1、11. 在 住 院 处Admission（ H Head Nurse 护 士 长 ； N Nurse 护 士 ； P Patient 病 人 ）H： How do you do. Welcome. Im the head nurse in charge of this ward. We hope you will feel at home here. This is nurse WangP: Sorry to bother you all N： If you need anything， just press this button. P： Is it possible for my sist
2、er to stay here with me? N: Yes, but she has to pay for her bed. Does she want to have meals here too? We dont think it is necessary. Your condition isnt so serious.P： What are the hours here for meals？ N： Patients usually get up at 7 a.m. Breakfast is at 8 oclock The ward rounds and treatment start
3、 at 9 a.m. Lunch at noon. After that you have a nap or rest, visiting hours are from 3 7 p.m. Supper is at 6 p.m. Bed time is from9： 30-10 :00 p.m.P: Will you show me where the bathroom and telephone are？N: Of course. Do you want to clean pajamas?P: Yes, thank you .Please bring me a dressing gown to
4、o.D: We are going to do the operation on you tomorrow. I hope you wont worry.P: I have never been in a hospital before. Im so scared.N: There is nothing to worry about. The doctor who will operate on you is very experienced and considerateP: Thank you。New Wordsadmission dmin n. 许可, 承认ward w:d n. 守卫,
5、监护,病房nap np n. 小睡pajamas pd:mz n. 睡衣裤gown gaun n. 晨衣；长袍scared skd adj. 吃惊的；吓坏的considerate knsidrit adj. 体贴的；考虑周到的2.出 院 Discharge from Hospital（ N=Nurse 护 士 ； P Patient 病 人 ）2N: The doctor has made the last check-up for you, and all is right. You can discharge from hospital.P： Is that so? Its really
6、good news.N： You have been in the hospital for 3 weeks, havent you?P： Exactly 3 weeks.N： This is your discharge certificate. Ill fetch your bill at the Admission Office and then you can go through the discharge formalities.P： Thank you！ What should I do after I go home? Any suggestion？N： Firstly, av
7、oid any mental stress and have a good rest. Secondly, give up smoking and drinking. Have more nutritious food. Thirdly, dont stimulate the incision when you have a bath. Finally, come to have examinations of fasting sugar（ 空 腹 血 糖 ） and ECG（ 心电图（electrocardiogram） ） regularly.P： Ill follow what you
8、say.(A few minutes later.)N： Here comes your bill. Altogether 1550 Yuan. You may pay either in cash orcheck.P： Ill pay in cash.N： Have you made sure you havent left anything behind？P： I dont think so. Im really very grateful to you all.N： Dont mention it. Thats our job.P： May I ask you a few questio
9、ns about exercises？N： By all means. Please go ahead.P： What kind of sports fit the patients like me？N： Doing aerobic exercises such as jogging, rowing, skating, playing badminton and other endurance exercises are all good for you. They enhance the ability of muscle to use oxygen and improve heart an
10、d lung fitness.P： Once again thank you for your suggestion and your care.。New Wordsdischarge dist:d vt. 走廊run a high fever 发高烧 4as a matter of fact 事实上 in that case 如果那样 fill in 填写 and things like that 等等 register with 挂（某科）的号 had better 最好 take a lift 坐电梯 4. Influenza流 行 性 感 冒（ D=Doctor 医 生 ; P=Pat
11、ient 病 人 ） D: Good morning. What seems to be the trouble? P: Good morning, doctor. I have a terrible headache. D: All right, young man. Tell me how it got started.P: Yesterday I had a running nose. And now my nose is stuffed up. I have a sore throat. And Im afraid Ive got a temperature. I feel terri
12、ble.D: Dont worry, young man. Everything will be all right. Let me give you an examination. First let me take a look at your throat. Open your mouth and say “ah“. P: Ah.D: Good. Now put your tongue out. All right, let me examine your chest. Please unbutton your shirt, and check your heart and lungs.
13、 Take a deep breath and hold it. Breathe in and out. By the way, do you have a history of tuberculosis?P: No， definitely not.D: Look, your throat is inflamed. And your tongue is thickly coated. You have all the symptoms of influenza.P: What should I do then?D: A good rest is all you need, and drink
14、more water. Ill give you some medicine for injection and orally. In addition, you need to be given a test for hypersensitivity first to see if you are allergic to Penicillin.P: Thank you very much. And could you tell me what these medicines work for? D： Sure! Penicillin is for reducing the fever and
15、 give you quick relief, this cough syrup is good for curing your cough and sore throat and these Vitamin B and C are to build up your resistance.5P: Thanks again. D: You are welcome. Remember to take a good rest.P: I will. Goodbye, doctor.（ In the pharmacy）P: Here is my prescription. Can you fill it
16、 for me?C (Chemist): Of course. Well, let me see. Just a moment please!C: Here you are. The instructions on it will tell you how to take it. Make sure you read them carefully.P: Thank you for reminding me.New Words:stuff stf n. 原 料 , 材 料 , 素 材 资 料 vt. 塞 满 , 填 满 , 填 充sore s:，s：(r) adj.疼 痛 的 , 痛 心 的 ,
17、 剧 烈 的 n.痛 的 地 方 , 痛 处tuberculosis tju:、 b:kjulsis n. 肺 结 核inflame infleim v. 燃 烧influenza influ:enz n. 流 行 性 感 冒prescription priskripnn.指 示 , 规 定 , 命 令 , 处 方 , 药 方hypersensitivity haipsensitivitin. 超 敏 性Penicillin penisilinn. 青 霉 素 （ 一 种 抗 菌 素 ， 音 译 名 为 盘 尼 西 林 ）syrupsirpn.糖 浆 , 果 汁Vitaminvitminn.
18、维 他 命 , 维 生 素5. 急 性 阑 尾 炎Acute Appendicitis(R： Resident 住 院 医 生 ； P=Patient 病 人 )R： Hello. Whats the matter with you?P： Ive got awful pains in my belly And I feel like that Im going to throw up all the time I feel awfulR： How long have you had this kind of pain?P： It started last night， here but thi
19、s morning its here， and it really hurtsR： How has your appetite been?P： Oh， I havent eaten anything since yesterday afternoon I just couldnt stand to look at food6R： Have you had any bowel movements?P： Not for two daysR： Now, Mr Brown， we need just a little more information from you Have you had any
20、 fever?P： Just a little since yesterday I took my temperature， and it was 38 .R： Point with your finger where it hurts right nowP： Right hereR： Does it help if you lie still?P： Yes， it doesR： A11 right, Mr Brown Please take your clothes off and put this sheet over you. Nurse, will you please get me
21、a syringe so I can get the WBC Give the patient a container so we can get a urine specimen. As soon as Im finished with the physical exam, 1ets get a chest film R: The lab results are back. Let me look at it. Youve got a white blood cell count of 15,000 with 80 polys and a shift to the left Hemoglob
22、in and hematocrit are normal， as is you urinalysis Your chest film is clear Nurse, please put down a gastric tube and aspirate the contents for him Start all of 1,000cc of normal saline with a number 18 needle. Mr Brown， do you have any relatives here?P： No, not a soul R： We think that you have got
23、appendicitis， and its going to be necessary to operate on you to relieve your conditionP： Is it serious? R： It could be if we dont operate on you at onceP： If you think its necessary, then go ahead Anything to get rid of that awful pain R： I11 need your signature on an operating permitP： All rightR：
24、 Nurse， will you please call the orderly to take the patient up to surgical suite Operating Room No 2New Words:appendicitis pendisaitis n. 阑尾炎syringe srind n. 注射器, 注射筒WBC 1. white blood cell 白血球 2. white blood (cell) count 白血球specimen spesimn n. （化验的）抽样，血样，尿样7poly pli n. 多 形 核 ， 多hemoglobin hi:m glb
25、in n.hematocrit hemtkrit n. 血细胞比容gastric gstrik a. 胃的,胃部的aspirate spreit v. 吸出，抽出；吸气6. 在 护 理 部In the Nursing Department(D=Doctor 医 生 ； N=Nurse 护 士 )N： Dr Li, the condition of that patient is very poor. Hes so excited, and I cant quiet him down D： Im afraid he will be in a state of shock Its necessar
26、y to take his pulse， respiratory rate and blood pressure regularlyN： OK I11 take them every hourD： No， youd better take them half an hour.N： His blood pressure is 86 50 mmHg and he has rapid pulse and respiratory rateD： Place the patient in the head-low position Elevate the foot of the bed Put hot w
27、ater bottles around him Besides telephone the blood bank to ask whether there is blood available for this patient His blood is type O I11 give him a blood transfusion Elevator 电 梯 elevate 升 高 blood bank 血站N： What if there is no type O blood available for him now?D： In that case, please tell the pati
28、ents relatives to donate blood to himN： Is oxygen given? D： Yes, of course The patients condition is very critical and his life is in danger, but well do everything possible to save him Head nurse， please get the emergency drugs ready as soon as possibleN： All right I11 do what you told me Anything
29、else?D： Youd better arrange special nursing care for himN： That is what I thoughtD： You should notice whether the patient is conscious or not and differentiation of his pupils， recording the volume of urine and other fluid in or out of his body accuratelyN： Ill do that well8D： Keeping his respirator
30、y tract thoroughly, clearly, extracting sputa from air way regularly, measuring his blood pressure in time, especially after noradrenaline or Dopamine is givenN： We11 clean his oral cavity(口 腔 ) twice a day（ once a day/three times a day） and his eyes once a day.D： It is his skin that is the most imp
31、ortant thing You should manage to protect him from bedsore（ 褥 疮 ） occurring Besides these, we should maintain the balance of three kinds of nourishing elements（ 营 养 素 ） ， water and electrolytes（ 电 解 质 ） in his body There are a lot of things for us to doN： I hope he will come to soon.New Words:respir
32、atory rispairtri adj. 呼吸的, 呼吸用的transfusion trnsfju:n n. 输血donate duneit vt. P=Patient 病 人 ； C=Chemist 药 剂 师 ）D： Whats wrong with you？P： I have had a headache in the last few months.D： Did you have any examinations before？P： I have been examined by a physician and he told me that he found nothing wro
33、ng with me.D： Please tell me about the symptoms.9P： Sometimes I have a headache and feel pain in my eyes， and it gets worse after I read. I also see dimly close by.D： How old are you？P： Thirty-two. Doctor, was I presbyopia?D： Let me examine your eyes first. Cover one eye with this patch. Look at the
34、 letter which I show you， then tell me which way is the letter “E” facing， up or down， right or left？ Oh， your eyesight is not good. It is only 0.5. According to the examination， I find you have a myopic eye and ametropia. That is why you have a headache and your eyes ache.P： Do I need to wear a pai
35、r of glasses？D： Yes. But you should have an eye test first.D： Then come here at 8am.D： Its necessary to dilate the pupils for the eyetest. In this way we can get the exact dioptre.P： Is it harmful to dilate pupils？D： No， But after the pupils have been dilated. You may have some difficulties in readi
36、ng. Generally youll get well again in about ten days.P： How do you dilate the pupils？D： Ill prescribe some eyedrops for you. Please put one drop into your eyes every five minutes six times before you come next time. P： All right. D: Ok, Heres your prescription. You can get it in the pharmacy.P: This
37、 is my prescription. Can you catch it for me, please?Chemist: Of course.P: Thank you very much.C: Not at all. Well, let me see. It will take at once.C: Here you are. The instructions on it will tell you how to take it. Make sure you read them carefully.P: Thank you for reminding me.New Words:ophthal
38、mology flmldi:, -l-, p- n.医 眼 科 学symptom simptm n.医 症 状 , 征 兆dimly dimli adv.微 暗 的 , 朦 胧 的presbyopia prezbi upi n. 老 花 眼 ， 远 视 眼ametropia mitr upi n. 屈 光 异 常 , 非 正 视 眼10dilate dai leit vi.扩 大 , 膨 胀 vt. 使 扩 大 , 使 膨 胀pupil pju:pl n. 瞳 孔dioptre daipt n. 屈光度prescription priskripn n.处 方 , 药 方pharmacy f:m
39、si n.药 房 , 药 剂 学 , 配 药 业 , 制 药 业 ,blur bl: v. 把 (界 线 ,视 线 等 )弄 得 模 糊 不 清 , 弄 污n. 污 点chemist kemist n.药 剂 师导 诊护 士 ： 早 上 好 ！Nurse: Good morning.病 人 ： 你 好 ！Patient: Good morning.护 士 ： 请 问 哪 里 不 舒 服 ？Nurse: What seems to be the problem?病 人 ： 高 烧 ， 感 觉 糟 透 了 。Patient: Im running a high fever and feeling
40、terribly bad.护 士 ： 这 种 情 况 出 现 有 多 久 了 ？Nurse: How long have you had the problem?病 人 ： 从 昨 晚 开 始 的 。Patient: Since last night.护 士 ： 您 以 前 来 过 咱 们 医 院 吗 ？Nurse: Well, have you ever been here before?病 人 ： 事 实 上 ， 我 也 是 刚 刚 到 这 个 城 市 。Patient: As a matter of fact, I have just moved to this city.护 士 ： 好
41、 的 ， 那 么 您 得 先 填 写 这 张 挂 号 表 。 比 如 您 的 年 龄 ， 挂 号 ， 住 址 等等 。Nurse: O. K. In that case, you have to fill in this registration card. Your age, gender, address and things like that.病 人 ： 没 问 题 。 请 问 我 应 该 挂 哪 科 ？Patient: No problem. Which department should I register with, madam?护 士 ： 您 最 好 挂 内 科 。Nurse
42、: Youd better go to the medical department. 病 人 ： 表 填 好 ， 给 你 。Patient: Here is my registration card.护 士 ： 谢 谢 。 挂 号 费 是 一 元 。11Nurse: Thank you. The registration fee is one yuan.病 人 ： 好 的 。 请 问 我 该 怎 么 走 ？Patient: Fine. But can you tell me how to get to the medical department, please?护 士 ： 坐 电 梯 到
43、三 楼 ， 左 拐 。 沿 着 走 道 走 。 您 会 看 到 一 块 牌 子 在 您 的 右 手边 。Nurse: Take the lift to the third floor and then make a left turn. Go along the corridor until you see the sign on your right.病 人 ： 多 谢 了 。Patient: Thanks a lot.护 士 ： 不 客 气 。Nurse: Youre welcome.单 词 registration n. 挂 号address n. 住 址department n. 科
44、， 系 ， 部 门register vi 挂 号fee n. 费lift n. 电 梯corridor n. 走 道短 语 run a high fever 发 高 烧as a matter of fact 事 实 上in that case 如 果 那 样fill in 填 写and things like that 等 等register with 挂 （ 某 科 ） 的 号had better 最 好take a lift t 坐 电 梯make a left turn 向 左 拐12常 用 句 型How do you do? / Good morning! 您 好 ！ （ 初 次 见
45、面 时 使 用 ） /早 上 好 ！ What can I do for you? Can I help you? 您 需 要 我 帮 助 吗 ？ The toilet is over there. 卫 生 间 在 那 边 . We supply hot water.我 们 供 应 热 水 . Please wait a moment. 请 等 一 会 儿 . Please let us know if you need any help. 您 需 要 帮 助 时 ， 请 告 诉 我 们 . Smoking is not allowed here. 这 里 不 允 许 吸 烟 .收 集 信 息
46、Do you mind if I ask you a few questions?您 介 意 我 问 您 几 个 问 题 吗 ?I am going to take your temperature. 我 要 测 一 下 您 的 体 温 . Let me feel your pulse.让 我 测 一 下 您 的 脉 搏 . Ill test/take your blood pressure. 13我 要 测 量 您 的 血 压 . 输 液 室Infusion RoomAre you allergic to any medication?/penicillin?您 对 什 么 药 物 /青 霉
47、 素 过 敏 吗 ? Im going to do a skin test of penicillin for you.我 要 给 您 做 青 霉 素 皮 试 。 If you feel itchy or short of breath, please let me know at once. itchyitiadj.使 人 发 痒如 果 您 感 到 痒 或 气 短 ,请 立 刻 告 诉 我 ./我 十 五 分 钟 后 看 结 果 。Ill see the result in fifteen minutes. 我 十 五 分 钟 后 看 结 果 。 Im going to give you an 我 要 给 您 做 一 个intramuscular injection.肌 肉 注 射 medication 药 物Take two tablets three times a day after/before food. tablettblitn. 药 片 饭 前 /饭 后 服 ， 每 日 三 次 ， 每 次 两 粒 . Take the medicine with a lot of water.服 用 此 药 ， 要 多 饮 水 . Ill give you an injection twice a day.我 要 给 您 注 射 ,每 日 两 次 . comforting
