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Sleep is a funny thing. We’re taught that we should get seven or eight hours a night, but a lot of us get by just fine on less,
Sleep is a funny thing. We’re taught that we should get seven or eight hours a night, but a lot of us get by just fine on less,
admin
2011-06-29
15
问题
Sleep is a funny thing. We’re taught that we should get seven or eight hours a night, but a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke--probably as a result of an underlying disorder that keeps them from snoozing(睡)soundly.
Doctors have their own special sleep problems. Residents (住院医生) are famously sleep deprived. When I was training to become a neurosurgeon, it was not unusual to work 40 hours in a row without rest. Most of us took it in stride, confident we could still deliver the highest quality of medical care. Maybe we shouldn’t have been so sure of ourselves. An article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person’s motor performance is comparable to that of someone who is legally intoxicated. Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don’t think twice about operating without enough sleep.
"I could tell you horror stories." says Jaya Agrawal, president of the American Medical Student Association, which runs a website where residents can post anonymous anecdotes. Some are terrifying. "I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly face planted into the wound."
"Practically every surgical resident I know has fallen asleep at the wheel driving home from work." writes another. "I know of three who have hit parked cars. Another hit a ’Jersey barrier’ on the New Jersey Turnpike. going 65 m. p•h." "Your own patients have become the enemy," writes a third, because they are "the one thing that stands between you and a few hours of sleep."
Agrawal’s organization is supporting the Patient and Physician Safety and Protection Act of 2001, introduced last November by Representative John Conyers Jr. of Michigan. Its key provisions, modeled on New York State’s regulations, include an 80-hour workweek and a 24-hour work-shift limit. Most doctors, however, resist such interference. Dr. Charles Binkley, a senior surgery resident at the University of Michigan, agrees that something needs to be done but believes "doctors should be hound by their conscience, not by the government’.
The U. S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you’re worried about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more-rested staffers are available. Doctors, for their part, have to give up their pose of infallibility(不出错)and get the rest they need.
What does Dr. Charles Binkley mean by "doctors should be bound by their conscience, not by the government" in Paragraph 5?
选项
A、Doctors should not abide by government’s regulations.
B、The government is interfering too much.
C、The regulations about workweek and work shift are too specific.
D、Law can not force a doctor to sleep while his conscience can.
答案
B
解析
本题问“Dr.Charles Binkley说的‘doctors should be bound by their conscience,not by the government’这句话意味看什么”。对于政府制定法规解决医生睡眠不足的问题,短文第五段说:“Its key provisions,modeled on New York State’s regulations,include an 80-hour workweek and a 24hourwork-shiftlimit. Most doctors,however,resist such interference.”即关键规定包括一周工作80小时,最多24小时轮一次班,但大多数医生讨厌这种政府干涉。接下来引用Charles Binkley医生的话来说明医生对这种干涉的反感:“…agrees that something needs to be done but believes‘doctors should be bound by their conscience,not by the government’.”,在他看来医生应该受到良心的约束,而不是政府的管制。可见Charles Binkley认为“政府干预过多了”,所以应该选择B。
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