シャドーイング練習: KCU CSR Patient Encounter Abdominal Pain in the ED - 動画で英語スピーキングを学ぶ
レッスンを作成中...
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Come in.
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Hi, Ms. Layman?
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Yes.
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Hi, my name is Alexis.
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I'm a medical student working with the physicians here in the ED.
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Is it okay if I come in and ask you a few questions before you see them?
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Yeah, that's fine.
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It's nice to meet you.
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Nice to meet you.
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So I hear you're having some abdominal pain.
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Yeah, it's pretty bad.
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Okay, I'm sorry.
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When did this start for you?
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It just started last night.
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Last night?
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Mm-hmm.
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And kind of show me, point to it with your finger.
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Well, it started like right here, like right at my belly button and now it's kind of over here.
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More on the lower right side now?
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Yeah.
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Okay.
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And is this intermittent pain or is it kind of constant?
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It's kind of constant now.
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Okay.
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And then how would you describe the pain?
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Well, last night it was kind of, I don't know, achy or something.
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Yeah, and then, but today it's kind of got sharp, like almost like a stabbing pain.
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Oh my, that's hurt.
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Okay, I'm sorry.
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What would you say your pain is on a scale of zero to ten?
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Zero being no pain at all, ten being so bad you would pass out.
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It's probably about a seven right now.
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Okay.
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Well, we will be sure to get you some pain medicine very shortly.
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Have you noticed that there's anything that makes that pain worse?
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It really hurt whenever we were coming over here
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and there would be bumps in the road or speed bumps and that would really hurt.
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That made it worse.
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Okay.
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Anything that you've tried that's made it better?
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Not really.
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I tried taking ibuprofen last night, but that didn't seem to help at all.
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How much ibuprofen did you take?
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I think it was just like 400 milligrams.
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400, okay.
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And then have you noticed any other symptoms like fever?
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Yeah, I feel like I have a fever.
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Okay, did you take your temperature?
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No, I didn't.
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Okay, just felt like feverish, okay.
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How about nausea, vomiting?
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Yes, I feel very nauseous.
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I haven't actually vomited though.
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Okay.
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And then, do you use any tobacco products?
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No. Okay.
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Any illicit drugs?
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No. Do you drink alcohol?
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Occasionally on the weekends.
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Okay.
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Are you a student or do you work?
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I'm an undergraduate student right now.
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Okay.
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And then do you have a partner?
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I'm engaged, yes.
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Okay, alright.
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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.
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How many sexual partners have you had?
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Just two.
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Two?
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Have you ever had an STD such as chlamydia, gonorrhea, trichomonas, syphilis, HIV, hepatitis, anything like that?
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No. Okay.
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And when was your last menstrual period?
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Just a week ago.
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Okay, great.
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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?
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I had some eczema, but that's really it.
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I've been pretty healthy.
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Okay.
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Any allergies?
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No. Okay.
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Not allergic to any medications?
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None that I know of.
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Okay.
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Have you ever had a surgery before?
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No. No. Have you ever been in the hospital before?
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Mm-mm.
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And then what is your, the health of your parents like?
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My dad has some high blood pressure and then my mom has I guess a hypothyroid.
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Oh okay.
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Yeah.
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Okay and then are you taking any medications right now?
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No. Yes I get my birth control.
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Okay and you take that that's a pill?
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Yes.
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Okay.
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Okay is there anything about what's going on that I forgot to ask?
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I think I got most of the information from on you?
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I can't think of anything okay well real quick I know you're hurting
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but I am gonna just do a brief exam okay first I'll listen to your heart
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just gonna slide this under your gown a little bit
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So yeah, your heart is beating just a little bit fast, I would say.
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Now I'm going to listen to your lungs.
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I just want you to take a deep breath in and out through your mouth.
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Good.
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Last one.
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Good.
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Your lungs sound great.
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I'm going to get a towel to cover you.
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So I'm just going to have you lean back.
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Okay.
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This for you.
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I'm going to lift this up so I can see your abdomen.
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And now point to me where you're feeling the pain right now.
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It hurts a lot right here.
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Down there.
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Okay.
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I'm just going to listen first.
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Now I'm just going to tap.
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When I push down on this side, does that hurt anywhere?
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It kind of hurts a little bit over here.
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Okay.
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No tenderness over here.
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Mm-mm. And then, how's that? That hurts. That hurts.
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Yeah.
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And I just want you to take a deep breath in and out.
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Good.
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I'm going to have you bend this.
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Have you bend your right knee.
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And I just want you to try and push your knee up against me.
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Mmm, that hurts.
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That hurts a little bit.
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Okay, I'm going to take your leg now.
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Oh, yeah.
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That's a little tender too.
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Mmm-hmm.
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And then, would you say, does it hurt more when I push in or when I let go?
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When you let go.
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When I let go?
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Yeah.
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Okay, and how's about this?
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Oh, that one kind of hurts too.
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That was tender too?
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Yeah.
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I'm going to help you up.
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There you go.
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So I think what's going on is, what it sounds like at least, is appendicitis, which just means your appendix,
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this little organ kind of down here in the right side of your abdomen, is infected.
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I think the best thing for us to do would be referred to general surgery
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and get a surgeon to come see you and talk to you.
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they might want to do antibiotics they might want to do
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some IV fluids you know they might end up taking you to the operating room
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but in the meantime I think what we need to do is get a CAT scan
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so that we can image that appendix and actually see how big it is
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and make sure it's not ruptured
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but it definitely what you're describing sounds an awful lot like appendicitis that's kind of scary it is
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but you know we're going to take really good care of you here we can answer all your questions
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and then is there anyone
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that you would like for me to bring back to sit with you
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while you're waiting my fiance is out in the waiting room yeah would you like the nurses
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or myself to go get him sure okay is
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that do you have I know there's a lot going on
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but do you have any other questions right now no I'm gonna go talk to the doctors is it okay
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if I come back with them to sure yeah okay it was really nice to meet you thank you
コンテキストと背景
この対話は、緊急治療室での患者とのやり取りを示しています。医学生が患者に腹痛についての質問をし、症状や痛みの強さ、その他の症状について詳細を聞き出しています。このような状況は、医療英語を学ぶ学生や、コミュニケーションスキルを向上させたい人々にとって非常に重要です。部位の特定や痛みの詳細を述べることは、英語の学習者が日常会話でも役立つスキルです。
日常コミュニケーションのためのトップ5のフレーズ
- Hi, my name is - 自己紹介をする際に使える基本的なフレーズです。
- Could you please describe your pain? - 痛みの状態を尋ねる丁寧な言い方です。
- On a scale of zero to ten, how would you rate your pain? - 痛みの強さを評価するためのフレーズです。
- Have you experienced any other symptoms? - 他の症状があるかを確認するための質問です。
- What makes the pain worse? - 痛みを悪化させる要因を尋ねる表現です。
段階的シャドウイングガイド
この動画の内容を理解し、英語力を高めるために、シャドウスピーク（shadow speak）のテクニックを活用することが推奨されます。具体的な手順は以下の通りです。
- 動画を視聴する: まず、YouTubeで英語学習を開始し、この対話の動画を見てください。全体の流れを把握します。
- トランスクリプトを確認する: ビデオのトランスクリプトを読みながら、各フレーズや表現に注意を向けましょう。
- シャドウスピーキングの実践: トランスクリプトを参考にして、対話のフレーズを聞き、同時に声に出して繰り返します。これが「shadowspeak」の技術です。
- 意味を考える: フレーズの意味を理解しながら練習することで、単なる口頭練習以上の効果があります。
- 録音をする: 自分の声を録音し、ナチュラルな言い回しや発音を確認しましょう。改善点を見つけ、繰り返し実践します。
このように段階を踏んだ練習を行うことで、医療英語の理解度が増し、実際のコミュニケーションでも自信を持って接することができるようになります。
シャドーイングとは？英語上達に効果的な理由
シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。