Sleep is a funny thing. We're taught that we should get seven or eight hours a night, but a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke--probably as a result of an underlying disorder that keeps them from snoozing soundly.
Doctors have their own special sleep problems. Residents are famously sleep deprived. When I was training to become a neurosurgeon, it was not unusual to work 40 hours in a row without rest. Most of us took it in stride, confident we could still deliver the highest quality of medical care. Maybe we shouldn't have been so sure of ourselves. An article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person's motor performance is comparable to that of someone who is legally intoxicated. Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don't think twice about operating without enough sleep.
"I could tell you horror stories," says Jaya Agrawal, president of the American Medical Student Association, which runs a website where residents can post anonymous anecdotes. Some are terrifying. "I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly face planted into the wound."
"Practically every surgical resident I know has fallen asleep at the wheel driving home from work," writes another. "I know of three who have hit parked cars. Another hit a 'Jersey barrier' on the New Jersey Turnpike, going 65 m.p.h." "Your own patients have become the enemy," writes a third, because they are "the one thing that stands between you and a few hours of sleep."
Agrawal's organization is supporting the Patient and Physician Safety and Protection Act of 2001, introduced last November by Representative John Conyers Jr. of Michigan. Its key provisions, modeled on New York State's regulations, include an 80-hour workweek and a 24-hour work-shift limit.Most doctors, however, resist such interference. Dr. Charles Binkley, a senior surgery resident at the University of Michigan, agrees that something needs to be done but believes "doctors should be bound by their conscience, not by the government."
The U.S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worried about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more-rested staffers are available. Doctors, for their part, have to give up their pose of infallibility and get the rest they need.
1.We can learn from the first paragraph that ____________.
[A] people who sleep less than 8 hours a day are more prone to illness
[B] poor sleep quality may be a sign of physical disorder
[C] stroke is often associated with sleep
[D] too much sleep can be as harmful as lack of sleep
2.Speaking of the sleep problems doctors face, the author implies that ________________.
[A] doctors often need little sleep to keep them energetic
[B] doctors’ sleep is deprived by residents
[C] doctors tend to neglect their own sleep problems
[D] sleep-deprived doctors are intoxicated
3.Paragraph 3 and 4 are written to ____________.
[A] entertain the audience with some anecdotes
[B] discuss the cause of doctors’ sleep problems
[C] show the hostility doctors harbor against their patients
[D] exemplify the danger doctors face caused by lack of sleep
4.By “doctors should be bound by their conscience, not by the government” (line 6, paragraph 5), Dr. Charles Binkley means that ____________.
[A] doctors should not abide by government’s regulations
[B] the government is interfering too much
[C] the regulations about workweek and work shift are too specific
[D] law can not force a doctor to sleep while his conscience can
5.To which of the following is the author likely to agree?
[A] Patients should control the hours of their doctors.
[B] Pilots and truck drivers work in safer environments than that of doctors’.
[C] Patients are facing more risks if their doctors are not adequately-rested.
[D] People concerned have the right to remove their doctors from their positions.
答案：B C D B C
篇章剖析：
本篇文章采用提出问题－分析问题－解决问题的模式指出了医生睡眠不足会带来的危害以及解决办法。第一段说明了睡眠对人的影响，第二段指出了医生睡眠不足的问题以及医生对此的态度，第三段和第四段以两个事例说明医生睡眠不足可能带来的危害，第四段介绍了针对这一问题政府所采取的措施以及医生对此的反应，最后一段分别对病人，相关人员及医生提出建议。
词汇注释：
underlying: [5QndE5laiiN] adj. 隐晦的; 潜在的
resident: [5rezidEnt] n. 〈医〉住院医生
deprived: [di5praivd] adj. 缺乏的，不足的
neurosurgeon: [9njJErEJ`s\:dVEn] n. 神经外科医生
intoxicated: [In`tCksIkeItId] adj. 醉酒的
dismissal: [dis5misEl] n. 免职, 解雇
anonymous: [E5nCnimEs] adj.
Turnpike: [6tE :n7paik] n. AmE. 收费公路，收通行税的公路
provision: [prE5viVEn] n. 规定；条款
staffer: [`stB:fE] n. 职员
infallibility: [in7fAlE5biliti] n. 绝无错误, 绝对可靠性
难句突破：
1.A study out of the University of Buffalo last month reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke--probably as a result of an underlying disorder that keeps them from snoozing soundly.
主体句式：a study reported that…
结构分析：本句是个复杂长句，包含一个宾语从句（reported之后由that引导），两个定语从句（who引导的修饰people的从句和that引导修饰disorder的从句），一个比较结构的省略形式（three times as likely to…）和一个容易理解错误的动词短语keep…from。
句子译文：上个月由布法罗大学所做的一项研究显示那些每天习惯睡八个小时以上但仍然感觉疲劳的人死于中风的危险是普通人的三倍---也许这是一种潜在的紊乱导致的结果，正是这种紊乱才让他们难以安睡。
2.Curiously, surgeons who believe that operating under the influence is grounds for dismissal often don't think twice about operating without enough sleep.
主体句式：surgeons often don’t think twice about…
结构分析：本句涉及定语从句（who引导的修饰surgeons的从句），宾语从句（believe后面由that引导的从句），和一个英语习语think twice about something以及容易引起歧义的介词without。
句子译文：令人好奇的是，那些认为酒后作业应该被免职的外科医生对于在睡眠不足的情况下操刀手术却很少认真思考。
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