跟讀練習: PEBC Pharmacist OSCE Rx Scenario - 通過影片學習英語口語
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Thank you for taking the time to watch these videos.
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SOLAR -X Pharmacy Review Program has created these videos to help candidates prepare for the qualifying exam part 2.
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You are now going to watch a scenario followed by a quick review with the pharmacist.
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Hi, my name is Julie, I'm the pharmacist on duty.
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How can I help you?
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I'm just here to pick up my medicine.
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Sure, not a problem.
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Just to reassure you, everything we discuss is private and confidential
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so everything stays between you and I
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and before I give you your medication I just like to
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ask you a few questions about your medical history to make sure it's the most appropriate medication for yourself is
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that okay not a problem what was your name my name is Jessica Anderson okay great
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and I have your profile on file here is it okay
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if we review it together not a problem okay
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so it says here that you are taking Lipitor 20 milligrams once a day is that correct?
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Oh no, the doctor discontinued that.
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I was getting really bad muscle pain.
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Oh, I'm sorry to hear about that.
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So we'll address that very shortly.
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Just before we get to that, are you taking any other medications?
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Maalox.
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Maalox?
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So that's an over -the -counter medication, is that correct?
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That's right, for acid. For acid.
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And how often do you take that?
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Maybe three or four times a week.
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Okay, Okay.
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That sounds good.
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Any other medications, any herbal products, any natural products, multivitamins?
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No, nothing like that.
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Okay.
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And also because lifestyle can affect the way your medicines work in your body, I'd like to ask you a few questions about that.
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Okay.
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Can you tell me about your alcohol consumption?
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No, I don't drink.
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You don't drink.
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What about caffeine consumption?
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Also, I don't do that.
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No. And what about exercise?
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I try, but it's fairly infrequent.
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Okay.
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And what about any smoking?
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Do you smoke at all?
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Not a smoker.
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No. Okay.
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Let me just record that.
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And sometimes in females, medicines can have different effects if women are of childbearing age.
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Is there any chance that you're pregnant or breastfeeding?
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Oh, no. No. Okay.
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Okay.
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So I do have your prescription ready for you.
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I'd like to review it with you if that's okay.
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So you've been prescribed Crestor 10 milligrams at bedtime.
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The chemical name for Crestor is rosuvastatin and the doctor, like I mentioned, has suggested taking it at bedtime.
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So it's one tablet before going to bed.
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You can take it with or without food.
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It doesn't matter.
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However, sometimes it can cause a bit of an upset stomach.
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So if that happens, you can take it after taking some food.
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Okay.
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When you were taking the Lipitor, if you remember there was a restriction on grapefruit juice
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because there was an interaction with grapefruit juice that's not the case with Crestor
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so just so you know you can take it with or without grapefruit juice.
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Some other things in terms of side effects so I know you had the muscle pain with the Lipitor.
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Generally patients who have had muscle pain with Lipitor do a lot better
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when they switch to a different medicine within the same class
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so Crestor should be okay but unfortunately there's still a small chance
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that it can still cause muscle pain so if
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that happens i would suggest
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that you contact your doctor as soon as you can there's also a very rare
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but important side effect that it can severely affect your muscles in
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which case you may have dark or dark brown pee
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when you go to the washroom so if
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that happens i would advise you to call your doctor immediately okay like i mentioned these are rare side effects
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but it's important for me to mention for you.
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Because it's the first time that you're taking the Crestor, there's always a small risk that there might be an allergy.
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It's not common, but just in case it happens, make sure to watch out for anything after the first dose and you can either call us or call your doctor.
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And then you mentioned you were taking the Maalox three or four times per week.
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So there's actually an interaction with Maalox and Crestor, the way it's absorbed.
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So it's still okay for you to take the Maalox, it's just important to space it out from when you take it compared to the Crestor.
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So there are also some lifestyle changes that you can make that can help make improvements in your cholesterol levels.
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You had mentioned that you don't exercise that much, so exercise can be a key component in improving your cholesterol. So
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if you can, maybe try adding in 20 to 30 minutes of exercise a few times per week to start off with.
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And then also diet is very key.
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So in terms of diet, I can actually refer you to a dietitian and you can speak in further detail about ways to optimize your cholesterol levels.
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Is that okay?
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That'd be great.
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If it's okay with you, I'd like to maybe give you a call in a few days just to see how you're doing, that you're not having any more muscle pain.
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And then we can speak in about a month's time as well to see
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if there's been any improvement in your blood work.
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Oh, that'd be great.
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Thank you.
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Okay.
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Have a great day.
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Thank you.
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本課的詞彙與口語要點
這節口語課以影片“PEBC Pharmacist OSCE Rx Scenario”為素材。 影片中反覆出現的詞有：Crestor, muscle, Maalox, medication, doctor。 這段影片共有 95 個句子、921 個單詞可供跟讀。 講話部分時長為 5:24。 說話人語速自然，每分鐘約 170 個詞，接近日常對話。 85% 的單詞屬於英語最常用的 3,000 詞，其餘的詞建議在練習前先學一下。
影片中的重點詞彙
影片中 15 個值得學習的單詞，附發音和釋義：
| 單詞 | 發音 | 釋義 |
|---|---|---|
| muscle 名詞 | /ˈmʌs.əl/ | 肌肉, 筋肉 |
| medication 名詞 | /mɛdɪˈkeɪʃən/ | 藥物 /藥物 |
| juice 名詞 | /d͡ʒuːs/ | 汁, 果汁 |
| cholesterol 名詞 | /kəˈlɛstəɹɒl/ | 膽固醇 /膽固醇 |
| acid 名詞 | /ˈæsɪd/ | 酸 |
| consumption 名詞 | /kənˈsʌmp.ʃən/ | 消費 /消費 |
| interaction 名詞 | /ˌɪn.təˈɹæk.ʃən/ | 相互作用 |
| lifestyle 名詞 | /ˈlaɪfˌstaɪl/ | 生活方式, 生態 /生態 |
| bedtime 名詞 | /ˈbɛdtaɪm/ | 就寢時間 /就寢時間 |
| compare 動詞 | /kəmˈpɛɚ/ | 比, 比較 /比較 |
| refer 動詞 | /ɹɪˈfɜː/ | 談到 /談到 |
| stomach 名詞 | /ˈstʌmək/ | дўзы, 胃 |
| component 名詞 | /kəmˈpoʊ.nənt/ | 元件, 部件 |
| examination 名詞 | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | 檢查 /檢查 |
| dose 名詞 | /ˈdəʊ̯s/ | 劑量 /劑量, (一)劑 /劑 |
影片中出現的短語動詞
| 單詞 | 釋義 |
|---|---|
| pick up 動詞 | 拾取, 撿 /撿 |
值得反覆跟讀的句子
影片中簡短而完整的句子，可以直接用在日常對話裡：
- How can I help you?
- I'm just here to pick up my medicine.
- Can you tell me about your alcohol consumption?
- Do you smoke at all?
- Is there any chance that you're pregnant or breastfeeding?
需要注意的發音
說話人用了 19 次縮略和弱讀形式，例如 don't, you're, I'd。請按聽到的簡短形式來說。
- “sh” 和 “zh” 音: medication /mɛdɪˈkeɪʃən/, consumption /kənˈsʌmp.ʃən/, interaction /ˌɪn.təˈɹæk.ʃən/, shortly /ˈʃɔɹtli/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/
- 長單詞——注意重音位置: medication /mɛdɪˈkeɪʃən/, cholesterol /kəˈlɛstəɹɒl/, interaction /ˌɪn.təˈɹæk.ʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, confidential /ˌkɔn.fɪˈdɛn.ʃəl/
中文母語者容易讀錯的音：
- 詞尾子音 — 要讀清楚，後面不要加母音: juice /d͡ʒuːs/, acid /ˈæsɪd/, stomach /ˈstʌmək/, component /kəmˈpoʊ.nənt/, dose /ˈdəʊ̯s/
- /r/ 和 /l/ 的區別: cholesterol /kəˈlɛstəɹɒl/, shortly /ˈʃɔɹtli/, allergy /ˈæl.əɹ.d͡ʒi/, milligram /ˈmɪlɪɡɹæm/
- /æ/ — 嘴張大，不要讀成 /e/: acid /ˈæsɪd/, interaction /ˌɪn.təˈɹæk.ʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, tablet /ˈtæblət/, absorb /æbˈsɔɹb/
如何用這段影片練習
- 先完整聽一遍影片，不要開口，記下不認識的單詞。
- 先用 0.75 倍速逐句跟讀，熟練之後再回到正常速度。
- 錄下自己的聲音並與原聲對比，特別注意 muscle, medication, juice 這類單詞。
什麼是跟讀法？
跟讀法 (Shadowing) 是一種有科學依據的語言學習技巧，最初開發用於專業口譯員的培訓，並由多語言者Alexander Arguelles博士普及。這個方法簡單而強大：您在聽英語母語原聲的同時立即大聲重複——就像是一個延遲1-2秒緊跟說話者的影子。與被動聽力或語法練習不同，跟讀法強迫您的大腦和口腔肌肉同時處理並模模擬實的講話模式。研究表明它能顯著提高發音準確性，語調，節奏，連讀，聽力理解和口語流利度——使其成為雅思口語備考和真實英語交流最有效的方法之一。