Reading Section:: The Hospital Team

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1 THE HOSPITAL TEAM
Reading Section:
THE HOSPITAL TEAM
A big hospital is like a small town, it needs a thousand of people to make it work.
All these people are organized in to teams and each person in each team has a rank and
often a specialism. In the past, the health care team’s chain of command was simple:
doctors made decisions and gave senior nurses orders. Senior nurses then instructed junior
nurses, and so on. Things are changing. In many countries nurses have much more
responsibility than they are had.
One thing is not changing it is still a doctor who is in charge of a patients
treatment. In Britain that doctor is called a consultant. Next in line to the next consultant
is the registrar. Consultant and registrar train the junior doctor who are called house
officer or in terms. Junior doctor work the same long, unsocial or that nurses do on the
wards. The most senior nurses are nursing officer they are administrator. Than come war
manager who supervise staff nurses and student.
It is not only doctor and nurses who deliver treatment and care, there are many
other specialist too. For example there are pshyoteraphist who specialist exercises to treat
injury or dysfunction and occupational therapist who help patient manage everyday
living. There are also many people the patient does not meet like lab technician doing the
test and pharmacist dispensing medicines
RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

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Comprehension:
1. A hospital is like a small town because ………………..

a. It is busy
b. It is full of different kind of people
c. There so many building
2. The different between now and past is that……………….
a. Nursing is easier.
b. Nurses make more decision
c. Nurses work harder
3. Consultant and officer are both…………..
a. Senior staff
b. House officer
c. In charge of patient treatment
4. War manager are ……………..
a. Nurse
b. Officer worker
c. Senior doctor
5. Lab technician and pharmacists ……………
a. Deliver treatment and care
b. Work-in the background
c. Help the specialist
Translate the following sentences correctly!

1. All these people are organized in to teams and each person in each team has a rank and
often a specialism.
………………………………………………………………………………………….
………………………………………………………………………………………….
2. The health care team’s chain of command was simple: doctors made decisions and
gave senior nurses orders.
………………………………………………………………………………………….
………………………………………………………………………………………….
3. One thing is not changing it is still a doctor who is in charge of a patients treatment.
………………………………………………………………………………………….
4. The most senior nurses are nursing officer they are administrator.
………………………………………………………………………………………….
5. There are also many people the patient does not meet like lab technician doing the test.
………………………………………………………………………………………….
………………………………………………………………………………………….

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Writing Section:
Writing your profile, explaining:
 Why you become a nurse?
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
 What are you doing now?
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Speaking Section:
Patient : Good evening, doctor.
Doctor : Good evening, sir. What's your trouble?
Patient : I haven't been feeling well lately.
Doctor : What exactly is the problem?
Patient : I often feel quite sick. Have had a lot of pain in the stomach for several days. I've also had
severe headaches for over two days.
Doctor : What's your appetite like?
Patient : Not at all good. I don't feel like eating anything. I feel full up all the time.
Doctor : Have you had any fever?
Patient : Well, I do feel feverish all the time. I've also had a bad taste in the mouth since I've been
sick.
Doctor : All right, let me take your temperature first. There! Give me your wrist, please. There's
nothing wrong with the pulse. Now take off your pullover. And your shirt too. Loosen
your clothes a little. I'll examine you, if you lie down on that couch.
Patient : Yes, some.
Doctor : And here?
Patient : Oh, that's quite painful!
Doctor : All right. You may get dressed now.
Patient : I hope there's nothing serious, doctor?
Doctor : No, nothing serious. I'm prescribing two kinds of tablets. Take one before meals. And
the other after meals for three days. Don't eat any fried or spicy food. Drink milk and
have milk foods as much as you can. And do take some rest.
Patient : Do I need to stay away from work, doctor?
Doctor : No, not at all. Just take it easy and have rest whenever you can. Come and see me if the
trouble does not go quickly.

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2 HOSPITAL ADMISSION
Reading Section:
HOSPITAL ADMISSION
There are three ways to admit a patient a patient to hospital. Either as an

outpatient, a day patient or an inpatient . an outpatient need treatment but not a bed. A
day patient need a bad but does not need to stay overnight. An inpatient need at least one
over night stay. Hospital need to plan for patient admissions. They have to predict how
many bed they need. It is quite easy to predict referral from doctor like general
practitioner but a larger number of patients come through A & E and it is more difficult
to plan for them.
It is very important to keep accurate record of patient treatment, from admission
through to discharge and follow up. These include personal details such us marital
status, occupation and next of kin, as well as medical history such us past illnesses and
treatments, family history and life style. Medical staff record all treatment, test result
and correspondences, they try to record these thing at the time they happen. This is
important and not only to ensure the correct treatment. Medical record are sometimes
used for research.
Comprehention:
According to the text are the following statement are tru (T ) or false(F)?
1. Admission to hospital are all inpatient_____

2. There are more emergency admission and referral________
3. Hospital records stop at discharge________
4. Personal details are part of medical record__________
5. Staff should record treatment at the end of their shiff_______
6. Only medical staff can look medical record________

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Writing:
Read the example summary of an admission and use the information in the box to write
the similar summary!
Example summary
Ahmad is a58 year old man. He Is a retired farmer. His wife is dead and his son is
his next of kin . ahmad was bitten by a snake while walking with his dog, and admitted to
hospital as a day patient. He has a medical history of high blood pressure and he smokes
20 cigarettes per day.
Patient admission information:
Name : Rooney
Reason for Admission : Fever
Age : 25 Year
Medical History : Flue at 1 Week
Family History : Ashma and Allergie
Your Summary
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………

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Speaking Section:
Nurse : Good morning Mrs. Nellie, how can I help you?

Patients : good morning nurse, I wanted to ask you a little about the disease
tuberculosis, can you explain it?
Nurse : of course, maybe I can help a bit Mrs. Nellie
Patient : What are the signs that a person has TB disease?
Nurse : Cough-cough for more than 3 weeks may be accompanied by blood
Patients : Does everyone who experienced coughing up blood means suffering from
tuberculosis?
Nurse : Not necessarily, because coughing up blood can be caused by various
Reasons
Patients : Tuberculosis is spread through any media?
Nurses : Through the sparks that come out with sputum when coughing, it could be
through the dust, instrument eat / drink that contains TB germs
Patient : What is TB disease that is genetically inherited?
Nurses : TB disease is not genetically inherited, because tuberculosis disease is not
Hereditary
Patient : Are people who have been cured of TB disease can be contracted again?
Nurse : It can, because after recovering from tuberculosis there is no lifelong
Immunity
Patient : Can TB disease be cured completely?
Nurse : Able to follow the advice of health workers to take medication regularly
Patient : Could exposed to TB disease if we live in a clean environment?
Nurses : The possibility of contracting we will still be there, because we live not
only in our own Neighborhood
Patient : What effects on the fetus when pregnant women were suffering from
tuberculosis?
Nurse : Usually nutritional state of patients with tuberculosis is not good, so this
may affect the development of the fetus in the womb
Patient : How does our attitude in the house when there are family members who
suffer from tuberculosis?
Nurses : Bring the patient to the doctor to get treatment on a regular basis
Patients : Pattern of life how should we have to avoid the disease tuberculosis?
Nurses : Healthy lifestyle is the key, because we do not know when we can be
exposed to TB germs

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3 PAINT
Grammar:
Part of speech (Kelas Kata)
Parts of Speech dalam bahasa Inggris berarti jenis- jenis kata atau kelas-kelas kata.
Disebut “Parts of Speech” atau bagian-bagian dari ucapan atau bagian-bagian kalimat.
Pronoun and verb
A. Pronoun, adalah kata ganti orang/pelaku. Lambang atau tanda dari kelas kata ini adalah
(pro). Berikut contoh dari kata-kata dalam pronoun:
Personal Pronouns Possessive Pronouns

Subject Object Possessive Possessive Reflexive
Adjective Pronouns Pronouns
I Me My … Mine Myself
You You Your … Yours Yourself
They Them Their … Theirs Themselves
We Us Our … Ours Ourselves
He Him His … His Himself
She Her Her … Hers Herself
It It Its … Its Itself
B. Verb, adalah kata yang menunjukkan kegiatan/tindakan/pekerjaan tertentu. Lambang

atau tanda dari kelas kata ini adalah (V). Berikut contoh dari kata-kata dalam verb:
Study Studied Studied  Belajar
Eat Ate Eaten  Makan
Go Went Gone  Pergi
Drink Drank Drunk  Minum
(pro) (v)
Example: I go to school
Writing:
Write down 5 sentences by using pronoun and verb correctly!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

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Reading Section
PAIN
Pain is important because it tells us that we are injured or ill. However, we don’t all
feel pain in the same way. Researchers are trying to learn more about this fact. Their
experiments show that children are more sensitive to pain than adults, and that men can
tolerate more pain than women.
Pain is also difficult to measure and describe. This is a problem because it is an

important symptom and medics (medical staff) need information from patients about it. It is
therefore common practice to give patients lists of words and ask them to say which words
best describe three things: the type of pain they are suffering, its intensity (how bad it is )
and its frequency (how often they feel it).
With some patients, such as children, words don’t work very well describe intensity,
so medics use smiley feces or sometimes colors. For example, blue mean a mild pain and
reds mean severe pain. Some medics prefer a range of numbers; 0 is no pain and 10 is
unbearable pain.
Pain does not always show where an injury is. Internal organs, for example, do not
have many pain-receiving nerve endings, so internal injuries often cause pain in a different
part the body. This is called ‘referred pain’. One example of referred pain is when someone
suffering a heart attack feels pain in their left shoulder, arm or hand.
Use the information in the text to complete the sentences with a, b or c.
1 Researchers are trying to find out why-_____ .

a people experience pain differently.
b people feel pain.
c pain is important to people.
2 Experiments show that ________.

a pain is worse for men than women.
b men can take more pain than women.
c children feel less pain than adults.

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3 Nurses need to measure a patient’s pain because ______

a pain is a problem.
b pain is a symptom.
c patients can’t describe it.
4 Medics ask patients for a number to describe _______

a the kind of pain they have.
b how bad the pain is.
c how often they’re in pain.
5 To describe pain, medics ask children to ______

a point to a smiley face.
b think of some numbers.
c say how it feels.
6 You experience referred pain ________

a only in your internal organs.
b long after an injury.
c in a different place from an injury.
Vocabulary
Write ‘F’ next to the sentences which are about frequency of pain.
Write ‘T’ next to the sentences which describe types of pain (T).
1 He says his toe is throbbing_______
2 It’s wearing off now and it’s just an occasional ache______
3 The shooting pains are getting worse________
4 He complains of frequent headaches________
5 She has a stabbing pain in her side_______
6 She was in constant pain, but now it’s gone________

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Speaking Section
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 – underweightto
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

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4 SYIMPTOMS
Grammar:
Part of speech (Part.2)
Adverb and Noun

A. Adverb adalah kata yang menerangkan /menjelaskan keadaan atau kondisi suatu
kegiatan atau tindakan si pelaku atau subjek. Lambang atau tanda dari kelas kata ini
adalah (Adv). Berikut contoh dari kata-kata dalam Adverb:
Now Later Quickly

Today Everyday Next week
Yesterday Next week Next month
At school In the Hospital 02.00 PM
B. Noun adalah kata benda yang menunjukkan orang, hewan, benda, tumbuhan atau
sesuatu yang dibendakan. Lambang atau tanda dari kelas kata ini adalah (N). Berikut
contoh dari kata-kata dalam Noun:
Teacher Injury Midwife

Apple Patient Nurse
Classroom Banana Doctor
(N) (Adv)
Example: You come to the Hospital everyday
Writing:
Write down 5 sentences by using Adverb and Noun correctly!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

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Reading Section
SYMPTOMS
Signs and symptoms are the tools for making a diagnosis, but what is the difference
between the two ? The sings of an illness are the things that a doctor or nurse can see and
measure. Signs are things like spots and bleeding. Temperature, heart rate, blood pressure
and respiration rate are all signs because you can measure them. Symptoms are the things
which a patient experiences, but others can’t always see. Dizziness and nausea are
examples of symptoms.
The symptoms which make a patient seek medical help in the first place are called
the presenting symptoms. Medics describe them in terms of being either strong, mild or
weak. Sometimes the symptoms of serious illnesses like cancer and diabetes are weak.
They stay weak for a long time and the illness remains undiagnosed.
Many illnesses have the same symptoms. These symptoms are non-specific. Fatigue
in an example of this. It’s a symptom of many kinds of illness, both chronic and acute, and
of both physical and mental disorders.
Doctors ask patients about the onset of the symptoms, what they feel like, what
relieves them and what makes them worse. The more detail they have, the faster they can
make a diagnosis.
Grammar
Choose the correct option to complete the sentences.
1 Who prescribed you / did prescribe you / do prescribe you that medication?
2 Do you can / Can you / You can move your fingers?
3 Has he been / was / is like this for a long time?
4 Is the swelling / The swelling is / Do the swelling going down?
5 You won’t try to move, will you / won’t you / do you?
6 How long are you / How long have you been / What are you waiting for your
appointment?
7 The pain is in your arm, hasn’t / is / isn’t it?
8 Could you to tell / Could you tell / Tell me where it hurts?

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Key words from the unit

Complete the sentences with the words from the list.
1. She suffered ____________and vomiting.
2.______________________is an external symptom.
3. She had _______________a abdomen.
4._____________________ are a typical symptom of chicken pox.
5. A deep cut needs _______ to heal properly.
6. A _________________ can cause itching.
7. He found a___________ above his ankle.
8. Her extreme __________are difficult to live with.
Stitches nausea mood swings rash
Bruising swollen lump spots

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Speaking Section
In the front of Children Specialist Doctor’s room
Mrs. Ratih : Excuse me. I want to check up my son’s illness.

Nurse : Firstly, you need to fill in this form and take your queue number and then
sit down to wait until your queue number is called.
Mrs. Ratih : Here you are. Thank you.
Nurse : Please have a seat while waiting.
Nurse : Andy Hamzah, number 7!
Mrs. Ratih : Look, our number is mentioned. Let’s go enter the room, Dear.
Andy : Mom… um… I’m afraid. Will the doctor inject me?
Mrs. Ratih : Don’t worry, my dear. Mom will never leave your side.
Andy : Alright. Thank you, Mom.
Mrs. Ratih : Good morning, Doc.
Doctor : Good morning, Ma’am. Please have a seat.
Mrs. Ratih : Thank you, Doc.
Doctor : Good morning, little guy. What is your name?
Andy : Um… my name is Andy.
Doctor : Wow, you look tough. How old are you?
Andy : I’m 9 years old.
Doctor : So, what brings you here, Dear?
Andy : Um… I had a fever and my throat is sore.
Mrs. Ratih : Yes, Doctor. Last night he had a fever. Then I gave him some medicine to
bring down his fever. And this morning, I thought that his fever had gone
away, but after he woke up he said that he got fever again. This time his
temperature was higher than last night. He complains that his throat is
sore too.
Doctor : Okay…. Could you open your mouth widely, Andy? Say Aaaaa….
Doctor : I think Andy gets sore throat. Did you eat some hot foods
or salty snacks like chips, Andy?
Andy : Um.. Yes, I think I ate too much potato and barbeque chips two days ago.
Doctor : I suggest you not to eat salty snacks and chips too much, Andy. They can
get your throat irritated and infected like now. But don’t worry with my
medicines you’ll be fine soon.
Andy : Thank you, Doctor.
Doctor : Here is the prescription, Ma’am. You can go to the first floor to complete
the administration needs.

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5 NUTRITION AND OBESITY
Grammar:
Adjective and Preposition

A. Adjective adalah kata sifat yang menunjukkan perasaan atau keadaan hati atau sikap
seseorang. Lambang atau tanda dari kelas kata ini adalah (Adj). Berikut contoh dari
kata-kata dalam Adjective:
Angry Happy Sad

Bored Lazy Smart
Diligent Sick Health
B. Preposition adalah kata depan yang menunjukkan atau menerangkan benda (noun)
atau kata sifat (adjective). Lambang atau tanda dari kelas kata ini adalah (Pre).
Berikut contoh dari kata-kata dalam Preposition:
In To By
For From Into
At On Under
(Adj) (Pre)
Example: I am busy in Job.
Writing:
Write down 5 sentences by using Adjective and Preposition correctly!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

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Reading Section
NUTRITION AND OBESITY
Nutritionists classify food by groups. They say that the humans body requires a
balanced mixture of food from all the main food groups: carbohydrates, protein, fast,
vitamins, fibred and minerals. The secret of good heath is to eat a balanced diet, with the
right amount of food, and to take plenty of physical exercise.
When there is an imbalance-for example if you eat too little or too much, or when
one of the food groups is missing from your diet-this can cause vitamin deficiency, illness,
and even death. If there is no treatment and the diet does not change, death is a possibility.
One example of this is the problem of obesity-this is when a person is dangerously
overweight. Obesity is mist common in developed countries. The imbalance comes from
eating a diet which is high in fat, sugar and salt, and in to not eating enough fruit, vegetables
and fibred, and not burning the extra calories through physical exercise.
it the case of eating disorders such as anorexia nervosa and bulimia, the imbalance
leads to weight loss, when a person eats less than they need. Sufferers are mostly teenage
girls- they either starve themselves in order to lose weight, or eat a lot of food at once
(binge-eating) and vomit up all the food later. They often end up in hospital, and after
emergency life-saving treatment they receive psychiatric help and counseling.
Comprehension
Answer these questions according to the text.
1 What kind of diet does the human body need?___________
2 What is obesity an example of?____________
3 Where is the obesity problem common?___________
4 What imbalance causes anorexia nervosa?_____________
5 Who usually suffers from eating disorders?_______________
6 What is the treatment for eating disorders?_______________

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Words from the text

Make word combinations. The first one is done for you.
1. physical a. loss
2. balanced b. overweight
3. weight c. disorder
4. vitamin d. groups
5. food e. diet.
6. eating f. exercise
7. dangerously g. deficiency
Further vocabulary practice

Use the correct form of the word in brackets to complete the sentences 1–7.
The first one is done for you.
1 Obesity causes many illnesses. (obese)
2 He has an uncontrollable_________ for fast food. (crave)
3 Her fast food____________ is serious. (addict)
4 Everyone needs to eat a__________ diet. (balance)
5 Being overweight _____________her a lot. (depress)
6 His diet makes him constantly__________ . (constipation)
7 She______________ weight easily. (loss)

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Speaking Section
Patient meets doctor
Doctor : Hello! What can I do for you?

Patient : Good Morning Doctor. I am not well.
Doctor : Come and sit here.
Doctor : Open your mouth.
Doctor : How long are you not well?
Patient : Since yesterday.
Doctor : No problem-did you have Motion yesterday?
Patient : No Doctor-not so freely.
Patient : Doctor I feel giddy.
Patient : I don’t feel like eating at all.
Doctor : then?
Patient : I feel like vomiting.
Doctor : Do you take a lot of water?
Patient : No, doctor I don’ take too much.
Doctor : Did you take any medicine?
Patient : Yes Doctor, I took Anacin.
Doctor : who told you to take it?
Patient : Nobody Doctor I took it myself.
Doctor : why did you take it?
Patient : Because I felt headache.
Doctor : Nothing to be worried at.
Doctor : Do you need immediate relief?
Patient : No need sir. It is enough you give medicines.

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6 BLOOD
Grammar:
Conjuction and Interjection

A. Conjuction adalah kata penghubung diantara kata, dua kata (frasa) dan kalimat.
Lambang atau tanda dari kelas kata ini adalah (Conj). Berikut contoh dari kata-kata
dalam Conjuction:
But Or Because
Between Than And
If After When
For When
B. Interjection adalah kata seru atau ucapan pendek yang digunakan untuk
mengungkapkan emosi. Lambang atau tanda dari kelas kata ini adalah (Itj). Berikut
contoh dari kata-kata dalam Interjection:
Ah  ekspresi senang Hey  ekspresi terkejut

Aw  ekspresi menyesal/kasihan Hi  ekspresi sambutan
Hello  ekspresi sambutan Hmm  ekspresi ragu-ragu
Oh,o  ekspresi perkiraan well  ekspresi terkejut
(Itj) (Conj)
Example: Hello…!!! Please take a seat and pay attention here!.
Writing:
Write down 5 sentences by using Conjunction and Interjection correctly!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

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Reading Section
BLOOD
The prefix haem-means blood the study of blood is hematology, hemophilia is a disease of
the blood and a haemorhage is a bruise. In humans, blood forms in the bone marrow by a process
called haemogenesis. Blood circulates around the body through the cardiovascular system of
arteries, veins and capillaries.
Blood has many functions. It distributes oxygen, keeps the body warm, and remover waste.
More than half of the blood in the body is a fluid called plasma-plasma is mostly water. The rest of
the blood is made up of red cells which carry oxygen, white cells which protect against disease, and
platelets which heal wounds.
When someone loses a lot of blood they need transfusion. There are different types of
human blood and medics usually use the ABO system which puts blood into four main groups:
A,B,AB,and O. The donor blood must be compatible with the blood of the recipient, because a
transfusion of the wrong blood can be fatal.
Medical conditions affect blood in many ways, so a blood test is a good way to get
information about a patient’s state of health. The shape, size, behavior and number of blood cells can
provide information about kidney and liver function, about levels of hormone, glucose and
cholesterol, and about a patient’s immune system.
Comprehension
Decide whether the following statements are true (T) or false (F)
according to the text.
1. Bone marrow is formed by gamogenesis.______
2. Blood cells are mostly water.________
3. A,B,O is a method of transfusion.________
4. Recipients’ blood is given in transfusions._______
5. A blood test is good for a patient’s health.________
6. Blood cells can tell us about internal organs._______

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Further vocabulary practice

Underline the correct words in italics to complete the sentences.
The first one is done for you.
1 In healthy blood the red cells are circular / circulate.
2 I just want a drop / drip of blood from you.
3 The platelets cause blood to clotting / clot.
4 Blood cells are microscopic / microscope.
5 Blood flows / flies through veins and arteries.
6 He is bleeding / bloody badly and needs a transfusion.
7 We need to analyze / analysis your blood.
1. Blood has many functions. It distributes oxygen, keeps the body warm, and remover waste. .
………………………………………………………………………………………….
2. When someone loses a lot of blood they need transfusion
………………………………………………………………………………………
….………………………………………………………………………………
3. The donor blood must be compatible with the blood of the recipient, because a transfusion of
the wrong blood can be fatal..
……………………………………………………………………………………………
………………………………………………………………………………………
4. Medical conditions affect blood in many ways, so a blood test is a good way to get information
about a patient’s state of health..
………………………………………………………………………………………….
………………………………………………………………………………………….

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Speaking Section
Patient meets doctor (Part.2)
Asep : “what is wrong with me doc?”
Doctor : “well, I think you are suffering insomnia”
Asep : “What is it, doc?”
Doctor : “that is the inability of sleep. Do you have many problems to think?
What are you thinking?”
Asep : “I am dizzy with my final project and my brother is hospitalized”
Doctor : “that’s the point. You have to avoid thinking too heavy. Try to relax
yourself, be calm and having enough sleep.
Asep : “do you have any suggestion for me? Is it dangerous?”
Doctor : “yeah, maybe you can try to drink a glass of milk before you go to
bed. And I’ll give you some medicine to make you feel better.”
Asep : “well, thank you doc.”
Doctor : “don’t mention it”

23
7 Infertility Services
Grammar:
Conditional Sentences
Conditional Sentence atau kalimat pengandaia adalah kalimat yang digunakan

untuk menyatakan sesuatu yang mungkin terjadi atau mungkin tidak terjadi seperti yang
diharapkan. Pada bentuk conditional sentence ini antara induk kalimat dengan anak
kalimat dihubungkan dengan “ if (jika) ”.
Rumus Conditional Sentence: I:
If +simple present tense, Simple future tense
Contoh Kalimat:
If she has my address, she will send the invitation to me.
Rumus Conditional Sentence II:
Simple future tense + if + simple present tense
Contoh Kalimat:
They will buy a car if they have money.
Writing:
Write down 5 sentences by using conditional sentence!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

24
Reading Section
Infertility Services
Mark as TRUE or FALSE the sentences A, B, C, and D which are based on the reading text!
Infertility is a problem faced by many couple longing for the arrival of their newborn. In
1. Infertility is a problem faced by many couple longing for the arrival of their newborn.
Indonesia, infertility couple account for 15% of all couples within childbearing age group.
……………………………………………………………………………………………
Infertility services provide rational, complete and integrated services on examination and
……………………………………………………………………………………….
treatment of infertility couple. A professional term runs this program and supported by
2. A professional term runs this program and supported by sophisticated laboratorium.
sophisticated laboratorium and diagnostic equipment.
………………………………………………………………………………………….
…………………………………………………………………………………………
Rapid progress in the science of human reproduction in the last 25 years has given a
3. Rapid progress in the science of human reproduction in the last 25 years has given a
hope to infertile couple, who pregnancies due to certain reason cannot happen naturally.
hope to infertile couple.
In vitro fertilization and embryo transfer (IVT-ET) is a procedure when eggs are
………………………………………………………………………………………….
taken from the women’s body, fertilized in the laboratory by her husband sperms and then
………………………………………………………………………………………….
the embryo is transferred into the mother’s womb. The first Indonesia’s test tube baby who
was4.born
Theonfirst
mayIndonesia’s
1988, ensured by more
test tube babythan
who200
wasbabies up may
born on to now
1988.
………………………………………………………………………………………….

5. aRecently,
new hopea new technique,
for severe maleintracytoplasmic sperm
infertility unable injection
to be treated (ICSI) which needsIVF.
by conventional
only one sperm, has given a new hope for severe male infertility unable to be treated by
……………………………………………………………………………………………
conventional IVF which needs a couple hundred thousands sperm minimally.
…………………………………………………………………………………………….
Answer the following question based on the text!
1. What is the meaning of infertility?
…………………………………………………………………………………………
2. What should infertility services provide for infertility couples?
…………………………………………………………………………………………
3. When was the first Indonesia’s test tube baby born?
………………………………………………………………………………………………
……………………………………………………

25
Speaking Section
Patient meets doctor (Part.3)
Doctor : "What is wrong with you, sir?"

Patients : "I got the flu, doc."
Doctor : "How long have you had the flu?"
Patients : "I had the flu since a week ago."
Doctor : "What you are experiencing a high fever, too?"
Patients : "Yes, doc."
Doctor : "What you previously have been treated at the hospital?"
Patients : "Not yet, doc."
Doctor : "If that, first I will check your body, okay?"
Patients : "Okay doc."
(After a few minutes the process of checking a patient's body)
Patients : "How doc?"
Doctor : "I think you are experiencing early symptoms of dengue fever."
Patients : "You're serious, doc?"
Doctor : "Yes, you should be hospitalized immediately."
Patients : "Yes already, if so, tomorrow I will go to the nearest hospital. Thank you
so much doc."
Doctor : "You're welcome. I hope you get well soon."
Patients : "Yes doc."

26
8 Cervical Cancer
Grammar:
Passive Voice
Passive Voice merupakan struktur kalimat penulisan dalam bahasa Inggris yang
mana subject (pelaku) dari kalimat tersebut dikenakan suatu pekerjaan. Passive voice
tidak hanya ada dalam bahasa Inggris saja, dalam bahasa Indonesia kita mengenal
Kalimat Pasif dengan perubahan yang sangat simple yaitu imbuhan di- / ter-.
Pola Passive voice:
Pola passive voice merubah active voice ke passive voice tidak semudah perubahan
kalimat aktif ke dalam kalimat pasif dalam bahasa Indonesia.
S + Be + Verb-3 + By Agent
Ket:
S : Subjek
Be : Tobe
Verb-3 : Kata kerja bentuk ketiga
By Agent : Pelaku
Contoh:
Rini reads Novel. (Active Voice)
[S] [V1] [Object]
Novel is read by Rini. (Passive Voice)

[S] [to be] [V3] [by agent]
Writing:
Change the 5 sentences below into Passive Voice!
1. He buys a novel = …………………………………………………
2. I wear a t-shirt =………………………………………………….
3. They call me by phone =………………………………………………….
4. My doctor gives me a new job =………………………………………………….
5. Rudi pays his payment =………………………………………………….

27
Reading Section
Cervical Cancer
The cervix is the lower part of the uterus, the place where a baby grows during
pregnancy. Cervical cancer is caused by several types of a virus called human
papillomaviruses (HPV). The virus spreads through sexual contact. Most women's bodies
are able to fight HPV infection. But sometimes the virus leads to cancer. You're at higher
risk if you smoke, have many children, use birth control pills for a long time, or have HIV
infection.
Cervical cancer may not cause any symptoms at first, but later, you may have pelvic
pain or bleeding from the vagina. It usually takes several years for normal cells in the cervix
to turn into cancer cells. Your health care provider can find abnormal cells by doing a Pap
test - examining cells from the cervix under a microscope. By getting regular Pap tests and
pelvic exams you can find and treat changing cells before they turn into cancer.
Answer the following question based on the text!

1. What is cervix?
…………………………………………………………………………………………
………………………………………………………………………………………..
2. What is the cause of cervical cancer?
…………………………………………………………………………………………
………………………………………………………………………………………..
3. Who can get the cervical cancer?
………………………………………………………………………………………………
…………………………………………………………………………………..
28
4. How the cervical cancer can spread?

……………………………………………………………………………………………
……………………………………………………………………………………..
5. What are the symptoms of cervical cancer?
……………………………………………………………………………………………
……………………………………………………………………………………..
6. How we can detect cervical cancer?
……………………………………………………………………………………………
……………………………………………………………………………………..
1. The virus spreads through sexual contact.

………………………………………………………………………………………….
2. You're at higher risk if you smoke and if you have many children.
………………………………………………………………………………………….
3. Cervical cancer may not cause any symptoms at first.
………………………………………………………………………………………….
4. It usually takes several years for normal cells in the cervix to turn into cancer cells.
………………………………………………………………………………………….
………………………………………………………………………………………….
5. You can find and treat changing cells before they turn into cancer.
………………………………………………………………………………………….

29
Speaking Section
Feeling Queasy
Nurse : Good morning, Mr Adams. How are you doing today?

Patient : Horrible! I can't eat anything! I just feel sick to my stomach. Take the tray
away.
Nurse : That's too bad. I'll just put this over here for now. Have you felt queasy for
very long?
Patient : I woke up during the middle of the night. I couldn't get back to sleep, and
now I feel terrible.
Nurse : Have you been to the toilet? Any diarrhea or vomiting?
Patient : I've been to the toilet twice, but no diarrhea or vomiting. Perhaps, I should
drink something. Can I have a cup of tea?
Nurse : Certainly, I'll get you a cup immediately. Would you like black tea or
peppermint tea?
Patient : Peppermint, please. Do you think I could have another blanket? I'm so
cold. I think I'm getting the chills.
Nurse : Here's an extra blanket. Let me tuck you in.
Patient : You're so sweet. What is your name?
Nurse : My name is Alice. I'll be on shift during the day for the next few days.
Patient : Hello Alice. My name is Jack. Nice to meet you.
Nurse : Let's get you feeling better Jack! Is there anything else I can get for you?
Patient : That's alright. I think a cup of tea and a warm blanket should help.
Nurse : OK. I'll be back as soon as the tea is ready.
Patient : Thank you.

30
9 Responses to Health and Illness

Grammar:
Modal Verb
Modal adalah merupakan kata kerja bantu dimana penggunannya adalah kata kerja
utama dan memiliki fungsi untuk menyatakan permission (izin), possibility
(kemungkinan), atau necessity (keperluan). Modal digolongkan menjadi 3 macam yaitu
modal present, modal past, dan modal perfect sebagai berikut:
A. Modal Present
Will : I will go to Pangkajene
Shall : Shall I go to despite the Rain?
May : You may go tonight!
Can : I can do what she does now,even better!
Must : They must study hard to pass the exam.
Ought to : It’s raining so hard;you ought to bring your umbrella.
B. Modal Past
Would : I would like to join you to the cinema tonight!
Should : You should change your mind about this case.
Might : She might be sad because she didn’t see you last night.
C. Modal perfect
Should have : You should have tried harder.
Must have : Eko must have prepared this surprise since a week ago.
Could have : Edo could stay here longer, but he went home earlier.
Writing:
Write down 3 sentences of modal present, 3 sentences of modal past and 2 sentences of
modal perfect!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………
6. ………………………………………………………………………………………
7. ………………………………………………………………………………………
8. ………………………………………………………………………………………

31
Reading Section
Responses to Health and Illness
Irish immigrants have high rates of mental illness. Although children of Irish
immigrants have fewer psychological problems than their parents, they lead all other
second-generation Americans in frequency of mental health problems (Blessing, 1980).
One explanation for high rates of mental illness may be associated with the Irish
having difficulty describing emotions and expressing feelings. The health-care provider can
encourage the expression of emotions and feelings before symptoms become a problem.
In the past, the mentally and physically ill were taken care of in the home, not
because of the stigma associated with mental illness and the family’s desire to shield them,
but rather because of the Irish-American family preference for caring for each other
whenever possible.

32
Translate
Mark the following
as TRUE or FALSEsentences correctly!
the sentences A, B, C, and D which are based on the reading text!
1. Children of Irish immigrants have fewer psychological problems than their parents.
………………………………………………………………………………………….
…………………………………………………………………………………………
2. The health-care provider can encourage the expression of emotions and feelings.
………………………………………………………………………………………….
3. They lead all other second-generation Americans in frequency of mental health

problems.
…………………………………………………………………………………………...
………………………………………………………………………………………….
4. The mentally and physically ill were taken care of in the home.
………………………………………………………………………………………….
5. The stigma associated with mental illness and the family’s desire to shield them.
………………………………………………………………………………………….
…………………………………………………………………………………………

33
Speaking Section
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!

34
10 Stress, Social Support and Health
Grammar:
Passive Voice
Passive Voice merupakan struktur kalimat penulisan dalam bahasa Inggris yang
mana subject (pelaku) dari kalimat tersebut dikenakan suatu pekerjaan. Passive voice
tidak hanya ada dalam bahasa Inggris saja, dalam bahasa Indonesia kita mengenal
Kalimat Pasif dengan perubahan yang sangat simple yaitu imbuhan di- / ter-.
Pola Passive voice:
Pola passive voice merubah active voice ke passive voice tidak semudah perubahan
kalimat aktif ke dalam kalimat pasif dalam bahasa Indonesia.
S + Be + Verb-3 + By Agent
Ket:
S : Subjek
Be : Tobe
Verb-3 : Kata kerja bentuk ketiga
By Agent : Pelaku
Contoh:
Rini reads Novel. (Active Voice)
[S] [V1] [Object]
Novel is read by Rini. (Passive Voice)

[S] [to be] [V3] [by agent]
Writing:
Change the 5 sentences below into Passive Voice!
1. He buys a novel = …………………………………………………
2. I wear a t-shirt =………………………………………………….
3. They call me by phone =………………………………………………….
4. My doctor gives me a new job =………………………………………………….
5. Rudi pays his payment =………………………………………………….

35
Reading Section
Stress, Social Support and Health
“The notion that stress contributes to all kinds of illness is so well accepted within
both the general public and professional circles that it is hard to believe that as recently as
the 1970s researchers were just beginning to investigate the nature of this relation and
were, in fact, still posing the question “Is stress a causal factor in disease etiology.”
Thousands of studies later (between 1985 and 1995, more than 3,000 articles on
stress and health were published in social science journals alone), we now take for granted
the idea that not only is stress a significant factor in many chronic diseases, it is probably
an underlying component of all kinds of health problems, from infectious diseases to
mental disorders to family violence.
Read the items A,B,C and D and mark according to whether it is TRUE or FALSE.
Please write the complete words “true” or “false.”!
1. _______(A) The complete subject of the first sentence is “The notion that stress contributes
to all kinds of illness…”.
_______(B) Stress was thought to be the primary cause of research on disease until the l970s.
_______(C) Stress is now thought to be the underlying component of many health problems.
_______(D) According to the above paragraph, family violence is a health problem.

36

1. The notion that stress contributes to all kinds of illness.
………………………………………………………………………………………….
2. Researchers were just beginning to investigate the nature.

………………………………………………………………………………………….
3. Stress a causal factor in disease etiology.

………………………………………………………………………………………….
4. More than 3,000 articles on stress and health were published in social science journals.
………………………………………………………………………………………….
………………………………………………………………………………………….
5. We now take for granted the idea that not only is stress a significant factor in many
chronic diseases.
…………………………………………………………………………………………..
………………………………………………………………………………………….

37
Speaking Section
Going Dizzy
Doctor : Hello. I am Dr. Smith. I will be the physician taking care of you today.
What seems to be the problem?
Patient : Hi Dr. Smith. I'm having trouble breathing, I'm dizzy and I'm running a
fever.
Doctor :OK. How long have you been feeling this way?
Patient : I'd say for about three days now. I felt so bad last night that I came into
the ER. I wish I hadn't because I have horrible insurance. My premiums
are high and hardly anything is covered.
Doctor : I'm sorry to hear that. Are you part of an HMO or do you have private
insurance?
Patient : I have private insurance. Anyway, is there anything you can do for me? I
don't seem to be getting any better.
Doctor : Well, I'll have to check you out to be able to make a diagnosis. Let me
listen to you breathe. Oh. This doesn't sound good. It is probably
pneumonia. This is pretty serious. You are going to have to check in to
the hospital tonight so we can observe you. Mrs. Darby, the nurse
practitioner, is going to take care of you.
Patient : I thought it was serious. Honestly it has been a while now that I haven't
felt so good.
Doctor : Do you get a regular checkup each year? You may have had this for
months now.
Patient : No. I never go to the doctor. With this bad insurance I try not to come in.
The last time I saw a doctor was two years ago when I sprained my ankle.
I wasn't even going to come in then, but it was so swollen that my husband
made me go.
Doctor : Well, I understand that medical care can be expensive nowadays. Be that
as it may, when you are suffering from any kind of ailment, especially
one this severe, it is worth the money.
Patient : Easy for you to say being a doctor who makes a lot of money.
Doctor : Ok. Well, that's just something to think about. Just wait here and the nurse
practitioner will be in shortly.
Patient : OK. Thanks doctor.

38
11 Individual and Group Health
Grammar:
Present perfect continuous tense
Tense ini dipakai dalam menjelaskan peristiwa/kejadian yang sudah terjadi dan masih
sedang berlangsung. Berikut adalah rumusnya:
A. Kalimat Positive
Subject + have/has been + kata kerja (infinitive) + -ing + object
Example:
 She has been travelling since yesterday.  I have been sitting here since ten
o'clock.
B. Kalimat Negative
Subject + haven't/hasn't + been + kata kerja (infinitive) + -ing + object
Example:
She hasn’t been travelling since yesterday. I haven’t been sitting here since ten o'clock.
C. kalimat Tanya
Have/has + subject + been + kata kerja (infinitive) + -ing + object
Example:
Has she been travelling since yesterday. Have I been sitting here since ten o'clock.
Writing:
Write down 5 sentences by using present perfect continuous tense!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

39
Reading Section
Individual and Group Health
“Athough our understanding of deleterious effects of stress is a fairly new
development within sociomedical sciences, early work in this area actually dates back
more than a century to the work of French sociologist Emil Durkheim. In 1897,
Durkheim published the now classic study of suicide in which he used population- based
statistics to identify social groups at differential risk for suicide (Durkheim, 1897 / 1951).
His comparisons of suicide rates in different countries revealed a link between level
of social integration and suicide—the more alienated people are from the larger social
system, the higher the suicide rate. At a more general level, the study demonstrated the
profound impact of the social environment on both individual and group health.”
1. _______(A) The work of Emil Durkheim is an example of our fairly new understanding
of the deleterious effects of stress.
_______(B) According to Durkheim, there is a positive relationship between alienation

and suicide.
_______(C) The above passage refers to Durkheim’s study of suicide based on individual
persons rather than on large groups.
_______(D) According to the above passage, Durkheim claims to have found that suicides
occur more often in groups of who live in crowded conditions.

40

1. Our understanding of deleterious effects of stress is a fairly new development within
sociomedical sciences.
……………………………………………………………………………………….
……………………………………………………………………………………………
2. work in this area actually dates back more than a century to the work of French
sociologist.
………………………………………………………………………………………….
………………………………………………………………………………………….
3. The now classic study of suicide in which he used population- based statistics.
………………………………………………………………………………………….
4. His comparisons of suicide rates in different countries revealed a link between level of
social integration and suicide.
………………………………………………………………………………………….
………………………………………………………………………………………….
5. The study demonstrated the profound impact of the social environment.

………………………………………………………………………………………….

41
Speaking Section
Helping a Patient
Patient : Nurse, I think I might have a fever. It's so cold in here!

Nurse : Here, let me check your forehead.
Patient : What do you think?
Nurse : Your temperature seems raised. Let me get a thermometer to check.
Patient : How do I raise my bed? I can't find the controls.
Nurse : Here you are. Is that better?
Patient : Could I have another pillow?
Nurse : Certainly, Here you are. Is there anything else I can do for you?
Patient : No, thank you.
Nurse : OK, I'll be right back with the thermometer.
Patient : Oh, just a moment. Can you bring me another bottle of water, too?
Nurse : Certainly, I'll be back in a moment.
Key Vocabulary
Fever
To Check Someone's Forehead
Raised Temperature
Thermometer
To Raise / Lower The Bed
Controls
Pillow

42
12 Gender Differences in Health
Grammar:
Past Perfect Continuous Tense
Tense ini dipakai dalam menjelaskan peristiwa/kejadian untuk menyatakan suatu
perbuatan atau keadaan yang telah dimulai dan masih berlangsung di waktu lampau.
Berikut adalah rumusnya:
A. Kalimat Positive
Subyek + had + been + V1 + ing + Object
Example:
They had been living here for three years She had been being sick for two days
when I came. when we went to Jakarta.
B. Kalimat Negative
Subyek + had + not + been + V1 + ing + object
Example:
They had not been living here for three She had not been being sick for two
years when I came. days when we went to Jakarta.
C. kalimat Tanya
Had + Subyek + been + V1 + ing + object?
Example:
Had they been living here for three Had she been being sick for two days
years when I came? when we went to Jakarta?
Writing:
Write down 5 sentences by using Past Perfect Continuous Tense!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

43
Reading Section
“Gender Differences in Health”
“Only in recent years we have learned much about health-related differences
between men and women, largely because up until the 1990s women were systematically
excluded from medical research (Hamilton, 1996).
The rationale for exclusion of women from clinical investigations was that women’s
reproductive functions (e.g., pregnancy, menstruation, hormonal changes) might interfere
with the study protocol and distort research findings.
The creation of the national Office of Research in Women’s Health in 1991 led to
legislation mandating the inclusion of women and minorities in all federally funded
research. Consequently, we are learning more and more about gender differences in
physiology, metabolism, response to medication, organ function, and the progression of
disease.”.
1. _______(A) Until recently, little distinction was made in medical research related to
differences between and women.
_______(B) The reason for not studying conditions found only in women is that such was
thought to distort research findings.
_______(C) The creation of the national Office of Research in Women’s Health has been
a serious hindrance to learning about gender differences.
_______(D) The author of this paragraph probably supports the inclusion of women in
clinical investigations.

44

…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
………………………………………………………………………………………..
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
………………………………………………………………………………………..
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
………………………………………………………………………………………..

45
Speaking Section
Making a Doctor's Appointment
Doctor's Assistant : Good morning, Doctor Jensen's office. How may I help you?
Patient : Hello, I'd like to make an appointment to see Doctor Jensen,
please.
Doctor's Assistant : Have you been in to see Doctor Jensen before?
Patient : Yes, I have. I had a physical last year.
Doctor's Assistant : Fine, what is your name?
Patient : This is Maria Sanchez.
Doctor's Assistant : Thank you Ms Sanchez, let me pull up your file.
Patient : I haven't been feeling very well lately.
Doctor's Assistant : Do you need urgent care?
Patient : No, not necessarily, but I'd like to see the doctor soon.
Doctor's Assistant : Of course, how about next Monday? There's a slot available at 10
in the morning.
Patient : I'm afraid I'm working at 10. Is there anything available after
three?
Doctor's Assistant : Let me see. Not on Monday, but we have a three o'clock opening
next Wednesday. Would you like to come in then?
Patient : Yes, next Wednesday at three would be great.
Doctor's Assistant : Alright, I'll pencil you in for three o'clock next Wednesday.
Patient : Thank you for your help.
Doctor's Assistant : You're welcome. We'll see you next week. Goodbye.
Patient : Goodbye.

46
13 Family Planning
Grammar:
Future Perfect Continuous Tense
Tense ini digunakan untuk membicarakan tentang suatu tindakan/kegiatan yang

panjang sebelum beberapa saat di masa yang akan datang . Berikut adalah rumusnya:
A. Kalimat Positive
Subyek + will + have been + V1 + ing + Object
Example:
He will have been traveling for 24 hours.
B. Kalimat Negative
Subyek + will have + not + been + V1 + ing + object
Example:
He will have not been traveling for 24 hours.
C. kalimat Tanya
Will + Subyek + have +been + V1 + ing + object?
Example:
Will he have not been traveling for 24 hours?
Writing:
Write down 5 sentences by using future Perfect Continuous Tense!
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

47
Reading Section
Family Planning / Birth Control
Considering the population explosion, increasing inflation and scarcity of resources,

the family trends have shifted to nuclear families with number of children limited to one or
two. Family planning refers to the natural and artificial birth control methods that allow you
to control the size of your family and the gap between your children.
Family planning helps you prevent conception and reduce the risk of pregnancy. The
biggest advantage of family planning tools is that they save you from the hassles of
pregnancy termination and abortion. Adopting a family plan directly effects a woman's
health in a good way by preventing unwanted and unplanned pregnancies and subsequent
abortions. Restricting the family size allows more resources for bringing up your children
and sustaining a family in a balanced way. Adopting family planning methods helps couples
to let their children have a more focused upbringing, better education and other amenities.
Family planning perspectives are being given serious thought worldwide, and so, important
birth control FAQ are being referred more often than ever for effective family planning.
List of Vocabulary
Consider : Mempertimbangkan Explosion : Ledakan, letupan Artificial: buatan

Scarcity : Kekurangan Limited : Membatasi
Prevent : Mencegah Hassles : Percekcokan
Amenities : Sikap ramah-tamah Planning : Perencanaan

48
Jawablah pertayaan-pertayaan berikut, berdasarkan teks Reading yang ada pada

Mark as TRUE
halaman or FALSE the sentences A, B, C, and D which are based on the reading text!
sebelumnya!
1. What is the background of family planning program?

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2. What is the family planning refers to?
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3. What are the advantages of family planning?
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4. What is the biggest advantage of family planning?
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49
Speaking Section
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.

50
14 A Cesarean Section
Grammar:
Present Future Perfect Continuous Tense:
A. Kalimat Positive
Subyek + wiil/shall + have+ been + verb-ing
Example:
They will have been playing soccer.
B. Kalimat Negative
Subyek + wiil/shall+not + have+ been + verb-ing

Example:
They will have not been playing soccer.
C. kalimat Tanya
will/shall + Subyek +have+ been + verb-ing
Example:
Will theyhave been playing soccer?
Writing:
Write down 5 sentences by using future Perfect Continuous Tense!

1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
4. ………………………………………………………………………………………
5. ………………………………………………………………………………………

51
Reading Section
A Cesarean Section
A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through
the mother's abdomen. In the United States, about one in four women have their babies this
way. Most C-sections are done when unexpected problem shappen during delivery. These
include Health problems in the mother The position of the baby Not enough room for the
baby to go through the vagina Signs of distress in the baby C-sections are also more
common among women carrying more than one baby.
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries
risks. It also takes longer to recover from a C-section than from vaginal birth. After healing,
the incision may leave a weak spot in the wall of the uterus. This could cause problems with
an attempted vaginal birth later. However, more than half of women who have a C-section
can give vaginal birth later.
List of Vocabulary:
Cesarean : pembedahan perut (melahirkan anak). Surgery : ilmu bedah

iAbdomen : perut Unexpected : tak diduga2 Signs : pertanda
Distress : keadaan yang berbahaya Recover : pulih Vaginal birth : persalinan
normal Healing : menyembuhkan Incision : goresan

52
Jawablah pertayaan-pertayaan berikut, berdasarkan teks Reading yang ada pada

halaman sebelumnya!
1. What is a cesarean section?

...............................................................................................................................................
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...............................................................................................................................................
.....................................................
2. Explain four reasons why women have to take a cesarean?

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3. According to the text, is a cesarean section save for mother?

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4. What is the effect of a cesarean section for mother?
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.....................................................

53
Speaking Section
Patient asking to the doctor
Patient : Hello doctor! Can you spare me a few minutes?

Doctor : Certainly! Come in and sit down. Now, what is the matter with you?
Patient : That is just what I want you to tell me.
Doctor : Well, tell me how you are suffering?
Patient : I seem to be generally out of sorts. I have no appetite for my food, and yet
I am always suffering from indifestion.
Doctor : Are you troubled with headaches?
Patient : Yes, I am. And what is worse I cannot sleep at night.
Doctor : I see, What is your work?
Patient : I am a clerk in an office, and have to work long hours.
Doctor : What sort of exercise do you take in the evening?
Patient : I am afraid I don't take any. I feel so tired when I get home that I simply
want to sit down, or go to bed.
Doctor : I see. Well, you are evidently run down, and need a rest and change. All
your troubles are signs of nervous exhaustion. I will give you a nerve tonic
but the main thing is rest. If you do as I say, you will soon be all right.
Patient : Thank you, doctor. I will follow your advice, Good sight!
Doctor : Good night! And let me know how you get on.

Reading Section:: The Hospital Team

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Reading Section:: The Hospital Team

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1

1 THE HOSPITAL TEAM

THE HOSPITAL TEAM

responsibility than they are had.

One thing is not changing it is still a doctor who is in charge of a patients

manager who supervise staff nurses and student.

test and pharmacist dispensing medicines

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

1. A hospital is like a small town because ………………..

Translate the following sentences correctly!

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

There are three ways to admit a patient a patient to hospital. Either as an

1. Admission to hospital are all inpatient_____

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Patient admission information:

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Nurse : Good morning Mrs. Nellie, how can I help you?

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Personal Pronouns Possessive Pronouns

B. Verb, adalah kata yang menunjukkan kegiatan/tindakan/pekerjaan tertentu. Lambang

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Pain is also difficult to measure and describe. This is a problem because it is an

Use the information in the text to complete the sentences with a, b or c.

1 Researchers are trying to find out why-_____ .

2 Experiments show that ________.

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

3 Nurses need to measure a patient’s pain because ______

4 Medics ask patients for a number to describe _______

5 To describe pain, medics ask children to ______

6 You experience referred pain ________

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Doctor : When did you last come in for a physical exam?

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Adverb and Noun

Now Later Quickly

Teacher Injury Midwife

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Key words from the unit

Stitches nausea mood swings rash

Bruising swollen lump spots

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

In the front of Children Specialist Doctor’s room

Mrs. Ratih : Excuse me. I want to check up my son’s illness.

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

5 NUTRITION AND OBESITY

Adjective and Preposition

Angry Happy Sad

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

NUTRITION AND OBESITY

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Words from the text

Further vocabulary practice

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Patient meets doctor

Doctor : Hello! What can I do for you?

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

Conjuction and Interjection

Ah  ekspresi senang Hey  ekspresi terkejut

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP

RONI, S.Pd.I.,M.Pd ITKES MUHAMMADIYAH SIDRAP