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Unit6 Journeysinmedicine
Warmingup
Listening&speakingConversation
Scripts
Yuting(Chinesestudent):Hi,Aaron!How’syourexperienceofstudyingtraditionalChinesemedicine,orTCM,inChina?
Aaron(internationalstudent):It’sbeenquitechallengingbecauseTCMhassomanytechnicalterms.Butit’sfascinating–Iespeciallyenjoytheacupunctureandtuinaclasses.They’rehands-onandreallybringtheconceptstolife.
Yuting:That’sgreattohear!I’veheardthatmoreandmorepeopleintheWestareturningtoTCMbecauseofitseffectiveness.Isittrue?
Aaron:Yes,that’strue.There’sagrowingrecognitionofitsbenefitsintheWest.WhileWesternmedicinetendstofocusonaddressingspecificsymptoms,TCMgenerallyadoptsaholisticapproach,takingintoaccountbothunderlyingcausesandvisiblesymptomsofacondition.Itincorporatesherbalmedicine,acupuncture,andpracticeslikeqigongandgongfu.
Yuting:IsittheholisticapproachtohealthcarethatattractsyoutostudyTCM?
Aaron:Itis!TheholisticaspectiswhatdrewmetoTCMinthefirstplace.Treatingthepatientasawholeisincrediblyimportantintoday’sworld.Duringmystudies,I’veevenbeenabletotreatsomepatientsusingthisapproachundermyteacher’sguidance,whichhasbeenafantasticlearningexperience.IhopetointegrateTCMwithWesternpracticeswhenIreturnhome.
Yuting:Thatsoundspromising.HowdoyouthinkTCMandWesternmedicinecanworktogether?
Aaron:Theyhavealottolearnfromeachother.Forexample,Westernmedicineoftenreliesonmedicinetomanagebloodpressure,whileTCMoftenfocusesonlifestylechanges,herbalremedies,andacupuncturetoaddressunderlyingimbalances.Bycombiningthesemethods,wecanachieveremarkableresults.
Yuting:Thatmakesalotofsense.You’vegotyourmaster’sdegreeinTCM.Areyougoinghomesoon?
Aaron:Perhapsnot.IplantotakethelicensingexamhereinChina.Itwillbetough,butit’sessentialformyfutureplans.OnceIpass,IhopetoopenaclinicbackhometointroduceTCManditsholisticapproachtohealthcare.
Referenceanswers
Listeningandunderstanding1
technicalterms
fascinating
bringtheconcepts
specificsymptoms
holisticapproach
bloodpressure
underlyingimbalances
remarkableresults
2
F
F
F
F
F
T
Thinkingandspeaking
Whatisaholisticapproachinmedicine?PromotingTCMtotheworld
Passage1Scripts
Artmuseumsaren’ttraditionallyassociatedwithmedicaleducation.Butseveralmedicalschoolsareofferingcoursesthatgivestudentsachancetorefinetheirobservationskills,andinturntheirdiagnosticskills,bystudyingvisualart.
Therehasbeenagrowingrecognitionthatinadditiontoimprovingtheirdiagnosticskills,studyingtheartsmayhelpmedicalstudentsdevelopqualitiessuchasself-awarenessandcommunicationskillsthatareincreasinglyimportantfortheircareers.Theartmuseumenvironmentseemstooffersomethinguniqueandimportanttomedicalprofessionals,whoneedtocopewiththejob’srelentlessdemandsforcourageandquickdecisionsandbepreparedtotakehugerisks.Worksofartalsoofferinterpretivechallenges,whichresonatewiththefamiliardemandsofdiagnosisfacedbymedicalprofessionals.Besides,artmuseumscanalsoserveasasafeplaceformedicalprofessionalstosharetheirthoughtsandfeelingsaboutartandtheirownexperiences,whilebuildingononeanother’sideasinthesearchformeaning.Thiscanpromotetheirtoleranceofambiguityandhaveapositiveeffectonreducingburnout.Thehumanitiesingeneralarefoundtoworkinthesameway.
Nowadays,asmedicalpracticeshiftsfromindividualized,doctor-centeredcaretowardateam-based,patient-centeredapproach,somepeoplearguethatthepatient-doctorconnectioniswhatreallydefinesbeingadoctor.Bringingtheartsandhumanitiesintomedicaleducationhasprovedtobeagoodwayofhelpingmedicalstudentsformdeeperconnectionswithpatientsanddevelopempathyandresilience.“Theseareallcoreareasfordoctorsandcanbedevelopedthroughstudyingtheartsandhumanities,”saidoneresearcher.Headdedthatleadersacrossacademicmedicineareenthusiasticabouteffortstointegratetheartsandhumanitiesintomedicaleducation.
Referenceanswers
Listeningandunderstanding1
1.
2.
4. 5. 7. 10. 11. 12. 13. 15.
2
1.
F
2.
T
3.
T
4.
T
5.
T
6.
F
7.
T
8.
F
Thinkingandspeaking
Whatdefinesadoctor?
Importanceofhumanitiesinprofessionalgrowth
Passage2Scripts
Thehealthcareindustryiswitnessingaprofoundshiftdrivenbydigitaltechnologyandartificialintelligence,andthisisparticularlyevidentinhowpatientsseekcareandhowdoctorsdeliverit.
UsingAIhasmadeitpossibletoprovidequickandconvenientcaretohelpmorepeople.Forexample,AIchatbotsarealreadybeingusedasafirstpointofcontactforpatients.Theycanaskpatientsabouttheirsymptomsandcondition,triagethem,andscheduleappointments,savingthevaluabletimeofhealthcarestaff.Basedonthepatient’sanswers,thechatbotcanalsosuggesttreatmentsorafurthercourseofaction.Thiswillbeespeciallyusefulinruralcommunitieswithfewerhealthresources.
AIhasproventobeagamechangerinmedicalimaging,too.Inthepast,subtleabnormalitiesinscanscouldeasilygounnoticedbyhumans,potentiallydelayingcrucialtreatments.However,withtheassistanceofAIalgorithms,eventhetiniestirregularitiescannowbedetectedandanalyzed,empoweringmedicalprofessionalswithenhanceddiagnosticcapabilities.
Machinelearningmodelscanalsopredicthowpatientsreacttocertaindrugs,allowingdoctorstoproactivelyaddresspatients’needs.Thisnotonlymakesthediagnosticjourneyquickerbutalsoensuresahigherlevelofprecision,minimizingerrorsandmaximizingtreatmenteffectiveness.
Furthermore,doctorsandotherhealthcareworkerscanbenefitfromAIwhentheyareinundatedwithwork.AIassistantscanautomateprocedures,spotinconsistenciesanderrors,speedupdocumentation,andhelpwithday-to-daytaskslikerecordingmedicaltestresultsandissuingprescriptions.
Withagingpopulationsacrosstheworld,manyhealthcaresystemsareunderpressure.Fortunately,artificialintelligencehasthepotentialtoaddresssomeofthemostpressingchallengesinhealthcare.
Referenceanswers
Listeningandunderstanding1
1. 3. 4. 6.
2
courseofaction
enhanceddiagnosticcapabilities
reacttocertaindrugs
patients’needs
inconsistenciesanderrors
day-to-daytasks
Thinkingandspeaking
AreyouwillingtoseeanAIdoctor?ChallengesofusingAIinhealthcare
LectureScripts
Goodmorning,everyone.Today,wewilltakeacloserlookatoneofthemostinfluentialfiguresinthehistoryofmedicine–Hippocrates,whoisoftenreferredtoasthefatherofmedicine.Hispioneeringworklaidthefoundationsformodernmedicalethicsandpractice,andhisteachingscontinuetoresonatewiththemedicalcommunitytothisday.Althoughstoriesabouthimaremorelegendthanfact,thishasn’tstoppedpeoplefromreferringtohimasthemodelofanidealdoctor.
So,whyisHippocratesconsideredsuchamonumentalfigure?Well,he’screditedwithtransformingmedicinefromapracticefullofsupernaturalbeliefstoonebasedonobservationandnaturalscience.BeforeHippocrates,illnesswasoftenattributedtodispleasedgodsormysticalforces.Hebroughtamorerationalperspective,onethatsoughtnaturalexplanationsandtreatmentsfordiseases.
Hippocratesemphasizedtheimportanceofclinicalobservation,notingthatakeeneyeandcarefuldocumentationareessentialforeffectivetreatment.Whilemodernmedicinehasevolvedsignificantly,theideaofobservingandunderstandingdiseaseprocessesremainscentral.
AnotherimportantthingHippocrateslefttousistheHippocraticoath,asetofethicalguidelinesthatcontinuetoshapethemoralframeworkofthemedicalprofession.Theoathurgesdoctorstoprioritizethewell-beingof
theirpatients.Italsostressestheimportanceofmaintainingconfidentiality,sharingmedicalknowledgethroughteaching,andpreservingprofessionalintegrity–principlesthatresonatedeeplyintoday’smedicalpractice.
TheHippocraticoathhasprofoundlyinfluencedmodernmedicinebyestablishingenduringethicalprinciples.ManymedicalschoolstodayrequirestudentstotakeaversionoftheHippocraticoathaspartoftheirgraduationceremonies,symbolizingtheircommitmenttoethicalpracticeandpatientcare.
Hippocratescontinuestoinspiregenerationsofhealthcareprofessionalswhoarededicatedtothewell-beingoftheirpatients.LetushonorHippocratesnotjustasanameinmedicalhistory,butasanenduringexampleofhowtopracticecompassionateandscientificallygroundedmedicine.
Referenceanswers
Listeningandunderstanding1
thefatherofmedicine
supernaturalbeliefs
observationandnaturalscience
ethicalguidelines
scientificallygroundedmedicine
2
T
T
T
T
F
Thinkingandspeaking
TheenduringlegacyoftheHippocraticoath
AleadingfigureinthehistoryofChinesemedicine
Viewing&speakingScripts
Thisisaraceagainstdeath,alonelyrace.Hurryup!Hurryup!Wemustmakeit!
Where’syourwife?Howisshe?Pleasewaitoutsidetheyurt.Hello,baby!You’vemadeit!
Thisismygrandma,Dr.QinJisheng.In1950,shewasadmittedtotheMedicalSchoolofPekingUniversity.Aftergraduation,mygrandmawenttoInnerMongolia(AutonomousRegion)inresponsetothecalloftheCommunistPartyofChinatoassistthecountry’sfrontierareas.LifeinInnerMongolia(AutonomousRegion)wasveryhardatthetime.Mostofthelocalwomendeliveredbabiesathome.Therewasnodisinfectionequipment,nomidwife,andnoobstetrician.GrandmastayedinInnerMongolia(AutonomousRegion)for30straightyears.Whensheretired,thelocalmaternalmortalityratehaddroppedto1/17ofthefigureofthe1950s.
Forhercontributions,Grandmawasgrantedthecountry’shighestawardingynecologyandobstetrics,OutstandingGynecologistsandObstetricians–LinQiaozhiCup.
ThechildGrandmaholdinginherarmsismymom,LiaoQinping,whogrewupinInnerMongolia(AutonomousRegion).MomoftensaysthatshewasmorefamiliarwithGrandma’sbackthanherface.
DespiteMom’s“complaints”aboutGrandma’snever-endingbusyness,shechosetostudyinthesamemedicalschoolwhereGrandmagraduated,andbecameabusyobstetricianandgynecologistherself.
ShejoinedtheCommunistPartyofChinaaswell.Whiledoingherinternshipinahospital,Mommetanorphancouplewhogrewuptogether.
Wishwecanstillbetogetherinheaven.
Theyoungwoman’smalignanttumorwasincurable.Momwitnessedtheyoungwoman’sdreadfulsufferinganddeath.Afterthat,shemadeuphermindtoconquermalignantgynecologicaltumorsinpatients.FollowingGrandma’ssteps,shealsovolunteeredtoworkinamedicalteaminaremotearea.
Fortheimpoverishedwomenintheborderarea,Momwasnotonlyadoctor,butalsoasister,ananny,andevenanaccountant,whohelpedthemsavemoney.
LikeGrandma,Momwasalsograntedthehighestnationalawardingynecologyandobstetricsforhercontributionstothetreatmentofgynecologicaltumors.Thetwotopawardshavealwaysbeeninspiringtome.
MynameisLüTao,IhadthisphototakenwhenIwasworkinginXizang.In2001,Iwasenrolledby(the)PekingUniversityHealthScienceCenterandbecameanalumnaofGrandmaandMom.
Iamalsoanobstetricianandgynecologist.Myfocusofresearchisoncommonproblemsaffectingwomen’sliveslikeurinaryincontinence.FollowingthepathGrandmaandMomtookdecadesago,I’vealsovolunteeredtoworkinaremotearea,XizangAutonomousRegion.
Whysomanytents?They’reheretoseethedoctor.
ProbablyfewpeopleknowthatforTibetanherders,visitingadoctormeansamigrationoftheentirefamily.Fortunately,ahigh-altitudeecologicalrelocationpolicywaslaunched.EventhepoorestTibetanswerecoveredbythebasicmedicalinsurancesystem.
Workinginthedepartmentofobstetricsandgynecologyismuchharderthanyou’veimagined.Doyouwanttothinkitover?Didmygrandmasaythesamethingtoyoubackthen?
Inthe1950s,asaCPCmember,grandmastrivedtosavethelivesofpregnantwomenandtheirbabiesintheborderarea.Inthe1990s,asaCPCmember,Momstrivedtosavethepatientswithmalignantgynecologicaltumorswithmeticulousresearch.Inthe2020s,I’mworkinghardtohelpChinesewomenlivebetter.
Referenceanswers
Viewingandunderstanding1
1.N 2.Y 3.Y 4.N 5.N
2
QinJisheng(Grandma):B ELiaoQinping(Mother):A F H
LüTao(Granddaughter):C D G
Thinkingandspeaking
Devotionofdoctors
Improvinghealthcareinremoteareas
Unitproject
FurtherlisteningConversationScripts
Q:Intoday’srapidlyevolvinghealthcarelandscape,thedoctor-patientrelationshipisundergoingsignificantchanges.Today,wehaveDr.Smith,arenowneddoctor,todiscusstheseshiftsandtheirimplications.
A:Thanksforhavingmehere.
Q:Dr.Smith,tostartwith,whatdoyouthinkisthemostsignificantshiftinthedoctor-patientrelationship?
A:Wearenowlivinginanage,wherepatientshaveaccesstoawealthofinformation.Thedoctorisstillthemostimportantfactorintermsofdecision-making,butpatientsareincreasinglyinvolvedintheprocess.Youknow,thesourcesofinformationaboutdiseaseandtreatmenthaveexpandedbeyondthedoctor’soffices.TheInternet,publications,andevencommunicationwithfriendsandneighborshaveallbecomesourcesofknowledgeaboutdisease,symptoms,andtreatmentoptions.
Q:Whatistheinfluenceofthisshift?
A:Well,theroleofmedicalstaffhasevolvedtoincludehelpingpatientsnavigatethevastamountofinformationandhelpingthemdistinguishhigh-qualityinformationfrommisleading,orevenfalseinformation.However,whenitcomestomakingfinaldecisions,patientsstilltendtodefertotheclinicalteam.
Q:Aremedicalworkersawareofthisshift?
A:Absolutely.Doctorsareveryopenandpreferthisapproachtomedicalcare.Theincreasedparticipationofpatientsinthedecision-makingprocessislikelytoimprovehealthoutcomes,enhancesatisfactionwiththehealthcareexperience,reducecosts,andevenbenefitthedoctor’sexperience.
Q:Howdoyouthinkthisshiftwillimpactthefutureofhealthcare?
A:Thisshiftisaveryhealthymove.Itallowsphysicianstobetterknowpatients’thoughtsandthefactorsthatinfluencetheirwillingnessandabilitytosticktodifferenttreatments.This,inturn,leadstogreateradherencetotreatmentdecisions.Duringthisprocess,doctorsandpatientsformamorecollaborativerelationshipwithmutualtrust.
Q:So,inyouropinion,theevolvingdoctor-patientrelationshipholdsgreatpromiseforbetterhealthcare,right?
A:Right!
Q:Thankyou,Dr.Smith,forsharingyourinsightsonthistopic.
A:Itwasapleasuretospeaktoyou.
Questions:
Whatisthemostsignificantshiftinthedoctor-patientrelationshipaccordingtoDr.Smith?
Whatismedicalstaff’sattitudetowardtheshiftinthedoctor-patientrelationship?
WhatdoesDr.Smiththinkoftheimpactoftheshiftinthedoctor-patientrelationship?
Referenceanswers
1.C2.A3.C
Passage1Scripts
Yourmindcanbeapowerfulhealingtoolwhengiventhechance.Theideathatyourbraincanconvinceyourbodythatafaketreatmentisrealandthusstimulatehealinghasbeenaroundformillennia.Thisisknownastheplaceboeffect.Now,sciencehasfoundthat,undertherightcircumstances,placeboscanbejustaseffectiveastraditionaltreatments.“Theplaceboeffectismorethanjustpositivethinking,thatis,believingatreatmentorprocedurewillwork.It’saboutstrengtheningtheconnectionbetweenthebrainandbody,”saysoneresearcherwhofocusesontheplaceboeffect.Placeboswon’tloweryourcholesterolorshrinkatumor.Instead,theyworkonsymptomsinfluencedbythebrain,suchastheperceptionofpain.Accordingtoresearch,placebosmaynotcureus,buttheycanmakeusfeelbetter.Theyhavebeenfoundtobemosteffectiveforconditionslikepain,stress-relatedinsomnia,andsideeffectsofcancertreatmentlikefatigueandfeelingsick.
Howplacebosworkisstillnotfullyunderstood,butitinvolvesacomplexneurobiologicalreaction,fromincreasesinfeel-goodneurotransmitterslikeendorphinsanddopamine,togreateractivityincertainbrainregionslinkedtomoods,emotionalresponses,andself-awareness.“Theplaceboeffectisawayforyourbrain
totellthebodywhatitneedstofeelbetter,”saystheresearcher.
However,placebosarenotallaboutreleasingbrainpower.Youalsoneedtheritualoftreatment.Asexplainedbytheresearcher,“Yougotoaclinicatcertaintimesandgetexaminedbymedicalprofessionalsinwhitecoats.Youreceiveallkindsofexoticpillsandundergomedicalprocedures.Allthiscanhaveaprofoundimpactonhowthebodyperceivessymptomsbecauseyoufeelyouaregettingattentionandcare.”
Questions:
Whatcanwelearnaboutthenatureoftheplaceboeffectfromthepassage?
Whattypeofsymptomsareplacebosmosteffectivefor?
Accordingtotheresearcher,whathelpsenhancetheplaceboeffect?
Referenceanswers
1.D2.B3.C
Passage2Scripts
Forcenturies,peopleacrosscountrieshaveturnedtotraditionalwaysoftreatment,usinghomeremediesandknowledgeofancientmedicinetoaddresstheirhealthandwell-beingneeds.Accordingtothe“WHOGlobalReportonTraditionalandComplementaryMedicine2019,”varioussystemsoftraditionalmedicinearebeingusedaroundtheworld,includingacupuncture,herbalmedicines,andosteopathy.
Traditionalmedicineissometimesseenaspre-scientific,withitspracticesandtreatmentstobereplacedbymodern,science-basedmedicine.However,whatislessknownisitscontributiontomodernmedicine.Throughouthistory,manytraditionalproductsandpracticeshavebeentranslatedintoeffectivetreatmentsforvarioushealthconditions.
Around40percentofpharmaceuticalproductstodaydrawfromnatureandtraditionalknowledge,includinggroundbreakingdrugssuchasaspirinandartemisinin.Acloserlookatthesedrugsrevealsthatthescientistsbehindthembuiltontraditionalknowledgetoachievetheirbreakthroughdiscoveries.Takeaspirin,forexample.Morethan3,500yearsago,barkfromthewillowtreewasusedbytheEgyptianstoreducepainandfightinflammation.Inlateryears,itwasusedinancientGreecetoeasethepainofchildbirthandcurefevers.Basedonthistraditionalknowledge,chemistFelixHoffmannproducedaspirinusingchemicalmethodsin1897.Sincethen,aspirinhasimprovedandsavedthelivesofmillionsofpeopleeveryday.Ithasmultiplebenefitsincludingpreventingheartattacksorstrokes,improvingbloodpressure,andrelievingpainandswelling.Aspirinisnowoneofthemostuseddrugsintheworld.
Theenduringlegacyoftraditionalmedicineisatestamenttoitsvalueandrelevanceinthemodernworld.Bycontinuingtoexploreandintegratetraditionalknowledgewithcontemporaryscientificresearch,wecanuncovernewtreatmentsandimproveexistingones,ultimatelyadvancingglobalhealthoutcomes.
Questions:
WhatdoestheWHOreportsayabouttraditionalmedicine?
Whatcanwelearnaboutaspirinfromthepassage?
Whatisthepassagemainlyabout?
Referenceanswers
1.A2.C3.A
LectureScripts
Goodafternoon,everyone.Today,we’regoingtolookatatransformativetechnologyinmedicine:3D-printedorgans.Thistechnologyisnotjustaglimpseintothefuture–it’shappeningnowandcouldfundamentallychangehowweapproachorgantransplants.
Let’sbeginwiththeremarkablecaseofayoungwomanintheU.S.whoreceiveda3D-printedouterear,madefromlivingcells.Thisrepresentssignificantprogressinpersonalizedmedicinebecauseitusesthepatient’sowncells,greatlyreducingtheriskofimmunerejection.
3Dbioprintingisgoingfromanideatorealpracticeinmedicine.Thisinnovati
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