The Advanced English Reader.docx
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The Advanced English Reader.docx
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TheAdvancedEnglishReader
TheAdvancedEnglishReader
TableofContents
(3hrs/week/9weeks)
1.TenCommandmentsofCellPhoneEtiquette1-2
2.AmericanMedicalProfessionTraining3-7
3.OurPursuitofHappiness8-9
4.TheLongHabit10-14
5.IWantaWife15-16
6.PublicFigures17-20
7.TornadoofWrath21-24
8.WhyIHateDogs25-26
Text1
TenCommandmentsofCellPhoneEtiquette
ByDanBriody
Therecomesatimeinanytechnologicalrevolutionwhensomebasicguidelinesneedtobelaiddown.Ithappenedwhene-mailexplodedonthescene,andpeoplestartedtolearnsomebasicdosanddon’ts.Nooneteachesusthesethingsincompanytrainingseminars;they’rejustlearnedonthejob.
Well,I’vereachedthepointwithcellphoneswhereIfeeltheneedtolaydownthelaw.Therearesomerealabusesofwirelesstechnologybeingperpetratedallaroundus;andthetimehascometocreatesomesocialorderoutofthecellphonechaos.
Commandmentsusuallycomeintens,sothinkofthisasthefirstTenCommandmentsofCellPhoneEtiquette.
1.Thoushaltnotsubjectdefenselessonlookerstocellphoneconversations.Whenpeoplecannotescapethebanalityofyourconversation---onaplane,onatrain,onabus,inacab,oratthedinnertable---sparethem.
2.Thoushaltnotsetthyringertoplay“LaCucaracha”everytimethyphonerings.OrBeethoven’sFifth,ortheBeeGees,oranyotherannoyingmelody.Isitnotenoughthatphonesgooffeveryothersecond?
3.Thoushaltturnthycellphoneoffduringpublicperformances.I’mnotevensurethisoneneedssaying,butgiventherepeatedviolationsofthisunwrittenlaw,Ifeltcompelledtoincludeit.
4.Thoushaltnotwearmorethantwowirelessdevicesonthybelt.Thishasn’tbecomeabigproblemyet.Butwithpagersandphones,Batman-esqueutilitybeltsaresuretofollow.
5.Thoushaltnotdialwhiledriving.Inallseriousness,thismadnesshastostop.Thereareenoughpeopleintheworldwhohaveproblemsmasteringvehiclesandphonesindividually.
6.Thoushaltnotwearthyearpieceinthepresenceofthyfriends.Youseembeingonthephoneandcarryingonanotherconversationwithsomeonewhoisphysicallyinyourpresence.Nooneknowsifyou’rehereorthere.
7.Thoushaltnotspeaklouderonthycellphonethanusual---thesethingshaveincrediblysensitivemicrophones.Ifyoursignalcutsout,speakinglouderwon’thelp.
8.Thoushaltnotgrowtooattachedtothycellphone.Forobviousreasons,adependencyonconstantcommunicationisnothealthy.Atwork,gonuts.Athome,giveitarest.
9.Thoushaltnotattempttoimpresswiththycellphone.Notonlyisacellphonenolongerimpressiveinanyway,userscanbeimmediatelyidentifiedasaneophyteandaposeur.
10.Thoushaltnotslamthycellphonedownonarestauranttablejustincaseitrings.Couldyoupleasebealittlelessconspicuous?
Ifitrings,you’llhearitjustaswellifit’sinyourcoatpocketoronyourbelt.
Text2
AmericanMedicalProfessionTraining
BehindtheWhiteCoat
byAlanBonstell
FormorethanacenturysincePasteur’stime,medicalsciencehasracedaheadwithastonishingspeedtocloseinonsomeofthefundamentalmysteriesoflife.Andyet,wearenoclosertodaythanweeverweretoresolvingtheproblemoftroubledphysicianswhoareadangertothewell-beingoreventhelivesoftheirpatients.
PhysicianstraininghasbeendescribedasthelongestriteofpassageintheWesternworld,andyettheselectionprocessofstudentphysiciansoftenselectsforthewrongqualities,whilemedicalschooltrainingoftenperverselyinstillsthewrongattitudesinphysicians.Onceinpractice,physiciansareprotectedbyawebofinterlockingself-interests;impairedphysiciansinwhosehandslivesareentrusted—andsometimesneedlesslylost—arerarelyfired.
CollegepremedicalstudiesaredominatedbytheMountEverestofpremed,organicchemistry;althoughnooneseriouslyclaimsthatphysiciansactuallyuseit,thememorizationoflengthychemicalreactionsinvolvingcarbonhastraditionallybeenusedtosortoutthewinnersinthemedicalschooladmissionsordeal.Ablackmarketinoldlabpapersflourishesatmostschools,andsabotagingthelabexperimentsoffellowstudentsiscommon.Theprocessselectsforcompetitiveindividualismoverteamworkandcooperation.
Anditisahighlyselectiveprocess.Atoneexclusiveuniversity,450of1,200enteringstudentsdeclaredthemselvestobe“premed”;fouryearslater,only100remained,ofwhomabouthalfwouldultimatelysecureadmissiontoamedicalschool.Oncethere,hardlyanydropout;thesurvivorshavesacrificedtoomuchtoturnback.
Studentphysiciansinmedicalschoolareimmersedinacultureinwhichpatientsarethoughtofprimarilyasbiologicalsystemsthathaveillnessesunconnectedtotheiremotionalhealthortheirspiritualwell-being.OneofmymostvividmemoriesofmedicalschoolisoftheKafkaesqueinternalmedicineconferencesinwhichwhitecoatafterwhitecoatwouldsolemnlyfileintotheFaulkneramphitheater.A“presenter”wouldsteptothelecternand,withoutsomuchasagreeting,deliverarapid-firerenditionfrommemoryoflaboratoryvaluesandX-raystudies.Thepatientwasnotjustanonymousbutdevoidofanyhopesorfears,andneverdidthephysiciansexpressanyemotionalconnectiontothepersonwiththedisease.
IrememberespeciallyonecaseofafemaleIVdruguserwhohaddevelopedanendocarditis(heart-valveinfection)which,aftermultipletreatmentswithintravenousantibiotics,hadbecomeresistanttoallknownantimicrobialdrugs.Althoughthephysiciansinthegreatamphitheatercoulddiscourseatlengthabouttherelativemeritsofmulti-antibioticregimensversussurgery,nonesuggestedaskingthisyoungwomanwhatpainshewasgoingthroughthatpromptedheruseofIVnarcotics,againandagainbringinghertothebrinkofdeath;nordidthethoughtofenrollingherinadrugabuseprogramseemtocrosstheirminds.
Ifpatientsweredevoidofhumanneeds,sowerephysiciansandthoseofuswhowantedtobecomeone.Ataseminaronwomeninmedicine,aphysicianheavilyinvolvedinmedicalstudentteachingtoldusthat,whenshewasaresidentandhadbeenunabletofindababy-sitter,shehadlockedherchildreninhercarintheparkinglotoftheinnercityhospitalwheresheworkedandhadcheckedonthemfromtimetotimeduringhershift—astatementmadenotinthespiritofaconfessionbutinadvancingherselfasarolemodelofappropriateself-sacrifice.Thoseoutsidethemedicalworldtendtoviewmedicalschoolteachersasthecremedelacremeofphysicians,anditiscertainlytruethattheacademicsuperstarswhopublishstudiesintheNewEnglandJournalofMedicineworkoverwhelminglyinacademicmedicalcenters.Belowthatlevel,however,thereareplentyofreasonsotherthanclinicalproficiencywhysomeindividualsteachinmedicalschools.AcademicmedicinepayslessthanprivatepracticeorevenHMOs,andwhilethemajorityofphysicianswhoacceptthelowercompensationarecompetentandidealisticindividualswhoenjoyteaching,othersarelesscompetentand,infact,somestudieshaveshownahigherrateofmalpracticelossesinacademiccentersthanincommunityhospitals.Somemedicalschoolinstructorslackthebusinesssenseortheinterpersonalskills—orboth—tosurviveinprivatepractice.Therateofonephysicianinsiximpairedbyalcoholordrugsisnolessinacademiathanamongtheircommunityphysiciancounterparts.
Inearly1990,theJournaloftheAmericanMedicalAssociationpublishedtwostudiesinwhichgraduatingseniorswerequestionedanonymouslyabouttheirmedicalschoolexperiences.Mostofthewomensaidtheyhadbeensexuallyharassed.Aboutonestudentinfourreportedbeingsoseverelyabusedverballythattheabusecouldneverbeforgotten.Androughlyonemedicalstudentinsixreportedbeingphysicallyassaultedbyaninstructor,butvirtuallynoneofthemfeltsafeenoughtoreporttheassault.
Iftheteachingandrolemodelsprovidedbythemedical-school“attendings”(seniorsupervisingphysicians)canbeproblematic,morealarmingstillistheuseofresidentsorevenfirst-yearinternsas“instructors”—freshmedicalschoolgraduateswhothemselvesaretrainees.Theblindleadtheblind.
Theexamplessetinmedicalschoolsaresometimeschilling.Duringmyowntraining,Iwitnessedtwoavoidabledeaths,bothforthesamereason:
surgeonstakingunstablepatientstotheoperatingroomindefianceoftheanesthesiologist’srecommendation.Oneofthesurgeonswasacocksureresidentworkingwithoutsupervision;theother,aseniorsurgeonheavilyinvolvedinmedicalstudentteaching,whoshouldhaveknownbetterbutwasincapableoflisteningtoadvice.Inbothcases,theanesthesiologists’reportsweredestroyed,wordwaspassedtoshutupaboutwhathadhappened,andthemistakeswereburied.
Asstressfulasmedicalschoolis,mostphysiciansintrainingfindresidenciesmorestressfulstill.Nonsurgicalresidentsaverageaboutninetyhoursperweek;surgicalresidents,becauseofthevasttimetheyspendinoperatingroomsandtheneedtocheckonmanypost-surgicalpatientstwiceaday,averageabout120hoursperweek.Somesurgicalprogramsarecutthroatpyramidsinwhichhalfthetraineesareslated“washout”beforegraduation,andsomehaveanevery-second-nightcallschedule(thirty-sixhoursonduty,followedbytwelveoff,thenonagainforthirty-six)—apunishmentsomesurgicalsubspecialistsendureuntiltheyareintheirmid-thirties.
Somesurgeonsfinishtheirtrainingasveritablesaints,havingkeptalivetheiridealism,caring,andcompassion.Others,however,compl
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