一个医生看到一个外表奇特的孩子可能会在笔记中写FLK，这是怪模样孩子的简写，那并不意味着侮辱，而是作为提醒，观察缓慢生长以及心理迟缓，这些都有可能伴随身体畸形。稍后他可能加上FLD，怪模样爸爸往往会有怪模样的后代。但是这种坦率可能成为一种往事，随着（因为）更多医院和诊所把医生的笔记公开给患者及其监护人看。
A doctor who sees a child with an odd appearance might write "FLK" in his notes. Short for funny-looking kid, that[it] is not meant as an insult, but as a reminder to watch for slow growth and mental retardation, which can accompany physical abnormalities. Later he might[/may] add "FLD", funny-looking dads tend to have funny-looking offspring. But such candour may become a thing of the past as more hospitals and clinics make doctors' notes available to patients and their guardians.
拓荒者们认为公开笔记这种方式能够把病患积极参与治疗，并且使他们其他的护理人员知情。《内科医学年鉴》的2012年的一项研究支持支持这个位置（做法），105个医生和2万名患者分享了笔记。在接下来的一年里看医生的患者中超过4/5此前看了他们的笔记。在一个调查中，大约3/4的人说他们觉得自己能更好地掌控自己的护理。少数人表示笔记让人困惑、冒犯或担忧，几乎所有人都想要（笔记）公开（法）继续。
The trailblazers think[/see] open notes as a way to engage patients in [their] treatment and [to] keep their other carers informed. A study in 2012 [in] the Annals of Internal Medicine [of] 105 doctors [who] shared [their] notes with 20,000 patients backs this position. More than[/Over] 4/5 of the patients who visited their doctors in the following year had [looked at] their notes. In a survey, about 3/4 said they felt more in control of their care. Few said the notes were confusing, offensive or worrisome. Almost[/Nearly] all wanted /the/ access to continue.
参与（调查）的医生报告称他们的行为改变很少，多余的工作也很少，虽然有些人确实改变了他们对紧张话题的写法，诸如癌症、心理健康、物质滥用以及肥胖。至于FLK以及其他医学俚语，研究的其中一名作者Tom Delbanco表示：“好医生不会给东西贴标签，好医生只会描述东西。”
Doctors who took part reported little change in their behaviour and little extra work, though some did change[/alter] the way they write about charged topics such as cancer, mental health, substance abuse and obesity. As for FLK and other medic[s'] slangs, Tom Delbanco, one of the study's authors, says that good doctors don't label things, good doctors describe things.
大约300万美国患者现在能够轻松获得他们医生的笔记，包括那些在诸如克利夫兰和梅奥诊所这类领先机构（的患者），还有100万个由退伍军事事务部照料的（患者）。这是好生意也是好医学。 Kaiser Permanente Northwest的患者必须注册其网站以便读他们医生的笔记，这就是的他们的护理更容易管理，也降低了他们会转换到竞争对手的几率。
Some 3 million American patients /can/ now [have] [easy] /get/ access to their doctors['] notes, including those [at] leading institutions such as the Cleveland and Mayo clinics, and 1 million [of those] /in the/ care[d] [by] the Department of Veteran[s] Affairs. This is good business as well as good medicine. Patients with Kaiser Permanente Northwest must register on its website in order to read their doctors[s] notes, which makes their care easier to manage and [lowers] the chance that they will switch to a competitor.
6.15
doctor/carer/medicine/medics
patients/their guardians
an odd appearance/funny-looking
child/kid/offspring/father
an insult/a reminder to watch for
slow growth/mental retardation/accompany physical abnormality
physical/mental
may/might
notes/add/write
candour/insult/confusing, offensive/worrisome
a thing of the pass
make doctors' notes available/open notes/easy access to/share notes with...
engage sb in sth/keep... informed
the Annal of Internal Medicine
trailblazer
see.. .as a way to do sth/back this position
read/look at their notes
almost/nearly
took part/in a survey
change/alter/switch to...
candour/behaviour/extra work
charged topics/cancer/mental health/substance abuse/obesity
FLK/FLD/short of/medics' slang
label things/describe things
at leading institutions/the Cleveland/Mayo clinics/the Department of Veterans Affairs/Kaiser Permanente Northwest
good business/medicine
register on its website
more in control of their care/make their care easier to manage
lower the chance
other carers/a competitor
