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(¥H¤U¤º¤å¬Ò¥ý©ñ­^¤å«á¤¤¤å)
Å@²z®v¡G§A¦n¡I
Nurse: Good morning.
¯f¤H¡G§A¦n¡I
Patient: Good morning.
Å@²z®v¡G§A­n¬Ý¯f¶Ü¡H
Nurse: Do you want to see a doctor¡H
¯f¤H¡G¬Oªº¡A¦b­þ¨à±¾¸¹¡H
Patient: Yes, where shall I register¡H
Å@²z®v¡G³o¨à¡A§A±q«e¨Ó¹L¶Ü¡H
Nurse: Here, have you been here before¡H
¯f¤H¡G¨S¦³¡C
Patient: No, this is my first visit.
Å@²z®v¡G§A¦³±¾¸¹ªí¶Ü¡H
Nurse: Have you a registration card¡H
¯f¤H¡G¨S¦³¡C
Patient: No.
Å@²z®v¡G§A¤µ¤Ñ­þ¨½¤£µÎªA¡H
Nurse: What's wrong with you today¡H
¯f¤H¡G§Ú´ý¨­°_¬õ¯l¡AÄo±o¼F®`¡C
Patient: I have a rash all over my body. It itches badly.
Å@²z®v¡G§Ú·Q§AÀ³·í¥ý¬Ý¥Ö½§¬ì¤j¤Ò¡C
Nurse: I think you should see a dermatologist first.



¤º¬ì±¾¸¹«Øij¹ï¸Ü(¤j¼Ð)
Å@¤h¡G¦­¤W¦n¡I
Nurse¡GGood morning.
¯f¤H¡G§A¦n¡I
Patient¡GGood morning.
Å@¤h¡G½Ð°Ý­þ¨½¤£µÎªA¡H
Nurse¡GWhat seems to be the problem¡H
¯f¤H¡G°ª¿N¡A·PıÁV³z¤F¡C
Patient¡GI¡¦m running a high fever and feeling terribly bad.
Å@¤h¡G³oºØ±¡ªp¥X²{¦³¦h¤[¤F¡H
Nurse¡GHow long have you had the problem¡H
¯f¤H¡G±q¬Q±ß¶}©lªº¡C
Patient¡GSince last night.
Å@¤h¡G±z¥H«e¨Ó¹L§Ú­ÌÂå°|¶Ü¡H
Nurse¡GWell¡A have you ever been to the hospital before¡H
¯f¤H¡G¨S¦³¡C
Patient¡GNo.
Å@¤h¡G¦nªº¡A¨º»ò±z±o¥ý¶ñ¼g³o±i±¾¸¹ªí¡C¤ñ¦p±zªº¦~ÄÖ¡B©Ê§O¡B¦í§}µ¥µ¥¡C
Nurse¡G O. K. In that case, you have to fill in this registration card. Your age¡A gender, address and things like that.
¯f¤H¡G¨S°ÝÃD¡C½Ð°Ý§ÚÀ³¸Ó±¾­þ£¸¬ì¡H
Patient¡GNo problem. Which department should I register with, madam¡H
Å@¤h¡G±z³Ì¦n±¾¤º¬ì¡C
Nurse¡GYou¡¦d better go to the medical department.
¯f¤H¡Gªí¶ñ¦n¡Aµ¹§A¡C
Patient¡GHere is my registration card.
Å@¤h¡GÁÂÁ¡C±¾¸¹¶O¬O¤@¤¸¡C
Nurse¡GThank you. The registration fee is one Yuan.
¯f¤H¡G¦nªº¡C½Ð°Ý§Ú¸Ó«ç»ò¨«¡H
Patient¡GFine. But can you tell me how to get to the medical department¡Aplease¡H
Å@¤h¡G¤º¬ì¦b¤­¼Ó¡A§A¥i¥H§¤¹q±è¤W¥h¡C¤W¼Ó«á¦V¥k¨«¡A¥ªÃ䦳µP¤l¡C
Nurse¡GIt¡¦s on the fifth floor. You can take a lift. Then take a right turn. You can see the sign on your left.
¯f¤H¡G¦hÁ¤F
Patient¡GThanks a lot.
Å@¤h¡G¤£«È®ð¡C
Nurse¡GYou're welcome.



Chapter 2 ¯f¥v¸ß°Ý¤Î¯gª¬µû¦ô½g(³¹¼Ð)
ªì¦¸¦í°|¯f¤H«Øij¹ï¸Ü(¤j¼Ð)
Å@¤h¡G§Ú±q§Aªº¯f¾ú¤¤±oª¾¡A§A10¦~«e´¿¦]¥Òª¬¸¢¥\¯à»Ùê¦í¹L°|¡C
Nurse¡G I see from your notes you were in hospital ten years ago with thyroid trouble.
¯f¤H¡G¹ï¡A¬O³o¼Ëªº¡C²{¦b§Ú¿©±w¤F­G³¡¯e¯f¡A§ÚªºÂå¥Í¤¶²Ð§Ú¨ì±z³oùبӬݯf¡C
Patient¡GYes, that's right. And now I've got stomach trouble and my doctor sent me here.
Å@¤h¡G¦Û±q±o¤F¥Òª¬¸¢¯e¯f¥H¨Ó¡A¦³¥X²{¨º¨Ç¯gª¬¡H
Nurse¡G What has actually been happening since the thyroid trouble¡H
¯f¤H¡G¯gª¬¥i¦h©O¡C³o¤@¦~¨Ó¡A§Úºë¯««D±`¤£¦n¡C
Patient¡GAll sorts of things. I've been feeling very depressed for a year.
Å@¤h¡G¬Ý¹LÂå¥Í¶Ü¡H
Nurse¡G Did you go to your doctor¡H
¯f¤H¡GÃø¨ü®É¬Ý¹L¡C¥LÅý§ÚªA¥ÎValium(ÃĦW)¡A¨Ï§ÚÂíÀR¡C¦ý§Ú¾ã¤Ñ©ü©ü±ýºÎ¡A
        °£¤FºÎı¥~¡A¤°»ò¨Æ¤]°µ¤£¤F¡C
Patient¡GYes, when it got bad. He gave me some Valium tablets to slow me down but they slowed me to a halt. I didn't do anything but sleep.
Å@¤h¡GÁÙ¦³¨ä¥L¯gª¬¶Ü¡H
Nurse¡G Did they affect you in any other way¡H
¯f¤H¡G¦³¡A§Ú³Ìªñ®ø¤Æ¤£¨}¡C
Patient¡GYes. I got indigestion.
Å@¤h¡GÂå¥Íµ¹§A¦Y¹L¤°»òÃĶܡH
Nurse¡G Did he give you anything for that¡H
¯f¤H¡G¦³¡A¥L¦³µ¹§Ú¶}ÃÄ¡A§Ú¦Y¤F´N¦n¤F¡C
Patient¡GYes. He gave me some medicine and then it was all right.
Å@¤h¡G®ø¤Æ¨t²Î«ç»ò¤£µÎªA¡H
Nurse¡G How does the indigestion affect you¡H
¯f¤H¡G¦Y¶iªºªF¦è³£¥d¦b³oùØ¡]«ü¯Ý³¡¡^¡C
Patient¡GAll the food stays up here ¡]indicating chest.¡^
Å@¤h¡G¤°»ò®É­Ôı±oÃø¨ü¡C
Nurse¡G When do you get it¡H
¯f¤H¡G¶º«á¨â¤T­Ó¤p®É¡C
Patient¡GTwo to three hours after food.
Å@¤h¡G«ç»ò¤£µÎªA¡H¯kµh¶Ü¡H
Nurse¡G What is it like¡H A pain¡H
¯f¤H¡G¬Oªº¡A«Üµh¡C
Patient¡GYes, a pain.
Å@¤h¡G«ç»ò­Óµhªk¡H¨`¼öµhÁÙ¬O¨ëµh¡H
Nurse¡G What kind¡H Burning, stabbing¡H
¯f¤H¡G«Ü¹³¬O¸z­GµÈ®ð¡A§Ú·Q§â®ð±Æ±¼¡C
Patient¡GIt feels like some wind there and I want to get rid of it.
Å@¤h¡G·|¥´ÜжܡH
Nurse¡G Do you belch¡H
¯f¤H¡G¤£±`¥´ÜСC
Patient¡GNot much.
Å@¤h¡G©]¸Ì¤]·|¤£µÎªA¶Ü¡H
Nurse¡G Does it bother you at night¡H
¯f¤H¡G¤£¡C
Patient¡G No.
Å@¤h¡G°§¾j®Éµo§@¶Ü¡H
Nurse¡G It comes on when you are hungry¡H
¯f¤H¡G¹ï¡AÄȾj®É­G³¡¯S§Oµh¡A¦pªG¤£°¨¤W¦Y¨ÇªF¦è¡A§Ú´N¤ä¼µ¤£¦í¡C
Patient¡G Yes, I have a terrible pain in my stomach and I feel I'll collapse if I don't eat straight away.
Å@¤h¡G­G¤f«ç»ò¼Ë¡H
Nurse¡G How is your appetite¡H
¯f¤H¡G«Ü®t¡C
Patient¡GVery poor.
Å@¤h¡G­G¤f¤@¦V¤£¦n¶Ü¡H
Nurse¡GDid you always have a bad one¡H
¯f¤H¡G¤£¡A10¦~«e¤~¶}©l´c¤Æ¡C
Patient¡G No, it started to deteriorate ten years ago.
Å@¤h¡Gªñ´X­Ó¤ëÅܤƤj¶Ü¡H
Nurse¡G Has it changed much in the last few months¡H
¯f¤H¡GªAÃÄ«á¡A­¹ª«¯à°÷©¹¤U¨«¡A§Ú¤]·|·Pı¨ì¾j¤F¡H
Patient¡G I think the medicine must push the food down and then I fell hungry¡H
Å@¤h¡G§AÅé­«¦p¦ó¡H
Nurse¡G What about your weight¡H
¯f¤H¡GÅé­«¦b¤U­°¡C
Patient¡G I'm losing weight.
Å@¤h¡G²{¦bÅé­«¬O¦h¤Ö¡H
Nurse¡G How much do you weight now¡H
¯f¤H¡G113½S¡C
Patient¡G 113 pounds.
Å@¤h¡G¤@¦~«eÅé­«¬O¦h¤Ö¡H
Nurse¡G And how much did you weigh a year ago¡H
¯f¤H¡G126½S
Patient¡G 126 pounds.
Å@¤h¡G¤j«K±¡ªp¦p¦ó¡H
Nurse¡G What about your bowels¡H
¯f¤H¡G«Ü¤£¦n¡C
Patient¡G Terrible.
Å@¤h¡G«ç»ò¤£¦n¡H
Nurse¡G In what way¡H
¯f¤H¡G±`±`«K¯µ¡C
Patient¡G I'm constipated.
Å@¤h¡G´X¤Ñ¤j«K¤@¦¸¡H
Nurse¡G How often do you have them opened¡H
¯f¤H¡G¥u¦³¦YÃÄ«á¤~·|¤j«K¡C
Patient¡G Only when I take medicine.
Å@¤h¡G¨C¤Ñ³£¸Ñ¤j«K¶Ü¡H
Nurse¡G Every day¡H
¯f¤H¡G¤£¡A¹j¤@¤Ñ¤@¦¸¡C
Patient¡G No, every other day.
Å@¤h¡G¤Ñ®ð·x©M®É¡A§AÃø¨ü¶Ü¡H
Nurse¡G Does warm weather affect you¡H
¯f¤H¡G¤£¡A§Ú³ßÅw·Å·x®ð­Ô¡A §Ú«Ü¤Ö¥X¦½¡C
Patient¡G No. I prefer warm weather. I sweat less.
Å@¤h¡G§A¸g±`¥X¦½¶Ü¡H
Nurse¡G Do you always sweat¡H
¯f¤H¡G¬Oªº¡A³Ìªñ¥X¦½¤ñ¸û¦h¤F¡C
Patient¡G Yes, but more recently.
Å@¤h¡G¬O¥þ¨­¥X¦½¶Ü¡H
Nurse¡G All over your body¡H
¯f¤H¡G¬Oªº¡C
Patient¡G Yes, all over.
Å@¤h¡G§A·|ı±o§íÆ{¡B¤£¦w¡B«æļ©M·R¿E°Ê¶Ü¡H
Nurse¡G Do you feel depressed, nervous, edgy, and irritable¡H
¯f¤H¡G¬Oªº¡A§ä¨ì¤u§@¤§«e¡A§Úªº¯f±¡§óÄY­«¡C
Patient¡G I was worse before I got my job.
Å@¤h¡G³o¼Ë¦h¤[¤F¡H
Nurse¡G When did you start that¡H
¯f¤H¡G¤@­Ó¤ë«e¡C
Patient¡G A month ago.
Å@¤h¡G§A¤@ª½§¤¥ß¤£¦w¡BÂù¤âŸ§Ý¶Ü¡H
Nurse¡G Have you been fidgety, have your hands been shaky¡H
¯f¤H¡G§Ú¨ì³oùخɴN¬O³o¼Ë¡C
Patient¡G When I was coming here.
Å@¤h¡G¬O¦bºë¯«ºò±iªº®É­Ôµo§@¶Ü¡H
Nurse¡G At times of stress¡H
¯f¤H¡G¹ï¡A©ÎªÌ·S§Ú¥Í®ð®É¡C
Patient¡G Yes. And when something riles me.
Å@¤h¡G²´·ú¦³¤°»ò¤ò¯f¶Ü¡H
Nurse¡G Any trouble with your eyes¡H
¯f¤H¡G¨S¦³¡C
Patient¡G No.
Å@¤h¡G¤ë¸g³W«ß¶Ü¡H
Nurse¡G Periods regular¡H
¯f¤H¡G¦³¤F«Ä¤l«á¡A¨C­Ó¤ë³£¦³¨Ó¡C
Patient¡G Every month since I had my baby.
Å@¤h¡G¨º¬O¤°»ò®É­Ô¡H
Nurse¡G When was that¡H
¯f¤H¡G¤­¦~¥H«e¡C
Patient¡G Five years ago.
Å@¤h¡G§A·P¨ìļ°Ê¤£¦w¶Ü¡H
Nurse¡G Do you feel restless¡H
¯f¤H¡G¥¼§ä¨ì¤u§@¥H«e¡A§Ú¤@ª½µLªk¶°¤¤ºë¯«¡A¦p¤µ¤£±o¤£±M¤ß¤u§@¡C
Patient¡G I couldn't concentrate till I got my job but now I have to,
Å@¤h¡G§AÁÙ¦³§Oªº·Pı¶Ü¡H
Nurse¡G Is there anything else you've noticed¡H
¯f¤H¡G¨S¦³¡C
Patient¡G No.
Å@¤h¡G®a¤¤ÁÙ¦³§O¤H¦³¿©±w¥Òª¬¸¢¯e¯f¶Ü¡H
Nurse¡G Has anyone in your family had thyroid trouble¡H
¯f¤H¡G¨S¦³¡C§Ú¦³¤@­Ó©j©j©M¨â­Ó¥S§Ì¡C
Patient¡G No. I have one sister and two brothers.
Å@¤h¡G¥L­Ì³£ÁÙ¦n¶Ü¡H
Nurse¡G Are they well¡H
¯f¤H¡G¬Oªº¡C
Patient¡G Yes.



ªù¶E¯f¤H«Øij¹ï¸Ü(¤j¼Ð)
Å@¤h¡G§A¦n¡A§Ú¬OLily¡C
Nurse : Hi, I¡¦m Lily.
±w«Ä¥À¿Ë¡G§A¦n¡ALili¡C
Mother: Hi, Lily.
Å@¤h¡GSarah¤µ¤Ñ¤£µÎªA¡A¬O¤£¬O¸¡µh±o¼F®`¡H
Nurse: Sarah is very unhappy! Is it because she has a very bad tummy ache?
±w«Ä¥À¿Ë¡G¦o³o¼Ë¤w¸g³sÄò¤T¤Ñ¤F¡C¤T¤p®É«e¦oÁٸѵ}¤ô«K¤F¡C
Mother: She¡¦s been like that for 3 days and nights already. 3 hours ago she also developed with runny stool.
Å@¤h¡G¥i¼¦ªºSarah¡A§A¤@©w¤]²ÖÃa¤F§a?¶Ù¡ASarah¡I¬Ý§Úµ¹§A±a¨Ó¤°»ò¦nª±ªº¡H§Ú»Ý­nÀ°¦o´ú¤@¤UÅé·Å©MÅé­«¡C¬Ý¬Ý¦oªºÅé·Å¬O§_¥¿±`?´ú¶qÅé­«¬O¬°¤F­pºâ¦o©Ò»Ý­nªºÃĪ«¾¯¶q¡C
Nurse:   Poor mum and Sarah, both of you must be exhausted now! Hey, Sarah, look what I¡¥ve got here?   I need to check her temperature and weight. So we would know how much she is deviated from normal, and the body weight is to help us to calculate the fluid replacement for her later.
±w«Ä¥À¿Ë¡G¦nªº¡AÁÂÁ§A¡C§A½Ð´ú§a¡C
Mother: Oh. Thank you! Please go ahead whatever you need to do.
Å@¤h¡GSmith¤Ó¤Ó¡AÀ°¦o´ú¶qÅé·Å©MÅé­«®É¡A§Ú»Ý­n§AªºÀ°¦£¡C
Nurse: Mrs. Smith, I need your help to take her temperature and weigh her.
±w«Ä¥À¿Ë¡G·íµM¥i¥H¡C§Ú¸Ó«ç»ò°µ¡H
Mother: Oh yes, of course! Please tell me what to do.
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Nurse: Here is the Digital Thermometer with the disposable cover, would you please hold it underneath her armpit until we hear a ¡§beep, beep¡¨ sound, that means the measurement is ready for recording.
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Nurse: See, it¡¦s very fast, Hmm! It¡¦s a little bit higher than normal. Has Sarah not drinking or having vomiting as well? Need to assess the hydration status of this type of patient. Now would you follow me to the scale, for we need to weigh her.
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Mother: She is making a very dirty diaper (nappy), where can I change her?
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Nurse: It doesn¡¦t matter; please follow me to the room, where we have the changing table and the water supply. Please stay with Sarah at all times, I¡¦ll help you to get the wet towel to clean her bottom, oh let me see how sore her bottom is? Luckily is not too bad! May be because the run just started and you managed to clean her cautiously. By the way would you please give me the dirty nappy, let we save it for the doctor to have a look later! Here is the toy for Sarah, and please remove the top layers of the wooly clothes. As she is running a fever with less clothing she¡¦ll be more comfortable. The room temperature here is quite warm so don¡¦t worry that she may catch a cold. For at the moment I don¡¦t think we can offer her any drink yet, until thoroughly examined by the doctor.
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Mother: Thanks a lot.



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Patient¡GNurse¡AI'm not feeling well today.
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Nurse¡GWhere don't you feel well¡H
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Patient: I have a pain in my abdomen.
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Nurse: How long have you had it¡H
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Patient: It started in the morning. At the beginning I have a stomachache.
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Nurse: How long did it last¡H
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Patient: About 3 hours¡A but this afternoon it moved to the right lower part of the abdomen for 5 hours.
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Nurse: Have you had any vomiting¡H
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Patient: I have only nausea.
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Nurse: Have you any diarrhea¡H
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Patient: No.
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Nurse: Any fever¡H
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Patient: I don't know.
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Nurse: Let me take your temperature. All right¡A you have a slight fever.
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Nurse: Please lie down on the bed¡A loosen your belt¡A please. Let the doctor examine you abdomen.
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Patient: Thank you.
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Nurse: Don't be nervous and try to relax.
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Patient: All right.
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Nurse: The doctor said you need to collect a specimen of blood for examination.
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Patient: Yes.
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Nurse: The result of your blood test tells us that your white blood cell count is 18000.
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Patient: I see¡Athank you.
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Nurse: The doctor said that you had acute appendicitis.
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Patient: Oh¡AI am scared.
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Nurse: Don't be afraid¡A you will recover. The doctor said that you have to have an operation. So¡A please sign your name on the consent form to say that you agree to the doctor operation on you.
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Patient: I'll co-operate.
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Nurse: Thanks for your co-operation.