Leah made a dash to(迅速赶往)/meɪd ə dæʃ tɪ/ the community clinic after she felt faint(眩晕)/feint/ during a workout(锻炼)/'wә:kaut/. Her brow(额头)/brau/ was wet, her eyesight(视力)/'aisait/ blurred, and an irregular(不规律的)/i'regjulә/ pain ran from her elbow(手肘)/'elbәu/ to her thumb. She feared a deadly(致命的)/'dedli/ disorder(疾病)/dis'ɒ:dә/ or an influenza outbreak(暴发)/'autbreik/, although she had no fever. Nurse Ben helped her sit, placed a bandage over a small cut on her chin(下巴)/tʃin/, and checked whether she remained conscious(清醒的)/'kɒnʃәs/. Her instinct(直觉)/'instiŋkt/ said something was terribly wrong.
The intake(接诊)/'inteik/ form listed diabetes(糖尿病)/daiә'bi:ti:z/, high cholesterol(胆固醇)/kә'lestәrɒl/, a past dental(牙齿的)/'dentl/ operation, and a medicare(医疗保障)/ˈmɛdəˌkɛr/ number. It also showed two different amounts for the same dose(剂量)/dәus/. Ben did not exclude(排除)/iks'klu:d/ a serious cause, but he refused to diagnose(诊断)/'daiәgnәuz/ by guesswork(凭猜测)/baɪ ˈgɛsˌwərk/. He asked about fatigue(疲劳)/fә'ti:g/, bowel(肠道)/'bauәl/ trouble, stomach discomfort, liver(肝脏)/'livә/ disease, and whether an infant(婴儿)/'infәnt/ at home had become ill. Leah said she had taken a vitamin(维生素)/'vaitәmin/ and a remedy(药物)/'remidi/ from a rival(对手)/'raivl/ clinic, then completed intense yoga(瑜珈)/'jәugә/ without eating.
Ben said, 男“Because the doses conflict, you should not take another tablet until Dr. Rao reviews the record.” Leah replied, 女“I know it may sound insane(患精神病的)/in'sein/, but I feel as if a monster(怪物)/'mɒnstә/ is gripping my gut(腹部)/gʌt/.” Dr. Rao entered and said, 女“Your fear is real, yet we must base therapy on evidence(依据证据制定治疗)/beɪs ˈθɛrəpi ɔn ˈɛvədəns/ rather than(而不是)/ˈrəðər ðən/ guilt(负罪感)/gilt/ or panic.”
The doctor examined each limb(四肢)/lim/ and nerve(神经)/nә:v/, listened to Leah's chest, and found no fatal(致命的)/'feitәl/ sign or lasting handicap(残障)/'hændikæp/. A skin mark looked harmless to the naked eye(用肉眼看)/tɪ ðə ˈneɪkəd aɪ/; it was not a plague(瘟疫)/pleig/ symptom. Blood tests would show whether she was immune(有免疫力的)/i'mju:n/ to the current virus or had become infected(感染)/in'fekt/. Dr. Rao prescribed(开处方)/pris'kraib/ water, food, and rest, not a stronger drug. She reinforced(加强)/.ri:in'fɒ:s/ the advice with a written schedule(书面安排)/ˈrɪtən ˈskɛʤʊl/ and explained that an implicit(暗示的)/im'plisit/ assumption—more medicine means faster healing(痊愈)/hi:l/—can spoil(妨碍)/spɒil/ recovery.
Leah's condition improved after juice and a light meal. No drastic treatment was needed after the examination. The doctor said no transplant(移植)/træns'plɑ:nt/ or hospital discharge(出院)/dis'tʃɑ:dʒ/ plan was needed either. Obese(肥胖的)/әu'bi:s/ patients may face different risks, but an arbitrary(武断的)/'ɑ:bitrәri/ label should never sway(影响)/swei/ an individual decision. Leah used her wit(机智)/wit/ to call the scare a good deed(举动)/di:d/ by her body: it had forced her to stop. Undoubtedly(无疑)/ʌn'dajtidli/, she still needed a follow-up test(后续复查)/ˈfɑloʊˌəp tɛst/ and a corrected prescription. She left with a practical plan for well-being, no longer lame(无法行动的)/leim/ with fear, and ready to heal through steady care(持续稳定的照护)/ˈstɛdi kɛr/.