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Before Reading_Main 1. Three Types of Doctors General Practitioners

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1 Before Reading_Main 1. Three Types of Doctors General Practitioners
Global Reading Detailed Reading After Reading 1. Three Types of Doctors General Practitioners Specialists Researchers 2. Careers in Medicine in the US 3. Warm-up Questions

2 General Practitioners
Before Reading_1.1 Before Reading Global Reading Detailed Reading After Reading General Practitioners Directions: Listen to the following paragraph and fill in the blanks. A general practitioner cares for patients with all kinds of illness. He may not have training in any one field of , but develops a wide knowledge of all kinds of illness. He babies, diagnoses diseases, surgery, and sets broken bones. The general practitioner often becomes extremely in the art of medical practice. _______ special ________ medicine _______ delivers performs _______ _______ skillful

3 Before Reading_3.14 Specialists
Global Reading Detailed Reading After Reading Specialists Directions: Listen to the following paragraph and fill in the blanks. Certain fields of medicine require special training and skill. One specialist is a surgeon, who treats diseases by means of operations. Some doctors prefer to treat only certain kinds of illness, thus becoming specialists in their fields. Other doctors often consult them when a patient needs their special skill and knowledge. For example, a general practitioner might refer a pregnant woman to an obstetrician. The obstetrician cares for her and delivers her baby. A pediatrician, who specializes in diseases, then takes over the care of the infant. ________ advanced _______ surgical _______ chosen ________ childhood

4 Before Reading_3.15 Researchers
Global Reading Detailed Reading After Reading Researchers Some doctors do not practice medicine after they complete medical training. They prefer to devote their time to medical research. These doctors often help teach future physicians in medical schools. At the same time, they use the laboratories and hospital facilities of the medical schools to conduct research programs. Many medical researchers work in large hospital centers, while many physicians conduct research programs in addition to their private practices.

5 Careers in Medicine in the US
Before Reading_3.15 Before Reading Global Reading Detailed Reading After Reading Careers in Medicine in the US Directions: Listen to the paragraph and write down the steps to become a real doctor. To become a medical doctor in the US, one must attend four years of college and receive a bachelor’s degree, followed by four years of medical school. Then he becomes an intern in a hospital and receives supervised practical training. As an intern, he has to “make rounds” with other doctors, visiting hospital patients. He is supposed to help give special treatments and answer emergency calls in the hospital at any time of day and night. Finally he becomes a resident at a hospital. Like the intern, he learns by observing the work of others. But the resident has much more responsibility than the intern. He often assists experienced surgeons during operations. In an emergency, he may take over the work of the staff surgeon. Internship and residency combined take three to five years,

6 Before Reading_3.16 Before Reading Global Reading Detailed Reading After Reading depending on one’s areas of specialization. Hospitals have several interns and many residents on their staff. A resident who is completing his / her residency period and who has thereby distinguished himself / herself is selected to be chief resident, a position of greater responsibility. Key _______________________________________________________ to attend 4 years of medical college and receive a bachelor’s degree _______________________________ followed by 4 years of medical school _________________ an intern in a hospital __________________ a resident at a hospital ________________________ selected to be a chief resident

7 Before Reading_3.18 Warm-up Questions
Global Reading Detailed Reading After Reading Warm-up Questions 1. What do you think of a doctor’s life? It is busy, stable, clean exhausting, well-paid, respectable, responsible, etc. 2. What makes a successful surgeon? Medical Knowledge, sense of duty, self-confidence, rich experience, etc. 3. Have you ever been operated on? What do you think of the medical profession in China? 4. Do you want to be a doctor? Why or why not? 5. Are you afraid of making mistakes? What helps you overcome them? Can you give an example?

8 Globe Reading_main 1. Part Division of the Text
Before Reading Global Reading Detailed Reading After Reading 1. Part Division of the Text 2. Further Understanding For Part I Questions and Answers For Part II Oral Practice Blank Filling Multiple Choice Head Matching For Part III Questions and Answers

9 Globe Reading.1 Part Division of the Text Parts Lines Main Ideas 1
Before Reading Global Reading Detailed Reading After Reading Part Division of the Text Parts Lines Main Ideas 1 1 — 9 The author raises the question and gives the answer.(Confidence is the key to success.) 2 10 — 45 The author supports the main idea by giving examples. 3 46 — 52 The author repeats and strengthens the main idea. (Conceit encourages a doctor in trying moments.)

10 Globe Reading.2-part2 Questions and Answers
Before Reading Global Reading Detailed Reading After Reading Questions and Answers Directions: Go through the first two paragraphs and answer the following questions. 1. What question did Dr. Nolen ask himself as the year of his chief residency came to an end? How does a doctor recognize the point in time when he is finally a “surgeon”? 2. What was his answer? His answer was self-confidence. 3. When can a doctor say to himself that he is indeed a surgeon? When he can say to himself ,“There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then is he indeed a surgeon.

11 Globe Reading.2-part3 Oral Practice
Before Reading Global Reading Detailed Reading After Reading Oral Practice Go over paragraph three again and form a dialogue between a new resident at a hospital and one of his parents. He gives vent to his anxiety and his parents try to comfort him. Make full use of the information in this paragraph.

12 Globe Reading.2-part3 Blank Filling
Before Reading Global Reading Detailed Reading After Reading Blank Filling Directions: Read the second part again and fill in the information to show the changes of the author. Changes Past Now Reason for change Sleeping Had trouble getting back to sleep. Learned to accept decision making as a constant problem for a surgeon and could live with it. _________ ____________ ____ Sleeping was no longer a problem. __________________ ________ _______________________ __________________________ _____________ ____________ Reviewed all the facts of the case and wondered if he had made a poor decision. ________________ _____________ Any decision he had made was bound to be a sound one. Had knowledge and experience. ________________ _____________ Making decisions

13 Globe Reading.2-part4 Changes Past Now Reason for change
Before Reading Global Reading Detailed Reading After Reading Changes Past Now Reason for change During operation _________ ____________ ________ There were butterflies in his stomach and he sweated through the operation. __________________ ________________ No need to sweat any more and could handle whatever he found. Had the knowledge, the skill and the experience to handle any surgical situation in practice. __________________________ _____________ Was afraid of it. Still dreaded errors—would do best to avoid them. Knew they were part of a surgeon’s life. ____________________ _____________ Making mistakes __________________ _____

14 Globe Reading.2-part3 Multiple Choices
Before Reading Global Reading Detailed Reading After Reading Multiple Choices 1. When he first became a resident, Dr. Nolen had trouble going to sleep because ____________. A) he was not confident that he had made a right decision B) he was nervous about what would happen to other doctors C) he was waiting for the emergency call D) he was reviewing all the facts of a certain case KEY 2. In the last month of his residency, sleeping was no longer a problem because ___________. A) he has got used to the emergency calls B) he has learned to make no mistakes C) he has gained confidence in himself D) he was sure that the decisions he had made were all sound ones KEY

15 Globe Reading.2-part3 Before Reading Global Reading Detailed Reading After Reading 3. What can you infer from the sentence “I had sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures”? A) The author has done all kinds of surgical operations. B) The author was very busy every day. C) The author was nervous in dealing with these operations. D) The author found his work very exciting. KEY 4. Now the author has learned to __________. A) take the sole responsibility for the mistake in judgment B) avoid making mistakes in judgment C) anticipate the problem in advance D) take it easy when he has made a mistake KEY

16 Globe Reading.2-part4 Before Reading Global Reading Detailed Reading After Reading 5. According to Dr. Nolen a surgeon needs conceit to____________. A) answer the emergency calls B) bring him through times of doubt and uncertainty C) perform a difficult operation D) live with his mistakes in judgment KEY

17 Globe Reading.2-part3 Head Matching
Before Reading Global Reading Detailed Reading After Reading Head Matching This text has seven paragraphs. Choose the suitable heading for each paragraph from the list of headings (1-7). Write the appropriate number after each heading. There are more headings than paragraphs so you will not use all of them. I. II. III. IV. V. VI. VII. VIII. IX. X. XI. XII. The time when a doctor finally becomes a “surgeon”. Self-confidence is the key to the making of a surgeon. A surgeon needs conceit to encourage him. Decisions I had made were sound ones. Examples to show the lack of confidence. Dreaded the ringing of the telephone call. Had butterflies in stomach when performed operation. Not afraid of making mistakes. Equally confident in the operating room. Mistakes are part of a surgeon’s life. Sleeping was no longer a problem. Sweated over operations for five years.

18 Globe Reading.2-part4 Example Para 1 Answer I ___ II Para 2 Para 3
Before Reading Global Reading Detailed Reading After Reading Example Para Answer I ___ II Para 2 Para 3 Para 4 Para 5 Para 6 Para 7 ___ V ___ XI ___ IX ___ VIII ___ III

19 Globe Reading.2-part3 Questions and Answers
Before Reading Global Reading Detailed Reading After Reading Questions and Answers What does the author want to emphasize in the last part? Conceit encourages a doctor in trying moments.

20 Article Before Reading Global Reading Detailed Reading After Reading A famous surgeon tells about the importance of self-confidence from his own experience.

21 Article1_S The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading The Making of a Surgeon Dr. Nolen How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point.

22 Article1_W The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading The Making of a Surgeon Dr. Nolen How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point.

23 Article1_S The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading The Making of a Surgeon 1. Why does the author use double negation here? Dr. Nolen Double negation for emphatic purpose. 双重否定,表示强调。若改成肯定句后,语气变弱。 How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. 2. Translate the sentence into Chinese. 我能胜任对任何外科病人的治疗,我的治疗和其他外科医生一样高明,甚至比其他医生更高明。

24 Article1_W_making The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading making: n. The Making of a Surgeon 1) the process of being made or coming into being 只有艰苦的工作才能造就他。 Dr. Nolen How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. Hard work will be the making of him. The making of the Chinese is an interesting subject. 2) the qualities needed He has the makings of a doctor. Einstein had in him the makings of a great scientist. Collocation: make believe 假装;假扮 make for 匆匆走向;扑向 make out 写出;辨认出;理解 make up 补充;捏造,编造;组成 make up for 补偿;弥补

25 Article1_W_recognize The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading The Making of a Surgeon recognize: vt. 1) know or identify (somebody or something) again that one has seen or heard before Dr. Nolen How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. 你变化太大了,我几乎认不出了。 I can hardly recognize you because you’ve changed such a lot. Jane recognized Mary in the photograph. 2) admit or be willing to accept somebody or something as being real They refused to recognize our government. 我们承认他的行为是不对的。 We recognized that his act was not right.

26 Article1_W_draw to a close
Before Reading Global Reading Detailed Reading After Reading The Making of a Surgeon draw to a close: come to an end, draw to an end Dr. Nolen 这学期就快结束了。 How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. This semester is drawing to a close. The debate drew to a close finally.

27 Article1_W_conclude The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading conclude: vt. 1) come to believe after consideration of known facts The Making of a Surgeon The jury concluded that the man was not guilty. Dr. Nolen 医生们经过讨论,认为病人太虚弱,不宜手术。 How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. Doctors concluded after the discussion that the patient was too weak to be operated on. 2) come or bring to an end We concluded the meeting at 8 o’clock. 我们8点结束了会议。 He concluded his speech by saying “thank you”. NB: conclude的名词形式是conclusion。conclusion常与下面的动词、介词搭配,如: arrive at come to a draw a reach a conclusion 得出结论 in conclusion 综上所述,总之 jump to a conclusion 轻率地下结论

28 Article1_W_treat The Making of a Surgeon Dr. Nolen
Before Reading Global Reading Detailed Reading After Reading voyage treat: vt. use drugs, exercises, etc. in order to cure a person of a disease or heal an injure The Making of a Surgeon It is said that he was being treated for a rare skin disease. 西医往往是治标不治本。 Dr. Nolen How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more than one occasion. The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon” — then, and not until then, you are indeed a surgeon. I was nearing that point. Western medicine tends to treat symptoms and not cause. CF: treat, cure & heal 这三个动词都有“ 治疗,诊治”的意思。 treat 指为某人诊断治疗,强调治疗过程,不强调治疗结果。 cure 指治愈,治好,使病人恢复健康。 heal 尤指伤口痊愈,治愈。 Directions: Fill in the blanks with the words above. Change the form where necessary. 1. Which doctor is her for her illness? _______ treating 2. Doctor him of his disease. ______ cured 3. The wound is not yet. ________ healed 4. It is said that rest in bed may a cold. _____ cure 5. I will take three months for the broken bone to up. ____ heal

29 Article2_S Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.

30 Article2_w Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.

31 Article2_S_1 Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, 1. Who are Walt and Larry? Walt and Larry are pet names for Walter and Lawrence, two very common English names. Here the author only means that after he had told this person or that person what to do… 2. Can you offer them an equivalent Chinese translation? 张三李四 not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.

32 Article2_S_2 Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, Why doesn’t the author use “frequently” instead of “not infrequently”? 这里的not infrequently等于frequently。此种用法是双重否定,等于肯定,目的是加强语气。 not + 带否定的前缀词是一种常见的双重否定结构,表示肯定的意思。 He doesn’t feel improper at all. 他根本不觉得有什么不妥。 This is not unreasonable. not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax. 这不是没道理的。

33 Article2_w_encounter Before Reading Global Reading Detailed Reading After Reading encounter: vt. meet unexpectedly, be faced with (something bad, especially a danger or difficulty) 他们在旅行中遇到许多困难。 Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, They encountered many difficulties during their trip. I encountered an old friend of mine on my way home. CF: encounter & meet 这两个动词都有“碰到、遇到”的意思。 encounter 注重强调一种偶然和意外,还强调遭遇之意。 meet是常用词,不如encounter正式。 not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax. Directions: Fill in the blanks with the words above. Change the form where necessary. 1. Many men were lost in the forest when they a lion. encountered __________ 2. It was so kind of you to come all the way to us. _____ meet 3. They the enemy in border clashes. __________ encountered

34 Article2_w_critical Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, critical: adj. 1) of a crisis; at a turning point of danger or difficulty 他的情况很危险。 His condition is reported as being critical. We are at a critical time in our history. 2) finding fault, judging severely 她用挑剔的眼光去看每一件事。 She looks on everything with a critical eye. not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax. He made a critical remark on the latest shown film.

35 Article2_w_have... Before Reading Global Reading Detailed Reading After Reading have trouble doing something: have difficulty (in) doing something Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, 我的汽车发动不起来。 I had trouble getting my car started. 这小男孩转不动球。 The little boy has trouble getting the ball moving. Collocation: have difficulty (in) doing something 做某事有困难 have good time doing something 有足够时间做某事 not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax. have problem doing something 做某事有问题 have fun doing something 做某事有趣

36 Article2_w_relax Before Reading Global Reading Detailed Reading After Reading Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, relax: v. become less active or rigid The music will help you relax. 我们今天去野餐,放松一下。 Let’s relax ourselves by going on a picnic. not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after lying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.

37 Article3_S Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

38 Article3_W Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

39 Article3_S_1 Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. 1. What does it refer to? It refers to the things mentioned above. 即医生不敢确定自己做的决定是否正确是常有的事,这个问题永远也无法完全解决。 2. Translate the sentence into Chinese. 在某些情况下我仍然不能确定自己做的决定是否正确,但我已学会把这看成是一名外科医生经常会遇到的问题,一个永远也无法完全解决的问题——我已能适应它了。 In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

40 Article3_S_2 Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. Paraphrase the sentence. I was no longer nervous or anxious when I was performing an operation. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

41 Article3_S_3 Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. 1. Paraphrase the sentence. I had been nervous and anxious while painstakingly treating the serious wounds such as stab wounds in the abdomen, punctured lungs and compound fractures. I had been nervous for five years and I needn’t be so nervous any more. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. 3. Translate the sentence into Chinese. 在我手上,我战战兢兢地治疗过像腹部刺伤、肺部穿孔以及复合性骨折等病例。这类外科手术我已经战战兢兢地干了五年,现在我不必再担惊受怕了。

42 Article3_W_constant Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. constant: adj. 1) happening all the time; continuous Constant changes of the society make some people feel puzzled and at a loss about what to do. 他总是抱怨头痛。 He has a constant complaint about his headache. 2) fixed, unchanging In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. Temperature is at a constant 26 degrees in this room.

43 Article3_W_resolve Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. resolve: vt. 1) find an answer to One way to resolve the present financial problem is to practice economy. 两国的纠纷已经和平解决了。 The dispute between the two countries has been resolved peacefully. 2) decide or determine 他决心要成功。 He resolved to succeed. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. John resolved that nothing could hold him back. CF: resolve& solve 这两个动词均含“解决”之意。 resolve 主要指对问题或情况进行细微的分析或思索,以得出结论或找到解决途径。例如: The Cabinet met to resolve the crisis. 内阁开会以解决危机。 solve 普通用词,含义广,指为有一定难度的问题找到满意的答复。例如: The teacher teaches his students to solve a mathematical equation. 那位教师教他的学生解数学方程式。

44 Article3_W_live with Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. live with: accept something unpleasant without complaint 我们不喜欢史密斯的课,但是为了能够毕业,我们不得不忍受。 We don’t like Professor Smith’s class, but we have to live with it in order to graduate. 我不能忍受噪音了。 In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. I can’t live with the noise. Collocation: live for 为…而生活 live high 过奢侈生活 live up to 遵守(诺言);不辜负(期望); live with oneself 保持自尊心

45 Article3_W_dwell on Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. dwell on: think about; speak or write a lot about 不要再过多地思考过去。过去的就让它过去吧。 Don’t dwell so much on your past. Let bygones be bygones. The speaker dwelt on that subject for more than one hour. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

46 Article3_W_bound Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. bound: 1. adj. 1) be certain; be sure 只要你像我一样努力,你一定会成功的. You are bound to succeed if you work as hard as me. Hitler was bound to fail because of evil acts. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. 2) going (for, to) The bus is bound for Shanghai at 2:30. 2. vi. jump upward or forward 他欣喜万分。 His heart bounded with joy. The ball struck the wall and bounded back to me.

47 Article3_W_sound Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. sound: adj. 1) not wrong, based on reason 要任何人在任何时候都做出正确的判断并非易事。 It is not easy for anyone to make sound judgment at anytime. 2) in good condition; healthy, without disease or damage In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. The missing boy returned home yesterday safe and sound. 我怀疑他头脑是否清楚。 I wonder if he is sound in his mind.

48 Article3_W_handle Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. handle: vt. deal with; treat or manage 一位称职的老师应该知道如何管理学生。 A qualified teacher should know how to handle students in class. 我们俩都会骑自行车了。 We both can handle our bicycles. Handle with care for there are glass cups inside. CF: handle, manage, deal with & cope with 这些动词或短语都含有“处理,对付”之意。 In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. handle 从原义“手柄”,引申作“处理”解时,意思是管理和操纵。 manage 指处理日常事务与工作,也可指经营管理。 deal with 既可指处理具体事情,也可指处理或解决具有抽象意义的问题。 cope with 指成功地处理或对付更为重大,更为严重的问题或事物。 Directions: Fill in the blanks with the words above. Change the form where necessary. 1) I'm sorry I'm late. I had an urgent call to ________ deal with 2) Kerry has been asked to a new department. ________ manage 3) Local authorities have to the problems of homelessness. ________ cope with 4) The police the traffic very efficiently. ______ handle

49 Article3_W_butterflies...
Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. butterflies in one’s stomach: feel nervous or anxious 当我第一次站在公众面前时,心里紧张极了。 I had butterflies in my stomach when I first stood in front of the public. The young violinist always has butterflies in his stomach whenever he performs. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

50 Article3_W_anticipate
Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. anticipate: vt. see beforehand Don’t anticipate your income before you finish the job. 他期待着一个美丽的夜晚。 He anticipates a beautiful evening. NB: anticipate 后面不可加不定式,可跟动名词和名词。例如: In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more. Do you anticipate meeting any trouble? 你预料会有麻烦吗?

51 Article3_W_in advance Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. in advance: beforehand; before in time; ahead of time 他事先去定了票。 He went to book the ticket in advance. It is unwise to spend your salary in advance. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

52 Article3_W_over Before Reading Global Reading Detailed Reading After Reading Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved — and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling. over: prep. during; while engaged in, in the course of 他们边喝茶边谈话。 They talked over tea. The repairman was so tired that he fell asleep over his work. In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butterflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.

53 Article4_S Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

54 Article4_W Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

55 Article4_S_1 Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. Put this sentence into its normal order. I was not afraid of making mistakes either. nor的意思是“而且,也不”,相当于neither。nor若放在句首,句子需部分倒装。 This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

56 Article4_S_2 Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. 1. Why does the author say that he would err at one time or another? Because it is part of a surgeon’s life. 2. Paraphrase the sentence. I knew it clearly that I would make mistakes sometimes when I was in practice in the future. That mistake might be that I would operate on someone who didn’t need surgery or neglect someone who needed it urgently. 3. Translate the sentence into Chinese. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it. 我知道,在我出去开业行医时,说不定什么时候我会不可避免地出差错。我会给不需要手术的病人开刀,也可能会把急需手术的病人忽略过去。

57 Article4_W_operate on Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. operate on: (of a doctor) performs a surgical operation on someone Doctors decided to operate on the wounded soldier at once. 他的胃必须动手术。 He will have to have his stomach operated on. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

58 Article4_W_sit on Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. sit on: neglect; do nothing about 我们不应忽视那些急需我们帮助的人。 We shouldn’t sit on those people who need our help urgently. I sent my complaints to the store manager just in time, but he had sit on it for a long time. Collocation: This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it. sit down 坐下 sit for 参加 sit up 熬夜 sit in 静坐示威 sit in on 列席,旁听

59 Article4_w_responsibility
Before Reading Global Reading Detailed Reading After Reading responsibility: n. duty, obligation Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. 他拒绝为错误承担责任。 He refused all the responsibility for the mistake. Everyone should learn to take responsibility for his own actions. Collocation: accept (a) assume (a) take (a) responsibility for share (the) bear (the) exercise (the) 承担责任 This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it. refuse ( the) responsibility for shirk (the) 拒绝、逃避责任

60 Article4_W_chances are
Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. chances are / were (that): it is / was likely (that) 他有可能要摔下来。 Chances are that he will fall down. Chances were that they had departed. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

61 Article4_w_trying monments
Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. trying moments: moments that try one’s nerves Every one may have trying moments in his lifetime. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it.

62 Article4_w_bother1 Before Reading Global Reading Detailed Reading After Reading bother: v. annoy; trouble; worry Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. 不要烦我了,让我安静会儿吧。 Don’t bother me. Just leave me alone. Don’t bother me with so many foolish questions. 别为我的早饭操心,这儿有什么我就吃什么。 Don’t bother about my breakfast. I’ll eat what is here. CF: bother, disturb, trouble & annoy 这些动词均有“使人不安或烦恼”之意。 bother 指使人烦恼,引起的紧张不安或感到不耐烦。例如: disturb 较正式用词,多用被动态。指扰乱,使人不能平静或妨碍别人工作、思维或正常秩序,是程度较深的烦恼。例如: I'm sorry to bother you, but could you tell me the way to the station? This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it. 对不起打扰一下, 请问去车站怎么走? Before closing the door to his office, he told his secretary that he was not to be disturbed. 在关上办公室门前,他告诉秘书不要打扰他。

63 Article4_w_bother2 Before Reading Global Reading Detailed Reading After Reading Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier — even one year earlier — I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors — would do my best to avoid them — but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either. trouble 指给人在行动上带来不便或在身心上造成痛苦。例如: annoy 强调因被迫忍受令人不快、讨厌的事而失去平静或耐心,多指一时的打扰或恼怒。例如: She suffers memory lapses that trouble her children. 她患上记忆力衰退症, 这让她的孩子很忧虑。 The sound of footsteps on the bare floor annoyed the downstairs neighbors. This all sounds conceited and I guess it is — but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit — call it self-confidence; whatever it was, I had it. 楼上地板传来的脚步声吵得楼下住户心烦。

64 After Reading_main 1. Interview 2. Summary Writing
Before Reading Global Reading Detailed Reading After Reading 1. Interview 2. Summary Writing 3. Useful Expressions 4. Word Matching 5. Multiple Choices 6. Spot Dictation 7. Writing Practice 8. Talking About the Pictures 9. Proverbs and Quotations

65 After Reading_2.1 Interview
Before Reading Global Reading Detailed Reading After Reading Interview Suppose you are a journalist, and your partner is a successful surgeon. Ask him / her some questions such as: 1. Why did you lose a lot of sleep at night during the first few months of the year as a chief resident? 2. What did you do to find the peace of mind you need to relax? 3. How did you come to think that you didn’t sweat anymore? 4. Why weren’t you afraid of making mistakes when you were out in practice? 5. What made you a successful surgeon?

66 After Reading_2.1 Summary Writing
Before Reading Global Reading Detailed Reading After Reading Summary Writing Dr. Nolen believes that (自信是外科医生成功的关键) When you can say to yourself (我完全有能力治疗所有的外科病人) “ ,” then,and not until then, you are indeed a surgeon. In the first few months of the year, he dreaded (听到急诊电话的铃声) He often wondered that he had made a poor decision. Now he is confident both in making decisions and in the operating room for he is sure that (以他的知识和经验,他可以应付遇到的所有的病例) Moreover, he is not afraid of making mistakes. He has learned to (承担判断上失误的全部责任) ,because mistakes are part of a surgeon’s life. He has got conceit to(帮他度过难熬的时刻) ______________________________________________ ______________________________________________ self-confidence is the key to the making of a surgeon self-confidence is the key to the making of a surgeon ___________________________________________ There is no surgical patient I can’t treat competently ___________________________ the ringing of the emergency calls ___________________________________________________________________ ________. he had the knowledge and experience to handle any surgical situation he’d encounter _____________________________________________ take sole responsibility for a mistake in judgment encourage him in trying moments ___________________________.

67 After Reading_1.1 Useful Expressions in time self-confidence
Before Reading Global Reading Detailed Reading After Reading Useful Expressions 1. 及时 in time 2. 自信心 self-confidence 3. 即将结束 draw to a close 4. 不止一次… on more than one occasion 5. 做决定 make a decision 6. 在某一特定的情况下 in a particular situation 7. 不妥当的决定 a poor decision 8. 寻找内心的平静 find the peace of mind

68 After Reading_1.2 a considered decision the operating room
Before Reading Global Reading Detailed Reading After Reading 9. 深思熟虑的决定 a considered decision 10. 手术室 the operating room 11. 经常遇到的问题 a constant problem 12. 开业 be in practice 13. 提前 in advance 14. 容忍 live with 15. 说不定何时 at one time or another 16. 承担全部责任 take sole responsibility for

69 After Reading_1.2 a mistake in judgment trying moments
Before Reading Global Reading Detailed Reading After Reading 17. 判断上的失误 a mistake in judgment 18. 考验人的时刻 trying moments 19. 为某人做手术 operate on someone 20. 生活中的一部分 be part of one’s life

70 After Reading_2.1 Word Matching fear dread meet encounter rest relax
Before Reading Global Reading Detailed Reading After Reading Word Matching fear dread meet encounter rest relax solve resolve correct sound see beforehand anticipate manage handle unavoidable inevitable

71 After Reading_2.1 only sole annoy, trouble bother difficult trying
Before Reading Global Reading Detailed Reading After Reading only sole annoy, trouble bother difficult trying tolerate live with come to an end draw to a close ahead of time in advance make mistakes err of surgery surgical escape avoid

72 Choose ONE best answer for each of the following sentences.
After Reading_2.3 Before Reading Global Reading Detailed Reading After Reading Multiple Choices Choose ONE best answer for each of the following sentences. 1. I can accept the fact with ____________. A. silence B. calmness C. quietness D. taciturn KEY 2. It’s my ___________ opinion that you should resign. A. considered B. considering C. considerate D. thought KEY

73 After Reading_2.4 Before Reading Global Reading Detailed Reading After Reading 3. There is no patient I can’t _______ competently, treat just as well as or better than any surgeon. A. cure B. heal C. operate D. treat KEY 4. I knew it was impossible to ________ the problem in advance; I could handle whatever I found. A. participate B. predict C. anticipate D. foresee KEY

74 After Reading_2.5 Before Reading Global Reading Detailed Reading After Reading 5. After lying ______ for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. A. awake B. waken C. waking D awaking KEY 6. As my year as chief resident _________ I asked myself this question on more than one occasion. A. drew to an end B. drew to a close C. drew near the end D. drew to a conclusion KEY

75 After Reading_2.5 Before Reading Global Reading Detailed Reading After Reading 7. I had trouble___________ my car started this morning. A. to get B. to getting C. of getting D. getting KEY 8. She is hard to please and always looks at everything with _______ eyes. A. critic B criticism C. critical D. criticized KEY

76 After Reading_2.5 Before Reading Global Reading Detailed Reading After Reading 9. He has to __________ the fact that he is no longer healthy. A. live on B. live with C. live up to D. live for KEY 10. I am afraid I have _______ you with a great many questions. A. upset B. annoyed C. bored D. bothered KEY

77 Directions: Listen to the passage and fill in the blanks.
After Reading_2.6 Before Reading Global Reading Detailed Reading After Reading Spot Dictation Directions: Listen to the passage and fill in the blanks. Medicine is the science and art of healing. Medicine is a science because it is based on gained through careful study and experimentation. It is an art because it depends on how doctors and other medical workers apply this knowledge when dealing with patients. The goals of medicine are to lives, to relieve suffering, and to the dignity of ill individuals. For this reason, medicine has long been one of the most professions. Thousands of men and women who work in the medical profession spend their lives caring for the sick. When strikes, hospital workers rush emergency aid to the injured. When epidemics , doctors and nurses work to prevent the spread of disease. Researchers in the medical profession continually search for better ways of _________ knowledge _______ skillfully ______ save _______ maintain _________ respected ________ disaster _______ threaten _______ fighting disease.

78 Writing Practice — Parallelism
After Reading_2.7 Before Reading Global Reading Detailed Reading After Reading Writing Practice — Parallelism A Brief Introduction Parallelism is used for the following effects: to gain emphasis; to create a pleasant rhythm in a prose passage; and to cut down on the number of words needed to express an idea. Parallel structure means using the same pattern of words to show that two or more ideas have the same level of importance. This can happen at the word, phrase, or clause level. The usual way to join parallel structures is with the use of coordinating conjunctions such as “and” or “or”.

79 After Reading_6 Examples: Single words:
Before Reading Global Reading Detailed Reading After Reading Examples: Single words: Mary likes hiking, swimming, and bicycling. (-ing forms) Mary likes to hike, to swim, and to ride a bicycle. (Infinitive) The production manager was asked to write his report quickly, accurately, and thoroughly. (Adverbs) The young film star was tall, dark, and handsome (Adjectives) Phrases Buying a car and beginning her job were the next steps in her life. (-ing phrases) The teacher said that he was a poor student because he waited until the last minute to study for the exam, completed his lab problems in a careless manner, and lacked motivation. (Past tense phrases)

80 After Reading_6 Clauses
Before Reading Global Reading Detailed Reading After Reading Clauses The coach told the players that they should get a lot of sleep, not eat too much, and do some warm-up exercises before the game. The salesman expected that he would present his product at the meeting, that there would be time for him to show his slide presentation, and that prospective buyers would ask him questions.

81 After Reading_7.1 Homework
Before Reading Global Reading Detailed Reading After Reading Homework Directions: Rewrite the following sentences to correct any faulty parallelism. 1. Phuong Tran has wit, charm, and she has an extremely pleasant personality. Phuong Tran has wit, charm, and a pleasing personality. 2. In English class, Tony learned to read poems critically and she appreciated good prose. In English class, Tony learned to read poems critically and to appreciate good prose. 3. Rose's QPA is higher than Ralph. Rose's QPA is higher than Ralph's. 4. He wanted three things out of college: to learn a skill, to make good friends, and learning about life. He wanted three things out of college: to learn a skill, to make good friends, and to learn about life.

82 After Reading_7.1 Before Reading Global Reading Detailed Reading After Reading 5. Coach Wang was a brilliant strategist, a caring mentor, and friend. Coach Wang was a brilliant strategist, a caring mentor, and a good friend. 6. We found the film repulsive, offensive, and we thought it was embarrassing. We found the film repulsive, offensive, and embarrassing. 7. Mr. Hampton kept his store clean, neat, and he made it conveniently arranged. Mr. Hampton kept his store clean, neat, and conveniently arranged. 8. Professor Ann rewarded her students for working hard on the final project and going beyond the call of duty. Professor Ann rewarded her students for their hard work on the final project and going beyond the call of duty.

83 Talking About the Pictures
After Reading_8.1 Before Reading Global Reading Detailed Reading After Reading Talking About the Pictures Self-confidence is the Making of a Surgeon. Now… In the past… Mistakes! No! They are part of a surgeon’s life…

84 After Reading_8.1 Self-confidence is the Making of a Surgeon.
Before Reading Global Reading Detailed Reading After Reading Self-confidence is the Making of a Surgeon.

85 After Reading_8.1 In the past… Before Reading Global Reading
Detailed Reading After Reading In the past…

86 After Reading_8.1 Now… Before Reading Global Reading Detailed Reading

87 After Reading_8.1 Mistakes! No! They are part of a surgeon’s life…
Before Reading Global Reading Detailed Reading After Reading Mistakes! No! They are part of a surgeon’s life…

88 Proverbs and Quotations
After Reading_8.1 Before Reading Global Reading Detailed Reading After Reading Proverbs and Quotations 1. The secret of success is constancy to purpose. 成功的秘诀是目标坚定。 2. Hard and honest work is the surest way to success. 艰辛而诚实的工作是可靠的成功之路。 3. Behind every successful man there are a lot of unsuccessful years. 每个成功者的身后,都有许多不成功的岁月。

89 After Reading_8.2 Before Reading Global Reading Detailed Reading After Reading 4. Shallow men believe in luck. Self-trust is the first secret of success. 肤浅的人相信运气,成功的首要秘诀是自信。 5. Success is never final and failure never fatal. It is courage that counts. 没有最终的成功,也没有致命的失败。决定的因素是勇气。 6. Self-distrust is the cause of most of our failures. 绝大多数的失败均因缺乏自信。


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