Speaking Boost · C1 · Lesson 11 of 50
Speaking Boost C1 · Block 3: Science and Discovery

Why did it take so long to accept that hand-washing saves lives?

Good ideas are sometimes rejected for decades. Learn to tell the story of a scientific discovery, and to use advanced passives: modal, perfect and continuous forms, passive infinitives and the get-passive.

1

Warm-up

5 min
1.1

Medicine and hygiene

Answer each question with 2–3 sentences.

  1. Do you wash your hands as often as you should?
  2. Have you ever had an idea that people rejected?
  3. Why do people resist new ideas?
  4. Which medical discovery do you think is the most important?
  5. Would you trust a doctor who disagreed with all the others?
  6. Do you believe that most people follow health advice?
2

Words and phrases

12 min
2.1

New words

Read each word and the example. Then say a sentence about medicine or hygiene.

2.2

Which word?

Choose the word that fits.

  1. Washing hands and keeping places clean is part of good .
  2. The rate, the number of deaths per hundred patients, fell sharply.
  3. Several doctors his findings without testing them, because the idea seemed strange.
  4. To make fun of someone's ideas in public is to them.
  5. A dirty wound may easily develop a serious .
  6. Tiny living things that can cause disease are called .
  7. To fail to notice something important is to it.
  8. Years later, new research proved him right, and his ideas were finally .
2.3

Opposites and pairs

Choose the right answer, then press Check answers.

  1. hygiene = practices that keep people and places
  2. mortality is the number of
  3. to dismiss an idea = to refuse to
  4. an infection is caused by
  5. to vindicate = to show that someone was
  6. scepticism = a
2.4

Useful phrases

Use these phrases to talk about ideas that were accepted or rejected.

  • His findings were dismissed as...Його висновки відкинули як...His findings were dismissed as nonsense.
  • It has since been shown that...Відтоді було доведено, що...It has since been shown that hand-washing saves lives.
  • It is now widely accepted that...Тепер широко визнано, що...It is now widely accepted that germs cause infection.
  • Lives could have been saved if...Життя можна було б урятувати, якби...Lives could have been saved if his advice had been followed.
  • He was ridiculed for...Його висміювали за...He was ridiculed for his ideas.
  • It took decades for the idea to be accepted.Минули десятиліття, перш ніж ідею прийняли.It took decades for the idea to be accepted.
  • The evidence was being ignored.Докази ігнорували.At that time the evidence was being ignored.
  • What is at stake is...Йдеться про...What is at stake is people's health.
3

Read and react

8 min
3.1

The doctor who was ignored

Read the text. Hover over the dotted words for help.

Why did it take so long to accept that hand-washing saves lives?

Why did it take so long to accept that hand-washing saves lives? In the 1840s, the Hungarian doctor Ignaz Semmelweis worked in the maternity wards of the Vienna General Hospital. He noticed that far more women died in the clinic staffed by doctors than in the one staffed by midwives. After a colleague died of an infection following a cut during an autopsy, he suspected that something was being carried from the dead to the living on doctors' hands.

In 1847, he ordered that hands must be washed in a chlorine solution before examining patients. Mortality in the doctors' clinic fell dramatically. Yet his results were not welcomed. Many colleagues felt that they were being blamed, and his ideas were dismissed by much of the profession. He could not explain why the method worked, since germs had not yet been proved to cause disease, and he is said to have been a difficult man who argued fiercely.

Semmelweis lost his job and eventually died in 1865. Only later, through the work of Louis Pasteur and Joseph Lister, did the germ theory become widely accepted, and hand-washing was finally vindicated. Today he is often described as a pioneer, though historians point out that other factors also played a part.

What can be learned? Evidence alone is rarely enough: new ideas need to be explained well, and they should not be presented as an accusation. How many lives could have been saved if his advice had been followed sooner?

Which idea today may be rejected for the wrong reasons?

3.2

True or false?

  1. Semmelweis worked in a hospital in Vienna.
  2. Mortality fell in the doctors' clinic after hand-washing began.
  3. His ideas were accepted immediately.
  4. Germ theory was already proved when he began his work.
  5. The text says that evidence alone is usually enough.
3.3

What do you think?

  1. Why do experts sometimes reject new ideas?
  2. How should a scientist present a surprising result?
  3. Which modern ideas might be ridiculed today and accepted later?
  4. Would you have believed Semmelweis?
4

Grammar for speaking

10 min
4.1

Grammar for speaking

Passives beyond the simple forms

Make the passive with be + past participle in any tense or form. After modals: must be washed, should have been taken. Perfect: has been shown. Continuous: is being studied. Infinitive: to be proved, to have been saved.

Hands must be washed before surgery. His results have been confirmed. The ward is being cleaned now. The findings should have been taken seriously. He is believed to have saved thousands of lives. He hated being ridiculed.

The get-passive

Use get + past participle in informal speech for things that happen, often by accident or with a feeling of surprise or loss. It is less formal than be.

Many patients got infected in the old hospital. He got dismissed from his job. The letter got lost.

Block 3 preview

Grammar you will use in this block.

advanced passives (L11) · reporting verbs and patterns (L12) · nominalisation (L13) · talking about statistics (L14) · review (L15)

Common mistakes: use be + past participle after modals and in perfect and continuous forms, and get + past participle for things that happen to people. ✗ Hands must washed → Hands must be washed. ✗ The ward is cleaning now → The ward is being cleaned now. ✗ It has ignored for years → It has been ignored for years. ✗ He got ignore → He got ignored.

4.2

Choose the right form

  1. The ward
    at the moment.
  2. Hands
    before surgery.
  3. His results
    by many studies.
  4. Many patients
    in the old hospital.
  5. The method is believed
    thousands of lives.
  6. He hated
    in public.
  7. The findings
    seriously.
  8. Many more lives
    if the rule had been followed.
4.3

Fix the mistake

Each sentence has one mistake. Type the correct words.

  1. The ward is cleaning now. →
  2. Hands must washed before surgery. →
  3. His work has ignored for years. →
  4. Many patients got infect. →
  5. The method is believed to saved many lives. →
  6. The findings should have taken seriously. →
4.4

Talk about it

Answer in detail. Use advanced passives.

  1. Which discovery do you think was accepted too slowly?
  2. What should be done when a new idea is being ignored?
  3. Have you ever been blamed for something you did not do?
  4. What can be learned from the story of Semmelweis?
  5. Do you think that experts should be questioned more often?
  6. Which health advice is still being ignored today?
5

Three views and a short talk

8 min
5.1

Three views on rejected ideas

Three people discuss why good ideas are rejected. Compare them. Who blames the scientist? Who blames the system? Whose view is closest to yours?

Person 1

Dr Berg, 52

  • Is a hospital doctor
  • Says hygiene rules must be followed strictly
  • Admires Semmelweis
  • Believes that scepticism protects patients
Person 2

Nadia, 29

  • Is a nurse
  • Says her ideas are often dismissed
  • Wants new ideas to be tested properly
  • Believes that hospitals are improving
Person 3

Prof. Hale, 60

  • Teaches the history of medicine
  • Says rejected ideas are often overlooked
  • Warns that the story is simplified
  • Argues that many factors were involved
5.2

Mini-talk: an idea that was rejected

Your teacher will time you.

  1. Plan for one minute, then speak for one or two minutes.
  2. Part 1: tell the story of an idea that was rejected and later accepted.
  3. Part 2: explain why it was rejected (use at least two passive forms).
  4. Part 3: say what can be learned today.
2:00
6

Personal questions

10 min
6.1

Part I: Me

  1. Do you wash your hands often?
  2. Have you ever had an idea that was dismissed?
  3. Do you trust health advice?
  4. Which discovery in medicine do you admire?
  5. Are you sceptical by nature?
  6. Have you ever changed your mind because of evidence?
  7. Do you take advice from experts?
  8. What would you do if nobody believed you?
6.2

Part II: Other people

  1. Who in your family works in medicine?
  2. Who in your life listens to new ideas?
  3. Who gave you the best health advice?
  4. Who was ridiculed at school for being different?
  5. Who do you know who has been proved right?
  6. Who should decide what counts as good evidence?
6.3

Part III: A bit deeper

  1. Should experts always be trusted?
  2. Is it a mistake to ridicule new ideas?
  3. Would more lives be saved if people followed the advice?
  4. Do scientists have to explain their ideas better?
  5. Are we more open to new ideas than people in the past?
7

Roleplay

12 min
7.1

Interviewing a historian

You

Interviewer

You interview a historian of medicine (your teacher):
  • ask about Semmelweis
  • ask why his ideas were rejected
  • ask what lessons can be learned
  • thank the historian
Speak for at least 2 minutes in total. Use passive forms in your questions.
Your teacher

Historian

Says things like:
  1. He worked in Vienna.
  2. His ideas were dismissed.
  3. Evidence alone is not enough.
  4. Thank you for the interview.
7.2

Defending a new idea

You

Speaker

You present an unusual idea at a meeting (your teacher):
  • explain your idea
  • give your evidence
  • answer a doubt
  • use at least three passives
You do most of the talking. Use: It has been shown that... · It is now accepted that...
Your teacher

Sceptic

Says things like:
  1. Why should we believe you?
  2. Where is the evidence?
  3. This sounds strange.
  4. What do you want us to do?
8

Homework

at home

Your homework score

Do all four exercises, then press Check all homework. Correct answers will appear next to your mistakes.

– / 30
H1

Complete with a word

hygienemortalitydismissedridiculeinfectiongermsoverlookvindicated
  1. Washing hands and keeping places clean is part of good .
  2. The rate, the number of deaths per hundred patients, fell sharply.
  3. Several doctors his findings without testing them, because the idea seemed strange.
  4. To make fun of someone's ideas in public is to them.
  5. A dirty wound may easily develop a serious .
  6. Tiny living things that can cause disease are called .
  7. To fail to notice something important is to it.
  8. Years later, new research proved him right, and his ideas were finally .
H2

Choose the correct form

  1. The room now.
  2. Gloves in the ward.
  3. The theory many times.
  4. Several patients last week.
  5. He is thought the first to try it.
  6. She dislikes when she speaks.
  7. The risks earlier.
  8. The idea sooner if it had been explained well.
H3

Correct or incorrect?

Decide if each sentence is grammatically correct.

  1. Hands must be washed before surgery.
  2. Hands must washed before surgery.
  3. The ward is being cleaned now.
  4. The ward is cleaning now.
  5. His results have been confirmed.
  6. His results have confirmed by many studies.
  7. He hated being ridiculed.
H4

Match the two halves

  1. His findings were dismissed
  2. It has since been shown
  3. It is now widely accepted
  4. Lives could have been saved
  5. He was ridiculed
  6. It took decades
  7. What is at stake

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