应用型大学英语综合教程修订版Unit 4 PPT

1、L/O/G/O上海交通大学出版社上海交通大学出版社 应用型大学英语系列教材应用型大学英语系列教材Book Application-oriented college English CourseWhats the matter with you?feel dizzyhave a runny nosecoughingstomachache toothache(ankle) twistbleedinghave a feversore throatWhat can we do with the symptoms?pillscapsulessyrupdissolved medicinesbandageo

2、intment Probably Probably Probably4Q1: When you get ill, what will you do?you will take some .you will have a good rest.you will go to see a doctor.pills/medicineLead-in QuestionsQ2: When and why did you go to see the doctor last time? Q3: What did the doctor do with your problem? How much did you s

3、pend on your visit to the doctor? Was it effective? a satisfactory experiencea painful experiencetake the pills according to the prescription6After you see the doctor, the doctor will ask you totake an X-rayhave an ultrasonic diagnosis (超超声检查声检查）be hospitalizedhave a surgerywardHow do you name these

4、 places in English in a hospital? Registration officelaboratoryin-patient departmentoutpatient departmentEmergency roomdispensaryConsulting roomSome people say that it is usually a painful experience to visit a doctor esp. in big hospitals in China nowadays? Do you agree with it? Some examples:1) Yo

5、u have to wait for hours only to be dismissed after a few minutes exam by the doctor.2) You come across an irresponsible or ill-mannered doctor3) Your doctor may prescribe you lots of expensive pills. It may cost you hundreds of money simply for a bad cold or something.4) Your condition get worse as

6、 a result of misdiagnosis or medical errors due to the doctors poor qualifications, lack of skill or professional ethics.5) You received the bad services and mismanagement of the hospital such as indifference, negligence, etc. Group DiscussionHave you ever had a painful visit to the doctor?What can

7、be painful experiences when seeing a doctor?Now lets appreciate the video clip Seeing a Doctor.10Focus1interpreting上海交通大学出版社上海交通大学出版社 BackNext1. Which part of the patient hurts? ( ) A. His left hand.B. His right hand. C. Both of his hands. D. His back.2. Which of the following is NOT true? ( ) A. Th

8、e doctor is sure what it is inside the patients right hand. B. The doctor will know what it is inside the patients right hand after an operation. C. If the patient had an operation, it would take him about half a year to recover. D. The patient has to prepare about ten thousand yuan for the operatio

9、n all together.3. Finally the patient _. ( ) A. decided to take the operation B. would have to prepare about ten thousand yuan C. would visit a doctor of traditional Chinese medicine D. would go home without treatment1. StarterB. Listen to the dialogue and choose the best answer for each question yo

10、u hear.CBA11Focus1interpreting上海交通大学出版社上海交通大学出版社 To be continuedBackNextDoctor:Take a seat. Whats wrong with you?Patient:Doctor, my right hand hurts so badly all the time that I have trouble even using chopsticks for a meal or a pen for writing.Doctor:Pity you are not left-handed. Show me you hand.

11、(taking the patients right hand in his hands, pressing the back of it with his thumbs) Does it hurt here?Patient:Ouch, it is killing me! Doctor, what is wrong with my hand?Doctor:(scratching the back of his head) Well OK, take some X-rays first, then come to me.Patient:(with four X-rays) Doctor, her

12、e are the X-rays.Doctor:Well, there seems to be something foreign inside. Do you want to have it removed through an operation?Patient:Do I want? Why? You are a doctor and you should make sure what exactly it is in my hand and whether the surgery is necessary.1. StarterTapescript 12上海交通大学出版社上海交通大学出版社

13、 1. StarterBackNextDoctor:Well see what it is when it is removed through an operation. You can rest assured since there will be no problem with such a small operation.Patient:How long will it take for me to recover?Doctor:No one can tell exactly. Maybe a month at least or half a year at most.Patient

14、:How much will the operation cost me all together?Doctor:Lets see. The operation will cost about four thousand yuan, then rehabilitation about two thousand, hospital, medicine. Im afraid that you would have to prepare about ten thousand yuan.Patient:Thank you, doctor. I might as well go to see a doc

15、tor of traditional Chinese medicine.Text13Of Situations, memories or experiences which are difficult and unpleasant to deal with and often make you feel sad and upsete.g. painful memories painful lessonsWhat is a painful experience in your life?14Breaking up with your boyfriend/girlfriendGetting a f

16、ailure in the examinationBeing cut off the network Using up the living expensesSeeing the doctorText15What was the story like?Why was it a painful visit to the doctor?16physician 内科医师1surgeon 外科医师2 pediatrician/ pediatrist 儿科医师3dentist 牙医4gynecologist 妇科医师5oculist 眼科医生6orthopedist 整形外科医生7psychiatris

17、t 精神病医生8There are so many doctors in a hospital.Which doctor should you go to see? Part (the beginning) Part (the first painful visit) Part (after the first visit) Part (the end)The authors waiting for the doctor at the clinic.Text OrganizationParas. 1-6The authors refusal of the doctors proposal fo

18、r an operation and his anger over the high medical cost.Paras. 7-30The authors Polish friends treatment, his failure to get a new prescription and his solution to the problem.The authors comments: he was more sick after his visit to the doctor in America.Paras. 31-48Paras. 49-50A painful visitEviden

19、ce 1Evidence 23. Why was the author unhappy about waiting for more than 3. Why was the author unhappy about waiting for more than “a minute”?“a minute”?2. 2. What did the author see while waiting for the doctor?What did the author see while waiting for the doctor?1. What was the doctor doing by the

20、time the author went to 1. What was the doctor doing by the time the author went to the hospital in time?the hospital in time? The doctor was with another patient.The doctor was with another patient. Because his appointment was scheduled a week ago, and the Because his appointment was scheduled a we

21、ek ago, and the doctor was obviously unpunctual.doctor was obviously unpunctual.Listen to Part I(Paras.1-6) of the text, and think about the following questions.A painful visitEvidence 1 A window overlooking the yard covered with some A window overlooking the yard covered with some kind of green bus

22、h.kind of green bush. A thin spiders web in the corner between the A thin spiders web in the corner between the ceiling and the wall.ceiling and the wall.What does this description imply?What does this description imply?2.What did the author see while waiting for the doctor?2.What did the author see

23、 while waiting for the doctor?poor health environment of the hospitalpoor health environment of the hospitalthe American medical systemthe American medical systemThe writer is entrapped in this hospital.The writer is entrapped in this hospital. The The medical system medical system in the U.S is a b

24、ig, big in the U.S is a big, big traptrap and poor people like him and poor people like him are its are its victimsvictims. .2. Text: A Painful Visit20 1 “Have you been here before?” asked the receptionist when I showed up at the doctors office. 2 “No.” 3 “Please be seated,” she pointed to a chair,

25、“fill out the form and bring it back to me. The doctor will be with you in a minute.” 4 At first I didnt pay any attention to the room I was in but “the doctor will be with you in a minute” appeared to be longer than sixty seconds so I looked around. On the other wall there was a window overlooking

26、the yard covered with some kind of green bush. In the corner between the ceiling and the wall I noticed a thin spiders web.212. Text: A Painful Visit 5 “Are you all right?” the nurse peeked through the door. “The doctor is with another patient right now,” she smiled with an excuse. “But hell be righ

27、t with you,” she disappeared behind the door.6 I didnt understand why I had to wait so long. The appointment was scheduled at a certain day and a certain hour a week ago. And I was ready. 22receptionist: n. C 接待员接待员e.g. She has a good temper as a receptionist at the hotel and a hot temper as a wife

28、at home. Vocabulary Development: receivereception接线员接线员迎宾员迎宾员记者招待会记者招待会v. 接收，接待接收，接待n. 接待；接待； 欢迎；欢迎； 招待会；招待会； 接待处接待处 n. operatorreception; press/news conferencen. usher23show up: 出现，露面；露出出现，露面；露出e.g. She felt uneasy when she saw her husbands ex-girlfriend show up at her wedding. Similar expressions:

29、 appearariseturn upcome outOther collocations of “show”:show offshow oneselfshow in / into show ones cards show ones teeth 炫耀炫耀露面露面领进客人领进客人摊牌摊牌张牙露齿，作威吓姿态张牙露齿，作威吓姿态24overlook: 1. vt. To have or give a view of sth. or sb. from abovee.g. I wish one day I could afford a house of that kind overlooking th

30、e beautiful sea. 2. vt. not notice or realize how important a fact or a problem ise.g. How stupid to overlook such an obvious mistake!The prefix “over-”:1.表示表示“在在之上之上”: 2.表示表示“过度过度,过分过分,超过超过”: = neglect, ignore, disregardoverhead 架空架空overcome克服克服overbridge 天天桥桥overtake超超车车overestimate高估高估 oversleep睡

31、睡过头过头overtime加班加班overcrowded挤满挤满的的 peek: vi. 偷看，窥视偷看，窥视cf. peek, glance, stare, peerglance: (+at/over) 匆匆地或粗略地一看，侧重心不在焉、匆匆地或粗略地一看，侧重心不在焉、匆忙匆忙stare: 因惊奇、好奇、粗鲁无礼等而睁大眼睛看。因惊奇、好奇、粗鲁无礼等而睁大眼睛看。peer: 凝视；盯着看凝视；盯着看He glanced over(浏览浏览) his watch and decided to leave.He stared at the visitor up and down.peek:

32、(+at/through)偷看，窥视偷看，窥视She peered at the tag to read the price.They caught him peeking in through the keyhole. 26Directions: Fill in the blanks with the words above. Change the form where necessary.1. He _ the boy into silence. 2. Some students tend to _ at their neighbors paper on the exam. 3. He _

33、 over the bookshelf and picked up the book he wanted. 4. She was angry and _ me down. 5. She _ at her wedding photo for a long time. staredpeekglancedstared peek, glance, stare, peerpeered stare down: 瞪眼使(某人)不敢抬眼看27appointment: n. C 预约；任命；职务预约；任命；职务e.g. I have an appointment with my dentist this aft

34、ernoon. Cf: appointmentdateAppointment refers to a meeting arranged in advance which is formal and businesslike. A date is an appointment to meet someone, especially someone with whom you are having a romantic relationship. v. appoint: 任命；任命； 约定约定 Collocation: e.g. It made sense to appoint a banker

35、to this job. 指派一位银行家做这份工作是明智之举。指派一位银行家做这份工作是明智之举。appoint sb. to a postPart II: The first painful visit (Paras.7-30)Part II: The first painful visit (Paras.7-30)The authors refusal of the doctors proposal for an operation and his anger over the high medical cost.Read Part II quickly and find the answ

36、ers to the following two questions. Q1: Why did the author refuse the doctors proposal for an operation?Q2: How much did it cost the author for the first visit?Para. 26: I couldnt afford not to work for such a long time. Where could I find that kind of money? Could the problem be solved differently?

37、 Was the operation necessary? Para.27: Three hundred and eighty dollars.Listen to Part II and find out the patients cynical description of the doctor. 1.Para. 8: 2.Para. 10: 3.Para. 11: 4.Para. 16-17: “Good morning. Im fine. Thank you.” I lied because I was at the doctors office so it meant that I w

38、asnt fine.“I seem to have a problem with my left foot,” I helped him to read.“Well.,” he scratched his forehead, “we have to take some X-rays,” he decided.he looked at the X-ray against the light. “I can remove it if you like.”“What do you mean if I like? Is it necessary?”The patient believed that i

39、t was meaningless and foolish for the doctor to ask this question.In the patients opinion, it was a waste of time for the doctor to ask about malady while it had been recorded on the clipboard. Usually, the action of scratching ones forehead indicates his/her troubles or confusion. This sentence pre

40、sents an affected(装腔作装腔作势势的的) manner with which the doctor diagnosed the patients disease.The doctor can not give the patient a clear and explicit treatment prescription. 30Read Part II carefully and find out some evidence suggesting the authors painful visit. 1. Para. 11: The doctor decided to take

41、 four X-rays,which cost the author_. (Para.27)2. Para. 16: The doctor said “I can remove it if you like.” Para. 18: “I can perform an operation and everything should be all right.”3. Para. 22: “ Its up to you. For now I can give you some pills that will ease the pain.”The operation would cost him_.H

42、e couldnt go to work_. The nearest drug store sold him the medicine for_ so he spent _all together. High medical cost & overtreatmentone hundred and eightyeight thousandabout three monthsforty dollarsfour hundred and twenty dollarsEvidence 2Part II: The first painful visit (Paras.7-30)Part II: T

43、he first painful visit (Paras.7-30) Doctor Patient7. “Good morning. How are you?”8. “Good morning. Im fine. Thank you.”319. “Whats wrong with you?” 10. I seem to have a problem with my left foot.11. “Let me see.Well, we have to take some x-rays. The nurse will do it and Ill see you in a moment.”He s

44、cratched his forehead .When the patient was waiting to take the X-rays, what did he find? a white coat interrupted my thoughts.he asked, looking at the clipboard where it is stated in black and white what was wrong with me. I lied because I was at the doctors office so it meant that I wasnt fine.32I

45、t presents a vivid picture of the affected ( (装腔作装腔作势势的的) ) manner with which the doctor diagnosed the patients disease. Can you guess why the doctor put on such affected airs?Can you guess why the doctor put on such affected airs? By scratching his forehead, the doctor pretended to be worried and c

46、onfused about the patients symptoms. In this way, the patient might fall into the trap and believe he had a serious problem with his foot. When do people scratch their forehead?Why did the doctor scratch his forehead?33a doctorHollywood US cinemaThe White House US government朱朱门门酒肉臭，路有酒肉臭，路有冻冻死骨死骨33a

47、 white coat ?Metonymy 借代 A figure of speech in which one word or phrase is substituted for another with which it is closely associated . Metonymy is also the rhetorical strategy of describing something indirectly by referring to things around it, as in describing someones clothing to characterize th

48、e individual. This is t h e s e c o n d d e s c r i p t i o n o f t h e hospital by the patient, from which we can see that the hospital is low in efficiency so that the patient had to look around to kill time. From another angle, a blue carpet stands for the hospital, while mountains and trees, sta

49、nds for the nature. This description reveals the patients dislike towards the hospital and his eagerness to escape from the hospital. What did this description imply?12. The floor was covered with a blue carpet. I didnt like that color at all. The pictures on the wall were very nice a landscape of m

50、ountains and trees.13. “Please, come with me.”35 Nurse Patient14. Four X-rays had to be taken two of the front of my foot and one of each side of it.15. “They will be ready in a moment. You may go back now. ”take an X-ray:照X光片 Doctor Patient18. “Well, I can perform an operation and everything should

51、 be all right.”19. “How much will it cost me to have surgery?”20. “Lets see. The operation will cost about three thousand dollars, then rehabilitation about two thousand, hospital, medicine. I think that you would have to spend about eight thousand.”21. “Wow, thats a lot of money!”22. “Its up to you

52、. For now I can give you some pills that will ease the pain.”23. “If I make a decision to have this operation, how much time will it take for me to be able to walk and work again?”24. “About three months, I think.”25 “Thank you, doctor. I have to think it over.”He didnt sound convincing to me so I c

53、hanged the subject of our conversation.16. “Ive got your X-rays. There is a small bone here that is causing the problem. I can remove it if you like.”17. “What do you mean if I like? Is it necessary?”What would the patient feel when he heard this?It seems the doctor would not like to say more detail

54、s or give any explanations about the operation. Why?37convincing: adj. causing one to believe the truth of something令人相信的；令人相信的； 有说服力的有说服力的e.g. Her explanation sounded very convincing to me. Synonyms:convince: v. promise, persuade convinced: adj. persuaded of; very suree.g. I am convinced of her inn

55、ocence. forcefuldecisive38rehabilitation: n. 康复；修复；康复；修复； 复兴；复兴； 复职复职rehabilitation centrerehabilitation psychologyrehabilitation shop康复心理学康复心理学康复中心康复中心修理间，修复所，修理厂修理间，修复所，修理厂 vt. rehabilitate使康复；使康复； 修复；修复； 使恢复原状使恢复原状Part II My anger over the high medical cost26Going back to the front desk, I was th

56、inking feverishly. I couldnt afford not to work for such a long time. Where could I find that kind of money? Could the problem be solved differently? Was the operation necessary? Paraphrase:I couldnt manage without working for three months.40feverishly: adv. very actively or with great excitement; h

57、aving a fever 兴奋地；发烧地兴奋地；发烧地e.g. And then her hand closed on his and pressed feverishly.Synonyms: 1. marked by intense agitation or emotion 兴奋兴奋的，活的，活跃跃的的2. 2. having or affected by a fever发烧的发烧的兴奋的兴奋的: intense enthusiastic passionate zealous 发烧的发烧的: hectic burning fevered hot feverish: adj.fever: n

58、. 1. a rise in the temperature of the body2. intense nervous anticipationThe suffix “-ish” usually changes nouns into adjectives:childchildishselfselfishfoolfoolishredreddish Part II My anger over the high medical cost27“It will be two hundred for the first visit, one hundred and eighty for the X-ra

59、ys so it makes three hundred and eighty all together,” said the receptionist.28 “Oh, la, la!” I exclaimed.29“The first visit costs so much,” explained the receptionist, “but the next will cost you less,” she consoled me seeing a painful grimace on my face. “Heres your prescription. Have a nice day!”

60、 30 If I had known how much the doctor would spoil my day, I wouldnt have gone to see him at all. But what could I do? The pain was the pain and I had to get rid of it somehow. The nearest drug store sold me the medicine for forty dollars so I spent four hundred and twenty dollars all together just to know that if I