a dialogue in the hospital jay zhuang general surgical department ren ji hospital clinical dialogue...

A Dialogue in the HospitalA Dialogue in the Hospital

Jay ZhuangJay Zhuang

General Surgical DepartmentGeneral Surgical Department

Ren Ji HospitalRen Ji Hospital

Clinical Dialogue Three Clinical Dialogue Three

Sentences Commonly Used by Sentences Commonly Used by

Medical PersonnelMedical Personnel What can I do for you?What can I do for you? May I help you?May I help you? Please take a seat!Please take a seat! Wait a moment, please.Wait a moment, please. Sorry to have kept you waitingSorry to have kept you waiting.. It is not serious.It is not serious. Don’t worry. / There is nothing to worry about.Don’t worry. / There is nothing to worry about. You need a thorough examination.You need a thorough examination.


Medical PersonnelMedical Personnel You will have to stay in hospital for several You will have to stay in hospital for several

days. / We think that you had better be days. / We think that you had better be hospitalized.hospitalized.

You should stay in bed for a few days.You should stay in bed for a few days. You can keep on working. / You can carry on You can keep on working. / You can carry on

with your work.with your work. You should be very careful for a week or two.You should be very careful for a week or two. Try to relax and keep calm.Try to relax and keep calm.


Medical PersonnelMedical Personnel You’ll soon be all right.You’ll soon be all right. I’m sure this medicine will help you a I’m sure this medicine will help you a

great deal. great deal. Feeling well again is a rather slow Feeling well again is a rather slow

process, I’m afraid.process, I’m afraid. You will have to wait for twenty minutes.You will have to wait for twenty minutes. Complete recovery will take a rather long Complete recovery will take a rather long

time.time.


Medical PersonnelMedical Personnel If you feel worse, please come back to the If you feel worse, please come back to the

clinic right away.clinic right away. If you feel worried, don’t hesitate to go to If you feel worried, don’t hesitate to go to

the clinic anytime, day or night.the clinic anytime, day or night. I’ll come right away.I’ll come right away. I’m going to make arrangements for I’m going to make arrangements for

your admissionyour admission


Medical PersonnelMedical Personnel Please come with your interpreter next Please come with your interpreter next

time.time. Do you understand what I’m saying?Do you understand what I’m saying? Is there anything else you would like me Is there anything else you would like me

to explain to you?to explain to you? Shall I explain it again?Shall I explain it again?


Medical PersonnelMedical Personnel

1.1. If the trouble persists, come back again.If the trouble persists, come back again.

2.2. There doesn’t seem to be anything There doesn’t seem to be anything serious, but we’ll take an x-ray just to be serious, but we’ll take an x-ray just to be certain.certain.

3.3. Please wait until we get the result of the Please wait until we get the result of the x-ray (blood-test).x-ray (blood-test).



1.1. It’s difficult to say just now exactly what’s It’s difficult to say just now exactly what’s wrong.wrong.

2.2. This is quite common among people of your This is quite common among people of your age. / This often happens to people of your age. age. / This often happens to people of your age. / This often occurs at your age./ This often occurs at your age.

3.3. This kind of illness usually occurs among This kind of illness usually occurs among people whose work requires a lot of people whose work requires a lot of concentration (who undergo a lot of stress).concentration (who undergo a lot of stress).



1.1. I suggest you do some light exercises.I suggest you do some light exercises.

2.2. I suggest you have a course of acupuncture. I suggest you have a course of acupuncture.

3.3. I suggest you take Chinese herbs. I suggest you take Chinese herbs.

4.4. I suggest that you get physiotherapy treatment. I suggest that you get physiotherapy treatment.

5.5. I would like to transfer you to the gynecology I would like to transfer you to the gynecology (surgery,dermatology, urology) department.(surgery,dermatology, urology) department.



1.1. Your WBC (RBC, hemoglobin, urine, Your WBC (RBC, hemoglobin, urine, stool, sputum) should be checked.stool, sputum) should be checked.

2.2. A smear should be taken. A culture A smear should be taken. A culture should be done.should be done.

3.3. Please don’t eat anything tomorrow Please don’t eat anything tomorrow morning before blood test.morning before blood test.

4.4. Please wait for the result of your Please wait for the result of your hemoglobin test.hemoglobin test.



1.1. What’s your trouble?What’s your trouble?

2.2. How long How long have your beenhave your been feeling feeling unwell?unwell?

3.3. What medicine What medicine diddid you take? you take?

4.4. Have you taken any medicine?Have you taken any medicine?

5.5. Did you take your temperature?Did you take your temperature?



1.1. Do you smoke (drink)?Do you smoke (drink)?

2.2. Have you any temperature (a cough, a Have you any temperature (a cough, a bad headache)?bad headache)?

3.3. Have you ever had jaundice (low grade Have you ever had jaundice (low grade fever, any chronic ailments, cold sweats fever, any chronic ailments, cold sweats at night, attacks of asthma)?at night, attacks of asthma)?



1.1. Do you suffer from heartburn Do you suffer from heartburn stomachaches (stomachaches (loose bowel movementsloose bowel movements, , chest pains)?chest pains)?

2.2. Do you want to have your tooth extracted Do you want to have your tooth extracted (tooth filled, dressing changed, blood (tooth filled, dressing changed, blood pressure checked)?pressure checked)?

3.3. Let me examine you please.Let me examine you please.



1.1. Please take off your shoes and lie down.Please take off your shoes and lie down.

2.2. Please unbutton your shirt and loosen Please unbutton your shirt and loosen your belt.your belt.

3.3. Please take off your trousers.Please take off your trousers.

4.4. Please lie on your back (stomach, right Please lie on your back (stomach, right side, left side).side, left side).

5.5. Please bend your knees.Please bend your knees.



1.1. Please relax.Please relax.

2.2. Please breathe deeply (normally).Please breathe deeply (normally).

3.3. Please stick out your tongue.Please stick out your tongue.

4.4. Please let me feel your pulse.Please let me feel your pulse.

5.5. Let me take your blood pressure.Let me take your blood pressure.

6.6. Please lift your left leg (right leg).Please lift your left leg (right leg).



1.1. Please open your mouth and say “Please open your mouth and say “AhAh”.”.

2.2. It is normal (essentially normal).It is normal (essentially normal).

3.3. Have you ever received any treatment Have you ever received any treatment before?before?

4.4. Has it gotten worse?Has it gotten worse?

5.5. Has it happened before?Has it happened before?



1.1. Are you feeling better?Are you feeling better?

2.2. Is the pain getting less?Is the pain getting less?

3.3. Does it still hurt?Does it still hurt?

4.4. How long have you had this pain?How long have you had this pain?

5.5. What kind of pain is it?What kind of pain is it?

6.6. Please tell me something of your past illnesses.Please tell me something of your past illnesses.

7.7. Is there any blood in your stool (urine, Is there any blood in your stool (urine, sputum)?sputum)?

Admission and Discharge Admission and Discharge

Doctor: We are going to do the operation Doctor: We are going to do the operation on you tomorrow. I hope you don’t worry.on you tomorrow. I hope you don’t worry.

Patient: I will try not to, but will it hurt?Patient: I will try not to, but will it hurt? D:We’ll give you anesthesia. If you feel aD:We’ll give you anesthesia. If you feel a

ny pain during the operation, just let us kny pain during the operation, just let us know. Have you handed in your consent ynow. Have you handed in your consent yet?et?


P: How should I write it?P: How should I write it? D: “I (name) the undersigned have D: “I (name) the undersigned have

requested and consented to a certain requested and consented to a certain operation.” That’s all. We need the seal operation.” That’s all. We need the seal of your embassy and the signature of of your embassy and the signature of your Ambassador on the consent form.your Ambassador on the consent form.


Nurse:Nurse: I’d like to shave off the hair I’d like to shave off the hair around the operation area.around the operation area.

P: I have never been in a hospital before. P: I have never been in a hospital before. I’m so scared.I’m so scared.


N: There is nothing to worry about. The N: There is nothing to worry about. The doctor who will operate on you is very doctor who will operate on you is very experienced and considerate. If you have experienced and considerate. If you have any discomfort during the operation, any discomfort during the operation, please don’t hesitate to tell him. please don’t hesitate to tell him.

I will give you an enema tonight. After I will give you an enema tonight. After that please don’t take any food or water that please don’t take any food or water before the operation.before the operation.


P:P: How do you do it? Does it hurt?How do you do it? Does it hurt? N:N: I will insert a rubber tube into your I will insert a rubber tube into your

anus and let the soap suds solution flow anus and let the soap suds solution flow into your rectum. Please let me know if into your rectum. Please let me know if you feel distension. I’ll stop the flowing. you feel distension. I’ll stop the flowing. Hold it for several minutes before you Hold it for several minutes before you expel it. That may produce a better expel it. That may produce a better result.result.


N:N: The operation went very well. The operation went very well. Please turn from side to side every two or Please turn from side to side every two or three hours.three hours.

P:P: I only feel a mild pain. I don’t think I only feel a mild pain. I don’t think a pain-killer is necessary.a pain-killer is necessary.

The pain is very severe. I can’t The pain is very severe. I can’t stand it. Please give me a pain-killer at stand it. Please give me a pain-killer at once.once.


N:N: I’ll help you get up. You can try walking I’ll help you get up. You can try walking around the room or corridor.around the room or corridor.

P:P: I think I’m quite all right now.I think I’m quite all right now. N:N: You are going to be discharged the day You are going to be discharged the day

after tomorrow.after tomorrow. P:P: Is that so? I’m so happy.Is that so? I’m so happy. N:N: You have been in the hospital for two You have been in the hospital for two

weeks, Haven’t you?weeks, Haven’t you? P:P: Exactly, but the doctor told me I still have Exactly, but the doctor told me I still have

to rest for one more week.to rest for one more week.


N:N: The doctor has written a certificate for The doctor has written a certificate for you. There are two suggestions. First, avoid you. There are two suggestions. First, avoid any mental stress and have a good rest. any mental stress and have a good rest. Secondly, examinations fasting sugar and Secondly, examinations fasting sugar and an EKG should be done regularly.an EKG should be done regularly.

P: P: My organization (doctor) needs my My organization (doctor) needs my medical history. May I have it tomorrow?medical history. May I have it tomorrow?

N:N: Certainly.Certainly.

Open Injury Open Injury

Doctor:Doctor: How were you injured?How were you injured? Patient:Patient: I tripped and fell, banging my I tripped and fell, banging my

forehead quite hard. My wife wrapped a forehead quite hard. My wife wrapped a bandage around it to stop the bleeding.bandage around it to stop the bleeding.

D:D: Did you lose a lot of blood?Did you lose a lot of blood? P:P: Not too much.Not too much. D:D: Were you unconscious?Were you unconscious? P:P: No.No.


D:D: Did your nose or ears bleed after the acciDid your nose or ears bleed after the accident?dent?

P:P: No.No. D:D: The wound is rather large, so I’’ll stitch iThe wound is rather large, so I’’ll stitch i

t up.t up. P:P: Will it hurt?Will it hurt? D:D: Oh, no. It won’t be painful. We’ll give yoOh, no. It won’t be painful. We’ll give yo

u a local anesthetic. You’re a brave fellow. Welu a local anesthetic. You’re a brave fellow. Well, we’re all finished. That wasn’t so bad, was it?l, we’re all finished. That wasn’t so bad, was it?


P:P: No, not very.No, not very. D:D: Have you had an anti-tetanus injection Have you had an anti-tetanus injection

lately?lately? P:P: I think the only one I have had was about I think the only one I have had was about

five years ago.five years ago. D:D: Well, I think you’d better have another Well, I think you’d better have another

one. one. P:P: Whatever you say, Doctor.Whatever you say, Doctor. D:D: Come again after three days and we’ll Come again after three days and we’ll

examine the wound.examine the wound.

Fracture Fracture

D:D: Hello, I’m an orthopedic surgeon. What Hello, I’m an orthopedic surgeon. What happened to your leg?happened to your leg?

P:P: I fell down the stairs. Immediately, I felt I fell down the stairs. Immediately, I felt a bad pain in my left hip and I couldn’t stand a bad pain in my left hip and I couldn’t stand at all.at all.

D:D: When did it happen?When did it happen? P:P: Two hours ago.Two hours ago. D:D: Have you taken any pain-killers?Have you taken any pain-killers? P:P: No, I came directly here.No, I came directly here.

Fracture Fracture

D:D: Please lie on the bed, loosen your belt. Please lie on the bed, loosen your belt. Point to the spot where you feel the most pain.Point to the spot where you feel the most pain.

P:P: It’s here, Doctor, around the left hip.It’s here, Doctor, around the left hip. D:D: I’m afraid your femur is broken. We’d I’m afraid your femur is broken. We’d

better x-ray it, just to be sure. Take this paper to better x-ray it, just to be sure. Take this paper to the office; the nurse will show you the x-ray the office; the nurse will show you the x-ray department.department.

The x-ray shows a fracture of your left The x-ray shows a fracture of your left femur.femur.

Fracture Fracture

P:P: Doctor, will it heal properly?Doctor, will it heal properly? D:D: Of course, it will, don’t worry. I think Of course, it will, don’t worry. I think

you should be admitted to hospital. You need you should be admitted to hospital. You need an operation to fix it.an operation to fix it.

P:P: I have hurt my right elbow. I can’t move I have hurt my right elbow. I can’t move it because of the pain.it because of the pain.

D:D: How did it happen?How did it happen? P:P: When I was getting into the bus, I fell on When I was getting into the bus, I fell on

my elbow. That happened this morning.my elbow. That happened this morning.

Fracture Fracture

D:D: Is it still painful?Is it still painful? P:P: Yes. Since the accident it has been stiff Yes. Since the accident it has been stiff

and looks black and blue. At times it feels and looks black and blue. At times it feels numb.numb.

D:D: Can you feel this, when I put it in your Can you feel this, when I put it in your hand?hand?

P:P: Yes.Yes.

Fracture Fracture

D:D: I’m afraid you may have broken your elbI’m afraid you may have broken your elbow, I’ll send you to the x-ray department to cheow, I’ll send you to the x-ray department to check.ck.

The x-ray reveals a fracture of the lower The x-ray reveals a fracture of the lower humerus. We’ll give you a “U” type plaster cast humerus. We’ll give you a “U” type plaster cast on your elbow and shoulder.on your elbow and shoulder.

P:P: How long will I have to have it?How long will I have to have it?

Fracture Fracture

D:D: About six weeks.About six weeks. P:P: Is there anything else I should do?Is there anything else I should do? D:D: You’d better rest in bed and keep your You’d better rest in bed and keep your

elbow higher than your heart. Move your elbow higher than your heart. Move your finger joints from time to time. finger joints from time to time. Keep an eye onKeep an eye on the color of the fingers. If you have pain and the color of the fingers. If you have pain and numbness or if the color of the fingers turns numbness or if the color of the fingers turns pale or dark, come right away.pale or dark, come right away.

胆石病胆石病

病人：医生，我突然觉着右上腹疼痛．病人：医生，我突然觉着右上腹疼痛． Patient:Patient: Doctor, I suddenly felt a pain in the righDoctor, I suddenly felt a pain in the righ

t upper side of my stomach.t upper side of my stomach. 医生：什么时候开始的医生：什么时候开始的 ?? Doctor:Doctor: When did it first start?When did it first start? 病人：大约在三天前．病人：大约在三天前． P:P: About three days ago.About three days ago.

胆石病胆石病

医生：疼还向别的地方窜吗医生：疼还向别的地方窜吗 ?? D:D: Does the pain move anywhere else?Does the pain move anywhere else? 病人：是的，向右肩部窜．病人：是的，向右肩部窜． P:P: Yes, it goes towards my right shoulder.Yes, it goes towards my right shoulder. 医生：是什么样性质的疼痛医生：是什么样性质的疼痛 ?? D:D: What kind of pain is it?What kind of pain is it? 病人：先是绞疼，很快就变为持续性的疼了．病人：先是绞疼，很快就变为持续性的疼了． P:P: It’s colic at first, but soon it became constant.It’s colic at first, but soon it became constant.

胆石病胆石病

医生：你发冷还是发烧医生：你发冷还是发烧 ?? D:D: Have you had any chill or temperature?Have you had any chill or temperature?

病人：我仿佛觉着发烧．病人：我仿佛觉着发烧． P:P: I feel as though I have a temperature.I feel as though I have a temperature. 医生：发热在先还是疼在先医生：发热在先还是疼在先 ?? D:D: Which came first, the temperature or the Which came first, the temperature or the

pain?pain? 病人：疼在先．病人：疼在先． P:P: The pain.The pain.

胆石病胆石病

医生：你胃口好吗医生：你胃口好吗 ?? D:D: How is your appetite?How is your appetite? 病人：我一看见食物就想吐．病人：我一看见食物就想吐． P:P: When I look at food, I feel sick.When I look at food, I feel sick. 医生：三天来你吐过吗医生：三天来你吐过吗 ?? D:D: Have you vomited in the past three days?Have you vomited in the past three days? 病人：是的，一共吐了病人：是的，一共吐了 1010 到到 1515 次．我总感到疼次．我总感到疼 P:P: Yes, about 10 to 15 times. I always felt pain.Yes, about 10 to 15 times. I always felt pain.

胆石病胆石病医生：吐过血吗医生：吐过血吗 ?? D: Have you vomited blood?D: Have you vomited blood? 病人：没有，只是一些白的粘稠的东西．病人：没有，只是一些白的粘稠的东西． P:P: No. Just a kind of whitish, thick stuff.No. Just a kind of whitish, thick stuff. 医生：吃得过多或吃得油腻你肚子胀吗医生：吃得过多或吃得油腻你肚子胀吗 ?? D: Did you feel full after eating heavy or greasy food?D: Did you feel full after eating heavy or greasy food? 病人：是的，三天前我连续参加了两次宴会．以后病人：是的，三天前我连续参加了两次宴会．以后

我就感到腹胀．暴食后似乎就带来疼痛．这是发病我就感到腹胀．暴食后似乎就带来疼痛．这是发病的原因吗的原因吗 ??

P:P: Yes, I went to two parties in succession three daYes, I went to two parties in succession three days ago. I felt bloated. Heavy eating seems to bring on thys ago. I felt bloated. Heavy eating seems to bring on the pain. Could this be the reason for it?e pain. Could this be the reason for it?

胆石病胆石病医生：暴饮暴食可以引起这些症状．你的皮肤和眼医生：暴饮暴食可以引起这些症状．你的皮肤和眼

球发黄过吗球发黄过吗 ?? D:D: overeating or drinking too much can cause thesovereating or drinking too much can cause thes

e symptoms. Have your skin and eyeballs turned yellow?e symptoms. Have your skin and eyeballs turned yellow? 病人：没有．病人：没有． P:P: No.No. 医生：你的大便的颜色变浅过吗医生：你的大便的颜色变浅过吗 ?? D:D: Have your stools been light in color?Have your stools been light in color? 病人：是的，昨天我发现我的大便是沙土色的．病人：是的，昨天我发现我的大便是沙土色的． P:P: Yes, I found my stool was a sandy color yesterdaYes, I found my stool was a sandy color yesterda

y.y.

胆石病胆石病

医生：你的尿色深吗医生：你的尿色深吗 ?? D:D: Has your urine been dark?Has your urine been dark? 病人：是的，象茶一样．病人：是的，象茶一样． P:P: Yes, just like tea.Yes, just like tea. 医生：让我给你检查一下．请躺下．放松．深呼吸．医生：让我给你检查一下．请躺下．放松．深呼吸．

好．看起来你象是胆石症．我们给你照一好．看起来你象是胆石症．我们给你照一 XX 线片以线片以明确诊断．明确诊断．

D:D: Let me examine you. Please lie down. Relax. TaLet me examine you. Please lie down. Relax. Take a deep breath. Fine. You may have gallstones. We’ll ke a deep breath. Fine. You may have gallstones. We’ll do an x-ray to see if that’s so.do an x-ray to see if that’s so.

胆石病胆石病

病人：需要做手术吗病人：需要做手术吗 ?? P:P: Would an operation be necessary?Would an operation be necessary? 医生：在没有看到医生：在没有看到 XX 线片和试验结果之前，我还不线片和试验结果之前，我还不

能做结论．你最好住几天院以便观察．能做结论．你最好住几天院以便观察． D:D: I can’t say until I’ve seen the x-rays and done sI can’t say until I’ve seen the x-rays and done s

ome tests. You’d better come into hospital for a few dayome tests. You’d better come into hospital for a few days of observation.s of observation.

Coma, Extradural HemorrhageComa, Extradural Hemorrhage

Women: Doctor, my husband tripped and fell, hitting his head quite hard. He has a headache, so I thought I’d better bring him in and see what’s wrong with him.

Doctor: When did it happen? W: This morning. About two hours ago. D: Does he have high blood pressure or

diabetes? W: No.


D: Did he lose consciousness after the injury?

W: Yes, he did. He blacked out for about half an hour. Then he regained consciousness.

D: (asking the patient) Do you remember how you were injured?

P: Oh, oh. (patient vomits) D: Well, he is unconscious again now. Has h

e been vomiting all the time before coming to hospital?

W: Yes.


D: Now, let me have a look at him. The pupil on the right is dilated and does not react to light. There’s no reaction to pain in the left extremities. I’m afraid your husband has torn a blood vessel when he hit his head, and the blood is compressing his brain, causing his present condition. I’ll talk over his problem with the neurosurgeon and decide what to do.

W: Thank you, Doctor. I’m so worried. Do you think my husband will live?


D: Don’t worry. We’ll do everything we can to save him.

I’ve just finished talking to the neurosurgeon. Your husband is in a coma due to extradural hemorrhage. In order to save him, we think we should operate on him. (In order to be more certain what has happened to him, a lumbar puncture is necessary). We need your permission to do this.

W: Anything you say, Doctor, as long as he gets well.


D: Well, the operation has certain risks with the anesthetic and your husband may not be able to stand the operation. Post-operative complications could also occur. But we’ll do all we can for him.

W: Yes, I understand. Please help him. I agree to the operation.

D: Well. Could you sign this paper to give your consent for the operation? I think everything will be all right.


W: Shall I stay here? D: If you want to, you can wait, and I’ll let

you know the result of the surgery. (Please wait in the sitting room. I’ll keep you informed of what is going on).

Intestinal Obstruction Intestinal Obstruction

Patient: Doctor, I’ve had abdominal pains and vomiting for the past three days.

Doctor: What kind of a pain is it? P: Like colic, with spasms every 4 or 5

minutes. D: When did the vomiting first start? P: Two days ago. I’ve had about five bouts

of nausea and vomiting up to now.


D: How about your bowel movement? P: Nothing for two days. D: Any wind? P: No, not since last night. D: Have you ever had any abdominal

surgery? P: I had my appendix out, but that was a

long time ago.


D: Have you had anything like this before? P: No, it’s the first time. D: Now, please lie on your back, bend your

knees and relax. Let me examine you. I’m afraid you have an intestinal obstruction. We’ll do some x-rays to confirm this.

P: Will an operation be necessary?


D: Since you have a fever and some muscle rigidly in the abdomen, there is the possibility of intestinal strangulation. Immediate surgery is necessary.

P: Is there any danger? D: No, don’t worry, just leave everything to

us. Everything will be all right.

Hemorrhoids (Piles) Hemorrhoids (Piles)

Patient: I bleed quite a bit when I have a bowel movement. I’m really worried about it.

Doctor: What color is the blood? P: It’s bright red. D: Is it mixed with the stool? P: No, it isn’t. D: Do you have constipation often? P: Yes, all the time.


D: Have these been any change in the pattern of your feces?

P: No. D: Now, let’s have a look at you. Please undr

ess and lie in the knee-elbow position. I’m going to examine you with an analscope. You’ve got hemorrhoids and a prolapse of the rectal mucosa.

P: Is there any way to cure it? If possible, I’d rather not have an operation.


D: Don’t worry. Here’s a prescription. Use the suppositories and laxative. The bleeding should stop in two or three days.

P: Anything else I should do? D: Eat more fruit or vegetables. Sit in warm

water when you feel pain and if possible, avoid alcohol and spicy food.

P: Thank you. I’ll follow your advice.

Tumor of the Breast Tumor of the Breast

Doctor: Is there anything worrying you? Patient: Yes, I have a lump (mass) in my left

breast. D: How long have you felt it? P: About three weeks. D: Have you had any pain in this area,

especially during menstruation? P: No.


D: Have you had any accident to this area? P: No. D: Have you had any discharge from it or

any itching of the nipple? P: No. D: Have you noticed any swelling under

your left armpit? P: No.


D: Has anyone in your family ever had a lump or tumor of the breast?

P: No, not that I can remember. D: Do you mind if I examine you briefly? P: No, not at all. D: Would you please take off your blouse.

That’s fine. Sit up straight. Now rest your arm on mine. Let me examine your armpit. Put your right arm over your head. Now let’s do the same with the left. Good. That’s all. How old are you?


P: I’m fifty. Is serious? D: No. Nothing serious. Just a cystic diseas

e of the breast (Adenofibroma). It’s a benign hormone-dependent disease.

Do you have any relatives here? P: Yes. My husband is just outside, shall I a

sk him to come in? D: Yes. Will you please go to the laboratory t

o check up a white blood cell count?


Doctor to patient’s husband: As you know, your wife has a lump in her left

breast. I think it could be a carcinoma of the breast. The only way to be certain is to do a biopsy. If she has cancer, she ought to have her breast removed. That’s called a radical mastectomy.

Husband: Please do everything you can to help her, Doctor.

阑尾炎阑尾炎

病人：我肚子疼得很厉害．我恶心想吐． Patient: I’ve got an awful pain in my stomac

h. I feel like vomiting. 医生：这样疼有多久了 ? Doctor: How long have you had it? 病人：从昨天晚上开始，疼痛先在肚子当中，今天

早晨就转移到了右下腹． P: Since last night, it was in the middle at fir

st around my belly. But this morning it moved to the right.

阑尾炎阑尾炎

医生：疼向别处窜吗 ? D: Has it moved again? 病人：疼固定在这儿四个小时了． P: No. It’s been steady for 4 hours. 医生：疼一直持续不断吗 ? D: Is it there all the time? 病人：不，这疼好一阵，坏一阵． P: No, it just comes and goes.

阑尾炎阑尾炎医生：有腹泻吗 ? D: Have you had any diarrhea? 病人：没有，我已经两天没有大便了． P: No, I haven’t had a bowel movement for t

wo days. 医生：你恶心和呕吐吗 ? D: Have you had any nausea and vomiting? 病人：现在已好些了．昨天晚上我差不多每 2 小时

吐一次，一疼就吐． P: Well, now it’s a bit better. But last night I

vomited every two hours, soon after the pain began.

阑尾炎阑尾炎

医生：你有发烧吗 ? D: Have you had a temperature? 病人：昨晚我试表是 380C ． P: Last night I took my temperature. It was 3

8oC. 医生：请指出目前最疼的部位． D: Show me where it hurts most right now? 病人：就在这儿． P: Just here.

阑尾炎阑尾炎医生：请躺下．让我检查一下你的肚子．我按这个地

方疼吗？我突然抬手时是否疼得更重？我想你得了阑尾炎．需要手术治疗．

D: Please lie down. Let me examine your abdomen. Do you feel any pain when I press here? Does it hurt you when I withdraw my hand suddenly? I think that you have appendicitis. You must have an operation

病人：危险吗 ? P: Is it serious? 医生：如果不做手术，可能有危险． D: It could be if we don’t operate.

阑尾炎阑尾炎

病人：好吧，我同意． P: All right, I agree. 医生：我们必须征得你同意，请在这张单子上签署

你同意做手术吧 ! D: We must have your consent. Please sign

this paper consenting to have the operation. 病人：好的． P: All right.

阑尾炎阑尾炎

医生：不要焦急，一切都会好起来的． D: Don’t worry, everything will be OK. 病人：我希望如此，医生． P: I hope so, Doctor.

a dialogue in the hospital jay zhuang general surgical department ren ji hospital clinical dialogue...

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