Pratique du Shadowing: KCU CSR Patient Encounter Abdominal Pain in the ED - Apprendre l'anglais à l'oral avec la vidéo
Création de la leçon...
1
Come in.
2
Hi, Ms. Layman?
3
Yes.
4
Hi, my name is Alexis.
5
I'm a medical student working with the physicians here in the ED.
6
Is it okay if I come in and ask you a few questions before you see them?
7
Yeah, that's fine.
8
It's nice to meet you.
9
Nice to meet you.
10
So I hear you're having some abdominal pain.
11
Yeah, it's pretty bad.
12
Okay, I'm sorry.
13
When did this start for you?
14
It just started last night.
15
Last night?
16
Mm-hmm.
17
And kind of show me, point to it with your finger.
18
Well, it started like right here, like right at my belly button and now it's kind of over here.
19
More on the lower right side now?
20
Yeah.
21
Okay.
22
And is this intermittent pain or is it kind of constant?
23
It's kind of constant now.
24
Okay.
25
And then how would you describe the pain?
26
Well, last night it was kind of, I don't know, achy or something.
27
Yeah, and then, but today it's kind of got sharp, like almost like a stabbing pain.
28
Oh my, that's hurt.
29
Okay, I'm sorry.
30
What would you say your pain is on a scale of zero to ten?
31
Zero being no pain at all, ten being so bad you would pass out.
32
It's probably about a seven right now.
33
Okay.
34
Well, we will be sure to get you some pain medicine very shortly.
35
Have you noticed that there's anything that makes that pain worse?
36
It really hurt whenever we were coming over here
37
and there would be bumps in the road or speed bumps and that would really hurt.
38
That made it worse.
39
Okay.
40
Anything that you've tried that's made it better?
41
Not really.
42
I tried taking ibuprofen last night, but that didn't seem to help at all.
43
How much ibuprofen did you take?
44
I think it was just like 400 milligrams.
45
400, okay.
46
And then have you noticed any other symptoms like fever?
47
Yeah, I feel like I have a fever.
48
Okay, did you take your temperature?
49
No, I didn't.
50
Okay, just felt like feverish, okay.
51
How about nausea, vomiting?
52
Yes, I feel very nauseous.
53
I haven't actually vomited though.
54
Okay.
55
And then, do you use any tobacco products?
56
No. Okay.
57
Any illicit drugs?
58
No. Do you drink alcohol?
59
Occasionally on the weekends.
60
Okay.
61
Are you a student or do you work?
62
I'm an undergraduate student right now.
63
Okay.
64
And then do you have a partner?
65
I'm engaged, yes.
66
Okay, alright.
67
And how many, I know this is kind of hard to talk about, but I'm just trying to get a better idea of everything that's going on so that we can rule out some things.
68
How many sexual partners have you had?
69
Just two.
70
Two?
71
Have you ever had an STD such as chlamydia, gonorrhea, trichomonas, syphilis, HIV, hepatitis, anything like that?
72
No. Okay.
73
And when was your last menstrual period?
74
Just a week ago.
75
Okay, great.
76
And then do you have any medical history, anything that you've ever been diagnosed for, even as a child, anything you've seen a doctor for?
77
I had some eczema, but that's really it.
78
I've been pretty healthy.
79
Okay.
80
Any allergies?
81
No. Okay.
82
Not allergic to any medications?
83
None that I know of.
84
Okay.
85
Have you ever had a surgery before?
86
No. No. Have you ever been in the hospital before?
87
Mm-mm.
88
And then what is your, the health of your parents like?
89
My dad has some high blood pressure and then my mom has I guess a hypothyroid.
90
Oh okay.
91
Yeah.
92
Okay and then are you taking any medications right now?
93
No. Yes I get my birth control.
94
Okay and you take that that's a pill?
95
Yes.
96
Okay.
97
Okay is there anything about what's going on that I forgot to ask?
98
I think I got most of the information from on you?
99
I can't think of anything okay well real quick I know you're hurting
100
but I am gonna just do a brief exam okay first I'll listen to your heart
101
just gonna slide this under your gown a little bit
102
So yeah, your heart is beating just a little bit fast, I would say.
103
Now I'm going to listen to your lungs.
104
I just want you to take a deep breath in and out through your mouth.
105
Good.
106
Last one.
107
Good.
108
Your lungs sound great.
109
I'm going to get a towel to cover you.
110
So I'm just going to have you lean back.
111
Okay.
112
This for you.
113
I'm going to lift this up so I can see your abdomen.
114
And now point to me where you're feeling the pain right now.
115
It hurts a lot right here.
116
Down there.
117
Okay.
118
I'm just going to listen first.
119
Now I'm just going to tap.
120
When I push down on this side, does that hurt anywhere?
121
It kind of hurts a little bit over here.
122
Okay.
123
No tenderness over here.
124
Mm-mm. And then, how's that? That hurts. That hurts.
125
Yeah.
126
And I just want you to take a deep breath in and out.
127
Good.
128
I'm going to have you bend this.
129
Have you bend your right knee.
130
And I just want you to try and push your knee up against me.
131
Mmm, that hurts.
132
That hurts a little bit.
133
Okay, I'm going to take your leg now.
134
Oh, yeah.
135
That's a little tender too.
136
Mmm-hmm.
137
And then, would you say, does it hurt more when I push in or when I let go?
138
When you let go.
139
When I let go?
140
Yeah.
141
Okay, and how's about this?
142
Oh, that one kind of hurts too.
143
That was tender too?
144
Yeah.
145
I'm going to help you up.
146
There you go.
147
So I think what's going on is, what it sounds like at least, is appendicitis, which just means your appendix,
148
this little organ kind of down here in the right side of your abdomen, is infected.
149
I think the best thing for us to do would be referred to general surgery
150
and get a surgeon to come see you and talk to you.
151
they might want to do antibiotics they might want to do
152
some IV fluids you know they might end up taking you to the operating room
153
but in the meantime I think what we need to do is get a CAT scan
154
so that we can image that appendix and actually see how big it is
155
and make sure it's not ruptured
156
but it definitely what you're describing sounds an awful lot like appendicitis that's kind of scary it is
157
but you know we're going to take really good care of you here we can answer all your questions
158
and then is there anyone
159
that you would like for me to bring back to sit with you
160
while you're waiting my fiance is out in the waiting room yeah would you like the nurses
161
or myself to go get him sure okay is
162
that do you have I know there's a lot going on
163
but do you have any other questions right now no I'm gonna go talk to the doctors is it okay
164
if I come back with them to sure yeah okay it was really nice to meet you thank you
Why practice speaking with this video?
This YouTube video featuring a patient encounter in the Emergency Department provides a realistic scenario for English learners to practice conversational skills. Interacting in a medical context helps build vocabulary related to health and pain descriptions, which can be essential in both personal and professional settings. By engaging with this content, learners will not only enhance their speaking abilities but also gain confidence in discussing sensitive topics like health issues. Understanding how to navigate such conversations is invaluable for those looking to improve their English speaking practice skills.
Benefits of Practice
- Real-life dialogue aids in contextual understanding.
- Familiarizes learners with medical terminology and phrases.
- Enhances listening comprehension, which is crucial for effective communication.
Grammar & Expressions in Context
In this video, several key grammatical structures and expressions are used that are beneficial for learners to understand and practice:
- “When did this start for you?” - This question format is crucial for asking about the onset of symptoms, making it an important expression in medical discussions.
- “How would you describe the pain?” - This structure invites a detailed response, making it useful for learners to practice asking for descriptions and elaborations in similar contexts.
- “On a scale of zero to ten…” - Understanding and using scales for pain measurement can aid learners in expressing degrees of intensity effectively.
- "Is this intermittent pain or is it kind of constant?" - Differentiating between types of pain is essential for communication in both personal and clinical settings.
Practicing these expressions through shadow speaking techniques can significantly enhance your conversational abilities in English.
Common Pronunciation Traps
As you practice shadowing the dialogue in this video, be aware of the following challenging phrases and words to ensure clear communication:
- “Abdominal” - This word contains several syllables and can be tricky. Pay attention to the pronunciation of each part: ab-dom-in-al.
- “Intermittent” - This term may be difficult due to the number of syllables and the stress pattern. Practice stressing the second syllable (in-ter-MIT-tent).
- “Fever” - The ‘v’ sound can be hard for many learners, so ensure you practice it steadily.
Addressing these pronunciation challenges will improve your overall confidence in speaking English with clarity, helping you feel at ease in conversations featuring medical terminology.
Qu'est-ce que la technique du Shadowing ?
Le Shadowing est une technique d'apprentissage des langues fondée sur la science, développée à l'origine pour la formation des interprètes professionnels. Le principe est simple mais puissant : vous écoutez de l'anglais natif et le répétez immédiatement à voix haute — comme une ombre suivant le locuteur avec un décalage de 1 à 2 secondes. Les recherches montrent une amélioration significative de la précision de la prononciation, de l'intonation, du rythme, des liaisons, de la compréhension orale et de la fluidité.