Kelly is a nurse. Her kidney (肾脏) proved to be a perfect match for her cousin, Dana, who is a teacher. Her kidney had worsened to the point where she required a transplant (移植). As Kelly told Dana, “I’m in good health and I almost never get sick or ill. It seems that I can be a donor for you.” Dana was wild with joy.
Later on a Thursday afternoon, after spending the first of two days undergoing tests to confirm her kidney was a match for Dana, Kelly got a call from a Cleveland Clinic caregiver. They were canceling the second day of her tests. A CT scan revealed the presence of a tumor (肿瘤) on Kelly’s right kidney.
Kelly was shocked about the discovery and concerned she might no longer be a donor available for Dana. That meant that Kelly had to have an operation to remove the tumor, unable to donate her kidney. Meanwhile Dana had to wait for some other donors for a matchable kidney, which was really hard to find. Dana was thrown back to desperation.
The cousins were at a loss. But their doctors wouldn’t give up. They tried every possible means to find a solution that could satisfy both sides, treating Kelly’s illness and offering Dana transplanting. But the bad news was that there had been few such reported cases.
Determined to solve this difficult problem, Dr. Wee, director of the Kidney Transplant Program, held meetings with a team of specialists to discuss over details of the case and best steps to move forward. They worked day and night to search for related information and make analysis. Seeing the devotion of the experts, Kelly and Dana felt the flame of hope returning to their hearts.
注意：1. 续写词数应为150左右；
2. 请按如下格式在答题卡的相应位置作答。
After many meetings, the medical team felt confident to treat the two patients at the same time.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________The cousins recovered from their surgeries.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________1. What is the woman probably?
| A．A teacher. | B．A secretary. | C．A physician. |
| A．He’s got a promotion. |
| B．He’s landed a new job. |
| C．He’s to take an examination. |
| A．At 9:00 a.m. | B．At 10:00 a.m. | C．At 11:00 a.m. |
| A．By e-mail. | B．By app. | C．By telephone. |
3 . “I am not crazy,” says Dr. William Farber, shortly after performing acupuncture (针灸) on a rabbit. “I am ahead of my time.” If he seems a little defensive, it might be because even some of his coworkers occasionally laugh at his unusual methods. But Farber is certain he’ll have the last laugh. He’s one of a small but growing number of American veterinarians (兽医) now practicing “holistic” medicine-combining traditional Western treatments with acupuncture, chiropractic (按摩疗法) and herbal medicine.
Farber, a graduate of Colorado State University, started out as a more conventional veterinarian. He became interested in alternative treatments 20 years ago when he suffered from terrible back pain. He tried muscle-relaxing drugs but found little relief. Then he tried acupuncture, an ancient Chinese practice, and was amazed that he improved after two or three treatments. What worked on a veterinarian seemed likely to work on his patients. So, after studying the techniques for a couple of years, he began offering them to pets.
Leigh Tindale’s dog Charlie had a serious heart condition. After Charlie had a heart attack, Tindale says, she was prepared to put him to sleep, but Farber’s treatments eased her dog’s suffering so much that she was able to keep him alive for an additional five months. And Priscilla Dewing reports that her horse, Nappy, “moves more easily and rides more comfortably” after a chiropractic adjustment.
Farber is certain that the holistic approach will grow more popular with time, and if the past is any indication, he may be right: Since 1982, membership in the American Holistic Veterinary Medical Association has grown from 30 to over 700. “Sometimes it surprises me that it works so well,” he says. “I will do anything to help an animal. That’s my job.”
1. What do some of Farber’s coworkers think of him?| A．He’s odd. | B．He’s strict. | C．He’s brave. | D．He’s rude. |
| A．He was trained in it at university. | B．He was inspired by another veterinarian. |
| C．He benefited from it as a patient. | D．He wanted to save money for pet owners. |
| A．Steps of a chiropractic treatment. | B．The complexity of veterinarians’ work. |
| C．Examples of rare animal diseases. | D．The effectiveness of holistic medicine. |
| A．To prove Farber’s point. | B．To emphasize its importance. |
| C．To praise veterinarians. | D．To advocate animal protection. |
The National Healthcare Security Administration said on Monday that the coverage of China’s basic medical insurance is stabilized at over 95percent. It also said that the quality
Data from the administration show that from 2003 to 2023, the government’s
Throughout the years, a total of 744
5 . Drugs that could save tens of thousands of lives in Britain should be prescribed (开药) to three times as many patients as at present, medical experts recommended after a study showed these drugs have great effects on heart disease and stroke (中风).
British research has shown that statins, a class of drug that lowers cholesterol (胆固醇), can prevent a third of all cases of heart disease or stroke in patients at highest risk. If statins were given to 10 million high-risk patients, they could save at least 50,000 lives a year worldwide. In Britain, where heart disease is the leading cause of death, statins could save up to 10,000 lives a year.
Studies have found that safety issues surrounding statins were so tiny that they were significant. The risk of muscle problems was only about one in ten thousand. Fears that statins could increase deaths from other diseases, such as cancer, were assuaged by the study. At present, only people with high cholesterol are prescribed statins, but the eight-year study found that anyone at risk of heart disease or stroke could benefit. Statins are now given to fewer than one in twenty people aged over 40, mostly men with heart disease or high cholesterol. Under the recommendation, this would increase to one in eight.
A total of 20,000 volunteers aged 40 to 80 took part in the study, which looked at the effects of statins on patients for whom the benefits were uncertain. The guidelines previously said that female patients aged over 65 would not benefit from the drug, but the five years of monitoring all types of patients at high risk of heart attacks and stroke showed that everyone benefited as much from statins. The new recommendations will be easy to put into practice because statins are readily available and the patients who benefit from them most are already known to doctors.
1. What does paragraph 2 focus on?| A．Main diseases in Britain. | B．Side effects caused by statins. |
| C．Positive effects of statins. | D．The numbers of heart disease cases. |
| A．Eased. | B．Discovered. | C．Ignored. | D．Compared. |
| A．The effects of the drug are unclear. | B．The drug can be widely prescribed. |
| C．The drug hardly benefits female patients. | D．The drug should be limited in application. |
| A．To call for the monitoring of drug studies. | B．To explain different ways of testing drugs. |
| C．To seek improvement in the drug research. | D．To spread medical experts’ recommendation. |
It was 40 years ago. One day, Emma came back to their apartment from work and realized that her husband, David, was extremely ill. He was throwing up and slurring (发音不清) his words. Immediately, Emma grabbed her purse and took him by taxi to the nearest hospital, on the Lower East Side of New York City. The minutes slowly passed as they waited to see a doctor.
They sat there for a couple of hours, and it was pretty clear that nobody was going to pay attention to David. So they rushed to a second hospital, where they were also ignored. Emma knew something was very wrong with David, so they went to a third hospital. As she told the receptionist what was happening, Emma sensed the person wasn’t going to treat their case with urgency.
Emma was on the edge of a breakdown. After three failed attempts to get help, she had reached her limit. She started to shout in the lobby (大厅). That’s when her unsung hero appeared.
That person was a young man with dark hair and a white physician’s coat. He came to Emma and said, “How can I help you? What’s going on here?” Emma explained what was happening to David, and that she was afraid it was serious.
The young man said, “You know, I just got done with my neurological residency (神经系统的实习期) up at Lenox Hill Hospital. I’ll take him in the back and look.” Within two or three minutes, the young man came out and said, “You are absolutely right. Something is very seriously wrong with your husband.”
The man told Emma to take her husband to Lenox Hill Hospital, and that he had called the doctor with whom he had done his residency.
“He’ll be waiting for you,” said the young man.
注意：1. 续写词数应为150个左右；2. 请按如下格式在答题卡的相应位置作答。
But Emma began to cry, realizing she had no way of getting there, because she didn’t have any more cash for a taxi.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Soon Emma and her husband arrived at the hospital.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________7 . For some of us, going to the dentist for routine check-ups is a thing of the ordinary. But for many people around the world, especially those in impoverished (贫困的) areas, having dental improvement and their teeth checked simply isn’t possible. A Brazilian dentist Felipe Rossi has devoted himself to helping changing that situation.
Growing up in USA, Felipe Rossi had just obtained the Bachelor of Medicine Degree and was about to start a master’s degree in Pediatric Dentistry (儿童口腔学) when a journey to his father’s home — Balsabo in Brazil — converted his initial plan. “All locals didn’t have access to dental care, and consequently, many of them suffered deformed teeth or even loss of teeth, leading to many people not daring to laugh with mouth open.” Felipe Rossi recalled. “A desire was planted in my heart. That is, to use my skills to bring healthy smiles to people suffering from dental problems.”
With the support of his parents, Felipe formed an NGO (non-government organization) called Porsorriso to give free oral treatments to individuals with low incomes who require cleaning. fillings, crowns, restoration work and more. His team is composed of approximately 30 registered volunteers who go with him to poor towns and villages in Brazil.
Sponsorship is generally provided by two private companies. Individuals may also make donations through the ‘Smile Solidarity’ program, where they can choose monthly amounts to contribute. Porsorriso also holds regular fundraisers to afford the cost of providing free dental services around the country.
As noble as its objective is, Felipe admits that Porsorriso is “struggling to survive” because of the huge cost of providing dental work and the constant fundraising events they have to hold to keep the NGO in normal functioning. “Challenging as it is, it did bring healthy teeth as well as renewed confidence to the locals. We will continue this transformative act whatever difficulties we will face”. Felipe said with a strong will.
1. How does the author introduce the topic of the text?| A．By posing a contrast. |
| B．By reporting an event. |
| C．By assuming a situation. |
| D．By making an appeal. |
| A．The support from his parents. |
| B．The passion for dental health. |
| C．The encounter with local s lacking dental care. |
| D．The professional skills and knowledge from college. |
| A．Hopeful and diligent. |
| B．Faithful and ambitious. |
| C．Intelligent and creative. |
| D．Charitable and dedicated. |
| A．It gives free oral treatments to anyone in need. |
| B．It is cooperated by Felipe Rossi and the local authority. |
| C．It is financially supported by corporations and individuals. |
| D．It holds regular fundraisers to educate people about dental care. |
8 . Chinese researchers have revealed the anti-cancer characteristic of neutrophils (中性粒细胞) — a type of white blood cells—and the related molecular regulation mechanism, providing new insights into cancer diagnosis and treatment. The discovery, made by researchers at the Shanghai Institute of Immunity and Infection under the Chinese Academy of Sciences and Fudan University, was published in Cell on Tuesday.
Neutrophils are the most abundant white blood cells in the human body. As the first line of defence against infections, they play a key role in anti-infection immunity. The researchers collected neutrophils from 143 patients with 17 different types of cancer and analyzed them. They revealed that neutrophils can adopt at least 10 highly specialized and distinct functional states related to inflammation (炎症) , blood vessel formation and—most excitingly—presenting antigens (抗体) to activate powerful cancer-killing T cells.
“We were surprised to find such complexity and different roles within neutrophils, which have been ignored for so long,” said Zhang Xiaoming, a researcher at the Institute. “What is especially remarkable is their newly discovered capacity to act as antigen-presenting cells, gathering T cells against cancer. In addition, the abundance of antigen-presenting neutrophils is associated with improved condition across many cancer types revealed in this study,” he said.
“This completely changes how we perceive neutrophils in the context of cancer,” said Gao Qiang, a professor at Fudan University. “Now we know we could employ the diverse hidden identities of neutrophils to strengthen the effectiveness of immunotherapy (免疫疗法). We’re thrilled to further explore the potential benefits of these newly uncovered mechanisms in clines.”
The study emphasizes the value of single-cell sequencing approaches to reveal new functional dimension even within seemingly well-understood immune cells. Tapping into the hidden potential of neutrophils may provide new insights into cancer diagnosis and treatment.
1. How was the anti-cancer function of neutrophils discovered?| A．By referring to previous research. |
| B．By collecting and analyzing data. |
| C．By seeking guidance from experts. |
| D．By observing patients with inflammation. |
| A．Getting together T cells when needed. |
| B．Preventing the formation of antigens. |
| C．Speeding up the blood flow. |
| D．Distinguishing different types of cancer. |
| A．Positive. | B．Doubtful. | C．Worried. | D．Unclear. |
| A．Blood Cells Successfully Fight Against Severe Cancer |
| B．China Makes Great Progress in Fighting Against Diseases |
| C．Further Research Is Needed to Fight Against Cancer |
| D．Researchers Discover New Cancer-fighting Mechanism |
9 . Late last month a team of researchers at the University of Maryland School of Medicine transplanted a genetically modified pig heart into a person — the second such surgery ever attempted — and it has kept him alive for the past few weeks.
The patient, 58-year-old Lawrence Faucette, underwent the highly experimental procedure under a “compassionate use” pathway, in which the U.S. Food and Drug Administration permits an unapproved therapy when a person is seriously ill or dying and has no other options available. Faucette was not eligible for a conventional human heart transplant because he had peripheral vascular disease and other complications, which narrowed the outlook for success.
By mid-October, Faucette was continuing to recover. “He’s had a rough time,” however, Bartley Griffith, a surgeon who performed Faucette’s procedure as well as the previous one, said at that time. According to Griffith, Faucette was living at home when the FDA first approved the surgery, but he was subsequently hospitalized with fluid in his lungs. Then he suffered a cardiac arrest the night before the surgery. Still, he had so far responded well to the transplant.
More than 100,000 people are waiting for an organ transplant, so researchers have long been exploring xenotransplantation (异种器官移植): transplanting other species’ organs into humans. To prevent the human immune system from attacking these alien organs, scientists have begun to breed genetically modified donor pigs that lack certain genes or have other genes added.
In the past couple of years, pig xenotransplants have been tested in both nonhuman primates and deceased humans — but the ultimate goal is to conduct human clinical trials on a bigger scale. The results of the recent compassionate use transplant will likely influence the FDA’s consideration of whether and when to allow such trials to take place. Many researchers hope this could happen in the next year or two.
“We took a pretty good swing at the ball the first time, and we got very close to a prolonged success, we think,” Griffith says. Although there were some unforeseen circumstances in that first xenotransplant, his team and others have developed better methods to test for these conditions.
1. Why did Faucette undergo the pig-to-human heart transplant?| A．Because he was seriously ill and there was no better options. |
| B．Because the pig heart fits well in human body. |
| C．Because FDA has long approved such transplant. |
| D．Because the surgery has been applied in medical treatment already. |
| A．Faucette highly praises the surgery. |
| B．Faucette responds well to the alien organ. |
| C．Faucette has suffered a lot after the transplant. |
| D．Faucette experienced cardic arrest after the surgery. |
| A．The FDA is taking great care on human clinical trials. |
| B．The patients will receive the best of care after the transplant. |
| C．The human immune system is greatly changed before the transplant. |
| D．Scientists modified the donor pig’s genes or added other genes before breeding it. |
| A．Skeptical. | B．Neutral. | C．Supportive. | D．Indifferent. |
10 . As a senior resident, I often distributed poems to my team, printing and posting them above the computers in our hospital workrooms. Once, during a rare quiet moment in the ICU, with permission from my colleagues (同事), I read a couple of poems out loud. I remember watching my colleagues’ eyes close and their bodies visibly relax as the words washed over them.
Since then, I have shared poems — my own and others’ — in talks at my institution and across the country. I’ve also led other healthcare providers in creative writing exercises during workshops, lectures and classes. Many institutions host book clubs, story slams, film screenings and other opportunities for medical learners to engage with the humanities (人文学科).
While poetry can be frightening to some, many contemporary poems provide approachable emotional experiences. Pieces like Safiya Sinclair’s “Notes on the State of Virginia” fully illustrate how a place that seems innocent or even beautiful to some can be upsetting to others. Monica Sok’s “ABC for Refugees” powerfully paints a portrait of a young child caught between languages and cultures — a reality that many pediatric (儿科的) patients face. “Ode to Small Towns” by Tyree Daye overturn s common assumptions about rural life. In “Medical History”, Nicole Sealey shares a patient’s perspective (视角) on a part of health care that, for many of my students and colleagues, has been reduced to a series of check boxes on a computer screen. These and other poems provide fertile ground for enhanced understanding of the human condition, as well as inspiration for a clinician’s own potentially transformative reflective writing.
The possibilities for cooperation between literature and medicine are wide open. I believe all clinicians have a role in recognizing and dealing with how everyone has been shaped by an unreasonable society. The history, sociopolitical context, imaginative perspective and reflective practices the humanities offer may improve the practice of medicine. Through understanding others’ experiences and reflecting critically on their own, every clinician can move closer to being the kind of healer they intend to be.
1. Why did the author like to share poems at work?| A．To cure his patients. | B．To bring in the humanities. |
| C．To make his colleagues amazed. | D．To practice for a competition. |
| A．Tyree Daye’s. | B．Monica Sok’s. |
| C．Safiya Sinclair’s. | D．Nicole Sealey’s. |
| A．It’s urgent to upgrade the medical equipment. |
| B．Doctors should have better medical skills. |
| C．There’s room for improvement in medical care. |
| D．A patient can be treated from different perspectives. |
| A．The humanities help make a better doctor. |
| B．The clinicians are to shape our future society. |
| C．Doctors must learn from each other’s experiences. |
| D．Reflective writing greatly benefits a doctor’s skills. |
