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1、Unit 5 Kno wledge and IgnoranceWords and phrases expected of stude nts to un dersta nd palpitatefive days straightwiggleleaf p up on pillows/aga inst the wallDawn broke on the doctor s facerule outsocial milieuin a huddlea suggesti on of I detected a suggesti on of malice in his remarks.in due
2、coursePreparatory Work(1)SymptomCheckupDiag no sisCli nicOthercough (咳嗽)haveanfunctional (功能Gastroe nterologyAMA (美国医药proIon gedorthodiagram (扌白性的)消化科协会)emptyi ng timeX 线片一注:平vascular (血管Neorology(神经Gastro-I ntesti nal(排空时间过常人不这么说,的)病学)(胃肠道的)长)就是 take anhyperte nsiveNeuropsychologyaorticvalveX-ray)(
3、高血压的)(神经心理学)(主动脉瓣)have an EKG (做pylorospasm (幽rheumatologythe great arteries心电图)门痉挛)(风湿病学)(主动脉)haveacardiomegalyperipheralFluoroaortogram(心脏肥大症)capillarybed(做主动脉造影)mini malleft(周围毛细血管ven tricular床)hypertrophy (微rheumatologist小左心室肥厚)(风湿病医生)peripheraltubular functionvascular(肾小管功能)spasticity (周围filtra
4、tion fraction血管痉挛)(滤过分数)The following are just for your referenceThe In adeque ncies of Moder n Orthodiagramatic Tech niq ues in Demon strati ng Mini mal LeftVen tricular Hypertrophy当代影像技术在显示微小左心室肥厚方面的不足之处the Diagnostic Clinic (诊断科)vs. the Therapeutic Clinic (治疗科)vs. the Functional Clinic(功能科/Mitral
5、 Valve Clinic ( 二尖瓣科)vs. Aortic Valve Clinic (主动脉瓣科)(allthe cli nics are made up for satiricaleffect)psych on euroticist 神经心理医生( a made-up word, possibly coined from Psycho neurosis 精 神神经病 or Neuropsychology 神经心理学)psychosociologist 社会心理医生( a made-up word; psycho+ sociologist ) pituitaryosmoreceptoro
6、logist 渗透压感受器专家?( a word possibly coined from pituitaryosmoreceptor 渗透压感受器)(2)The story was published in 1963, and in the story a doctor says1972, whichmeans that the story has a futuristic setting.It nst a typical scienee fiction as I understand the term, for scienee fiction, thoughhard to define,
7、usually invoIves wilderimaginativeconceptssuch asfuturisticsciencea ndtech no logy,spacetravel,timetravel,paralleluni versesa ndextraterrestrial life.Yet it may be viewed as a story of scienee fiction in the sense that the authormakes up a futuristic sett in gof extremely meticulous divisio ns of me
8、dici ne towarn aga inst such a trend, since scie nee fictio n also means, accord ing to scienee ficti on writerRobert A. Hein lei n,“realisticspeculatio n about possible futureeve nts, based solidly on adequate kno wledge of the real world, past and prese nt,and on a thorough understanding of the na
9、ture and significanee of the scientificmethod.”But, to be honest, I do thi nk it s more a satire than scienee fiction.(3)There are altogether 13 doctors besides the Turk.(Interesting number!)The doctor (community doctor?)-the red-headed doctor (Gastro-Intestinal man)an dDr. Schultz (the Orthopedic R
10、adiologist)-a no ther doctor(possiblyalsoOrthopedic Radiologist), who brought two more doctors (in Valve Clinic)-theMiltral man, the Aortic man, the Great Arteries man and the Peripheral CapillaryBedman-doctorin the FunctionalClinic-Psych on euroticist, Psychosociologist the Turk ( Is he really a Tu
11、rk? Idont know whats his field.)(4)They are italicized for emphasis. They are to be read out aloud.Para. 9 Fifty- five The doctor shows his in credulity. He believes 55 as a critical agebut the man hashad a checkup for almost 10 years.Para.13you may be feeling well, it implies that the doctor doesnt
12、 believe he isactually well.Para.24I could do thatThe doctor was shocked that the patient wasignorant” to the extent that he asked only for sth. to stop the pain. According to thedoctor, the root cause of the problem had to be found out first.Para. 24moreaspirin poisoning than of cyanide poisoningTh
13、e twowords are emphasized to distinguish them and to let the information sink in. Para.26 we have tethi nk about The doctor implies that Wheatley hasthought much about his own health.Para. 37 I dont think so. It is implied by the emphasis that Wheatley fails tounderstand the word Fluoroaortogram.Par
14、a.38 Now this patient- The doctor suddenly realized his purpose of cominghere.Para. 41 you mustnt worry. The doctor thinks that Wheatley has the reasons to beworried but that his worry might make the situation worse. Therefore he mustntworry.Critical Reading:1. Questions(1) He was very nervous.(2) H
15、e doesnt think Wheatleys complaints have much value. He has his ownprofessional training of inquiring.(3) He is an Orthopedic Radiologist (And I think he is a colleague of Dr. Schultzs). Hementions the article in details possibly becauseits his recent focus of attention, or inother words he is still
16、 thinking about it when he talks.(4) I dont know for sure where he went or what brought him there. I think both theTurkish drapes and the turban are used to give an exotic flavor to that place, to forma sharp contrast with the previous“scientific”atmosphere. He might or might notbe a Turk. Still we
17、know this last resort of Wheatleys must be some branch of the“alternative medicine”, which according the Wikipedia,“is any practice that isput forward as having thehealingeffects of medicine, but does not originatefromevidencegathered using thescientific method”.This ending provides an alternative c
18、hoice to the allegedly“scientific mo”dernmedicine and makes it a choice Wheatley voluntarily made after being disillusionedwith the modern medicine. The effect is quite satirical.2. True or False(1) F Its satirical.(2) F Wheatley is certainly worried by the first doctors words, but not to the seriou
19、sextent as is stated in this sentence.(3) F He starts to feel worried and thinks that the doctor may take the blood pressureor do other check-ups to decide whethersit inflammatory or sth. else.(4) F It only occurred to him that the patient just wants sth. to stop the pain.3. (1) B(2) C (3) DII. Crit
20、iquing the text(1) The doctors professional in the sense that he made the enquiries and diagnoses ina logical way. Of course the problem is that he always cut the patient short, relied toomuch on his theoretical hypotheses andwouldndto any check-up to ascertain whatwas wrong with the toe. Therefore
21、he is not a competent doctor.(2)“Interesting”here might be a euphemism for sth. tricky, sth. difficult to handle. I dontknow how to answer the rest of the questions (what to make of his words, whats hisreal intention?)(3) Early on the doctor simply told Wheatley to go to the“Valve Clinic”, talking i
22、t forgranted that Wheatley knew which valve clinic he should go. But it was unlikely for alayperson like Wheatley to know that there was a subdivision of“valve clinic”andwhich one was the right one for him.Fortunately, there is no“Mitral Valve Clinic ,”“Aortic Valve Clinic”or even“ValveClinic”in the
23、 real world. The author makes them up as a good example to show howunnecessarily complicated and how confusing modern medical science has become.(4) One sentencecan account for all those referrals:“Always best to let the expert handlethe problem in his own field.”I think the quotation might be part
24、of the long-termprofessional training they have received before they become doctors. Therefore I putthe blame on the unnecessary branching of modern medicine science, not on thedoctors themselves. They are trained in this way. Its not their irresponsibility or sth.Actually this article helps me to d
25、evelop some empathy for the doctors in past newsreports about doctors asking their patients to do a thorough checkup before makingtheir diagnoses. I used to think, like what the reporters led us to believe, that theywere just trying to make more money. But this article throws new light on those case
26、s.Now I can see why the doctors think it reasonable and even necessary to do suchcheckups. They are trained in this way.(5) Most of the terms and jargons are difficult to understand. The author even made upsome words, usually very difficult and long words. The effect is well achieved. Thereader can
27、literally sense the feelings of awe, confusion and perplexity that Wheatleymust have felt at the flow of those incomprehensible, professional, solemnly-utteredjargons. In some specialized fields like medicine, language is used as a tool toestablish an unbalanced power structure in which lay people r
28、emain in a powerlessand underprivileged status. The author is sensitive enough to recognize it in the reallife, and wise enough to exaggerate the jargons a bit so as to make them morerecognizable to his reader.(6) I read this short story as a satire on modern medicine science: it is evolving into ad
29、ead end, which sacrifices efficiency for expertise and fails to provide the cure itpromises.(7) Lack of efficiency, unnecessarybranching, relying too much on theories and equipments, too meticulous in maki ng adiag no sisStudents are encouraged to come up with ways to handle the problems. Possiblymore reading of literary works might help. Haha.(8) I agree thatordinary people usually remain powerless in the unbalanced relationshipbetween experts and lay people. They are deprived of the discourse power, unable
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