Some doctors are taking an unusual new approach to communicate better with patients—they are letting (31) read the notes that physicians normally share only with each other. After meeting with patients, doctors typically jot (32) notes on a range of topics, from musings about possible diagnoses to observations about (33) a patient is getting along with a spouse. The notes are used to justify the bill, and may be audited. But the main idea is to have a written record (34) insights into the patient’s condition for the next visit or for (35) doctors to see. A study currently under way, (36) the OpenNotes project, is looking at what happens (37) doctors’ notes become available for a patient to read, usually (38) electronic medical records. In a report on the early (39) of the study, published Tuesday in the Annals of internal Medicine, researchers say that inviting patients to review the (40) can improve patients understanding of their own health and (41) them to stick to their treatment regimens (42) closely. But researchers (43) point to possible downsides: Patients may panic if their doctor speculates (44) writing about cancer or heart disease, (45) to a flood of follow-up calls and emails. And doctors say they worry that some medical terms can be taken the (46) way by patients. For instance, (47) phrase "the patient appears SOB" (48) to shortness of breath, not a derogatory designation. And OD is short for oculus dexter, or right eye, (49) for overdose. Medical providers have been stepping up efforts to improve doctor-patient communication, in part (50) studies show it can result in better patient outcomes. The introduction of electronic medical records in recent years has helped to achieve that.

37（）

A. Mr. Fesler is hardly alone in his antipathy toward the airlines, as anyone who has spent time reading the angry customer postings on Web sites like flyertalk.com, airlinerage.com and flightsfrornhell.com knows.
B. All this has created a generation of fliers who now view getting on a plane as roughly akin to entering the ninth circle of hell.
C. Thus airlines are increasingly cutting back services in coach or charging passengers for things that used to be free, like meals or drinks or, in the case of Delta, US Airways, Northwest and Continental, starting to use narrow-body planes more frequently on trans-Atlantic flights, making those long-haul flights more cost-effective, albeit at the expense of passenger comfort.
D. Passengers flying business class on United from Washington Dulles to Frankfurt, for example, are now offered "180-degree fie-flat" seats. The upgraded seats, which are part of a multimillion-dollar makeover of its international premium cabins, transform into 6-foot4-inch beds and feature larger personal TV screens, iPod adapters and noise-canceling headphones.
E. Does that sound harsh Well, an unexpected—but not totally surprising—insight into how airline executives think these days came this summer when B. Ben Baldanza, chief executive of the aggressively bare-bones Spirit Airlines, hit "reply all" to an e-mail message from a passenger who wished to be compensated for a delayed flight that caused him to miss a concert he was planning to attend. Mr. Baldanza’s response, which seemed to be intended only for a Spirit Airlines employee but subsequently appeared on multiple travel blogs, said:" Please respond, Pasquale, but we owe him nothing as far as I’m concerned. Let him tell the world how bad we are. He’s never flown us before anyway and will be back when we save him a penny.
F. On that flight, the audio for the movie was broken. The light that indicated when the bathroom was occupied was squirrely, causing confusion and, in some cases, embarrassingly long waits for passengers in need of the lavatory. And though food was available for purchase, it ran out before the flight attendants could serve the entire cabin, leaving some fellow passengers looking longingly at the snack he had packed.