首页
登录
职称英语
I was a second-year medical student at the university, and was on my second
I was a second-year medical student at the university, and was on my second
游客
2023-11-04
12
管理
问题
I was a second-year medical student at the university, and was on my second day of rounds at a nearby hospital. My university’s philosophy was to get students seeing patients early in their education. Nice idea, but it overlooked one detail: second-year students know next to nothing about medicine.
Assigned to my team that day was an attending—a senior faculty member who was there mostly to make patients feel they weren’t in the hands of amateurs. Many attendings were researchers who didn’t have much recent hospital experience. Mine was actually an arthritis specialist. Also along was a resident(the real boss, with a staggering mastery of medicine, at least to a rookie like myself). In addition, there were two interns(住院实习医生). These guys were just as green as I was, but in a scarier way: they had recently graduated from the medical school, so they were technically MDs.
I began the day at 6:30 am. An intern and I did a quick check of our eight patients: later, we were to present our findings to the resident and then to the attending. I had three patients and the intern had the other five—piece of cake.
But when I arrived in the room of 71-year-old Mr. Adams, he was sitting up in bed, sweating heavily and panting(喘气). He’d just had a hip operation and looked terrible. I listened to his lungs with my stethoscope, but they sounded clear. Next I checked the log of his vital signs and saw that his respiration and heart rate had been climbing, but his temperature was steady. It didn’t seem like heart failure, nor did it appear to be pneumonia. So I asked Mr. Adams what he thought was going on.
" It’s really hot in here, Doc," he replied.
So I attributed his condition to the stuffy room and told him the rest of the team would return in a few hours. He smiled and feebly waved goodbye.
At 8:40 am, during our team meeting, "Code Blue Room 307!" blared from the loudspeaker.
I froze.
That was Mr. Adams’s room.
When we arrived, he was motionless.
The autopsy(尸体解剖)later found Mr. Adams had suffered a massive pulmonary embolism(肺部栓塞). A blood clot had formed in his leg, worked its way to his lungs, and cut his breathing capacity in half. His symptoms had been textbook: heavy perspiration and shortness of breath despite clear lungs. The only thing was: I hadn’t read that chapter in the textbook yet. And I was too scared, insecure, and proud to ask a real doctor for help.
This mistake has haunted me for nearly 30 years, but what’s particularly frustrating is that the same medical education system persists. Who know how many people have died or suffered harm at the hands of students as naive as I, and how many more will? [br] We learn that the author’s team members had
选项
A、much practical experience.
B、adequate knowledge.
C、long been working there.
D、some professional deficiency.
答案
D
解析
推理题。根据题干定位至第二段。该段第二句“Many attendings were researchers who didn’t have much recent hospitalexperience.”指出主治医生实践经验方面的欠缺。该段最后一句又提到“These guys were just as green as I was,but ina scarier way:they had recently graduated from the medical school,so they were technically MDs.”说明名义上已经取得医生头衔的住院实习医生,实际上名不符实,也存在知识上的欠缺。可见[D]是对原文意思的正确理解,故为答案。
转载请注明原文地址:https://tihaiku.com/zcyy/3157955.html
相关试题推荐
Whoareatadisadvantagewhenlearningasecondlanguage?[br][originaltext]
Whoareatadisadvantagewhenlearningasecondlanguage?[originaltext]Lea
Highschoolstudentsaregrumblingovertheirschoollunches—andsoarethei
Highschoolstudentsaregrumblingovertheirschoollunches—andsoarethei
Highschoolstudentsaregrumblingovertheirschoollunches—andsoarethei
DuringmyfirstsevensemestersasamedicalstudentatGadjahMadaUniversi
DuringmyfirstsevensemestersasamedicalstudentatGadjahMadaUniversi
DuringmyfirstsevensemestersasamedicalstudentatGadjahMadaUniversi
Ihadateacheroncewhocalledhisstudents"idiots"whentheyscrewedup.
Ihadateacheroncewhocalledhisstudents"idiots"whentheyscrewedup.
随机试题
在分析外汇期货价格的决定时,不仅要对每个国家进行单独研究,而且应该对它们做比较研究,衡量一国经济状况好坏的因素,主要有()。A、一国国内生产总值的实际
设A是方阵,如有矩阵关系式AB=AC,则必有().
下列关于安全边际和边际贡献的表述中,错误的是( )。A.边际贡献的大小,与固定成
产后2小时的重点观察的是A.血压、脉搏、呼吸、子宫收缩情况、阴道流血量 B.体
非线性渗透定律(A?Chezy定律)适用于地下水的哪种情况? A.运动速度相当
男,56岁,诊断为肾病综合征,高度浮肿,尿量400~500ml/d,持续2周,尿
下列哪项是羚角钩藤汤的组成部分A:浙贝母、茯苓B:天麻、鲜生地C:菊花、鸡子
某保险公司拥有一个指数型基金,规模20亿元,跟踪的标的指数为沪深300指数,其投
甲公司2014年度财务报表由ABC会计师事务所审计,并发表了无保留意见的审计报告
银行承兑汇票的承兑银行,应当按照票面金额向出票人收取()的手续费。A:千分之一
最新回复
(
0
)