Answer:
dashes would be used to indicate a pause
The activities that might a writer use during a generative writing is : Screening
and Webbing
screening will assess the suitability of the subject while webbing will help you generate ideas
hope this helps
I inferred this to be the paragraph where the expression was taken from;
"No, the romance and the beauty were all gone from the river. All the value any feature of it had for me now was the amount of usefulness it could furnish toward compassing the safe piloting of a steamboat. Since those days, I have pitied doctors from my heart. <em>What does the lovely flush in a beauty's cheek mean to a doctor but a "break" that ripples above some deadly disease? Are not all her visible charms sown thick with what are to him the signs and symbols of hidden decay? Does he ever see her beauty at all, or doesn't he simply view her professionally, and comment upon her unwholesome condition all to himself? And doesn't he sometimes wonder whether he has gained most or lost most by learning his trade?."</em>
<u><em>Explanation</em></u>:
There is a reasonable possibility that the expression "<em>break</em>" is referring to a break or shift in perception a doctor may have for a patient who has a lovely smile but is suffering from a deadly disease.
In other words, what he sees may trigger a mental shift in his perception, which is highlighted on the statement made further in the paragraph which says; "Are not all her visible charms sown thick with what are to him the signs and symbols of hidden decay?." Meaning the Doctor has gotten a "break" and thus no longer sees the beauty in the patient.
When you are stuck being a choice of you being the one who is right or choosing to be wrong, you should chose wrong because you never know how much your answer can hurt the other person when their answer has no affect on you