《医生诊疗英语会话》每日一听第041期
7 INFANT COMPLAINTS Infant complaints
I gather, MrsSmith, that you have some concerns about James, could you tell me what they are and when they started?
Well, after a feed him, doctor, he seems to be in discomfort and draws his knees up to his tummy and cries. Sometime he does it between his bottles. How long after he’s finished his feed, does he do this?
Well, it tends to be about twenty minutes after he’s finished his bottles, but he can also be restless and cries throughout the night. Do you think he’s gaining weight all right? Yes.
Well, having a look at James here, I feel quite happy that there’s nothing abnormally going on in his tummy and I think what’s probably happening is that he is experiencing colic. Although it’s very awkward for you and James, it’s not going to do him any term harm. And now I would advise that you try very sample measures such as a drop of phenol gripe water.
《医生诊疗英语会话》每日一听第042期 8 FEBRILE CONDITION [生词摘录] Calpol扑热息痛
syrup n.糖浆, 果汁, 糖浆剂 Febrile adj.发烧的,热病的
[原文]
Febrile condition
Doctor, I’m very worried about James because he seems to have a high temperature and I can’t get it to settle.
Do you know how high his temperature is? No exactly.
What measures have you taken to try and get his temperature down?
Well, doctor, I have tried a number of things. I took his clothes off, and give him some Calpol and I also try sponging him with tepid water.
Well, that is quite the right approach. if you could slip James’s clothes off I’ll just have a wee look and see if we can establish the cause of his temperature…. Well, that didn’t take a long to establish. I’m afraid James’s got tonsillitis, which is certainly a good enough cause for his temperature. so what I’ll do is I’ll giving you an antibiotic syrup, give him one
teaspoonful three times a day and that should settle it, I’d like you give him the full course so carry on giving him teaspoonful three times a day until the bottle is finished.
《医生诊疗英语会话》每日一听第043期 9 PYLORIC STENOSIS Pyloric stenosis
Could you tell me when James was born? About a month and a half ago.
So he’s six weeks now. So when did your concern about him start?
Well, I’ve been concerned about him for two days now because he seems to be vomiting after every feed.
Could you describe what the vomiting is like Mrs Smith, For example, does it clear your lap and land on the floor?
Well, his vomiting is very strong, doctor, he throws the vomit right across the room.
And, what is in the vomit? Do you ever see any green material or any blood? Has he had any upset of his bowels?
Yes, it’s often white, but there’s no blood.
Could you tell me how often he is opening his bowels/ has bowel movement/ ?whether the stool looks any different from normal? It’s yellowish and quite hard.
How do you think James is behaving? Do you feel he’s behaving normally? No, I don’t, doctor, he seems very irritable and upset and cries a lot.
Well, what I propose to do is to examine his tummy while he’s taking a feed. So if you pop /put/ him on your lap and just put him to the breast... Well, While I’m feeling his tummy, I can feel a little lump underneath my fingers and what that indicates to me is that he’s got some overgrowth of the muscle at the exit of the stomach, and that is blocking the material like his milk draining from his stomach, so I think that it’s likely that what we need to do is a small operation to cut through the muscle and relax it.
《医生诊疗英语会话》每日一听第044期
10 DIARRH(O) EA Diarrhea
Good morning, Doctor, I’m concerned about my son. He’s now eight months old and he’s been unwell, he’s had a temperature and he also had diarrhea.
Could you tell me a little bit more about the diarrhea? How often is it occurring in the day, and what does the stool look like? It was watery?
Could you see any bits of food in it?/did it have any food pieces observable in it?/ No.
was there any mucus or blood or anything unusual with the diarrhea? Yes, there was both mucus and blood. How much has the baby been drinking? I’m afraid not very/too/ much.
Well, James seems to be quite dry and I think he’s probably not been keeping enough fluids in. So what we’ll need to do is to set up an intravenous infusion to get the fluids directly into his circulation to bypass the problem that he’s having by losing fluids through his diarrhea and his vomiting.
Good morning, Mrssmith, would you like to sit down and tell me what your concerns are about James?
Well, he’s vomited several times this morning and he’s also had diarrhea, and I think he’s also expressing some tummy ache and he’s very lethargic tired. Has he had a temperature? Yes, I think he has.
Have you noticed any blood in his stool? No, I haven’t, the stool is just loose. How is he managing to drink?
Well, he’s managing quite well, he’s quite keen to drink but, unfortunately, he’s not able to keep it down and it’s all being vomited back up.
Well, let’s have a look him then. Could you pop/take/ his cloths off and I’ll have/take/a little look first all at his tummy… Well it’s all very reassuring, I can’t find anything wrong looking at his tummy and he seems to be keeping plenty of fluids in, so you are being successful with your encouraging him to drink. I think what’s probably happened is he’s got an
infectious diarrhea and what would be a sensible thing to do would be to collect a sample of his stool and sent it off for bacteriology analysis, we’ll have the results in three or four days’ times.
Well, What should I do in the meantime, doctor?
Well, the important thing is to make sure that he has sufficient fluids. So, as long as he’s happy to drink, then he won’t get into too much difficulty, and then once he’s feeling a little bit better, you could start introducing a gentle diet.
《医生诊疗英语会话》每日一听第045期
11 ASTHMA (Obstructive bronchitis) Asthma
Could you tell me, Mrs smith, when James started coughing?
Well, it started a week ago and it’s particularly bad at night, he keeps the whole family up. Do you think he’s having any problem with choking?
Well, he seems to be experiencing quite a lot of trouble getting his air in and getting his breath/ catching his breath/.
Is it the first time that James has found it difficult to get it breath? No, this has happened three times before. How frequently do you think it occurs?
Well, as I said, it happened about three times.
Have you noticed any relationship to the time of the year? Is it more likely to happen in the spring, for instance, rather than in the winter?
No, if anything, it’s slightly more likely to happen in winter. And have you noticed anything else that brings it on? Yes, I have, it always seems to be associated with a cold.
Have you noticed anything else, such as, does it start when he’s running about or when he’s been in contact with animals or anything like that?
No, I haven’t, although I must admit he’s not very athletic and he does complain
sometimes when he’s running about a lot. It makes him cough and particularly in cold weather.
Has he had any treatment for this?
Yes, he has had some treatment every now and then, he has had an inhaler which has helped a little bit.
What about the present episode? What treatment has he had for this?
Well, he’s not had anything for this one because I was hoping it would just settle on its own. And with the present episode, how difficult has it been to get it breath? Has he been able to talk to you all right?
It’s been so difficult to catch his breath that he couldn’t speak clearly to me. Has he looked blue or pale? No, not that I remember. And how long did the last?
I’d say it lasted around five minutes. It was very scary.
Has this been difficulty that’s made him lose time from school? He hasn’t been to school for three days this weeks.
