Medical English Volume 10 RESPIRATORY CONDITIONS A Unique and Practical Course Listening, speaking, reading, writing, and role-plays using every- day language in medical situations 1 Students’ comments: I heard about Ms. Vichert’s medical English courses back in 2013 when I was looking for a comprehensive summer program in which I could not only expand my medical vocabulary but also practice the jargon used among health care professionals. Ms. Vichert’s three-month intensive program helped me better understand medical terminology in general and to master doctor/patient & doctor/doctor communications through extensive role plays, clinical simulations, listening activities etc. Starting from greeting a patient in the office to taking his/her history, from explaining his medical condition to ordering lab work, from making a diagnosis to breaking bad news, her unique program covered it all! Moreover, written texts were supported by life-like audio recordings that helped me get the hang of authentic conversations that take place between patients and health care providers in an English- speaking country. I had found more than I was looking for! Being an English language teacher myself, I got back to my country with lots of self-confidence and innovative ideas. Ms. Vichert’s uniquely designed 2 program inspired me and helped me set up a professional English for medical purposes program at university level. It took me a full three months in Vancouver, Canada to learn it all from the ground up. Now Ms. Vichert is offering a similar opportunity to everyone around the world in the comfort of their home via her books. Don’t miss the chance! Erdogan Erturkoglu Assistant Director Foreign Languages Department The English For Medical Purposes Program Bezmialem Vakif University, Istanbul, Turkey Much attention and care was given to every aspect of learning: vocabulary, grammar, pronunciation, comprehension, formal/colloquial approach, idiomatic expressions. Pikku is a lovely and amazingly energetic lady who well knows the world and its creatures! I believe every student should try this enriching experience, to improve spoken and written English and, most of all, to achieve a broader view and understanding of different cultures. This is especially true for science and medicine, where English is the common language and a basic requirement which 3 opens many doors". Elena Lora- Physiotherapist, Bologna My experience with Medical English by Pikku Vichert was extraordinary! We role played like in a doctor’s office, we did clinical histories, we learned technical language. I definitely improved my Medical English skills and it really helps me now in my Medical practice. So, I absolutely recommend the course and the learning material! Monica Almanza - Ophthalmologist, Mexico City I was troubled that I couldn’t think in English the same way as I could in my first language. With VMEI, I spoke a lot of English in natural situations and also read and listened. That allowed me to solve my problem. I think Pikku is a treasure in my life. Ikumi Yamamoto - Physiotherapist The program is suitable for those looking to learn in different ways in addition to the standard normal ones. It changes the idea of old boring classes." Ahmad M. Thuaimer - Intervential Radiology, Dammam, Saudi Arabia ...Student’s comments continued at end of book 4 These books are intended for adults in the medical professions, doctors, nurses, medical students, pharmacists, medical technicians and other professions where medical terminology and usage is needed. They are meant for students who already know some English, and who really want to learn. Using the methods and unique curriculum developed by Pikku Vichert, these books concentrate on the use of English in a medical context. They teach both the language and culturally appropriate communication skills for practicing medical careers in an English- speaking environment. Pikku is a highly respected professional with a degree in medicine and over 20 years of ESL experience. She has researched all the standard methods of instruction and adapted them to her own philosophy of learning. She believes that students learn best if they are thoroughly engaged and actively enjoying the process. email her at [email protected] 5 HOW TO USE THIS BOOK The best way to use these books is to have a partner(s) or someone you can work with. You can do it alone, but you will need some self-discipline to be successful. The bulk of the material is based on clinical histories, where the interaction is between doctor/patient, doctor/nurse, doctor/doctor, nurse/patient, nurse/nurse and pharmacist/client. After going over the vocabulary, the first step is to read the dialogue out loud and understand as much as possible. If it is done with someone else, then each person reads a few sentences. Then try to role play the dialogue. Doing it outside a classroom, read it again, a few times out loud - if you have a partner, role play it with the partner, taking turns being different characters. If it is done in a class, then the teacher should note down all the mistakes and give the student a chance to correct them before giving the students feedback and any remaining corrections. If you are alone, you will have to find the meanings of unknown words, and the mistakes yourself. (thank goodness for the internet!) 6 The listening materials and the role play materials are done in the same way, each with its own emphasis. The listening material, for example, concentrates on pronunciation. Pikku can help students who do not have partners, by having regular video calls with them or by arranging a partner for them. email her at: [email protected] 7 Table of Contents DIALOGUES............................................................................................................... 9 1. COPD ....................................................................................................................9 2. ASTHMA ...............................................................................................................15 4. PRODUCTIVE COUGH ...............................................................................................28 5. WHAT TO DO ABOUT SNORING ..................................................................................34 ANSWERS..................................................................................................................41 ROLE PLAY .............................................................................................................. 49 ASSESSING THE THORAX AND LUNGS ...............................................................................49 NASAL CANNULA (NASAL PRONGS) .................................................................................52 OXYGEN DELIVERY WITH A VENTURI MASK ......................................................................53 PURSED LIP BREATHING ...............................................................................................57 DIAPHRAGMATIC BREATHING ........................................................................................59 PERFORMING TRACHEOSTOMY CARE ..............................................................................61 LISTENING .............................................................................................................. 64 1. ASTHMA ...............................................................................................................64 2. CROUP ..................................................................................................................69 3. CYSTIC FIBROSIS (CF) ..............................................................................................73 4. EMPHYSEMA ..........................................................................................................75 5. PNEUMONIA ..........................................................................................................79 6. PNEUMOTHORAX ....................................................................................................83 7. PULMONARY EMBOLISM ..........................................................................................87 9. TUBERCULOSIS (TB) ................................................................................................93 10. ACUTE BRONCHITIS ...............................................................................................96 11. PNEUMONIA ........................................................................................................99 ANSWERS............................................................................................................... 104 8 Dialogues 1. COPD Vocabulary for Barbara’s COPD Damage – injury/harm Tube – a hollow vessel or organ Obstruction - blockage Former – previous/earlier Irritants – things causing something to be more sensitive Pollution – contamination/dirt of water, soil, and air Contribute – help to cause/is an important factor in/add Floppy – loose and flexible Elasticity – able to return to its original shape Destroy – to put an end to something Inflammation – redness, swelling, tenderness, heat and pain in a part of body X-Ray with COPD Mucus – slippery secretion from mouth, nose, esophagus and/or other body cavities Tend (verb) – is likely to Clog - block 9 Blessing - a special favor Cure - remedy a way to make something healthy permanently Reverse – opposite in direction or position Progression – movement forward Prescribe – to order (by a doctor) Advanced age – old age Taken a toll – cause gradual damage over time At this late date – late Blessing in disguise – an unfortunate situation that results in something positive Practice your vocabulary – Barbara’s Mom’s COPD You may have to change the words below (in the word bank) to make the sentences grammatically correct Word Bank: destroy, inflammation, former, tend, damage, mucus, obstruction, contribute, reverse, pollution 1. Doctor Jackson’s _______ nurse made headlines in a newspaper, because she rescued a baby from a burning building. 10