stoning scripts 125 ee Listening scripts istening 2- Aj i MThrough the swing doors down the Unit ee ee corridor, stright secondeft. eS F=Inlerviewer2-Rachel P Tati Serub up Ok ache. Iet'sstart theinterview with FTNatsS afew questions Your CV says that 1 scrubnuse radiologist you'te working a City Hospital 3 2 cardiologist consultant Se mie eaten Rereceptionist, V-vistor 5 receptionist anaesthetist Areyouafilly-qualifed serubmurse? _® Goalongthiscoridorandturnleftat 4 surgeon Paediatrician Notyet-Atthe moment! mdoinga theend, Goalong thenextcortidor take 5 physiotherapist 10. porter part-time courseand workingat the ‘thesecond let and goal the way along sametime.tm preparingfortheexams, _ thatcorrdor.The ward you wants rening 1- An admission Which atenest month F’shard, rightat theend straight infront of you especially when tmworkinganight _V Thankyou shift and goingto lectures nextday. TellusaboutyourjobWhatdoyoudo Listening 2-The porter’s office every day? Wel assist the surgeons. prepare the instruments for surgery and help with ‘the operations. What do you lie best about beinga scrub nurse? ‘Well ike watching operations, but t's ‘thecontact withthe patients that’ closer look at yourheart. Have You most rewarding, had anscray before? Sow areyou applying fora new job? B Yes,Ibroke ey legonce. Wali’ wery happy i my jb, but : want mare responsibilty, 6 ci 8 9 AY Peparamedic,BeMrsBenson P Canyouhear me? Mrs Benson? BB Yes, Where am ? What happened? P You're inmy ambulance. You'vehada falland we're taking you tohoepital, B Yes now remember Heshead porter, W=porter Wahid, Baporter Brian Sure, right away. Hello, Wahid? Are you there? Ww ves. H Whereareyou? ‘Wmatthetop ofthestatrs outside Physiotherapy H OK-Canyougoacrossthehospitalto thestores andeolectaboxof isposablesyringes and take them to the Path ab? and also, wheelchat asster BoM Berson, W Boxof syringes anda wheelchair OK. 5 Hello;Ms Benson. How do you feel? Ht orters fice. Yes, actor Sayed 2 Tersble Tvegotateribleheadacheana Unit 2 dethat..Heloran? need to use thee. re § Ok (Iidrawthecurtainsandyoucan Pronunciation Doctor Sayed from Cardiology wants a vseabedpan DoctorBughtiscoming 1 cargioogy os porter-They'vegot alot ofempty tohavealook atyou na moment. cai Pathology bottles~can you take thera tothe bins? 4 3 Gynaecology 9 Dermatology «= Wherearethey? CCeconsultant,B=Mrs Benson 4 Neurology 10 Physiotherapy Hf Outside Cardiology near theswing ¢ MrsBenson. We've been worried about 5 Obstetrics 11 RenalUnit eT Ee ubutIvegot goodnews.Thex-ray 6 Orthopaedics 12 Surge ake astretcher to Ward fou, collect a yourblod presureisbacktonoral. stening 1—Directions Hello Porter office How are you feeling? fee fine now 2 Good. 'mgoing topreseribesame PepkysiotherapistMeman medicineandtimdischarging you. _-‘ Gooutofhereand te door you wants justopposit.Gointheoughthedoct—Serub up eptionist,B-Mrs Benson, seem mmr eM em=an agate partyandoneotmytiends ‘ight, Mrs Benson, so youwanttomake gavemealitde wlitetablet.tahada aoulpaentsappeinimentfornest ee few drinks and Twas feeling good, and week : tookiteven though did't know what B Yes please itwas.ttmade me el ke eal 2 Thusdaystfou? Peporter Mean wei tcouldseeand hear realy 5 ‘MSolt’sjust outside here? Fine P Gointothehosptalthroughthes= | yangethingsanditscaed me stil Good NextThursday atfourc'dockta _-—-swingdoors.Goalongthecorridortake ot feo! no mal today, and'mver 02 Doctor lee n Outpatients, ‘the fist ight, and its the second door v y conyourleft wanes Itsnot due untilnext month, but when Iwas washing up this morning there126 Ustening scripts ‘wasalitle blood Itworried me.Then got these pains. Twas working high up onaladder. My {oot sipped and fell. 1hit my head but ‘there'snablood and {don't feel too ba, 4 1was walking by the iver, and think stepped on itand tbitme. Ident know ‘what typeit was butit waslongand silver with ablack head, Iwaslooking inthe rerrorand saw this bigspoton my face Ichecked ton the internet andi'm sure Ive got cancer Do youthinkI'm goingto die? itrecord Listening -A pati form sustapha, N-nurse 1 NN Mustapha, isn't? MYes,that's right. NN So,what happened to you? ‘Mlwas working on aladder twas raining and slipped and fe N Didyouhityourhead? -MYes.Isave stars anc felt sickat first But now's OK. N Isee.You may haveconcussion, First Tiltake down your detalls and fl inthis orm So, what’s your sumame? MsHussein, 1N Canyouspellthat forme? MH-Usioubles EIN, N Whats your occupation? ‘Mi'mapainter IN Right. Whats your date ofbirth? Must ofthe ninth, eighty-two 1N Onesnine,eighty-two...and where were you born? Mxarachi Pakistan, 1N Whats your marital status? Msony? N Ave youmartied? ‘Mina, tim single. N Anda you havea contact telephone rumberfor your next ofkin? 2M07709.401229-i's ry brother, Yas, N Doyousmake? yes 1N How many do you smoke day? N Unhuh-Do you drink MN, NN Right. Are youallergicto anything? MN 1 Now, family history. Doany of your close family sufferfrom any ofthe {ollowing-mentaliliness? MNo. N Diabetes? ‘May mother’s parents are both diabetic. 1N Matemal grandparents. diabetes. Tuberculosis? MNo. NHIV/ alps? MNo. Unit 4 ew Listening - Instructions Peparamedic Roger, Oscar Lima Chae, we're with the patient nove Possible cardiacamest. standby over Nurse checehis pulse IN There'sno ale. Pox N Het not breathing P itis cardiac arrest Give him CPR Ital youthroughit,0K? Nox P Give himsmouth to mouth fist Support hishead. Thats tit back Right hold tsnosecloted,then open his mouth and breathe strongly intoit.Givetwo full breaths into is mouth, OK? Night P Icthischestfallagain Nothing? Nothing P Tumhishead That right Putyour brandon his chest Now put your other bandon topof your fst hand OK? Nok P Pushdownalite.. and telease.. Dott again.One..two, thre. fou. IN How many times should doi? P Repent theprocedure fifteen ties OOK Check his pulse again, Anything? N Nostillne pulse OK Don’t wall Use the AED Set tata chargeoftwohundted Right Rs twohundred » Apply the padsohisches. NWheredotputthem? P Putone above theheastandone below Standclearfhistody. Make sure you don touch him. call everybody dear andithen press the butonsand hl for toro seconds OR? NOK Everybody cleat! Checehis pulse again Nothing P Areyousure? NN Yes. Theres no pulse, P OK- repeat the procedure. Same charge ~two hundred. IN Right. Everybody cleat! Aa hah There's pulse. Good. Well done.Now set upanIV and give him Lidocaine, 1 How much shall givehim? P Onehundred mil overtwo minutes Unit 5 a Listening 1-A pain chart ‘Nenuase,P=patient 1 1N How are you today Kath? Are you still inpain? Well there’ pain around my stomach squitebad 1N Whatleind ofpainis it? P tsabuming pain N Doyoualways have t? P ttnevergoesavay. Never Nisit geting worse? P No,its staying about the same. 2 1N How’ the pain today, Emir? P itsrouch beter, thanks. havea sight pain jst here in my rghtside, butts lotless painful than yesterday. 1 How often do you get the pain? Only every nowand again it comes and goes. 3 N Do youstllhave aheadache? P Yes, ve got this throbbing pain in my head N Whereabouts? P inthe forehead right between my eyes 1 Doesit fee thesame al the time? P Noxitchanges.Sometimesit'snot too bad, butt gets abit worse at night, 1 sndit’s getting more severe now ieit? P alntlebit yes NIigetyou some painkillers. 4 NN So,you're having pains in your arm. P Yes, Cheep getting this terrible pain down my left arm. tstarteat the shoulder and shocts dow tomy hand, N isthisallthetime? P No,but most ofthe time, butit's agonizing when it happens,Lstening scripts 127 IN Whendidthiestart? Listening 1- Symptoms P Yes,tisintit. P itstarted yesterday but smack more 1 ou've hadansezay haven'tyou? torattady 1 aes Picola MMe hee casanet NHow dosaitfeelAlitledeformed, _N Anvthingbroken? P Nio,just bruising nie aes =a 1N Youszen'ton any other medication ate Listening 2-Pain relief P Yes,there'sa huge lump just above the a 7m een Dep teramebier A ae ee Bolg Andjustntvey : Hello nice I'm Karen. soll 7 WN Isitpainfal when youmovelt? N Howare youfeeling? cee ahaa 2 P Notbad,thanks—abbit sore. age N Canyoumoveyourtoes? Nahar bree K toe Ttnnkwegneebithatthesame F Hsdificatheyrenumb—toantet P Leloffmy bie, : thematall ere does ith time lastnight, dint we’ 7 neces wae 5 Yes. theard you. a N Canyou move your finger? K Waslmakingsomuchnoise? Wellit _N Howareyouteeling? Fiat wwasthepain P ‘feelsohot. What docs the NER 4. Dide’tyou have any pain relief? thermometersay? pase terete orca a K Oh,yes.thad just gasandairat frst tt_N Yes,youdohave fever Your BS ar nee es docstelicvethepainabit buttheeffect temperatueisalitteover38.lave you yy shasdeep itil ‘wearsoffvery quickly Itmakesyoufeel _gotasorethroat? Ena ene lightheaded fyou havetoommuch. It P Yes thurs when talk Bee cea eae mademefeelsick too Anyway. when _N leanseeyouhavespots.Anyredness? Noyes avtrden't wantany! thepainbecame unbearable Thadan _P Yes.my chest and backae all ed. Sete tee eee epidural Sele P No,thaven'seen him yet 1 Didthathelpyoucopewith the pain? P Yes,constant tiredness. And my legs XK Ietookaway the paincompletelyity __feelachy,too wholelowerhalf wert mumblitwas 3 Listening 2-Ahelpline call {reat How aboutyou? N Howsitgoing? Nenurse,Memather of child ‘Thiswasmythirdsothepainwas BP llbe gladwhenthisisover Doing _N National Heath ine How can (help? easiertobear 1didbreathingexercises srything iszeally ing Moh,hello t's my litte boy-he’s seven "decided tohave gasandalrifthe pain Wy Oh dear.Doyou fe! dizzy at al? Tmvorried because he's got terrible gotworsebuttdidn'tneeditthadan Yes somedaystteeldizyand cough. epidural last tine, ut adn like sometimes sick NOK So,can youdeseribethe cough? losingallsensation Thistimel wanted Wen do youfeel sick, rnosty? mean, dees he wheeze when he tofeelthebith P Inthe momings.Andi'm very coughs? K I'msony.Janice-rthinkyoumustbe _constipated-haven'tbeentothetollet MYes,hedoes mad. fortheee days Sony tomoan 1 Doeshe wheeze when hebresthesin or IN Thats allright Well needa good Whenhebreathes out? Pronunciation ‘moan sometimes. What about pain? _-MMm...when he breathesin. Yes, not Na Nopain when he breathes a air ure doctor 1N When he coughs, does he cough up any care arse appointment Dlood? first hair tumour Laneuaes spot MNo, but sometimes when he coughs, he ler worse where [Nenurse,P=patient vomit. 1 Ise. Does he have any allerges? N Ok MisHales? MNalldon'tthinkso Unit 6 P Nottoobad, thanks N Right. Does he have fever? Have you NN Wat happened to you? takenhisterperature? Scrub up P Ihadafall MYes,he's burning The thermometer N Where doesit hor? easier P Frommy wrist tomy elbow. N What about your shoulder? P Thatsfine N Letshavealook-swolle, sti! fisrrhoea numbness bruising nausea aching tiredness cough128 Listening scripts Unit7 ead Listening 1-A care home Edith, BoBetty FE .andthat ruse Barbara-Idon't ike her B Sssh Hath shel hear you! E Idor'teareifshe hears me, Betty, Shespeaks tome ikea child ~That’sa lovely jumper you're wearing Edith Don'tyou look prety!'Sheshouldcal sme'MsTaylor’ thankyou very much! [Norespect. yousee! And she comes into my room without knocking You've got noprvacy.no self-respect. B Oh cheerup Let>gooverand play some bingo Bingo? Fm not interested in playing Dingo witha group ofol ladies! ts nat verystimulating isi! They'eallso slow because they've got nothing to keep theirminds busy andthetr medication lowsthem up some more. “They justsit in font of thetelevision al day. 'B Azeyoucomingonthetaiptothe seaside next week? No.Edon't like coach trip. just want to {gohome lms my independence. rrissmylitchen. And that's another thing don tie the feod here B Yes but wedorrthavetocockordothe ‘washing ourselves Tike this eare home. itSclean The statfare very professionalandits nie toknow there's someone rearin an emergency ‘And theres always someoneto tlkto, ‘mneverionely Well, don'twantsome young nurse tellingme what eanand cannot do want children around me. Its not natural living ike this~ everybody here ‘sala Language spot 2 ‘A Wiillyou pass me:my glasses? Then] beableto see the television, B Hereyouare, ‘A Thanks. Oh, and will you dome another favour? B What now? A willyouhelp mestand up? want to switchiton 3B You'll probably fallover i doit ‘A Thank you. wor’ttrouble you again. Listening 2~ Assessing patient [Nemurse,D=daughterofeldenly patient 1N Yourmumis goingtobe fine. There are nobones broken Oh that's good news Iwas worried Decause she's bit rail N Isthatthe ist timeshe'shad a fall? D Yesitis, NImdoing anassessment ofher soT've got some questions. Can you help me with them? D Of course, goshead. NN Right.Number one. How's your mother's hearing? Does she wear a hearingaid? Yes she's very deat Without her hearing ad she hears nothing at al, 1 OK.Canshe see OX? 1D With glasses, os —very well forher age. 1N Right Mobility? Are hermovernents very estrcted? Well sheneeds help getting dressed and getting in and out ofthe bath She hhasa walkingstickand she’ very independent But some days she gets dizzy and can be unsteady on her feet She ses a scooter for shopping, N Thenext question about sleeping Ihabits.Doee she have any sleep aisordexs? D Shehasalotof problems. she often ‘wakes up in the middle ofthe night Sometimes she can'tsleepatall. she takee sleeping pills and of course she hhas anap every now and then during the day. 1N OK. Any problemseating? Can your smother feed herself? D Ohyes,she's fine atthe table 1 Right. Continenceis next. Does she ever, wet hezeelt? Well that happens quite often. Probably because she doesn'tlike using abedpan and she car’tget othe bathroom, Wehave tomake sure she hasan incontinence pad 1N Does she ever show signs of confusion? D Occasionally, yes. Sometimes she thinks Ther sister Lastnight theard Someone moving around downstairs, and when! went down, [found Mum in the kitchen. she didn't row where she was. We laughed about it afterwards, 1N Does this often happen? D Na Very rarely Unit 8 Seecmemartanomnnariremnanern Listening 1A diabetic patient Sestudent muse, Nenutritionist 5 Thenew patient hashad diabetes since childhood, hisnotes say. N Uhhuh.Hehastypeone, then? S What'sthat? N There’ type one diabetes and there's type two. Type one usually appears before theage of eighteen Does he injecthimself with insulin? S Yes.dally, N UhhuhOK.He's on aspecial diet, she? 5 Yes but he’snot overweight: N No.Type one diabetesisnot linked to obesity 5 Soobesityislinkedtotypetwo.isit? N Yes Type twoisthecommonone. 8 Thispatient hasa special machine to checklevels of glucose in hisblood, And. he shouldn't eat sugar ight? 1N Well nots not true that dlabeties shouldn't eat sweet things. Actually, ‘what’ importants balance A diabetic like your patient shouldeat the same amount of fod atthe same time of day Heneeds tocount the calories in his ‘meals,and he should have snacks, not big meals ~espectally before bed, 'S Oh, why isthat? 1N Toavoid hypoglycaemia. 'S Hypoglycaerala—not enough glucose intheblood, right? wright Speaking 1 onemetrecighty 2 ninety-five point seven los 2 fivefeeteleven 4 twohundred andeleven pounds 5 one pinteighttimes one pointeight equals thre point two four 6 ninety-five point sevendlvided by ‘hee pont two four equalstwenty sine pint five fourListening 2— An eating disorder Sestaffmurse, Nenurse 5. Thenewpatient'snameis Anita Josephs. fnitaissixteen She fainted andanambulance broughther in so ‘we are keeping her nor aforty-eight hourobservation. Anais very underweight She weighs 383 fos [NI That puts her EDA inthe danger zone. 5. Yes hermother believes she has anorexia Shetoldmeabout Anita's personality changesandmood swings 1N2 Atypical teenager? 5 Toapoint,yes.But Anita isobsessed with dieting She doesn'teat,soshe gets stomach pains, frequent ‘constipation, and attacks of dizziness. ‘What does Anitasay? Shesays she feels miserableallthe ‘time but she doesn't know why. However she doesn't believeshehasa ‘weight problem. She told metthat she cats the same as everyone ese,and shedoesn'tthink her weightlosais abnormal, However she does say she hhasdiffculty sleeping. andis losing herhair,and she has also stopped Ihaving periods. Unit 9 PEER Listening 1-Blood types Jeinstructor,S1/ 52 students1and2 1 [want toshow you what happens ifyou ‘micthe wrong types of blood. Now, in front of you, you've gottest tubes with different types of blood in them. The blood in one test tube stype A. Now ‘who can receive blood type A? SUA patient with blood type AB. 1 Right. So ABcan receive type A. Butcan Breceive A? What happens ifyou give type A totype B? Now there's sometype ‘Blood inthe second test tube.Ifyou adda dropoftypeA, youll see hovrthey react together. Now puta dropof the blood onaslideandlockatitthrough the microscope. 2Thered blood cells ae joining together 1 Yes thats right. Wecallthat‘clumping’ ‘Now the blood stops movingifthe red cellsclump. And ofcourse ifthe blood stops moving. the patient dies. Now if ‘we put alittle of blood type 0 into more typea,we'llseethedifference And what doyousee now? 81 Thered blood cells are moving, The ‘blood looks OK. 1 Right. Youcan give type blood tall the other blood types. So, ifwe have an emergency, we usually use type It's the universal donor Listening 2~A blood test patient N How do youteel? P Tiredallthetime,really—tneverhave any energy. 1N Have you hada blood test before? P No,thaven't,no How much blood will youtake? 'N Oh, justenough tofillthesyringe—just fivereilites.. Well wel vegotthe resultsof your bloed test. As thought, you re alittle bitanaemic P Iathat bad? NNo,not necessarily just means that yout red blocd call count isa ittleon thelow side. normal count isabout 42t05Amillionred biood cells per ricrolitreof blood, and yours was3.. P Ohdear-what docs that mean? N Don'tworry-anaemna's very common inwomen ftyou take iron supplements, yourred cell count should soon go up. The cells arenormalin size and shape. s0 that looks good Your white cells are alittle high, but you've justhada sore throat, haven't you? P Yes, 1N Well. tha'sjustasign that your body's ben figiting the infection sothat’s fine. And platelets were normal Unit 10 RNR Listening - Report of adeath [Nenunse,Sesupervisor N when visited Mr Jacobson Monday, he ‘was going dvi fast Hewes conscousmast ofthe time Hishands and feet were col His arms were pale atv. Hespoke but not tous-to people ‘we couldnt ace. At about fourosloek he tried get cutofbed and fell othe flor. His breathing was restricted and Usteningscripts 129 noisy. sol gave him oxygentohelp him breathe. And you sav-him on Tuesday, too, didn’tyou? N Yes.By Tuesday he was uncenselousall the time. treegular breathing sometimesa pause of minute or more. Hetookne fluids and nofood,sothere ‘wasno urine. Mis lacabsand turned him regularly. 5 Andwhen did theend come? N Theend ame on Wednesday morning. Me lacobs was na longer breathing Iealled Doctor Simpson and he pronounced MrJacobs dead at ten o'clock, the seventh of uly Writing ‘A Did youhear Mir Webb died lastnight? BB Didhe? Ohdear.He got alung infection, didn’t he? A Yes, to weeks ago. He was receiving treatment for that but he actually died of hear attack B Really? Whatcausedit? {A Ablood clot B Right. Hehad AIDS. ofcourse, dnt he ‘When was he diagnosed with that? [A Sixmonthsage. And he was HI Positive for five year, He started suffering rom depression at about the same time tening 1~A hygiene report ‘H-hospital administrator S-sster H Ab Sister need totalkto youaboutthe hygieneinspection SOK How wasourscore? H Mim Thee out often 5 Ohdear, Well they came ata very bad time. Mid-morning H Ihave thelr epart here r...1justran throught important tings.under ‘Ward hygiene’~Doorhandlesare not regularly cleaned Bedsarenot always cleaned between patients Toilets must becleaned three timesaday bat they arconly leaned once aday Roorsrust ‘ecleaned fourtimes aday but they are only cleaned oncea day Under Spillages of bodily ids the report says that the average time was130 Usteningscripts ‘thirty-five minutes toclean up a spillage of urine, Andit says ‘Nurses’ Knowledge of MESA is good, but, They always weargloves, H Not good enough ft says here Nurses ‘must wash hands before puttingon gloves and afterremoving gloves! Well We certainly need toimprove, but ‘we are very short staffed HM Listening 2~Test results ‘Weward nurse, P=Path ab technician Welle. Ward. P Hellothisis Peter Forbes fromthe Path Jab.'mphoning with Sandra Browning's results. ‘Witi,Peter.Goed news? P Imafraid not.Ican confirm is MRSA. ‘Wehave identified the bacterium -it's [MRSA clone 5.0K. Now Mrs Browning hasan infection in he ight hip. Comect? WYes, Wel, we ested her urineand blood, and took throat and nasal swabs. First things frst Blood high white cell count wor P Negative for coi. But postive for Staphylococcus aureus, Wetested this Staphylococcus for resistance to antibiotics. These are the results His resistantto-Cefazolin, Penicillin ‘and Methicillin. Weal tested for resistance to Erythromycin, ‘indamycin, and Tetracyaline all positive However tests show the bacterium has asusceptbility to ‘Mupizocin, Also the bacterium snot resistant to Vancomycin and Oxacylin. ‘WOK, {'ve got that, Peter thanks very ‘much. Unit 12 Sree ee mmeraamal Pronunciation posture disoriented ‘unemotional uuncommunicative hallucinations dehusions manic irrational paranoia depression, Language spot Setack,P-Paula J Haveyou changed te patients Aressings? That's the fst thing on my list P No, thaven'tdone them yet, (Mrs Eriksson s blood pressure needs to be taken. Have you done that yet? P Yes,that was the first tingid ‘What about Mr issoko's temperature? Haveyoutakenit? Yes,'vedane that. Its lower than it was. J itsayshere that somebody spilt theie orange juice Have you cleaned the oor? P That's the next thing on my lst sono, ‘haven't dane that yet J AndMus Wongneedssometests. Have youtakena urine specimen fromher? P She'shaving ashower at the moment, soThaven'thad achance yet. Listening—A case conference Pepsyehlatrist, N-nurse therapist P ...solet’smoveon Next on thelistis new patient Delroy Moseki For those of youwhe don'tknow him, he's, admitted on Tuesday. Whois Mr Moseli’s nurse therapist? Ni’sme,doctor, P Paul Thankyou. Can you take aver? 1N Yes.Er...Delroy... henotessay that whenhe was admitted last Tuesday he er..appeared normal in his :movernents and posture. However he Aide’ know where he was and what was happening. He avoidseyecontact, and has spoken tonone ofthe other patients, asfar as know.The night staf teport that hehas some sleepless nights He shouts out nthe night and ‘wakes other patients Ithink hehas auditory hallucinations Yes,that'sinthe nates. He heats voices, Haveyoudone any tests? 1N Yes, the charge nurse on night shifthas tested himn. Henares objects correctly, Dut forgets them almost iramediately He gets rustratedeasily, and often crles.1Vealsovery hard to understand whathesays P Thankyou Paul, Now Tike toask some questions Unit 13, (eee Scrub up 1 Yourtemperatureis..et's see, thirty. eight poine five Now celaxwhilet measure yourheart rate... tha’sone hundred and twenty bpm, Your blood pressure isa hundred and fifty over ninety 4 The patient's respiratory rate is around eighteen bpm. Pronunciation 1 heartrate 4 respiratory rate 2 temperature 5 blood pressure 3 pulse 6 vitalaiga, Patient care 1 Just pop thisunder your tongue. 2 Can you roll up your sleeve? 3 Thismay feela bitcold on your chest 4 Just breathe n and out normally § Relax yourarmforme, 6 Could you undo your shirt forme, please? Listening 1- A coma patient T-1CU nurse, D=doctor ricw D Hi. Doctor Michaels here. 1 Goodevening, doctor. Good evening, Hows our TBpatient? 1 MrForrester? Mm. tsnoteoking good He's stillunconscious doctor. D What’ the blood pressurereading? 1 BPisone seventy over one twenty. D Mmm Much oohigh.And what wasit attwenty hundred hours? 1 Onefifty over ninety. Itstartedristngan hourlater~at twenty-two hundred hours it wasone sixty ver one en, So risingallthe time. What about his ier? 1 1cPwasstableattwenty at twenty hndred hours Butitrose totwenty fiveat twenty-one hundred. At teenty- ‘wo hundredit was twenty six Now i's ‘nventy seven1 Bight Wermust gethisICP backto below twenty. Twenty and overs too high. OK. be therein ten minutes. Listening 2-Ascan [Nenuse, MeMrs Murphy 1N OK, Mis Murphy, just le back on this examination table. re you comfortable? Yes thank you 1N Have you had plenty of waterto drink? Mes —threeglasees. N Good, we ned your bladder fur putting some gelonto your abdomen. That helps the ultrasound work well Mok. 1N Yournotes cay the baby has topped ‘moving isthat right? mes, mabit worried 1N And you'rein the twenty-second week cof your pregnancy? myes, 1 Right Wellthe ultrasound scans very simple, When [pass the transducer over yourabdemen it bounces ound waves offthe baby’sbody andit makesa picture here on the monitor. Then we canseeif theres anything wrong, It shows up any abnormalities. Ascan can usually show ifthe bay isa boy ora gil.Do you want toknow the baby's sex? Mies, please. IN OK.'m passing the transducer over yourabdemen nov. Ak here we are. ‘There's the baby. Can yousee it? Mit’snot very clear 1N Well here'sthe head. Can you se that? MOh yes. 1N And there's ahand Five fingers And there'sa foot can yousee? Mes. N Canyou see theheatt beating? The baby salive and looks good Yes, everything s normal. And look—a penis. Itsaboy, Mieally? yranted a gin 1N Youd? usta moment! Well you're not going tobe disappointed you're going tohavetwins-aboy and a girl Unit 14 el Listening -Patient medication 1 Let’sstart with Mr Gupta. He'shad pain allnight in he lower abdomen. The octorsays he needs stronger pain relief sohe has prescribed thirty milligrams of Morphine every four ‘We've moved Mr Gilltoan isolation room.ashe hasan infection nhs espiratory tract Anew antibioticmay ‘work.so we are giving hima 600 rmiligram infusion of Clindamycin over period of four hour. [Nowr, Mr Sawyer: We have toencourage bowel movernent soa laxative could be useful. He hasone tablespoon of ‘Metamucil~ that's 1S milligrams~three tumesa day Right. Mr Thomasis on antibiotic for hisskin infection Cephalexin sin tablet form, tobe taken with food, 250 rmilligrarsevery sbchours Lastly Mr Cheong Mr Cheong receives aninjection ofan antihistamine every ight hours 10 milligrams Dinnotane each time. Maybe this will control his allergies Patient care 1 Sheneedsto take two tablets twicea day fora week. What dosage of Penicillin is Mr Oliver How often doeshe need his medicine? Give Mrs Muben one 0S mileye drop in eacheye every fourhours. He ontwotabletsthreetimesa day with water at mealtimes. Unit 15 enemas Listening 1 Qigong interviewer, A-Amber, P-Profeccor corsurgery? Energy healers ay yes. nergy healers ay they can heal without touching the patient. Inthe studio,totellus about energy healing, LUstening scripts 131 Js Amber Chesterman, whois agigong healer. Adelle Tso with usis Professor Julius Silver ‘whois sceptical about gigong. P Hello 1 Buttostart us off, amber. Can youtell lus about qigong healing? {A Qigong holistic ft seesilinessas a problem of mind, spirit, and body,sothe vole person is treated. not just the ‘ness, 1 Right. And giisimportant,isntit? What exactly sq? A Qlisenergy. Oils part ofeverything thatexiss.llness, you see, is caused by an imbalance of and qigong healer restores energy balance so that healing can happen 1 andyouhealfrom adistance,don't you? Over the telephone? A That's conect.tpractice external gt healing Ispeak tomy patients by telephone, 1 Andyou unblock their gi? ‘A Putsimply. yes, 1 Thankyou Professor silver you don't believein gi,doyou? P No.thave found no evidence forgh.no, T Andyet energy healing does work, don'tyou agree? P It does wore sometimes, yes, Sohow do you explain it? Wie find alot of evidence fora placebo effect. Beliefs seventy per centof any treatmert. nother words my hande can'theal you, but ityou believe have healing hands, then ican heal you by ‘moving my hands over you So,what's really goingon here? ‘Well, we do know that being completely relaxed helps us recover mare quickly. So,yoware saying that all need isto relaxand believe that you have the power toheal me? Exactly. My explanation ienot as Interesting as Amber, but wellive in the twenty fitst century and.132 Glossary Glossary Tweesers a __sideeffects artery av ultrasound “=i " bin al appointment ® dressing 8 bacteria ® scan = firstald 8 Garehome i & cardiacarrest > disorder a id cure ae a ee ® body e_ fatal : sore diagnosis, nara arn Consonants P drop Tite healer > obese Dignan, m microscope i comma [iy aatieayy a nap a dose )__ theimmunesystem swelling i K cot sample r labour a gait 2 sterilize Disa Raila “stretcher i shite i year allergic iz Infusion | abnormality vbn%"melilasomething bacteria ek ists n small organisms that snot normal ‘without 3 nucteus,that can sometimes accounts 3 ksunts na record of money cause infection received and spent bereavement ‘b'ri-vmant/nthedeath of a aching / etki nacontinuous,steady pain levedone Addicted > Wiki! aqjhaving'a physical nbn! nacontainerfor throwing waste and mental need toconsume into substance,especiallyaharmful drug lar disorder ‘bs p00l9 diss) ma agonizing e920) adjextremely ‘mentalillness that causes somebody to painful change suddenly from being very happy allergic loxlsik/adjhavinga condition _taverysad that causesa bad reaction on contact blister blistr)/naclosedshellof skin witha certain substance containing liquig, rat caused for Antimicrobial agent ema krou bial ‘example,by burn orather injury ‘cklsan nasubstance that kilsbacteria bodily fluids boc Mul nthe liquids and other micro-organisms inside the body that allow it to function antiviral nt Valls! adj used tadescribe body "boili nadeadperson ‘adrugthatstops avius‘rom copying bowel movement ito u-vant/ nthe itself and therefore prevents infection release of solid waste matter from the from spreading body applyforajob pai v9 ‘Uspb/vto bpm. i: pi ‘evn Theats perminute make aformalwritten request orajob used tomeasureheart rate appointment "> pinion nafermal Zbreaths per minute used to measure ‘arrangement seea doctor et. at respiratory rate particulartime brain waves bein Weis! meleetrical artery «iri n aryof the blood vessels ‘sighs Inthe bala Which carry blocd away fromthe heart bruising "bin blueor purple marks ‘ually nurse 09 lie" 99'* na nurse ‘on the bods, caused by bleeding under with basicqualificatinswhohelpswith _theskin the areor patients burial “beri naceremony where adead w ward person is put ina box under the ground calorie lr na unit for measuring how much energy fad il produce cardiacarret koditk S7est'nan focrasion where serpebods hea stops beating carehome kes hoom/na homethat provides accommodation food, and care foredery people carer core) na person whoistrained to take care ofl orelderypeoole catering kesr nthe work of preparing {ood for ahosptal school ete cello} nthesmalest unioflvingmotter Gieulation (ssh) Ten nthemavement ‘ofthe boas through the heat and blood vessels Alot lon (oF blood} ofoxm thick amps ognitivefunction | kognitty inkjonn heabilytouseyourbrain effectively to think recogrize, remember et. concentrate konsontre vt0 focus betentien onone thing confinement onthe ‘conditionaf being unable taleave your bed.a room etc confusion: Iuisn/ nastateat nat being certain about wht is happening, what youshould do.uhat something, mmeansseteconstipation kowst'peifn/ nthe condition of being unable to havea bowel movement easily consultant /kon ssltani na hoeptal doctor ‘of igh ank ho has special knowiedge ina particulararea ot medicine and advises the patient’sdoctor ‘consultation (consol tea! na meeting with an expert especialiya doctor to get adviceor treatment ‘contamination kon (smi neifa/ nthe process by which place, substance, te Isaffectedby asubstance thats, dangerous or carves disease conventional medicine on ven/>0! nasin nthe usual, traditional form of ‘medica treatment usedin the West co-ordination > 0c noifa nthe ability tocontrelyour mevements wal ‘corridor koniov(s) nalang narrow passage ina building, with doors that ‘open nto rooms on either side ‘cough ‘kona sudden noise produced when iris suddenly forced outof the ‘throat, for example when you havea cold (CPR (cardiopulmonary resuscitation) pi: c(h) nanemergency procedure Used to keep a person alivewha has stopped breathing or whose heart has stopped beating cramp ‘emp masquezingpainina caving ‘krewviny nasudiden strong desire forsomething ‘remation ‘cr men) na ceremony where the bady of dead person s burnt ina special building ‘eubidle bik! n@smalloom that is ‘made by separating of part of alarger deaf (il ad unable to hear Aeficency ‘li isos nthe stat of not hhaving,or not having enough of something that isessential deformity i > ti naconditionn wihicha part of normal shape degenerative i'd lines) getting okey to get worse as time passes ementia i men|>/ adja mental disorder ‘caused by brain disease o injury that affects the ability tothinkand behave normally labeti | ais'betk/ ea beingunableto produce enough insulin lagnose iiss i207/vt0 say what disease or condition personis suffering ‘rom, basedon tess, examinations. and symptoms diet uct a1 the food that youeat and ‘rink regularly 2alimited variety 0 amount of fod that ‘youeat for medical reasonsor because ‘youwantto ese weight:atimewhen you only est this limited varity or amount Aisabled ‘cis ible adjhavinga physicalor ‘mental problem which meansyou are unable todasome tings Asinfectant/ isin lektanv/masubstance thatkills bacteria Aisorder ‘dis odor) naniliessthat ‘causes part of the body to stop. functioning correctly Aispense is pens vto prepare medicine ‘and giveit to people Asposable ‘lis p>0220\/ a4] madeta be ‘thrown away ater use Aispose of is poz 2’ ve throw awa something thats pelonger needed distressing is tein 0djsomething that makes people feel extremely upset dizziness (izinas na confused feeling ‘that you are turning or spinning. or that everything lees dose ‘nis’ nthe amountofadeug that is ven atonetime dressing “resin piece of soft material placed evera wound in order to protect it tip ‘rip fafa liquid tofallin smal ‘drops 410p ‘ropa verysmall amount of liquid that forms around shape Aroplet drop’ man extremely small ‘op of louid EG felectrocardiogram) si: Usivaa ‘medical test used to measure electrical activity in the heart ta dlagrose heart disorders or blockages inthe arteries eczema /cksmsinaskin condition that ‘causes redness and itching, and sores that secrete fluid and become cry and caly fatal Tei adjeausing,orcapableof causing, death fee i: nanamount of maney that you pay for professional advice or services Asta st ex memergency treatment thatis glen tosomebody before professional mecical helps available floor 9(:) ntonelevelfa building 2the bottom surface ofaroom foreign body "fora isl nasubstance ‘or object that i found in the body but should not be there forensic analysis [> fenzik anlosisn Scientificstudy that is dane to ty tahelp policesolve a xime frail ei adj physically weakandeasily injures fully-qualifed 0 ‘kwolifad/ adj having passedallnecessaryexamsinordertod> 3 particular job Glossary 133 funeral jusnesl na ceremony at which 2 dead person isburiedor cremated gait “ceil nthewayinwhich a person walks gas andaie/ ys 2nd ‘ea(r)’nagasthatis ‘given to patients to elewe pain thats ‘made up of 50% oxygen and 50% nitrous oxide {germ ‘dsm narmicro-organism that can ‘cause infection anddisease srieving “ri-v aaj fecling great sadness after aloved one nas died haemoglobin im gloubun/na substance in red blood cells that carries cexygen around the body healer hilo(r)’na personwho cures people of inesses and disease using natural powers rather than medicine heart rate “ot ren the speed at which the heartbeats herbalist hs boist'na person whouses herbs (-plants) totreat patients holistic ist ad used to describe ‘medical care that looks atl aspects oF a Person's body mind. and environment hypodermic needle | iainncs:rmls nln ‘device wth a sharp point used for injecting asubstance trough theskin Immobile moo}yil/adj unable towalk round Immunesystem miu sistom nthe system in the body that produces Substances tohelpit fight against Infection and disease Immune 8! adjnot affected byand rot able tocatch particular disease or ines incontinent /n'koiatinon/adjunableto control the release of urine and faeces Independence li penilons/nfeedom todowhat youwant todo, without being controlled by others Infection 0 fei:jn/ a condition caused by bacteria invading and multiplying ina bodily part ortssue.resultingn disease Infusion n'ju:sn na method fr slowly pttinga drug orothersubstance intoa person's vein;the drug that eusedin thisway Initial assessment (9 9'sesmont/ma Judgement made about how serious 3 patients condition is when they fst arrive at hospital Intake intcik’ nthe amount of something ‘that apersoneats drinks takesete,in' particular period of time itching 1) nan iitating feelingon the skinthat causes. desire to scratch junk food "5k fun food for example ‘burgers and fries, that isquickandeasy toprepare and eat, buts bad for your health134 Glossary labour leibo(r)/nthe pracessot childbirth, from the start of contractions ofthe uterus tothe birth ofthe baby /04p of people to teach them abouta Fartcula subject often s part of College course lfetiting eoraton if in) Korii? naniless that preventsa person fom hing anormalife lfetineatening contin 190) ia ifs nanilness that could the person that hast tei namachine that caries people or g00d5 up and downto aferert levels in building limb lim nanarmorateg localanaesthetie out! nos eth na drug that mates you unableto fee! Snything in one pat ofthe body fongeteem 2 agasting fora long Rime often many years loseconscousness 2 kon{osnos vto become unconscious Jump nm’ n any kind of abnormal mass “hatcanbe elt inoron the body ‘medicinal isin a hep the process of healing ness infection microscope isi soup nan instrument usedin scent stud or rmaking\very smal things loklargerso ‘hat youcan examine them carefully mnigaine state ma sewecheadeche ‘hatmay be accompanied by rouse, vomiting orsenstitytolight mils al ad ao strong mineral al ma substance thats naturally preset inthe earth and inthe human body and is scant for good health moby atin used todeseribehow easy or difiutits fora person towalk srouna mood swings ul swing periods uring which a person changes quietly fromfeelingvery happy to eeling very unmappy mortuary 2:1 naroomina hospital where deadbodtes are taken multisensory sn sensor adj invlvingall or several of the senses of touch, sighhearing and smell mutate nue vfodevelopintoanew formbecauseofa genetic chonge nap ite nashort steep taken during the day nasa 21 afofor eating othe nose fausea 2:29) ntheunplessant feeling thatyou ae going tovom®t rervoutsystem sn sso! nthe "ystemofalltheneresinthe body right shit nat {ithe period of work ‘that takes place during the night fumbness amines nalackoFfeelingina partofthe body nursing officer si) ofsa(ny nasenior nurse whois responsible for managing 2 ‘ward ané the people who workon nutritionist /njutrifanis a person who studies theeffects of food on the body obese 50 i's adj very fat. away thats nat heathy oncet /nsel_nthetimewhena disease or ‘concition stats to affect a person loverweight 2092 weil adj toa heavy nd ‘fat oximeter ‘ois umio(e)/¢amachine for measuring theamount of oygenin the blood pain elie pois ri! narugs or ‘treatment given toa patient to take away pain paralyse perslaz!vtomakeallora part ‘ofthe body unable to move parttime |i im ag (of jab, course of study etc) occupying only part of the normal week pathogen | px0dson/ naharmful micro organism capable of causing disease, suchasa virus, bacterium,or fungus physiotherapist | irio0 Yeropist'na person whoistrained to treat disease, Injury or weakness in thejoints or muscles by exercises,massage and the use flight and heat Pipette pipet! nanarrow tube used ina Taboratory for measuring or transfering smallamaunts ofliquids placement plessmanv najoboftenas partafa course studyavhereyou get some.experience ofa particularkind of work platelets ’pleitlsis:n smalldiss inthe blood, that hop to cit the biood from a eutor wound practitioner /orck'tifona(ry/namedical ‘professional who slicensed to treat patients pre-med / pri: medl/ncrugsgiven to ‘somebody in preparation foran ‘operation or other medical treatment prescribe (p> skraih’ viotadoctor] to ‘authorize apatienttorecelvea partculardrugor treatment prescription pr3'skripjn namedicineor ‘weatment authorized by adoctor the written order that authorizes this treatment priority ‘pra ori ma thingor person that youthinkyou need to deal with fst procedure pro sisa(1) ntheusualor correct way of doing something progress notes pravgres noots!na written record of apatient'scondition covera period of time promotion ps! fnv namove toa more “important job or rank protein putin’ na natural substance ‘oundin meat, eggs, ish, some vegetables, etc, which we need inorder to growand stayhealthy psychiatric sh lek relating to mental illness tothe treatment of it paychotic i kniih adj resting severe mental ness qualifications wo)ikeilne! mexams ‘that you have taken and courses of study ‘that you have completed qualified koi! aa having passed theexams necessary todo. articular job rank ‘yk! nthelevelofjob that aperson has ina particular area of work, such as nursing ‘ash ‘e2] nanareaofredspotsona person's skin, caused by aniliness ora reaction tosomething reception 11 sep|1) nthe area inside the ‘entrance ot ahospital. where patients and visitors gowhen they fist artive registration | ds/ stron’ ntheofial recordingaf somethingin writing resistant " is\onl adj notatfected by something; abletoresist something responsibilty is pons bili ndutyto ‘dosomething important rewarding >i aa oF 3J0b or ‘acthity that makes you happy because itis useFulor important root: nthe partof a plant shat grows lunder the ground salva sls) nthe liquid thats produced inyour mouth that helps you swallow food sample 's0:mpl! nasmall amount ofa substance for example blood or body tissue thats tested in order to obtain inforrnation sean ken’ namedicaltestforpregnant ‘women in whicha machine uses ‘ltrasound to producea pictureof ababy Inside ts mothers body sceptical skoptikl a not believing ‘completely in something severe st va(r/ adj (of anlless injury, ‘etc serious very bad severed sol adj of partof the body) cutoffin anaccident shivering. jrvorin slight shaking ofthe body caused by cold, lines, shuffing Vn) ae used to describe ‘way of walking with short steps with the feet not leaving floorGlossary 135 siblings /iblinz!nbrothersandsisters superstition (su:po'stJnimabeliefthat_ tumoue /ju:mr/nanabnormal growth fide efeets sad seks’ nanextraand ‘cannot be explained by reason orscience _oftissuecaused by an uncontrolled usually badeffect that drug hasonyou, supplement splimont/ something that increase nels aswel ascuringilress orpain You eatin addition toyourmormal food tweezers i737! na metal tol for slide ‘laid! na small piece of glass that omaintain orimproveyyourhealth picking uper removing very small ‘somethings placed onsothat canbe suppository 's>|povitr/ mamedicationin _dbjects,consiting of two arms that you iooked at under amicroscope table! form which isineerted into the pinch together slight slat adjnot geatiasmalldegreeat —_rectum,whereit melts Ultrasound ”s['asaundl/nthe use of high: snack soick nasmallmealoramount of susceptible 9 spl adj likely to be ‘frequency sound waves tomake an food affected by something imagecf apart inside the bodythe sore /s>(1\/0dj lof partof he body) painful swab ‘sob vtoclean somethingusing2 image produced ‘and possibly swale, fr example piece ofsoft material unbearable 1 e/a toa bad or becauseofinfection orbeingusedtoo swear swe=(r)vt0 say bad words extreme tocope with much swelling /swelny/ nan inereasein sizeof vein ‘ein’ many of the blood vessels that sore /s0(1)/napainfulofen ed,placeon an injuredordiseased ateacfthebody carry blood back tathe heart yourbodywherethereisawoundoran _asaresultof fluid build-up ventilator /venilet0) na piece of inrection swollen sw20l2n/aqj(used about partof medical equipment used toallow source =s/naplaceorthingthatyoucan theboc)increasedinsizeasa result of __samebody to breathe whocannet doso get something frm flu build-up without help specialize spe{slarz/vtobecomean sympathy /simpoti nafeclngot Virus /vairos ra micro-organisr that expert ina particular area of work understanding and caring between ‘Causes infection and disease and that specimen /spesiman’nasampleof blood, people spreads by copyingitsoit urn, tssue,etc, collected for laboratory syringe s'rindy/ namecicalinstrument vital sigs /aut sanz’ na patients pulse analysis used toremove Nuidsfiomthe bodyer rate, temperature. eapratory (= spillage. spiids/nanoceasion when inject theminto it using a needle breathing) rate, and blood pressure quid isdropped by accdent;theliquid _testtube “st tju:b/naglassorclear vitamin vlsmin) manyofagroupot that s dropped plastic tube used in laboratories for ‘organiccompounds that areneededin spot /spot nasmallcftenred,markor holding aliquid or othersubstance tobe _smallamourtsbutcannot be made lumpona person's skin,sometimeswith _ tested within the body ayellowhead toit therapy “crop nthe teatmentofa ward 2d! many ofthe rooms ina spotless! sp12s adjcompletelyclean physical problem oranilness hospital which has beds for patients spread ‘spred! v(ofadisease,aninfection, threat ‘rel’ nabadthing that somebody waste weisl/n materials that areno etc) tomovefromne personorplaceto _saystheywwlldotoanother person longer needed andar thrownaway coverawider area te Uk nafastuncontrolablemuscle worms 31m nlang thin creatures that sterile /sferail/agjthathasbeenheated to movement, often cccurring in the face Tivelnsde the body andcan cause fliness kilmicro-organisms transducer trenz diu'so(ry'madevice wound wud naninjury that involves sterilize sictlawz vtoheatsomethingin __thatis passed overa patient inan ‘theskin being cutor broken ‘order toll micro-organisms ont ultrasound examination inarder to stimulant /stimjslont/nadrugthat makes produce an image you feel moreawake,andthat makes the trauma /‘to:m0\naserious shock othe body work faster ‘ody or mind, for example caused bya stimulation /siumia'lefni nactvtythat violent event makes the mind more active traumatic tr mets ad textremely stitehes sbi) n short pieces of thread, unpleasant and causing you to feelupset tc that doctorsusetosewtheedges of and /oranxious wound together 2(ofaninjuryetc) sudden and violent stomach uler 'st\mok ,lso(r\/nasore treatment /(rimont! nthe medion, areaontheoutside ofthe bodyoronthe _surgery.therapy.cte that isgiven or done Surface ofan organ inside the body inorder tocute or improve acondition or ‘whichis painful ané may bleed or injury proviucea polsonous substance ttlage nurse | ri:0-5 ns: naperson stretcher | st'0t)17) na pieceof whose jobistodecide how urgently ‘equipment that allows two people patients need to be treated, according to catrya sickor injured person who's lying how seriaus their condition I ‘down stroke /sir90K/ ndamageto part ofthe brain eauzed by 3 blocked or broken blood vessel, that can cause loss of usclecontrol speechdlficuties, ete suicide susaid ntheact of kiling yourself