I.

Doctor – Patient Communication I was taking _______at first which were helping but now they don't seem to be as effective.
That's why I decided to come and see you
1. Watch the video and complete the dialog (follow this link D: Aha, I see..and does anything make it worse?
P: mmm generally if I haven't eaten for a while
[Link] D: and how ________is the pain on a scale of one to ten?
P: I would say about seven

Abdominal, antacids, nausea, severe, examine, burning, stomach, bellybutton, GP

2. Match these words to the questions from the dialog.

a) when did the pain start?
b) how would you describe the pain?
c) does the pain move anywhere else or just stay in the same place?
d) is the pain constant or does it come and go?
e) how often does it come and go?
f) does anything make it better?
g) does anything make it worse?
h) how severe is the pain on a scale of one to ten?
i) where is the pain exactly?
D: come in please. ah good morning, mr. Smith
P: morning doctor.
D: shall I call you mr. Smith or do you prefer something else? 1) site
P: please, call me Jim. 2) severity
D: okay Jim please take a seat and make yourself comfortable 3) radiation
P: thank you 4) exacerbation
D: I'm dr. Jones. I'm the new ______here. 5) alleviation
P: it's nice to meet you 6) constancy
D: I'm sorry that you've had to wait but we've been quite busy this morning 7) duration
P: that's okay doctor. I completely understand 8) character
D: so Jim how can I help you today? 9) onset
P: well doctor I've been getting terrible __________pain
D: I see. I need to ask you some questions first. then I'll __________you. VOCABULARY
P: okay of course Description of pain
D: so where is the pain exactly?
P: around my _________ piercing pain - пронизывающая боль
D: and when did the pain start? intense pain — жгучая боль
P: oh about a month ago scalding, burning pain — жгучая боль
D: and how would you describe the pain? dull, vague pain — тупая боль
P: well it's like a _________pain persisting pain – постоянная боль
D: does the pain move anywhere else or just stay in the same place? excruciating pain — мучительная боль
P: well, sometimes it moves down towards my ____________
shooting pain — стреляющая боль
D: have you had any other symptoms at all?
spasmodic pain — схваткообразная боль
P: yes I've had a little ________and my appetite isn't like it usually is
D: is the pain constant or does it come and go? gripping pain — сжимающая боль
P: it comes and goes
D: and how often does it come and go?
P: it lasts for a couple of days, goes away and then comes back again
D: mm-hmm and does anything make it better? *GP (General Practitioner) - врач общей практики; терапевт
P: yes, sometimes if I eat something. clinical chart – история болезни
 Technical terms Non-technical terms KNOW THE DIFFERENCE

clavicle collarbone gullet

oesophagus
thorax
sternum
belly
abdomen
umbilicus navel

carpus wrist
pelvis hip

knee
patella

calf
tibia Ache — продолжительная, неострая боль. Ее еще называют тупой или
ноющей. У существительного ache есть много производных в зависимости от
ankle
talus heel той части тела, которая болит: a headache (головная боль), a toothache (зубная
calcaneus боль), an earache (ушная боль), a backache (боль в спине).
Pain — острая боль, которую сложно игнорировать. Она обычно внезапная,
доставляет дискомфорт или даже мучения. Также существительное pain
используют для описания душевной боли, когда человек расстроен или
4. Replace technical terms with non-technical terms and translate the sentences несчастен.
Hurt — эмоциональная травма. У глагола to hurt куда больше значений —
1. The bullet seems to have fractured your clavicle.
«болеть», «причинять боль», «пораниться» и «эмоционально ранить».
2. My first incision's about 5cm long, just above the umbilicus.
3. You should press against the artery in your carpus and count the pulsations to
calculate your heart rate. 5. Fill the gaps with ache, hurt and pain
4. The injury to her patella occurred while playing football when she was 10.
5. The abdomen feels normal, but looks bigger.
6. She showed us a tiny tattoo on her abdomen, right next to her belly button. 1. The toddler fell down and ........................... himself.
7. For the first time in Ukraine, he performed complicated plastic operations for 2. Are you ...........................?
creating artificial oesophagus from small and large intestines. 3. Are you in ...........................?
8. Doctor said I had splintered my tibia. 4. That customer is a real ........................... in the neck.
9. The talus bone differs from person to person, so I assumed that formation was 5. I get back........................... if I sit in that chair.
natural. 6. I didn’t think my heart would ........................... so much after we split up.
10. Complex fractures like pelvis fractures, calcaneus or tibia head fractures, etc. need 7. Don’t mention her weight or you’ll ........................... her feelings.
an exact placement of screws and other surgical implants to allow quickest possible 8. I felt a sharp ........................... in my side.
treatment of the patients. 9. When you’ve got the flu, you ........................... all over.
VOCABULARY 10. Luckily, nobody was badly ........................... .
11. A little hard work never ........................... anyone.
Fracture - перелом; разрыв; трещина 12. No ..........................., no gain.
incision – надрез 13. Shut up, will you?! You’re giving me a head........................... .
heart rate - частота пульса
injury – ранение
belly button – пупок
intestines – кишечник
splinter - раскалывать; заноза
screw - винт, шуруп
6. Try to guess what body parts are meant in these sentences and fill in the missing 9. Treatments and supports for injuries. Match the words to the pictures.
words.
1. I have high blood pressure and it feels like a tight band around my…………..
a bandage
2. I tripped over a stone and fell. Now I can’t walk properly as I have a …………ache.
3. Her………….. feels as if it’s on fire when she swallows.
4. The pain in his …………… is so bad, it makes him double up.
5. My ……….pain is so intense. I can’t bear to look at the light.
6. I think there is a fracture in the……..in the right hand.
7. I tweaked my loin. The pain radiates from the belly to the ………. a cast

7. Сomplete the dialogue with the words below.

Appendix exactly needles operation pain

an injection
pale paramedic press stomach surgery
Hospital doctor: Hi, the……….. tells me that you probably have appendicitis.*
Patient: I hope that’s not true, but I think the………… is in the right place for that.
Hospital doctor: Can I take a look at you please?
Patient: Sure. But it really, really hurts. an operation
Hospital doctor: Don’t worry, we’ll help you. Where……….. is the pain?
Patient: Low down in my…………… .
Hospital doctor: On the right side?
Patient: Yes, on my right side.
Hospital doctor: Does it hurt if I ……….here?
a sling
Patient: OWWWW! Yes, that’s really painful.
Hospital doctor: When did the pain start?
Patient: About 7.30 this morning, just after I ate a large breakfast.
Hospital doctor: I’m afraid this has nothing to do with food. Unfortunately, you do have
appendicitis. You are very……………… and a pain in that place can only mean
one thing. crutches
Patient What does that mean? Do I need an operation? I’m scared of…………
Hospital doctor: Yes, you do need an ………... And we’ll have to do this as soon as possible.
Patient: Is it that serious?
Hospital doctor: Yes, but you got here just in time.
Patient: That makes me feel a bit better.
Hospital doctor: Yes, so am I. Now, we need to get you ready for ………….. pills
Patient: But I really am scared of needles.
Hospital doctor: Well, if we don’t take out your…………… , things will be a lot scarier! But
really, try to relax and everything will be fine. 10. Put the places in a hospital into the gaps in the sentences.
8. Illnesses and injuries. Put the problems into the right categories. accident and emergency canteen maternity ward
a broken leg a bruised shoulder a burnt hand asthma operating room reception waiting room
a swollen knee cancer diabetes tuberculosis (TB) 1. My daughter has just had a baby. Which way is it to the………...……. please?
Conditions/diseases:……………………………………………………………………….. 2. My friend was in a serious crash on his bike. They took him to…………… .
Injuries:…………………………………………………………………………………… 3. Giancarlo is in the………………… now. The surgery on his knee will take about 3 hours.
4. Please sit in the…………… . There are lots of magazines for you to read. visualizes blood flow through blood vessels and organs.
- Ultrasound may be used to assist with biopsies.
5. There isn’t much choice at the………………. . But at least there is somewhere to eat. - Opthalmic ultrasound examines the structures of the eye.
- Ultrasound can help assess joint inflammation.
6. Please go to the………………….. and sign-in if you are visiting a patient.
- Ultrasound imaging can help diagnose causes of pain, swelling, and infection inside the
11. Collocations - What doctors do. Match the verbs on the left to the words on the body.
right to make common doctor’s actions. - Physicians use ultrasound imaging to examine the structures of internal organs for damage
after illness.
1. write a. a blood sample - Ultrasound can help detect genital and prostate problems.

2. take b. an injection VOCABULARY

3. give c. a patient’s heart rate sonography – эхография

examine – обследовать
4. dress d. a prescription
non-invasive – не инвазивный
5. monitor e. a wound x-ray scans - рентгеновские снимки
CT scans – КТ
II. Methods of diagnostics ionizing radiation - ионизирующее излучение
evaluate – оценивать
[Link] the article and pay attention to the highlighted words. Work out their treat – лечить
meaning. fetal – утробный, эмбриональный
pregnancy – беременность
tissues – ткани
ovaries – яичники
uterus – матка
density – плотность
blood flow – кровоток
vessels – сосуды
joint inflammation – артрит
swelling - опухоль, припухлость
internal organs - внутренние органы
echocardiogram – ЭКГ
Ultrasound imaging, also known as sonography, is a type of medical imaging that allows MRI (Magnetic resonance imaging) — магнитно-резонансная томография
physicians to examine what’s going on inside your body in a way that is safe, comfortable,
and non-invasive.
Unlike other types of medical imaging, such as x-ray scans or CT scans, ultrasound imaging 2. Watch the video about invention of x-ray (follow this link
does not subject the patient to ionizing radiation. Instead, ultrasound uses sound waves to
[Link] ). Give answers to the
generate images of the inside of the body. However, ultrasound isn’t effective at imaging the
lungs or the head as sound does not travel well through bone and air in the body. Ultrasound following questions.
has many different uses that help a physician evaluate, diagnose, and treat various medical
conditions.
- Fetal ultrasound is used to examine a baby during pregnancy. It’s also used to view the
ovaries and uterus during pregnancy.
- An abdominal ultrasound examines abdominal tissues and organs.
- Bone sonometry examines bone density and assesses risk for osteoporosis.
- Breast ultrasound screening can help detect breast cancer in women with dense breasts.
- An echocardiogram, an ultrasound of the heart, allows assessment of the overall function of
the heart. Echocardiograms are often combined with Doppler ultrasound, which
 1. Where were the cathode ray tubes used before the X-ray invention? 4. Listen to Dr. Quinn explaining the endoscopy to a patient (follow this link
2. What experiment did Wilhelm Conrad Roentgen conduct? [Link] ). Which words does the doctor use for the
3. What did he notice while conducting his experiment? following?
4. What conclusion did the scientist make after many studies of his discovery?
5. What was the world's first x-ray scan?
6. Why is his invention so important for science and medicine?
7. How was X-ray used in Canada?
8. Why didn't he patent his discovery?
9. How did x-rays help art historians?
10. Name all the uses of x-rays mentioned in the video.

3. Fill in the gaps with the words from the box.

emergency – экстренный invasive - инвазивный
hertz – герц radiation-based - основанный на излучении
frequences – частоты portable - переносный
deviations – отклонения side effects - побочные эффекты
waves – волны

The ……… used for medical ultrasound range from 2 million to 10 million ………..
— over a hundred times higher than human ears can hear. These incredibly high ………… 1. oesophagus ……………..
create detailed images that allow doctors to diagnose the smallest developmental ……. in the
2. anaesthetize………………
brain, heart, spine, and more. Even outside of pre-natal care, medical ultrasound has huge
advantages over similar technologies. Unlike ………. imaging or …......... surgical 3. pharynx…………………
procedures, ultrasound has no known negative ………….when used properly. At very high
levels, the heat caused by ultrasound waves can damage sensitive tissues, but technicians 4. flexible………………….
typically use the lowest levels possible. And since modern ultrasound machines can be small
and ……….. , doctors can use them in the field— allowing them to see clearly in any medical 5. biopsy…………………..
………… . 6. sedative…………………..

7. examine…………………..

8. eructate……………….

9. visualize

5. Complete the sentences by choosing a word either from the noun or verb list. Choose the
right form of each verb. Put the statements 1-8 into the correct order.

Nouns: section, consent, patient, endoscope, mucosa, air

Verbs: blow, advance, swallow, sedate, anesthetize, biopsy

1. Informed …………..is obtained.

2. The pharynx is………….using a spray.
3. The patient is …………..to introduce drowsiness.
4. The ……………..is introduced and is further down the oesophagus and into the
stomach and duodenum.
 5. …………….is ……………into the stomach to allow visualization of the stomach
mucosa.
6. The………………is given a plastic mouth guard to bite on.
7. The patient is asked to……………….the first…………..of the endoscope.
8. The stomach………….. is……………using a thin “grabbing” instrument which is
passed down a side channel.

VOCABULARY

Pharynx - глотка, зев

flexible – гибкий
eructate – изрыгать
consent – согласие
mucosa - мукоза, слизистая оболочка
advance – продвигать
sedate - успокаивать, усыплять
mouth guard - каппа
drowsiness - сонливость