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1、Unit 5 Knowledge and IgnoranceWords and phrases expected of students to understandpalpitatefive days straight wiggleleaf v. prop up on pillows/against the wallDawn broke on the doctors facerule outsocial milieuin a huddlea suggestion ofI detected a suggestion of malice in his remarks.in due coursePr
2、eparatory Work（1）SymptomCheckupDiagnosisClinicOthercough （咳嗽）prolonged emptying time （排空时间过长）have an orthodiagram（拍X线片注：平常人不这么说，就是take an X-ray）have an EKG（做心电图）have a Fluoroaortogram (做主动脉造影)functional （功能性的）vascular （血管的）hypertensive （高血压的）pylorospasm (幽门痉挛)cardiomegaly （心脏肥大症）minimal left ventric
3、ular hypertrophy (微小左心室肥厚)peripheral vascular spasticity （周围血管痉挛）Gastroenterology消化科Neorology( 神经病学)Neuropsychology (神经心理学)rheumatology (风湿病学)AMA (美国医药协会)Gastro-Intestinal（胃肠道的）aortic valve （主动脉瓣）the great arteries （主动脉）peripheral capillary bed （周围毛细血管床）rheumatologist （风湿病医生）tubular function （肾小管功能）
4、filtration fraction （滤过分数）The following are just for your referenceThe Inadequencies of Modern Orthodiagramatic Techniques in Demonstrating Minimal Left Ventricular Hypertrophy 当代影像技术在显示微小左心室肥厚方面的不足之处the Diagnostic Clinic (诊断科) vs. the Therapeutic Clinic (治疗科) vs. the Functional Clinic(功能科)/Mitral V
5、alve Clinic (二尖瓣科) vs. Aortic Valve Clinic (主动脉瓣科) (allthe clinics are made up for satirical effect)psychoneuroticist神经心理医生（a made-up word, possibly coined from Psychoneurosis 精神神经病 or Neuropsychology 神经心理学）psychosociologist社会心理医生（a made-up word; psycho+ sociologist）pituitary osmoreceptorologist渗透压感
6、受器专家？（a word possibly coined from pituitary osmoreceptor渗透压感受器）（2）The story was published in 1963, and in the story a doctor says its 1972, which means that the story has a futuristic setting. Its not a typical science fiction as I understand the term, for science fiction, though hard to define, usu
7、ally involves wilderimaginativeconceptssuch asfuturisticscienceandtechnology,space travel,time travel,parallel universesandextraterrestrial life.Yet it may be viewed as a story of science fiction in the sense that the author makes up a futuristic settingof extremely meticulous divisions of medicine
8、to warn against such a trend, since science fiction also means, according to science fiction writerRobert A. Heinlein, “realistic speculation about possible future events, based solidly on adequate knowledge of the real world, past and present, and on a thorough understanding of the nature and signi
9、ficance of the scientific method.”But, to be honest, I do think its more a satire than science fiction.（3）There are altogether 13 doctors besides the Turk. (Interesting number!)The doctor (community doctor?)-the red-headed doctor (Gastro-Intestinal man) andDr. Schultz (the Orthopedic Radiologist)-an
10、other doctor(possibly alsoOrthopedic Radiologist), who brought two more doctors (in Valve Clinic)-the Miltral man, the Aortic man, the Great Arteries man and the Peripheral Capillary Bed man-doctor in the Functional Clinic-Psychoneuroticist, Psychosociologist the Turk ( Is he really a Turk? I dont k
11、now whats his field.)（4）They are italicized for emphasis. They are to be read out aloud.Para. 9 Fifty-five The doctor shows his incredulity. He believes 55 as a critical age but the man hasnt had a checkup for almost 10 years.Para.13 you may be feeling well, it implies that the doctor doesnt believe
12、 he is actually well.Para.24 I could do that The doctor was shocked that the patient was “ignorant” to the extent that he asked only for sth. to stop the pain. According to the doctor, the root cause of the problem had to be found out first.Para. 24 moreaspirin poisoning than of cyanide poisoning Th
13、e two words are emphasized to distinguish them and to let the information sink in.Para. 26 we have to think about The doctor implies that Wheatley hasnt thought much about his own health.Para. 37 I dont think so. It is implied by the emphasis that Wheatley fails to understand the word Fluoroaortogra
14、m. Para.38 Now this patient- The doctor suddenly realized his purpose of coming here. Para. 41 you mustnt worry. The doctor thinks that Wheatley has the reasons to be worried but that his worry might make the situation worse. Therefore he mustnt worry.Critical Reading: 1. Questions(1) He was very ne
15、rvous.(2) He doesnt think Wheatleys complaints have much value. He has his own professional training of inquiring. (3) He is an Orthopedic Radiologist (And I think he is a colleague of Dr. Schultzs). He mentions the article in details possibly because its his recent focus of attention, or in other words he is still thinking about it when he talks. (4) I dont know for sure where he went or what brought him there. I think both the Turkish drapes and the turban are used to give an exotic flavor to that place, to form a sharp contrast with the previous “sci
