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办公室英语内科门诊看病口语(2)
2.实用对话

A Case of Stomachache胃痛病例
Doctor: What seems to be the problem?
医生:哪里不舒服?
Patient: My stomach hurts, Doctor.
病人:我胃疼,医生。
Doctor: Has this been a problem before?
医生:以前有过这种情况吗?
Patient: Yes.
病人:有过。
Doctor: For how long?
医生:多久了?
Patient: I have had it on and off for the past three years. It's just gotten much worse these past two weeks.
病人:这样断断续续地有三年了。只是过去这两个星期以来疼得比较厉害了。
Doctor: Do you only feel this way when your stomach is empty?
医生:您是只有在胃空着的时候才有这种感觉吗?
Patient: After I've eaten, it goes away for a while.
病人:吃了东西以后,疼痛会消失一小会儿。
Doctor: Do you feel nauseous?
医生:您感到恶心吗?
Patient: Yes. occasionally.
病人:是的,有时会。
Doctor: Do you have regular bowel movements?
医生:您大便正常吗?
Patient: I think so.
病人:我觉得正常。
Doctor: Let me take a look at your abdomen. Lie down on your back and bend your knees up. OK, relax... Alright, it seems like you have a duodenal ulcer, but we'll have to run
some tests before I can be certain. You should get a good rest first and try not to strain your stomach too much.
医生:我来检查一下您的腹部。仰着躺下,把腿蜷起来。好的,放松…好了,看上去好像是十二指肠溃疡,不过我们需要做一些化验才能确诊。您茵先应该好好休息,而且还要尽量减轻胃的负担。
Patient: Is it serious?
病人:严重吗?
Doctor: Not too serious, but it'll take you some time to recover, so you'll need to be patient.
医生:不太严重,但得一段时间才能康复,所以您要耐心点。
3.详细解说
1.“on and off”又作“off and on”,意思是“断断续续地,间歇地”,例如:It rained on and off for the whole afternoon(雨断断续续地下了一下午。)
2.“it seem like/as if/as though...”表示“看上去好像…”,例如:It seemed as if the end of the world had come.(那时看上去好像世界末日到来了一样。)
3.“run/do a test”意思是“做检查”,例如:They don't know what's wrong with her yet - they're running/doing tests.(他们还不知道她怎么了——他们正在查。)
4.文化洗礼
美国护士等级划分
美国护士主要分为三个等级,由上而下分别是Registered Nurse、Licensed Practical Nurse(加州称为Licensed Vocational Nurse)和Certified Nursing Assistant。
Registered Nurse - RN(注册护士)
RN是护理人员施行护理全过程的掌控者,从接受病人开始,到利用各种方法搜集病人的主、客观资料,做初步的护理评估。同时就搜集的资料做护理分析,并提出正确的护理诊断和适当的护理计划。美
国的医院大多为开放医院制,医生一般都在医院外开设诊所,大部分时间内并不在医院内,所有病人的问题都必须由RN立刻做出判断或与主治医生讨论后解决。因此RN必须具备独立的判断能力,能在不
同临床情况下作出安全正确的决定。
RN是专业人员,无论在美国的任何一州都必须通过执照考试,取得该州的执照后,才能在该州工作。
Licensed Practical Nurse ( Licensed Vocational Nurse ) - LPN (LVN)(职业护士)
其职责是在RN的监督及指导下,掌握基本的护理知识和技术,以执行并完成由RN制定的护理计划。所以其职责较俯重于护理技术方面,比如伤口护理、无菌技术、给药打针等。
LPN/LVN和RN-样,也必须通过护士执照考试,取得所在州执照后,才能在该州工作。
Certified Nursing Assistant - CAN(助理护士)
又称为Nurse Aide,其工作偏重于病人的个人起居和卫生护理,例如擦澡、换床单、翻身、量体温等。助理护士不能给药、打针,也不能!从事任何的无菌技术。
CAN被视为一般劳工,不需要通过执照考试,只要通过一个简单的护理技术考试,取得一张证书即可工作。
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