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Medicine 2 - Listening Scripts
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Medicine 2 - Listening Scripts
Medicine 2 - Listening Scripts
Uploaded by
Emilia AioaneiCopyright:
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,ISTENING SCRIPTS
,ISTENING SCRIPTS
5NIT $ 7HEN SHE FELL HOW DID SHE FALL IT MOST PROBABLY MADE THE DIFFERENCE
0 3HE JUST CRUMPLED TO THE GROUND BETWEEN LIFE AND DEATH
,ISTENING SLOWLY )N FACT IT ALL HAPPENED SO
$AVE EMPHASIZED THE IMPORTANCE OF
$ $OCTOR 0 0ATIENT ABRUPTLY AND SILENTLY ) DIDN´T REALIZE IT
QUICK INTERVENTION WHEN SOMEONE
$ (I -R 3TONE )´M $R 4ARIQ ONE OF THE HAD HAPPENED
SUFFERS A CARDIAC ARREST AND TOOK THE
DOCTORS IN !% (OW ARE YOU $ 3O SHE DIDN´T CRY OUT OR ANYTHING
OPPORTUNITY TO REMIND MEMBERS
0 )´M /+ BUT )´M A BIT WORRIED ABOUT MY 0 .O THERE WAS NO WARNING SIGN AT ALL
OF THE PUBLIC THAT THEY CAN LEARN
WIFE $ *UST A FEW MORE QUESTIONS
CARDIOPULMONARY RESUSCITATION ¯ OR #02
$ 9OUR WIFE´S /+ 0 /+
¯ AT FREE ³(EARTSTART´ CLASSES GIVEN ACROSS
0 4HAT´S GOOD $ (AS SHE EVER HAD ANYTHING LIKE THIS
THE CAPITAL BY THE ,ONDON !MBULANCE
$ !MIR ONE OF THE PARAMEDICS SAYS YOU BEFORE
3ERVICE AND SUPPORTED BY THE "RITISH
WERE WALKING ALONG THE STREET WHEN 0 7HEN ) COME TO THINK OF IT SHE PASSED
(EART &OUNDATION %FFECTIVE #02 BUYS
YOUR WIFE COLLAPSED #AN YOU TELL ME OUT ONCE BEFORE ABOUT A MONTH AGO
TIME FOR A PATIENT AND DOUBLES A PERSON´S
A BIT MORE ABOUT WHAT YOU ACTUALLY 3HE HASN´T BEEN FEELING WELL OFF AND
CHANCES OF SURVIVAL
SAW ON OVER THE SUMMER 7E THOUGHT IT
0 -MM 9ES SURE 7E WERE SHOPPING WAS THE HEAT
$ !T THE MOMENT IT LOOKS LIKE 5NIT
IN #AMBRIDGE 3TREET IN TOWN WHEN
SUDDENLY "ARBARA MY WIFE JUST ,ISTENING ,ISTENING
FAINTED -MM WE TRIED TO GET HER
'ARY %DWARDS A "RITISH !IRWAYS $ $OCTOR 0 0ATIENT
UPRIGHT AND SHE STARTED TWITCHING
CUSTOMER SERVICE ARRIVALS AGENT HAD
QUITE VIOLENTLY )T WAS QUITE SCARY
BEEN SITTING WITH HIS WORK COLLEAGUES $ 9OU LOOK AS IF YOU ARE IN QUITE A LOT OF
$ 9ES IT CERTAINLY CAN BE BUT IT CAN
IN A REST ROOM AT (EATHROW !IRPORT´S PAIN
HAPPEN WHEN PEOPLE FAINT LIKE THIS
4ERMINAL /NE WHEN HE SUFFERED SEVERE 0 9ES ) THINK )´VE HURT MY HIP BADLY )T´S
$ID ANYTHING ELSE HAPPEN
PAIN IN HIS CHEST AND ARMS 7ITHIN GIVING ME A LOT OF PAIN
0 .O .OTHING AT ALL 3HE CAME ROUND
SECONDS HE LOST CONSCIOUSNESS AND $ ) THINK WE NEED TO GET YOU SOME
VERY RAPIDLY "UT WE DIALLED AND A
STOPPED BREATHING (IS "RITISH !IRWAYS PAINKILLERS 3O CAN YOU TELL ME A BIT
PARAMEDIC APPEARED ALMOST INSTANTLY
COLLEAGUES IMMEDIATELY DIALLED FOR MORE
AND THEN THE AMBULANCE ALMOST
AN AMBULANCE AND BEGAN ATTEMPTS TO 0 /H ) SLIPPED ON THE KITCHEN ¾OOR )
IMMEDIATELY AFTERWARDS $O YOU THINK
RESUSCITATE HIM MUST HAVE SPILLED SOME WATER AND )
SHE HAD A SEIZURE OR SOMETHING LIKE
EPILEPSY !LL HE CAN REMEMBER IS THAT HE HAD WAS COMING INTO THE LIVING ROOM WITH
$ 7E DON´T THINK SO "UT CAN ) ASK GOT UP FROM THE SOFA AND SAID TO HIS A CUP OF TEA AND ) JUST WENT DOWN ON
YOU A FEW MORE QUESTIONS $ID SHE COLLEAGUES THAT HIS CHEST AND ARM HURT MY BOTTOM AND TWISTED MY LEG
COMPLAIN OF ANYTHING BEFORE THAT !FTER THAT EVERYTHING WENT BLANK $ /H DEAR 4HAT SOUNDS BAD
0 -MM 3HE HAD BEEN COMPLAINING OF 7ITHIN SECONDS OF THE CALL BEING 0 )T WAS ) COULDN´T MOVE &ORTUNATELY
FEELING A BIT UNWELL AND HAD ALMOST MADE CYCLE PARAMEDIC $AVE 0ARKS ) HAD MY MOBILE IN MY APRON POCKET
FAINTED AND SHE FELT A BIT WOOZY 3HE REACHED -R %DWARDS $AVE WAS ABLE TO AND ) PHONED MY NEIGHBOUR WHO
YES ER SHE WAS A BIT DIZZY AND SHE CONTINUE RESUSCITATION AND RE
START -R HAD THE KEY TO COME IN 3HE CALLED AN
WAS YAWNING REPEATEDLY AND THEN ALL %DWARDS´S HEART AFTER THREE ATTEMPTS AMBULANCE
OF A SUDDEN THERE SHE WAS LYING ON USING THE PORTABLE DE½BRILLATOR THAT IS $ &ALLS LIKE THIS HAPPEN SO EASILY 9OU
THE GROUND CARRIED ON AMBULANCE BICYCLES MAY JUST HAVE PULLED A JOINT OUT OF
$ !NYTHING ELSE 7AS SHE ILL OR ANYTHING PLACE RATHER THAN BREAKING ANYTHING
0ARAMEDICS DISPATCHED IN AN AMBULANCE
BEFORE SHE FELL
AT THE SAME TIME AS THE BICYCLE
0 .O *UST TIRED $ 7HAT´S BROUGHT YOU HERE TODAY
AMBULANCE ARRIVED A FEW MINUTES LATER
$ 7HAT ABOUT HER EYESIGHT 0 -Y WRIST IS REALLY HURTING ) THINK )´VE
TO CONTINUE TREATMENT AND TOOK -R
0 .OTHING BUT SHE SAID HER HEARING BROKEN IT
%DWARDS TO HOSPITAL 4HIS RESUSCITATION
WAS A BIT FUNNY ¯ SHE WASN´T HEARING $ /+ (OW DID IT HAPPEN
SHOWS HOW WELL
SUITED BIKES ARE TO
CLEARLY 0 7ELL ) WAS COMING OUT OF A SHOP AND
REACHING PATIENTS QUICKLY INSIDE THE
$ !NY VOMITING ) WAS TRYING TO AVOID SOMEONE AND )
AIRPORT !S THEY ARE BASED AT THE AIRPORT
0 .O DIDN´T NOTICE THE PAVING STONE WAS
AND WERE ABLE TO GET TO HIM SO QUICKLY
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
RAISED AND ) JUST TRIPPED AND OF COURSE IT IS TOO LATE TO GO BACK AND TAKE 0 ) DON´T KNOW )T MAY BE THE WORK )
) PUT OUT MY HANDS TO PROTECT MYSELF PRECAUTIONS TYPE A LOT
AND BREAK MY FALL -Y WRIST TOOK THE $ /+ 3O YOU SIT AT A DESK ALL DAY
4HERE ARE MANY SIMPLE PIECES OF ADVICE
FULL FORCE OF MY FALL 0 9ES
THAT CAN BE GIVEN TO PREVENT ACCIDENTS
$ )T CERTAINLY LOOKS QUITE BAD YES ) THINK $ -M .OW THE PAIN DOES IT
IN THE HOME LIKE ½TTING STAIRS WITH
WE NEED TO DO AN 8 RAY
BANISTERS OR RAILS AND MAKING SURE #ONVERSATION "
THAT HALLS AND STAIRWAYS ARE WELL LIT $ 3O WHAT HAS HAPPENED TO YOU -RS
$ $OCTOR & 0ATIENT´S FATHER
%NCOURAGING PEOPLE TO CLIMB UP ONLY 3KINNER
$ 7HAT´S HAPPENED HERE
ON SOMETHING ½RM AND STRONG CAN HELP 0 7ELL )´VE HURT MY HAND
& 3HE FELL DOWN FROM A TREE AT SCHOOL
REDUCE THE RISK OF FALLS !NOTHER THING TO $ 4ELL ME A BIT MORE ABOUT IT
AND THEY CALLED ME AND ) CAME HERE
AVOID IS LOOSE RUGS AND ¾OORING IN ORDER 0 )´VE HAD IT SINCE THE WEEK BEFORE LAST
FROM WORK AS THE AMBULANCE WAS
TO REDUCE THE RISK OF SLIPPING OR TRIPPING HERE ON THE HEEL OF MY HAND AND )´M
BRINGING HER HERE
ESPECIALLY WHEN OLD PEOPLE OR CHILDREN ½NDING IT DIF½CULT TO WORK AND ALSO
$ /H ) SEE
ARE AROUND !ND IF SMALL CHILDREN ARE TO GO TO THE GYM )´VE TRIED PAINKILLERS
& 3HE´S CRYING A LOT AND ) THINK SHE´S
ABOUT PONDS AND SWIMMING POOLS IN AND THAT BUT THEY HAVEN´T WORKED
FRACTURED SOMETHING IN HER LEG
THE GARDEN NEED TO BE COVERED 7HEN THE TABLETS WEAR OFF IT´S STILL
$ 3HE MAY NOT HAVE BROKEN ANYTHING
BUT LET´S HAVE A LOOK AT HER $)9 AT HOME OR HOME IMPROVEMENTS THERE ) DON´T HAVE A TOUCH OF ARTHRITIS
IS ANOTHER AREA WITH POTENTIAL FOR DO YOU THINK
,ANGUAGE SPOT ACCIDENTS 7HEN USING POWER TOOLS $ !T THIS STAGE IT´S DIF½CULT TO SAY )T´S
3O YOU´VE TAKEN SOME PAINKILLERS BUT PEOPLE NEED TO BE ENCOURAGED TO USE SOMETHING WE HAVE TO TRY AND RULE
THEY DON´T WORK AND YOUR ARM´S STILL ADEQUATE PROTECTION INCLUDING STURDY OUT "UT CAN ) JUST ASK YOU WHAT YOU
HURTING YOU JUST HERE SHOES GLOVES AND GOGGLES THINK CAUSED IT
-Y TOE IS THROBBING WITH PAIN ) DON´T 0 ) DON´T REALLY KNOW )T MAY BE THE
KNOW WHAT )´VE DONE )T LOOKS AS IF IT´S WORK
5NIT
BROKEN $ #AN YOU TELL ME WHEN IT IS WORST
(E´S HAD SEVERAL FALLS RECENTLY AND 0 -MM 7HEN )´M AT THE GYM WHEN
,ISTENING
HE HAS SEVERAL FRACTURES BUT HE´S NOT )´M TYPING AND WHEN THE BOSS IS
CRYING A LOT $ $OCTOR 0 0ATIENT AROUND
#ONVERSATION ! $ 9ES ) CAN IMAGINE THE BOSS MAKING IT
,ISTENING
WORSE 9OU MENTIONED THE GYM
!S HEALTH PROFESSIONALS WE GIVE ADVICE $ 3O WHAT HAS HAPPENED TO YOU -RS
0 9ES
ABOUT HEALTHY LIFESTYLES WHICH SHOULD 3KINNER
$ $O YOU GO A LOT
INCLUDE ACCIDENT PREVENTION 7HEN 0 7ELL )´VE HURT MY HAND
0 9ES ) DO
WE USE THE WORD ACCIDENT IT SEEMS TO $ 2IGHT 7HEN DID IT HAPPEN
$ )´D JUST LIKE YOU TO PUT YOUR ARM
IMPLY THAT ACCIDENTS ARE UNAVOIDABLE )T 0 )´VE HAD IT SINCE THE WEEK BEFORE LAST
IS TRUE THAT WE DO NOT LIVE A LIFE FREE OF $ (M WHERE DO YOU GET THE PAIN ,ISTENING
RISK BUT THE DANGER OF ACCIDENTS CAN BE 0 (ERE ON THE HEEL OF MY HAND $ $OCTOR 0 0ATIENT
MINIMIZED BY SIMPLE PRECAUTIONS AND $ )S THAT BOTH HANDS $ !LEXANDER YOU´VE HAD QUITE A BANG ON
THINKING AHEAD 0 .O JUST THIS ONE YOUR HEAD
$ !ND HAVE YOU TAKEN ANYTHING FOR IT 0 9EAH AND )´M SURPRISED ) FEEL /+ )
7E CAN FOR EXAMPLE MAKE PATIENTS 0 )´VE TRIED PAINKILLERS AND THAT BUT THEY THOUGHT IT MIGHT GIVE ME A REALLY BAD
AWARE OF THE POTENTIAL FOR RISK !LL RISK HAVEN´T WORKED 7HEN THE TABLETS HEADACHE OR SOMETHING BUT ) REALLY
SITUATIONS INCLUDING THOSE IN THE HOME WEAR OFF IT´S STILL THERE ) DON´T HAVE A FEEL ½NE )´M JUST A BIT SHAKEN REALLY
OR GARDEN IN THE WORKPLACE ON THE TOUCH OF ARTHRITIS DO YOU THINK $ 9ES 4HESE THINGS CAN KNOCK YOU QUITE
ROAD OR DURING LEISURE ACTIVITIES SUCH $ !T THIS STAGE IT´S DIF½CULT TO SAY )T´S A BIT 9OU STILL NEED TO BE CAREFUL OVER
AS HILLWALKING OR MOUNTAIN CLIMBING SOMETHING WE HAVE TO TRY AND RULE THE NEXT TWENTY FOUR HOURS EVEN
SHOULD BE TREATED WITH DUE RESPECT OUT "UT CAN ) JUST ASK YOU WHAT YOU THOUGH YOU FEEL ½NE
0EOPLE NEED TO BE REMINDED TO THINK THINK CAUSED IT 0 7HAT 9OU MEAN ) HAVE TO STAY IN THE
OF OTHERS ESPECIALLY CHILDREN AND THE 0 ) DON´T REALLY KNOW HOSPITAL
ELDERLY /NCE AN ACCIDENT HAS HAPPENED $ !NYTHING AT WORK
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
$ /H NO YOU DON´T NEED TO STAY IN 5NIT $ 7ELL SINCE IT´S YOUR ½RST IT´S PROBABLY
HOSPITAL BUT WE NEED YOU TO LOOK AFTER BEST 7E´LL CHECK YOUR DETAILS LATER AND
YOURSELF AND REST FOR THE NEXT TWENTY ,ISTENING SORT OUT THE HOSPITAL
FOUR HOURS $ $OCTOR 0 0ATIENT 0 3O YOU´LL LET ME KNOW WHICH HOSPITAL
0 2EST "UT ) CAN´T ) HAVE TO GO TO MY IT´LL BE
%XERCISE
BEST FRIEND´S PARTY THIS EVENING ) JUST $ 9ES THAT´S RIGHT .OW ) JUST WANT TO
$ 'OOD MORNING -RS #ANTERBURY (OW
CAN´T MISS IT (E´S GETTING MARRIED ASK YOU A FEW QUESTIONS ABOUT YOUR
ARE YOU ENJOYING THIS ½NE WEATHER
TOMORROW LIFESTYLE $O YOU EAT SENSIBLY
WE´RE HAVING
$ "UT )´M AFRAID YOU DO NEED TO BE 0 'ENERALLY YES THOUGH ) DO SKIP MEALS
0 ) LOVE IT )T´S BEEN THE BEST WE´VE HAD
CAREFUL !ND YOU NEED TO HAVE SOMETIMES WHEN )´M RUSHED
FOR A LONG TIME
SOMEONE TO GO HOME WITH YOU AND $ 7ELL IT´S VERY IMPORTANT NOW THAT YOU
$ 9ES IT´S BEEN REMARKABLE ,ET´S HOPE IT
STAY WITH YOU FOR THE NEXT TWENTY MAKE SURE YOU EAT NUTRITIOUS FOOD
CONTINUES
FOUR HOURS AS WELL REGULARLY
0 7ELL ) THINK IT MAY
0 "UT ) FEEL /+ ) MEAN WHY ALL THE FUSS 0 ) REALIZE THAT 5M DOES IT MATTER WHAT
$ 9ES )T LOOKS LIKE IT 3O WHAT CAN WE DO
$ 9ES YOU MAY FEEL WELL BUT SOME ) EAT
FOR YOU
THINGS MAY DEVELOP AFTERWARDS $ 9ES THERE ARE CERTAIN THINGS YOU NEED
0 -MM WELL DOCTOR IT´S NOT REALLY
0 ,IKE WHAT TO STEER CLEAR OF LIKE SHELL½SH AND SOFT
TROUBLE ) THINK ) THINK )´M EXPECTING
$ 9OU MAY GET A HEADACHE CHEESE 9OU DON´T WANT TO RISK ANY
$ !H ) SEE AND ARE YOU HAPPY ABOUT
0 7ELL ) CAN TAKE A PARACETAMOL KIND OF FOOD POISONING .OW WHAT
THAT
$ 9ES BUT OTHER THINGS COULD HAPPEN ABOUT ALCOHOL
0 /H YES WE´VE BEEN TRYING FOR AGES
LIKE BLURRED VISION OR VOMITING 0 ! COUPLE OF GLASSES NOW AND THEN BUT
$ /+ 7ELL LET´S TAKE SOME DETAILS #AN
0 /+ BUT ) CAN COME BACK IF ANYTHING ) HAVEN´T BEEN ON A BINGE FOR AGES
YOU REMEMBER WHEN YOUR LAST PERIOD
GOES WRONG $ 'OOD WELL KEEP IT THAT WAY !LCOHOL
WAS
SHOULD REALLY BE AVOIDED IN PREGNANCY
0RONUNCIATION 0 -MM NOT EXACTLY BUT PROBABLY ABOUT
BUT THE OCCASIONAL DRINK WILL DO NO
#AN YOU TELL ME A LITTLE BIT MORE ABOUT SIX WEEKS AGO
HARM $O YOU SMOKE
HOW IT ALL HAPPENED $ 3O YOU THINK YOU´VE MISSED ONE
0 /CCASIONALLY BUT IT´S NOT A REAL HABIT
"UT IF YOUR CHILD´S MOOD CHANGES IN 0 9ES )´M AS REGULAR AS CLOCKWORK
$ 7ELL TRY TO CUT DOWN IF NOT GIVE UP
ANY WAY MAKE SURE YOU CONTACT US $ !NY OTHER CHANGES YOU´VE NOTICED
ALTOGETHER 7ITH A GROWING BABY
IMMEDIATELY 0 %R ) DO FEEL A BIT SICK MOST MORNINGS
INSIDE YOU YOU NEED TO BE VERY CAREFUL
"UT ) CAN´T ) HAVE TO GO TO MY BEST AND MY BREASTS FEEL A BIT TENDER
WHAT YOU ARE PUTTING INTO YOUR BODY
FRIEND´S PARTY THIS EVENING $ 2IGHT IF ) GIVE YOU A LITTLE BOWL CAN
!RE THERE ANY QUESTIONS YOU´D LIKE TO
"UT )´M AFRAID YOU DO NEED TO BE YOU JUST POP TO THE TOILET AND BRING
ASK
CAREFUL BACK A SAMPLE FOR ME
0 .O
)´M NOT SURE BUT ) THINK )´VE TORN A %XERCISE $ !ND CONGRATULATIONS -RS #ANTERBURY
LIGAMENT IN MY FOOT )T´S SWOLLEN AND ) $ 7ELL CONGRATULATIONS -RS #ANTERBURY 0 4HANK YOU VERY MUCH
CAN´T GET MY SHOE ON YOU WERE RIGHT YOU ARE EXPECTING
)´VE HAD IT SINCE THE WEEK BEFORE LAST 0RONUNCIATION
AND IF YOUR DATES ARE CORRECT YOU´RE
HERE ON THE HEEL OF MY HAND PROBABLY ABOUT FOUR WEEKS GONE !T VAGINAL HYSTERECTOMY THE UTERUS IS
!ND YOU NEED TO HAVE SOMEONE TO GO 0 /H SO THE BABY´LL PROBABLY BE BORN IN BROUGHT DOWN THROUGH THE VAGINA
HOME WITH YOU AND STAY WITH YOU FOR /CTOBER 7HAT HAPPENS IS THE WOMB IS BROUGHT
THE NEXT TWENTY FOUR HOURS AS WELL $ !ROUND THEN YES 7E´LL BE ABLE TO BE DOWN THROUGH THE VAGINA
MORE PRECISE AFTER YOU´VE HAD A SCAN 0RE ECLAMPSIA IS PREGNANCY INDUCED
0 7HEN WILL THAT BE HYPERTENSION WITH PROTEINURIA WITH
$ )T´S USUALLY DONE AT ABOUT TWELVE OR WITHOUT OEDEMA
WEEKS "Y THAT TIME WE CAN USUALLY )T´S A CONDITION WHERE THE BLOOD
GET A CLEAR PICTURE OF THE BABY .OW PRESSURE IS RAISED WITH PROTEIN IN THE
) TAKE IT YOU´LL HAVE YOUR BABY IN URINE AND POSSIBLY SWELLING
HOSPITAL .ORMAL LABOUR IS OFTEN HERALDED BY A
0 ) HAVEN´T REALLY THOUGHT ABOUT IT SHOW
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
7HEN AN INDUCTION IS BEING PLANNED ,ISTENING WAY AND DOWN SHE GOES ) DON´T KNOW
THE STATE OF THE CERVIX WILL BE $ $OCTOR 0 0ATIENT HOW SHE HASN´T HURT HERSELF AT ALL
ASSESSED $ .OW ) WANT TO ASK YOU ABOUT SOME
!NKLE SWELLING IS VERY COMMON WHEN EXPERIENCES WHICH SOMETIMES PEOPLE - -AN 7 7OMAN
YOU´RE PREGNANT HAVE BUT ½ND IT DIF½CULT TO TALK ABOUT - )T WAS REALLY EXCITING THE WHOLE
)T TENDS TO WORSEN AT NIGHT 7ELL IF 4HESE ARE QUESTIONS ) ASK EVERYONE )S EXPERIENCE "UT )´M NOT SURE )´D WANT
YOU USE A ½RM MATTRESS AND WEAR ¾AT THAT /+ TO GO THROUGH IT THAT OFTEN
SHOES IT WILL HELP 0 9EAH 7 (OW MANY PEOPLE WERE THERE
$ (AVE YOU EVER HAD THE SENSATION THAT - &IVE OR SIX OTHERS ) THINK 4HEY WERE
VERY HIGH CALIBRE ! COUPLE OF THEM
5NIT YOU WERE UNREAL OR THAT THE WORLD HAD
BECOME UNREAL HAD YEARS OF EXPERIENCE WORKING IN
0 )T´S LIKE ¨ ) DON´T KNOW HOW TO EXPLAIN CARE OF THE ELDERLY /NE USED TO RUN A
,ISTENING
IT )T´S ¨ ) SUPPOSE IT´S LIKE BEING IN A GERIATRIC HOSPITAL IN HIS OWN COUNTRY
(E´S #AUCASIAN AROUND ABOUT ½FTY YEARS
PLAY SOMEHOW 4HAT MAYBE SOUNDS AS ) DON´T THINK ) STOOD A CHANCE
OF AGE (IS CLOTHES ARE VERY EXTRAVAGANT
IF )´M GOING MAD
WITH LOTS OF CLASHING BRIGHT COLOURS "UT
$ (AVE YOU EVER HAD THE EXPERIENCE OF 7 7OMAN - -AN
HE IS NOT VERY CLEAN IN HIMSELF AND HE
HEARING NOISES OR VOICES WHEN THERE 7 4HERE ARE A COUPLE OF THINGS THAT
DOESN´T LOOK AS IF HE´S EATING PROPERLY )T´S
WAS NO ONE THERE TO EXPLAIN IT COULD BE DONE TO HELP THIS PATIENT
THE ½RST TIME THAT )´VE SEEN THE PATIENT
0 9ES SOMETIMES 7E COULD GET IN OCCUPATIONAL HEALTH
BUT HE LOOKS JUST A LITTLE THIN
$ )S IT /+ TO TALK ABOUT THIS FURTHER TO GET THINGS LIKE A PERCHING STOOL
(E´S NOT VERY AGGRESSIVE JUST ELATED 0 9EAH IF YOU WANT INSTALLED AND GRAB RAILS
AND IS TALKING RATHER FAST 4HERE IS $ 7HEN DID IT HAPPEN - 9ES AND ALSO ¾OORING AND LIGHTING
COPIOUS RAPID SPEECH WHICH IS HARD 0 4HE LAST TIME WAS A COUPLE OF DAYS !ND ) DON´T THINK ALL THE CLUTTER HELPS
TO INTERRUPT (E TALKS AT A MUCH FASTER AGO !S THE PLACE IS FULL OF RUBBISH SMALL
RATE THAN NORMAL WHICH MAY RE¾ECT $ 7ERE YOU FULLY AWAKE CHANGES LIKE THAT WILL HELP A LOT
THE ACCELERATION OF SPEED OF THOUGHT IN 0 9EAH IT WAS DURING THE DAY
AFFECTIVE ILLNESSES 4HE PATIENT STUTTERS $ (OW OFTEN HAS IT HAPPENED $ $OCTOR # #ONSULTANT
SLIGHTLY AND SPEAKS RATHER LOUDLY 0 2ECENTLY ONLY ONCE OR TWICE $ !ND APART FROM THE EXPRESSION THERE
$ !ND WHERE DID THE SOUND APPEAR TO ARE OTHER TELL TALE SIGNS LIKE DIF½CULTY
(IS SPEECH HAS A RHYTHMIC PATTERN AND
COME FROM IN SWALLOWING A DECREASE IN THE BLINK
HE USES A RANGE OF INTONATION PATTERNS
0 ) DON´T KNOW &ROM SOMEONE IN THE RATE AND LEAD PIPE RIGIDITY
APPROPRIATELY 4HE SPEECH IS APPROPRIATE
ROOM # $ID YOU PICK UP ANYTHING ELSE WITH
TO THE SITUATION THOUGH IT IS FAST )T IS AT
THIS PATIENT
TIMES POINTLESS WITH DIGRESSIONS
$ -MM THE HANDWRITING
4HERE ARE NO WORD ½NDING DIF½CULTIES 5NIT # 7HAT ABOUT IT
NOR ANY NEOLOGISMS $ )T WAS REALLY SMALL (IS WIFE SAID IN
,ISTENING THE PAST HE WOULD WRITE VERY LONG
0RONUNCIATION
ELEGANT LETTERS AND NOW
) CAN LAUGH AT THE PROBLEMS ) HAVE
- -AN $ $OCTOR
)T´S DIF½CULT TO DISTINGUISH ONE DAY ,ISTENING
- 3HE USED TO BE ABLE TO GET AROUND
FROM ANOTHER AT THE MOMENT $ $OCTOR 0 0ATIENT
QUITE EASILY )N FACT SHE WOULD OFTEN
/F COURSE ) CARE FOR THE CHILD $ #AN YOU TELL ME HOW IT AFFECTS YOU
GO OUT ALL OVER THE PLACE IN THE BUS
)´M NOT TRYING TO HINT AT ANYTHING -RS $AY
!ND ) THINK SHE ½NDS IT DIF½CULT
3HE INSISTED ON GOING HOME 0 ) DON´T KNOW WHERE TO START ) FEEL TIRED
GETTING USED TO THE CHANGES IN HER
) SOMETIMES BLAME MYSELF FOR THE A LOT OF THE TIME BECAUSE THE PAIN
LIFE "UT NOW SHE SAYS THAT SHE GETS
DAY TO DAY PROBLEMS KEEPS ME AWAKE AT NIGHT !ND AT WORK
A BIT MUZZY IN THE HEAD WHEN SHE´S
4HE CHILD DEPENDS ON ME FOR ) CAN´T SIT FOR LONG ) HAVE TO GET UP AND
STANDING AT TIMES AND THEN WHEN SHE
EVERYTHING WALK AROUND !T WORK PEOPLE DON´T
MANAGES TO SIT DOWN IT ALL PASSES
$ (AS SHE FALLEN AT ALL KNOW HOW BAD IT IS AND IT UPSETS ME
- -MM YES 3OMETIMES SHE DOESN´T WHEN THEY MAKE COMMENTS
MAKE IT TO A CHAIR AND HER LEGS GIVE
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
$ 5NFORTUNATELY UNLESS PEOPLE HAVE $ 3O WHAT CAN WE DO FOR YOU 0 /+
THINGS LIKE THIS THEMSELVES THEY DON´T 0 7ELL )´VE GOT THIS RASH WITH BIG $ &ROM WHAT ) CAN SEE IT´S ACNE
REALIZE HOW BAD IT IS WHEALS ALL OVER !ND IT´S QUITE ITCHY 0 #AN YOU DO ANYTHING FOR IT
0 .O )´M AFRAID NOT AND GETTING WORSE $ /H YES
$ )S THERE ANYTHING ELSE $ /H YES )T DOES LOOK QUITE DRAMATIC 0 4HAT´S A RELIEF
0 -MM IT STOPS ME DOING CERTAIN #AN YOU TELL ME SOME MORE ABOUT IT $ (AS THIS BEEN UPSETTING YOU
THINGS LIKE ) CAN´T CATCH THE BUS 0 7ELL ) JUST SUDDENLY CAME OUT IN IT 0 9ES A LITTLE
BECAUSE )´M AFRAID OF FALLING IF THE BUS LAST NIGHT )T STARTED ON MY BACK AND $ #AN YOU TELL ME HOW
SUDDENLY JOLTS AND ) CAN´T REALLY GO OUT THEN IT JUST SPREAD ) PUT SOME LOTION 0 ) GET TEASED AT COLLEGE ABOUT IT AND )
AND ENJOY MYSELF ON IT AND IT HELPED FOR A WHILE AND DON´T LIKE GOING OUT AS PEOPLE LOOK AT
$ 7HAT ABOUT THE TABLETS YOUR '0 THEN ) THOUGHT THEY ARE GETTING SO BAD IT AND ) THINK IT´S DIRTY !ND IT KEEPS
PRESCRIBED (AVE YOU BEEN TAKING )´M ITCHING ALL OVER !ND WITH THE HEAT GETTING WORSE )´VE TRIED CUTTING OUT
THEM IT´S UNBEARABLE CERTAIN FOODS BUT NOTHING WORKS AND
0 .OT REALLY 3OMETIMES $ 3O YOU HAVE THEM EVERYWHERE /+ USING DIFFERENT CREAMS AND STUFF
$ 3OMETIMES WE´LL HAVE A LOOK IN A MOMENT "UT CAN $ 7ELL ) CAN ASSURE IT´S NOTHING TO
0 9EAH YOU JUST TELL ME YOU SAID YOU USED A DO WITH BEING DIRTY !ND IT´S MORE
$ #AN YOU TELL ME WHY THAT IS LOTION COMMON THAN YOU THINK 9OU ARE
0 ) DON´T LIKE TAKING THEM IN CASE ) GET 0 #ALAMINE LOTION )T WAS ALL ) HAD AND NEARLY SEVENTEEN NOW
HOOKED OR ANYTHING LIKE THAT OR IN CASE THEN THIS MORNING ) CAME STRAIGHT 0 9EAH
THEY AFFECT MY STOMACH HERE $ 7ELL THE PEAK AGE IS ABOUT EIGHTEEN
$ "UT WHEN YOU DO TAKE THEM DO THEY $ 9OU SAID ITCHING )S THERE ANY PAIN !ND DIET DOESN´T AFFECT ACNE EITHER
HELP WITH IT 0 !H /+
0 9ES FOR A WHILE 7HEN THE PAIN IS SO 0 .O JUST ITCHING $ "UT THE CREAMS YOU´VE BEEN USING
BAD ) CAN´T BEAR IT ) TAKE THEM $ /+ JUST ITCHING (AVE YOU HAD IT MIGHT JUST MAKE IT WORSE
$ 3O YOU TAKE THEM WHEN THE PAIN´S BEFORE 0 -MM YEAH ) SHOULDN´T HAVE USED
INTOLERABLE 0 9ES ONCE ) HAD IT AND ) CAME HERE AND THEM ) SHOULD´VE COME HERE
0 9EAH THEY GAVE ME SOME ANTIHISTAMINE $ 9ES BUT YOU´RE HERE NOW ¯ THAT´S THE
$ (AVE YOU BEEN DOING ANY AND IT WENT AWAY BUT IT WASN´T AS MAIN THING
PHYSIOTHERAPY BAD AS THIS ) SHOULD´VE KEPT THE NAME 0 9EAH
0 .O NOT REALLY OF THE TABLETS OR KEPT SOME AS THEY $ 3O WHAT WE NEED TO DO ½RST IS TO
$ 7HAT ABOUT EXERCISE HELPED BEFORE 4HEY JUST SEEM TO BE REDUCE THE NUMBER OF SPOTS
0 7HEN ) START TO DO ANYTHING IT HURTS A SPREADING ALL OVER 0 /+
LOT 3O IT PUTS ME OFF $ 7ERE THE TABLETS 0IRITON $ !CNE´S NOTHING TO DO WITH POOR
$ 7ELL YOU KNOW TO HELP IMPROVE YOUR 0 9ES ) THINK THEY WERE HYGIENE BUT IF YOU WASH TWICE A DAY
STRENGTH AND BUILD UP YOUR MUSCLES $ /+ )S THERE ANYTHING YOU THINK THAT AND THEN PUT ON A MOISTURIZER LIKE
EXERCISE LIKE SWIMMING REALLY HELPS MIGHT HAVE TRIGGERED THIS AQUEOUS CREAM THAT WILL HELP
0 .OT THAT )´M AWARE OF 0 !QUE
$ 0ETS $ !QUEOUS CREAM )T´S THIS )T COMES
5NIT
0 ) DON´T HAVE A PET AND ) HAVEN´T BEEN IN TUBS LIKE THIS !ND CREAM HERE
NEAR ANY )´M GOING TO GIVE YOU SOME CREAM ¯
,ISTENING
$ 7HAT ABOUT DRUGS BENZOYL PEROXIDE ¯ TO PUT ON TWICE A
$ $OCTOR 0 0ATIENT
0 .O )´M NOT ON ANYTHING DAY AND THIS ANTIBIOTIC CREAM ) TAKE IT
$ 'OOD MORNING *OHN (OW ARE YOU
$ !RE YOU AWARE OF BEING ALLERGIC TO YOU ARE NOT TAKING ANTIBIOTIC TABLETS
TODAY
ANYTHING OR CAPSULES
0 &INE DOCTOR EXCEPT FOR THE WEATHER
0 .O ) DON´T THINK SO 0 .O )´M NOT
$ 9ES IT´S A BIT UNCOMFORTABLE AT THE
$ .OW ) MUST POINT OUT THAT THESE CAN
MOMENT 7E´RE NOT USED TO THE HEAT ,ISTENING
TAKE WEEKS TO WORK SO YOU NEED TO BE
7E WANT IT BUT WHEN WE GET IT WE $ $OCTOR 0 0ATIENT PATIENT
CAN´T COPE $ /+ THANK YOU 9OU CAN PUT YOUR SHIRT 0 "UT THEY WILL GO AWAY
0 9ES YOU´RE RIGHT THERE 7E´RE NEVER BACK ON AGAIN
HAPPY
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
$ 7E WILL CERTAINLY DO OUR BEST TO ,ISTENING MESH 7HAT WE DO IS MAKE ONE OR
MAKE SURE THEY DO $O YOU THINK $ $OCTOR 0 0ATIENT TWO SMALL HOLES IN YOUR TUMMY ONE
YOU´LL BE ABLE TO KEEP GOING WITH THE $ 'OOD AFTERNOON -R "LACKSTONE -Y AROUND THE BELLY BUTTON AND THE OTHER
TREATMENT NAME IS $R 0ETROV (OW ARE YOU TODAY ON THE LEFT SIDE )T´S A DAY CASE SURGERY
0 ) THINK SO 0 &INE THANK YOU DOCTOR SO YOU´LL BE IN AND OUT QUITE QUICKLY
$ 7OULD YOU LIKE TO SEE THE NURSE WHO $ 9OU´RE COPING WITH ALL THIS RAIN WE´RE (OW DO YOU FEEL ABOUT HAVING THE
CAN GO THROUGH IT WITH YOU HAVING OPERATION
0 9EAH 0 9EAH )T´S A BIT MUCH AT THE MOMENT 0 /H YEAH NO PROBLEM 7ILL ) BE PUT TO
$ !ND )´M GOING TO GIVE YOU THIS PRINT $ 9ES IT´S SLOWING DOWN EVERYTHING SLEEP
OUT FROM AN ACNE SUPPORT GROUP )T´S 2IGHT ) SEE FROM YOUR '0´S LETTER THAT $ 7ELL WE CAN DO THIS UNDER A LOCAL
GOT THEIR WEBSITE ON IT 9OU CAN CHECK YOU´VE GOT A HERNIA !M ) RIGHT ANAESTHETIC OR GENERAL
IT OUT 0 -MM 9ES )´VE GOT THIS SWELLING IN MY 0 ) DON´T FANCY BEING AWAKE AND HEARING
0 /+ THANKS GROIN AND SEEING EVERYTHING
$ 3O YOU THINK YOU´LL BE /+ WITH THIS $ /+ #AN YOU TELL ME ABOUT IT $ 9ES ) CAN UNDERSTAND WHY YOU
0 9EAH ) FEEL BETTER 0 )T´S JUST DOWN HERE IN MY GROIN ON THE WOULDN´T WANT THAT )T CAN BE A BIT
$ /+ 9OU CAN TAKE THIS PRESCRIPTION RIGHT SIDE )T´S BEEN THERE FOR ABOUT OFF PUTTING TO SOME PEOPLE BUT WE´LL
AND MAKE AN APPOINTMENT TO SEE THE THREE OR FOUR MONTHS NOW )T´S A BIT SEE WHAT THE ANAESTHETIST HAS TO
NURSE AND COME BACK AND SEE ME IN A UNCOMFORTABLE WHEN IT IS STICKING OUT SAY WHEN HE DOES THE ASSESSMENT
COUPLE OF MONTHS BUT IF YOU NEED TO )´M AWARE OF IT ) TRY TO SORT OF PUT IT %R WE´LL NEED YOU TO SIGN A CONSENT
COME BACK SOONER BY ALL MEANS DO BACK IN BUT IT ONLY HAPPENS WHEN )´M FORM IF YOU´RE HAPPY WITH EVERYTHING
LYING DOWN )´M A ¨ )´M A DRIVER SO ) WHEN YOU COME FOR A PRE OPERATION
0RONUNCIATION
SOMETIMES HAVE TO DO A LOT OF LIFTING ASSESSMENT
) SHOULD´VE KEPT ON USING THE CREAM 0 9EAH )´M /+ WITH THAT
AND THAT
YOU GAVE ME $ )S THERE ANYTHING YOU´D LIKE TO ASK ME
$ 9OU SAID THE HERNIA POPS BACK IN AGAIN
) SHOULD´VE TAKEN IT ALL MORE SERIOUSLY 0 -MM ER WHAT ABOUT THE PAIN
WHEN YOU´RE LYING DOWN
) HAVE TO SAY ) REGRET NOT APPLYING THE $ 7E CAN TALK ABOUT THE PAIN AT THE
0 9ES
CREAM NOW ASSESSMENT
$ (AS THERE EVER BEEN ANY TIME WHEN
) SHOULDN´T HAVE PUT ANYTHING ON IT AS
IT´S STAYED OUT ,ISTENING
THAT´S WHAT´S MADE IT WORSE
0 .O THOUGH SOMETIMES IT TAKES ITS
) MEANT TO GET UP AND DO IT ½RST THING $ $OCTOR 0 0ATIENT
TIME GOING BACK IN AGAIN
IN THE MORNING BUT ) DIDN´T
$ (M RIGHT /+ 3HALL WE HAVE A LOOK
) MUST´VE PICKED IT AND MADE IT BLEED $ 7OULD YOU LIKE ME TO GO OVER
0 /+
) STOPPED USING IT BECAUSE IT MADE MY ANYTHING AGAIN
SKIN ITCHY 0 .O ) DON´T THINK SO
$ /+ AS YOUR '0 SAYS YOU´VE GOT WHAT
$ $O YOU FEEL /+ ABOUT SIGNING THE
IS CALLED AN INGUINAL HERNIA
FORM
5NIT 0 -M HM
0 )´M NOT SURE )´M A BIT WORRIED ABOUT
$ $O YOU KNOW WHAT A HERNIA IS
WHAT MIGHT HAPPEN AFTERWARDS )T´S A
0RONUNCIATION EXACTLY
BIG STEP AND A BIT DRASTIC )´M ¨ )´M NOT
LAPAROTOMY 0 .OT REALLY
SURE ) WANT TO GO THROUGH WITH IT
NEPHRECTOMY $ 9OU CAN GET A HERNIA LIKE YOU HAVE
$ 7OULD YOU LIKE SOME TIME TO THINK
COLOSTOMY WHERE THERE IS A WEAKNESS IN THE
ABOUT IT AND PERHAPS TALK TO OTHER
HYSTERECTOMY MEMBRANE OR THE LINING THAT HOLDS IN
WOMEN WHO´VE HAD THEIR WOMB
THORACOPLASTY ALL THE GUT 0ART OF THE GUT THEN STICKS
REMOVED
MASTOPEXY OUT AT THE WEAK POINT AND FORMS A
CYSTORRHAPHY BULGE WHICH IS WHAT HAS HAPPENED
0 #AN´T YOU SQUEEZE ME IN AT ALL TODAY
CHOLECYSTECTOMY HERE ,ET ME JUST DRAW IT FOR YOU
4HIS IS THE SECOND TIME THIS HAS
PYELOLITHOTOMY 0 /+ ) ) SEE #AN YOU ½X IT
HAPPENED
COLOPEXY $ 9ES 7E CAN DO AN OPERATION CALLED A
$ )´M AFRAID WE CAN´T 4HERE´S AN
HERNIORRHAPHY WHERE WE REPAIR THE
EMERGENCY AND THERE´RE NO BEDS
WEAK PART OF THE GUT USING A SPECIAL
AVAILABLE
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
0 "UT THE SAME THING HAPPENED THE LAST OF HIS CHEST (E´D HAD IT SEVERAL TIMES TIME &OR THE MOMENT HE JUST NEEDS A
TIME BEFORE AND HE USED THE SPRAY THING BIT OF REST
$ 5NFORTUNATELY YES IT DID BUT THE HE´S GOT
0RONUNCIATION
SITUATION´S UNAVOIDABLE $ 4HE '4. SPRAY
0 /+ #AN YOU GUARANTEE THIS WON´T 7 9EAH YEAH THAT´S IT !ND SO HE GAVE (E´LL HAVE BEEN IN THE THEATRE FOR
HAPPEN THE NEXT TIME HIMSELF A FEW PUFFS BUT THE PAIN OVER THREE HOURS IN A FEW MINUTES´
WOULDN´T GO AND ) COULD SEE THAT HE TIME
0 7ILL THEY COME BACK WAS GETTING BREATHLESS AND AGITATED $R .UR ISN´T STARTING HIS CLINIC TILL
$ )´M AFRAID WE CAN´T GUARANTEE THEY AND HE SAID HE FELT SICK (E STARTED TWO PM
WON´T VOMITING A LITTLE AND HE WAS (E´LL BE IN AND OUT IN NO TIME
0 )S IT COMMON BEGINNING TO SWEAT !ND HE SAID HE !LL BEING WELL HE´LL BE ABLE TO GO
THOUGHT HE WAS GOING TO DIE HOME BY THE WEEKEND
$ ) CAN SEE YOU´RE A BIT APPREHENSIVE $ /+ 3O CAN YOU TELL ME WHAT TIME THAT 4HE OPERATION´S SCHEDULED FOR ½VE
ABOUT THIS WAS THIS AFTERNOON
0 ) AM YES 7 7ELL ) CALLED FOR AN AMBULANCE AT 9OU´RE HAVING THE VEINS ON THE RIGHT
$ 7HAT ARE YOU WORRIED ABOUT IN SEVENISH AND IT CAME LIKE A SHOT SO LEG STRIPPED THIS AFTERNOON AM )
PARTICULAR IT WAS LESS THAN AN HOUR AGO IN TOTAL RIGHT
0 7ELL A NUMBER OF THINGS &EELING $ 3O HAS HE HAD ANY OTHER PAIN 4HE DOCTOR SAID )´LL BE HAVING A
PAIN SEEING WHAT´S GOING ON HEARING 7 (E SAID THE PAIN WAS IN BOTH ARMS GENERAL ANAESTHETIC
EVERYTHING AND THE SMELL )F )´M (E´LL HAVE BEEN COMING TO THE CLINIC
AWAKE WILL ) FEEL ANY PAIN $ 9OUR HUSBAND IS DOING VERY WELL OFF AND ON FOR THE PAST THREE YEARS
$ .O 9OU WON´T FEEL ANY PAIN BUT YOU´LL )T´S GOOD YOU GOT HIM STRAIGHT INTO ,ISTENING
FEEL YOUR INSIDES BEING TOUCHED HOSPITAL BUT ) NEED TO ASK YOU A FEW
$ $OCTOR 0 0ATIENT
0 !ND WHAT ABOUT SEEING WHAT´S QUICK QUESTIONS
$ /+ -ARY 9OUR BLOOD PRESSURE IS QUITE
HAPPENING 7 /+
HIGH ONE FORTY OVER EIGHT ½VE ) THINK
$ (AS YOUR HUSBAND HAD ANY INJURIES OR
THE LAST TIME IT WAS FAIRLY NORMAL
! !NAESTHETIST 0 0ATIENT ANY OTHER MAJOR ILLNESS
0 9ES IT WAS 4HAT WAS ABOUT A YEAR AGO
! (AVE YOU HAD A GENERAL ANAESTHETIC 7 .O
$ -MM IT WAS A YEAR AGO LAST *ULY
BEFORE $ !NY BLEEDING
0 !T LEAST )´VE BEEN HEALTHY ALL THIS TIME
0 9ES 7 .O
APART FROM THESE HEADACHES
! 2ECENTLY $ !NY MAJOR SURGERY
$ 9ES 7ELL EVERYTHING ELSE SEEMS TO BE
0 .O NOT FOR A COUPLE OF YEARS 7 .O NOTHING LIKE THAT
/+ SO THERE MAY BE NO OTHER CAUSE )´LL
! $ID YOU HAVE ANY PROBLEMS WITH THE $ !NYTHING ELSE YOU CAN THINK OF
RUN A FEW TESTS JUST TO MAKE SURE THAT
ANAESTHETIC 7 .O .OTHING
YOUR KIDNEYS ETC ARE /+ AND WE CAN
0 .O NOTHING "UT ) DON´T LIKE HAVING $ /+ 7HAT WE´RE GOING TO NEED TO DO
REFER YOU FOR AN %#' AT THE HOSPITAL
GENERAL ANAESTHETICS WITH YOUR CONSENT IS TO GIVE YOUR
0 /+
HUSBAND SOMETHING TO HELP GET RID
$ )S THERE ANYTHING YOU THINK MIGHT BE
OF ANY BLOOD CLOTS 4HERE IS A RISK OF
5NIT THE CAUSE OF THE HIGH BLOOD PRESSURE
STROKE WITH THE PROCEDURE AND
0 7ELL SINCE ) TOOK EARLY RETIREMENT )´VE
BUT THE BENE½T CAN BE DRAMATIC IF
,ISTENING BEEN LESS ACTIVE AND )´VE PUT ON QUITE A
WE GET IT DOWN QUICKLY )T CAN HAVE
7 0ATIENT´S WIFE $ $OCTOR BIT OF WEIGHT ) USED TO BE QUITE ACTIVE
A CONSIDERABLE EFFECT 4HERE DOESN´T
7 (E´S NOT VERY WELL AT ALL IS HE DOCTOR BUT )´VE LET THINGS SLIP A LITTLE
SEEM TO BE ANY REASON WHY HE
$ (E´S ACTUALLY /+ (E´S A BIT MORE $ 3O WHEN DID YOU RETIRE
SHOULDN´T HAVE THE MEDICATION BUT WE
STABLE 0 !BOUT A YEAR AND A HALF AGO
NEED TO GIVE IT AS SOON AS POSSIBLE AND
7 4HAT´S A RELIEF $ $O YOU KNOW HOW MUCH YOU WEIGH
WE NEED YOUR CONSENT
$ ) JUST NEED TO ASK YOU A FEW QUICK NOW
7 /+ #AN ) JUST ASK
QUESTIONS #AN YOU TELL ME WHAT 0 -MM ) WEIGHED MYSELF ABOUT TWO
HAPPENED WEEKS AGO AND ) WAS A HUNDRED AND
$ "Y THE LOOKS OF IT IT´S ALL GONE VERY
7 7E WERE SITTING AT HOME AND HE TWELVE KILOS WHICH FOR MY HEIGHT )
WELL AND HE´LL BE UP AND ABOUT IN NO
STARTED GETTING THIS PAIN IN THE CENTRE THINK IS QUITE HEAVY ) KNOW
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
,ISTENING SCRIPTS
$ /+ LET´S JUST CHECK YOUR WEIGHT AND $ /+ 3O THE COUGH´S BEEN GETTING WORSE B (OW MANY ¾IGHTS OF THE STAIRS CAN
HEIGHT 4ELL ME A LITTLE BIT MORE ABOUT IT YOU MANAGE GENERALLY
0 7ELL )´VE HAD THIS COUGH FOR A WEEK OR A (AVE YOU HAD CHEST DISEASE IN PAST
$ &OR YOUR HEIGHT WHICH IS ½VE FOOT SO AND IT´S BEEN GETTING WORSE ) DIDN´T B (AVE YOU HAD CHEST DISEASE IN THE
ELEVEN INCHES OR ABOUT ONE POINT THINK ANYTHING OF IT AS ) TEND TO GET PAST
EIGHT METRES YOUR WEIGHT WHICH IS SOMETHING AT THIS TIME OF YEAR "UT A )S IT TRIGGERED BY SITUATION OR
NOW A HUNDRED AND ½FTEEN KILOS IS IT´S THERE ALL THE TIME AND THE PHLEGM PARTICULAR ACTIVITY
QUITE HIGH IF YOU LOOK ON THIS CHART ¯ ) BRING UP ¯ IT´S A GREENISH YELLOW B )S IT TRIGGERED BY A SITUATION OR
IT SHOULD BE SOMEWHERE HERE COLOUR AND IT´S STREAKED WITH BLOOD PARTICULAR ACTIVITY
0 /H 4HAT IS QUITE A LOT OVER ) DO NEED !ND ) HAVE A TOUCH OF FEVER
%XERCISE
TO GET IT DOWN $ 9OU SAID THE PHLEGM WAS STREAKY
9ES -Y FATHER HAD PROBLEM WITH HIS
$ 9ES ) SEE FROM YOUR FAMILY HISTORY 0 9ES BUT ONLY A LITTLE
LUNGS
YOUR FATHER HAD HEART PROBLEMS AND $ !ND HOW MUCH PHLEGM DO YOU
4HE SHORTNESS OF BREATH CAME ON
THERE´S A FAMILY HISTORY OF HEART PRODUCE
PRACTICALLY IMMEDIATELY
DISEASE 0 .OT THAT MUCH )T WOULD BE LESS THAN A
) CAN WALK FOR QUITE A DISTANCE ¯
0 9ES ON MY FATHER´S SIDE ALL HIS TEASPOON EACH TIME
MAYBE A HUNDRED YARDS OR SO ¯ AND
BROTHERS AND SISTERS HAD PROBLEMS $ 3O NOT MUCH
THEN ) GET SHORT OF BREATH
WITH ANGINA 0 .O !ND IT COMES UP QUITE EASILY ) TRY
4HE COLD AIR AT MOMENT MAKES THE
$ )F NOTHING SHOWS UP IN THE TESTS YOU TO GET IT UP TO TRY AND KEEP MY CHEST
BREATHLESSNESS WORSE SO ) STAY AT
SEEM TO BE GENERALLY QUITE HEALTHY CLEAR
HOME WHEN IT´S VERY COLD
BUT THE PROBLEM IS HYPERTENSION $ !ND IS THERE ANY SMELL
)´VE USED NEBULIZER
WHICH CAN LEAD TO OTHER PROBLEMS 0 .O .OT THAT )´VE NOTICED )T´S JUST THE
)´VE HAD IT FOR WEEK NOW
0 -MM )´M AWARE OF THAT LOOK OF IT THAT´S NOT NICE IT´S RUBBERY
$OES THE WAY YOU LIE MAKE IT WORSE
$ $O YOU THINK YOU CAN GET YOUR WEIGHT OR STICKY LIKE MUCUS FROM THE NOSE )T´S
/R IS IT WORSE WHEN YOU DO THE
DOWN EASILY HORRIBLE
PARTICULAR EXERCISES
0 ) CAN TRY 7ELL ) JUST HAVE TO $ !NY PAIN
SOMEHOW 0 .O NOT REALLY ,ISTENING
$ $ID YOU DO ANY SPORT BEFORE $ )T SOUNDS AS IF YOU´VE GOT A TOUCH OF . .URSE 0 0ATIENT
0 7ELL ) USED TO SWIM AND WALK A LOT . 4HERE ARE DIFFERENT INHALER DEVICES
,ISTENING
$ (AVE YOU THOUGHT OF STARTING UP TO SUIT DIFFERENT PEOPLE AND THE ONE
%XERCISE
AGAIN )´M GOING TO SHOW YOU HOW TO USE
A )T NORMALLY OCCURS EARLY IN THE
0 9EAH ) SUPPOSE ) COULD IS THIS BREATH ACTIVATED 0RESSURIZED
MORNING AND SOMETIMES LATE AT THE
$ 9OU´LL FEEL THE BENE½T OF IT QUITE -$) WHICH STANDS FOR -ETERED $OSE
NIGHT OR AFTER ) DO ANY EXERCISE BUT
QUICKLY AND IF YOU´RE CAREFUL WITH )NHALER !RE YOU FAMILIAR WITH THIS
AT MOMENT IT´S BAD WITH THE COLD
WHAT YOU EAT YOU´LL BE BACK TO WHAT 0 .O NOT REALLY )´VE SEEN THEM BUT NOT
AIR
YOU WERE BEFORE USED ONE
B )T NORMALLY OCCURS EARLY IN THE
0 ) HOPE SO . 7ELL IT´S AN AUTOINHALER WHICH
MORNING AND SOMETIMES LATE AT
$ 7OULD YOU LIKE TO RELEASES A DOSE OF THE DRUG WHEN A
NIGHT OR AFTER ) DO ANY EXERCISE BUT
BREATH IS TAKEN 4HIS MEANS THAT YOU
AT THE MOMENT IT´S BAD WITH THE
5NIT DON´T WORRY ABOUT BREATHING AND
COLD AIR
HAND COORDINATION AND IT MEANS
A $OES THE BREATHLESSNESS YOU´VE
6OCABULARY THAT YOU KNOW THAT A DOSE HAS BEEN
GOT HAVE ANY EFFECT ON YOUR DAILY
SUCCESSFULLY DELIVERED
#OUGHS DRY HOARSE BARKING ACTIVITIES 9OUR LIFESTYLE 9OUR
&IRST OF ALL YOU REMOVE THE CAP AND
PRODUCTIVE WHEEZY WORK
SHAKE THE INHALER SEVERAL TIMES LIKE
B $OES BREATHLESSNESS YOU´VE GOT
,ISTENING THIS
HAVE ANY EFFECT ON YOUR DAILY
$ $OCTOR 0 0ATIENT 9OU THEN PRIME THE DEVICE BY PUSHING
ACTIVITIES 9OUR LIFESTYLE 9OUR
0 )´VE GOT THIS REALLY BAD COUGH DOCTOR THIS LEVER HERE RIGHT UP KEEPING THE
WORK
AND ) CAN´T SHAKE IT OFF CANISTER UPRIGHT AT THE SAME TIME
A (OW MANY ¾IGHTS OF STAIRS CAN YOU
LIKE THIS )F YOU ½ND IT DIF½CULT TO PUSH
MANAGE GENERALLY
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© Oxford University Press www.oup.com/elt
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THE LEVER UP BY HAND YOU CAN USE THE ! FULL EXAMINATION SHOULD BE GIVEN AT TIMES SO ) HAVE TO USE A WALKING
EDGE OF THE TABLE TO PUSH IT AGAINST )S CHECKING PARTICULARLY FOR FEVER JAUNDICE STICK
THIS /+ SO FAR ABDOMINAL TENDERNESS CHEST SIGNS $ 9OU SEEM TO BE DOING VERY WELL 9OU´VE
0 9EAH )T´S CLEAR RASHES AND LYMPHADENOPATHY BEEN DOING ALL THE RIGHT THINGS WE
. /+ 3O YOU SIT UPRIGHT WITH YOUR HEAD TALKED ABOUT WHEN YOU ½RST BECAME A
%XACT INVESTIGATIONS DEPEND ON
UP AND BREATHE OUT 4HEN YOU SEAL PATIENT HERE
SYMPTOMS AND EXAMINATION ½NDINGS
YOUR LIPS AROUND THE MOUTHPIECE HERE 0 7ELL YES )´VE DONE MY BEST
BUT CONSIDER &"# THICK AND THIN
9OU INHALE SLOWLY AND DEEPLY "REATHE $ ,OOKING THROUGH YOUR NOTES YOU´VE
BLOOD½LMS FOR MALARIA ,&4S VIRAL
IN STEADILY RATHER THAN QUICKLY 7HEN ONLY HAD ONE BLOOD TRANSFUSION AM )
SEROLOGY BLOOD CULTURE STOOL CULTURE ¯
THE INHALER CLICKS DON´T STOP ¯ JUST RIGHT
ENSURE IT IS FRESH ¯ AND -35
CONTINUE TAKING A REALLY DEEP BREATH 0 9ES 4HAT WAS A WHILE BACK 4HE ONLY
9OU WON´T FEEL THE SPRAY HITTING THE !ND ON THIS SLIDE WE HAVE INFORMATION THING REALLY IS MY HIP AND NOW THIS
BACK OF YOUR THROAT ALTHOUGH THE TASTE ON MALARIA WHICH INCIDENTALLY COMES PAIN
IN YOUR MOUTH MIGHT CHANGE )S THIS FROM A SIXTEENTH CENTURY )TALIAN TERM $ /+ ½RST WE´RE GOING TO GIVE YOU
ALL /+ SO FAR ¯ MAL´ARIA ¯ MEANING ³FOUL OR BAD AIR´ PAINKILLERS
0 9EAH ½NE 4HERE ARE ABOUT TWO THOUSAND CASES 0 /+
. 4HEN YOU REMOVE THE INHALER AND HOLD NOTI½ED EACH YEAR IN THE 5+ -ALARIA
YOUR BREATH FOR AS LONG AS POSSIBLE IS OF COURSE VERY EASY TO MISS ONE
REASON BEING THAT IT´S A GREAT MIMIC
5NIT
MM UP TO TEN SECONDS 9OU THEN PUSH
THE LEVER DOWN AND REPLACE THE CAP AND SO IT CAN PRESENT WITH VIRTUALLY
ANY SYMPTOMS )T USUALLY CONSISTS
,ISTENING
7AIT A BIT AND THEN WHEN YOU HAVE
OF A PRODROME OF HEADACHE MALAISE ! " $OCTORS
RECOVERED TAKE THE NEXT DOSE "UT
MYALGIA AND ANOREXIA FOLLOWED BY ! 4HERE ARE MANY ADVANTAGES TO
REMEMBER TO PRIME IT BEFORE EACH
RECURRING FEVERS RIGORS AND DRENCHING NEW TECHNOLOGY 2ECENT MEDICAL
DOSE $O YOU HAVE ANY QUESTIONS
SWEATS WHICH LAST FOR EIGHT TO TWELVE BREAKTHROUGHS LIKE KEYHOLE SURGERY
0 .O NONE )T ALL SEEMS VERY CLEAR
HOURS AT A TIME 4HE EXAMINATION MAY ARE TRANSFORMING THE LIVES OF
. /+ CAN YOU EXPLAIN TO ME HOW TO DO
BE NORMAL BUT ONE NEEDS TO LOOK FOR PATIENTS ESPECIALLY AS REGARDS THE
IT
ANAEMIA AND JAUNDICE WITH OR WITHOUT IMPROVEMENT IN THE SPEED OF DELIVERY
HEPATOSPLENOMEGALY OF SERVICES AND THE SPEED OF RECOVERY
5NIT ON THE PART OF THE PATIENT "UT THERE´S
)F WE HAD A CASE OF A PATIENT SAY A
ALSO THE INCREASED CONVENIENCE FOR
,ISTENING BUSINESSMAN WHO HAD BEEN TO 3OUTH
THE PATIENT IN ALL THIS ,ET´S SAY WE
!MERICA AND PRESENTED WITH
)N ADDITION TO THE USUAL DIFFERENTIAL HAVE A PATIENT WITH LONG ESTABLISHED
DIAGNOSIS IN ALL RETURNED TRAVELLERS WHO ,ISTENING DIABETES AND WE ARE ABLE TO OFFER A
PRESENT UNWELL IT´S CRUCIAL TO CONSIDER $ $OCTOR 0 0ATIENT SIMPLE SOLUTION LIKE A SPRAY INSTEAD
IMPORTED DISEASE !ND AS TROPICAL $ 9OU HAVEN´T HAD ANY PROBLEMS FOR OF INJECTING THEN THERE IS GOING TO BE
MEDICINE IS A SPECIALIZED ½ELD WHEN QUITE A WHILE HAVE YOU LITTLE RESISTANCE
YOU´RE UNSURE SEEK EXPERT ADVICE BY 0 .O NOTHING SERIOUS )´VE BEEN QUITE " 7ELL THE SPRAY MAY NOT BENE½T EVERY
TELEPHONE OR ADMIT THE PATIENT LUCKY REALLY ) KEEP MYSELF NICE AND PATIENT
WARM ESPECIALLY AT THIS TIME OF YEAR ! -AYBE NOT BUT IT´S A STEP IN THE
/+ NOW IF WE TURN TO THE NEXT SLIDE HERE
AND ) MAKE SURE ) EAT PROPERLY AND RIGHT DIRECTION #AN´T YOU EVER SEE
IT SHOWS WHAT WE NEED TO ASK ABOUT
DRINK WELL )´VE NEVER BEEN A BIG COFFEE THE BENE½CIAL SIDE OF ANYTHING
THE HISTORY !S WELL AS THE SYMPTOMS
DRINKER BUT ) LIKE A CUP OF TEA AND ) RATHER THAN ALWAYS DWELLING ON THE
IT´S ESSENTIAL TO ½ND OUT ABOUT THE
DRINK PLENTY OF WATER AS WELL !ND DOWNSIDE 7OULDN´T YOU EVEN FEEL
AREA OR AREAS TRAVELLED TO INCLUDING
EVEN THOUGH )´VE HAD A ¾U JAB ) KEEP BETTER IN YOURSELF IF YOU WERE A BIT
BRIEF STOPOVERS THE DURATION OF TRAVEL
AWAY FROM PEOPLE !ND ) ALWAYS TAKE MORE POSITIVE
IMMUNIZATIONS RECEIVED PRIOR TO TRAVEL
VITAMINS EVERY DAY WITHOUT FAIL SO IT " )´M NOT ALWAYS NEGATIVE )´M JUST
MALARIA PROPHYLAXIS HEALTH OF MEMBERS
KEEPS MY FOLIC ACID UP -Y FRIEND HAD PLAYING DEVIL´S ADVOCATE
OF THE TRAVEL PARTY SEXUAL CONTACTS
LEG ULCERS SO )´M VERY CAREFUL ¯ )´M ! !ND SURELY ANYTHING THAT MAKES
WHILST ABROAD AND MEDICAL TREATMENT
TRYING TO AVOID THAT BUT MY HIP IS BAD TAKING MEDICATION EASIER IS GOING TO
RECEIVED ABROAD
INCREASE THE LIKELIHOOD OF PATIENTS
LISTENING SCRIPT: PHOTOCOPIABLE
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REMEMBERING TO TAKE MEDICATION ,ISTENING
AND STICKING TO IT IN THE LONG TERM IF $ $OCTOR 0 0ATIENT
NEEDED 0 #AN´T ) JUST HAVE THE ANTIBIOTICS )
" "UT NO MATTER WHAT YOU HAVE TO HAD THE LAST TIME
ADMIT THAT THERE ARE DOWNSIDES TO $ 7ELL WHAT YOU´VE GOT IS DIFFERENT
NEW TECHNOLOGY )T´S NOT ALL ROSY FROM THE LAST TIME 4HIS IS A VIRUS
! ,IKE WHAT FOR INSTANCE 0 "UT WON´T THEY WORK AGAINST
" 7ELL ) CAN THINK OF AT LEAST TWO VIRUSES
THINGS ONE BEING THAT WITH INCREASED 0 7ON´T AN -2) SCAN SHOW IF THERE´S
LIFE EXPECTANCY ALSO COMES INCREASED ANYTHING THERE OR NOT
MORBIDITY AND NOT EVERYONE WANTS TO $ !N -2) SCAN´S NOT SUITABLE HERE )T´S
LIVE WITH A POOR QUALITY OF LIFE ) KNOW CLEAR FROM WHAT YOU´VE SAID THAT
) WOULDN´T THERE´S NOTHING SINISTER HERE
! 9OU SAY THAT NOW BUT MAYBE NOT LATER 0 "UT MY FRIEND HAD THE SAME AND HE
ON AND AS MEDICAL SCIENCE PROGRESSES DIED OF A BRAIN TUMOUR
SO WILL QUALITY OF LIFE FOR THOSE WHO 0 7ON´T THESE STEROIDS MAKE ME PUT
ARE LIVING LONGER ) WOULD SAY THAT BY ON WEIGHT IF ) TAKE THEM
THE TIME WE REACH OUR SIXTH DECADE $ 4HEY CAN MAKE PEOPLE ADD WEIGHT
THE QUALITY OF LIFE FROM THE MEDICAL BUT IT´S ONLY A SHORT COURSE
POINT OF VIEW WILL BE WHAT IT IS FOR THE 0 /+
AVERAGE FORTY
YEAR
OLD NOW 0 )SN´T THAT NEW STEM CELL TREATMENT
" -AYBE AND ) HOPE YOU´RE RIGHT BUT ) AVAILABLE FOR PEOPLE WITH STROKES
THINK THAT THERE IS ALWAYS THE DANGER $ )T´S STILL AT THE TRIAL STAGE )´M AFRAID
WITH TECHNOLOGY OF LOSING SIGHT OF 0 #AN´T MY HUSBAND BE PART OF THE
THE PATIENT 4HE INFORMATION THAT TRIAL
PEOPLE HAVE IS BEING LOST AS WE SWITCH 0 7OULDN´T IT BE BETTER IF ) JUST STAYED
ON MACHINES AND THE MACHINE DOES ON THIS TREATMENT FOR MY DIABETES
THE WORK FOR US ! SIMPLE EXAMPLE $ 9OU CAN BUT YOU MIGHT ½ND THIS IS
IS TAKING BLOOD PRESSURE 4HE OLD MORE CONVENIENT FOR YOU $O YOU
SPHYGONOMETER IS BEING REPLACED BY WANT TO THINK ABOUT IT FOR A WHILE
DIGITAL MACHINES AND )´M NOT SURE 0 9EAH /+ )´M JUST WORRIED ABOUT
EVERYONE COULD EVEN READ THE "0 UPSETTING EVERYTHING THAT´S ALL
CORRECTLY
! 7ELL YOU HAVE A POINT THERE ,ANGUAGE SPOT
$ESKILLING IS A PROBLEM BUT THIS IS #OULDN´T ) JUST KEEP USING THE SAME
ALL ABOUT MANAGING CHANGE ) KNOW DEVICE
IT AROUSES DEBATE AND AT TIMES SOME )SN´T THIS AVAILABLE ON THE .(3
ASPECTS ARE SENSITIVE BUT ) DON´T 7OULDN´T IT BE BETTER FOR ME JUST TO
RESIST IT AND BY AND LARGE ) THINK THE CONTINUE WITH THE MEDICATION
DRAMATIC TECHNOLOGICAL ADVANCES IN $OESN´T THIS DEVICE COME WITH A CAP
RECENT YEARS HAVE BEEN INVALUABLE ON IT
!ND ) WOULDN´T WANT TO STI¾E CHANGE 3HOULDN´T MY DAUGHTER BE NEXT
" -E NEITHER ) THINK WE AGREE GENERALLY 7ON´T ) BE HAVING THE OPERATION TODAY
BUT JUST CAN´T AGREE ON SOME OF THE EITHER
½NER DETAIL #AN´T ) HAVE AN -2) SCAN
! 9ES ) SUPPOSE WE (ASN´T THE DOCTOR ARRIVED YET
(AVEN´T YOU DONE THAT REFERRAL LETTER
YET
$IDN´T YOU SAY ) COULD GO HOME TODAY
!REN´T ) NEXT ON THE WAITING LIST
LISTENING SCRIPT: PHOTOCOPIABLE
© Oxford University Press www.oup.com/elt
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