医疗英语会话36-40

《医生诊疗英语会话》每日一听第036期2 BABY'S CONDITION AT BIRTHBaby’s condition at birthHow was the baby at birth? Did he have any problem? How was he in the first few days of life? Did the baby stay with you or did he need to go to special care or to the nursery for any reason?Yes, he was taken to special care unit because he was very small and he was getting cold and needed to be given oxygen.Was the baby premature-- preterm, appropriate for dates.overdue?He was three weeks early.What did he weigh?Only five pounds.Was the jaundiced?__Yellow when he was born?Yes, he had photo therapy for jaundice.Do you know, Mrs. Smith, whether James had to have any assistance with his breathing? Was he on the ventilator, for example, or was he just on oxygen in his incubator?He had to be ventilated .Did he had have any transfusions ?Yes, he also had an exchange transfusion.Did he had any other problem that you are aware of, such as infections or any need for resuscitation while he was in the special care unit?No, I don’t think so, Doctor, but they are recorded in his special care baby notes.《医生诊疗英语会话》每日一听第037期3 NEWBORN COUNSELLING[生词摘录]spatula n.(涂油漆, 涂药等)抹刀, 压舌板Nystatin n.[微]制霉菌素,制真菌素(一种抗霉菌药)thrush n.画眉, [医]鹅口疮, [兽医](马的)蹄叉腐疽鹅口疮swabs n.拖把, 药签vt.拭抹, 擦洗nappy/ diaper/ n.尿布cot death 婴儿猝死综合症duvet n.<法>用羽毛, 绒毛等制成的棉被umbilical cord n.脐带[原文]Newborn counsellingWhat I’d like to do know, Mrs. Smith, is just have a look at James and check thing out, like his heart and chest. What I’m doing now is I’m just having a look at reflexes to make sure that they are in place I would expect them to be, now I am going to have/take/ a gentle look in his mouth/gently/ with this wooden spatula, now looking in his mouth I can see that he has a little bit of thrush so I’ll give you something called Nystatin for that, to help it goaway. Could you tell me, Mrs Smith, whether you have any concerns about James?Well yes, doctor, I’m little bit concerned about his cord because I would have expected to have come off by now.Will, in fact, Mrs. Smith, this can take a week to ten days but if there were any signs that the separation of the cord is delayed or if it was becoming infected then I’d just give you some alcohol swabs so that you can clean around the belly button at bath time or when you change him.Hello, Mrs Smith, would you like to undress James? I’d like t o see how his weight has been progressing in the last couple of weeks…. Three hundreds grams, /12 ounces/ that’s fine, isn’t it? Now I’ll just examine him and have a look at how things are going. Are you happy with your breast-feeding? How’s that going?Fine, I think, although he always seems to be hungry and I wonder sometimes whether he’s got some pain in his tummy.Well, it’s always worthwhile checking whether he’s got any wind/gas/ that’s giving him discomfort in his tummy. You don’t need to give him anything for this. It’s just a question of letting him sit upright a little while after a feed. How often does he have a dirty nappy/ diaper/?About once a day, usually after a feed.What does the stool look like? Is it yellow or green? Does it smell strong?Well, it’s very pale but it doesn’t smell too much.That seems ok. Can you tell about James’s immunizations?Yes, he’s had his triple, doctor.Good, how are things generally? any anxiety about James.?No, not really, I’m a bit worried about taking him out in this cold weather there.Well, It’s a good idea to taking him out in the fresh air. But you must obviously dress appropriately for the temperature.What would you advise, doctor, about dressing him at night time for sleep, because I’ve heard different views on this.Yes, that’s quite true, Mrs. Smith, there is quite a lot of evidence to demonstrate that it’s wise not to overwrap your baby at night time as there’s a clear disadvantage from this with respect to things like cot death. So, what I would advise is you never use a duvet / padded blanket/ with a new baby. It’s not recommended for a baby because babies are not able to lose enough heat if they are covered with duvet.《医生诊疗英语会话》每日一听第038期4 NEWBORN DISEASESNewborn dieasesMrs brown, I just had a look at brown’s hips during my examination, I feel that we need be sure that his hip is developing normally and there's plenty of room for the top of the hip to fit into the pelvic bone. As I have some doubts as to whether there is more movement in the hip then I would expect, I think it would be wise for me to arrange for Brain to have an x-ray of his hips, and also to ask a colleague who is an orthopaedicsurgen to come andhave a look and see whether he feels that we need to take any action along the lines of doubling up his nappies or applying a small splint until the hip stabilises.So, John had respiratory problems, some breathing problems in the first few days of life. Could you tell me about those?Well, we were told that his lungs were very immature because he was preterm, and he needed to have help with his breathing with a machine. I do know, Doctor, though, that he had extra problems because he had an infection and he also became jaundiced, and at that time the doctor explained to me that they thought he may had developed jaundice both because he was premature and also because he had some bleeding in his brain.Do you know how they established that he had had some bleeding in his brain, Mrs Green? Yes, he went for an ultrasound scan of his brain when he was two days old and that confirmed it.Do you know if he had any injuries during the delivery.No, there was no problems there.And also, do you know whether he had any congenital abnormalities noticed after delivery? Well, doctor, the doctor explained to us that John had been born with some of things that should have been in his tummy up in his chest.Do you know if he had an infection?Do you know if he became jaundiced?Do you know if he had any bleeding in his brain?Do you know if he went for an ultrasound scan of his brain?Do you know if he had any injuries during the delivery?Do you know if he had any congenital abnormalities?《医生诊疗英语会话》每日一听第039期5 FEEDING[生词摘录]Farex亨氏公司生产的一种婴儿麦片Boots 英国一家保健连锁店feedingCould I ask you, Doctor, what your advice would be if I were to breast-feed my baby? How often should I do this?What I would recommend is that you feed on demand. Particularly in the first few days of life as this will allow James to get your feeding pattern adjusted to his needs. By give him feeds/by feeding him/ on demand, he’ll gradually develop a regular feeding rhythem.Did you bottle-feed your baby or did you breast-feed?I breast-feed.And how did that go?I had to give up breast-feeding because I didn’t have enough milk and I packed it in / gaveup/ after about three or four weeks. I didn’t have any milk. The baby was not satisfied so I decided put him on the bottle.How many ounces does he tend to take with any one feed?Four ounces.How often does he feed?Every three or four hours.How does his feeding go? does he take a long time to finish his bottle?Not too long, about fifteen to twenty minutes.How long does the baby spend in the incubator?I don’t re ally know, Doctor.When was your baby allowed to go home?When he was three weeks old.Was he tube-fed in the incubator or were you able to breast-feed him?He was tube-fed at first, but then he was able to put him on the breast.How long were you able to breast-feed him?Only for three weeks, I am afraid.At what stage did you wean the baby?When he three months.What sort of things did you offer him when you started wean him?I started him on Farex with some egg, and some Boots baby food in tins/ cans/jars/. Has the baby been receiving any medication, any vitamin drop or iron?Yes, he has vitamin drop.《医生诊疗英语会话》每日一听第040期6 PSYCHOMOTOR DEVELOPMENTPsychomotor developmentDo you have any concerns about the way James sees or any concerns about his eyes? Does he turn to the light? does he fellow your face? Does he fellow a light?What about his hearing? Is he aware of noise? Does he turn his head when he hears a noise? Does he recognize your voice?How is he getting on with moving about? Is he able roll over?Is he getting up to crawl?Is he pulling himself up?Is he trying to get onto his knees?Is he holding onto furniture to stand and cruise /move/ around?When could he sit up by himself?How old was James when he started to walking completely on his own?What do you think about the noise that James makes to communicate with you? Does he cry? does he babble ? does he have any oohahh or gaga noises? Does he use them to attract your attention?Does he get hold of /grab/ grasp/ things with his hands yet?Does he reach with both hands or only one?Does he pass things between his hands?Can he feeding himself with a spoon or with his hands? Can he get hold of/grab/ grasp/ a drinking cup?。