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Learn English with The Pitt

#6. A Humane Death (2)

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Published: 11.20.2025
Level 5   |   Time: 2:14
Accent: American
Source: The Pitt [S1 E01]

Dr. Robby needs Helen and Jeremy to make a decision regarding end-of-life treatment.


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

  • ☐ ☐ ☐ park [v] - leave a car in a place
  • ☐ ☐ ☐ BiPAP [n] - a mask that helps someone breathe with air pressure [image] ESL Vocab - BiPAP
  • ☐ ☐ ☐ step out [phv] - go outside for a short time
  • ☐ ☐ ☐ pressurized [adj] - filled with air under pressure
  • ☐ ☐ ☐ an air mask [n] - a mask that helps someone breathe
  • ☐ ☐ ☐ pneumonia [n] - a serious lung sickness
  • ☐ ☐ ☐ fluids [n] - liquids, water
  • ☐ ☐ ☐ sepsis [n] - a dangerous sickness (infection) in the bloodstream
  • ☐ ☐ ☐ fill up [phv] - become full
  • ☐ ☐ ☐ crash [v] - suddenly drop or fail
  • ☐ ☐ ☐ a breathing machine [n] - a machine that helps a person breathe
  • ☐ ☐ ☐ his wishes [n] - what he wants
  • ☐ ☐ ☐ be sedated [v] - be given medicine to stay sleepy or calm
  • ☐ ☐ ☐ be restrained [v] - be tied or held to prevent movement
  • ☐ ☐ ☐ a tube [n] - a long, thin hollow object [image] ESL Vocab - A tube
  • ☐ ☐ ☐ the throat [n] - the passage between the mouth and stomach [image] ESL Vocab - The Throat
  • ☐ ☐ ☐ elderly [adj] - old, usually over 65
  • ☐ ☐ ☐ psychosis [n] - confusion, a condition in which someone can’t understand what is real
  • ☐ ☐ ☐ recover [v] - get better

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


triangle Background 배경 O fundo Antecedentes

Dr. Robby Helen Jeremy Mr. Spencer
Dr. Robby Helen Jeremy Mr. Spencer
  • This is an emergency room in a hospital in Pittsburgh.
  • Helen and Jeremy are the adult children of Mr. Spencer.
  • Mr. Spencer may need life support (a breathing machine).
  • He has a written record stating that he does not want to be kept alive artificially.

triangle Questions 문제 Questões Preguntas

  1. Mr. Spencer is having trouble answering simple orientation questions.
    True
    False

  2. Dr. Robby says Mr. Spencer’s oxygen levels are going down.
    True
    False

  3. Dr. Robby says Mr. Spencer’s heart is filling with fluid.
    True
    False

  4. Removing the extra fluid would cause Mr. Spencer's blood pressure to spike (increase).
    True
    False

  5. Mr. Spencer wrote down that he does not want to be intubated.
    True
    False

  6. Helen suggests trying the breathing machine for a day.
    True
    False

  7. Dr. Robby thinks that intubation could be painful for Mr. Spencer.
    True
    False

  8. Dr. Robby recommends intubating.
    True
    False

  9. Dr. Robby believes Mr. Spencer may die soon.
    True
    False


triangle Vocabulary Review 어휘 검토 Revisão de vocabulário Vocabulario revisión

Directions: What expressions from the video have the same meaning as the highlighted expressions in the sentences below?

Instrucciones: ¿Qué expresiones del video tienen el mismo significado que las expresiones destacadas en las oraciones siguientes?

Instruções: Quais expressões do vídeo têm o mesmo significado que as expressões destacadas nas frases abaixo?

지시 사항: 아래 문장에서 강조된 표현과 같은 의미를 가진 표현을 영상에서 찾아보세요.


  1. BiPAP, 15 over 5. Let’s [ go outside ].

    [ step out ]



  2. His lungs are filling up with [ liquid ].

    [ fluid ]



  3. Not without his blood pressure [ falling ] with very bad consequences.

    [ crashing ]



  4. Well, we know he expressed his wishes in writing. Do not [ insert a breathing tube ].

    [ intubate ]



  5. He might need to be [ made sleepy with drugs ].

    [ sedated ]



  6. He might need to be [ held down, tied ] because he'd be in an unfamiliar place with a very uncomfortable tube down his [ windpipe ].

    [ restrained ] [ throat ]



  7. [ Old, Senior ] patients can often develop [ loss of reality, severe confusion ].

    [ Elderly ] [ psychosis ]



triangle Grammar 문법 Gramática Gramática (grammar words)

Directions: Choose the most natural word (only one word) for each blank.

Instrucciones: Elige la palabra más natural (solo una palabra) para cada espacio en blanco.

Instruções: Escolha a palavra mais natural (apenas uma palavra) para cada espaço em branco.

지시 사항: 빈칸마다 가장 자연스러운 단어(한 단어만)를 선택하세요.

  • I don't remember (where) I parked.
  • Mr. Spencer, do you know (where) you are?
  • It is a pressurized air mask (that) can improve his oxygen.
  • (Either) his pneumonia is getting worse or his heart couldn't handle the fluids that we gave him to treat the sepsis.
  • Not (without) his blood pressure crashing with very bad consequences.
  • A:   So, let's just hope the BiPAP works.
    B:   And if it (doesn't)?
  • And he wouldn't really know (what) was happening.
  • But he might (get) better.
  • What (would) you do if he were your father?
  • I can guarantee you that we will keep him (as) comfortable (as) possible if a natural death is (what) you choose.
  • (What) my sister means is that we're still deciding (the) best thing (to) do.
  • Well, the sooner you decide, the (better).
  • I wish there (was)* more that I (could) do.

* Both "was" and "were" are correct.


triangle Grammar 문법 Gramática Gramática (noun clauses)

Directions: Choose the most natural answer to complete each sentence.

  • Mr. Spencer, how (are you) feeling?
  • I don't remember where (I parked) .
  • Mr. Spencer, do you know where (you are) ?
  • I don't know where (my car is) .
  • So, let's just hope (the BiPAP works) .
  • He wouldn't really know what (was) happening.
  • What (would you) do?
  • We will keep him as comfortable as possible if a natural death is what (you choose) .
  • What (my sister means) is that we're still deciding the best thing to do.
  • I'm not sure that (he has) that much time left.


triangle Dialogue Practice 대화 연습 Prática de Diálogo Práctica de diálogo

Directions: Practice reading the script. Then Hide parts of the conversation and try to repeat the script from memory.

Instrucciones: Practica leyendo el guion. Luego haz clic en Hide para ocultar algunas de las expresiones y trata de repetir la conversación de memoria.

Instruções:: Pratique lendo o roteiro. Em seguida, clique em Ocultar para esconder algumas das expressões e tente repetir a conversa de memória.

지시 사항 : 스크립트를 읽는 연습을 하세요. 그런 다음 Hide 를 클릭하여 일부 표현을 숨기고 대화를 기억해서 반복해 보세요.



  • Doctor:
    BiPAP, 15 over 5. Let’s step out.
  • Patient Proxy:
    What's BiPAP?
  • Doctor:
    It is a pressurized air mask that can improve his oxygen. Either his pneumonia is getting worse or his heart couldn't handle the fluids that we gave him to treat the sepsis. His lungs are filling up with fluid.
  • Patient Proxy:
    Can't you take the fluid away?
  • Doctor:
    Not without his blood pressure crashing with very bad consequences. So, let's just hope the BiPAP works.
  • Patient Proxy:
    And if it doesn't?
  • Doctor:
    Then I would need to know your decision about using a breathing machine.
  • Patient Proxy:
    I'm still thinking about it.
  • Doctor:
    Well, we know he expressed his wishes in writing. Do not intubate.
  • Patient Proxy:
    I am thinking we could try it for a week.
  • Doctor:
    That would be a very painful week. He wouldn't get a lot of rest with all the monitors and all the blood tests. He might need to be sedated. He might need to be restrained because he'd be in an unfamiliar place with a very uncomfortable tube down his throat.
  • Doctor:
    And he wouldn't really know what was happening. Elderly patients can often develop psychosis.
  • Patient Proxy:
    But he might get better, or he might get worse. What would you do?
  • Doctor:
    I really can't answer that for you. This is your father. That's your decision to make. I can guarantee you that we will keep him as comfortable as possible if a natural death is what you choose.
  • Patient Proxy:
    But he's not your father, and he can recover from this. That is why I am still deciding the best thing to do.
  • Doctor:
    Well, the sooner you decide, the better. I'm really sorry. I wish there was more that I could do. I'm not sure that he has that much time left.



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

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.

Instruções: 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

His oxygen levels are dropping. Mr. Spencer, how are you feeling?



Clip 2

Mr. Spencer, do you know where you are?



Clip 3

It is a pressurized air mask that can improve his oxygen.



Clip 4

Either his pneumonia is getting worse or his heart couldn't handle the fluids that we gave him to treat the sepsis.



Clip 5

Not without his blood pressure crashing with very bad consequences.



Clip 6

Then I would need to know your decision about using a breathing machine.



Clip 7

Well, we know he expressed his wishes in writing. Do not intubate.



Clip 8

He wouldn't get a lot of rest with all the monitors and all the blood tests.



Clip 9

He might need to be sedated. He might need to be restrained.



Clip 10

And he wouldn't really know what was happening.



Clip 11

Elderly patients can often develop psychosis.



Clip 12

I really can't answer that for you. This is your father. That's your decision to make.



Clip 13

I can guarantee you that we will keep him as comfortable as possible if a natural death is what you choose.



Clip 14

What my sister means is that we're still deciding the best thing to do.



Clip 15

Well, the sooner you decide, the better.



Clip 16

I'm really sorry. I wish there was more that I could do.



Clip 17

I'm not sure that he has that much time left.



triangle Discussion 논의 Questões de discussão Discusión

  1. Helen and Jeremy respond differently in this situation. Whose reaction feels more emotional? Whose reaction feels more logical?
  2. How would you react in a similar situation with a family member?
  3. Should doctors give clear opinions in situations like this, or should they stay neutral? Why?
  4. If someone has written medical wishes in advance, should the family always follow them?
  5. How do you feel about quality-of-life vs length of life? What is more important in a situation like this?

    For medical professionals:
  6. How effectively does Dr. Robby deal with this situation?
  7. What specific language does he use to avoid giving a direct recommendation?
    (Underline the language in the script like might, would, often.)
  8. How do you usually respond when someone asks, “What would you do?”
  9. If you were the doctor in this situation, would you give any clear advice? If so, what would it be?
  10. Mr. Spencer has a written DNR/DNI directive. In your country or system, what are the legal or medical requirements in a situation like this?
Loading poll…

triangle Script 대본 Roteiro Guion

Helen: What is happening?

Dr. Robby: Uh, his oxygen levels are dropping. Mr. Spencer, how are you feeling?

Mr. Spencer: I don't remember where I parked.

Dr. Robby: Mr. Spencer, do you know where you are?

Mr. Spencer: It's so loud in here.

Helen: Dad, do you know where you are?

Jeremy: Dad, look at me. What's my name?

Mr. Spencer: I don't know where my car is.

Dr. Robby: BiPAP, 15 over 5. Let’s step out.

Helen: What's BiPAP?

Dr. Robby: It is a pressurized air mask that can improve his oxygen. Either his pneumonia is getting worse or his heart couldn't handle the fluids that we gave him to treat the sepsis. His lungs are filling up with fluid.

Helen: Can't you take the fluid away?

Dr. Robby: Not without his blood pressure crashing with very bad consequences. So, let's just hope the BiPAP works.

Helen: And if it doesn't?

Dr. Robby: Then I would need to know your decision about using a breathing machine.

Helen: We're still talking about it.

Dr. Robby: Well, we know he expressed his wishes in writing. Do not intubate.

Helen: We're thinking try it for a week.

Dr. Robby: That would be a very painful week. He wouldn't get a lot of rest with all the monitors and all the blood tests. He might need to be sedated. He might need to be restrained because he'd be in an unfamiliar place with a very uncomfortable tube down his throat. And he wouldn't really know what was happening. Elderly patients can often develop psychosis.

Helen: But he might get better.

Jeremy: Or he might get worse. What would you do?

Dr. Robby: I really can't answer that for you. This is your father. That's your decision to make. I can guarantee you that we will keep him as comfortable as possible if a natural death is what you choose.

Helen: But he's not your father, and he can recover from this.

Jeremy: What my sister means is that we're still deciding the best thing to do.

Dr. Robby: Well, the sooner you decide, the better. I'm really sorry. I wish there was more that I could do. I'm not sure that he has that much time left.

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