Shadowing Practice: Can You Guess the Diagnosis Before I Do? ๐Ÿ‘€ - Learn English Speaking with Video

ื‘ื—ืจ ืžืฆื‘ ืชืจื’ื•ืœ

ื›ืœ ืžืฆื‘ ืคื•ืชื— ื—ื“ืจ ืชืจื’ื•ืœ ื‘ืžืกืš ืžืœื.

21 ืžืฉืคื˜ื™ื
ืื ื”ืžืฉืคื˜ื™ื ืงืฆืจื™ื ืื• ืืจื•ื›ื™ื ืžื“ื™, ืœื—ืฅ ืขืœ ืขืจื•ืš ื›ื“ื™ ืœื”ืชืื™ื ืื•ืชื.
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All right, nursing students, let's see if you can figure this one out before I give you the answer.
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Okay, I've got a patient for you.
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She's a 72 -year -old woman who came into the emergency department saying she just doesn't feel right.
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Here are her vital signs.
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I'll give you a second to look those over.
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She's also confused, much sleepier than usual, and her family says that she was completely fine yesterday.
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Now, her labs come back and they show a lactate of 5 .1, A white count of 18 ,000.
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Creatinine is elevated compared to her baseline.
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So what is our top concern over here?
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I'll give you a second again to think about it.
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Comment it down below if you got it.
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The answer I'm thinking of is potentially sepsis, likely progressing towards septic shock.
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Now here's why.
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She has signs of infection with a high fever and elevated white count.
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Her blood pressure's low, heart rate and respiratory rate are elevated.
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She's becoming confused and her kidneys are starting to show signs of dysfunction
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and that lactate it tells us that her tissues aren't getting enough oxygen
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because of poor perfusion
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now this is exactly the kind of patient where early recognition
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can save a life the sooner sepsis is identified the sooner
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we can start fluids obtain blood cultures administer broad spectrum antibiotics and closely monitor for signs of worsening shock

ื”ื•ืจื“ ืืคืœื™ืงืฆื™ื”

ื›ืœ ืžื” ืฉืืชื” ืฆืจื™ืš ื›ื“ื™ ืœื“ื‘ืจ ื‘ืฉื˜ืฃ

ื”ื’ื™ื™ืช AIืฆื™ื•ืŸ ืœื›ืœ ืžืฉืคื˜
ืชืจื’ื•ืœ IPAืฉืœื•ื˜ ื‘ื›ืœ ืฆืœื™ืœ
ืื•ืฆืจ ืžื™ืœื™ืื‘ื ื” ืืช ืžืื’ืจ ื”ืžื™ืœื™ื ืฉืœืš
ืžืฉื—ืง ืื•ืฆืจ ืžื™ืœื™ืืœืžื“ ืชื•ืš ื›ื“ื™ ืžืฉื—ืง
FOR YOU

ื”ืžืœืฅ ืขืœ ืกืจื˜ื•ืŸ

Vocabulary and speaking notes for this lesson

This speaking lesson is built on the video โ€œCan You Guess the Diagnosis Before I Do? ๐Ÿ‘€โ€. This video has 21 sentences and 233 words to shadow. The speech runs for 1:14. The speaker talks fast, about 189 words per minute, so expect linked and reduced sounds. Only 77% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

15 words from the video worth learning, with pronunciation and meaning:

WordPronunciationMeaning
confused adjective/kษ™nหˆfjuหzd/unable to think clearly or understand
shock noun/สƒษ”k/A sudden, heavy impact.
recognition noun/หŒษนษ›kษ™ษกหˆnษชสƒ(ษ™)n/The act of recognizing or the condition of being recognized (matching a current observation with a memory of a prior observation of the same entity).
compare verb/kษ™mหˆpษ›ษš/To assess the similarities and differences between two or more things [โ€œto compare X with Yโ€]. Having made the comparison of X with Y, one might have found itโ€ฆ
lab noun/lรฆหb/A Labrador retriever.
nurse noun/nษs/Anyone performing this role, regardless of training or profession.
obtain verb/ษ™bหˆteษชn/To get hold of; to gain possession of, to procure; to acquire, in any way.
potentially adverb/pษ™หˆtษ›nสƒ(ษ™)li/In a manner showing much potential; with the possibility of happening in a given way.
vital adjective/หˆvaษชtษ™l/Relating to or characteristic of life.
monitor noun/หˆmษ‘.nษช.tษš/Someone who watches over something; a person in charge of something or someone.
infection noun/ษชnหˆfษ›kสƒษ™n/The act or process of infecting.
tissue noun/หˆtษชสƒ.(j)u/Thin, woven, gauzelike fabric.
spectrum noun/หˆspษ›ktษนษ™m/A range; a continuous, infinite, one-dimensional set, possibly bounded by extremes.
oxygen noun/หˆษ‘ksษชdอกส’ษ™n/The chemical element (symbol O) with an atomic number of 8 and relative atomic mass of 15.9994. It is a colorless and odorless gas. Sometimes called elementalโ€ฆ
fever noun/หˆfivษš/A higher than normal body temperature of a person (or, generally, a mammal), usually caused by disease.

Phrasal verbs you will hear

WordMeaning
come back verbTo return to a place.

Pronunciation to watch

The speaker uses 6 contractions and reduced forms, such as I'll, aren't, doesn't. Say them the short way, as you hear them.

  • The โ€œshโ€ and โ€œzhโ€ sounds: shock /สƒษ”k/, recognition /หŒษนษ›kษ™ษกหˆnษชสƒ(ษ™)n/, potentially /pษ™หˆtษ›nสƒ(ษ™)li/, infection /ษชnหˆfษ›kสƒษ™n/, tissue /หˆtษชสƒ.(j)u/
  • Long words โ€” get the stress right: recognition /หŒษนษ›kษ™ษกหˆnษชสƒ(ษ™)n/, potentially /pษ™หˆtษ›nสƒ(ษ™)li/, respiratory /ษนษชหˆspษช.ษนษ™t.ษ™.ษนi/, administer /ษ™dหˆmษชn.ษช.stษ™/, antibiotic /หŒรฆn.taษช.baษชหˆษ‘.tษชk/

How to practise with this video

  1. Listen to the whole video once without speaking and note the words you do not know.
  2. Start at 0.75ร— speed, shadow it sentence by sentence, then go back to normal speed once it feels easy.
  3. Record yourself and compare with the original, paying attention to words like confused, shock, recognition.

ืžื”ื™ ื˜ื›ื ื™ืงืช ื”ืฉืื“ื•ืื™ื ื’?

ืฉืื“ื•ืื™ื ื’ ื”ื™ื ื˜ื›ื ื™ืงืช ืœืžื™ื“ืช ืฉืคื” ืžื‘ื•ืกืกืช ืžื“ืข ืฉืคื•ืชื—ื” ื‘ืžืงื•ืจ ืœื”ื›ืฉืจืช ืžืชื•ืจื’ืžื ื™ื ืžืงืฆื•ืขื™ื™ื ื•ืคื•ืคื•ืœืจื™ืช ืขืœ ื™ื“ื™ ื”ืคื•ืœื™ื’ืœื•ื˜ ื“"ืจ ืืœื›ืกื ื“ืจ ืืจื’ื•ืืœืก. ื”ืฉื™ื˜ื” ืคืฉื•ื˜ื” ืืš ืขื•ืฆืžืชื™ืช: ืืชื” ืžืงืฉื™ื‘ ืœืื•ื“ื™ื• ื‘ืื ื’ืœื™ืช ื™ืœื™ื“ื™ืช ื•ื—ื•ื–ืจ ืขืœื™ื• ื‘ืงื•ืœ ืจื ืžื™ื“ โ€” ื›ืžื• ืฆืœ ื”ืขื•ืงื‘ ืื—ืจื™ ื”ื“ื•ื‘ืจ ืขื ืขื™ื›ื•ื‘ ืฉืœ 1โ€“2 ืฉื ื™ื•ืช ื‘ืœื‘ื“. ื‘ื ื™ื’ื•ื“ ืœื”ืื–ื ื” ืคืกื™ื‘ื™ืช ืื• ืชืจื’ื™ืœื™ ื“ืงื“ื•ืง, ืฉืื“ื•ืื™ื ื’ ืžื›ืจื™ื— ืืช ื”ืžื•ื— ื•ื”ืฉืจื™ืจื™ื ื‘ืคื” ืœืขื‘ื“ ื•ืœืฉื—ื–ืจ ื“ืคื•ืกื™ ื“ื™ื‘ื•ืจ ืืžื™ืชื™ื™ื ื‘ื• ื–ืžื ื™ืช. ืžื—ืงืจื™ื ืžืจืื™ื ืฉื–ื” ืžืฉืคืจ ืžืฉืžืขื•ืชื™ืช ืืช ื“ื™ื•ืง ื”ื”ื’ื™ื™ื”, ื”ืื™ื ื˜ื•ื ืฆื™ื”, ื”ืงืฆื‘, ื”ื“ื™ื‘ื•ืจ ื”ืžื—ื•ื‘ืจ, ื”ื‘ื ืช ื”ืฉืžื™ืขื” ื•ืฉื˜ืฃ ื”ื“ื™ื‘ื•ืจ โ€” ืžื” ืฉื”ื•ืคืš ืื•ืชื• ืœืื—ืช ื”ืฉื™ื˜ื•ืช ื”ื™ืขื™ืœื•ืช ื‘ื™ื•ืชืจ ืœื”ื›ื ื” ืœIELTS Speaking ื•ืœืชืงืฉื•ืจืช ื‘ืื ื’ืœื™ืช ื‘ืขื•ืœื ื”ืืžื™ืชื™.

ื˜ื›ื ื™ืงืช Shadowing: ืงืจื ืืช ื”ืžื“ืจื™ืš ื”ืžืœื ืฉืœื‘ ืื—ืจ ืฉืœื‘ โ†’