1、Unit 3 Prevention and Treatment of DiseasesPage 53共三十七頁Text A: The Seventy Percent SolutionIs there a 100% solution for every problem?Is there a 100% cure for every ailment?Page 54共三十七頁Warm-up ListeningLaughing for LifePage 54共三十七頁How was Terrys life before she was diagnosed with MS (Pre. 1)loved pr

2、acticing Tae Kwon Doloved the surge of adrenaline that came with the controlled combat of tournamentscompeted nationally, even winning a bronze medal in the trials for the Pan American Gamesattended medical school, practiced as an internal medicine residency, became an academic general internistmarr

3、ied and got a son and a daughterPage 55共三十七頁重點(zhngdin)醫(yī)學英語an internal medicine residency內科(nik)住院醫(yī)師階段an academic general internist普內科醫(yī)生to develop a chronic disease患慢性病Page 55共三十七頁語言(yyn)難點Precise, crisp like an elegant dance嚴謹，敏捷如優(yōu)雅之舞 Thrill of sparring練拳的興奮 Flying in spinning tornado kicks騰空旋風(xun

4、fng)腳 The surge of adrenaline激情Page 55共三十七頁Language Focuses adrenaline ad- close toadductionren- kidneyreniform-ine a chemical substanceepinephrinethyroxine甲狀腺素Page 55共三十七頁How much do you know about MS and autoimmune disease? (Pre. 2) Symptoms as mentioned by the authorloss of stamina and strength體力

5、和精力下降problems with balance平衡問題 bouts of horrific facial pain可怕(k p)的臉部疼痛 dips in visual acuity視敏度下降 Page 55共三十七頁How much do you know about MS and autoimmune disease? (Pre. 2) Cause as mentioned by the authorthe assault of immune cells on the brain, with possible origin in genetic make-up and/or comb

6、ination of environmental factorsTreatment as mentioned by the authorInterferon(干擾素) and copolymer-1(共聚物-1)Page 55共三十七頁重點(zhngdin)醫(yī)學英語Multiple sclerosis多發(fā)性硬化癥Genetics遺傳因素Environmental factors環(huán)境因素Risk of relapse復發(fā)(f f)風險Page 55共三十七頁英語(yn y)難點 He said that fewer relapses would mean less disability, a g

7、reater chance that Id still be walking, working, and living my life as I once knew it ten years later.他說復發(fā)少殘疾(cn j)也少，十年后保持行走、工作和生活曾有能力的可能性大增 Page 55共三十七頁Language Focuses pharmacotherapy pharmaco-pharmacologypharmacyPage 55共三十七頁The Outcome It was increasingly apparent that, with time, becoming bedri

8、dden due to my illness was inevitable.越來越明顯(mngxin)的是，隨著時間流逝，患病臥床不可避免了。 Page 26共三十七頁Two optionsAccommodation and acceptance of deepening disability despite optimal treatment雖有最佳(zu ji)治療仍然殘疾日深 Increased involvement in my own health care逐步參與自我醫(yī)療Physician Self-experimentation醫(yī)生親身試驗 Page 55共三十七頁What di

9、d Terry do before she self-experimented? (Pre. 3) Relearning much of what I had forgotten in my basic science years: cellular physiology, biochemistry and neurophysiology溫故了基礎科學中遺忘的內容：細胞生理學、生物化學(shn w hu xu)和神經生理學 56共三十七頁What did Terry do before she self-experimented? (Pre. 3) Turning to articles co

10、ncerning neurodegeneration of all typesdementia, Parkinsons disease, Huntingtons, and Lou Gehrigs disease開始研究各種神經退化(tuhu)疾病的相關文章，包括癡呆、帕金森癥、亨廷頓舞蹈癥和路蓋里格氏病 56共三十七頁Why ？knowing that the seeds for todays clinical care were laid years, sometimes decades earlier in the basic science literature.當今臨床(ln chun

11、)治療萌發(fā)于數(shù)年或數(shù)十年前的基礎科學文獻 Page 56共三十七頁What approaches did Terry mainly use to deal with neurodegeneration? (Pre. 4) self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal modelsself-experimentation with neuromuscular electrical stimulation still based

12、on literature online search to identify the sources of micronutrientsreduction of food allergy and toxic load57共三十七頁Nutrients to slow neurodegenerationNutrients to slow animal models of neurodegeneration各種營養(yǎng)物延緩(ynhun)動物神經退化Translate mouse-sized doses to human ones 將小鼠劑量轉化為人體劑量Add more vitamins and s

13、upplements加入更多維生素和補充物 Page 56共三十七頁Nutrients to slow neurodegenerationRate of decline slowed病情惡化減緩了Reclassified as secondary progressive MS繼發(fā)性進行性多發(fā)性硬化癥 No FDA-approved treatment沒有FDA批準(p zhn)的療法Page 56共三十七頁Neuromuscular electrical stimulation based on literatureNeuromuscular electrical stimulation神經肌

14、肉電刺激(療法) Physical therapist理療醫(yī)生Test session試驗(shyn)療程Coupled with daily exercise合并每日鍛煉 Page 56共三十七頁Language Focuses there was no guarantee that my brain could talk to these new muscles. 無法保證大腦(dno)和新肌肉建立聯(lián)系I felt the best Id felt in years.我多年沒有感覺這么好 Page 56共三十七頁To identify the sources of micronutrien

15、tsMicronutrient微量營養(yǎng)素Food sources for critical components重要(zhngyo)營養(yǎng)物的食物源Page 56共三十七頁語言(yyn)難點 The medical literature didnt have that information, nor did the registered dieticians with whom I consulted, nor did I see it in the food science literature.醫(yī)學文獻沒有相關(xinggun)資料，我咨詢的注冊營養(yǎng)師不知道，食品科學文獻也一無所獲。 Pa

16、ge 57共三十七頁語言(yyn)難點I turned eventually to Google, which did help me, nutrient by nutrient, to understand where various micronutrients I was taking by pill each day were located in the food supply.我利用Google搜索，有結果了。 我逐個了解哪些食物(shw)含有每天服用的微量營養(yǎng)素。 Page 57共三十七頁One example to illustrate the correlation betw

17、een toxic load and disease (Pre. 5) Pesticide/mercury exposure and neurodegeneration接觸殺蟲劑/汞和神經(shnjng)退化Page 57共三十七頁重點醫(yī)學(yxu)英語Food allergy食物過敏(gumn) Toxic load毒物載量Excrete toxins排出毒素 Regimen養(yǎng)生Page 56共三十七頁語言(yyn)難點Food allergies can cause a myriad of neurological and psychological symptoms, typically

18、 without any abdominal complaints, decades before diagnosis and are very difficult to identify.食物過敏導致大量神經和心理癥狀，確診疾病前數(shù)十年已經存在；通常沒有腹部病癥，難以(nny)識別。 Page 57共三十七頁Language Focuses herbicide herbi-herbivorous-cidepesticidesuicidegenocidePage 57共三十七頁The Outcome In two months sit in a standard chairIn three m

19、onths walk between exam roomsIn five months walk to the clinicIn seven months bicycle around the blockIn a year bicycle 18 milesIn two years ride a horsePage 26共三十七頁What does the tile “The Seventy Percent Solution”mean? (Pre. 6) With 70% to 90% of the risk for diabetes, heart disease, cancer, and au

20、toimmunity being due to environmental factors other than genetics, we can provide the real solution to many health problems and the health care crisis by changing our environment, for example, optimizing our nutrition and reducing our toxic load.Page 58共三十七頁Language Focuses Physician self-experiment

21、ation sometimes does not go as anticipated.The unthinkablethe unimaginablehappened, stunning me, my family, and my physicians.As a result, Ive changed how I practice medicine.Three years into my healing, I am again experimenting.Page 58共三十七頁Task 1 OverviewA Quick Check1. D 2. literature, nutrients,

22、stimulation, micronutrients, environmental Page 32共三十七頁Task 1 Medical TerminologyEnglishChinesepharmacotherapy藥物療法polymorphism多態(tài)性autoimmune自體免疫的adrenaline腎上腺素copolymer共聚物coenzyme輔酶herbicide除草劑internist內科醫(yī)生sclerosis硬化（癥）trial試驗Page 33 -34共三十七頁Task 2 Signpost LanguageSequence1.first, second, third, then, next, and finally;2.1, 2, 3, etc.; a, b, c, etc.3.before, during, after4.signal words such as steps, phases, stages, process, series, spectrum, continuumKey1. next 2. Then, Ultimately 3. At first, Eventually 4. NowPage 35共三十七頁Task 3 Formal EnglishMany things have happened since then. I w