1 . As medical science develops rapidly with new technology, what is left for the doctor to do?

For medical humanist Dr. Abraham Verghese, the answer is simple: Spend more time getting to know your patients as people. Take the time to read a poem and other literature. Do your part to bridge the gap (鸿沟) between the two cultures of science and the humanities.

It takes a doctor who knows a patient’s life history well to make the best use of these tools, Verghese said. And that means paying more attention to human character.

Verghese said machines “have gone beyond human beings in their ability to care for the patient,” that is, in diagnosing illnesses and indicating the best treatment.

But doctors can awaken the human spirit, the knowledge of human beings and their motivations (动机), which can pull together a life picture of a patient and understand them as more than a collection of symptoms.

Case history: A 64-year-old man was admitted to the hospital after repeated falls, pains, and the loss of two teeth that just fell out, with no obvious cause.

What was wrong? Was it his medicine? Was it alcohol abuse (酗酒)?

The man rapidly improved after being hospitalized. It turned out he had bachelor scurvy, a disease among older men who live alone, which results from a lack of nutrition (缺乏营养).

“He was surviving on no fruits or vegetables, just alcohol and processed meats, I would guess,” Verghese said. “My point here is that this diagnosis, as clever as it was, also might have been made much, much earlier had we had a good relationship with this patient and had some sense of who that person was, as an individual.”

3 . Jennifer Udler was in the middle of a 50-minute session with a patient when it started to rain. Walking and talking about anxiety and stress, she and her teenage patient got wet. But when they made it back indoors, Jennifer said, “Hey, look at us! We’re wet, but we got through it! Now you can use that next time you have anxiety before and during an event.” This kind of insight is key to her practice.

Jennifer, a social worker whose practice focuses on adolescents, has been a therapist(治疗师)for 20 years. For most of that time, she practiced in a traditional office, but she noticed how easy it was for her running partners to open up about their problems. After doing some research, in 2013, Jennifer founded Positive Strides Therapy, where she conducts sessions while walking outdoors. She conducts all of her sessions outdoors and in all kinds of weather.

“When somebody asks me if I specialize in walking therapy, I say, ‘No, that’s how I practice,’” Udler said. “I specialize in family systems theory. Walking in the park is just where I practice.”

Despite the lack of formal research, Jennifer believes strongly in the benefits, saying that it can be helpful. “We’ll be talking about ‘moving forward’ as we are actually moving forward on the path, building muscle memory of how they can move forward and leave the anxiety behind.”

And outdoor walking therapy doesn’t just benefit teens. Jennifer says the adults in her practice welcome the humanizing effect of taking therapy outdoors.

5 . Being able to find high quality health care at an affordable price is a problem to be solved in many countries. In the United States, Walmart, a large chain store, is trying to help. It is offering something new to its employees: cutting the cost of a doctor’s appointment to only $4 instead of the usual $40 for the same service.

The catch is that the patient and doctor must meet over the internet. This online service is called “telemedicine.”

Walmart is the latest major business in the United States to push its workers toward a high-tech way to be examined and treated by doctors. Thanks to telemedicine, people can talk with medical experts from the privacy of their own homes, often using a secure video connection.

Supporters say online visits make it easier for patients to see an expert or quickly find help for problems considered non-emergencies.

Some healthcare needs are well-suited for telemedicine. It can help people seeking treatment for insect bites or skin conditions. Patients who have had medical treatments and cannot move around easily can use telemedicine for their follow-up visits. Also, people seeking help for mental health issues can benefit from the privacy that telemedicine gives.

But still, many people do not use telemedicine, they continue to go to the doctor’s office when they are sick. 80 percent of middle-size and large U.S. companies offered telemedicine services to their workers in 2018. However, only 8 percent of its employees used telemedicine at least once in 2017.

Compared with seeing a real doctor in person, some people may think the quality of telemedicine is not as good. Parents, for example, may feel they are not giving their child the best care if they use a virtual doctor appointment. Older adults may look forward to their in-person doctor appointments. For them, going to the doctor’s office is a big event, something they look forward to.

Another reason some adults may not use telemedicine services is trust. Tom Hill, aged 66, says he has no plans to ever use telemedicine. He does not buy anything online, let alone do something as personal as seeing a doctor. He says, for him, it is important to look his doctor in the eye and shake hands.

However, for some people, especially young people and busy students, telemedicine might be a good choice. It can cut down on the time away from work. It can also cut down on the cost of doctor visits.

6 . Jenny was driving her six-year-old son, Tony, to his piano lesson. They were late, and Jenny was beginning to think she should have given it up. There was always so much to do, and Jenny recently helped with an operation. She was tired. The storm and ice roads added to her tension. Maybe she should turn the car around.

“Mom!” Tony cried. “Look!” Just ahead a car had lost control on the patch of ice. As Jenny tapped the brakes, the other car wildly rolled over; then crashed sideways into a telephone pole.

Jenny pulled over, stopped and threw open her door. Thank goodness she knew her job well—she might be able to help these unfortunate passengers. Then she paused. What about Tony? She couldn’t take him with her. Little boys shouldn’t see scenes like that. But was it safe to leave him alone? What if their car were hit from behind? For a brief moment Jenny considered going on her way.

She asked Tony to stay in the car and ran, slipping and sliding, toward the crash site. It was worse than she’s feared. Two girls of high school age in the car. One was killed. The driver, however, was still breathing. Jenny quickly applied pressure to the wound in the teenager’s head while her practiced eye checked the other injuries. A broken leg, maybe two, along with probable internal bleeding. But if help came soon, the girl would live.

A trucker had pulled up and was calling for help on his cellphone. Soon ambulance and rescue workers came. “Good job,” one said while examining the wounds. “You probably saved her life!” Later the families of the victims came to meet Jenny, expressing their gratitude for the help she had offered.

7 . It can be truly terrifying to fall through ice on a frozen lake, but if you remain calm, it can save your life. Most people don’t realize that you have more time than you think. This is due to the concept of body temperature and how your body deals with the shocking cold that immediately surrounds the body.

As you first hit the freezing water, you will almost immediately breathe quickly. It is important that you remember to get control of your breathing and not to move around. It can help to remember the “1-10-1 principle”. This means that it takes about one minute to gain control of your breathing, and then you have 10 minutes to move before you get too cold. The final one is to remind you that it will take one hour before you become unconscious.

Take that first minute and fully focus on your breathing. Slow it down, and then look around to see if you can locate the thickest area of ice. When you locate the ice, stretch your arms over the surface, and then begin to do flutter-kick(上下打水) until your body becomes horizontal with the surface. Kick hard and use your arms and hands to climb out of the water.

It is possible that you can live for several hours after passing out if you can get out of the frigid water. This, however, does require some planning. You only have about 10 minutes after falling in before your muscles and nerves become too cold to work. If you feel too weak to get out, place your arms over the surface of the ice and just remain still. The point is to encourage your coat to freeze to the ice, so that if you lose consciousness(意识) you will keep your head out of ice. Additionally, you will remain visible for rescue, even if you pass out.

9 . The health of millions could be at risk because supplies of medicinal plants are being used up. These plants are used to make traditional medicine, including drugs to fight cancer. “The loss of medicinal plants is a quiet disaster,” says Sara Oldfield, secretary general of the NGO Botanic Gardens Conservation International.

Most people worldwide rely on herbal (药草制的) medicines which are got mostly from wild plants. But some 15,000 of the 50,000 medicinal species are under threat of dying out, according to report from the international conservation group Plantlife. Shortages have been reported in China, India, Kenya, Nepal, Tanzania and Uganda.

Over-harvesting does the most harm, though pollution and competition from invasive species (入侵物种) and habitat destruction all contribute. “Businessmen generally harvest medicinal plants, not caring about sustainability (可持续性),” the Plantlife report says, “damage is serious partly because they have no idea about it, but it is mainly because such collection is unorganized.” Medicinal trees at risk include the Himalayan yew (紫衫) and the African cherry, which are used to treat some cancers.

The solution, says the report’s author, Alan Hamilton, is to encourage local people to protect these plants. Ten projects studied by Plantlife in India, Pakistan, China, Nepal, Uganda and Kenya showed this method can succeed. In Uganda, the project has kept a sustainable supply of low-cost cancer treatments, and in China a public-run medicinal plant project has been created for the first time.”

“Improving health, earning an income and keeping cultural traditions are important in encouraging people to protect medicinal plants,” says Hamilton, “You have to pay attention to what people are interested in.”

Ghillean Prance, the former director of the Royal Botanic Gardens at Kew in London, agrees that medicinal plants are in need of protection. “Not nearly enough is being done,” he told New Scientist. “We are destroying the very plants that are of most use to us.”