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.

Today I was at the mall waiting for friends, when a lady wearing a knit hat and a sweater came up to me and, shivering, said, “I’m homeless. Would you mind buying me some food?”
In that split second, everything I’d learned since kindergarten flashed through my mind. Don’t talk to strangers … Be a good citizen … People will take ­advantage of you … Treat others as you wish to be treated … The greatest thing you’ll ever learn is just to love and be loved in return … I guess love won the debate. “Sure,” I said. “What would you like?”
She thought and then said, “I’d like to get Chinese food.” We headed upstairs. On the way she told me about when she was a teenager. She remembers taking pictures for the yearbook with her best friend. She was in the band and played basketball. She got good grades and was a good student.
She ordered soup, an egg roll, white rice, and pepper chicken. I would normally think that was a lot, but she had probably barely eaten in the last few days. I got my usual – lo mein and General Tso’s chicken.
As we ate, we got to know each other. She asked if I played any instruments. I replied that I played the violin, cello, and guitar. She told me she played the flute, piano, guitar, and violin. In the middle of our meal, I realized something. And she thought of it at exactly the same time.
“So, what’s your name?” she asked.
“I’m Claire,” I said, startled at our exact same thought. “What’s yours?”
“Joyce,” she said with a smile.
We continued talking, and she asked my favorite subjects in school and if I wanted to go to college. “Hopefully,” I replied. “I’m interested in nursing.”
“I went to college for nursing,” she said.
I was taken aback. How could we have so much in common? Was she pretending so I’d feel sympathy for her? But her eyes were genuine as she said this.
Meanwhile I was eating my lo mein, picking around the cabbage and the other vegetables. Joyce said, “If you don’t like it you can take it back.” I told her that I liked it, but was not fond of the vegetables. She broke into a big grin. “You don’t like vegetables, huh? Neither did I. But now I do.” I immediately felt guilty. How could I be picking at my food across from someone who barely gets to eat at all?
I tried my best to finish, but she seemed to sense my guilt and said, “You don’t have to eat it if you don’t want it.” How could she know what I was feeling? I told her the dish was my favorite, but I just eat slowly.
She replied, “I used to like lo mein, but pepper chicken was my dad’s favorite, so I get that now.” Noticing that she used the word “was,” I assumed her dad had passed away. I found it sweet that she gave up her favorite in order to honor her dad.
She asked why I was at the mall.
“I’m waiting for friends. We’re going to see ‘The Curious Case of Benjamin Button,’” I replied, stumbling over the words a bit.
“‘The Curious Case of Benjamin Button,’” she echoed in awe. “What’s that about?” I realized that she didn’t see commercials for movies.
I explained the basic plot and she chuckled. “A man who is born 80 years old and ages backwards! That sounds interesting.”
She got up to get a to-go box. “Would you like one?” she asked, but I refused. I realized that this food would probably last her for a few days, and I was glad she had ordered a lot.
“Would you like these?” I asked, gesturing at the food I had left untouched. “Oh, no, thank you,” she said. “This is enough.” I got up to throw my tray away, feeling guilty about wasting so much.
“I need to meet my friends now,” I explained. “It was so nice to meet you, Joyce.”
“You too, Claire,” she replied with a smile. “Thank you.”
I headed to the theater, and she went back downstairs. It sounds like a perfect coincidence, but I can’t help but think that some force compelled us to meet. I kept puzzling, Why is Joyce homeless? It seems so unfair. She shouldn’t need people to buy her dinner. She was a nurse. She got good grades. She took pictures for her yearbook. She was the person I hope to be in the future. What went wrong? How could such a good life be rewarded with horrible luck?
I feel lucky to have run into Joyce. She changed my outlook. She is still a wonderful person, despite what the world has done to her. I wish her the best, and can only hope that the force that brought us together will help her find what she deserves in life.

1. 1.

   From the second paragraph we know that the writer _________.

   1. A.
      debated with the girl over moral issues
   2. B.
      hates having to make a quick decision
   3. C.
      hesitated before she decided to reach out
   4. D.
      fell in love with the girl at the first sight
2. 2.

   The writer felt guilty for a moment because ________.

   1. A.
      she was particular about food and also wasted so much
   2. B.
      she was a strict vegetarian who ate very little
   3. C.
      she didn’t order enough food for the girl
   4. D.
      she urged the girl to take her share of food
3. 3.

   Why did Joyce end up unemployed and homeless?

   1. A.
      She was a victim of high education
   2. B.
      She actually had some kind of mental disorder
   3. C.
      She graduated with average grades
   4. D.
      The reason is not yet given.
4. 4.

   Which detail doesn’t show the coincidence in the story?

   1. A.
      They both took interest in nursing.
   2. B.
      They were about to ask names of each other at the same time.
   3. C.
      When Claire headed to the theater, Joyce went back downstairs.
   4. D.
      They were both musical lovers.
5. 5.

   The writer was very happy to have met Joyce because______.

   1. A.
      she didn’t know what she was going to be until then.
   2. B.
      this chance meeting changed her attitudes towards life in a way.
   3. C.
      she was glad to be able to pay for someone in need.
   4. D.
      hopefully the force that brought them together may bring good luck to Joyce.
6. 6.

   The passage is intended to _______.

   1. A.
      arouse readers’ curiosity
   2. B.
      explore social problems
   3. C.
      teach readers a lesson
   4. D.
      share a sweet personal story

Today I was at the mall waiting for friends, when a lady wearing a knit hat and a sweater came up to me and, shivering, said, “I’m homeless. Would you mind buying me some food?”
In that split second, everything I’d learned since kindergarten flashed through my mind. Don’t talk to strangers … Be a good citizen … People will take ­advantage of you … Treat others as you wish to be treated … The greatest thing you’ll ever learn is just to love and be loved in return … I guess love won the debate. “Sure,” I said. “What would you like?”
She thought and then said, “I’d like to get Chinese food.” We headed upstairs. On the way she told me about when she was a teenager. She remembers taking pictures for the yearbook with her best friend. She was in the band and played basketball. She got good grades and was a good student.
She ordered soup, an egg roll, white rice, and pepper chicken. I would normally think that was a lot, but she had probably barely eaten in the last few days. I got my usual – lo mein and General Tso’s chicken.
As we ate, we got to know each other. She asked if I played any instruments. I replied that I played the violin, cello, and guitar. She told me she played the flute, piano, guitar, and violin. In the middle of our meal, I realized something. And she thought of it at exactly the same time.
“So, what’s your name?” she asked.
“I’m Claire,” I said, startled at our exact same thought. “What’s yours?”
“Joyce,” she said with a smile.
We continued talking, and she asked my favorite subjects in school and if I wanted to go to college. “Hopefully,” I replied. “I’m interested in nursing.”
“I went to college for nursing,” she said.
I was taken aback. How could we have so much in common? Was she pretending so I’d feel sympathy for her? But her eyes were genuine as she said this.
Meanwhile I was eating my lo mein, picking around the cabbage and the other vegetables. Joyce said, “If you don’t like it you can take it back.” I told her that I liked it, but was not fond of the vegetables. She broke into a big grin. “You don’t like vegetables, huh? Neither did I. But now I do.” I immediately felt guilty. How could I be picking at my food across from someone who barely gets to eat at all?
I tried my best to finish, but she seemed to sense my guilt and said, “You don’t have to eat it if you don’t want it.” How could she know what I was feeling? I told her the dish was my favorite, but I just eat slowly.
She replied, “I used to like lo mein, but pepper chicken was my dad’s favorite, so I get that now.” Noticing that she used the word “was,” I assumed her dad had passed away. I found it sweet that she gave up her favorite in order to honor her dad.
She asked why I was at the mall.
“I’m waiting for friends. We’re going to see ‘The Curious Case of Benjamin Button,’” I replied, stumbling over the words a bit.
“‘The Curious Case of Benjamin Button,’” she echoed in awe. “What’s that about?” I realized that she didn’t see commercials for movies.
I explained the basic plot and she chuckled. “A man who is born 80 years old and ages backwards! That sounds interesting.”
She got up to get a to-go box. “Would you like one?” she asked, but I refused. I realized that this food would probably last her for a few days, and I was glad she had ordered a lot.
“Would you like these?” I asked, gesturing at the food I had left untouched. “Oh, no, thank you,” she said. “This is enough.” I got up to throw my tray away, feeling guilty about wasting so much.
“I need to meet my friends now,” I explained. “It was so nice to meet you, Joyce.”
“You too, Claire,” she replied with a smile. “Thank you.”
I headed to the theater, and she went back downstairs. It sounds like a perfect coincidence, but I can’t help but think that some force compelled us to meet. I kept puzzling, Why is Joyce homeless? It seems so unfair. She shouldn’t need people to buy her dinner. She was a nurse. She got good grades. She took pictures for her yearbook. She was the person I hope to be in the future. What went wrong? How could such a good life be rewarded with horrible luck?
I feel lucky to have run into Joyce. She changed my outlook. She is still a wonderful person, despite what the world has done to her. I wish her the best, and can only hope that the force that brought us together will help her find what she deserves in life.
【小题1】From the second paragraph we know that the writer _________.

Today I was at the mall waiting for friends, when a lady wearing a knit hat and a sweater came up to me and, shivering, said, “I’m homeless. Would you mind buying me some food?”

    In that split second, everything I’d learned since kindergarten flashed through my mind. Don’t talk to strangers … Be a good citizen … People will take ­advantage of you … Treat others as you wish to be treated … The greatest thing you’ll ever learn is just to love and be loved in return … I guess love won the debate. “Sure,” I said. “What would you like?”

    She thought and then said, “I’d like to get Chinese food.” We headed upstairs. On the way she told me about when she was a teenager. She remembers taking pictures for the yearbook with her best friend. She was in the band and played basketball. She got good grades and was a good student.

    She ordered soup, an egg roll, white rice, and pepper chicken. I would normally think that was a lot, but she had probably barely eaten in the last few days. I got my usual – lo mein and General Tso’s chicken.

    As we ate, we got to know each other. She asked if I played any instruments. I replied that I played the violin, cello, and guitar. She told me she played the flute, piano, guitar, and violin. In the middle of our meal, I realized something. And she thought of it at exactly the same time.

    “So, what’s your name?” she asked.

    “I’m Claire,” I said, startled at our exact same thought. “What’s yours?”

    “Joyce,” she said with a smile.

    We continued talking, and she asked my favorite subjects in school and if I wanted to go to college. “Hopefully,” I replied. “I’m interested in nursing.”

    “I went to college for nursing,” she said.

    I was taken aback. How could we have so much in common? Was she pretending so I’d feel sympathy for her? But her eyes were genuine as she said this.

    Meanwhile I was eating my lo mein, picking around the cabbage and the other vegetables. Joyce said, “If you don’t like it you can take it back.” I told her that I liked it, but was not fond of the vegetables. She broke into a big grin. “You don’t like vegetables, huh? Neither did I. But now I do.” I immediately felt guilty. How could I be picking at my food across from someone who barely gets to eat at all?

    I tried my best to finish, but she seemed to sense my guilt and said, “You don’t have to eat it if you don’t want it.” How could she know what I was feeling? I told her the dish was my favorite, but I just eat slowly.

    She replied, “I used to like lo mein, but pepper chicken was my dad’s favorite, so I get that now.” Noticing that she used the word “was,” I assumed her dad had passed away. I found it sweet that she gave up her favorite in order to honor her dad.

    She asked why I was at the mall.

    “I’m waiting for friends. We’re going to see ‘The Curious Case of Benjamin Button,’” I replied, stumbling over the words a bit.

    “‘The Curious Case of Benjamin Button,’” she echoed in awe. “What’s that about?” I realized that she didn’t see commercials for movies.

    I explained the basic plot and she chuckled. “A man who is born 80 years old and ages backwards! That sounds interesting.”

    She got up to get a to-go box. “Would you like one?” she asked, but I refused. I realized that this food would probably last her for a few days, and I was glad she had ordered a lot.

    “Would you like these?” I asked, gesturing at the food I had left untouched. “Oh, no, thank you,” she said. “This is enough.” I got up to throw my tray away, feeling guilty about wasting so much.

    “I need to meet my friends now,” I explained. “It was so nice to meet you, Joyce.”

    “You too, Claire,” she replied with a smile. “Thank you.”

    I headed to the theater, and she went back downstairs. It sounds like a perfect coincidence, but I can’t help but think that some force compelled us to meet. I kept puzzling, Why is Joyce homeless? It seems so unfair. She shouldn’t need people to buy her dinner. She was a nurse. She got good grades. She took pictures for her yearbook. She was the person I hope to be in the future. What went wrong? How could such a good life be rewarded with horrible luck?

    I feel lucky to have run into Joyce. She changed my outlook. She is still a wonderful person, despite what the world has done to her. I wish her the best, and can only hope that the force that brought us together will help her find what she deserves in life.

1.From the second paragraph we know that the writer _________.

   A. debated with the girl over moral issues

B. hates having to make a quick decision

   C. hesitated before she decided to reach out

D. fell in love with the girl at the first sight

2.The writer felt guilty for a moment because ________.

   A. she was particular about food and also wasted so much

   B. she was a strict vegetarian who ate very little

   C. she didn’t order enough food for the girl

   D. she urged the girl to take her share of food

3.Why did Joyce end up unemployed and homeless?

   A. She was a victim of high education

B. She actually had some kind of mental disorder

   C. She graduated with average grades

D. The reason is not yet given.

4.Which detail doesn’t show the coincidence in the story?

   A. They both took interest in nursing.

   B. They were about to ask names of each other at the same time.

   C. When Claire headed to the theater, Joyce went back downstairs.

   D. They were both musical lovers.

5.The writer was very happy to have met Joyce because______.

   A. she didn’t know what she was going to be until then.

   B. this chance meeting changed her attitudes towards life in a way.

   C. she was glad to be able to pay for someone in need.

   D. hopefully the force that brought them together may bring good luck to Joyce.

6.The passage is intended to _______.

   A. arouse readers’ curiosity

B. explore social problems

   C. teach readers a lesson

D. share a sweet personal story