Prática de Shadowing: KCU CSR Patient Encounter Abdominal Pain in the ED - Aprenda a falar inglês com vídeo

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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

Por que praticar a fala com este vídeo?

Praticar a fala com vídeos do YouTube é uma técnica eficaz para melhorar suas habilidades em aprender inglês com youtube. Este vídeo simula uma conversa real em um ambiente médico, o que proporciona uma oportunidade única para os alunos se familiarizarem com o vocabulário e as expressões usadas em situações de emergência. Conversar sobre sintomas, doenças e acompanhamentos médicos ajuda a desenvolver a confiança na fala e a fluência em contextos relevantes do dia a dia.

Além disso, ao fazer shadow speech (falar de forma imersiva acompanhando o falante original), você pode aprimorar sua pronúncia e entonação. A sequência de perguntas e respostas entre a estudante de medicina e a paciente oferece um modelo ideal para praticar a articulação de frases e a compreensão auditiva, tornando-se um recurso valioso para quem está buscando shadow speak.

Gramática e Expressões em Contexto

No vídeo, várias estruturas gramaticais são utilizadas que podem ajudar os alunos a entender melhor o uso do inglês em contextos médicos. Aqui estão algumas das expressões e frases chave:

  • “Is it okay if I come in and ask you a few questions?” - Uma forma educada de solicitar permissão, que é útil em diversas interações.
  • “How would you describe the pain?” - Uma pergunta que envolve o uso de modal verbs e permite descrever experiências subjetivas.
  • “What would you say your pain is on a scale of zero to ten?” - Essa construção ajuda a definir uma escala e a oferecer clareza em comunicações que exigem feedback numérico.
  • “Have you noticed any other symptoms?” - O uso do present perfect aqui é essencial para descrever experiências passadas que ainda têm relevância no presente.

Essas expressões são frequentemente usadas em conversas do dia a dia, principalmente em ambientes médicos e de atendimento, permitindo que os alunos pratiquem cenários reais e se sintam mais confortáveis ao usar o inglês em sua vida cotidiana.

Armadilhas Comuns de Pronúncia

A pronúncia é um aspecto crucial ao aprender inglês, e este vídeo incorpora algumas palavras e frases que podem ser desafiadoras para falantes não nativos. Preste atenção nas seguintes armadilhas:

  • “Abdominal pain” - A pronúncia de palavras compostas pode ser complicada; concentre-se na articulação clara dos fonemas.
  • “Feverish” - A mistura das sílabas pode causar confusão; pratique devagar e aumente a velocidade gradualmente.
  • “Intermittent pain” - Preste atenção ao som nas sílabas tônicas, pois isso pode alterar a compreensão da palavra.

Utilizando a técnica shadowing, onde você repete imediatamente o que ouviu, você pode superar essas dificuldades e aprimorar sua fluência ao falar. Explore este shadowspeak e integre essas práticas ao seu aprendizado!

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.