarethatyoudon’t
Atsometimeinyourlifeyoumayhaveastrongdesiretodosomethingstrangeorterrible.However,chancesarethatyoudon’t
A、Theairportisnotbigenough.B、Theairportisinlackofskillfulstaff.C、Theweatherisalwaysterrible.D、Allflightsarr
Westartedburningsomeleavesinouryard,butthefiregotoutofhandandwehadtocallthefiredepartmenttoputitdown.
随机试题
燃油表由装在仪表板上的_______和装在燃油箱内的_______组成,两者用导线相连。燃油表用来指示汽车油箱的_______,有_______式和_______式两类,传感器采用_______式。
急性肠梗阻患者采取非手术治疗时,正确的措施为
高血压患者应进行全面的临床评估,评估的目的是
痛经逐渐加重的原因,最可能的是( )。本例确诊后的处置应选择( )。
所有软件的核心是()。
根据票据法律制度的规定,下列有关汇票出票人记载事项的表述中,可以导致票据无效的有()
某股份有限公司为商品流通企业,发出存货采用加权平均法结转成本,按单项存货计提存货跌价准备;存货跌价准备在结转成本时结转。该公司2002年年初存货的账面余额中包含甲产品1200件,其实际成本为360万元,已计提的存货跌价准备为30万元。2002年该公司未发生
制定采购预算方案时要注意(.)
你正面临是否购买某种奖券的决策。你知道每张奖券的售价及该期共发行奖券的总数、奖项和相应的奖金额。在这样的情况下,该决策属于哪种类型?加入何种信息以后该决策将变成一个风险型决策?()
African-Americanfilmmakersshouldbeinanenviableposition,forsincetheearly1990stherehasbeenasteadywaveof
最新回复
(
0
)