医护英语ContentsUnit 1 Registration and Visiting a Doctor (3)Unit 2 Examination Process (9)Unit 3 Diagnosis (15)Unit4 Administering Medications (24)Unit 5 Hospitalization (29)Unit 6 Hospitalization (35)Registration and Visiting a Doctor 挂号与就诊Examination Process 检查过程Diagnosis 诊断Administration and Medication 门诊处置与取药Hospitalization 办入院手续与住院Rehabilitation 康复Unit 1 Registration and Visiting a DoctorReading A:Task 1 Before reading the passage, see how much you know about common diseases of the body systems by answering the following questions.1.How can you decide that a specific disease belongs to one of the body systems?2.Which hospital department might you refer a patient to if he/she has a stomachache?Common diseases of the Body SystemsHuman body diseases vary in both severity and diversity. Any body part or function can contract a disease or have s disorder. We are more capable of fighting these diseases today than ever before and medicine is advancing every day.Below are introductions to human body diseases and disorders.Skin DisordersThe skin is susceptible to physical injury and to infection by bacteria, virus, fungi, and exposure to sunlight. Almost and teenager can tell you the most common skin disorder: acne. There are other skin problems far more serious than acne, e.g. skin cancer, melanoma, psoriasis and vitiligo.Nervous System DisordersDamage to nervous system through physical injury or disease can impair both physical and mental function. Brain tumors, Parkinson’s disease and stroke are some of the nervous system conditions.Cardiovascular DisordersCardiovascular disorders are conditions of the heart and blood vessels, which consist of mainly coronary heart disease (CHD), or coronary artery disease (CAD), hypertension, arrhythmia and heart failure. What we eat and the amount of exercise we get can affect our cardiovascular system.Immune DisordersWhen the immune system does not function properly, a number of diseases can occur. There are two types of immune system disorders: allergies and autoimmune disease including juvenile diabetes, rheumatoid arthritis and anemia, etc. and immunodeficiency disease such a AIDS.Digestive DisordersMost digestive diseases are very complex. Common disorders include hepatitis, heartburn and stomach cancer. Abusing alcohol imposes the greatest risk for digestive diseases.Reproductive DisordersDisorders that may affect the proper functioning of the reproductive system include abnormal hormone secretion, sexually transmitted diseases (STDs) such as syphilis and gonorrhea, and the presence of cancerous tissue in the region. Such problems frequently affect fertility. There are also functional problems caused by infertility or sexual dysfunction.Respiratory DisordersRespiratory disorders, or lung diseases, are disorders such as pneumonia, tuberculosis, chronic bronchitis, lung cancer and others. They can affect people of all ages and both genders.Endocrine disordersEndocrine system disorders occur either due to too much or tool little or sometimes nohormone. These disorders may lead to abnormal growth pattern, diabetes, high cholesterol and triglyceride levels. Endocrine system disorders include hyperthyroidism, growth hormone deficiency and hypothyroidism.Musculoskeletal DisordersDisease of the musculoskeletal system may result in the inability to walk, sit, or even breathe. The musculoskeletal conditions having the most impact on population health will be presented: back pain, repetitive strain injury (RSI) and osteoarthritis.Task 2 Read the passage and match each common disease with one body system.1.hypertension a. respiratory system2.acne b. skin system3.bone fracture c. nervous system4.stomach cancer d. cardiovascular system5.brain tumors e. endocrine system6.AIDS f. digestive system7.lung cancer g. immune system8.hypothyroidism h. musculoskeletal systemTask 3 Read the passage again, and tick the facts mentioned in the passage about the common diseases of the body system.✧Our ability to fight human body diseases✧The case history of the patients✧Various disorders of the nine body systems✧Disorders typical of the body systems✧An introduction to the now cures for the diseases✧Two types of immune disorders✧The skin featuring its susceptibility✧Alcoholism contributing to digestive diseases✧The specialists in some ot the diseases✧Asthma as a respiratory problemListeningTask 1 Mr. Black is making a call to pre-register at a hospital. Listen to the conversation and choose the best answer to each question you hear.1.Why can’t Mr. Black register right now?A.Because of a power cut.B. Because of lack of record.C. Because of the system failure.2.Which card is NOT necessary for registration?A.ID card.B. Credit card.C. Insurance card.3.What is the registration time?A. 8 a.m. to 5 p.m.B. 9 a.m. to 4 p.m.C. 8 a.m. to 4 p. m.4. When does the nurse suggest Mr. Black come to the hospital?A. In the morning.B. In the afternoon.C. On weekdays.5. Where will Mr. Black find receptionists in the hospital?A. At the registration office.B. In the Outpatient Hall.C. Outside the consulting room. Task 2. Mr. Black is registering at the hospital in person. Listen to the conversation and fill in the blanks with what you hear.Mr. Black: Good Morning.Nurse: Good morning. Sorry to have kept you waiting. Have you ever been here before? Mr. Black: No, this is my first _______ here.Nurse: In this case, you have to fill in this registration form. Your name, age, ________ and things like that. I will make a record for you.Mr. Black:No problem.Nurse: Well, what’s troubling you?Mr. Black: I have a stomachache and feel like __________ sometimes. Besides, it’s difficult for me to swallow. Which department should I register ___________?Nurse: I think you should go to the Department of Gastroenterology (胃肠学) first. If necessary w e’ll __________ you to the Department of Chest Surgery.Mr. Black: Okay, here is my form.Nurse:Thank you. The registration ___________ is five Yuan. This is your registration card. Please don’t lose it and bring it whenever you came.Mr. Black: Thank you for your help.Nurse: That’s all rightTask 3. Mr. Liu, an overseas student in Britain, is calling at St. Paul’s Hospital to make an appointment. Listen to the conversation and help the nurse to fill in the record.Appointment RecordPatient’s name:Date of Birth:Visiting Purpose:Time:Doctor’s Name:Reading BProcedures to Visit a Doctor●How to Visit a Doctor in the West:When you get sick, you might have to make an appointment to visit a doctor for a physical checkup. Talking to the doctor and explaining your symptoms might not be too difficult. Here is how to make the most of your doctor’s visit.●Before You GoWhen you make the appointment, state the nature of your concern so that a proper length of time can be scheduled.If it’s your first visit to that clinic or with that physician, be ready to give your medical history.✧Provide information about diseases that run in your family.✧Describe current and past heath problems and treatments.✧Bring the original containers for any prescription and over-the-counter medications, herbs,supplements and vitamins you are taking.Preparing written information to bring with can help you communicate well with your doctor.✧ A short description of your health problems should include a list of symptoms and detailson when the problem started, where it is, what it fells like, and if there’s anything you do that makes it worse or better.✧ A list of medications you are taking should include the dose and frequency of prescriptionand over-the-counter drugs, as well as herbs, supplements and vitamins.●While You’re ThereWhen talking with your doctor, remember that your health is worth his or her time.✧Clearly describe you health concern (symptoms, when it started, where it is, what it fellslike). Information written in advance can help.✧Restate explanations and ask for clarification, until you’re sure that the doctorunderstands your concerns and completely answer your questions.✧Don’t forget about your emotional health; it influences your physical health. So mentionall health-related concerns, not just the visible ones.✧Make sure your provider is aware of the prescription and over-the-counter medications,herbs, supplements and vitamins you are taking.Before leaving, find out✧It and when you should return for another visit.✧Whether you are to phone in for any test results or to report on your condition.✧If there are certain warning signs you should watch for✧Whether there are materials you could take home or a website you should visit to learnmore about your diagnosis or treatmentNever leave uncertain about your diagnosis or treatment●Common Procedures to Visit a Doctor in China’s HospitalThe first thing you should know about the medical services is that you should have some basic knowledge about the procedures.In china patients simply show up at local hospitals. No preset appointment is necessary, except for surgical procedures. Treatment techniques include diagnosis, medication, injection or the necessary scans. Your doctor may give you a prescription for you to buy medicine from the in-house pharmacy, most of the time at the lobby of the outpatient section building.● A chart on how to visit a doctor in Chinese hospital:Patient pre-check register diagnosis pay feestake medicine leavecheck & test specific section observation pay fees take medicine leave Task 1 Complete the procedures to visit a doctor in Western countries according to the passage.How to Visit a Doctor in the West1.Before you goa.Make an _____________ with your ____________.b.Be ready to give your _____________ on your first visit.c.Prepare __________________________.2.While You’re Therea.When _____________ with your doctor, remember that your ____________ is worthhis or her time.b.Before leaving, make sure of __________________ things.c.Never leave _____________ about your diagnosis or treatment.Task 2 Translate the following paragraph into Chinese.In china patients simply show up at local hospitals. No preset appointment is necessary, exceptfor surgical procedures. Treatment techniques include diagnosis, medication, injection or the necessary scans. Your doctor may give you a prescription for you to buy medicine from the in-house pharmacy, most of the time at the lobby of the outpatient section building.____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ WritingPublic NoticeTask 1 A public notice is written for many reasons. By writing a public notice, you will inform people about some news. No matter which kind of public notice you write, you will find several tips useful: be brief and to the point, well-worded, coherent and smooth with a definite purpose. Now read the following sample public notice and learn about the way it is written.A Sample:Public NoticeNotice is hereby given that Liu Dan from the Department of General Surgery in our hospital won the first place in the City’s 2009 Nursing Skills Contest held on May 4th, 2009.We inform you that a commendation meeting is to be held at the hospital auditorium on Wednesday afternoon, at 1:30. Representatives from all departments are expected to attend the meeting on time.The Office of Hospital PresidentMay 5th, 2009Commendation meeting 表彰会Task 2 Suppose you are a secretary with the human resource department. Please write a public notice based on the following information.Information:Li Lan has succeeded in competing for the position of head nurse in the emergency department. She took the first place in both the theoretical examination and interview for the position. Therefore the hospital leaders and the nursing department, after due consideration, have officially decided to appoint Li Lan head nurse in the emergency department.Technical Words:Coronary artery disease (CAD) 冠状动脉疾病Coronary heart disease (CHD) 冠心病Juvenile diabetes 青少年糖尿病Parkinson’s disease 帕金森氏病；震颤性麻痹Repetitive strain injury （RSI）重复性过度劳累损伤Rheumatoid arthritis 风湿性关节炎Sexually transmitted diseases (STDs) 性传播疾病Over-the-counter medication 非处方药Parkinson’s diseaseParkinson’s disease is a chronic and progressive degenerative disease of the brain marked by tremors, rigidity and slow movements.Parkinson’s disease belongs to a group of conditions called movement disorders. It is characterized by muscle rigidity, resting tremor, slowing of movement and, in extreme cases, nearly complete loss of movement. Secondary symptoms may include high level cognitive dysfunction, subtle language problems, and depression.Exercise: Fill in each blank with the appropriate form of the word given in brackets.1. At first, we didn’t realize the (severe) _______ of her wounds.2. It is reported that this disease attacks the central (nerve) _____ system.3. The (injure) ________ to their key player could be a decisive factor in the game.4. We couldn’t feel the change in the blood pressure within the (arterial) _________.5. (Diabetic) ________ is by far the most frequent disease among the over-weight people.6. These bacteria can be thought of as an additional (digest) ________ organ.7. It is (normal) ________ for a man to walk in his sleep.8. They found it stimulated the (secrete) _______ of insulin in pancreatic (胰的) cells in thelaboratory.9. Impairment of the ability to write is usually caused by brain (function) ________ or disease.10. What is severe acute (respire) _________ syndrome?Unit 2 Examination ProcessReading ATask 1 Before reading the passage, see how much you know about medical tests by answering the following questions.3.What are the most common medical tests in the hospital?4.What are the purposes of medical tests?A Directory of Medical TestsTaking a medical history and performing a physical examination usually provide the information a doctor needs to evaluate a person’s health or to understand what is causing an illness. But sometimes, doctors need to order tests to find out more.Here are some common tests and what they involve:Blood TestsComplete Blood Count (CBC). A CBC measures the levels of different types of blood cells. By determining if there are too many or not enough of each blood cell type, a CBC can help to detect a wide variety of illnesses or signs of infection.Blood Chemistry Test. Basic blood chemistry tests measure the levels of certain electrolytes, such as sodium and potassium, in the blood. Doctors typically order them to look for any sign of kidney dysfunction, diabetes, metabolic disorders, and tissue damage.Liver Function Test. Liver function tests check to see how the liver is working and look for any sort of liver damage or inflammation.Radiology TestsX-Rays. X-rays can help doctors find a variety of conditions, including broken bones and lung infections.Ultrasound. Though they’re typically associated with pregnancy, doctors order ultrasounds in lots of different cases. The images seen on most ultrasounds are difficult for the untrained eye to decipher, so a doctor will view the image and interpret it.Computed Tomography (CAT scan or CT scan). CAT scans are a kind of X-ray, and typically are ordered to look for things such as appendicitis, internal bleeding, or abnormal growths. A scan may require the use of a contrast material (a dye or other substance) to improve the visibility of certain tissues or blood vessels.Magnetic Resonance Imaging (MRI). MRIs use radio waves and magnetic fields to produce an image. MRIs are often used to look at bones, joints, and the brain. Contrast material is sometimes given through an IV in order to get a better picture of certain structures.Other TestsStool Test. Stool (or feces or poop) test can provide doctors with valuable information about what’s wrong when one has a problem in the stomach, intestines, or another part of the gastrointestinal system.Urine Test. Doctors order urine tests to make sure that the kidneys are functioning properly or when they suspect an infection in the kidneys or bladder.Electroencephalography (EEG). EEGs often are used to detect conditions that affect brain function, such as epilepsy, seizure disorders, and brain injury.Electrocardiography (EKG). EKGs measure the heart’s electrical activity to help evaluate its function and identify any problems. The EKG can help determine the rate and rhythm of heartbeats, the size and position of the heart’s chambers, and whether there is any damage present. EKGs can detect abnormal heart rhythms, some congenital heart defects, and heart tissue that isn’t getting enough oxygen.Task 2 After reading the passage, group the medical tests mentioned in the passage into each category.Blood Tests: Radiology Tests: Other Tests:Take 3 Read the passage again. Match each medical test with one fact as its target.9.Ultrasound a. lung infections10.X-rays b. an infection in the kidneysplete Blood Test c. metabolic disorders12.Blood Chemistry Test d. abnormal growths13.Liver Function Test e. blood cell type14.Urine Test f. heart rhythms15.EKG g. pregnancy16.Stool Test h. a problem in the intestines17.MRI a. liver inflammation18.EEG b. brain injuryputed Tomography k. joint problemsListeningTask 1 Mr. Black is having a check at the Department of Gastroenterology. A nurse will draw some blood for him. Listen to the conversation and put the following items in correct order.Sterilize the skinGet the reportTake off coat and roll up your sleeveClench your fistOpen your handSend specimen to the laboratoryTie the tourniquetPress with cotton swabTask 2 Mr. Black is going to have a gastroscopy（胃镜检查）. Listen to the conversation and choose the best answer to each question you hear.1. What does an endoscope look like?A. As long as a fingerB. Thin and flexible.C. A large pipe2. What should Mr. Black do before having the gastroscopy?A. Smoke as little as possible.B. Empty the stomach.C. Drink a lot of water.3. When is Mr. Black supposed to come tomorrow?A. 6 a.m..B. 2 p.m.C. 8 a.m.4. When will Mr. Black get the result?A. In several days.B. Immediately.C. The day after tomorrow.5. What will be sent to the pathology laboratory?A. Blood Sample.B. Gastric fluid sample.C. Biology sample.Task 3. Mr. Black is in the gastroscope room. Listen to the conversation and fill in the blanks with what you hear.Nurse: Mr. Black, I’d like to know whether you ________ today.Mr. Black: Never.Nurse: Fine. The gastroscopy usually takes about ten minutes. But now we should make some ________ for it.Mr. Black:Okay. Please tell me what to do.Nurse: I will give you a ________ by an injection to help you relax.Mr. Black: When it works, shall I fall sleep?Nurse: No, it can only make you drowsy. It’s not a ___________ anesthetic.Mr. Black:Will I feel intense pain during the test?Nurse:No, the doctor will numb the back of your throat by spraying on some _________ anesthetic. You may just feel a little uncomfortable, particularly when you first swallow the _______.Mr. Black: I see. Thank you.Nurse: By the way, the doctor may take one or more _________ in the testing process. But don’t worry. That is painless.Mr. Black: Alright, I will try to cooperate.Reading BView a Sample CBCA complete blood count (CBC) is a calculation of the cellular makeup of blood. It measures the concentration of white blood cells, red blood cells, and platelets in the blood and aids in diagnosing conditions and diseases such as malignancy, anemia, or blood clotting problems. The CBC is typically reported in the format below, although different labs may use different formats.●Sample CBC TestThe sample CBC below shows that the patient’s white blood cells and red blood cells are low.Complete Blood Count (CBC) with Differential Test Results Result Units Reference Interval White Blood Count 1.5L ×103/mm3 5.0-10.0Red Blood Count 3.50L ×106/mm3 4.1-5.3 Hemoglobin 10.8L g/dl 12.0-18.0 Hematocrit 31.1L % 37.0-52.0 Platelets 302 ×103/mm3150-400 Polys(neutrophils) 23L % 45-76 Lymphs 68H % 17-44 Monocytes 7 % 3-10Eosinophil 2 % 0-4 Basophil 0.6 % 0.2Polys(absolute) 3.4L ×103/mm3 1.8-7.8 Lymphs(absolute) 1.0 ×103/mm30.7-4.5 Monocytes(absolute) 0.1 ×103/mm30.1-1.0Eos(absolute) 0.1 ×103/mm30.0-0.4 Basos(absolute) 0.0 ×103/mm30.0-0.2●Understanding the ChartResult:The “Result”column shows the counts. The “L”or “H”after the count shows whether the counts are lower (“L”) or higher (“H”) than the normal range.Reference Interval (or Reference Range): The “Reference Interval”column shows the normal range for each measurement for the lab performing the test. Note that reference intervals may vary slightly among different laboratories.White Blood Cells: The complete blood count (CBC) report shows that the patient’s total white blood cell count (WBC) is 1.5, which is lower than the normal range of 5.0-10.0. The low WBC count (leucopenia) may point toward autoimmune diseases, such as lupus erythematosus or rheumatoid arthritis, bone marrow problem, disease of the liver or spleen, or related to some medications, such as chemotherapy.Red Blood Cells: The report shows that the patient has a red blood cell count of 3.50, which is lower than the normal range of 4.1-5.3. The low red blood cell count may suggest anemia, which can have many causes. Possible causes include autoimmune diseases, bone marrow failure, leukemia, malnutrition, heavy menstrual bleeding, stomach ulcers, inflammatory bowel disease, or some tumors.Hemoglobin: The report indicates that the patient’s Hb count is 10.8, which is below the normal range of 12.0-18.0. Low hemoglobin values may indicate anemia, or blood loss.Hematocrit: Hematocrit is also low. This means that the patient has mild anemia and may be starting to notice symptoms.Platelets: The report indicates that the platelet count for this patient is normal.Differential: also known as white blood cell (WBC) differential count. This portion of the report shows the counts for the five main types of white blood cells, either as percentages (the first five counts) or as the absolute number of cells (the second five counts). Such information helps the doctor monitor patients with allergies and determine how a patient is recovering from an illness or responding to therapy.Task 1 Match the following terms with their Chinese meanings.3.reference interval a. 白血球减少症4.stomach ulcer b. 胃溃疡5.bone marrow failure c. 参考范围6.rheumatoid arthritis d. 骨髓衰竭7.leucopenia f. 风湿性关节炎Task 2 Translate the following paragraph into Chinese.The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets (thrombocytes). Abnormally high or low counts may indicate the presence of many forms of disease, and hence blood counts areamongst the most commonly performed blood tests in medicine, as they can provide an overview of a patient’s general health status. A CBC is routinely performed during annual physical examination in some districts._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ WritingMemorandum (Memo)Task 1 A memo is generally made up of three parts: Introduction, Body and Conclusion. It needs to be brief, to the point and clear. Now read the following sample memo and learn about how it is organized.A Sample Memo:TO: (person or group to whom the memo is addressed)FROM: (person of group sending the memo)DA TE: (current date—month /date/year)SUBJECT: (what the memo is about, this should be in bold)First Sentence:Reason for the memoe.g. I would like to remind you that…Second Sentence—Main BodyAny Instruction or InformationClosing Sentence:What is required of the readerse.g. confirmation, answers or feedbackPlease share this announcement with co-workers immediatelyTask 2 Suppose you are a clerk working in the family planning office of a hospital. Please write a memo based on the following information. Your memo should include the tips given in Task 1.Situation:A summing-up meeting on the 2008 family planning work of the hospital is to be held on April 25th, 2008. Besides, the 2009 family planning work will be assigned at the meeting. Those who are in charge of family planning work in all departments and offices are requested to attend the meeting.Technical Words:Complete Blood Count (CBC) 全血球计数Computed Tomography (CT-scan) 计算机断层摄影Contrast material 造影剂Electrocardiograph (EKG) 心电图Electroencephalograph (EEG) 脑电图Magnetic Resonance Imaging (MRI) 核磁共振成像Basophil 嗜碱性粒细胞Eosinophil嗜酸性粒细胞Hematocrit 血细胞比容Hemoglobin 血红蛋白Leucopenia 白细胞减少Lupus erythematosus 红斑狼疮Monocyte 单核细胞Neutrophil 嗜中性粒细胞，中性白细胞Exercise: Fill in each blank with the appropriate form of the word given in brackets.1. The frontiers of (medicine) ________ knowledge are being pushed forwards as time goes on.2. The (metabolism) ________ abnormalities were corrected and renal function remained normal.3. Will you please recommend some (typical) ______ Chinese dishes to the foreign guests？4. Some women experience morning sickness during the first three months of (pregnant) ______.5. Dense fog is covering roads in the north and (visible) _______ is very poor.6. Modern machines, (range) _________ from TV to computers, can do various types of work forman.7. Dictionaries and encyclopedias are (refer) _________ books. You may (refer) _______ them while reading and writing.8. A (consult) ________ room is a place where a doctor sees his patient.9. (Immune) _________ can be acquired by having had the disease or by the use of vaccines.10. The illness was (diagnose)__________ as mumps (腮腺炎).Unit 3 DiagnosisReading A:Task 1 Before reading the passage, see how much you know about the treatment of common chronic and acute diseases by answering the following questions.1.What are the differences between acute diseases and chronic diseases?2.What are the most common chronic diseases of older adults?Treatment of Common Chronic and Acute DiseasesHealth concerns are usually classified as either acute or chronic. Acute illnesses often begin abruptly and last only a short time. Most people with an acute illness can expect to return to normal health. However, chronic diseases usually develop slowly, last a long time, and are often progressive and incurable.Chronic DiseasesChronic diseases, such as cardiovascular disease, cancer, and diabetes, are by far the leading cause of mortality in the world. Treatment includes medication and lifestyle changes such as diet and physical activity, and stress management.Cardiovascular diseases include coronary heart disease, hypertension, congenital heart disease, heart failure, etc. Once diagnosed with CVDs, patients are typically prescribed medication that will regulate cardiovascular functions and are usually taken daily for the rest of their life. Certain treatments are usually started right away if a heart attack is suspected, even before the diagnosis is confirmed. These include: oxygen, aspirin to prevent further blood clotting, nitroglycerin to reduce the workload on the heart, and treatment for chest pain.Cancer may affect people at all ages, even fetuses. The three most common types of cancer treatment are surgery, radiotherapy and chemotherapy, which aim at removing the cancer cells or destroying them in the body with medicines or other agents. Choice of treatment is influenced by several factors, including the specific characteristics of the cancer, the patient’s overall condition, and whether the goal of treatment is to cure the cancer, keep it from spreading, or relieve the symptoms.All forms of diabetes have been treatable since insulin became medically available in 1921, but there is no cure. The insulin injection is a basic treatment of type I diabetes. TypeⅡis managed with a combination of dietary treatment, exercise, medications and insulin supplementation.Acute DiseasesTreatment for acute diseases usually involves medication of antibiotics, which have direct effects on inflammation.Pneumonia is a common illness which occurs in all age groups. Most cases of pneumonia can be treated without hospitalization. Typically, oral antibiotics, rest, fluids, and home care are sufficient for complete resolution. However, if the symptoms get worse, or complications occur, the person will often have to be hospitalized.。
