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Early to Bed...

Lead-in

1a. The title is from a well-known proverb. Can you complete it? What does it mean?

b.Describe the pictures on this page. What do you think their daily routines are?

c.What time do you usually wake up?

Do you wake up on your own, or do you need an alarm clock?

Do you often have late nights, or do you always go to bed early?

Do you have a strict daily routine? What do you usually do every day?

2a. Tick ( ) the points below which you feel describe you, then talk about yourself using adverbs of frequency.

clumsy, often have accidents ..........

often feel tired ..........

get ill more often than other people ..........

suffer from indigestion/headaches etc ..........

have health problems (e.g. heart problem,

muscular pains etc) ..........

have a regular sleep pattern ..........

have meals at the same times every day ..........

Iamnotusuallyclumsy. Idon’toftenhave acccidents.

b.How do you feel about your lifestyle? What would you like to change? Why? Compare answers with your partner.

70

 

 

 

 

 

‘Routine’ is usually

5

 

 

 

 

 

seen as a negative term nowadays,

 

 

 

 

 

 

largely because we no longer belong to a society

 

 

 

 

 

 

of nine-to-fivers. We live in what is fast becoming a 24-

 

 

 

 

 

 

hour society, where everything is open all hours. You can buy

 

 

 

 

 

your groceries at midnight, book your holiday on the Internet at 3

 

 

 

 

 

am, and do business online at the crack of dawn. Before you join

 

 

 

 

 

the 24-hour revolution, however, take a minute to listen to what your

 

 

 

 

 

body is trying to tell you – that a round-the-clock lifestyle is not what

 

 

 

 

 

nature intended.

 

 

 

 

 

 

In an area of our brains called the hypothalamus, we have a ‘body clock’

 

 

 

 

 

that controls our body’s natural rhythms. It tells us when it’s the right time to

line 12

 

 

 

 

eat, sleep, work and play. It plays an important part in our physical and

 

 

 

 

 

psychological well-being. It is, in fact, what makes us tick and it controls many

line 14

 

 

 

things including our hormones, temperature, immune functions and alertness. It

 

 

 

synchronises all these like a conductor with an orchestra; it regulates tempo and

 

 

 

brings in all the different instruments on time to make music rather than random noise. If we

 

 

 

try to ignore our body clocks, or even to switch them off for a while, we not only deprive

 

 

ourselves of much needed rest but we also run the risk of seriously damaging our health.

 

 

 

 

Ignoring your body clock and changing your body’s natural rhythms can not only make you

 

 

depressed, anxious and accident prone, it can lead to much more serious health problems. For

 

 

example, heart disease, fatigue, ulcers, muscular pain, and frequent viral infections can all

 

 

result from trying to outsmart our body clocks. Altering our patterns of sleeping and waking

 

 

 

dramatically affects our immune system. While we sleep the body’s repair mechanisms are at

 

 

Reading

work; when we are awake natural killer cells circulate around our bodies and cause more

 

 

damage. Our digestive system is affected, too – high levels of glucose and fat remain in

 

3

a. What is the man

our bloodstream for longer periods of time and this can lead to heart disease.

 

Unfortunately, we were not designed to be members of a 24-hour society. We

 

 

 

below looking at?

can’t ignore millions of years of evolution and stay up all night and sleep all day.

 

 

 

How do you think

We function best with a regular pattern of sleep and wakefulness that is in

 

 

 

he feels? Why?

tune with our natural environment. Nature’s cues are what keep our

 

 

 

 

body clocks

ticking rhythmically and everything working

in

 

 

 

 

 

 

 

b. Is it important to have a

harmony. So, next time you think a daily routine is boring

 

 

 

 

standard daily routine?

and predictable, remember that routine may well

 

 

 

 

 

save your life in the long run.

 

 

 

 

Why/Why not?

 

 

 

 

 

 

 

 

 

 

 

 

 

Read the text to find out.

 

5 According to the text, we should

 

 

 

 

 

 

 

 

 

 

c. Read the text again and choose the correct

A do things when our body tells us to.

 

 

 

answer, A, B, C or D, for questions 1-6.

B organise our body clock according to a strict

 

 

 

 

 

 

schedule.

 

 

1

What does itin line 12 refer to?

 

C use the natural environment to work out a regular

 

 

A

our body’s natural rhythms

 

routine.

 

 

 

 

D have a boring, slow-paced lifestyle.

 

 

B

the hypothalamus

 

 

 

 

 

 

 

 

 

 

C our body’s biological clock

 

6 According to the text, our body clock

 

 

D

our brain

 

 

A can be changed without harm.

 

 

 

 

 

 

 

 

 

2

What does the word tickin line 14 mean?

B determines when we should do things.

 

 

A

check

 

 

C helps us to fight sleep.

 

 

 

 

 

D is a boring routine.

 

 

 

B

motivate

 

 

 

 

 

 

 

 

 

 

 

C

select

 

 

 

 

 

 

D

function

 

 

d. Explain the words/phrases in bold. Which words

 

3 In what way is our body clock like the

in the text do you think come from another

 

language? Are there any words in the text that

 

 

conductor of an orchestra?

 

 

 

 

are the same in your language?

 

 

 

A The hypothalamus controls our actions.

 

 

 

 

 

 

 

B It makes all the body’s functions work

Follow-up

 

 

 

 

together at the right time.

 

 

 

 

C The body clock is very precise.

 

4 Why has the writer written this article? Are there

 

 

D We have a special programme.

 

 

4 If we change our sleep patterns, we

 

any points in the article you disagree with? Is there

 

 

any information you did not know before reading

 

 

A will get an infection.

 

the article? Compare answers with your partner.

 

 

B will disturb our immune system.

 

 

 

 

 

C will get heart disease.

 

 

 

 

 

D get high levels of dangerous cells.

 

 

 

 

71

Vocabulary Practice

Health Problems

5a. Look at the table and match the problems to their symptoms and causes.

Symptoms

Problem

Common Cause

can’t sleep

indigestion

not getting enough sleep

a bloated, painful stomach

asthma

a virus

headache, fever, aching muscles

insomnia

spending too much time in the sun

high temperature, nausea, dizziness

overtired

bacteria under the skin

a painful muscle contraction

flu

eating too much or too quickly

difficulty breathing, wheezing

cramp

doing too much exercise

can’t stop yawning

acne

stress, anxiety

runny nose, sore eyes, sneezing

heat stroke

an allergy to pollen

spots and red lumps on the face and neck

hay fever

an allergy to dust or animals

b.In pairs, use the table to talk about health problems, as in the example. Which of these problems have you experienced?

Ifyouhaveabloated,painfulstomach,thenyou’ve probablygotindigestion.Thisisusuallycausedbyeating toomuch,tooquickly.

c.What medical problems could you suffer ...

ñon a very hot day?

ñif you get wet on a cold day?

6a. Match the words in column A to those in column B to make collocations, then say what might give you each problem.

b.

Match the collocations to the advice.

ñ

take an aspirin

ñ ask the doctor to

ñ

put it in a sling

prescribe some

ñ

pinch your nose

medicine

ñ

put some ice on it

ñ rest the injured part

ñ

get some fresh air

ñ suck on a throat

ñ

drink plenty of fluids

lozenge

Ifyouhaveasplittingheadache,youshouldtakeanaspirin.

c. In pairs, act out dialogues, as in the example.

splitting

poisoning

 

black

wrist

 

sprained

bleed

 

travel

cold

 

pulled

headache

 

food

sickness

 

sore

muscle

 

streaming

eye

 

nose

throat

 

Youmaygetasplittingheadacheifyouworkonacomputer fortoolong.

A:I’vegotasplittingheadache.

B:Really?Why?

A:I’vebeenworkingonthecomputerallday.

B:Youshouldtakeanaspirin.

Writing

7Write a letter to a friend about a health problem that you have had recently. Write what caused it, when/where it happened and what you did about it.

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Stress and Relaxation

8Look at the list below and rank the stressful situations from 1 to 9, where 1 is the least stressful and 9 the most stressful. Compare your list to your partner’s and talk about the situations.

a

 

being stuck in a traffic jam

 

 

 

doing the housework

b

 

 

 

 

waiting in a queue for a long time

c

 

 

 

being late for school/work

d

 

 

missing the bus/train to school/work

e

 

 

walking home alone at night

f

 

 

 

going to the dentist

g

 

 

 

taking an exam

h

 

 

not being able to sleep at night

i

 

 

A:Tome,goingtothedentististhemoststressfulsituation. Ican’tstanddrills!Whataboutyou?

B:Well,Ijusthatebeingstuckintrafficjams.Ireallyget stressedwhenIhavetositandwaitforages.

9a. Look at the pictures. Which would you do to help you relax when you are stressed? You can add your own ideas.

play music

get together with friends

go shopping

go cycling

paint

go to the gym

Ipreferplayingtennistogoingtothegym. I’dratherwatchTVthanplaycomputergames.

b.In pairs, discuss what you prefer doing to relax. Use the table below.

I (really) enjoy/like/love/

I don’t like ...

prefer ....

I hate/detest/can’t stand ...

I’m fond of/interested in/

I’m not very fond of/

keen on

interested in/keen on ...

I find ... quite exciting/

I find ... a bit/rather boring/

relaxing/fascinating etc

tiring etc

A:Ifindpaintingquiterelaxing.

B:Really?I’mnotveryfondofdrawing,butIenjoyplaying

5

Describing Feelings

10 a. Study the table, then choose words from the list and make up pairs of sentences, as in the examples in the table.

Present/Past Participles

We use -ed participles to describe how we feel/felt:

IfeltsatisfiedwhenIpassedthetest.

We use -ing participles to say what an experience is/was like: Passingthetestwassatisfying.

ñ satisfied ñ disappointed ñ thrilled ñ tired ñ embarrassed ñ frightened ñ excited

ñ annoyed ñ fascinated ñ confused ñ worried ñ relaxed ñ bored ñ pleased ñ relieved

b. Listen and say how each speaker sounds, using words from the list above.

A ............... B ............... C ...............

11 Talk about two things – one pleasant and one unpleasant – that happened to you. Say what happened and how you felt about it, as in the examples.

WhenmydogwentmissingIfeltveryworried.

WhenmydogcamehomeagainIfelt relieved.

Character Adjectives

12 a. Match the character adjectives to the definitions.

 

1

 

sociable

a

want things to be perfect

 

 

 

sentimental

b

like going to parties

2

 

 

 

 

conservative

c

show pity/love

3

 

 

 

 

perfectionist

d

can be trusted

4

 

 

 

 

arrogant

e

hate change/new ideas

5

 

 

 

 

confident

f

can’t wait for long

6

 

 

 

 

moody

g

make sensible decisions

7

 

 

 

 

reliable

h

be sure of your abilities

8

 

 

 

 

practical

i

change feelings frequently

9

 

 

 

impatient

j

think you’re better than others

10

 

b.Which of the adjectives above best describe you/your friends? Give reasons. Use adjectives of your own as well.

IthinkI’mquitesociable,becauseIlikegoingtopartiesand beingwithfriends.

Iwouldn’tsayI’mshy,becauseIdon’tfeeluncomfortable withpeopleI’vejustmet.

squash.

73

Grammar in use

Obligation, Prohibition,

Suggestion, Necessity

Grammar Reference

13 Read the sentences and match the verbs/modals in bold to their meanings. Which express: obligation? prohibition? suggestion? necessity?lackofnecessity?

1

 

Surgeons must wear masks during an operation.

 

 

You ought to have an annual check-up.

2

 

 

 

You must clean your teeth every day.

3

 

 

 

You need to sleep for at least 7 hours a night.

4

 

 

 

You mustn’t smoke in here.

5

 

 

 

You don’t have to drive me to the station.

6

 

 

 

You shouldn’t be rude to your mother.

7

 

 

 

In the UK you have to be 17 to get a driving

8

 

 

 

licence.

a It would be a good idea to do this. b This is a rule.

c You are not allowed to do this; it is forbidden. d It is important that you do this.

e It’s not necessary, but you can if you want to.

fThis is necessary.

g It would be a good idea not to do this. h This is very important; it is essential.

14 a. Use the prompts and make up three sentences each about doctors and nurses.

must/mustn’t

have to/ don’t have to

Nurses should/ shouldn’t

Doctors ought to/ ought not to

need to/ don’t need to

listen to their patients. study medicine at university. do shift work.

visit their patients at home. be impatient.

be kind to patients.

enjoy working with people. work long hours.

explain treatments to their patients.

Doctorsshouldlistentotheirpatients.

b.Write three sentences about patients, using the verbs listen, tell and visit.

15 Expand these signs into full sentences in as many ways as possible. Where might you see each sign?

No

 

DO NOT

smoking!

 

ENTER!

 

 

 

No No eating! talking!

Do not feed the animals!

Youmustnotsmoke.

Smokingisforbidden.

You are not allowed tosmoke.

We might find this signinapublicplace.

16 Join the sentences. Can you suggest another ending to each sentence?

Students have to study hard

Athletes have to exercise regularly

Everyone should have a first-aid kit at home

Patients with a heart condition must avoid stress

in case

of an emergency.

otherwise

they will have a

heart attack.

 

because

they must keep fit.

 

they won’t pass

or else

their exams.

WritingProject

Write a set of five rules about what students need to do while at school.

Permission, Request,

Ability, Possibility

Grammar Reference

17 Match the modals in bold to the functions below.

ñpossibility ñ lack of ability ñ permission

ñrequest ñ ability ñ lack of permission

1 Could/Would you help me with my homework?

2 You can’t/mustn’t/may not smoke in here.

3 You can/may borrow my dictionary.

4 He can play the piano really well.

5 He could/may/might have the flu.

6I can’t speak French.

18 Underline the correct modal, then explain its use.

1 Could/Would it be OK if I left early today? 2 He won’t/can’t see without his glasses.

3 No, you would not/may not borrow my car.

4 She isn’t inside; she might/can be in the garden. 5 You will/may go home if you aren’t feeling well.

Past & Perfect Modals

Grammar Reference

19 Match the modals in bold to their meaning.

1

 

I should have phoned my mum on her birthday.

 

 

You needn’t have bought a ticket, because we

2

 

 

 

had an extra one.

 

 

He ought not to have shouted at his neighbour.

3

 

 

 

Jim drove me to work, so I didn’t have to walk.

4

 

 

 

He couldn’t/wasn’t able to play football until

5

 

 

 

his leg healed.

 

 

He didn’t need to go to the supermarket,

6

 

 

 

because his wife had already done the shopping.

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