医疗英语会话11-15

《医生诊疗英语会话》每日一听第011期11 COUGHDialogue ADo you have a cough?I have a cough, but I also seem to wheeze喘息；呼哧呼哧地响a lot.Is this a recent symptom, or have you had it for some time now?I’ve had it for some time, Doctor.Do you suffer form coughing fits?Yes, a lot.Do you bring up phlegm or is it a dry cough?I bring up quite a bit of phlegm, I am afraid I might have asthma.What is it like?What do you mean?Can you describe the phlegm for me? What color is it? Is it white, yellow, or greenish, and is it frothy. 多泡的；起泡的；空洞的，浅薄的/foamy/ or sticky粘的?Yes, it’s yellowish and feels kind of like jelly?Does it have a strange smell or taste?No, I don’t think so.Has there ever been blood in it?Yes, just once I noticed some blood in it.Have you taken any medicine or tablets lately?Yes, I was on something to thin my blood.Dialogue BDo you have a cough?I have a cough, but I also seem to wheeze a lot.Is this a recent symptom or have you had for sometime now?I’ve had it for some time, doctor.Do you cough a lot?Yes a lot.Do you bring up phlegm, or is it a dry cough?I bring up quite a bit of phlegm. I am afraid I might have asthma?What is the phlegm like?What do you mean?Can you describe for me what colour it is, whether it is white, yellow or greenish, and what is it foamy, thick and sticky?Yes it is yellowish and feels kind of like a jelly.Does it have strange smell or taste?No I don’t think so.Has there ever been blood in it?Yes, just once I noticed some blood in it.Have you take any medication lately?Yes I was on some medication to thin my blood.Yes, it smells very bad.It is frothy!I’ve had this cough for 3 weeks.Yes, I bring up a lot of phlegm.If I sit up or use two pillows I feel better.It’s a barking cough.《医生诊疗英语会话》每日一听第012期12 HEARTheart symptomsAwhat seems to be the problem at the moment?i seem to be getting very short of breath nowadays, so i thought it best to come in to see you. i also feel a tightness in my chest.how long has this been going on?it seems to have been getting worse over the last few weeks.are you short of breath all the time or is it just when you walk up the stairs?well, it is hard work going up the stairs,the pain feels like a knife.does the pain move to other area as well?yes, it moves to my neck, my left arm, my back and my should.do you ever feel sick or sweaty when that happens?well, i don't feel sick but i often break out in a sweat.do you ever feel that your heart beats usually fast or slow?yes, sometimes it beats really slowly. then from time to time it skips a beat, then continues to beat very rapidly.can you tap out with a finger what the rhythm feels like to you?.. good, have you had any swelling in you ankle?yes, both my feet have been somewhat swollen.does this go down overnight or are they still swellon in the morning?oh, my feet feel much better and they aren't as swollen in the morning.Bcan you tell me, ... what are yous complaints?i seem to be getting very short of breath lately, also i feel tightness in my chest, so i thought it would be wise to come in and see you.how long has this been going on?it seem to have been getting worse of last few weeks.are you short of breath all the time or it is just when you exert yourself?well, the pain gets worse when i exert myself,it feels kind of like a knife.does the pain radiate to other areas as well or is the pain localised.限局性的，局部的no, it moves to my neck, my left arm, my back and my should.do you ever feel sick or sweety when this happens?well, i don't feel sick but i often break out in a sweet.do you ever feel that your heart beats unusually fast or slow?yes, sometimes it beats really slowly,then from time to time it skips a beat, then continues to be very rapidly.can you tap out with a finger what the rhythm feels like to you?.. good, have you had any swelling in you ankles?yes, both my feet have been somewhat swollen.does this go down overnight or are they still swollen in the morning?oh, my feet feel much better and they aren't swollen in the morninghave you ever had any heart problems?i've never been diagnosed whit angthing, but i think something can be wrong my heart. what seems to be the problem with your heart?it beats irregually especially when i smoke.what kind of pain do you get during you exercise?i get pressure in my chest sometimes when i have to walk a long distance.do you often get short of breath?absolutely, i am alway short of breath when i go upstair.do you ever feel sweaty when this happens?yes, i break out in a really bad sweat when my chest hurts.where does the pain move?down my left arm.and have you had any swelling in your feet or ankles?yes, my ankles seem to be swollen all the time.do your feet hurt all the time?yes, the pain is fairly constant,but it helps when i put my feet up.《医生诊疗英语会话》每日一听第013期13 BODY WEIGHT AND DIETWhat’s your appetite like?Are you on a special diet?(Have you ever follow a diet?)(Have you tried to lose weight? )Have you had your cholesterol checked?Is your weight steady?Tell me, what’s your appetite like? / how's your appetiti?Sometimes it’s good, but at other times I don’t feel like eating at all.How do you feel about your eating habits? / describe your eating habits to me?well,I usually eat five or six times a day. Lots of foods and vegetables, but when I am anxious /nervous / I can’t eat at all.Have you lost or put on /gained/ any weight recently or does your weight stay at same? I’ve been putting /gaining/ on quite a bit /lot/of weight likely.How many pounds have you gain do you think/ you've gained ?About 10 pounds or so.Over how long a /what/ period of time has this happened?Since about charismas, so in the last 6 months.Are you trying to do anything to control your weight, for example, are you on a diet? Yes, but it doesn’t seem to work.Are there any foods you dislike or is there anything that you particularly like to eat?I eat lots of pasta意大利面dishes, but I can’t have anything with nuts in them because I am allergic to most kinds of nuts.Do your eating habits change for any reason?Yes, I eat quite a bit more when I feel good.I am losing my appetite a bit.Yes, I am getting very thin.I have lost 20 pounds.I’d say, during the last 3 months or so.Yes, I can’t stand a sight of meat.《医生诊疗英语会话》每日一听第014期Bowel movements1-14dialogue A-Do you have regular bowel movements?-No, (Yes ,but) sometimes I get constipated 便秘and sometimes I have diarrhea.腹泻-When you say you have diarrhea,do you mean the stool 粪便is very loose, or that you have to go to the toilet(bathroom) more frequently?-I have to go four or five times a day.-When you have to go, do you have to go quickly?-Yes, I have real problems holding it.-Could you describe your stool?-The last time it was loose and watery,but very dark.-Do you have any problems flushing it down at all?-No, I haven't noticed anything like that.-Has there been any blood or mucus in the stool ?-Yes, I have noticed some blood, but no mucus粘液.-Is it mixed in with the stool or is it just there on the paper when you wipe yourself?-It seems to be mixed in with the stool, Doctor.-I see. and when you are constipated, do you take laxative泻药, or do you give yourself (use) anema?灌肠剂-If I can't go for three days, only the laxative helps.-Do you feel bloated when you are constipated?-Yes,occasionally. But the laxative helps with that too.Do you have any problems with excessive wind or belching 嗳气(gas or burping打嗝)? No, not particularly.1-14-5AIs it actually painful to have a bowel movement?排便= Does it hurt when you open your bowels?BHave you ever tried taking any laxatives that you can get at a chemist's? = Do you take anything for your bowels ?CDoes your stomach ever feel distended? = Do you ever feel bloated发胀浮肿when you are constipated?DDo you have wind moving around in your bowels? = Do you feel gassy?含气的EDo you pass wind? = Do you break wind?FDo you have a tendency towards flatulence?肠胃气胀；浮夸；自负= Do you ever suffer from excessive wind?《医生诊疗英语会话》每日一听第015期bloodDialogue A:A: So you say that you are having problems with bleeding or bruising?B: Yes I am.A: Can you tell me what you mean by that? Do you bleed or bruise easily?B: B: Yes,everytime I scrape myself or bump into something I get bruised.A: Have you always had this problem or is it recent development?B: I noticed the problem started about the time I started shaving.A: Do your gums bleed when you brush your teeth?B: Yes,quite a bit.A: Do you have any trouble stopping the bleeding?B: Oh,yes,even from the most minor cutsA: How long dose it take to stop the bleeding?B: At least 10 or 15 minsA: Are there any other members of your family with bleeding tendencies?B: No ,no that I know of.A: Have you ever needed the blood transfusion, or have you given blood recently?B: I don't like needles, so I don't give blood. But I needed a transfusion after a car accident a few years ago when I was 15.A: Do you remember how many units of blood you received?B: No,I don't remember sorry.A: Do you know what your blood type is?B: I think it's AB negative but I am not sure.Dialogue BA: So you say that you are having problems with bleeding or bruising?B: Yes I am.A: Can you tell me what you mean by that? Do you bleed or bruise easily?B: Yes,everytime I scrap myself for bumping to sth I get bruised.A: Have you always had this problem or is it just recent development?B: I noticed that the problem started about the time I started shaving.A: Do your gums bleed when you brush your teeth?B: Yes,quite a lot.A: Do you have any trouble stopping the bleeding?B: Oh,yes,even from the most minor cutsA: How long dose it take to stop the bleeding?B: At least 10 or 15 minutesA: Are there any other members of your family with bleeding tendencies?B: No ,not that I know of.A: Have you ever needed the blood transfusion or have you given blood recently?B: I don't like needles so I don't give blood.But I needed a transfusion after a car accident a few years ago when I was 15.A: Do you remember how many units of blood you received?B: No,I don't remember sorry.A: Do you know what your blood type is?B: I think it's AB negative but I am not sure.。