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Learn English with Friends

#14. Ross's Skin Issue

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Published: 5.01.2019
Level 4   |   Time: 3:25
Accent: American
Source: Friends [S3 E23]

Ross has something on his skin that is making him worry.



triangle Directions 목표 Direcciones Instruções

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  1. READ the VOCABULARY + BACKGROUND

    It is important to read the vocabulary and background before you watch the video. This will improve your ability to understand the video. It will also help you understand how the new vocabulary is used naturally.

  2. WATCH the VIDEO

    The first time you watch the video, just try to understand the overall situation.

  3. ANSWER the QUESTIONS

    First, try to answer all the questions from memory. Then rewatch the video and try to answer the questions that you missed.

  4. WATCH and READ the SCRIPT

    Watch the video again while you read the script. Reading and listening at the same time will help you hear each individual word and improve your listening accuracy.

  5. DO the ACTIVITIES

    There are several different activities that focus on listening accuracy, pronunciation, vocabulary, grammar, and sentence structure.

  1. LEA el VOCABULARIO y ANTECEDENTES.

    Es importante leer el vocabulario y los antecedentes antes de ver el video. Esto mejorará su capacidad para comprender el video. También le ayudará a comprender cómo se usa el nuevo vocabulario de forma natural.

  2. VER el VIDEO

    La primera vez que vea el video, intente comprender la situación general.

  3. RESPONDE a las PREGUNTAS

    Primero intente responder todas las preguntas de memoria. Luego, vuelva a ver el video e intente responder las preguntas que se perdió.

  4. MIRAR Y LEER

    Mire el video nuevamente mientras lee el guión. Leer y escuchar al mismo tiempo lo ayudará a escuchar cada palabra individual y mejorará su precisión auditiva.

  5. HACER LAS ACTIVIDADES

    Hay una serie de actividades diferentes que se centran en la precisión auditiva, la pronunciación, el vocabulario, la gramática y la estructura de las oraciones.

  1. 어휘와 배경 읽기

    비디오를 보기 전에 어휘와 배경을 읽는 것이 중요합니다. 이렇게 하면 비디오를 이해하는 능력이 향상됩니다. 또한 새로운 어휘가 어떻게 자연스럽게 사용되는지 이해하는데 도움이됩니다.

  2. 비디오 보기

    비디오를 처음 볼 때 전체 상황을 이해하려고 노력하세요.

  3. 문제에 답하기

    먼저 모든 질문에 답을 해보세요. 그런 다음 비디오를 다시보고 놓친 질문에 답해보세요.

  4. 비디오 보면서 대본 읽기

    대본을 읽는 동안 비디오를 다시 보세요. 읽기와 듣기를 동시에 하면 각각의 단어를 듣고, 듣기 정확도를 향상시킬 수 있습니다.

  5. 액티비티 하기

    듣기 정확도, 발음, 어휘, 문법 및 문장 구조에 초점을 맞춘 다양한 액티비티가 있습니다.

  1. LER o VOCABULÁRIO + FUNDO

    É importante ler o vocabulário e o histórico antes de assistir ao vídeo. Isso melhorará sua capacidade de entender o vídeo. Também ajudará você a entender como o novo vocabulário é usado naturalmente.

  2. ASSISTA ao VÍDEO

    Na primeira vez que assistir ao vídeo, tente entender a situação geral.

  3. RESPONDA às PERGUNTAS

    Primeiro, tente responder todas as perguntas de memória. Em seguida, assista novamente ao vídeo e tente responder às perguntas que você errou.

  4. ASSISTA e LEIA o SCRIPT

    Assista ao vídeo novamente enquanto lê o roteiro. Ler e ouvir ao mesmo tempo ajudará você a ouvir cada palavra individualmente e a melhorar sua precisão auditiva.

  5. FAÇA as ATIVIDADES

    Existem várias atividades diferentes que se concentram na precisão auditiva, pronúncia, vocabulário, gramática e estrutura da frase.

triangle Vocabulary 어휘 Vocabulário Vocabulario

  • ☐ ☐ ☐ cleansing myself [exp] - cleaning myself
  • ☐ ☐ ☐ not visually accessible [exp] - not able to be seen
  • ☐ ☐ ☐ It's no big deal. [exp] - It is not important.
  • ☐ ☐ ☐ a mole [n] - a dark bump on the skin [image] ESL Vocab - a mole
  • ☐ ☐ ☐ a pimple [n] - acne, a red spot on the skin [image] ESL Vocab - pimples
  • ☐ ☐ ☐ wrinkly [adj] - with many wrinkles
  • ☐ ☐ ☐ fancy [adj] - elaborate, not plain
  • ☐ ☐ ☐ benign [adj] - not harmful
  • ☐ ☐ ☐ abnormality [n] - a thing that is not normal
  • ☐ ☐ ☐ reluctant [adj] - not willing to do something
  • ☐ ☐ ☐ nipples [n] - the two small bumps on a person's chest or breasts
  • ☐ ☐ ☐ lop off [phv] - cut off, remove
  • ☐ ☐ ☐ run-of-the-mill [adj] - ordinary
  • ☐ ☐ ☐ slice off [phv] - cut off, remove
  • ☐ ☐ ☐ that baby [exp] - that thing
  • ☐ ☐ ☐ on short notice [exp] - with little warning, without a plan
  • ☐ ☐ ☐ I am stumped. [adj] - I can't figure it out.

[n] - noun,  [v] - verb,  [phv] - phrasal verb,  [adj] - adjective,  [exp] - expression


triangle Background 배경 O fundo Antecedentes

Ross from Friends Joey from Friends Chandler from Friends
Ross Joey Chandler
  • Joey, Ross and Chandler are best friends.

triangle Questions 문제 Questões Preguntas

  1. Where was Ross when he noticed his skin problem?
    At the doctor's office
    In the shower
    At work

  2. Why does Ross ask Chandler and Joey to look at "it"?
    It is interesting.
    Ross can't see it.
    Joey used to be a doctor.

  3. How does Joey describe "it"?
    Big
    Ugly
    Fancy
    Benign
    Wrinkly

  4. How does Chandler describe "it"?
    Big
    Ugly
    Fancy
    Benign
    Wrinkly

  5. Why does Chandler mention "two more weeks of winter"?
    It is cold in the apartment.
    Ross has had the problem for two weeks.
    When groundhogs hide in their hole, winter will continue.

  6. What did the doctor tell Ross about it?
    It is not dangerous.
    It is very dangerous.
    It doesn't have a name.
    It will get much bigger.
    It will eventually disappear.

  7. Why does the doctor not want to remove it?
    He doesn't know what it is.
    It is too small.
    It is too big.

  8. Why did Chandler have to go to a skin doctor in the past?
    He had a third nipple.
    He had a lot of pimples.
    He had the same problem as Ross.

  9. What does Joey want to call Ross's skin problem?
    Benign
    The Ross
    The Joey
    A super mole

  10. What does Ross want the doctor to do?
    Cut it off
    Tell him what it is
    Show it to other doctors

  11. How does the doctor know that it is not a third nipple?
    It is too big.
    It smells bad.
    It is not on his chest.
    It is the wrong color.

  12. Why does the doctor invite more people into the exam room?
    Ross has a nice ass.
    He doesn't know what it is.
    Ross knows the other doctors.

  13. What does Ross have to do later that day?
    Go to work
    See another doctor
    Meet friends for dinner

  14. How long has the doctor been practicing medicine?
    1 year
    3 years
    23 years

  15. How many times has the doctor seen Ross's skin problem before?
    Never
    Once
    23 times


triangle Vocabulary Review 어휘 검토 Revisão de vocabulário Vocabulario revisión

Directions: Choose the word or expression that best completes the sentence.

Instrucciones: Elija la palabra o expresión que mejor complete la oración.

Instrucciones: Escolha a palavra ou expressão que melhor completa a frase.

지시 사항 : 문장을 가장 잘 완성하는 단어나 표현을 선택하십시오.


  • Ross decided to get the dark (mole) on his face removed, so he went to see a dermatologist (skin doctor).
  • When Chandler was a teenager, he had a lot of little red (pimples) on his face. He had a problem with acne.
  • Chandler went to a doctor to get his third (nipple) removed. He only wanted two.
  • When the doctor looked at the skin (abnormality) on Ross's butt, he didn't know what it was.
  • Ross wasn't worried about his health because the doctor said his abnormality was (benign) .
  • Ross's abnormality was not (run-of-the-mill) . In fact, it was very unusual.
  • The doctor was (reluctant) to cut off the abnormality because he didn't know what it was.
  • The doctor didn't know what the thing on Ross's butt was. He was (stumped) .


triangle Vocabulary Accuracy 어휘 정확성 Precisão de Vocabulário Vocabulario precisión

Directions: Choose the word or expression that best completes the sentence.

Instrucciones: Elija la palabra o expresión que mejor complete la oración.

Instrucciones: Escolha a palavra ou expressão que melhor completa a frase.

지시 사항 : 문장을 가장 잘 완성하는 단어나 표현을 선택하십시오.


  • I am hoping that you guys can (help me out) .
    → With most phrasal verbs, put pronouns between the verb and the particle
  • How did it (go) at the doctor's office?
    → Use "how + go" (How did it go?) or "what + happen" (What happened?).
  • I have (dinner plans) with my friends tonight.
    → A "meeting" is usually for business.
  • There was a sudden emergency, so we had to change our plans (on short notice) .
    → "On short notice" is an idiomatic expression.


triangle Grammar 문법 Gramática Gramática (reported speech)

Directions: Choose the correct reporting verb, verb tense, and pronoun for these sentences using reported (indirect) speech. Use a tense shift.


  1. Ross (asked) Chandler and Joey for a favor.

  2. Ross (told) Chandler and Joey that he (needed) help because he (couldn't) see the skin abnormality (himself) .

  3. Joey (asked) Ross what (it was).

  4. Ross (asked) (if) it (was) a pimple.

  5. Chandler (said) that it (was) too fancy to be a pimple.

  6. Chandler (told) Ross (to see) a doctor.

  7. Chandler (asked) Ross (how) it (had gone) at the doctor's office.

  8. Chandler (said) that a doctor (had cut off) (his) third nipple.

  9. Ross (said) (that) the doctor (wouldn't) remove it.

  10. The doctor (told/asked) Ross (to take off) (his) shirt.

  11. Ross (said) that he (had) dinner plans.

  12. The doctor (said) that he (had been practicing) medicine for a long time and that he (hadn't seen) anything like it before.


triangle Sentence Building 문장 만들기 Construção de sentença Construcción de oraciones [ ? ]

Summary

This activity is designed to improve sentence accuracy and complexity. Most students can produce the key content words in a sentence. However, they have difficulty with accuracy because the functional words are difficult or can seem unimportant. This activity will help learners eliminate problems with these functional words by giving them immediate feedback on the mistakes they are making. It will also help students develop their use of more natural, varied and complex sentence structures.

TIP: Say the sentence out loud. Notice the types of mistake you make often. Focus on those types of errors. (singular/plural, subject-verb agreement, article use, prepositions, gerunds and infinitives, noun clauses, adjective clauses, word order, and word forms.)

Resumen

Esta actividad está diseñada para mejorar la precisión y complejidad de las oraciones. La mayoría de los estudiantes pueden producir las palabras clave del contenido en una oración. Sin embargo, tienen dificultades con la precisión porque las palabras funcionales son difíciles o pueden parecer poco importantes. Esta actividad ayudará a los alumnos a eliminar problemas con estas palabras funcionales al brindarles retroalimentación inmediata sobre los errores que están cometiendo. También ayudará a los estudiantes a desarrollar su uso de estructuras de oraciones más naturales, variadas y complejas.

CONSEJO: Diga la oración en voz alta. Observe los tipos de errores que comete con frecuencia. Concéntrese en ese tipo de errores. (singular / plural, concordancia entre sujeto y verbo, uso del artículo, preposiciones, gerundios e infinitivos, cláusulas sustantivas, cláusulas adjetivas, orden de las palabras y formas de las palabras).

요약

이 액티비티는 문장의 정확성과 복잡성을 개선하기 위해 고안되었습니다. 대부분의 학생들은 문장에서 핵심 내용 단어를 생성 할 수 있습니다. 그러나 기능적 단어가 어렵거나 중요하지 않은 것처럼 보일 수 있기 때문에 정확성에 어려움이 있습니다. 이 액티비티는 학습자가 실수에 대한 즉각적인 피드백을 제공함으로써 이러한 기능적 단어의 문제를 제거하는 데 도움이 됩니다. 또한 학생들이 보다 자연스럽고 다양하며 복잡한 문장 구조를 사용하는 데 도움이 됩니다.

팁 : 문장을 크게 말하세요. 자주 저지르는 실수 유형과, 이러한 유형의 오류에 집중하세요. (단수 / 복수, 주어-동사 일치, 관사 사용, 전치사, 동명사 및 부정사, 명사절, 형용사절, 어순 및 단어 형태)

Resumo

Esta atividade foi desenvolvida para melhorar a precisão e a complexidade das frases. A maioria dos alunos pode produzir as palavras-chave do conteúdo em uma frase. No entanto, eles têm dificuldade com precisão porque as palavras funcionais são difíceis ou podem parecer sem importância. Esta atividade ajudará os alunos a eliminar problemas com essas palavras funcionais, dando-lhes feedback imediato sobre os erros que estão cometendo. Também ajudará os alunos a desenvolver o uso de estruturas de sentenças mais naturais, variadas e complexas.

DICA: Diga a frase em voz alta. Observe os tipos de erro que você comete com frequência. Concentre-se nesses tipos de erros. (singular/plural, concordância sujeito-verbo, uso de artigos, preposições, gerúndios e infinitivos, cláusulas substantivas, cláusulas adjetivas, ordem das palavras e formas das palavras.)

Directions: Write sentences about the video clip using the words given. You can change the word form or add words, but you cannot change the word order. Use a present time frame (tense).
( ) = optional   [ ] = necessary

Instrucciones: Escriba oraciones sobre el videoclip usando las palabras dadas. Puede cambiar la forma de la palabra o agregar palabras, pero no puede cambiar el orden de las palabras. Usa el tiempo presente.

Instrucciones: Escribe oraciones sobre el videoclip usando las palabras dadas. Puede cambiar la forma de las palabras o agregar palabras, pero no puede cambiar el orden de las palabras. Usa tiempo presente.

지시 : 주어진 단어를 사용하여 비디오 클립에 대한 문장을 씁니다. 어형을 변경하거나 단어를 추가할 수 있지만 어순은 변경할 수 없습니다. 현재 시제를 사용합니다.



Sentence 1

Ross / ask / Joey / Chandler / favor


Ross asks Joey and Chandler for a favor.



Sentence 2

Ross / find / something / strange / body / while / he / shower


Ross found something strange on his body while he was showering.
Ross found something strange on his body while he was taking a shower.
Ross found something strange on his body while he was in the shower.



Sentence 3

Ross / ask / Joey / Chandler / look / it / because / it / place / not / visual / accessible


Ross asks Joey and Chandler to look at it because it is in a place (that/which) is not visually accessible.



Sentence 4

Chandler / Joey / not / know / what / it


Chandler and Joey don't know what it is.



Sentence 5

Joey / think / it / too / wrinkle / mole / and / Chandler / think / it / fancy / than / pimple


Joey thinks (that) it is too wrinkly to be a mole, and Chandler thinks (that) it is fancier than a pimple.



Sentence 6

Ross / go / doctor / but / doctor / not / know / what / it / either


Ross went to a doctor, but the doctor didn't know what it was either.



Sentence 7

doctor / tell / Ross / skin / abnormality / benign


The doctor told Ross (that) [the/his] skin abnormality [is/was] benign.



Sentence 8

Chandler / recommend / Ross / see / doctor


Chandler recommends (that) Ross (should) see his doctor.



Sentence 9

Ross / tell / doctor / he / has / third / nipple / and / ask / doctor / slice


Ross tells the doctor (that) he has a third nipple and asks the doctor to slice it off.



Sentence 10

doctor / call / some / colleague / look / Ross / skin / abnormality


The doctor calls some (of his) colleagues to look at Ross's skin abnormality.



Sentence 11

all / doctor / look / skin / abnormality / Ross / ass / wonder


All of the doctors look at the skin abnormality on Ross's ass [with/in] wonder.



triangle Listen & Repeat 듣고 따라하기 Ouça e repita Escuchar y repetir [ ? ]

Listen & Repeat


This activity has two purposes.

The first purpose is to improve listening accuracy. Learners can often understand the general meaning of a video but still not hear and understand many of the words that are said. This is because native speakers tend to say the functional words unclearly. (eg. don’t know, going to, want to, can’t, must have) This activity is designed to help learners improve their ability to hear these words.

TIP: Learners should listen, and then try to repeat exactly what they hear. Then they should click “Show” and read the sentence. After reading the sentence, learners should listen again and try to hear each word.

The second purpose is to improve pronunciation.

TIP: Learners should listen to and read the sentences at the same time. Then learners should try to copy the pronunciation and intonation of the speaker exactly.

TIP: Exaggerating the intonation and feeling of the speaker is useful. It may feel awkward or funny, but it will help you sound more natural.

Escuchar y Repetir

Esta actividad tiene dos propósitos separados.

El primer propósito es mejorar la precisión auditiva. Los estudiantes a menudo pueden comprender el significado general de un video, pero aún no escuchan ni comprenden muchas de las palabras que se dicen. En particular, los hablantes nativos tienden a decir las palabras funcionales (p. Ej., No sé, voy a, quiero, no puedo, debe haberlo hecho) de manera poco clara. Esta actividad está diseñada para ayudar a los alumnos a mejorar su capacidad para escuchar estas palabras.

CONSEJO: Los alumnos deben escuchar y luego intentar repetir exactamente lo que se dijo. Luego deben hacer clic en "Show" y leer la oración. Después de leer la oración, los alumnos deben volver a escuchar e intentar escuchar cada palabra.

El segundo propósito es mejorar la pronunciación.

CONSEJO: Los alumnos deben escuchar y leer las oraciones al mismo tiempo. Luego, los alumnos deben intentar copiar la pronunciación y la entonación del hablante.

CONSEJO: Es útil exagerar la entonación y el sentimiento del hablante. Puede parecer incómodo o divertido, pero te ayudará a sonar más natural.

듣고 따라하기

이 액티비티에는 두 가지 목적이 있습니다.

첫 번째 목적은 청취 정확도를 높이는 것입니다. 학생들은 종종 비디오의 일반적인 의미를 이해할 수 있지만 여전히 많은 단어를 듣고 이해하지 못합니다. 특히 원어민은 기능적 단어 (예 : 모르겠다, 갈 것, 갖고 싶어, 가질 수 없어야 한다)를 불분명하게 말하는 경향이 있습니다. 이 액티비티는 학습자가 이러한 단어를 듣는 능력을 향상시킬 수 있도록 고안되었습니다.

팁 : 학습자는 듣고 나서 말한 내용을 정확하게 반복해야 합니다. 그들은“Show”를 클릭하고 문장을 읽어야 합니다. 문장을 읽은 후 학습자는 다시 듣고 각 단어를 들어야 합니다.

두 번째 목적은 발음을 향상시키는 것입니다.

팁 : 학습자는 동시에 문장을 듣고 읽어야 합니다. 그런 다음 학습자는 화자의 발음과 억양을 따라 해 보아야 합니다.

팁 : 화자의 억양과 느낌을 과장하는 것이 유용합니다. 어색하거나 재미있게 느껴질 수 있지만 더 자연스럽게 들리는 데 도움이 됩니다.

Ouvir e repetir


Esta atividade tem dois propósitos.

O primeiro objetivo é melhorar a precisão auditiva. Os alunos geralmente podem entender o significado geral de um vídeo, mas ainda não ouvem e entendem muitas das palavras que são ditas. Isso ocorre porque os falantes nativos tendem a dizer as palavras funcionais de forma pouco clara. (por exemplo, não sei, vou, quero, não posso, devo ter) Esta atividade é projetada para ajudar os alunos a melhorar sua capacidade de ouvir essas palavras.

DICA: os alunos devem ouvir e tentar repetir exatamente o que ouviram. Em seguida, deveriam clicar em “Mostrar” e ler a frase. Depois de ler a frase, os alunos devem ouvir novamente e tentar ouvir cada palavra.

O segundo objetivo é melhorar a pronúncia.

DICA: os alunos devem ouvir e ler as frases ao mesmo tempo. Em seguida, os alunos devem tentar copiar exatamente a pronúncia e a entonação do falante.

DICA: É útil exagerar na entonação e no sentimento do falante. Pode parecer estranho ou engraçado, mas ajudará você a soar mais natural.

Directions: Play the audio clip and try to repeat what you hear. Click "Show" to see the text.

Instrucciones: Reproduce el clip de audio e intenta repetir lo que escuchas. Haga clic en "Show" para ver el texto.

Instrucciones: Reproduzca el clip de audio e intente repetir lo que escucha. Haga clic en "Mostrar" para ver el texto.

지시 사항 : 오디오 클립을 재생하고 들리는 내용을 반복해 보십시오. 텍스트를 보려면 "Show" 를 클릭하십시오.


Clip 1

Well, I don't know. It's kind of in a place that's not visually accessible to me.



Clip 2

Well what is it? Is it a mole?



Clip 3

No, it's too wrinkly to be a mole.



Clip 4

No, it's fancier than a pimple.



Clip 5

Well, he said there's definitely nothing to worry about. It's totally benign.



Clip 6

He said without being able to identify it, he was reluctant to remove it.



Clip 7

Well, you know what? You should go to my guy.



Clip 8

Because when I went in there with my third nipple, he just lopped it right off.



Clip 9

Just slice that baby right off!



Clip 10

What are you doing?



Clip 11

First of all, it's on your ass.



triangle Discussion 논의 Questões de discussão Discusión

  1. What do you think Ross has on his butt?
  2. From your experience, does this video clip seem realistic? In what ways is it realistic? In what ways is it unrealistic?
  3. Who in your life (friends/family) would you trust to look at something strange on your body?
  4. Have you ever had something removed from your body?
  5. Are you nervous when you visit a doctor? How about a dentist? Why?
  6. When you visit a doctor, do you always trust their advice or do you get a second or third opinion? How about if it is for your child?
  7. Can you explain (in English) the appearance, cause, and treatment of the following skin issues? (Use your dictionary if you have to.)
    • acne / pimples
    • a birthmark
    • a blister
    • hives
    • liver spots
    • a mole
    • a scar
    • a skin tag

triangle Script 대본 Roteiro Texto

Ross: Hey.

Chandler: Hey.

Joey: Hey.

Ross: Listen, I need a favor. Umm, I was in the shower, and as I was cleansing myself, I, well, I felt something.

Chandler: Was it like a sneeze only better?

Ross: No, no. I mean, I mean a thing on my body.

Joey: What was it?

Ross: Well, I don't know. It's kind of in a place that's not... it's not visually accessible to me, and I was hoping maybe you guys could help me out.

Chandler and Joey: Whoa!!!

Chandler: No!!

Ross: Come on you guys. It's no big deal!

Chandler: Whoa-heeeiiiiii-iiiii-ah!! Huh.

Ross: Well, what is it? Is it a mole?

Joey: No, it's too wrinkly to be a mole.

Ross: Well, eww. Is it what? A pimple?

Chandler: No, it's fancier than a pimple. Look, Ross, why don't you just go see a...

Rachel: Hey guys! What's...

Chandler: Okay, well, it's definite: two more weeks of winter.

Joey: Yeah, right.


Ross: Hey guys.

Joey: Well?!

Chandler: Okay, how'd it go at the doctor's?

Ross: Well, he said there's definitely nothing to worry about. It's totally benign.

Joey: Well, what is it?!

Ross: He couldn't even tell me! He said it was just some sort of skin abnormality. And the worst thing is he said, he said, without being able to identify it, he was reluctant to remove it.

Chandler: Y'know what? You should go to my guy. Because when I went in there with my third nipple, he just lopped it right off. Y'know? So I guess I'm lucky. I mean not as lucky as people who were born with two nipples.

Ross: At least they knew what yours was. Y'know, yours had a name.

Joey: Oh! Maybe they'll name yours after you! Y'know, they'll call it "the Ross". And then people would be like, "Awww, he's got a Ross."

Ross: Yeah, that would be cool!


Ross: That's all it is, a third nipple. Y'know? Just your run-of-the-mill third nipple. Y'know? You can take it off. Just slice that baby right off!

Doctor: Take your shirt off, and let's see what we're dealing with here. What are you doing?

Ross: Just showing you my run-of-the-mill slice-it-right-off third nipple.

Doctor: Well. that's not a third nipple.

Ross: No?

Doctor: First of all, it's on your ass.

Ross: Well then what is it?!

Doctor: Wait a minute, hold it. Johnson! Will you come in here a moment?

Johnson: I'm with Hamilton!

Doctor: He's good with weird things. Bring him in too.


Ross: You know, I have dinner plans!!

Doctor: Thank you soo much for coming on such a short notice. Ladies and gentlemen, I've been practicing medicine for twenty-three years, and I'm stumped.

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