Практика Shadowing: KCU CSR Patient Encounter Abdominal Pain in the ED - Изучайте разговорный английский по видео
Создание урока...
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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
Контекст и фон
В этом диалоге медицинский студент по имени Алексис встречается с пациенткой по имени мисс Лейман, которая страдает от болей в животе. Сцена происходит в отделении неотложной помощи (ED), где студент задает вопросы, чтобы понять состояние пациентки и помочь врачам. Эта ситуация предоставляет ученикам возможность ознакомиться с медицинской терминологией и распространёнными фразами, которые могут быть полезны в реальных общениях.
5 ключевых фраз для повседневного общения
- «Когда это началось?» – Важный вопрос для определения начала симптомов.
- «Опишите боль.» – Полезная фраза, чтобы уточнить характер боли.
- «На шкале от нуля до десяти, какова ваша боль?» – Способ оценить уровень дискомфорта пациента.
- «Что ухудшает вашу боль?» – Помогает выявить триггеры для симптомов.
- «Есть ли у вас другие симптомы?» – Вопрос, который расширяет диагностику других возможных проблем.
Пошаговое руководство по шадовспичу
Для улучшения навыков разговорного английского, рекомендуем использовать метод "shadow speak" или "shadow speech", что включает в себя повторение за носителем языка. Вот как можно проработать этот конкретный диалог:
- Прослушайте диалог: Сначала внимательно прослушайте всю беседу, чтобы понять общий смысл и тональность.
- Разделите на части: Поделите диалог на небольшие фрагменты. Например, начните с первой фразы и постепенно двигайтесь к следующей.
- Повторяйте за носителем: Включите видео снова и повторяйте каждую фразу после говорящего. Акцентируйте внимание на интонации и произношении.
- Запишите себя: Попробуйте записать свой голос во время практики. Сравните его с оригиналом, чтобы выявить различия.
- Практикуйтесь регулярно: Создайте расписание для регулярной практики, чтобы постепенно улучшать свои навыки shadowing английского языка.
С помощью этой практики, вы сможете не только улучшить свое произношение, но и обрести уверенность в использовании английского языка в медицинских ситуациях, что может значительно помочь в будущих разговорах.
Что такое техника Shadowing?
Shadowing — это научно обоснованная техника изучения языка, изначально разработанная для подготовки профессиональных переводчиков и популяризированная полиглотом доктором Александром Аргуэльесом. Метод прост, но эффективен: вы слушаете аудио на английском от носителей языка и немедленно повторяете вслух — как тень, следующая за говорящим с задержкой в 1–2 секунды. В отличие от пассивного прослушивания или грамматических упражнений, Shadowing заставляет мозг и мышцы рта одновременно обрабатывать и воспроизводить реальные речевые паттерны. Исследования показывают, что это значительно улучшает точность произношения, интонацию, ритм, связную речь, понимание на слух и беглость речи — что делает его одним из самых эффективных методов для подготовки к IELTS Speaking и реального общения на английском.