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 BIRTH

Baby’s condition at birth

How 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 counselling

What 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 go

away. 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 DISEASES

Newborn dieases

Mrs 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 and