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Getting Patient Details Administrative Staff: Hello, how can I help you?

Patient: I've got an appointment with Dr. Adams. Administrative Staff: Are you Ms Moyers? Patient: Yes, I am. I have an appointment at ten. Administrative Staff: We just need to fill in some information for our files. Could you fill out these forms? Patient: Certainly ... (comes back after filling out the forms) What's this form for? Administrative Staff: It's just a privacy form informing you of our policies. Patient: Is that really necessary? Administrative Staff: I'm afraid it is. Could you also sign that form? Patient: OK, there you go. Here's my insurance provider's card. Administrative Staff: Thank you. OK, that'll be $20. Patient: Why do I have to pay $20? Administrative Staff: It's the deductible for office visits required by your health care provider. Patient: ... but I'm insured aren't I? Administrative Staff: Yes, of course. Your health care provider asks for deductibles on office visits. Patient: Every time I turn around I've got some additional fee to pay. I don't know why I pay for insurance! Administrative Staff: I know it's frustrating. We also have a lot of paperwork. Every provider has different forms and requirements! Patient: This can't continue on like this! Administrative Staff: I agree with that! Key Vocabulary appointment to fill in forms files form privacy policies to sign a form insurance provider insurance provider's card deductible office visit health care provider to be insured additional fee frustrating paperwork Some Troubling Symptoms

Patient: Good afternoon. Doctor: Good afternoon. Have a seat. So, what have you come in for today? Patient: Thank you. I'm feeling ill, I've got quite a bad cough, but I don't seem to have a fever. Doctor: I see. How long have you had these symptoms? Patient: Oh, I've had the cough for two weeks, but feeling ill just these past few days. Doctor: Are you having any other problems? Patient: Well, I've got a headache. I've also had a little bit of diarrhea. Doctor: Do you produce any phlegm when coughing? Patient: Sometimes, but it's usually pretty dry. Doctor: Do you smoke? Patient: Yes, a few cigarettes a day. Certainly no more than a half a pack a day. Doctor: How about allergies? Do you have any allergies? Patient: Not that I'm aware of. Doctor: Does your head feel stuffy? Patient: Yes, for the past few days. Doctor: OK. Now let's have a look. Could you please open your mouth and say 'ah'? Key Vocabulary symptoms to feel ill cough fever to have a cough headache diarrhea phlegm to cough allergy stuffy to feel stuffy Pain that Comes and Goes

Doctor: How long have you been having this pain? Patient: It started in June. So for more than five months now. My stomach hurts after some meals, but not always. Doctor: You should have come in earlier. Let's get to the bottom of this. Have you changed your eating habits during this period? Patient: No, not really. Well, that's not true. I'm eating the same foods, but less. You know, the pain seems to come and go. Doctor: How strong is the pain exactly? On a scale of one to ten, how would you describe the intensity of the pain? Patient: Well, I'd say the pain is about a two on a scale of one to ten. Like I say, it's not really bad. It just keeps coming back... Doctor: How long does the pain last when you get it? Patient: It comes and goes. Sometimes, I hardly feel anything. Other times, it can last up to half an hour or more. Doctor: Is there a type of food that seems to cause stronger pain than other types? Patient: Hmmm ... heavy foods like steak or lasagna usually brings it on. I've been trying to avoid those. Doctor: Does the pain travel to any other parts of your body - chest, shoulder or back? Or does it remain around the stomach area. Patient: No, it just hurts here. Key Vocabulary pain stomach to hurt to get to the bottom of something eating habits to come and go on a scale of one to ten to keep coming back to last (an amount of time) heavy foods to avoid chest shoulder back Joint Pain

Patient: Good morning. Doctor Smith? Doctor: Yes, please come in. Patient: Thank you. My name is Doug Smith. Doctor: What have you come in for today Ms Anders? Patient: I've been having some pain in my joints, especially the knees. Doctor: How long have you been having the pain? Patient: I'd say it started three or four months ago. It's been getting worse recently. Doctor: Are you having any other problems like weakness, fatigue or headaches? Patient: Well I've certainly felt under the weather. Doctor: Right. How much physical activity do you get? Do you play any sports? Patient: Some. I like to play tennis about once a week. I take my dog on a walk every morning. Doctor: OK. Let's have a look. Can you point to the area where you are having pain? Key Vocabulary joint pain knees weakness fatigue headache to feel under the weather physical activity to play sports to have pain A Physical Examination Doctor: When did you last come in for a physical exam? Patient: I had my last physical two years ago. Doctor: Have you had any other exams recently? Blood work, an EKG or an ultra-sound? Patient: Well, I had a few X-rays at the dentist's. Doctor: How have you been feeling in general? Patient: Pretty well. No complaints, really. Doctor: Could you roll up your left sleeve? I'd like to take your blood pressure. Patient: Certainly.

Doctor: 120 over 80. That's fine. You don't seem to be overweight, that's good. Do you exercise regularly? Patient: No, not really. If I run up a flight of stairs, it takes me a while to get my breath back. I need to get out more. Doctor: That would be a good idea. How about your diet? Patient: I think I eat a pretty balanced diet. You know, I'll have a hamburger from time to time, but generally I have well-balanced meals. Doctor: That's good. Now, I'm going to listen to your heart. Patient: Ooh, that's cold! Doctor: Don't worry it's just my stethoscope. Now, breathe in and hold your breath. Please pull up your shirt, and breathe deeply... Everything sounds good. Let's take a look at your throat. Please open wide and say 'ah'. Patient: 'ah' Doctor: OK. Everything looks ship shape. I'm going to order some blood work and that's about it. Take this slip to the front desk and they'll arrange an appointment for the tests. Patient: Thank you doctor. Have a nice day. Key Vocabulary physical examination (exam) blood work EKG ultra-sound x-rays to roll up sleeves overweight - underweight to exercise regularly balanced diet well-balanced meals stethoscope to breath in to hold one's breath to pull on one's shirt to breathe deeply to open wide to look ship shape slip front desk to arrange an appointment A Prescription

Patient: what about the problems I've been having sleeping? Doctor: I'm going to give you a prescription for some medicine to help you get a better night's sleep. Patient: Thank you doctor. Doctor: Here, you can get this prescription at any pharmacy. Patient: How often should I take the medicine? Doctor: Just take one pill about 30 minutes before you go to bed. Patient: How long should I take them? Doctor: The prescription is for thirty days. If you're not sleeping well after thirty days, I'd like you to come back in. Patient: Is there anything else I can do to help me sleep at night? Doctor: Don't worry so much about things at work. I know, I know... easier said than done. Patient: Should I stay home from work? Doctor: No, I don't think that's necessary. Just remember to stay calm. Key Vocabulary prescription to get a good night's sleep pharmacy to take medicine to take a pill easier said than done to stay calm

Conversation with the Doctor

A. Seeing the Doctor

Doctor : John :

Hello, whats the matter? Good morning. I have a terrible ache in my lower back. How long has your back been bothering you? Ive been having pain for about two weeks. Do you have any history of back problems? No, this is the first time. Are you taking any medicine at the moment? No, just an aspirin from time to time to kill the pain. OK. Lets have a look at your back. Please take off your shirt .

Doctor : John :

Doctor : John :

Doctor : John :

Doctor : B.

Asking for a doctor

I want a doctor I want to see a doctor I want medical advice I want to speak to a doctor Im not moving till I see a doctor Im not doing anything until Ive spoken to a doctor I want a medical examination Id like you to examine/look at me Id like medical advice on (this)

C.

Doctors questions

Whats wrong? Whats the matter? What seems to be the problem? What seems to be the matter? Where does it hurt? Can you feel (anything here)? Do you have any allergies? Can you (touch your toes)? Are you allergic to (anything)? Are you taking any medicine/drugs? Have you been treated for (this) before? Have you seen a doctor about this before?

Have you been eating/sleeping properly? When did you last visit your doctor? Do you take much exercise? How much do you drink/smoke a day/a week? Have you been working hard? Do you suffer from (indigestion/nervousness)? Do you get any (headaches/dizziness)?

D.

In the consulting room


Take your coat/shirt off Sit down Take your clothes off Lie down on that (couch) Go behind that (screen) Roll up your left/right sleeve Breathe deeply Breathe in/out Open your mouth / Put your tongue out Let me see your tongue /leg/eyes Bend your (left arm) Put your /(hands on your hips) Im going to (listen to your chest) Im going to (touch your shoulder) Im just going to (test your reflexes) I want to (take your blood pressure)

Tell me if this hurts This wont hurt / This may hurt a bit

E.

Talking about treatment


Stay in bed for a few days Take it easy / rest Dont work too hard Come back and see me (next Tuesday) Come back if it doesnt get better Youve been working too hard You must (stop smoking) Keep taking (the medicine)

F.

Talking about medicines


You can get this at the chemists/pharmacy Take this to the chemist/pharmacy The chemist will give you (a cream)

This will help your (headaches) Take this/these (four) times a day Take (5) milliliters in water Take a (teaspoonful) after every meal Dont (drive after taking this) You mustnt (consume alcohol in conjunction with these pills) You must (finish the whole bottle) Dont (take any aspirin) Put it on/Rub it on (your knee)

G.

Referring you to another doctor


I want you to see a specialist I think you should have an X-ray I want you to go to the clinic/hospital Im making an appointment for you Take this letter to (Doctor Smith) Im giving you a letter for the hospital Were going to keep you here for observation We want to do some tests / take an X-ray Youve got a (virus infection) Theres nothing broken; Its nothing serious Youll have to stay here (for a few days)

Friday, May 15, 2009

English Conversation - AT A DOCTORS CLINIC

English Conversation AT A DOCTORS CLINIC Improve English Speaking through everyday conversation I have written a detailed book English conversation for all occasions, to learn English as Foreign Language. This tutorial has been prepared from my well known book English conversation for all occasions, which I wrote for Indian students to improve everyday conversation.. English Conversation for All Occasions is a unique book of its kind, specially written to help Indian student. A quick look at the titles of the lessons would convince the reader that the book has been prepared by visualizing all types of situational conversations which may confront any man or woman in his daily activities. Whether one converses with his family members or moves about to mix in society, he will not feel tongue-tied for want of appropriate words or expressions. In a post office or barbers shop, at a hotel or taxi stand, every person who has read this book, will be able to speak in English fluently and with confidence. Good knowledge and satisfactory conversation drill is important in English speaking. This Tutorial would not only prove an asset to the reader in his daily life, but also on special occasions like interviews for jobs, etc. He would be able to face the interviewers with equanimity and confidence. All the lessons have been designed in a programmed fashion. Word-meanings, Phrases and exercises have been added at the end of every lesson to help the students master the topics. All the lesson should be read along, not once but many times, so that the conversation comes easy to the reader when he faces real life situations. The author would feel rewarded for his labours if the book helps men and women become social relations This Tutorial should help all those readers who find difficulty in speaking fluent English. This will be completed in 45 lessons. Please comment or send me E Mail at bookgharinfo@gmail.com ------------------------------------------------------------------------------------------------

English Conversation AT A DOCTORS CLINIC


Vikram has had a bad fall Mrs.Verma takes him to Dr.Ramans Clinic. Receptionist Good morning, Madam Mrs.Verma Can I see Dr.Raman? My son has hurt his knee. Receptionist Do you have an appointment, Madam? Mrs.Verma No. But then I hadnt expected my sonto have a fall and hurt himself. I couldnt have made an appointment for an unexpected accident, could I have? But I must have the childs wound treated urgently. Receptionist Dont get excited, Madam. The doctor does attend to emergencies, though normally the doctor is so busy that he can only see patients who have made prior appointments. Mrs.Verma Then what shall I do? Shall I go to another hospital? Receptionist Please wait here, Madam. Ill fit you in between the appointments. In the mean while, please fill in this form. Is the childs knee bleeding? Mrs.Verma No. The bleeding has stopped. Receptionist Please wait in the waiting room and Ill Call you the moment the doctor is free. Mrs.Verma and Vikram join the group of people sitting in the waiting room. Dr.Raman comes to the door. Dr.Raman Mrs.Verma? Mrs.Verma Yes. Thats me. Good morning, Dr.Raman.

Dr. Raman I understand your son has had a fall and has nasty bruise. Come along young man. Ill have a look at you. An elderly lady gets up and hurries forward towards the doctor. Lady Oh Dr.Raman, you cant see him first. It is my turn. Ive made an appointment. Dr.Raman Hello, Mrs.Sonu, I know it is your turn, but this child needs immediate attention. Ill see you right after Ive dressed the childs knee. Dr.Raman It wont be long, Mrs.Sonu. Please excuse me for a few minutes. Mrs, Verma, please bring your son into the treatment room. All three of them go into the treatment room. Dr.Raman (Examining the wound). This is a nasty Cut, but not too serious. There is nothing to worry about. Ill clean it, put some tincture iodine on it and bandage it lightly. Vikram Oh! That hurts. Dr.Raman You are a brave boy. Ill give you an injection to ward off any infection. There you are. That is a good boy. Mrs.Verma Will he be all right doctor? Arent you going to give any medicines? Dr.Raman There is no need for any medicines. Hell, be all right. The knee will be all right. The knee will be a bit stiff for a few days. In case gets fever or the pain is too severe, give him one of these tablets? Mrs.Verma After how many hours do I give him one of these tablets? Dr.Raman Dont give him a tablet unless he feels very uncomfortable with pain. Give the tablet is he gets fever. Then come and see me again in the morning. These tablets are only a precaution. Mrs.Verma Do you think hell get fever, doctor? Dr.Raman No. Dont worry. I think hell be all right. But in case he does get a temperature, then come back to me again. Well, young man, be careful the next time you get off a bus. Mrs.Verma Where do I pay your consultation fees and for the medicines? Dr.Raman At the reception counter, Madam. Goodbye. Mrs.Verma Thank you very much, doctor. Vikram Thanks, Doctor Raman (B) VOCABULARY bitter grateful seriously naughty prescription cough Phrases to bear to catch cold to look after to take the temperature Meanings clinic a place giving medical treatment or advice to Out patients appointment a fixed engagement or time given. accident unexpected event, a mishap or unfortunate happening emergency sudden development, needing immediate action

prior beforehand. bruise a hurt in which the skin changes colour and becomes bluish or red. severe strict, very difficult or painful temperature a degree of bodily or atmospheric heat cosult to seek advice prescription a doctors written order about the use of medicines (C) Study the following responses 1. If a person falls sick, how and where does one get treatment? Responses: In case of an illness, one could telephone a doctor or else go to a doctors clinic. The other alternative to consulting a private practitioner (one who practices the science of medicine) is to take the patient to a hospital. Doctors who are running their own clinics are usually more expensive. In the event of the patients condition being very serious, the doctor will admit the patient to a hospital. 2. Why must one make an appointment with a doctor? Responses: Different doctors have different systems of seeing patients. Some hospitals have certain hours set aside for attending to out- patients. A separate department is set up for attending to patients who do not need hospitalization. In this system, each patient enters his name in a register. The patients are called in one by one to be examined by the doctor. Private doctors do not usually favour this method. Too much of the patients time is wasted waiting for his or her turn to be seen by the doctor. Hence, if the illness is not of an urgent nature, the doctor gives specific time to each patient. This is called appointment system. (D) Make suitable responses: 1. Doctor Whats the trouble? Response ____________________________________ _____________________________________________ _____________________________________________ _____________________________________________ 2 Doctor How long have you had fever? Response ____________________________________ ___________________________________________ ___________________________________________ ___________________________________________ 3 Doctor Do you feel any other discomfort in your body? Response ___________________________________ __________________________________________ __________________________________________ __________________________________________ 4 Doctor How did you take your temperature last night? Response ___________________________________ __________________________________________ __________________________________________ __________________________________________

English Conversation - AT A DOCTORS CLINIC


Vikram has had a bad fall. Mrs.Verma takes him to Emergency room of Private Clinic. Mrs.Verma Can I see Doctors in the Emergency room? My son has hurt his knee. Receptionist Do you have an appointment with Doctor, Madam? Mrs.Verma No. But then I hadnt expected my son to have a fall and hurt himself. I couldnt have made a Medical appointment for an unexpected accident, could I have? But I must have the childs wound treated urgently by a doctor. Receptionist Dont get excited, Madam. The doctor does attend to emergencies, though normally the doctor is so busy that he can only see patients who have made prior appointments. Mrs.Verma Then what shall I do? Shall I go to another hospital?Do yo have a list ifDoctors Receptionist Please wait here, Madam. Ill fit you in between the appointments. In the mean while, please fill in this form. Is the childs knee bleeding? Mrs.Verma No. The bleeding has stopped. Receptionist Please wait in the waiting room and Ill Call you the moment the doctor is free. Mrs.Verma and Vikram join the group of people sitting in the waiting room. Dr.Raman comes to the door. Dr.Raman Mrs.Verma? Mrs.Verma Yes. Thats me. Good morning, Dr.Raman Dr. Raman I understand your son has had a fall and has nasty bruise. Come along young man. Ill have a look at you. An elderly lady gets up and hurries forward towards the doctor. Lady Oh Dr.Raman, you cant see him first. It is my turn. Ive made an appointment. Dr.Raman Hello, Mrs.Sonu, I know it is your turn, but this child needs immediate attention. Ill see you right after Ive dressed the childs knee. Dr.Raman It wont be long, Mrs.Sonu. Please excuse me for a few minutes. Mrs, Verma, please bring your son into the treatment room. All three of them go into the treatment room.

Dr.Raman (Examining the wound). This is a nasty Cut, but not too serious. There is nothing to worry about. Ill clean it, put some tincture iodine on it and bandage it lightly. Vikram Oh! That hurts. Dr.Raman You are a brave boy. Ill give you an injection to ward off any infection. There you are. That is a good boy. Mrs.Verma Will he be all right doctor? Arent you going to give any medicines? Dr.Raman There is no need for any medicines. Hell, be all right. The knee will be all right. The knee will be a bit stiff for a few days. In case gets fever or the pain is too severe, give him one of these tablets? Mrs.Verma After how many hours do I give him one of these tablets? Dr.Raman Dont give him a tablet unless he feels very uncomfortable with pain. Give the tablet if he gets fever. Then come and see me again in the morning. These tablets are only a precaution. Mrs.Verma Do you think hell get fever, doctor? Dr.Raman No. Dont worry. I think hell be all right. But in case he does get a temperature, then come back to me again. Well, young man, be careful the next time you get off a bus. Mrs.Verma Where do I pay your consultation fees and for the medicines AT A DOCTORS CLINIC? Dr.Raman At the reception counter, Madam. Goodbye. Mrs.Verma Thank you very much, doctor. Vikram Thanks, Doctor Raman