Question 17 is based on the recording you have just heard.

Recording One

听力原文

        Appear to be submissive, humble, grateful, and undemanding. Show great pleasure when a doctor comes into your room, even if the visit is brief and useless. Don’t challenge anyone with authority, unless you are famous or very rich. Those are a few strategies for dealing with today’s American medical establishment.

        What patients want is to be treated with respect and consideration. (16) [But in my experience, too few hospitals and doctors are ready to do that.] In his book, A Whole New Life, novelist Reynolds Price recalls that his doctors chose a crowded hallway as the place to tell him he might have a tumor on his spinal cord. It did not occur to the two physicians that a hallway was not the most appropriate place for that particular piece of news.

        My surgeon, who is in his mid-thirties, looks tired. He has been overwhelmed with patients who have fallen on the winter ice. He is a witty man, but sometimes his wit is unwelcome. “The health insurance company, Blue Cross, wants me to put you out in the snow tomorrow afternoon,” he tells me after I have been in the hospital for more than a week. I’m terrified, because I have no idea where to go. I cannot walk or even lift my leg a few inches. The hospital social worker strikes me as an idiot, but my complaints about her only annoy my surgeon. “I have to work with these people,” he tells my friend, Dr. Karen Brudney, when she mercifully intervenes on my behalf and arranges for me to be transferred to another hospital. “If you say one negative thing, they get defensive,” she tells me later. “They have this kind of institutional loyalty. Always bring an advocate, that is, any other person with you to the hospital, and (17) [write down every single question and the answer, the name of every doctor and nurse.] When people know you have their names, they behave better.”

        And Brudney adds, “If you, as a patient, suggest that you might like to control even part of the situation or be consulted or informed, then you are considered difficult. (18) [They want you to be totally passive.]” The entire healthcare system, particularly hospitals and nursing homes, exists for reasons that have nothing to do with taking care of patients. Patients are incidental.

17. What does Karen Brudney suggest patients do?（卡伦·布鲁德尼建议病人做什么？）

解析：D。录音中提到，卡伦·布鲁德尼医生告诉作者在去医院时记下每个问题和答案以及每个医生和护士的名字。D项符合题意，其中Note down是对录音中write down的同义替换，the names of all the doctors and nurses对应录音中的the name of every doctor and nurse，故为正确答案。

错项排除：录音开头提到，要显得顺从（submissive）、谦卑、感激（grateful）、随和，但这些是作者给出的与当今美国医疗机构打交道的一些策略，并不是卡伦·布鲁德尼的建议，故A项排除。B项利用录音中的be consulted or informed进行干扰，但录音中布鲁德尼说如果患者想要被问询或被告知信息，就会被认为很难相处，并不是她建议患者要做的事，故B项排除。录音中布鲁德尼提到，如果说了一件负面的事情（one negative thing），就会引起医生的戒心，但这只是对作者前面提到因为抱怨社工而惹恼医生的解释，并非她的建议，故C项排除。