Unit 3 a crime of compassion.docx

Unit 3 a crime of compassion.docx

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Unit3acrimeofcompassion

UnitThree

I.Lead-in

MovieClip

Watchthefollowingvideoandthendotheexercise.Youcanfindtheinterpretationofsomewordsandphrasesin"WordBank".

Book6Unit3.mp4（00:

00–02:

40）

Script

Elephantsurvivaldependsonprofitingfromtheexperienceofmanylifetimes.

Thisbabyelephantwasbornlastnight,andthewholeherdseemstowelcomethisnewaddition.Butthemotherisyoungandinexperienced.Thisisherfirstbaby.Ifsheistoproducemilk,amothermustdrink.Andthenewborncalfmustkeepupwithher,astheherdcontinuesontheirlongjourneytofindwater.

Aftereightkilometers,thecalfisflagging.Enoughisenough.Theyoungmotherencourageshercalftocontinue,butthereisstillalongwaytogoandthecalfisalreadygettingdehydrated.

Theelephantsarenowsoclosetowaterthattheycansmellit.Water,atlast.

（FromBBCDocumentaryLife:

Mammals）

WordBank

1.herd:

alargegroupofanimals,inthevideoitreferstothegroupofelephants

e.g.Thetruckcouldnotmovebecauseaherdofbuffaloeswasblockingtheroad.

2.flag:

becomelimp,tired,orweak

e.g.Ifyoubegintoflag,thereisanexcellentcafétoreviveyou.

3.dehydrate:

tolosewaterfromthebody

Exercise

1.Thebabyelephant'smotheris_________________.

A.oldB.inexperienced

C.sickD.impatient

2.Itseemsthebabyelephantcannotwalkanylongerbecause___________.

A.itwasjustborn

B.ithasn'tdrunkanymilk

C.ithaswalkedalongway

D.ithasbeenabandonedbytheherd

Key:

1.B2.C

InspirationalQuotes

Whenyouhavegotanelephantbythehindleg,andheistryingtorunaway,it'sbesttolethimrun.

—AbrahamLincoln

Discussion

Doyouagreethatthebestwaytoprotectanendangeredanimalistokeepitinazooandtakegoodcareofit?

Why?

II.TextI

Pre-readingQuestions

1.Ifyouhaveeverwitnessedthesufferingsofadyingperson,tellusthefeelingsthatthesceneevokedfromyou.

2.Doyouthinkdoctorsandnursesshoulddoeverythingwithintheirmeanstotrytosaveaterminallyillpatientevenwhentheyknowclearlyalltheireffortswouldmeannothingmorethanprolonginghissuffering?

GeneralReading

I.Determinewhichofthefollowingbeststatesthepurposeofthewriting.

A.Torecountherhorrifyingexperienceofcaringforaterminallyillpatient.

B.Tomakeanappealforaterminallyillpatient'srighttodie.

C.Todemandthatnursesbegiventherighttoissuea"no-code"order.

Key:

B

II.Judgewhetherthefollowingstatementsaretrueorfalse.

1.WhenMacenteredthehospital,hewasapparentlyanormalpersonexceptforanenduringcough.

2.Despitehisworseningcondition,Macstillhadastrongwishtolive.

3.Themedicalcommunityisdividedonwhetherapatient'slifeshouldbeextendedaslongaspossibleunderallcircumstances.

4.Itcanbeinferredfromtheessaythatdoctors,notnurses,havetherighttogivea"no-codeorder".

5.InMaura'seyes,Huttmannwasamurdererfornotpushingthecodebluebuttonintime.

Key:

1.T2.F3.T4.T5.F

BackgroundNotes

1.thePhilDonahueshow:

ThePhilDonahueShow,alsoknownasDonahue,isanAmericantelevisiontalkshowthatranfor26yearsonnationaltelevision.ItsrunwasprecededbythreeyearsoflocalbroadcastinDayton,Ohio,anditwasbroadcastnationwidebetween1967and1996.

2.codeblue:

Hospitalemergencycodesareusedinhospitalsworldwidetoalertstafftovariousemergencysituations.Theuseofcodesisintendedtoconveyessentialinformationquicklyandwithaminimumofmisunderstandingtostaff.

TextStudy

Text

ACrimeofCompassion

BarbaraHuttmann

1"Murderer,"amanshouted."Godhelppatientswhogetyouforanurse."

2"WhatgivesyoutherighttoplayGod?

"anotheroneasked.

3ItwasthePhilDonahueshowwheretheguestisafattedcalfandtheaudiencea200-strongflockofvultureshungeringtopickatthebones.IhadtoldthemaboutMac,oneofmyfavoritecancerpatients."Weresuscitatedhim52timesinjustonemonth.Irefusedtoresuscitatehimagain.Isimplysatthereandheldhishandwhilehedied."

4Therewasn'ttimetoexplainthatMacwasayoung,wittymachocopwhowalkedintothehospitalwith32poundsofattackequipment,lookingasifhecouldsingle-handedlyprotectthewholecity,ifnottheentirestate."Can'tgetridofthiscough,"hesaid.Otherwise,hefeltgreat.

5Beforethedaywasover,testsconfirmedthathehadlungcancer.Andbeforetheyearwasover,Ilovedhim,hiswife,Maura,andtheirthreekidsasiftheyweremyown.Allthenurseslovedhim.Andweallbattledhisdiseaseforsixmonthswithoutevergivingdeathathought.Sixmonthsisn'tsuchalongtimeinthewholeschemeofthings,butitwaslongenoughtoseehimlosehisyouth,hiswit,hismacho,hishair,hisbowelandbladdercontrol,hissenseoftasteandsmell,andhisabilitytodotheslightestthingforhimself.ItwaslongenoughtowatchMaura'stransformationfromayoungwomanintoahaggard,beatenoldlady.

6WhenMachadwastedawaytoa60-poundskeletonkeptalivebyliquidfoodwepoureddownatube,i.v.solutionswedrippedintohisveins,andoxygenwepipedtoamaskonhisface,hebeggedus:

"Mercy...forGod'ssake,pleasejustletmego."

7Thefirsttimehestoppedbreathing,thenursepushedthebuttonthatcallsa"codeblue"throughoutthehospitalandsendsateamrushingtoresuscitatethepatient.Eachtimehestoppedbreathing,sometimestwoorthreetimesinoneday,thecodeteamcameagain.Thedoctorsandtechniciansworkedtheirmiraclesandwalkedaway.Thenursesstayedtowipethesalivathatdrooledfromhismouth,irrigatethebigcratersofbedsoresthatcoveredhiships,suctionthelungfluidsthatthreatenedtodrownhim,cleanthefecesthatburnhisskinlikelye,pourtheliquidfooddownthattubeattachedhisstomach,putpillowsbetweenhiskneestoeasethebone-on-bonepain,turnhimeveryhourtokeepthebedsoresfromgettingworse,andchangehisgownandlineneverytwohourstokeephimfrombeingsoakedinperspiration.

8AtnightIwenthomeandtriedtoscrubawaythesmellofdecayingfleshthatseemedwovenintothefabricofmyuniform.Itwasinmyhair,theupholsteryofmycar—therewasnowashingitaway.AndeverynightIprayedthatMacwoulddie,thathisagonizedeyeswouldneveragainpleadwithmetolethimdie.

9EverymorningIaskedhisdoctorfora"no-code"order.Withoutthatorder,wehadtoresuscitateeverypatientwhostoppedbreathing.Hisdoctorwasoneofseveralwhobelievewemustextendlifeaslongaswehavethemeansandknowledgetodoit.Tonotdoitistobeliablefornegligence,atleastintheeyesofmanypeople,includingsomenurses.Ithoughtaboutwhatitwouldbeliketostandbeforeajudge,accusedofmurder,ifMacstoppedbreathingandIdidn'tcallacode.

10Andafterthefifty-secondcode,whenMacwasstilllucidenoughtobegfordeathagain,andMaurawascrumbledinmyarmsagain,andwhennoamountofpainmedicationstilledhismoaningandagony,Iwonderedaboutaspiritualjudge.Wasallthismiseryandsufferingsupposedtobebuildingcharacterorinfusingusallwiththesenseofhumilitythatcomesfromimpotence?

11Hadwe,thewholemedicalcommunity,becomesoarrogantthatwebelievedintheillusionofsalvationthroughscience?

Hadwebecomesoself-righteousthatwethoughtmeddlinginGod'sworkwasourduty,ourmoralimperativeandlegalobligation?

Didwereallybelievethatwehadtherighttoforce"life"onasufferingmanwhohadbeggedfortherighttodie?

12SuchquestionshauntedmemorethaneverearlyonemorningwhenMaurawenthometochangeherclothesandIwasbathingMac.Hehadbeenstillforsolong,Ithoughtheatlasthadtheblessedreliefofcoma.Thenheopenedhiseyesandmoaned,"Pain...nomore...Barbara...dosomething...God,letmego."

13Thedesperationinhiseyesandvoiceriddledmewithguilt."I'llstop,"ItoldhimasIinjectedthepainmedication.

14IsatonthebedandheldMac'shandsinmine.Hepressedhisbonyfingersagainstmyhandandmuttered,"Thanks."ThentherewasonesoftsighandIfelthishandsgocoldinmine."Mac?

"Iwhispered,asIwaitedforhischesttoriseandfallagain.

15Aclutchofpanicbandedmychest,drewmyfingertothecodebutton,urgedmetodosomething,anything...butsittherealonewithdeath.Ikeptonefingeronthebutton,withoutpressingit,asawaxenpallorslowlytransformedhisfacefrompersontoemptyshell.NothingI'veeverdoneinmy47yearshastakensomucheffortasittooknottopressthatcodebutton.

16Eventually,whenIwassureasIcouldbethatthecodeteamwouldfailtobringhimback,Ienteredthelegaltwilightzoneandpushedthebutton.Theteamtried.Andwhiletheyweretrying,Maurawalkedintotheroomandshrieked,"No...don'tletthemdothistohim...forGod'ssake...please,nomore."

17Cradlingherinmyarmswaslikecradlingmyself,Mac,andallthosepatientsandnurseswhohadbeeninthisplacebefore,whodothebesttheycaninadeath-denyingsociety.

18SoaTVaudienceaccusedmeofmurder.PerhapsIamguilty.Ifadoctorhadwrittenano-codeorder,whichistheonlylegalalternative,wouldhehavefeltanylessguilty?

Untilthereislegislationmakingitacriminalacttocodeapatientwhohasrequestedtherighttodie,wewillallofusriskthesamefateasMac.Forwhateverreason,wedevelopedthemeanstoprolonglife,andnowweareforcedtouseit.Wedonothavetherighttodie.

WordsandPhrases

1.self-righteousadj.havingacertainty,especiallyanunfoundedone,thatoneistotallycorrectorsuperior