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  3. The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. Now her shoulder has

The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. Now her shoulder has

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问题    The blind, overweight patient in the wheelchair has terrible pain in her back and burning pain in her legs. Now her shoulder has started to hurt. She can’t raise her arm to comb her hair. Five or six other things are wrong with her—she tells me about each. Some we can help; most we can’t. I tell her as much.
   In my office, she listens carefully. I hardly ever have to repeat myself with Doris. She asks questions—mostly good ones. Sick, weakened by multiple symptoms, Doris is a really good patient. She communicates efficiently with her doctors and treats us with respect and trust. She has reasonable expectations. 【R1】__________But you’re usually glad her name is there.
   Few patients realize how deeply they can affect their doctors. That is a big secret in medicine—one doctors hate to admit. We think about, talk about, dream about our patients. We went into clinical medicine because we like dealing on a personal, even intimate level with people who have chosen to put their bodies in our hands. Our patients make or break our days.
   Take the compliment. Our career choice means we really do think that you—with your aches and pains—are more interesting than trading hot securities, more fun than a courtroom full of lawyers. When we feel your trust, you have us.
   【R2】__________
   But you should try to be a good patient for unselfish reasons too. We worry about you 60 hours a week. We gave up our 20s for you. Why not show us some love? It’s not hard.
   The medical relationship is intrinsically one-sided. It’s about you and your problem. I am going to find out more about you in the next 20 minutes than you will find out about me. Good patients answer questions accurately and completely. They ask questions too.
   【R3】__________
   Here’s a classic exchange:
   How long has your shoulder hurt, Beatrice? "Oh, for quite some time now." But for how long? How many months? "Oh, at least since the wedding ..."
   All I want to do is write something like "Right shoulder, 6 months" on my chart. There are lots of Beatrices.
   Are doctors good patients? Others may disagree, but I think they are. 【R4】__________Anyone in medicine
   is painfully aware that there are plenty of problems for which we have no good answer. Nurses tend to be even better patients, being good at following doctors’ orders.
   Doctors and nurses also know when to respect an educated opinion. You need not be a medical professional, or educated at all, to be a great patient. 【R5】__________
   [A] Medical jargon doesn’t confuse them, so communication is easier, and their expectations tend to be more reasonable.
   [B] I can tell she looks things up, but her knowledge is helpful—never challenging. I’ve talked about her with other doctors, and we agree on this: when you see Doris’ name on your day’s list, you know you’re going to work hard.
   [C] Any good doctor knows when you’re too sick to be polite and will let it roll off his back. The squeaky wheel we don’t like is the one playing a dominance game.
   [D] But many patients talk too much. You might notice that we are writing when we see you—we are creating your chart. We need specific facts but not every fact in your life.
   [E] It’s pretty much the same strain of human decency—a truthful consideration of who the people around you are and of what they are trying to do—that infects a good patient and any good person.
   [F] She also has advanced arthritis in her knees and end-stage circulatory disease, which have left her with two useless legs that are red, swollen and infected. So she needs lots of tests, various therapies.
   [G] The most compelling reasons to be a good patient are selfish ones. You’ll get more of the mind that you came for, a mind working better because it’s relaxed. That means better medical care.
【R5】
选项
答案E
解析 空格前提到想成为一个好患者，并不需要成为医疗专家或去接受医学教育，推测空格处应该会进一步阐述要如何做。E讲述的就是成为一个好患者所需要的品质，与上文衔接。同时E将患者的品质与好人的品质联系在一起，在前文的基础上深化了文章的论述，作为结尾比较适合。故选E。
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