跟读练习: KCU CSR Patient Encounter Abdominal Pain in the ED - 通过视频学习英语口语
正在创建课程...
1
Come in.
2
Hi, Ms. Layman?
3
Yes.
4
Hi, my name is Alexis.
5
I'm a medical student working with the physicians here in the ED.
6
Is it okay if I come in and ask you a few questions before you see them?
7
Yeah, that's fine.
8
It's nice to meet you.
9
Nice to meet you.
10
So I hear you're having some abdominal pain.
11
Yeah, it's pretty bad.
12
Okay, I'm sorry.
13
When did this start for you?
14
It just started last night.
15
Last night?
16
Mm-hmm.
17
And kind of show me, point to it with your finger.
18
Well, it started like right here, like right at my belly button and now it's kind of over here.
19
More on the lower right side now?
20
Yeah.
21
Okay.
22
And is this intermittent pain or is it kind of constant?
23
It's kind of constant now.
24
Okay.
25
And then how would you describe the pain?
26
Well, last night it was kind of, I don't know, achy or something.
27
Yeah, and then, but today it's kind of got sharp, like almost like a stabbing pain.
28
Oh my, that's hurt.
29
Okay, I'm sorry.
30
What would you say your pain is on a scale of zero to ten?
31
Zero being no pain at all, ten being so bad you would pass out.
32
It's probably about a seven right now.
33
Okay.
34
Well, we will be sure to get you some pain medicine very shortly.
35
Have you noticed that there's anything that makes that pain worse?
36
It really hurt whenever we were coming over here
37
and there would be bumps in the road or speed bumps and that would really hurt.
38
That made it worse.
39
Okay.
40
Anything that you've tried that's made it better?
41
Not really.
42
I tried taking ibuprofen last night, but that didn't seem to help at all.
43
How much ibuprofen did you take?
44
I think it was just like 400 milligrams.
45
400, okay.
46
And then have you noticed any other symptoms like fever?
47
Yeah, I feel like I have a fever.
48
Okay, did you take your temperature?
49
No, I didn't.
50
Okay, just felt like feverish, okay.
51
How about nausea, vomiting?
52
Yes, I feel very nauseous.
53
I haven't actually vomited though.
54
Okay.
55
And then, do you use any tobacco products?
56
No. Okay.
57
Any illicit drugs?
58
No. Do you drink alcohol?
59
Occasionally on the weekends.
60
Okay.
61
Are you a student or do you work?
62
I'm an undergraduate student right now.
63
Okay.
64
And then do you have a partner?
65
I'm engaged, yes.
66
Okay, alright.
67
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.
68
How many sexual partners have you had?
69
Just two.
70
Two?
71
Have you ever had an STD such as chlamydia, gonorrhea, trichomonas, syphilis, HIV, hepatitis, anything like that?
72
No. Okay.
73
And when was your last menstrual period?
74
Just a week ago.
75
Okay, great.
76
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?
77
I had some eczema, but that's really it.
78
I've been pretty healthy.
79
Okay.
80
Any allergies?
81
No. Okay.
82
Not allergic to any medications?
83
None that I know of.
84
Okay.
85
Have you ever had a surgery before?
86
No. No. Have you ever been in the hospital before?
87
Mm-mm.
88
And then what is your, the health of your parents like?
89
My dad has some high blood pressure and then my mom has I guess a hypothyroid.
90
Oh okay.
91
Yeah.
92
Okay and then are you taking any medications right now?
93
No. Yes I get my birth control.
94
Okay and you take that that's a pill?
95
Yes.
96
Okay.
97
Okay is there anything about what's going on that I forgot to ask?
98
I think I got most of the information from on you?
99
I can't think of anything okay well real quick I know you're hurting
100
but I am gonna just do a brief exam okay first I'll listen to your heart
101
just gonna slide this under your gown a little bit
102
So yeah, your heart is beating just a little bit fast, I would say.
103
Now I'm going to listen to your lungs.
104
I just want you to take a deep breath in and out through your mouth.
105
Good.
106
Last one.
107
Good.
108
Your lungs sound great.
109
I'm going to get a towel to cover you.
110
So I'm just going to have you lean back.
111
Okay.
112
This for you.
113
I'm going to lift this up so I can see your abdomen.
114
And now point to me where you're feeling the pain right now.
115
It hurts a lot right here.
116
Down there.
117
Okay.
118
I'm just going to listen first.
119
Now I'm just going to tap.
120
When I push down on this side, does that hurt anywhere?
121
It kind of hurts a little bit over here.
122
Okay.
123
No tenderness over here.
124
Mm-mm. And then, how's that? That hurts. That hurts.
125
Yeah.
126
And I just want you to take a deep breath in and out.
127
Good.
128
I'm going to have you bend this.
129
Have you bend your right knee.
130
And I just want you to try and push your knee up against me.
131
Mmm, that hurts.
132
That hurts a little bit.
133
Okay, I'm going to take your leg now.
134
Oh, yeah.
135
That's a little tender too.
136
Mmm-hmm.
137
And then, would you say, does it hurt more when I push in or when I let go?
138
When you let go.
139
When I let go?
140
Yeah.
141
Okay, and how's about this?
142
Oh, that one kind of hurts too.
143
That was tender too?
144
Yeah.
145
I'm going to help you up.
146
There you go.
147
So I think what's going on is, what it sounds like at least, is appendicitis, which just means your appendix,
148
this little organ kind of down here in the right side of your abdomen, is infected.
149
I think the best thing for us to do would be referred to general surgery
150
and get a surgeon to come see you and talk to you.
151
they might want to do antibiotics they might want to do
152
some IV fluids you know they might end up taking you to the operating room
153
but in the meantime I think what we need to do is get a CAT scan
154
so that we can image that appendix and actually see how big it is
155
and make sure it's not ruptured
156
but it definitely what you're describing sounds an awful lot like appendicitis that's kind of scary it is
157
but you know we're going to take really good care of you here we can answer all your questions
158
and then is there anyone
159
that you would like for me to bring back to sit with you
160
while you're waiting my fiance is out in the waiting room yeah would you like the nurses
161
or myself to go get him sure okay is
162
that do you have I know there's a lot going on
163
but do you have any other questions right now no I'm gonna go talk to the doctors is it okay
164
if I come back with them to sure yeah okay it was really nice to meet you thank you
为什么要通过这个视频练习口语？
通过观看和练习这个视频，你将能够在真实的医疗场景中锻炼英语口语能力。这段对话模拟了医疗急救室中的病人交流情境，帮助学习者了解如何在紧张的环境中有效沟通。练习这种对话的好处是显而易见的，不仅能增强口语流利度，还能提高应对实际问题的能力。因此，利用这个shadowing site进行英语口语练习将非常有利于不仅仅学习语言，还能掌握适当的交流技巧。
语法与上下文中的表达
在这段对话中，有几个关键的语言结构值得注意：
- 疑问句的使用：例如“Is it okay if I come in and ask you a few questions?”展示了如何礼貌地询问权限。
- 时间状语的运用：如“it just started last night”加强了事件发生的时态感，让信息更为清晰。
- 描述疼痛的表达：使用“constant”和“intermittent”来描述疼痛的性质，有助于说明病情。
- 量化疼痛的方式：比如“on a scale of zero to ten”提供了一种简洁有效的方法来让病人表达其感受。
通过对这些结构的分析，学习者可以在英语影子跟读中更好地实践和模仿。
常见的发音陷阱
在这段对话中，有一些词汇和发音可能会对学习者造成一定的挑战，例如：“abdominal”和“intermittent”。这些词的音节较多，且元音音素的变化可能会导致发音不准确。此外，有些学习者在描述疼痛时，可能会倾向于使用不准确的音调或节奏。
为了正确发音，建议学习者在提高英语发音时，多进行反复练习，并借助shadow speech的方式来加强耳感和舌位的记忆。通过不断的实践，这些发音陷阱将变得更加容易掌握。
什么是跟读法？
跟读法 (Shadowing) 是一种有科学依据的语言学习技巧，最初开发用于专业口译员的培训，并由多语言者Alexander Arguelles博士普及。这个方法简单而强大：您在听英语母语原声的同时立即大声重复——就像是一个延迟1-2秒紧跟说话者的影子。与被动听力或语法练习不同，跟读法强迫您的大脑和口腔肌肉同时处理并模仿真实的讲话模式。研究表明它能显着提高发音准确性，语调，节奏，连读，听力理解和口语流利度——使其成为雅思口语备考和真实英语交流最有效的方法之一。