We discuss the issue of when to help a patient die. Doctors of our generation are not newcomers to this question. Going back to my internship（实习）days, I can remember many patients in pain, sometimes in coma(昏迷), with late, hopeless cancer. For many of them, we wrote an order for heavy medication—morphine(吗啡)by the clock. This was not talked about openly and little was written about it. It was essential, not controversial.

The best way to bring the problem into focus is to describe two patients whom I cared for. The first, formerly a nurse, had an automobile accident. A few days later her lungs seemed to fill up; her heart developed dangerous rhythm disturbances. So there she was: in coma, on a breathing machine, her heartbeat maintained with an electrical device. One day after rounds, my secretary said the husband and son of the patient wanted to see me. They told me their wife and mother was obviously going to die; she was a nurse and had told her family that she never wanted this kind of terrible death, being maintained by machines. I told them that while I respected their view, there was nothing deadly about her situation. The kidney(肾) failure she had was just the kind for which the artificial kidney was most effective. While possibly a bit reassured, they were disappointed. Here was the head surgeon seemingly determined to keep everybody alive, no matter what.

Within a few days the patient's pacemaker(起搏器) could be removed and she awoke from her coma. About six months later, the door of my office opened and in walked a gloriously fit woman. After some cheery words of appreciation, the father and son asked to speak to me alone. As soon as the door closed, both men became quite tearful. All that came out was, "We want you to know how wrong we were."

The second patient was an 85-year-old lady whose hair caught fire while she was smoking. She arrived with a deep burn; I knew it would surely be deadly. As a remarkable coincidence there was a meeting for discussion going on at the time in medical ethics(道德). The speaker asked me if I had any sort of ethical problem I could bring up for discussion. I described the case and asked the students their opinion. After the discussion, I made a remark that was, when looking back, a serious mistake. I said, "I'll take the word back to the nurses about her and we will talk about it some more before we decide." The instructor and the students were shocked: "You mean this is a real patient?" The teacher of ethics was not accustomed to being challenged by actuality. In any event, I went back and met with the nurses. A day or two later, when she was making no progress and was suffering terribly, we began to back off treatment. Soon she died quietly and not in pain. As a reasonable physician, you had better move ahead and do what you would want done for you. And don't discuss it with the world first. There is a lesson here for everybody. Assisting people to leave this life requires strong judgment and long experience to avoid its misuse.

50. In the early days when a patient had got a deadly, hopeless illness, _____.

A.      doctors used to ask the patient to go back home and wait for death

B.      doctors would write all their treatment plan on the patient’s medical record

C.      doctors would talk about their treatment plan openly

D.     usually doctors would inject more morphine into the patient to end his life

51. The first patient’s husband and son wanted the doctor_____.

A.      to end her life                                       B. to save her life

C.      to operate on her at once                       D. to use an artificial kidney

52. In the second paragraph, why were they disappointed?

A.      Their wife and mother was going to die.                                                

B.      They doctor didn’t do as they asked to.

C.      Their wife and mother had to receive a kidney transplant.

D.     The doctor scolded them for their cruelty                                                      

53. At the meeting, the author discussed with the students_____.

A.      how to help patients end their lives

B.      the importance of mercy killing

C.      the relationship between mercy killing and ethics

D.     the case about an old lady

54. The author suggested that doctors_____ before they assist a patient in killing himself.

A.      discuss it with the others first

B.      make sure there is no other choice left

C.      be required to do so first by the patient

D.     give the patient enough morphine

55.     Which of the following can best describe the author?

1. Cruel.          B. Determined.          C. Experienced.         D. Considerate.

Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time: if corrected too much, he will stop talking. He notices a thousand times a day the difference between the language he uses and the language those around him use. Bit by bit, he makes the necessary changes to make his language like other people’s. In the same way, children learn to do all the other things they learn to do without being taught--- to walk , run, climb, whistle, ride a bicycle --- compare their own performances with those of more skilled people, and slowly make the needed changes. But in school we never give a child a chance to find out his mistakes for himself, let alone(更不用说) correct them. We do it all for him. We act as if we thought that he would never notice a mistake unless he was made to. Soon he becomes dependent on the teacher. Let him do it himself. Let him work out, with the help of other children if he wants it, what this word says, what the answer is to that problem, whether this is a good way of saying or doing this or not.

    If it is a matter of right answers, as it may be in mathematics or science, give him the answer book. Let him correct his own papers. Why should we teachers waste time on such routine(常规的) work? Our job should be to help the child when he tells us that he can’t find the way to get the right answer. Let’s end all this nonsense of grades, exams and marks. Let us throw them all out, and let the children learn what all educated persons must some day learn: how to measure their own understanding, how to know what they know or do not know.

    Let them get on with this job in the way that seems most sensible(合情理的) to them, with our help as school teachers if they ask for it. The idea that there is a body of knowledge to be learnt at school and used for the rest of one’s life is nonsense(无意义的) in a world as complicated and rapidly changing as ours. Anxious parents and teachers say, “But suppose they fail to learn something essential(基本的), something they will need to get on in the world?” Don’t worry! If it is essential, they will go out into the world and learnt it.

What does the writer think is the best way for children to think?

By listening to their parents’ instructions. 

By asking a great many questions.

By making mistakes and having them corrected. 

By copying what other people do.

What does the writer think teachers should not do?

A. Give children correct answers.        

B. Point out children’s mistakes to them.

C. Allow children to mark their own work.    

D. Encourage children to copy one another.

According to the passage, learning to speak and learning to ride a bike are _____.

A. the most important skills                  B. the basic skills children should master

C. almost the same as learning other skills     D. much different from learning other skills.

The writer thinks that children’s progress should only be estimated(评估) by ______.

A. the children themselves                B. their parents

    C. their teachers                         D. education authorities(权威)

The writer is afraid that children will grow up into adults who are ______.

A. too selfish                            B. too independent

C. dependent and unable to use basic skills    D. able to think for themselves

Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time: if corrected too much, he will stop talking. He notices a thousand times a day the difference between the language he uses and the language those around him use. Bit by bit, he makes the necessary changes to make his language like other people’s. In the same way, children learn to do all the other things they learn to do without being taught--- to walk , run, climb, whistle, ride a bicycle --- compare their own performances with those of more skilled people, and slowly make the needed changes. But in school we never give a child a chance to find out his mistakes for himself, let alone(更不用说) correct them. We do it all for him. We act as if we thought that he would never notice a mistake unless he was made to. Soon he becomes dependent on the teacher. Let him do it himself. Let him work out, with the help of other children if he wants it, what this word says, what the answer is to that problem, whether this is a good way of saying or doing this or not.
If it is a matter of right answers, as it may be in mathematics or science, give him the answer book. Let him correct his own papers. Why should we teachers waste time on such routine(常规的) work? Our job should be to help the child when he tells us that he can’t find the way to get the right answer. Let’s end all this nonsense of grades, exams and marks. Let us throw them all out, and let the children learn what all educated persons must some day learn: how to measure their own understanding, how to know what they know or do not know.
Let them get on with this job in the way that seems most sensible(合情理的) to them, with our help as school teachers if they ask for it. The idea that there is a body of knowledge to be learnt at school and used for the rest of one’s life is nonsense(无意义的) in a world as complicated and rapidly changing as ours. Anxious parents and teachers say, “But suppose they fail to learn something essential(基本的), something they will need to get on in the world?” Don’t worry! If it is essential, they will go out into the world and learnt it.
【小题1】What does the writer think is the best way for children to think?

Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time: if corrected too much, he will stop talking. He notices a thousand times a day the difference between the language he uses and the language those around him use. Bit by bit, he makes the necessary changes to make his language like other people’s. In the same way, children learn to do all the other things they learn to do without being taught--- to walk , run, climb, whistle, ride a bicycle --- compare their own performances with those of more skilled people, and slowly make the needed changes. But in school we never give a child a chance to find out his mistakes for himself, let alone(更不用说) correct them. We do it all for him. We act as if we thought that he would never notice a mistake unless he was made to. Soon he becomes dependent on the teacher. Let him do it himself. Let him work out, with the help of other children if he wants it, what this word says, what the answer is to that problem, whether this is a good way of saying or doing this or not.

    If it is a matter of right answers, as it may be in mathematics or science, give him the answer book. Let him correct his own papers. Why should we teachers waste time on such routine(常规的) work? Our job should be to help the child when he tells us that he can’t find the way to get the right answer. Let’s end all this nonsense of grades, exams and marks. Let us throw them all out, and let the children learn what all educated persons must some day learn: how to measure their own understanding, how to know what they know or do not know.

    Let them get on with this job in the way that seems most sensible(合情理的) to them, with our help as school teachers if they ask for it. The idea that there is a body of knowledge to be learnt at school and used for the rest of one’s life is nonsense(无意义的) in a world as complicated and rapidly changing as ours. Anxious parents and teachers say, “But suppose they fail to learn something essential(基本的), something they will need to get on in the world?” Don’t worry! If it is essential, they will go out into the world and learnt it.

1.What does the writer think is the best way for children to think?

A.     By listening to their parents’ instructions. 

B.      By asking a great many questions.

C.  By making mistakes and having them corrected. 

D.  By copying what other people do.

2.What does the writer think teachers should not do?

A. Give children correct answers.        

B. Point out children’s mistakes to them.

C. Allow children to mark their own work.     

D. Encourage children to copy one another.

3.According to the passage, learning to speak and learning to ride a bike are _____.

A. the most important skills                  B. the basic skills children should master

C. almost the same as learning other skills     D. much different from learning other skills.

4.The writer thinks that children’s progress should only be estimated(评估) by ______.

A. the children themselves                B. their parents

    C. their teachers                         D. education authorities(权威)

5.The writer is afraid that children will grow up into adults who are ______.

A. too selfish                            B. too independent

C. dependent and unable to use basic skills    D. able to think for themselves