UnitAEMPPreventionandTreatmentofDiseases

1、Unit 3 Prevention and Treatment of DiseasesPage 53共三十七页Text A: The Seventy Percent SolutionIs there a 100% solution for every problem?Is there a 100% cure for every ailment?Page 54共三十七页Warm-up ListeningLaughing for LifePage 54共三十七页How was Terrys life before she was diagnosed with MS (Pre. 1)loved pr

2、acticing Tae Kwon Doloved the surge of adrenaline that came with the controlled combat of tournamentscompeted nationally, even winning a bronze medal in the trials for the Pan American Gamesattended medical school, practiced as an internal medicine residency, became an academic general internistmarr

3、ied and got a son and a daughterPage 55共三十七页重点(zhngdin)医学英语an internal medicine residency内科(nik)住院医师阶段an academic general internist普内科医生to develop a chronic disease患慢性病Page 55共三十七页语言(yyn)难点Precise, crisp like an elegant dance严谨，敏捷如优雅之舞 Thrill of sparring练拳的兴奋 Flying in spinning tornado kicks腾空旋风(xun

4、fng)脚 The surge of adrenaline激情Page 55共三十七页Language Focuses adrenaline ad- close toadductionren- kidneyreniform-ine a chemical substanceepinephrinethyroxine甲状腺素Page 55共三十七页How much do you know about MS and autoimmune disease? (Pre. 2) Symptoms as mentioned by the authorloss of stamina and strength体力

5、和精力下降problems with balance平衡问题 bouts of horrific facial pain可怕(k p)的脸部疼痛 dips in visual acuity视敏度下降 Page 55共三十七页How much do you know about MS and autoimmune disease? (Pre. 2) Cause as mentioned by the authorthe assault of immune cells on the brain, with possible origin in genetic make-up and/or comb

6、ination of environmental factorsTreatment as mentioned by the authorInterferon(干扰素) and copolymer-1(共聚物-1)Page 55共三十七页重点(zhngdin)医学英语Multiple sclerosis多发性硬化症Genetics遗传因素Environmental factors环境因素Risk of relapse复发(f f)风险Page 55共三十七页英语(yn y)难点 He said that fewer relapses would mean less disability, a g

7、reater chance that Id still be walking, working, and living my life as I once knew it ten years later.他说复发少残疾(cn j)也少，十年后保持行走、工作和生活曾有能力的可能性大增 Page 55共三十七页Language Focuses pharmacotherapy pharmaco-pharmacologypharmacyPage 55共三十七页The Outcome It was increasingly apparent that, with time, becoming bedri

8、dden due to my illness was inevitable.越来越明显(mngxin)的是，随着时间流逝，患病卧床不可避免了。 Page 26共三十七页Two optionsAccommodation and acceptance of deepening disability despite optimal treatment虽有最佳(zu ji)治疗仍然残疾日深 Increased involvement in my own health care逐步参与自我医疗Physician Self-experimentation医生亲身试验 Page 55共三十七页What di

9、d Terry do before she self-experimented? (Pre. 3) Relearning much of what I had forgotten in my basic science years: cellular physiology, biochemistry and neurophysiology温故了基础科学中遗忘的内容：细胞生理学、生物化学(shn w hu xu)和神经生理学 56共三十七页What did Terry do before she self-experimented? (Pre. 3) Turning to articles co

10、ncerning neurodegeneration of all typesdementia, Parkinsons disease, Huntingtons, and Lou Gehrigs disease开始研究各种神经退化(tuhu)疾病的相关文章，包括痴呆、帕金森症、亨廷顿舞蹈症和路盖里格氏病 56共三十七页Why ？knowing that the seeds for todays clinical care were laid years, sometimes decades earlier in the basic science literature.当今临床(ln chun

11、)治疗萌发于数年或数十年前的基础科学文献 Page 56共三十七页What approaches did Terry mainly use to deal with neurodegeneration? (Pre. 4) self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal modelsself-experimentation with neuromuscular electrical stimulation still based

12、on literature online search to identify the sources of micronutrientsreduction of food allergy and toxic load57共三十七页Nutrients to slow neurodegenerationNutrients to slow animal models of neurodegeneration各种营养物延缓(ynhun)动物神经退化Translate mouse-sized doses to human ones 将小鼠剂量转化为人体剂量Add more vitamins and s

13、upplements加入更多维生素和补充物 Page 56共三十七页Nutrients to slow neurodegenerationRate of decline slowed病情恶化减缓了Reclassified as secondary progressive MS继发性进行性多发性硬化症 No FDA-approved treatment没有FDA批准(p zhn)的疗法Page 56共三十七页Neuromuscular electrical stimulation based on literatureNeuromuscular electrical stimulation神经肌

14、肉电刺激(疗法) Physical therapist理疗医生Test session试验(shyn)疗程Coupled with daily exercise合并每日锻炼 Page 56共三十七页Language Focuses there was no guarantee that my brain could talk to these new muscles. 无法保证大脑(dno)和新肌肉建立联系I felt the best Id felt in years.我多年没有感觉这么好 Page 56共三十七页To identify the sources of micronutrien

15、tsMicronutrient微量营养素Food sources for critical components重要(zhngyo)营养物的食物源Page 56共三十七页语言(yyn)难点 The medical literature didnt have that information, nor did the registered dieticians with whom I consulted, nor did I see it in the food science literature.医学文献没有相关(xinggun)资料，我咨询的注册营养师不知道，食品科学文献也一无所获。 Pa

16、ge 57共三十七页语言(yyn)难点I turned eventually to Google, which did help me, nutrient by nutrient, to understand where various micronutrients I was taking by pill each day were located in the food supply.我利用Google搜索，有结果了。 我逐个了解哪些食物(shw)含有每天服用的微量营养素。 Page 57共三十七页One example to illustrate the correlation betw

17、een toxic load and disease (Pre. 5) Pesticide/mercury exposure and neurodegeneration接触杀虫剂/汞和神经(shnjng)退化Page 57共三十七页重点医学(yxu)英语Food allergy食物过敏(gumn) Toxic load毒物载量Excrete toxins排出毒素 Regimen养生Page 56共三十七页语言(yyn)难点Food allergies can cause a myriad of neurological and psychological symptoms, typically

18、 without any abdominal complaints, decades before diagnosis and are very difficult to identify.食物过敏导致大量神经和心理症状，确诊疾病前数十年已经存在；通常没有腹部病症，难以(nny)识别。 Page 57共三十七页Language Focuses herbicide herbi-herbivorous-cidepesticidesuicidegenocidePage 57共三十七页The Outcome In two months sit in a standard chairIn three m

19、onths walk between exam roomsIn five months walk to the clinicIn seven months bicycle around the blockIn a year bicycle 18 milesIn two years ride a horsePage 26共三十七页What does the tile “The Seventy Percent Solution”mean? (Pre. 6) With 70% to 90% of the risk for diabetes, heart disease, cancer, and au

20、toimmunity being due to environmental factors other than genetics, we can provide the real solution to many health problems and the health care crisis by changing our environment, for example, optimizing our nutrition and reducing our toxic load.Page 58共三十七页Language Focuses Physician self-experiment

21、ation sometimes does not go as anticipated.The unthinkablethe unimaginablehappened, stunning me, my family, and my physicians.As a result, Ive changed how I practice medicine.Three years into my healing, I am again experimenting.Page 58共三十七页Task 1 OverviewA Quick Check1. D 2. literature, nutrients,

22、stimulation, micronutrients, environmental Page 32共三十七页Task 1 Medical TerminologyEnglishChinesepharmacotherapy药物疗法polymorphism多态性autoimmune自体免疫的adrenaline肾上腺素copolymer共聚物coenzyme辅酶herbicide除草剂internist内科医生sclerosis硬化（症）trial试验Page 33 -34共三十七页Task 2 Signpost LanguageSequence1.first, second, third, then, next, and finally;2.1, 2, 3, etc.; a, b, c, etc.3.before, during, after4.signal words such as steps, phases, stages, process, series, spectrum, continuumKey1. next 2. Then, Ultimately 3. At first, Eventually 4. NowPage 35共三十七页Task 3 Formal EnglishMany things have happened since then. I w