《考研英語閱讀理解100篇 基礎(chǔ)版》第7章 醫(yī)藥類 Unit 89
《考研英語閱讀理解100篇 基礎(chǔ)版》第7章 醫(yī)藥類 Unit 89
所屬教程:考研英語閱讀
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2019年01月23日
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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,and some of us actually sleep too much.① 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 soundly.
Doctors have their own special sleep problems.Residents 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.② Curiously,surgeons who believe that operating under the influence is the reason 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 bound 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 and get the rest they need.
注(1):本文選自Time;
注(2):本文習(xí)題命題模仿對象:第1、2題分別模仿1999年真題Text 4第1題和Text 2第2題;第3題模仿1998年真題Text 3第2題;第4、5題分別模仿2004年真題Text 2第3題和Text 3第5題。
1.We can learn from the first paragraph that ______.
A) people who sleep less than 8 hours a day are more prone to illness
B) poor sleep quality may be a sign of physical disorder
C) stroke is often associated with sleep
D) too much sleep can be as harmful as lack of sleep
2.Speaking of the sleep problems doctors face,the author implies that ______.
A) doctors often need little sleep to keep them energetic
B) doctors’ sleep is deprived by residents
C) doctors tend to neglect their own sleep problems
D) sleep-deprived doctors are intoxicated
3.Paragraphs 3 and 4 are written to ______.
A) entertain the audience with some anecdotes
B) discuss the cause of doctors’ sleep problems
C) show the hostility doctors harbor against their patients
D) exemplify the danger doctors face caused by lack of sleep
4.By“doctors should be bound by their conscience,not by the government” (Lines 5~6,Paragraph 5),Dr.Charles Binkley means that ______.
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 cannot force a doctor to sleep while his conscience can
5.To which of the following is the author likely to agree?
A) Patients should control the working hours of their doctors.
B) Pilots and truck drivers work in safer environments than that of doctors’.
C) Patients are facing more risks if their doctors are not adequately-rested.
D) People concerned have the right to remove their doctors from their positions.
睡眠是一件有趣的事情。我們被教導(dǎo)每晚要睡七八個小時,但我們很多人并沒有睡夠這個時間卻依然身體健康,而我們中的一些人實際上睡得過多。上個月由布法羅大學(xué)所做的一項研究顯示,那些每天習(xí)慣睡八個小時以上但仍然感覺疲勞的人死于中風(fēng)的危險是普通人的近三倍——也許這是一種潛在的紊亂導(dǎo)致的結(jié)果,正是這種紊亂才讓他們難以安睡。
醫(yī)生們也有自己特殊的睡眠問題。住院醫(yī)生以缺少睡眠而著稱。我在受訓(xùn)成為一名神經(jīng)外科醫(yī)生的時候,時常會連續(xù)工作40個小時。我們大多數(shù)人對此不以為意,自信我們?nèi)匀荒軌蚪o病人提供最高質(zhì)量的醫(yī)療護理。也許我們不應(yīng)該對自己這么自信。《美國醫(yī)學(xué)會雜志》上刊登的一篇文章指出,一個人如果連續(xù)24小時不睡,那么到了早晨,他的運動能力就和那些飲酒后酒精濃度超標的人差不多。令人好奇的是,那些認為醉酒后做手術(shù)應(yīng)該被免職的外科醫(yī)生卻很少認真思考在睡眠不足的情況下操刀手術(shù)的后果。
“我可以告訴你一些恐怖的故事,”美國醫(yī)學(xué)生學(xué)會主席杰雅·阿格拉瓦說。阿格拉瓦經(jīng)營著一個網(wǎng)站,住院醫(yī)生們可以在那里匿名留言,講一些奇聞軼事。有一些故事非??膳隆?ldquo;我當(dāng)時在做手術(shù),已經(jīng)有36個小時沒有睡覺了,”其中一人寫道。“我差不多站著睡著了,而且我的臉幾乎碰到了傷口。”
“實際上我認識的每個外科住院醫(yī)生都曾經(jīng)有過在下班開車回家的路上趴在方向盤上睡著的經(jīng)歷,”另一人寫道。“我聽說有三個人還曾經(jīng)撞在停放好的汽車上。另一個人在紐約收費公路上行駛時以65英里的時速撞上了一個收費站欄桿。”“你自己的病人都成了敵人,”第三個人寫道,因為“是他們使你無緣幾個小時的睡眠。”
阿格拉瓦的組織支持由密歇根眾議員約翰·科尼爾斯去年11月提出的“2001年病人和醫(yī)生安全保護規(guī)定”。該規(guī)定模仿紐約州的法規(guī),其關(guān)鍵規(guī)定包括一周工作80小時,最多24小時輪一次班等。不過,大多數(shù)醫(yī)生討厭這種干涉。查爾斯·賓克利是密歇根大學(xué)的一位資深住院外科醫(yī)生,他也認為需要采取一些措施,但在他看來“醫(yī)生應(yīng)該受到個人良心的約束,而不是政府的管制。”
在美國,飛行員和卡車司機的工作時間都有著嚴格的控制。但除非也給醫(yī)生們制定這樣一套規(guī)定,否則病人就得聽天由命了。如果你擔(dān)心給你或你愛的人治病的人,你可以大膽問他們每天睡幾個小時,可不可以找到休息得更好的職員。對醫(yī)生來說,他們不能繼續(xù)擺出一副從不出錯的樣子,而應(yīng)該得到必要的休息。
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