Learn English with The Pitt

#5. A Humane Death (1)


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Published: 11.06.2025
Level 5   |   Time: 2:12
Accent: American

Dr. Robby talks to a brother and sister dealing with their father's illness.


triangle Directions 목표 Direcciones Instruções


  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


  • ☐ ☐ ☐ assisted living [n] - a place where older people live and get help with daily activities
  • ☐ ☐ ☐ pneumonia [n] - a serious lung infection
  • ☐ ☐ ☐ sepsis [n] - a dangerous bacteria infection spreading in the blood
  • ☐ ☐ ☐ the bloodstream [n] - the blood flowing through the body
  • ☐ ☐ ☐ Nowhere Man [n] - a character from the Yellow Submarine, also a Beatles song [ Link ]
  • ☐ ☐ ☐ Yellow Submarine [n] - a 1960s Beatles movie [ Link ]
  • ☐ ☐ ☐ a baseline [n] - normal or usual condition
  • ☐ ☐ ☐ step out [phv] - leave a room for a short moment
  • ☐ ☐ ☐ an advance directive [n] - a written document about medical care if you can’t speak
  • ☐ ☐ ☐ IV fluids [n] - liquid given through a tube into the vein [image] ESL Vocab - IV fluids
  • ☐ ☐ ☐ antibiotics [n] - medicine that kills bacteria
  • ☐ ☐ ☐ artificial life support [n] - machines that keep someone alive
  • ☐ ☐ ☐ CPR [n] - emergency chest pushing and breathing to restart the heart (cardiopulmonary resuscitation)
  • ☐ ☐ ☐ a tube [n] - a long hollow piece used to move air or liquid [image] ESL Vocab - A tube
  • ☐ ☐ ☐ a windpipe [n] - the tube in the throat where air goes to the lungs [image] ESL Vocab - The windpipe
  • ☐ ☐ ☐ treatable [adj] - can be helped or cured with medicine
  • ☐ ☐ ☐ durable power of attorney [exp] - the legal power to make medical decisions for someone else
  • ☐ ☐ ☐ humane [adj] - kind and caring to someone in pain
  • ☐ ☐ ☐ a path [n] - a way, a choice

[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 has just been admitted into the ER.

triangle Questions 문제 Questões Preguntas


  1. Mr. Spencer has pneumonia and sepsis.
    True
    False

  2. Sepsis is viral infection of the blood and lungs.
    True
    False

  3. Mr. Spencer does not recognize his children.
    True
    False

  4. Mr. Spencer's blood pressure is getting worse.
    True
    False

  5. Mr. Spencer has an advanced directive that says no CPR and no breathing machines.
    True
    False

  6. Helen and Jeremy agree about what to do next.
    True
    False

  7. Helen and Jeremy both have durable power of attorney for their father.
    True
    False

  8. Dr. Robby needs Helen and Jeremy to make a quick decision about their father.
    True
    False

  9. Dr. Robby indicates that artificial life support is the most humane choice.
    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. It means that the bacteria has spread from his lung to his [ veins + arteries, circulatory system ].

    [ bloodstream ]



  2. Is this his [ usual condition ]?

    [ baseline ]



  3. Why don't we [ leave briefly ] for one more second?

    [ step out ]



  4. Your dad has an [ end-of-life plan ] expressing his wishes.

    [ advance directive ]



  5. We're not going to place a tube in his [ trachea, throat ] for a breathing machine.

    [ windpipe ]



  6. Do either of you have [ the legal right to make decisions ] for healthcare?

    [ durable power of attorney ]



  7. Sometimes allowing for a comfortable natural death can be the most [ kind, compassionate ] path.

    [ humane ]



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:
    Your father has pneumonia and a condition called sepsis.
  • Patient Proxy:
    What is that exactly?
  • Doctor:
    It means that the bacteria has spread from his lung to his bloodstream. So far, he's been responding well to treatment.
  • Doctor:
    Is this his baseline?
  • Patient Proxy:
    He has good days and bad days.
  • Doctor:
    Why don't we step out for one more second? So, your father came in with low blood pressure, which is improving.
  • Patient Proxy:
    Can he go back to assisted living?
  • Doctor:
    Eventually, we hope so. Your dad has an advance directive expressing his wishes, which says that IV fluids and medications are okay, but no artificial life support, no CPR.
  • Patient Proxy:
    He doesn't want a bunch of machines keeping him alive.
  • Doctor:
    Okay, then we will continue with oxygen and IV fluids and antibiotics. But if his lungs stop working, we're not going to place a tube in his windpipe for a breathing machine.
  • Patient Proxy:
    But pneumonia is treatable.
  • Doctor:
    Most of the time it is.
  • Patient Proxy:
    But if he can get better in a week, then put him on a machine.
  • Doctor:
    Do you have durable power of attorney for healthcare?
  • Patient Proxy:
    Yes, I do.
  • Doctor:
    Okay. Well, this is a decision that does not need to be made right now. Why don't you think about it?
  • Doctor:
    If things get worse, sometimes allowing for a comfortable natural death can be the most humane path.



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.

  • It means that the bacteria has spread (from) his lung (to) his bloodstream.
  • So (far), he's been responding well to treatment.
  • It is (what) he used to call me when I didn't do my homework.
  • Is (this) his baseline?
  • Why (don't) we step out for one more second?
  • So, your father came in with low blood pressure, (which) is improving.
  • A:   Can he go back to assisted living?
    B:   Eventually, we hope (so).
  • Your dad has an advance directive expressing his wishes, (which) says that IV fluids and medications are okay, but (no) artificial life support, (no) CPR.
  • But (if) he can get better in a week, then put him on a machine.
  • That's not (what) he wanted.
  • A:   Do (either) of you have durable power of attorney for healthcare?
    B:   Yes. We both (do).
  • Well, this is a decision that does not need to be (made) right now.
  • If things get worse, sometimes allowing (for) a comfortable natural death can be (the) most humane path.



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

Your father has pneumonia and a condition called sepsis.



Clip 2

It means that the bacteria has spread from his lung to his bloodstream.



Clip 3

So far, he's been responding well to treatment.



Clip 4

He has good days and bad days.



Clip 5

Why don't we step out for one more second?



Clip 6

So, your father came in with low blood pressure, which is improving.



Clip 7

Your dad has an advance directive expressing his wishes, which says that IV fluids and medications are okay.



Clip 8

He doesn't want a bunch of machines keeping him alive.



Clip 9

Then we will continue with oxygen and IV fluids and antibiotics.



Clip 10

But if his lungs stop working, we're not going to place a tube in his windpipe for a breathing machine.



Clip 11

Most of the time it is.



Clip 12

But if he can get better in a week, then put him on a machine.



Clip 13

Do either of you have durable power of attorney for healthcare?



Clip 14

Well, this is a decision that does not need to be made right now.



Clip 15

Sometimes allowing for a comfortable natural death can be the most humane path.



triangle Discussion 논의 Questões de discussão Discusión


  1. Jeremy and Helen have different feelings. What are they? Who do you sympathize with more in this situation?
  2. When someone is very old and very sick, in your opinion, who should make decisions? The patient (through an advance directive)? The family? The doctors?
  3. What would your advance directive be for a situation like this?
  4. Who in your life would you most trust with durable power of attorney for your healthcare directives? Why?
  5. The doctor says that sometimes allowing for a natural death can be the most humane path. What does he mean? Do you agree?

    For medical professionals:
  6. How effectively does Dr. Robby explain the situation and prognosis? What could be clarified?
  7. Evaluate the doctor’s communication style when discussing the advance directive. What did he do well? Did he use “prognostic framing” (describing the best case, describing the worst case describing the most likely case)?
  8. Helen focuses on reversibility. Jeremy focuses on patient wishes. How would you navigate this family disagreement?
  9. Should doctors encourage completing advance directives earlier in life (perhaps during primary care visits)? If so, starting at what age? Explain your position.
  10. What is the difference between withholding treatment and withdrawing treatment in this situation? How might families perceive the difference?
Loading poll…

triangle Script 대본 Roteiro Guion


Nurse: Dr. Robby.

Dr. Robby: Yep.

Nurse: The son and daughter of Mr. Spencer from Assisted Living. They're here.

Dr. Robby: Okay. I'll be right there.

Dr. Robby: Your father has pneumonia and a condition called sepsis.

Jeremy: What is that exactly?

Dr. Robby: It means that the bacteria has spread from his lung to his bloodstream. So far, he's been responding well to treatment.

Helen: Hey, pop. It's Helen and Jeremy.

Mr. Spencer: Jeremy. Hillary. Blue Fudge.

Jeremy: It's the Nowhere Man from Yellow Submarine. It's what he used to call me when I didn't do my homework.

Dr. Robby: Is this his baseline?

Jeremy: He has good days and bad days.

Dr. Robby: Why don't we step out for one more second?

Dr. Robby: So, your father came in with low blood pressure, which is improving.

Helen: Can he go back to assisted living?

Dr. Robby: Eventually, we hope so. Your dad has an advance directive expressing his wishes, which says that IV fluids and medications are okay, but no artificial life support, no CPR.

Jeremy: He doesn't want a bunch of machines keeping him alive.

Dr. Robby: Okay, then we will continue with oxygen and IV fluids and antibiotics. But if his lungs stop working, we're not going to place a tube in his windpipe for a breathing machine.

Helen: But pneumonia is treatable.

Dr. Robby: Most of the time it is.

Helen: But if he can get better in a week, then put him on a machine.

Jeremy: That's not what he wanted.

Dr. Robby: Do either of you have durable power of attorney for healthcare?

Jeremy: Yes.

Helen: We both do.

Dr. Robby: Okay. Well, this is a decision that does not need to be made right now. Why don't you think about it, talk about it? If things get worse, sometimes allowing for a comfortable natural death can be the most humane path.

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