【推荐1】The first patient who died on my watch was an older man with a faulty heart. We tried to slow it down with treatment, but it suddenly stopped beating completely. Later, whenever I would have a case like that one, I found myself second-guessing my clinical management. However, it turns out that thinking twice may actually cause more harm than good.

In a working paper, Emory University researchers found that when doctors delivering a baby have a bad result, they are more likely to switch to a different delivery method with the next patient, often unnecessarily and sometimes with worse results.

Because doctors make so many decisions that have serious consequences, the fallout from second-guessing appears especially large for us. A 2006 study found that if a patient had a bleed after being prescribed (开药) warfarin, the physician was about 20% less likely to prescribe later patients the blood thinner that prevents strokes (中风). However, if a patient was not on warfarin and had a stroke physicians were still no more likely to prescribe warfarin to their other patients.

These findings highlight interesting behavioral patterns in doctors. In the blood-thinner study, doctors were more affected by the act of doing harm (prescribing a blood thinner that ended up hurting doctors were more affected by the act of doing harm(prescribing a blood thinner that ended up hurting a patient) and less affected by letting harm happen (not prescribing a blood thinner and the patient having a stroke). Yet a stroke is often more permanent and damaging than a bleed.

But this phenomenon is not unique to medicine. ''Overreaction to Fearsome Risks'' holds true for broader society.

For instance, sensational headlines about shark attacks on humans in Florida in 2001 caused a panic and led the state to prohibit shark-feeding expeditions. Yet shark attacks had actually fallen that year and, according to the study, such a change was probably unnecessary given the extremely small risk of such an attack happening.

Humans are likely to be influenced by emotional and often irrational (不理性的) thinking when processing information, bad events and mistakes. As much as we don't want to cause an unfortunate event to happen again, we need to be aware that a worst situation that can be imagined doesn't necessarily mean we did anything wrong. When we overthink, we fail to rely on thinking based on what we know or have experienced. Instead, we may involuntarily overanalyze and come to the wrong conclusion.

I have treated dozens of patients who presented with the same illnesses as my first patient, who died more than a year ago. Instead of second-guessing myself, I trusted my clinical instinct (本能) and stayed the course. Every one of those patients survived. You should trust your instinct in your life, too.

【推荐2】Are things not working out in your life, despite your doing all the “right” things? Is it possible that you are holding “unforgiveness” in your heart? It is worth thinking about. What do you do when somebody hurts you? Do you want to hurt that person back, or do you hold it against them for the rest of your life? If you answered “yes” to these questions, you are like most people.     1    

People don’t forgive readily, because it is easier to hate than to forgive. Some people think to forgive is a sign of weakness, but actually to forgive takes courage and effort.

Forgiveness is a gift from a generous heart. It is not a reward for good behavior. It is not based on whether the person deserves it or whether the person has asked for it. Besides, forgiveness is an act and a long-term process.     2     It is an act because it is not just the words you say, but also your actions which show if you’ve truly forgiven someone.

    3     It takes a lot of energy to hate and to keep that hate in place. Hate puts unwanted stress on your body. It is a well-known fact, proven by numerous studies, that bitterness can actually make you sick. The moment those affected people forgive and let go of their hate, they will start to get well.

    4     I have personal experience of this. I used to be very cynical (愤世嫉俗的) about life and didn’t forgive easily. At the time, I also struggled in every area of my life. Things just didn’t seem to work out for me. It is as if everything that could go wrong, always went wrong. That was until somebody told me to take a look at my attitude. And when I forgave those who wronged me and changed my attitude, everything else changed. It didn’t happen overnight. It took a while, but I could see and feel the difference.

【推荐3】The turn of the year is traditionally the time for reviewing one’s life, and perhaps for making some resolutions as to what to concentrate on in the coming year; and for many years past I have taken advantage of the holiday period to review my own goal and ambition.

One thing I do decide to do this year, with some unwillingness, is to give up writing the Grumpy Old Bookman column in this magazine. It’s not that I’ve lost interest in the book world, you understand. But Leonard Woolf, husband of writer Virginia Wool, used to say that a man should change his career every seven years. Though personally I would say that changing your whole career so often is going a bit far, I do find, during my own working life, that it acts as a great refresher if you can occasionally try a new job within the same organization or line of business.

It is in fact well over 15 years since our editor wrote to me and asked if I would be interested in writing a regular piece about what was, even then, a rapidly changing publishing scene. He approached me because since 2004 I had been writing a regular blog called, amazingly enough, Grumpy Old Bookman.

As my monthly survey of developments in both traditional and digital publishing continued, in this magazine, I began to realize that writers in this century, of both fiction and non-fiction, are living in something close to a paradise. Once, you struggled for years to find a publisher—or an agent if you wanted one—but now you can publish your own stuff, either digitally or in paperback, without it costing you a penny piece. Amazing.

After about five years of producing such columns, at just under a thousand words a time, it occurred to me that, rather than let these essays drift away on the seas of time, it might be of value to potential readers to publish my thoughts and comments in book form. Hence, in 2014, I published the first 69 GOB columns in paperback format, using Amazon’s Create space facilities. Title: Writers Rejoice! A monthly diary of the dawn of the digital age, which was my first trial. And now I sincerely wish a new 2022.

【推荐1】My roommate Lily was well organised, while I was not. Each of her things had its place, but mine were always hidden somewhere. She even labeled (贴标签于) everything. I always looked for everything. Over time, Lily got neater and I got messier. She would push my dirty clothing over, and I would lay my books on her tidy desk. We both got tired of each other.

War broke out one evening. Lily came into the room. Soon, I heard her screaming. “Take your shoes away! Why under my bed! “Deafened, I saw my shoes flying at me. I jumped to my feet and started yelling. She yelled back louder.

The room was filled with anger. We could not have stayed together for a single minute but for a phone call. Lily answered it. From her end of the conversation, I could tell right away her grandma was seriously ill. When she hung up, she quickly crawled (爬) under her covers, sobbing. Obviously, that was something she should not go through alone. All of a sudden, a warm feeling of sympathy (同情) rose up in my heart.

Slowly, I collected the pencils, took back the books, made my bed, cleaned the socks and swept the floor, even on her side. I got so lost in my work that I even didn’t notice Lily had sat up. She was watching, her tears dried and her expression a kind of disbelief. Then, she reached out her hands to grasp mine. I looked up into her eyes. She smiled at me, “Thanks.”

Lily and I stayed roommates for the rest of the college years. We didn’t always agree, but we learned.

【推荐3】When going through major life changes, like changing careers, I would change the people with whom I spent the most time. We’ve all gone through periods when the people in our lives have changed—graduation, moving to a new city, getting a new job, joining a new club, etc. I don’t think I need to convince you just how much influence other people can have over your identity. If you’ve ever experienced a major switch in your people environment, then you know that you change as well.

Most people don’t make these choices consciously though. You might consciously decide to spend more time with a certain friend, or you may ask someone out on a date to begin a new relationship. But few people choose their existing friendships deliberately.

There’s no “getting rid of people”. People are always dropping into and out of each other’s lives. Associations grow into friendships, and friendships fade into associations. You don’t get rid of anyone. The truth is that in order to make room for new people and new experiences, you may need to loosen up some of your existing connections.

What about loyalty? Shouldn’t you always be loyal to your friends? Once you have a close friend, even if their influence on you is slightly harmful, shouldn’t you stick by them?

Loyalty to a friend sometimes means having to let go. It means being loyal to their highest and best as well. If someone is destroying his health by smoking, for example, you aren’t showing loyalty by smoking right along with him. True loyally sometimes requires that you break damaging connections, get yourself back on solid ground, and then decide what you can really do to help your friend.

It can take a lot of courage to tell someone, “I’m sorry, but I can’t have you in my life anymore." But even though this might seem like a selfish act at times, it’s often the best thing for the other person too. If a relationship is holding you back in some way, understand that it is also hurting the other person. For example, if you work for a violent boss, your acceptance of that situation is considered to be silent approval, encouraging your boss to continue to behave violently.

【推荐1】When I grow up

In kindergarten, my class was asked to draw pictures, showing what we wanted to be when we grew up. Our drawings were expected to display our dream occupations. I remember pictures of ballerinas dancing, firefighters putting out a blaze, and astronauts leaping across the moon.

My picture showed a figure with brown hair holding a box of orange juice beside a counter. Underneath was my handwriting: “When I grow up, I want to work at Market Basket because it would be fun to swipe (刷) orange juice across the scanner.” Out of everything, my five-year-old self wished to work at the local grocery store.

When we are young, questions of what we want to be when we grow up are common. Yet we are not expected to respond with an answer that is likely to come true. However, when we become teens, we are asked the very same questions twice as often. The difference is, now we are supposed to answer with confidence.

Teens are expected to know exactly what we want to be and how we are going to achieve that goal. However, not all of us can be so sure. Even though I am in high school, I cannot answer with certainty. But I don’t consider that a bad thing. How am I supposed to know what I will want to spend my time doing at age 40?

When I think about the future, I definitely don’t see myself working at Market Basket, but in reality, if that was what would make me happy, I would do it. So, the next time someone asks me what I want to be when I grow up, I will simply say “happy”.

Happiness is a destination for everyone. We may want to walk different paths in life, but we all want to be happy wherever we end up. Choose your path, but don’t worry too much about choosing wisely. Make a mistake or two and try new things. But always remember, if you’re not happy, you’re not at the end of your journey yet.

【推荐2】Two of the saddest words in the English language are “if only(要是……就好了)”. I live my life with the goal of never having to say those words, because they convey regret, lost opportunities, mistakes, and disappointment.

My father is famous in our family for saying “Take the extra minute to do it right.” I always try to live by the “extra minute” rule. When my children were young and likely to cause accidents, I always thought about what I could do to avoid an “if only” moment, whether it was something minor like moving a cup full of hot coffee away from the edge of a counter, or something that required a little more work such as taping padding (衬垫) onto the sharp corners of a glass coffee table.

I don’t only avoid those “if only” moments when it comes to safety. It’s equally important to avoid “if only” in our personal relationships. We all know people who lost a loved one and regretted that they had foregone an opportunity to say “I love you” or “I forgive you.” When my father announced he was going to the eye doctor across from my office on Good Friday, I told him that it was a holiday for my company and I wouldn’t be here. But then I thought about the fact that he was 84 years old and I realized that I shouldn’t give up an opportunity to see him. I called him and told him I had decided to go to work on my day off after all.

I know there will still be occasions when I have to say “if only” about something, but my life is definitely better because of my policy of doing everything possible to avoid that eventuality. And even though it takes an extra minute to do something right, or it occasionally takes an hour or two in my busy schedule to make a personal connection, I know that I’m doing the right thing. I’m buying myself peace of mind and that’s the best kind of insurance for my emotional well-being.

【推荐3】In the sport of track and field, athletes compete not only with one another but against themselves, and in each race they try to achieve the new personal best.

For one Nebraska teen running in what would likely to be his final cross-country outing before graduating from high school, his personal best turned out not to be marking the fastest time but displaying the biggest heart.

Although it was a long shot when he came out from the starting position last Thursday, Brandon Schutt from Bellevue East High School knew if his time was good enough that day, he still had the potential to qualify for the upcoming state meet. A mile into the 3.1-mile race, however, Schutt realized he wasn’t going to be able to keep up the necessary momentum (势头). Rather than risking injury, he slowed to a comfortable pace that would allow him to simply get pleasure from the moment and the day.

Meanwhile, Blake Cerveny from Omaha Burke High School was running a very different kind of race. Aiming to beat his own personal record, after a fast start, he continued to push himself hard.

With less than 400 meters to go, Cerveny’s legs cramped up (抽筋), but he didn’t give up. Cerveny rose from the ground and continued on, only to fall again after another 150 meters and again... About 100 meters away from the finish line, he lay curled on the ground. His legs had simply given out.

Before Cerveny’s dad could reach his son, Brandon Schutt was at his side to offer a helping hand. The two completed the final meters of the course. Schutt even made sure the injured runner crossed the finish line first, securing his opponent a faster time.

In today’s competitive world, while the emphasis in athletics is so often on breaking records, it is inspiring to see an athlete like Brandon Schutt.

【推荐1】First, car makers wanted to take the human out of driving. Now, motorcycle manufacturers (制造商)want to do the same. But just as the driverless car movement has faced skepticism, it's not entirely clear that the world needs autonomous motorcycles.

What would a self-driving motorcycle do? It would be designed to let the rider sit back and relax while the machine drives by itself. Manufacturers have actually been creating and improving prototypes (原型)of self-driving motorcycles for years, and they're only just now beginning to share them with the public. For instance, AB Dynamics and AutoRD released the Autonomous BMW Cl. It comes with autonomous software, GPS, and re-balancing technology.

Yamaha's Motoroid is a model that uses artificial intelligence and self-balancing technology. The Motoroid sounds very futuristic, but it can't drive on its own. It needs a rider to make turns. Another example of an autonomous-light motorcycle is Honda's Riding Assist-e, which can change the center of gravity autonomously. However, like the Motoroid, it's not completely self-riding and isn't ready for a highway on its own.

Safety concerns for autonomous motorcycles are similar to those that trouble self-driving cars Firstly, the autonomous system may make a mistake and endanger the rider. Self-driving cars have an unfortunate record of running red lights and causing accidents. Professor Adam says, "So one can be forgiven for worrying about the safety of a two-wheeled speed machine with no one behind the handlebars. '' Secondly, there's the question of responsibility: Who is at fault if a self-driving bike crashes into another car? More importantly, it's not easy to satisfy the official regulations before autonomous motorcycles ride on the road. And to develop the industry will cost billions of dollars.

But there's the biggest problem with all of these motorcycles. One of the joys of driving motorcycles is the driving. It seems unlikely that a rider, like a high-speed motorcycle collector who loves the thrill of turning around corners, will give up the experience of the ride.

The prototypes for self-riding motorcycles are here, and manufacturers are busy putting them to the test, but it might be a while before we see them on the open road.

【推荐2】Looking back is a wonderful thing. It allows you to see what has led you here and, hopefully, how society has changed and improved.

Take, for instance, my career goal. First, I wanted, in 1999, to be a “farmer”, soon archaeologist, then driving instructor and somewhere along the way, footballer.

I had grown up in a football-loving family. I remember the exact moment when I said “I’m sad I can’t be a footballer” while watching the game with Dad as a pre-teen. He asked why not. “Because I’m not a boy.” He immediately responded, “You can, if you want to.” “Yeah, I suppose so,” I sighed, “but no one watches women’s football.”

Looking back, I can see exactly why I felt like that. At school, there was an unwritten rule that sports like hockey and netball were “girl” sports and rugby and football were for the boys. I’d never seen a women’s football match on TV. You see, you can’t be what you can’t see, and lack of representation leads, at best, to misunderstanding, and at worst, fear and negative opinions.

Today, the Lionesses will take on Scotland in the World Cup, and people across the world will tune in — over 950,000 tickets have been sold so far. But, although women’s football is one of FIFA’s best investments — with a pound for pound return, the majority of female players are earning under a fair wage. Some argue that’s because viewing statistics are lower than those of men’s, but the rise in support shows the demand is there. Hopefully, more investment will push female football forward.

Today, I’ll be cheering on the Lionesses, because it’ll mean talented, skillful female footballers being broadcast into millions of homes and maybe, just maybe, a little girl believing that she can also be a Lioness one day.

【推荐3】Reducing class size has traditionally been seen as an important way to improve a student's educational experience.

Many public opinion studies have shown that both teachers and parents favor small class size. Teachers who go on strike are often seeking lower classroom numbers among other better working conditions. Many often believe that smaller classes would permit teachers to give more personal attention to their student. This can theoretically lead to improved academic results for student.

But one recent study suggests there is not much research-based evidence to support this idea. The researchers say the idea of smaller class sizes has been studied and debated for many years. However, they noted a lack of clear research to support class size reductions.

The study notes that one of the main problems with reducing class sizes is that it can have very high costs. Increasing class size is one of the most common ways school systems control education spending. Financial limitations make it very difficult for many schools to reduce the number of students in the classroom.

The teachers' goal was to examine the major research studies already completed on the subject. They especially centered on studies that tried to measure whether the smaller class size resulted in greater success for students.

'The researchers conclude that there is some evidence to suggest that reducing class size may lead to some improvement in a student's rending achievement. But they said "the effect is very small." They found just a 53-percent chance that a randomly selected test score from a student from a small class would be higher than the selected score of a student from a lager class. For mathematics achievement, the result was 49 percent. This led the researchers to conclude that there would be little benefit to math students in a smaller class size.