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
I was a second-year medical student at the university, and was on my second day of rounds at a nearby hospital. My university’s
I was a second-year medical student at the university, and was on my second day of rounds at a nearby hospital. My university’s
admin
2015-05-11
126
问题
I was a second-year medical student at the university, and was on my second day of rounds at a nearby hospital. My university’s philosophy was to get students seeing patients early in their education. Nice idea, but it overlooked one detail: second-year students know next to nothing about medicine.
Assigned to my team that day was an attending—a senior faculty member who was there mostly to make patients feel they weren’t in the hands of amateurs. Many attendings were researchers who didn’t have much recent hospital experience. Mine was actually an arthritis specialist. Also along was a resident(the real boss, with a staggering mastery of medicine, at least to a rookie like myself). In addition, there were two interns(住院实习医生). These guys were just as green as I was, but in a scarier way: they had recently graduated from the medical school, so they were technically MDs.
I began the day at 6:30 am. An intern and I did a quick check of our eight patients: later, we were to present our findings to the resident and then to the attending. I had three patients and the intern had the other five—piece of cake.
But when I arrived in the room of 71-year-old Mr. Adams, he was sitting up in bed, sweating heavily and panting(喘气). He’d just had a hip operation and looked terrible. I listened to his lungs with my stethoscope, but they sounded clear. Next I checked the log of his vital signs and saw that his respiration and heart rate had been climbing, but his temperature was steady. It didn’t seem like heart failure, nor did it appear to be pneumonia. So I asked Mr. Adams what he thought was going on.
" It’s really hot in here, Doc," he replied.
So I attributed his condition to the stuffy room and told him the rest of the team would return in a few hours. He smiled and feebly waved goodbye.
At 8:40 am, during our team meeting, "Code Blue Room 307!" blared from the loudspeaker.
I froze.
That was Mr. Adams’s room.
When we arrived, he was motionless.
The autopsy(尸体解剖)later found Mr. Adams had suffered a massive pulmonary embolism(肺部栓塞). A blood clot had formed in his leg, worked its way to his lungs, and cut his breathing capacity in half. His symptoms had been textbook: heavy perspiration and shortness of breath despite clear lungs. The only thing was: I hadn’t read that chapter in the textbook yet. And I was too scared, insecure, and proud to ask a real doctor for help.
This mistake has haunted me for nearly 30 years, but what’s particularly frustrating is that the same medical education system persists. Who know how many people have died or suffered harm at the hands of students as naive as I, and how many more will?
We learn that the author’s team members had
选项
A、much practical experience.
B、adequate knowledge.
C、long been working there.
D、some professional deficiency.
答案
D
解析
推理题。根据题干定位至第二段。该段第二句“Many attendings were researchers who didn’t have much recent hospitalexperience.”指出主治医生实践经验方面的欠缺。该段最后一句又提到“These guys were just as green as I was,but ina scarier way:they had recently graduated from the medical school,so they were technically MDs.”说明名义上已经取得医生头衔的住院实习医生,实际上名不符实,也存在知识上的欠缺。可见[D]是对原文意思的正确理解,故为答案。
转载请注明原文地址:https://kaotiyun.com/show/0IXK777K
0
专业英语四级
相关试题推荐
Areyouthinkingabouttryingoutapoliticalcareerbutyour【C1】______arealittlelowforapresidentialbid?Youhaveuntil
TheTransactionoftheMentalHealthyQuestionofUniversityStudentLet’sbefrank:collegecanbetough.Accordingtoa20
WhyisgreenlivingencouragedinlocalcouncilsinBritain?
Howmanycountriesattendedtheclose-doormeetingheldinLondon?
WriteonANSWERSHEETTWOanoteofabout50-60wordsbasedonthefollowingsituation:Mr.Motleytoldyouhiswifehadjust
InthissurveywecangetallthefollowinginformationEXCEPT
Whichofthefollowingitalicizedpartsindicatesapredicate-objectrelationship?
Thenewspaperexposedtheinvolvementofseveralseniorofficersinthebribery;consequently,theseofficers______toresignfr
______bothsidesaccepttheagreement______alastingpeacebeestablishedinthisregion.
Hardshipdidnotendwithfreedom.Therewere(1)______regionalvariationinboththestatusand(2)______offreeblacksduringt
随机试题
脊柱骨折的急救处理。
健康男婴,出生体重为3.5kg,身长为50cm、头围34cm,现在年龄为6个月,来医院做健康体检。预计该婴儿的体重是
在图示的同定坐标系Oxyz中,长方体作平移(或称平动)。长方体的自由度数为:
拱涵所需的拱涵支架是以()作为定额计算单位。
关于商业区位选择的说法错误的是()。
关于教学过程,下列说法错误的是
如未成年人甲父母双亡,祖父母去世。外祖父母年老体衰,甲又无兄弟姐妹,可担任他的监护人包括()。
有以下程序#include<stdio.h>intfuna(inta,intb){retuma+b;}intfunb(inta,intb){returna-b;}intsss(int(*t)(),intx,inty){retu
Manyteenagersthinkthattheirfriendscanunderstandthembetter.Tomakefriendsandcommunicationisveryimportanttoteen
Motivationisadifficultsubject______becausesomanydifferentfactorsinfluencetheinclinationtoact.
最新回复
(
0
)