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Dr. Hello, Mrs. Hansen.
201 文
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Dr. Hello, Mrs. Hansen.
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I'm Dr. Hudson.
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Hello.
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I understand you're having some pain.
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Oh, yes.
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I have stomach pain.
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Yes.
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When did it start?
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Last night.
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Last night.
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About what time?
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Nine.
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Nine.
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Where was it when it first started?
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It was kind of generalized.
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All around?
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Okay.
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Did it change at all?
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Yeah.
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Where.. how did it change?
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No, this morning when I woke up it was more central and now it's more over here.
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On the right side.
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What kind of pain is it?
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It's really.. it's right there and it's constant.
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It's constant.
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Is it like a grabbing pain,
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a stabbing pain, a dull ache?
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A dull ache.
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A dull ache.
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Is it going around the back at all?
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No. Down in the groin area?
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No. It's just right there now.
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Yeah.
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But it started more generalized.
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Yeah.
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On a scale of one to ten,
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last night, how bad was the pain?
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I would say a two.
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A two.
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And now, what would you say?
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A seven.
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A seven.
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Okay.
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When it first started, were you doing anything in particular?
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Did you lift something heavy?
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No, I was just...
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Did you twist?
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Was there any trauma?
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I was just looking at the TV.
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Okay.
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Right.
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Through the night, did it wake you up?
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No, I slept.
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You were able to sleep?
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Okay.
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Do you feel nauseated?
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This morning, yeah.
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This morning.
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Did you throw up?
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Yeah, an hour ago.
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An hour ago.
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How's your appetite?
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Do you feel hungry?
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Do you want to eat?
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Oh, no. You don't, okay.
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Did you have any fever?
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I did not take it,
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but now I feel kind of feverish.
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You feel a bit fewish.
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Did you have any night sweats last night?
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No. No, chills where you were shaking?
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No, but this morning a few hours of food started, yeah.
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Okay.
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Tell me about your bowel movements.
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When was the last one?
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Yesterday morning.
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Okay, was it normal?
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Yeah.
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Yeah.
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Did you have a period of time in the last week or so where you were either constipated or had diarrhea?
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No. Have you recently noticed any blood in your stools?
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No. Or any black diarrhea stool?
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No. Are you having problems with bladder in terms of burning to urinate,
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having to get up at night to urinate?
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No. Have you seen any blood in your urine?
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No. Okay, tell me about your periods.
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Do you still menstruate?
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No, no, no. It stopped five years ago.
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Five years ago.
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Okay.
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Alright, and you haven't had any spotting, bleeding at all?
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No. And are you sexually active?
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Not for the last six months.
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No new partners then for the six months.
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Okay, all right.
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Have you ever had any problems with this kind of pain before?
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No, no. Similar pain?
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No, this is the first time.
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Tell me about your health.
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Do you have any other medical problems?
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No. High blood pressure, cholesterol problems, heart problems?
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No. Do you take medications?
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just the homeopathic one.
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Okay, which ones are those?
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Prime Rose, I'm sorry.
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I take selenium and I take vitamin C and A and Primrose tablets.
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Primrose tablets, okay.
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Do you take any aspirin at all?
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No. No?
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Any Advil, ibuprofen?
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No. No, okay.
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Do you have allergies to medications?
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No. No?
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Have you ever had surgery before?
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No. No?
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So you don't know if you have any issues regarding general anesthetic?
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No. Problems like that?
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Family history in particular of bleeding tendencies or blood clot problems?
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No. No. Okay.
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Have you ever had kidney infections or bladder infections?
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Never.
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No. All right.
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Okay.
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So I'm going to examine you.
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Okay.
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So if you want to bring your legs down here,
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just bring them gently.
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I know it's going to hurt a little bit.
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Yeah.
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Okay, and now I'm going to just have a look at your abdomen.
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Okay, so we're going to just expose here and I'm going to look to see if your abdomen is distended.
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Do you feel bloated at all with your belly all swollen up?
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No. Okay, so it looks good.
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I don't see any swelling of your abdomen or any bulging anywhere.
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So now I'm going to give little taps.
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Okay, So show me the area where you're sore.
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Here.
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Okay, so we're gonna save that spot for last.
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So I'm just gonna give little punches here.
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That hurts you a bit, eh?
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Okay.
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Now I'm just going to lightly palpate just on the top like that.
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That's all okay.
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How about down here?
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That hurts a bit, okay?
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Okay.
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Now I'm going to go deeper down, okay?
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That's okay there.
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And if I press here,
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do you feel it a bit?
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Where do you feel that when I'm pressing here?
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So you feel it on that side, okay?
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Now I'm going to go deeper here, okay?
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So I do see that your muscles are tensing up when I'm doing that, okay?
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I'm going to do another test where I'm gonna press down and I'm gonna let go, okay?
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So you tell me if it hurts.
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So I'm gonna press down,
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I know it hurts here, I'm gonna let go.
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Okay, that does hurt, eh?
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Now I'm gonna do it on this side too.
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I'm gonna press down.
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Okay, I'm gonna let go.
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That really hurts.
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Okay, sorry about that.
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Now I'm going to listen for your bowel sounds.
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Okay, and I should have done this before palpating you,
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but let me have a listen here.
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Okay, so I'm just going to listen in all four quadrants,
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in all areas of the abdomen.
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Very good.
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So your bowel sounds are okay.
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So we see that the gas is flowing through,
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that there's no blockage there.
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So now I'm going to ask you to lift up your leg,
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and keep it up.
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So let's bring your leg out of the blanket,
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it'll make it easier for you.
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Just bring it up in the air like that and just don't let me push your leg down.
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You tell me if it hurts.
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Oh!
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That does hurt, eh?
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Okay, alright, so let's bring this down.
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Okay, and now I'm just going to be pressing a little bit on your kidneys back here.
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Does that hurt you?
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No. Okay, and how about on this side?
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Does that hurt you?
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And that's good.
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Very good.
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Now, I'm going to want to have a little bit of an examination to look at your tubes and your ovaries.
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what we call a gynecological examination.
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Exam is normal?
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Very good.
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And another thing that we need to do is do a rectal examination.
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That's to put a finger in and feel the area where the...
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That examination is normal as well.
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It is normal.
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Okay, very good. So that concludes...
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I have a question for you.
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What's your diagnosis?
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Well, my principal diagnosis is appendicitis at this point.
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you
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このレッスンについて
このレッスンでは、病院での英会話に焦点を当てています。特に、腹痛を訴える患者が医師とどのようにコミュニケーションを取るかを学びます。この内容を通じて、病歴の聴取や症状の説明に関する英語表現を実践し、スピーキング能力を向上させることができます。YouTubeで英語学習をしながら、実際の医療現場で使われる表現を身につけましょう。
キーワードとフレーズ
- 腹痛 (stomach pain)
- いつ始まりましたか？ (When did it start?)
- 痛みの評価 (On a scale of one to ten)
- どんな痛みですか？ (What kind of pain is it?)
- 中心部 (central)
- 鈍い痛み (dull ache)
- 何か重いものを持ち上げましたか？ (Did you lift something heavy?)
- 変化がありましたか？ (Did it change at all?)
練習のコツ
このビデオの速度とトーンに合わせて、shadowspeakやshadow speech技術を利用することをお勧めします。実際の会話のスピードを感じ取りながら、声を出してシャドーイングを行いましょう。特に、具体的な質問に対する反応や痛みの説明を繰り返すことで、自分の言葉として自然に使えるようになります。shadowspeaksを意識して、答えをすぐに返す練習をすることが重要です。快適な環境で、定期的に練習することで、英語をより流暢に使えるようになるでしょう。
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。