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Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会[新版@^~%*]让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
[新^%版&新@]奥索里奥夫人56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行30分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度DEXA扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
也许留到下一次再说吧？她家里的情况怎么样呢？她现在是否有常见的生活压力？亦或她有可能有抑郁症或焦虑症？有没有时间让她做个抑郁问卷调查呢？健康保养：她最后一次乳房X 光检查是什么时候做的？子宫颈抹片呢？50 岁之后是否做过结肠镜检查？过去10 年间她是否注射过破伤风加强疫苗？她是否符合接种肺炎疫苗的条件？奥索里奥夫人打断了我的思路，告诉我过去的几个月里她一直背痛。
Chapter 1 Human Body Lesson 1 The IngredientsMedical EnglishPart 1Warm Up 5 minsPart 2Relevant Terms13 minsPart 3Review & Practice7 minsC ON T ENTTeaching and Learning Goals:•Learn about the chemicals that make up the human body •Practice speaking• Medical English Lesson 1 •Warm Up / 4 minsYour Amazing BodyYour body is made up of hundreds of different parts. Youprobably know the names of the parts you can see, but thereare many more hidden deep inside you.Body parts often come in pairs. You have two feet, two eyes,two ears, two lungs, and so on. This means you have a sparein case one of them gets damaged.Water is the most important chemical in your body. Abouttwo-thirds of your weight is water.1. Body parts often come . You have two feet, two eyes, two ears, two lungs, and so on. This means you have a spare in case one of them .2. Water is the most important in your body. About of your weight is water.Review: Could you fill in the blanks?Warm Up / 1 minRelevant Terms / 3 minsYour body is made of just a few simple chemicals , plus water .carbon ['kɑrbən ]iron ['aɪɚn ]phosphorus ['fɑsfərəs ]sodium and chlorine ['sodɪəm ] ['klɔrin ]potassium [pə'tæsɪəm ]nitrogen ['naɪtrədʒən ]碳铁磷钠，氯钾氮Take a look at the words below and try to read them out one by one. Further details are on the next page.Relevant Terms / 8 minsCarbon is the chemical in diamonds and coal (煤). A fifth of you is carbon.* It is the second-most abundant (丰富的) element in the human body, after oxygen (氧气).Iron makes your blood red. You have enough to make one small iron nail. * A lack of iron can cause anemia (贫血).Phosphorus is in the tips of matches, as well as your bones and teeth.* It is mainly used for growth and repair of body cells (细胞) and tissues (组织). Sodium and chlorine make salt. Blood is one-third as salty as sea water.Potassium is used in some types of soap. It’s also in your body fluids(体液).Nitrogen is important in muscles. It’s also the main ingredient in air.Learn about the chemicals that make up your body.Relevant Terms / 2 mins?Discussion:Which of the following chemicals do you think is themost important to our body?Hints:carbon ironphosphorous sodiumchlorine potassiumnitrogenReview & Practice / 2 minscarbon iron phosphorous sodium chlorine potassiumnitrogenRead the key words you’ve learned today.1. 碳铁磷钠氯钾氮试着自己把今天学过的生词读一遍吧。
