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  3. The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. Now her shoulder has

The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. Now her shoulder has

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问题    The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. 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.
   In my office, she listens carefully. I hardly ever have to repeat myself with Doris. She asks questions—mostly good ones. Sick, weakened by multiple symptoms, Doris is a really good patient. She communicates efficiently with her doctors and treats us with respect and trust. She has reasonable expectations. 【R1】__________But you’re usually glad her name is there.
   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.
   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. When we feel your trust, you have us.
   【R2】__________
   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.
   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. Good patients answer questions accurately and completely. They ask questions too.
   【R3】__________
   Here’s a classic exchange:
   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 ..."
   All I want to do is write something like "Right shoulder, 6 months" on my chart. There are lots of Beatrices.
   Are doctors good patients? Others may disagree, but I think they are. 【R4】__________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 good at following doctors’ orders.
   Doctors and nurses also know when to respect an educated opinion. You need not be a medical professional, or educated at all, to be a great patient. 【R5】__________
   [A] Medical jargon doesn’t confuse them, so communication is easier, and their expectations tend to be more reasonable.
   [B] 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.
   [C] 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.
   [D] 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.
   [E] 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.
   [F] 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. So she needs lots of tests, various therapies.
   [G] The most compelling reasons to be a good patient are selfish ones. You’ll get more of the mind that you came for, a mind working better because it’s relaxed. That means better medical care.
【R1】
选项
答案B
解析 空格前讲到作者对多丽丝的评价是她能有效地和医生沟通，尊重并信任他们，对自己病情的期望也很合理。空格后指出医生通常会因为她的名字在那儿而高兴，其中的But说明空格后的内容与空格处存在语义转折，而there说明前文提到了某个地方。B的第一句谈到了多丽丝looks things up，查阅与自己病症有关的资料，这对应了空格前说的她对自己病情的期望合理(reasonable expectations)，而helpful、never challenging则对应空格前所说的能够有效沟通(communicates efficiently．．．)，以及尊重并信任医生(…with respect and trust)。B的第二句提到作者和医生一致认为给她看诊要付出更多努力，这与空格后所说的医生往往很喜欢为她看诊形成转折关系，空格后首句的But正体现了这一逻辑关系：B第二句中的your day’s list也与空格后的there相对应。故答案选B。
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