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Patient: About 90 kilograms, I think / It usually comes after meals / I’ve had pain / Well, I’ll try, but it’s not going to be easy / For about a month / Well, yes, I tend to overeat, I’m afraid / No, it is not continuous, it comes and goes / I’ve always been fond of eating good things / I haven’t been feeling well, doctor / Here – just below where my heart is /
Doctor: Does it come on at any particular time? / Show me where it hurts / Well, what seems to be the problem? / Is your pain continuous or does it come and go? / Do you eat big meals? / I would like to take some measurements – we need your body mass index / What is your weight? / How long have you had this pain? / After meals? / You’d better not eat so much / I’ll check your blood pressure first / Try to get your weight down by 5% in three months / That is probably the cause of your pain / Some laboratory tests will be needed: let’s begin with sugar level in blood/ Let’s first of all discuss your diet: no heavy meals, not so much bread, no sugar in your tea, no cake / But before we decide on the treatment I would like to examine you /
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continuous непрекращающийся, длительный, постоянный
it comes and goes появляется и проходит (о боле)
to overeat переедать
weight вес
body mass index показатель массы тела
sugar level уровень сахара
blood кровь
Ex.18 Tell the story about the district doctor’s working day use the following words and word combinations.
Local polyclinic, to be on call, to visit patients in their homes, to work in shifts, to examine patients, to have the patient X-rayed, to listen to the heart and lungs, to check (take) the blood pressure, to give a sick-leave (certificate), to diagnose, to prescribe medicine
Ex.19 Read the dialogue and say what is the topic of the discussion?
Intern: This patient is doing well with treatment for heart failure but I have problems in treating his hypertension.
Dr. Pavlova: (head of the department): What is his case history?
Intern: He is 53. Six years ago he was consulted by a physician because of morning headaches. He was diagnosed to have hypertension, and weight reduction, shorter hours of work, and small doses of captopril and betablockers were prescribed.
Dr. Pavlova: Is there hypertension in the family?
Intern: No, there’s no cardiovascular disease in the family. As I said earlier, his heart failure has been corrected but the blood pressure remains 220-180 over 120-110 mm HG.
Dr. Pavlova: Give the patient antihypertensive drugs and then will try to find out the cause of his high blood pressure. The cause of hypertension may be renal, vascular or endocrine. Tomorrow we’ll have the results of the laboratory tests and then we’ll try to clear up the case.
Find English equivalents to the following words:
препараты, понижающие давление, сердечная недостаточность, результаты лабораторного исследования, заведующая отделением, потеря веса, сердечнососудистые заболевания, почечный, история болезни, головные боли по утрам, пациенту подходит лечение, причина высокого давления.
Ex. 20 Make up your own unknown words vocabulary of the topic ‘Health Care in Belarus’.
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| Ex.15 Read the dialogue and tell what questions does doctor ask to the patient to take a past history and a family history. | | | Smoking parallels |