Lousy is a simple two syllable word that almost all native-English speaking Americans use. It’s not an “SAT word “ or a word you’re likely to encounter on the TOEFL. It probably won’t appear on your medical licensing test if you’re a doctor or a nurse, but it’s a word that your patients are likely to use. If you want to sound more natural and more like a native speaker, this is one to add to your everyday English. (more…)