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B1
Dr. Hello, Mrs. Hansen.
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201 문장
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1
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.
201
you

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맥락 및 배경

이번 대화는 병원에서 의사와 환자 간의 소통을 다룹니다. 병원에서의 영어는 특히 복잡할 수 있으며, 이해하기 쉬운 질문과 진단의 과정이 필요합니다. 이 비디오는 환자가 어떻게 증상을 설명하고 의사가 이를 어떻게 질문하는지를 보여줍니다. 이는 영어 회화 연습에 매우 중요한 주제이며, 특히 'shadowspeaks'와 같은 shadow speech 기법을 활용하여 말하기 능력을 향상시키는 데 도움이 될 수 있습니다.

일상적인 의사소통을 위한 상위 5개 구문

  • 저녁에 시작했어요: "Last night."
  • 어디에서 아프세요?: "Where was it when it first started?"
  • 통증의 정도는 어떻습니까?: "On a scale of one to ten, how bad was the pain?"
  • 어떤 종류의 통증이세요?: "What kind of pain is it?"
  • 지금 통증이 어떻게 변했나요?: "Did it change at all?"

단계별 그림자 따라하기 가이드

이 비디오는 병원에서의 상황을 다루고 있으며, 영어 스피킹 실력을 개선하려는 학습자에게 적합합니다. 아래 단계를 따르면 효과적으로 shadowing 연습을 할 수 있습니다.

  1. 비디오를 보고 전체 내용을 이해하세요: 의사와 환자 간의 대화를 주의 깊게 들어보세요. 내용을 한 번 듣는 것만으로는 부족하므로 여러 번 반복하여 들어야 합니다.
  2. 구문을 따라하세요: 각 구문을 에코 상으로 따라 해보세요. 예를 들어, 의사가 "When did it start?"라고 질문할 때, 같은 어조로 그 문장을 따라 하는 것이 중요합니다.
  3. 의미를 생각하세요: 단순히 따라 하기만 하지 말고, 각각의 질문과 답변의 의미를 이해하세요. "A dull ache"와 같은 표현은 무엇을 의미하는지 고민해 보세요.
  4. 반복하세요: 어려운 문장이나 구문이 있으면 여러 번 반복해서 연습하세요. 이를 통해 더 자연스럽게 대화할 수 있습니다.
  5. 스스로 녹음하세요: 자신의 목소리를 녹음하여 어떻게 발음하고 있는지 피드백을 받아보세요. 이는 '유튜브 영어 공부'와 같은 자료를 활용하여 더 나은 피드백을 받을 수 있습니다.

이러한 과정을 통해, 영어 회화 연습이 능숙해지고, 병원과 같은 상황에서 자신감을 가질 수 있게 될 것입니다.

쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법

쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.

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