菁准考原创⾼考试题助你学医⽣外出
本⽂为⼀篇夹叙夹议类⽂章。主要讲述了奥康奈尔医⽣⼯作的特殊性——为那些⽆家可归的,不能接受医疗治疗的⼈们提供医疗救助。因此,他和⾃⼰的团队常常需要外出。⽂章后半部分介绍了奥康奈尔从事这项⼯作的契机。
The Doctor Is Out
IT’S A FRIDAY morning in Boston, which means Dr. Jim O’Connell is making his rounds. He might be more comfortable inside an exam room, but that’s not where his patients are. O’Connell is one of a handful of physicians making hou calls to the homeless in the city.
More than 550,000 Americans are homeless, and many have health problems but no access to care. O’Connell and his team, made up of psychiatrists, internists, a nur practitioner, a ca manager, and a recovery coach, are doing something about it. They spend their days walking around where the homeless live—in parks, under bridges, and on the outskirts of town. They treat about 700 regular patients. During the rounds, O’Connell himlf usually es about 20 patients. He knows where most of them sleep and whom to ask if they are missing. “I feel like I’m a country doctor in the middle of the city, you know?” he said.
O’Connell went to Harvard Medical School and was on his way to a prestigious oncology fellowship when his chief suggested he take what was suppod to be a one-year position as the founding physician of a new health-care program for Boston’s homeless. That turned into a 33-year career at the Boston Health Care for the Homeless Program, one of the country’s largest of its kind.
“You realize, ‘You know what, I’m just a doctor. And what I can do is I can get to know you and ea your suffering, just as I would as an oncologist,’” O’Connell said. “You could not find a more grateful population.”
And his patients are grateful. “This man is unbelievable!” one remarked. “He’s like Jesus,” another added.
O’Connell dispens just about everything, from stitches for an arm to surgery for the soul. If patients can’t be treated on the street, he finds them a treatment bed at the organization’s medical respite facility, a place for patients who are too sick to be on the streets but not ill enough for a hospital stay.
“Everything I had been taught to do [in medical school]—go fast, be efficient—was counterproductive when you take care of homeless people,” O’Connell told Harvard Magazine. “When you e somebo
dy outside, you get them a cup of coffee and sit with them. Sometimes it took six months or a year of offering a sandwich or coffee before someone would start to talk to me. But once they engage, they’ll come to you anytime becau they trust you. I often say that the best training I had for this job was having been a bartender, becau it’s all about listening.”
When asked about how his life might have turned out had he become a highly paid oncologist, O’Connell said, “I never think about it anymore.”
Some things are more valuable than money. Just ask the man who gets everything from patients who have nothing material to give.
for the soul. If patients can’t be treated on the street, he finds them a treatment bed at the organization’s medical respite facility, a place for patients who are too sick to be on the streets but not ill enough for a hospital stay.
“Everything I had been taught to do [in medical school]—go fast, be efficient—was counterproductive when you take care of homeless people,” O’Connell told Harvard Magazine. “When you e somebody outside, you get them a cup of coffee and sit with them. Sometimes it took six months or a year of offering a sandwich or coffee before someone would start to talk to me. But once they enga
ge, they’ll come to you anytime becau they trust you. I often say that the best training I had for this job was having been a bartender, becau it’s all about listening.”
When asked about how his life might have turned out had he become a highly paid oncologist, O’Connell said, “I never think about it anymore.”
Some things are more valuable than money. Just ask the man who gets everything from patients who have nothing material to give.
1.Dr. Jim O’Connell and his team mainly to help tho people?
A. who is inside an exam room.
B. who lives in America.
C. who has health problems.
D. who is homeless in America with health problems and has no access to care.
2. What can we know about O’Connell?
A. It was his chief in university who suggested he t out to help the homeless.
B. He changed his work after rving Boston’s homeless for one year.
C. He was grateful for his patients.
D. He could do everything he had been taught to do in medical school.
3. What’s O’Connell’s opinion about his work?
A. Boring.
B. Uless.
C. Meaningful.
D. Grateful.
4. What’s the best title of this passage?
A. The legend Dr. Jim O’Connell.
B. Doctor is out.
C. O’Connell’s u.forgettable experiences.
D. A man like Jesus.
词汇点拨
practitioner n. 开业者,执业医⽣prestigious adj. 有名望的
dispen vt. 分配,分发;oncologist n. 肿瘤学家;
psychiatrist n. 精神病学家outskirt n. 郊区;市郊
fellowship n. 团体;奖学⾦;remark vt. 评论;觉察
fellowship n. 团体;奖学⾦;remark vt. 评论;觉察
短语精选
Make up 化妆;编造;由……组成be suppod to 本应做某事
a handful of ⼀把;少量的Turn into 转变为
treat on 对待access to ……的途径
参考答案及解析
1.答案.D 由⽂章第⼆段可知,奥康奈尔医⽣和他的团队主要帮助美国那些有健康问题但没有治病渠道的流浪汉。A选项错误,奥康奈尔医⽣并没有舒服地待在检查室。B,C选项较⽚⾯。
2.答案: A 由⽂段可知:在前往⼀所享有盛誉的肿瘤学研究机构的路上,他的导师建议他担任⼀份为期⼀年的⼯作,担任波⼠顿⽆家可归者新医疗项⽬的创始医师。B项⾃参加项⽬以来的33年奥康奈尔没有换过⼯作;C项是病⼈对他很感激;D项他在学校学习的⼀切快速⾼效的知识在流浪汉⾯前都⽤不上。
3.答案C 由⽂段末尾可知:奥康奈尔医⽣认为他的⼯作是有价值的,⽽这些⽐物质更重要。
4.答案:B 由⽂章可知,本篇主要介绍了奥康奈尔医⽣的主要⼯作——为那些⽆家可归,⽆法看病的⼈提供医疗救助,因此他需要去到街头等其他⽅,处于外出状态。因此B项符合要求。A选项⽂章并没有介绍他的传奇故事。C,D项较为⽚⾯⽂章⼤意。
参考译⽂
医⽣出去了
这是波⼠顿⼀个周五的早晨,这意味着吉姆·奥康奈尔博⼠正在巡视。他也许在检查室⾥更舒服,但他的病⼈不在那⾥。奥康奈尔是为数不多的为城市⽆家可归者做家访的医⽣之⼀。
55万多美国⼈⽆家可归,许多⼈有健康问题,但得不到医疗服务。奥康奈尔和他的团队,包括精神病医⽣、内科医⽣、执业护⼠、病例经理和康复教练,正在为此做些事情。他们整天在⽆家可归者居住的公园、桥下和城镇郊区四处游荡。他们治疗⼤约700名普通病⼈。在这些疗程中,奥康奈尔本⼈通常会治疗⼤约20名患者。他知道他们⼤多数⼈睡在哪⾥,也知道如果他们失踪了该问谁。“我觉得⾃⼰就像城市中⼼的⼀名乡村医⽣,你知道吗?””他说。
奥康奈尔曾就读于哈佛医学院(Harvard Medical School),在前往⼀所享有盛誉的肿瘤学研究机构的路上,他的导师建议他担任⼀份为期⼀年的⼯作,担任波⼠顿⽆家可归者新医疗项⽬的创始医师。后来,他在波⼠顿⽆家可归者医疗保健项⽬(Boston Health Care for the Homeless Program)⼯作了33年,该项⽬是美国规模最⼤的此类项⽬之⼀。
“你会意识到,‘你知道吗,我只是个医⽣。’”我能做的就是了解你,减轻你的痛苦,就像我作为⼀名肿瘤学家⼀样。“你再也找不到⽐这更感恩的⼈群了。”
他的病⼈也很感激。“这个⼈真是不可思议!””⼀个说。“他就像耶稣,”另⼀个⼈补充道。
奥康奈尔提供了⼏乎所有的东西,从⼿臂的缝针到灵魂的⼿术。如果病⼈不能在街上接受治疗,他会在该组织的医疗暂托机构(medical暂托机构)为他们找到⼀张治疗床。暂托机构是为那些病得太重⽽⽆法在街上接受治疗,但病情⼜不⾜以住院的病⼈提供的地⽅。
奥康奈尔在接受《哈佛杂志》采访时表⽰:“(在医学院)我学到的每⼀件事——快速、⾼效——在照顾⽆家可归者时都适得其反。”“当你看到外⾯有⼈时,你就给他们倒杯咖啡,和他们坐在⼀起。”有时候,我花了6个⽉或⼀年的时间,才有⼈开始和我说话,提供三明治或咖啡。但是⼀旦他们参与进来,他们会随时来找你,因为他们信任你。我常说我在这个⼯作中接受的最好的训练就是当过酒保,因为这⼀切都是为了倾听。
当被问及如果他成为⼀名⾼薪的肿瘤学家,他的⽣活将会如何时,奥康奈尔说,“我再也没想过这个问题了。”
有些东西⽐⾦钱更有价值。只要问问那个从病⼈⾝上什么都得不到的⼈就知道了。
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