शैडोइंग अभ्यास: PEBC Pharmacist OSCE Rx Scenario - वीडियो के साथ अंग्रेजी बोलना सीखें
पाठ बनाया जा रहा है...
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Thank you for taking the time to watch these videos.
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SOLAR -X Pharmacy Review Program has created these videos to help candidates prepare for the qualifying exam part 2.
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You are now going to watch a scenario followed by a quick review with the pharmacist.
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Hi, my name is Julie, I'm the pharmacist on duty.
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How can I help you?
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I'm just here to pick up my medicine.
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Sure, not a problem.
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Just to reassure you, everything we discuss is private and confidential
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so everything stays between you and I
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and before I give you your medication I just like to
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ask you a few questions about your medical history to make sure it's the most appropriate medication for yourself is
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that okay not a problem what was your name my name is Jessica Anderson okay great
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and I have your profile on file here is it okay
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if we review it together not a problem okay
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so it says here that you are taking Lipitor 20 milligrams once a day is that correct?
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Oh no, the doctor discontinued that.
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I was getting really bad muscle pain.
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Oh, I'm sorry to hear about that.
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So we'll address that very shortly.
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Just before we get to that, are you taking any other medications?
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Maalox.
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Maalox?
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So that's an over -the -counter medication, is that correct?
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That's right, for acid. For acid.
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And how often do you take that?
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Maybe three or four times a week.
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Okay, Okay.
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That sounds good.
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Any other medications, any herbal products, any natural products, multivitamins?
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No, nothing like that.
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Okay.
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And also because lifestyle can affect the way your medicines work in your body, I'd like to ask you a few questions about that.
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Okay.
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Can you tell me about your alcohol consumption?
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No, I don't drink.
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You don't drink.
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What about caffeine consumption?
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Also, I don't do that.
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No. And what about exercise?
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I try, but it's fairly infrequent.
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Okay.
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And what about any smoking?
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Do you smoke at all?
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Not a smoker.
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No. Okay.
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Let me just record that.
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And sometimes in females, medicines can have different effects if women are of childbearing age.
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Is there any chance that you're pregnant or breastfeeding?
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Oh, no. No. Okay.
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Okay.
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So I do have your prescription ready for you.
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I'd like to review it with you if that's okay.
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So you've been prescribed Crestor 10 milligrams at bedtime.
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The chemical name for Crestor is rosuvastatin and the doctor, like I mentioned, has suggested taking it at bedtime.
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So it's one tablet before going to bed.
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You can take it with or without food.
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It doesn't matter.
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However, sometimes it can cause a bit of an upset stomach.
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So if that happens, you can take it after taking some food.
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Okay.
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When you were taking the Lipitor, if you remember there was a restriction on grapefruit juice
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because there was an interaction with grapefruit juice that's not the case with Crestor
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so just so you know you can take it with or without grapefruit juice.
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Some other things in terms of side effects so I know you had the muscle pain with the Lipitor.
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Generally patients who have had muscle pain with Lipitor do a lot better
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when they switch to a different medicine within the same class
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so Crestor should be okay but unfortunately there's still a small chance
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that it can still cause muscle pain so if
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that happens i would suggest
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that you contact your doctor as soon as you can there's also a very rare
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but important side effect that it can severely affect your muscles in
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which case you may have dark or dark brown pee
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when you go to the washroom so if
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that happens i would advise you to call your doctor immediately okay like i mentioned these are rare side effects
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but it's important for me to mention for you.
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Because it's the first time that you're taking the Crestor, there's always a small risk that there might be an allergy.
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It's not common, but just in case it happens, make sure to watch out for anything after the first dose and you can either call us or call your doctor.
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And then you mentioned you were taking the Maalox three or four times per week.
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So there's actually an interaction with Maalox and Crestor, the way it's absorbed.
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So it's still okay for you to take the Maalox, it's just important to space it out from when you take it compared to the Crestor.
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So there are also some lifestyle changes that you can make that can help make improvements in your cholesterol levels.
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You had mentioned that you don't exercise that much, so exercise can be a key component in improving your cholesterol. So
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if you can, maybe try adding in 20 to 30 minutes of exercise a few times per week to start off with.
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And then also diet is very key.
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So in terms of diet, I can actually refer you to a dietitian and you can speak in further detail about ways to optimize your cholesterol levels.
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Is that okay?
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That'd be great.
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If it's okay with you, I'd like to maybe give you a call in a few days just to see how you're doing, that you're not having any more muscle pain.
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And then we can speak in about a month's time as well to see
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if there's been any improvement in your blood work.
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Oh, that'd be great.
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Thank you.
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Okay.
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Have a great day.
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Thank you.
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इस पाठ की शब्दावली और बोलने के सुझाव
यह स्पीकिंग पाठ वीडियो “PEBC Pharmacist OSCE Rx Scenario” पर आधारित है। सबसे ज़्यादा दोहराए गए शब्द ये हैं: Crestor, muscle, Maalox, medication, doctor। इस वीडियो में शैडोइंग के लिए 95 वाक्य और 921 शब्द हैं। बोला गया हिस्सा 5:24 लंबा है। वक्ता लगभग 170 शब्द प्रति मिनट की स्वाभाविक गति से बोलता है, जो रोज़मर्रा की बातचीत के करीब है। 85% शब्द अंग्रेज़ी के 3,000 सबसे आम शब्दों में से हैं; बाकी शब्द अभ्यास से पहले देख लेना अच्छा रहेगा।
इस वीडियो की मुख्य शब्दावली
वीडियो के 15 सीखने लायक शब्द, उच्चारण और अर्थ के साथ:
| शब्द | उच्चारण | अर्थ |
|---|---|---|
| muscle संज्ञा | /ˈmʌs.əl/ | पेशी, मांसपेशी |
| medication संज्ञा | /mɛdɪˈkeɪʃən/ | उपचार, औषधि |
| juice संज्ञा | /d͡ʒuːs/ | रस, जूस |
| acid संज्ञा | /ˈæsɪd/ | अम्ल, एसिड |
| consumption संज्ञा | /kənˈsʌmp.ʃən/ | उपभोग |
| lifestyle संज्ञा | /ˈlaɪfˌstaɪl/ | जीवनशैली, जीवनचर्या |
| compare क्रिया | /kəmˈpɛɚ/ | तौलना |
| stomach संज्ञा | /ˈstʌmək/ | आमाशय, पेट |
| examination संज्ञा | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | परीक्षण |
| scenario संज्ञा | /sɪˈnɛəɹioʊ/ | परिदृश्य |
| prescription संज्ञा | /pɹəˈskɹɪp.ʃən/ | नुसख़ा, प्रिस्क्रिप्शन |
| confidential विशेषण | /ˌkɔn.fɪˈdɛn.ʃəl/ | गोपनीय |
| absorb क्रिया | /æbˈsɔɹb/ | सोखना |
| restriction संज्ञा | /ɹɪˈstɹɪkʃən/ | प्रतिबंध, बंदिश |
| caffeine संज्ञा | /ˈkæfiːn/ | कैफ़ीन, कैफीन |
वीडियो में आने वाली फ़्रेज़ल वर्ब
| शब्द | अर्थ |
|---|---|
| pick up क्रिया | उठाना |
दोहराने लायक वाक्य
वीडियो के छोटे, पूरे वाक्य जिन्हें आप रोज़ की बातचीत में इस्तेमाल कर सकते हैं:
- How can I help you?
- I'm just here to pick up my medicine.
- Can you tell me about your alcohol consumption?
- Do you smoke at all?
- Is there any chance that you're pregnant or breastfeeding?
ध्यान देने योग्य उच्चारण
वक्ता 19 बार संक्षिप्त रूपों का प्रयोग करता है, जैसे don't, you're, I'd। इन्हें वैसे ही छोटा बोलें जैसा आप सुनते हैं।
- “sh” और “zh” की ध्वनियाँ: medication /mɛdɪˈkeɪʃən/, consumption /kənˈsʌmp.ʃən/, interaction /ˌɪn.təˈɹæk.ʃən/, shortly /ˈʃɔɹtli/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/
- लंबे शब्द — बलाघात सही रखें: medication /mɛdɪˈkeɪʃən/, cholesterol /kəˈlɛstəɹɒl/, interaction /ˌɪn.təˈɹæk.ʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, confidential /ˌkɔn.fɪˈdɛn.ʃəl/
हिंदी भाषियों के लिए मुश्किल ध्वनियाँ:
- /v/ और /w/ का फ़र्क़ — /v/ में ऊपर के दाँत निचले होंठ को छूते हैं, /w/ में होंठ गोल होते हैं: qualify /ˈkwɑ.lɪ.faɪ/, rosuvastatin /ɹoʊˈsu.vəˌstæt.n̩/, washroom /ˈwɒʃrʊm/
- /z/ — इसे “ज” (/dʒ/) न बनाएँ: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, optimize /ˈɑptɪmaɪz/
- शब्द की शुरुआत में s + व्यंजन — पहले “इ” न जोड़ें: stomach /ˈstʌmək/, smoker /ˈsmoʊkɚ/
इस वीडियो से अभ्यास कैसे करें
- पहले बिना बोले पूरा वीडियो एक बार सुनें और जो शब्द नहीं आते उन्हें लिख लें।
- 0.75× गति से शुरू करें, एक-एक वाक्य की शैडोइंग करें, और सहज लगने पर सामान्य गति पर लौटें।
- अपनी आवाज़ रिकॉर्ड करें और मूल से तुलना करें, ख़ासकर muscle, medication, juice जैसे शब्दों पर ध्यान दें।
शैडोइंग तकनीक क्या है?
शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।