当前在线人数11436
首页 - 博客首页 - 美国医学教育博客 - 文章阅读 [博客首页] [首页]
CMG官司,intern被告deviated from the standard of care
作者:USMedEdu
发表时间:2009-10-10
更新时间:2009-10-10
浏览:1759次
评论:1篇
地址:140.
::: 栏目 :::
现代医学vs“中医”
社会、艺术与医学
住院/FELLOW单位
中外医学网站精选
国内外医学交流信息
生物医学人物
力刀美加医学教育专
临床见习/实习/义工
医学生理学诺贝尔奖
医生助理(PA)职业
医学书籍照片及图谱
社会与医学瞬间定格
医学典故/医史杂谈
USMLE复习和考试
申请和面试住院医生
住院医生生活和工作
FELLOWSHIP
医生就业、工作及生
医学科普及问题解答
美加医学院申请/MCA
中美医学临床教育比
医学新进展及新闻
社会医学伦理

发信人: ciphergene (快转业的生物学家), 信区: MedicalCareer
标 题: CMG 官司,intern被告deviated from the standard of care.
发信站: BBS 未名空间站 (Sat Oct 10 18:25:44 2009, 美东)

最近有点麻烦,学习点malpractice cases.Very scary.
有这一案例,病人死了,责任推来推去,最后CMG倒霉。比较长,
大家如何看这个案子。


Defendants County of Cook and Dr. Chi Du appeal a judgment of the circuit
court of Cook County finding them liable in a medical malpractice case
brought by plaintiff Stanley Spyrka, individually and as independent
administrator of the estate of Dorota Spyrka. The trial court entered the
judgment on a jury verdict of $16,957,310. The trial court denied defendants
' posttrial motion. Defendants now appeal.

The record on appeal discloses the following facts. Dr. Robert J. Toltzis
testified regarding the medical records of the treatment of Dorota Spyrka at
Cook County Hospital. Dorota was admitted to the hospital on June 1, 2000,
with difficulty in breathing, a fever and an abnormal X ray. The saturation
of oxygen in her blood was found to be reduced. Dorota was given
supplemental oxygen and antibiotics for several days. On June 6, 2000,
Dorota had been stable or improving over the previous two days when she
screamed out that she could not breathe. Her oxygen saturation, normally 98%
or 99%, had fallen to 67%. Her heart rate had increased. Dr. Toltzis
testified that "it's pretty well described that she had a pulmonary embolism
at that point." According to Dr. Toltzis, a person having a pulmonary
embolism will feel like they are suffocating and it will feel painful to
breathe, causing anxiety and distress.

Dr. David M. Systrom, a pulmonary and critical care specialist, testified
that a pulmonary embolism occurs when a blood clot that forms in the big
veins of the legs, pelvis or abdomen (also known as a deep vein thrombosis
or DVT) breaks loose and migrates north to the pulmonary arteries, where it
can have a number of effects. As the pulmonary arteries carry blood to the
lungs to be oxygenated, a blood clot large enough to block the main artery
or its branches can cause low blood pressure, shock and death. Dr. Systrom
demonstrated this testimony with a model.

Dr. Systrom explained that cases causing low blood pressure and shock are
called massive pulmonary emboli. People can die from a massive pulmonary
embolism that is either an acute or recurrent pulmonary embolism. An acute
pulmonary embolism generally refers to the first such embolism; an estimated
10% of people die from an acute pulmonary embolism before it can be treated
. According to Dr. Systrom, the vast majority of patients appropriately
treated do well. Patients that are inappropriately treated may suffer from a
recurrent pulmonary embolism, with a high mortality rate. Dr. Systrom
explained that a second shower or second single clot can occlude enough of
the blood flow to causing low blood pressure, shock and death.

Dorota was put on a ventilator in the intensive care unit (ICU). Cardiac
echo testing suggested a pulmonary embolism.

Dorota was given TPA, which Dr. Toltzis testified was a thrombolytic agent
that dissolves blood clots. Afterward, Dorota's oxygen saturation improved.
Her heart rate was able to come down. On June 7, 2000, with oxygen
supplementation, her saturation level returned to 98%. Dr. Systrom opined
that this was a clear-cut, incontrovertible index of the patient's
improvement. Dr. Systrom testified that this shows "[t]he blood clot is
being dissolved actively by the TPA. It's shrinking in size. May or may not
totally disappear but it's shrinking in size."

Dr. Systrom testified that the administration of TPA was completed at 9 p.m.
on June 6, 2000. The team at Cook County Hospital began administering
Heparin at about 2:30 a.m. on June 7, 2000.

Dr. William Haire, a physician and hematologist, testified that Heparin is
an anticoagulant. Heparin slows blood clot formation and prevents the
addition of material to preexisting clots. Dr. Haire testified that Heparin
"doesn't really do anything for clots that are already there."

Dr. Systrom testified that there is a laboratory measure of the partial
thromboplastin time called the APTT, or PTT for short, which indirectly
measures the level of Heparin in the blood. Dr. Systrom testified that Cook
County Hospital had a protocol stating that during the first 24 hours, the
PTT test should be repeated every six hours, and once every morning
thereafter, unless it is out of the therapeutic range. Dr. Systrom explained
that the effects of Heparin vary in different patients, requiring frequent
checks at first. Dr. Systrom testified that APTT levels should have been
checked at 8 a.m., 2 p.m. and 8 p.m. on June 7, 2000, and 2 a.m. and 8 a.m
on June 8, 2000, but were not. Dr. Systrom testified that PTT tests were
done when the TPA was started and ended (both of which were appropriate),
but the result for the second test was not in the therapeutic range. Dr.
Systrom testified that as there was no PTT record for the period Dorota was
on Heparin, there was no way to be certain that she had enough Heparin to
prevent a recurrent pulmonary embolism.

Dr. Haire testified that the records show that Heparin was discontinued at
approximately 12 a..m. on June 8, 2000.

Dr. Gordon Fall, a family practice physician, testified that defendant Dr.
Chi Du--then a first-year family practice intern--wrote the order to
discontinue Heparin, prior to an angiogram that was supposedly going to be
performed that day. Dr. Fall, having reviewed the deposition testimony of
other doctors involved with Dorota's treatment, testified that Dr. Du would
not have the authority to write an order discontinuing Heparin without first
checking with a superior.

Dr. Du testified that she wrote the order discontinuing Heparin. Dr. Du
testified that she was told by a member of the team that the attending
physician had talked to the radiologist during the round and that the
recommendation was to go forward with an angiogram. Dr. Du explained that
Heparin would be held to prevent the risk of bleeding when the procedure was
performed. Dr. Du stated that she would not make that decision. Dr. Du
testified that a Dr. Gupta told her to discontinue Heparin at midnight
because an angiogram was going to be done in the early morning.

The jury was read deposition testimony from other doctors involved with
Dorota's case. Dr. Muthuswamy, retired former chair of the pulmonary
division at Cook County Hospital, testified that he did not tell Dr. Du to
stop the Heparin and that no one contacted him about it. Dr. Gupta, the ICU
resident, did not think that he gave such an order because he was not
present at the hospital; he had previously testified that he did not tell
her to discontinue Heparin. Dr. Kenneth Cruz, who assisted the ICU residents
and interns, did not recall Drs. Muthuswamy or Gupta saying anything about
discontinuing Heparin. Dr. Ramakrishna stated that he did not advise Dr. Du
to discontinue Heparin and did not hear anyone else do so.

Dr. Arthur Waltman, a radiologist, testified that an angiogram to rule out a
pulmonary embolism was not necessary. Dr. Waltman testified that a
reasonable radiologist would not have ordered Heparin stopped without a
procedure scheduled. Dr. Waltman testified that a reasonable amount of time
for a patient to go without Heparin in anticipation of a procedure would be
about two hours and that the anticoagulant effects of Heparin will continue
for about 2 ? hours after it is stopped. Dr. Systrom testified that Heparin
has a half-life of 30 to 90 minutes and that, after three half-lives, most
of the effect is gone.

Dr. Systrom testified that Dorota began to go into an arrest at around 11 a.
m. on June 8, 2000. Dr. Waltman testified that the records show that around
11:20 a.m., Dorota developed severe bardycardia and hypertension. Dr.
Toltzis testified that her heart rate dropped to the mid-30s and staff was
unable to obtain a pulse. Dorota's respiration dropped to zero; the machine
that had been supplementing her oxygen was required to breathe for her 100%
of the time. Dr. Waltman testified that Dorota probably stopped experiencing
the effects of a pulmonary embolism when she was declared dead
approximately one-half hour later.

Plaintiff Stanley Spyrka testified that he and Dorota came to the United
States in 1981 and were married in 1986. The two had a daughter, Pam.
Stanley was visiting his wife on the morning of June 8, 2000. Stanley
testified that she initially looked good, but later began to breathe heavily
and started coughing and foaming at the mouth and nose. Stanley sent Pam
for help. A nurse arrived about five minutes later, looked and left. Dorota
was trying to breathe and was gagging the whole time; he could tell she was
suffering. About 15 minutes later, "everything got hooked on" and he thought
her heart alarm started beeping. Stanley testified that four doctors came
in; he thought they were trying to massage her heart. Later, more team
people came and Stanley was asked to wait in the hallway. Stanley testified
that in an hour or so, he was called into the room and told Dorota had died.
Dr. Haire testified that the time of death was 12:36 p.m.

Dr. Toltzis opined that Dr. Du deviated from the standard of care in
discontinuing Heparin. Dr. Toltzis attempted to opine that the
discontinuation of Heparin allowed another blood clot to form in the
extremities and break off, but the trial court sustained defendants'
objection that the opinion was not disclosed under Supreme Court Rule 213 (
188 Ill. 2d R. 213). Dr. Toltzis stated that Dorota died of a subsequent
pulmonary embolism and that Heparin reduces the risk of a fatal pulmonary
embolism.

Dr. Fall opined that Dr. Du deviated from the standard of care in
discontinuing Heparin. After the trial court sustained a Rule 213 objection
to an opinion about the clot developing, breaking off and going up to the
lungs, Dr. Fall opined that Dorota died of a recurrent thrombus that
probably developed in the left leg.

Dr. Systrom opined that Dr. Du deviated from the standard of care in a major
way by discontinuing Heparin. He also opined that the angiogram was
unnecessary. Dr. Systrom opined that discontinuing Heparin caused or
contributed to Dorota's death because she:

"was left unprotected with no anticoagulation on board for a 12-hour period
after having suffered a massive pulmonary embolism. So the patient had no
mechanism for controlling the residual clot that was either in the legs or
elsewhere and the patient *** had at least a 10- to a 15-fold increase[d]
risk for recurrent pulmonary embolism in the absence of any therapy for 12
hours."

Dr. Waltman opined that Dr. Du deviated from the standard of care in
discontinuing Heparin. Dr. Waltman opined that stopping Heparin "
precipitated or at least left her exposed and at risk and then subsequently
she developed further deterioration and probably another embolus."

Dr. Haire opined that Dr. Du deviated from the standard of care in
discontinuing Heparin. Dr. Haire also testified that a video animation would
help him explain to the jury what a DVT is, what a pulmonary embolism is
and how TPA and Heparin prevent death.

--

※ 修改:·ciphergene 於 Oct 10 18:32:41 2009 修改本文·[FROM: 68.39.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 68.39.]


发信人: EcoRone (中坑), 信区: MedicalCareer
标 题: Re: CMG 官司,intern被告deviated from the standard of care
发信站: BBS 未名空间站 (Sat Oct 10 18:58:32 2009, 美东)

Du太惨了。是不是以后身上得揣个微型录音机。6月份的事情,是刚上班还是做了快一年了?

--
期待中我 煩悶枯橾
流浪街中的好一段日子

※ 修改:·EcoRone 於 Oct 10 19:02:43 2009 修改本文·[FROM: 98.222.]


发信人: fckdsb (GFDS), 信区: MedicalCareer
标 题: Re: CMG 官司,intern被告deviated from the standard of care.
发信站: BBS 未名空间站 (Sat Oct 10 19:13:47 2009, 美东)

is it this one?

http://www.healthgrades.com/directory_search/physician/profiles/dr-md-reports/Dr-Chi-Du-MD-C9433D1D.cfm

--
Life is a determination, action, and joy

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.57.]


发信人: usmle (), 信区: MedicalCareer
标 题: Re: CMG 官司,intern被告deviated from the standard of care.
发信站: BBS 未名空间站 (Sat Oct 10 20:10:14 2009, 美东)

好惨,所以大家一定要养成随时随地document的习惯,出了事,个个都把自己撇的清清
楚楚的,intern没有上级医生的指示哪敢擅自停heparin。
给PE病人tPA,挺新奇的,都没见到过。还有做angiogram,都确诊了还做啥,就算没确
诊,书上说是可以做,但好像也从来没见谁真做angiogram的。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 99.57.]


发信人: clamchowder (DDD), 信区: MedicalCareer
标 题: Re: CMG 官司,intern被告deviated from the standard of care.
发信站: BBS 未名空间站 (Sat Oct 10 20:12:55 2009, 美东)

恩,反正我order一些奇怪的东西,一定要刮号里面写上,approved by Dr. XXX
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 71.179.]



发信人: acne (麦地米虫), 信区: MedicalCareer
标 题: Re: CMG 官司,intern被告deviated from the standard of care
发信站: BBS 未名空间站 (Sat Oct 10 20:17:12 2009, 美东)

这个绝对是有猫腻了,angiogram之前肯定是要停heparin drip的。

sorry,没看仔细,怎么heprin drip12个小时前就停了,一般是6个小时左右啊。

[上一篇] [下一篇] [发表评论] [写信问候] [收藏] [举报] 
 
共有1条评论
1   [DrNewbie 于 2010-11-08 21:40:46 提到] [FROM: 98.]
共有1条评论
1 [DrNewbie 于 2010-11-08 21:32:49 提到][删除][修改] [FROM: 98.119.]


力刀评注:

这是个很有趣的案例,在住院医生面试时时有发生和遇到或类似的场景。这种情况
的应对常常是面试者有意无意地从你反应回答、面部和BODY语言来考察你的反应能
力和个性特点及成熟的素质。表现得好和应答从容合适到位可以让面试者大为开心
或对你留下深刻良好印象,你就得了高分;而相反,应答错误或不当,轻的引起对
方不快或疑虑,严重的,可以说立即被面试者在心里判了死刑--你出局了!

这个CMG提出了个很好得问题,在我所印的下列讨论里,ChiUSMD和Dojo的发言非常
出色,值得大家认真思考和进一步充分讨论,学习提高自己的面试及对这样问题得
脑筋急转弯能力,以及自己的为人处事成熟能力培养。

值得指出的是:那个在麦地喋喋不休到处卖弄她的所谓“英语”并爱好给人改错的
蠢人的发言更充分地反映出其愚蠢和无知,她的所谓良好英语在她的愚蠢脑袋支配
下成了砸她自己脚的石头。此人在麦地已经贩卖了无数的垃圾和错误得东西。我实
在无法忍受这种蠢人无休无止地误导CMG,所以不惜大开杀戒痛砍此ID,得罪了麦地
版规和版主。

说来是坏事,但这也成就了俱乐部的诞生,这里不会再有这种苍蝇和垃圾的泛滥横
行而不受制止。

*****************************************************************************

发信人: kaye ([email protected][email protected]~埋底海豚~热爱游泳), 信区: MedicalCareer
标 题: [合集] 面试碰到的尴尬事
发信站: BBS 未名空间站 (Tue Nov 2 02:42:11 2010, 美东)


☆─────────────────────────────────────☆

ZXCVBNMWUJI (无极) 于 (Sun Oct 31 22:38:21 2010, 美东) 提到:

面试碰到的尴尬事:

我的第一个面试的一个面试官是一个看上去很和蔼的老先生,进去后他一上来就笑眯眯
的问,你是怎么认识Dr.XXX的?Dr.XXX是我到美国后的第一个老板。我说,您认识他?
他微笑地点头,说Dr.XXX跟他一起在XXX做的resident。我于是精神为之一振,把我当初
出国如何联系Dr.XXX到他那儿做POSTDOC给绘声绘色了一遍,末了还加了一句类似“He
is the nicest person I've ever met.”之类的评论。面试官耐心听我说完,然后仍
然笑眯眯地说:“Well, I was not getting along with him very well at that
time.”然后就是blah blah blah blah.我当场差点晕倒。

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Sun Oct 31 23:33:50 2010, 美东) 提到:

You could have said back, Ohh, he must have changed quite a bit.
Or he only gets along well with suck-ups. I jam him up real good.

【 在 ZXCVBNMWUJI (无极) 的大作中提到: 】

☆─────────────────────────────────────☆

fionaww (加州无鱼) 于 (Mon Nov 1 00:00:52 2010, 美东) 提到:

第一句还好,第二句就不行啦。万一人家说,感情你是suck-up阿,不然人家怎么看上
你,把你从国内招来呢?不更晕倒了?


【 在 DrNewbie (NN) 的大作中提到: 】
: You could have said, Ohh, he must have changed quite a bit.
: Or he only gets along well with suck-ups.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 00:03:49 2010, 美东) 提到:

hehehehe.

Third one: Am I such a charming person that I get along so well with him? Or Am I personable that we get along so well.

Fourth one: You should be happy with my people skills now right? Since I can get along with this snob.

If you love my answers and you get my sick humor, please join my club:

Pre_resident_english_corner.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 01:25:54 2010, 美东) 提到:

The rest are for professionals only. No imitation by amateurs.
The 1st is witty. The 2nd is humor.


☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 20:34:37 2010, 美东) 提到:

楼上大哥,你是来搞笑的还是来做广告的?你的这些自以为幽默的答案不是too judgemental ("he must"...lol) 就是自我吹捧。

这个情况下,面试官故意不在开始的时候就说合不来,而是在等楼主说了一大堆以后才
说,其实就是想看楼主遇到尴尬时的反应。象楼上大哥这种回答,把球踢回去,反让面
试官尴尬,我以为不好。我的建议是回答"oh, sorry to hear about that" 就行了,
最多再加一句"I don't know why he treats you and me differently",把这话题带
过就得了。Dr.XXX或者任何一个普通人都不可能跟所有人都合得来,这本是正常现象,
何须画蛇添足

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 20:56:20 2010, 美东) 提到:

I agree. I assume you are a cute girl, and probably got a high remark from
him, otherwise he won't say this political incorrect thing. Go back ask your
boss whatever he said is true or not, then Send him a nice followup email
and make up something 拍一下马屁.

if your boss can send him a short email, 100% you are in or prematched.
My personal experience you will be ranked very high by that program. 美国人的尊师是骨子里的

☆─────────────────────────────────────☆

sfkitty (meow) 于 (Mon Nov 1 21:12:16 2010, 美东) 提到:

这真的是个需要脑筋急转弯的问题,我觉得理想的答案是结合NN和豆角的智慧。“sorry to hear that" ,加上适当的表情(让面试官觉得你的确 feel sorry about it, 而不是随口说说),再加上 “well, I guess he must have changed a lot“, 然后以一个beautiful smile to wrap it up。



☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 21:28:20 2010, 美东) 提到:

对的,表情要搭上。但这个must就免了,我对NN第一个答案不满意的就是这个must,显
得好象你多知道Dr.XXX的过去似的。你用"I guess"就对了。

说到底,我觉得这个回马枪问题固然尴尬,但老实应对,或者就是尴尬在那儿傻笑没有
答案,也比表现出自大和judgmental要好,这些性格可是要命的。尤其在正式面试问答
的时候,玩幽默是玩火。

☆─────────────────────────────────────☆

kaye ([email protected][email protected]~埋底海豚~热爱游泳) 于 (Mon Nov 1 23:09:01 2010, 美东) 提到:


dojo(豆角)和chiusmd的分析都很有道理,谢谢!
个人认为是这个问题的正解吧。

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 23:45:44 2010, 美东) 提到:

The old people always have some 童心,he tried to say "got you", just be his
way and do something satisfy his joke. Now matter how smart you are, just
pretend "he got you".

"oops" then smile, or slightly 夸张一下,any other words might turn the
table completely opposite.
American would anwer: "you are good" or "you got me".

在中国,就自罚杯酒。
中美情况差不多,就是不能充大拿。
[上一篇] [下一篇] [发表评论] [写信问候] [收藏] [举报]

共有5条评论
---------------------------------------------------------------------
1 [DrNewbie 于 2010-11-02 14:27:31 提到][删除][修改]
============================================================
Does it matter whether he has changed or not? NO! The best way is to switch gears right away with a neutral, courteous comment. 'Sorry to hear that' is NOT nice at all. Either is 'u got me'. You really have no idea what happened between these two. Could be something nasty. Or his reply could be just a joke. Either way, it is best not to get involved. Along this line, there is no reason to be 'SINCERELY' sorry for it. The 'sorry' line can be interpreted in a bad way: 'You are sorry because I am an ass?'. Better say something neutral without offending either side. 'You got it' works only when he was really joking. What if he was serious? It would be even more awkward.

There isnt any good answer for this awkward situation. Only an immature person would give you a hard time like this. If a person reply in a courteous way, he wins votes. My answer shows integrity, honor and wit. It wins respects from others. The best dealing with this situation is a polite short answer and a quick switch to other topics.

The beauty of my reply is that it does NOT offend either party. Of course, the tone and your body language determines how the msg is delivered and how it will be received. It is saying I dont know his past. All I know he is the nicest person. If what you said about him is true that he was hard to get along, he is very nice now.

'"I don't know why he treats you and me differently" could be taken as very offensive. Right? 'It is because I am an ass?'


2-4 are for laughs only. Hope everyone here knows when to chuckle on a joke. For the people who cant figure out when a joke is told. Here are some clues: suck-ups, jam-up, snob.

All you can brag is how other people drooling over your job. How pathetic.

------------------------------------------------------------------
4 [DrNewbie 于 2010-11-02 13:44:06 提到]
Ur foul mouth cost your job already. You just never learn. You will lose
your job again if you dont know when to hold back your filthy mouth.


You can only take pleasure in getting even by your bragging how the wife of
the boss who fired you left him. You are just plain sick.


BECAUSE YOU HAVE WRITTEN ABOUT THESE FACTS ON PUBLIC WEB SITES, YOU HAVE FORFEITED YOUR PRIVACY.

You are nobody compared with your peers.

Even a monkey can get a score of 50 by throwing darts on a board. So you
think you are smart with scores of 70s? You just got lucky. Period.
Nothing to be proud of.

Talk to anyone who got scores of 70s and ask them whether you just got lucky
or it just doesnt matter. Dont use one case to counter me. Lets talk
about trend or stats.

Your numerous scum filled posts have been deleted by BanZhu. You were so
out of line that even BanZhu was ashamed of you and deleted your mean post
about your ex-boss right after you posted it.

There are many precedents of accomplished people turning into monsters in
their senior years When you were biting every bystander on the street, I
suddenly realized its not me, it is you.

Yes, there are plenty of very smart yet generous, decent people here.

They shoot for much higher goal than you. With your lousy 70s score, no
wonder the best advice you gave to them is to take the less satisfying
prematch. Because you could only get lucky once.

So stop misleading people by using you as an example.

To exclude me from getting info on the medi board, you tried to drag
everyone into ur private club. It just shows how childish you are. Only a
sick person would devise such an evil plan. Even your buddies think you
have gone too far and opened ur private club for public viewing.

You are just a plain sick old man.

--------------------------------------------------------------------

4 [snowfox01 于 2010-11-02 17:25:32 提到] [FROM: 134.74.]
Dr.Newbie:Please be nice to this old man。
难道你没看见你把他生命中唯一的支柱----收集各种贴子,然后大言不惭的copy&post 到自己的网页。给打碎了。同时,他在麦地的“一手遮天” 用那二十年前的狗屁经验来误导新人,也让你给揭穿了。我能理解他的恼羞成怒。他也没几天了,就让他乐呵乐呵吧。

他的英语很好。中国人特别是我们河南人一听就懂。 像“welcome u join my club" 和his is a very unique 8-gua I enjoy to read”还有“I'm sure there you will get more benefits=我坚信在这里你将得到更多的好处。”多么容易的“直”译呀
---------------------------------------------------------------------
5 [DrNewbie 于 2010-11-02 23:00:52 提到]

His best English is:

Bless the God. No wonder people call him the GodFather.
[上一篇] [下一篇] [发表评论] [修改] [写信问候] [收藏] [举报]

共有3条评论
1 [DrNewbie 于 2010-11-06 04:15:20 提到][删除][修改] [FROM: 98.119.]
This is taken from USMedEdu's blog, NOT from his private club. After USMedEdu had made the nasty comments, people consulted a few people and below are some answers confirming that DrNewbie's response is good. Others are NOT appropriate.

发信人: daisyy (Daisy), 信区: Pre_Resident_Club
标 题: Re: 无极: 住院医生面试碰到的尴尬事( 力刀评注推荐及麦地网友
发信站: BBS 未名空间站 (Fri Nov 5 11:38:39 2010, 美东)

我在英语论坛问了一下这个问题。 这是我得到的回复。看来说‘Oops, you got me.' ‘I'm
sorry to hear that.'都不是很好。

Dojo 曾经建议过加上 I guess 到 he must have changed 可能是比较好的。

BTW, I don't want to see my threads on this one to be appeared in the
MedicalCareer Board. Thanks.

Well, this is a bit tricky because it's not just a language question,
you're also asking how the situation should be interpreted (which is
difficult to do if you weren't present) and how to respond in a
difficult situation (which can be awkward even in your native language).

Option 1) I would think the old gentleman rather strange if this was
what he was doing, but who knows? In any case, I wouldn't reply "oops,
you got me", as you probably don't really want to say to him "I think
you just tried to trap me in an awkward situation", even if that was in
fact what he was indeed trying to do. It also may sound as though you
were just pretending to like the advisor, whereas in fact you are now
acknowledging that he is unlikeable.

Option 2) Possible, but it sounds a bit strange. You're more likely to
say "I'm sorry to hear that" if you hear that someone has died, or some
other unfortunate event has occurred.

Option 3) ‘I guess he must have changed.' --Probably the best of your
suggestions, in my opinion - you are sticking by your original opinion
of the advisor, whilst acknowledging that the old man might have had a
different experience. It is a good, diplomatic response.




发信人: dojo (麦地里的豆角), 信区: Pre_Resident_Club
标 题: Re: 无极: 住院医生面试碰到的尴尬事( 力刀评注推荐及麦地网友讨论
发信站: BBS 未名空间站 (Fri Nov 5 13:11:12 2010, 美东)

这样,我早上发信给我的consultant问了。她以前是某著名医学院招生委员会成员,也
曾面人无数,现在提供收费咨询服务。她的答案应该算权威了。的确 sorry to hear
that 虽然不只是用在死了人的时候,但有点负面,她的这句话应该是最合适的。

> I have another random question. During interviews, sometimes the
> >interviewer came up with a follow-up question that put me in an awkward
> >position, and I'm not exactly sure what's the best way to answer. For
> >example, one interviewer would ask with a smile "How did you meet Dr. X
> >(one of my advisers)? I knew him because we cooperated many years ago."
> >I'm of course happy that there is a connection, so I would describe my
> >encounter with Dr. X in great detail, and say something like Dr. X is
> >the nicest person I've ever met. But then the interviewer would
> >follow-up, still with a smile, and say "actually, I was not getting
> >along with him very well at that time." What shall I say in this awkward
> >situation? Shall I try to sympathize with him and say "sorry to hear
> >that, I don't why he treated you and me differently"? Or shall I
> >reaffirm my position and say "he must have changed a lot"? Or shall I
> >just downplay and say "you got me"?

I think the best way to deal with it is to just say something like "I'm
sorry you had that experience." Nothing more is indicated. But, it's
very odd for an interviewer to put you on the spot like that. Shows poor
interviewing skills on his/her part.

===========================
If you ask you your consultant that you want to reaffirm your position, of course it is not very appropriate. But if you say it in a way that it serves only as a topic switching comment and in a non-confrontational fashion, it is actually a better choice. The 'changed' line is not intended to argue about his boss' character. It is not relevant to his IV, and not worth debating about.

See below from someone else:
"Option 3)
‘I guess he must have changed.' --Probably the best of your
suggestions, in my opinion - you are sticking by your original opinion
of the advisor, whilst acknowledging that the old man might have had a
different experience. It is a good, diplomatic response.".
-----DrNewbie.
===========================
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 128.231.]


发信人: fionaww (加州无鱼), 信区: Pre_Resident_Club
标 题: Re: 无极: 住院医生面试碰到的尴尬事( 力刀评注推荐及麦地网友讨论
发信站: BBS 未名空间站 (Fri Nov 5 23:46:18 2010, 美东)

hehe, actually I just talked with my attendings today too and got the same comment.

Just simply say:" I am sorry to hear that. I didn't know you had that
experience with him." Because the interviewee already pushed himself to the
corner, don't say more except simply acknowledging the fact.

2 [DrNewbie 于 2010-11-03 23:04:34 提到][删除][修改] [FROM: 98.119.]
REPLY TO THE ATTACHED COMMENT.

"Must" is perfect here. "May" is NOT.

Would anyone use suck-ups, jam-up in a formal interview as in Joke #2? Would this be a clue that it is a joke? Would anyone use snob in Joke #4? A good joke teller does not start with Hey, I am telling you a joke?

The 'Sorry' line could be interpreted in the wrong way. It is Not like you say sorry when some1 is sick.

Your 'I dont know why he treats us differently' is clearly very OFFENSIVE. It insinuated that the interviewer is an ass cause the Boss is the nicest person in the whole world, right? It is so pathetic that your answer is so appreciated by the MadDoc and put on the front page for people to spit at. Have u noticed that Not a single person responded to the MadDoc's comment? Why? So many people hate me to their guts. Why nobody jumped out and LOLed like you? Simple! Cause your answer is offensive.

Read my reply please before you comment. MadDoc initially made the club private. Only under the protests from some righteous people who think he has gone too far, he made it public a few days later.

Because I use 'real world' examples for English writing practice, a private English club is best suited for this purpose. If you didnt know, a couple of thugs on medi routinely harassed me for correcting their English. Btw, your English is superb. Thats why I thought you would want to help us. But you refused. I am truly sorry for this.

Some people get dark humors. Some dont. It is just a matter of personal tastes. Yes, many did think it was funny.

Clearly, you have got the bad influence from MadDoc. You had a very lousy attitude with your LOLs towards my posts. You are smart enough to have got into a medical school. But your lack of manners will hurt your personal and professional life. Doc is a prime example. Hope you dont follow his path.
-------------------------------------------------------------------
-------------------------------------------------------------------
2 [dojo 于 2010-11-03 22:31:32 提到][删除] [FROM: 71.163.]
Okay, now you say #2-4 are for laughs only, why didn't you say that in your originial post? You could see that fionaww challenged your #2 answer, but you did not tell her you were kidding. Instead you gave two more answers "for laughs", but did any one actually laugh in that thread, before I responded? Your humor is really sick.

I made it clear that your #1 answer is fine except that you shall not say "must". "Maybe he has changed a lot" is an okay answer, but how could you use "must"?

Your comment on my "sorry to hear that" shows that you don't even understand what "sorry" means here. It is a very common, sympathetic response to any kind of misfortune. If you ever tried to describe something unfortunate in your life to an American, you should have heard this sentence before. The sympathetic American saying this would never ever think that he is sorry because you are an ass. Your thinking is ridiculous.

Finally, your conspiracy theory "To exclude me ... you tried to drag everyone into ur private club" really makes me sick, even though I was never a fan of Lao Dao. Lao Dao's club is PUBLIC, everyone in the world can read it, and I joined it on my own without Lao Dao's any email. YOUR club is PRIVATE, and YOU sent me email twice to try to drag me into ur club.

3 [dojo 于 2010-11-03 22:31:32 提到][删除] [FROM: 71.163.]
Okay, now you say #2-4 are for laughs only, why didn't you say that in your originial post? You could see that fionaww challenged your #2 answer, but you did not tell her you were kidding. Instead you gave two more answers "for laughs", but did any one actually laugh in that thread, before I responded? Your humor is really sick.

I made it clear that your #1 answer is fine except that you shall not say "must". "Maybe he has changed a lot" is an okay answer, but how could you use "must"?

Your comment on my "sorry to hear that" shows that you don't even understand what "sorry" means here. It is a very common, sympathetic response to any kind of misfortune. If you ever tried to describe something unfortunate in your life to an American, you should have heard this sentence before. The sympathetic American saying this would never ever think that he is sorry because you are an ass. Your thinking is ridiculous.

Finally, your conspiracy theory "To exclude me ... you tried to drag everyone into ur private club" really makes me sick, even though I was never a fan of Lao Dao. Lao Dao's club is PUBLIC, everyone in the world can read it, and I joined it on my own without Lao Dao's any email. YOUR club is PRIVATE, and YOU sent me email twice to try to drag me into ur club.
 
用户名: 密码:
发表评论
评论:
[返回顶部] [刷新]  [给USMedEdu写信]  [美国医学教育博客首页] [博客首页] [BBS 未名空间站]
 
Site Map - Contact Us - Terms and Conditions - Privacy Policy

版权所有BBS 未名空间站(mitbbs.com) since 1996