4 unit) 1 The hospital team Scrub up 1) Work witha partner tomatch each job witha person in, the picture. anaesthetist pharmacist —— eandiotogist ——physiocherspise consultant porter —— labtechnician —___ radiologist midwife receptionist —~ paediatrician = serubrmnne —— paramedic surgeon. 2 Match each phonetic spelling to one of the jobs. ‘Try tosay them vnth your partner. 2 Pekesbnas! ——__e terdnlodist fevsepfansy 12 fkan'saftan) ¢ Fsudgon)—__.g AmisBanst? 4, fiiou'Berspis hh Ipitdiotrfiy 3 © Ustenand repent How is stress marked in phonetic spelling? listening1 An admission 1 @ MasBensonisadmuited tohospital Lstentothe five short conversations, and decide who is speaking to herineach one Write 1-5 @ areceptionist, _ d asister —— > aconsultant ___ e aradiologist —— © aparamedic 2 @ ustenagain and decide'fthese sentences aretrue Morfalse(F). Vocabulary 1. Mrs Benson hashad fall. Th bonttigieentsklen Verbs for describing jobs 2 3. MrsBenson can't find the toilet, ‘Complete these descriptions of jobs with the verbs Jaen bbelow,and match each one with aob trom Scrub up. 5 6 ‘Theconsultantsendsherhome.__ roves Pecos 8 gives examines prepares ‘Mrs Benson's appointment isnext week. supports tests takes delivers‘A paediatrician treats children = attendsbirths and. babies. a ___itinesses ofthe heart and blood vessels. A equipment, furniture, ppatients,etc, around the hospital A. craysand other images. Thehospital team 5 Inthis unit ‘@ hospital jobs ‘@ describing what peoplein a hospital do ‘@ describing routines and current activities ‘@ the nursing profession 6a ‘surgeons in the operating theatre, TA medicines togive to ‘medical staffor patients. BA responds toemergenciesand first aid 9A operations. samplesand tissues6 Unit Listening 2 Ajob interview 1 Before you listen, answer the questions. Mow do you feel about interviews? Are you good athem? ‘When was your last interview? What wasitfor? How did it go? 2 @ istento rachel having job interview, and answer the questions 1 Whereis Rachel working now? 2. Which par ofthe hospital does she work ir? 3. Why isshelooking fore new job? 3. @ complete the setesnes ung tne wotds below. Thenlistenagainand check applyingror lectures night shitt fully-qualified part-time rewarding 1 Areyoua serubnurse? 2 Atthe moment 'mdoinga course and ‘workingat the same time 3. Itshard, especially when 'mworkinga__ and going to nextday 4_.1tsthe contact with the patients that’s most 5. Whyareyou_ sa tew job? e Language spot Present Simple v Present Continuous Weuse the Present Simple to talk about routines, duties, and things that happen all the time Iprepare the instrussonts for susgory ond help with ‘the operations. Amidvife delivers babies Took t the listening script of Rachel's interview on 1p125,and underline all examples ofthe Present simple. Weuse the Present Continuovs to talkabout things we are doing at the moment, or things that are happening now. ‘tthe moment I mdoing a part-time course. Took al hetisten cle all exarnplesof the Present Contsnvous script of Rachel’ inter ‘We can use certain verbs in the Present Simple {for example like} with an -ing form. ike watching opesations. ® Some verbs, suchas hike, want, know, ete, are not used in the Present Continuous. like my work ot the moment! Not Exibing-iy worksat themomicntl ‘The Present Continous isalso used ta talk about future schedules (see Unit 14) Imworking nights next weekend > Goto Grammar reference p16 1. Read thisstudent nurse's ervail home to herfriend. Choose the correct verb formsto completeit, Y “Ag /Thehospital tearn 7 A Maybe Australia. B Whydoyou want to work in Australia? Rit bir Baw) 4 itsaninteresting place and nurse’spoyis not bod! tox I[rearmeneurbsmaicom | Hewmuch = Ifivenatunic@fastnetcom Lite / mutt ta say thank you torthe bithday a, 2n6 totellyou naw get on /m getting on’ The course is hard work but lm erjoying /enjoy i so fax We usualy hove are having classes every morning, but this week working / workin Genatrics allay t's interesting, although of course want / wanting! to work 38. 5¢rUb (On the geriatric ard m making /moke beds and cheching 7 check® patients’ blood pressure and temperature. earring eon lol ahd Ue experiece very usefel {im going out /g0 out? most Saturday nights but stay in and study on other days. tomocrow! go/'m gorng!' to ‘restaurant for mi birthday! make / 7m making? lot of fiends, ul twish you were here too. Wie ta mel love Maria Carmen 2 Choose three jobs from Serubup Write aserttenceto ‘escribe what the person does,and a sentence todescribe ‘what the person isdoingin the pictureon p.4and pS ‘Then read your sentences to your partner. They rmust name thejab. ‘A. He moves patients from one part ofthe hospital to ‘another In the picture, hs pushing a trolley. B Isitaporter? A Yes. Speaking ‘Workin pairs. Take tums to choose on¢ ofthe sentence headin the box for your partner totalk about. Ask questions tomakethem talks much as possible, and note down the main information. Keep going until you have both used all the sentence heads. wxAMPce ‘A Oneday, hope to work inanather country. B Really? where? I'm interested in ve worked: Falke to work. ‘dona topato, Inmy ree time,| At the moment, {really enjoy staying. really don't ke. tmvey... Maoodat Iwant tobe a nurse because Next year Writing Profile of a student nurse 1 Read this profile of student [Link] you have anything in common with her? Rossitza Bontcheva ismineteen years old. She's studying fora diploma in nursingat Vazov Nursing College. She has examsnext month,soat the morzent she’s studying hard, She wants to bea murse because she likes working with people and she's interestedin science, but she really doesn't like doing paperwork. She'd like to bea paediatricnurse because she really enjoys working with children. She's worked on a children’s ward for three months asa work placement: ‘One day, she hopes to workin achildren’s hospital in India, which shesaw on television She's good at talking to people and making them feel comfortable, and she's very orgnnived Inher free time she plays the gutar,and goes out dancing most weekends. 2 Write a text about your partner, using the information you got in Speoking.8 Unit Florence Nightingale (1820-1910) was the founder of madera nursing She dramatally improved earations {or soldiersin feldhospital ard educated people about ‘the importance of yglene She saved thousands of ives ard become very faiows She lier state et oo Araining college for nurses anduvrote manybodts. cr nursing. Reading 2 Number these jobs from the highest grade (1) to. 1 Readthearticleand decideifthese sentencesaretrue ‘He lowest @) woot themareequal Mhorfalse a chargenuse. 1. The more responsibility youhave, the higher b rursing offices yom grade © amahary mare 2 Nursing officers are the sarveas aundliary nurses. sister € staffnurse 3 Students are paid less thanauxiliary nurses 4. Acharge nurse isarnan 5. There are not many opportunities for Entish nurses, tospecialize, 6 Many nursessay that the jobis rewarding, but the pay isow. One hundredsafify years age,nonses ward, Onthepymdesaremunsing ——_ fartherstudy and become speralist. ‘were unpaid, unained, and unpopular, _aficers, who sre usally administrator. Nursexenn specinize in many different father Flere Nightingale made Astin sesareonhebotom Keke there ate age nines working sursinginwaprofesion. The mevhuds ABnanyMnesavecn the Fewer Casualty, and pryehintsic muses wo eat theintodicathe 150swere copied Hae std mune sendi leet ne eaty ih There abel st sleet the west 2a eerie parcels bree When, who visit paticnesin der own homes, carer with adee or four-year ining, hey quali they xan weekingen'a Prete nares workingin GPs surgeries aqualieations, grades. ions. ame Clikegrinte: Ac they getenpecence, ae ihvives wha deliver buhies Pewsioms. they eng pometin anime he In Britain, every museisona grade. The Fans to ceume stall nurs then sister en rae change nunc it ine, peas rade depends on experience and skis, . ate and eae! grade hs ifferent eee mentally har, dt they work lng ours respemsbiities and pay- On thebottem Many nurses work shi an olten they” and get very ied But they alo say that fades re unqualified awsiary nurses weskewertine toesen mone muy After there are aan great rewards whieh have ‘whode the roitine work on hospital ase taining, any naesescheeose ted nothing edo with Mie, (Many of them say they donot get enough ay and respect fr the work they do. ‘They say thatthe work is phiysically and3. Find wordsin the article with theee meanings 1 examsand courses that you have taken q—_ 2. money that you will eceive when you areold. PB 3. similar work that you have done before 4 special abibities s 5 levelenfray p—__s. 6 extrahours you can work to eam more money o 7. study and practice toleam how to doa job eS __ 8 moreadvancedleamning fg Project 1 Goonline and ty to find theanswersto the questions, 1 Whatisthe NHS? 2 What'sthe starting salary for a qualified nursein ineuK? row rmuch anmal leave does a grade Brwrse get? 4. How many hoursa weekdoesa nurse work? 5 what English language exam da you need to passto workin the UK? What grades cana staff rursebe? Whats the salary rangefora staff nurse in the UK? Search the word ‘nursing atthe bookstore wwwamazon [Link], What's the fst Book that comes up? 2 Find asite that advertises nursing jobs. Find a job that ‘would interest you in the future and find these details sf possible. jobtitle salary and benefits grade quaifications and experience Teeation, hhow taapply duties closing date for applications 3 Inthenext class, compare your answers. The hospital team 9 eee Checklist ‘Assess your progress in statements which are true, lean name and describe hospitaljobs unit. Tick (4) the lea talk about duties and regular activities I candescribe what ishappeningat the moment with these meanings. I can understand an article about nursing Ian talk about my work and training — Ee Key words Work and training apply for ajob right shift parttime ppromation Qualifications rank tesporsibility rewarding speciaize Jobe auxiliary nurse consukant nursing officer physietherapist Look back through this unit. Find five more ‘wordsor expressions that you think are useful10 Unit2 2 Inand around the hospital Scrub up ‘Work with a partner. Look at these pieces of equipment. Do you know, orcan you guess, what they arefor? examrLe 4 Ithink this one is for measunnga patient's heart rate. B Ormaybe itsfor monitoring brain activity. Hospital departments 1D Which of the departments shown opposite dispenses medicines? 2 treatrkidney diseases? 5 specilizesin pregnancy and birt? = 4 shudies nesses and analyses samples? ORCeey 5. treats diseasesof thestin’ 6 performs operation on patents? EMIT 1 Gesigns special exercises fr patents? 3 3 © hn studies blood disorders? treats bones? specializesin the heart? t Dermatology Haematology vom Geta 12 teeats disorders of the nervous system? . (Sees deals with sick children’ 2. Match each department toone of the piecer of ‘equipmentin SoubupPronunciation Whereis the stress? 1 Match each of the words below toa stress pattern, 1 Cardiology —— 2 Pharmacy 3 Gynaecology 4 Neurology Smad 5 Obstetrics eee © wrdwpacues \ 5 noe 7 Paediatrics & Pathology ae 9 Dermatology ? sate 10 Physiotherapy ete 1 Renal Unt 2 Surgery 2 @ sen and check, thenlistenagainand repent 3. Workin srrall groups Tell the group what department you would like towork in. Which ones would you not like to workin? e Language spot Prepositions of place and movement Todescribe the place where somethings, we use prepositions such as in,on,on top of atthe fop/ bottom of inside Fomtside. near. nest to, by infront of hehind, ‘opposite, under, over,[Link] the left night ‘Theshop’s near the entrance,on therright of reception. The toilets are at the bottom ofthe stairs, on thelleft. Totalk about movement, we use prepositions such as up, down, unto, out uf away, fron, to, through ucress, along, past, back to, around left! nght: Go through the swing doors, turn leftalong the corridor, and the coffee bars in front of you Prepositions of movement are used with verbs of ‘movement suchas go, come, take, push, carry. Can you take these files back to the office, please? ‘Toget from here to surgery. you have to wheel the trolley ‘through three wards » GotoGrammar reference p.116 wand around the hospital 11 ee Inthis unit ‘© describing what different hospital departments do ‘@ giving directions in a hospital ‘@ prepositions of place and of movement, ‘© describing where things are 1 Complete the sentences with the prepositions below. at by in nextto on outside over under 1 Thetollets are the ground floor, reception 2 Talwayskeepa pen. _rny pocket. 2. Presathe button yourbed if you need thenurse 4 Mut yourbag. your bed, out of the way 5 Therestaurant’s____thetop of the building catabethe fit 6 Reception ic the mann entrance, theleft. 1. See that doer over there? The car paris just ____ward3. corridor. 8 He's theend of this 2. Underline the correct prepositions in these sentences. 1. Walk through /near reception, and take the lift to / at /nthe third floor, 2. Goaround /along past this corridor,andit’sthe Unird door on /at the eft. 3 you go past /through behind the swing doors, you'll sce the waiting room. 4. Thetollete sre at the hattom of ver the stairs. Physiotherapy isin front of opposite this department, so just goacrass / out of the corridor. 6 Gopast / down the restaurant, take thestairs upto! along /on the second floor, and the ward is out of / opposite Diet 3. Choose five prepositions. and write five sentences with ‘them about the building you are in now. EXAMPLE Cardiology itn the fret floer, newt to Nenology Speaking ‘Work pais Student A goto pia Student Bgoto pm2 unit2 Listening 1 Directions 1 @ tistentothese people ging directions Took atthe petureon p.4and psa [Link] dialogue witha picture 1 2 3 2 @ Listenagain Whereis the person giving rections to? ue ee 3 @ Try tofilin themissing words Thenlisten again tocheck 1 ‘out of here and the door you want is 4 Workin pairs Study the picture on p.4and p5 forone -mimute, then Student B closes the book Student Aasks for directions from reception,and3 tnes to give them fromrnemory. A. Howdo you get from Physiotherapy to Surgery? B_Yougo along he comidor, and. Writing Giving directions via email 1 Usethemapand complete the spaces inthe era Om USiy ele OF tell Alicia Marcos ne — = [eck Keane a wor _[Brectons: DearMeKeare Here are ihe directions you asked for ftom the railway Slation othe Gity Hospital Renal Unt | Leave he raiivay station atthe man entrance tun | + and walk long Station Seet for about 100 meties. Go he road tothe eumber 48 bus | stop. Teke the bus fo the hospital. Get olf the bus | ‘opposite the hospital. Walk _ Byron Avenue anditake the “ef. The door to the Real Units, ‘en your ' The Renal Untis tothe hespital esearch Wocary Regards Alicie Marcos just opposite snes 2 soits _outtide > ma 3 60 -the hospital__ these sane swing doors. 4. the frstright andi te second door 5. ..take the secondleftandgo along that comidor 2 Write an email giving a friend directions to where you ‘work or study from the bus or railway station,Inandaround the hospital 13 It’s my job 1. Before you read,makea list with a partner ofthe things you thinka hospital porter docs. Read about William ONeill Does he mention any of the same things as you? ee William O'Neill I'm the Head Pastor in thic hospital What slat An? Will run the place. Porters domore than just push food trolleys around the hospital. We transport patients by wheelchair or stretcher from the wards to Radiclogy or Physiotherapy and back again, We remove dead bodies to the mortuary, we lift and carry heavy equipment and furniture, and we dispose ofall the waste, Each, hospital bed produces 45 kilos of waste every day. We collect it each day and take it away for recycling. ‘We deliver the post all over the hospital and bring letters for patients that's avery important thing. AS ‘we move around the place, we take hes, samples,and specimens from here to there and back again lastyear walked 1800 kilometres! ‘Todoallthese thingsa porter ‘must be fit, beable to think clearly inan emergency, andbe polite and friendly Next time you are waiting fora portertoansweryour call. please be patient. He will be with you as soon as hecan, 2 Decide f these sentences are true (1) or false (F} Porters only push food trolleys around They move patients around tke hazpital Porters take dead patients from the wards. —_ Each ward makes 4S kilos of wastea day. The porters destroy all the waste, —__ Porters give the patients their mail. 3 Trytoresmernber Ue verbs in he text about Willian ONeill and complete these sentences 1 Wet. patients by wheelchair or stretcher 2 Wel, equipment. andwed. ofall thewaste 4 Wee steachdayandt__it away for recycling. 5 Sactetuspie ved p. every day, 6 Wed, the post letters for patients ande. ____heavy Aohilea uf waste and. 4 Now readthe text again and check your answers. Listening 2 The porter's office @ wstentowitham O Wel answeringtelephonecal's and directing operations. Complete these notesthat he makes ofthe phonecal's The Pathology tab wants "and Toke * to the waste. bins. Thedy are outside «near the on the _* Ward 4 needs a ‘40 take a14 Unit2 , JedraeJaxa-Rozen from Poland has designed a iying wheelchair. Speaking Student A (Speaking p.11) Describe your picture, and listen to student B deseribe their picture ‘without iooking at each other's pictures, find ten differences between them. Reading Wheelchairs 1 Read the articleon p.1s quickly Tick the things that are mentioned 1D computer programs 2G nospitals 2D problems gettingaround buildings 40 sport 5-0 what wheelchairs aremadeof 6 children 7 O History of wheelchairs 8 D high-speed wheelchairs 2. Read the text again and answer the questions 1 What material was the irst wheelchair made of? 2 Whatare modem wheelchaitsmade ch? 4. What difference does an electric engine make? 4 Apart from your arms, what can you usetocontrela swheelelair? 5 What thee things conan i807 do thstan ordinary ‘wheolehaircan't? 3. Find wordsin the text with these meanings 1 theplace you put your arms 2 orders not disabled moved by Whe user's ovm power how easy it so move around. that does eversthing —___‘Modern wheelchairs ae a big improvernent cn the first wheelchairs, which were just wheelbarrow lke the ones we use inthe garBen Professor Stephen Hawking’s wheekhar, for ewample, wa vehi, an office, and a domestic servant, allin one The steal vheelchar was owed by King Pilip of Spin he sateen cern Wha de atest technology —rernovable arm eis and leg rests and was ade of wood Modern wheelchairs aremade fom the samestrong, ight eal asancraft, and electic engines can that users dont need touse their arms or have someone to push \Wheelcha design made aig mp torvacd wath the wventin ota computer program that esconds to voice commands. Fer users who ‘cannot speak, computer technology also mkesit posible to manoeysrea machine by small movernens ofthe head, hand, tonave, and breath Scare things that able- bode popte do without thinking canbe 2 major problem for desbied peepe, er exrrge cn bing tai, entering and leaving bulkings, ard using toes. & wheeler can ether help or rake the preberns worse Sa below choosing a wheelchar there are rary questions you have toask Wil he wheelchair be set Propelled er maria? Vitich moe inpportant, ranoewrablty or tabi? Hove do you getin and outof The BOT clas to soke mary ofthe problems of standard wheelchens tis hughiy advanced, all-purpose ‘wheeler nat can vel up tas, ‘ae the user to reach high shelves, and balance on to wheel in he shower ts great fun to vse, but beware the pce —theiBOT cess as much as akoairy eae Inand around thehospital 15 LI | Checklist Assess your progress inthis unit. statements which are true, ick (¥) the {can name the main departments in a hospital Ian descnbe what departments do Ian understand and give directions lean describe where things are Ican understand an article about wheelchairs Key words Parts of ahospital floor lin. mortuary reception ward nervous system sample specimen stretcher waste Verbs dispense dispeseof Adjective disabled Look sack through this unit. Find five more ‘words of expressions that you think are useful46 Unit3 3 Hospital admissions Scrub up 11 Workin pairs. These patients have arcived in hospital ‘and are waiting in reception Discuss why you think eachoneisthere. 2 @ listen tothe patients describe their problem and decide which one is speaking 1 pos i 4 3. Decide the order, 1-5,1n which the patients shouldbe Vocabulary The admissions procedure 1 Complete he sentences withthe words below. atviage nurse lueatment aninitialassessment priority Iife-hueatening ‘waiting zoom, registration cubicle Take aseat in the ‘The first nurse you meet willbe specialist called 3. Thismurse will make. ‘of your problem, 4: This helps decide whois, - 5 Apatientwitha condition will see a doctor immediately. 6 Anurse will get personal details from you and filin ahospital___form. 7 Whenthereie2 free, you. 8 Thedoctor will decide on the. _ 2 Have youever been admitted to hospital? Do you have any stories of unusual hospital admissions? Describe exactly what happened, adoctor will eeeIt’s my job 1 Workin pairs. Discuss the question. What are the main responsibilities ofa hospital receptionist? 2 Readabout Canmenandanewer the questions 1. What qualities does Carmen need inher job? 2. How do medical staff cause Carmen problems? 3. What does sheknow about medicine? LR) Carmen Doman Y'ma hospital receptionist. Ifyou need to find somebody, or Ifyou need to know anything about the hospital-askme.|f you want new paper towels,or you need to speak toa surgeon~ask me, often meet people when they ate frightened, angry, or drunk, soit’s important to be diplomaticand strong. ‘often need toreassure people, soit's portant tobe ‘eal, ‘My normal work isto greet and assist patients when they arrive, make appointments for patients, record patients’ information, and organizeanc file patient records. Talso keep the accounts. You need to be very organized todothis job. Ofcourse, Ihave to operatea computer, a fax machine, and other office equipment, but Lalso have to know first aid, and understand medical terminology and abbreviations. My biggest problems are with the handwriting of medical staff It ‘wastes alot of time wher don't understand reports and forms Ddecause of handwriting or abbreviations. believe that without me and the other receptionists the whole hospital would coretoastop. Hospital admissions 17 aa inthis unit ‘© describing the hospital admission procedure ‘© describing what happened Past Simple vPast Continuous ‘ fillingina patient record cara ‘ewitinga summary ofa patient Vocabulary Patient record 1. Which Serubup patient is tecorded on this form? PATIENT RECORD Sumame Gra ‘rstname din Dos 3 Mf Occupation Marital status idow Nextof kin Contact no ovves 452178 Smoking intake a Alcohol intake week Reason for admission Medical history high blood pr ai Dr Parkinso1 Central Surg 2. Find words and abbreviationsin the patient record, vith these meanings. 1 yob ‘occupation, 2 badreactions: for exampleto certain medications 2. family doctor 4 closest relative 5. theamountof something youeat, drink, ete. regularly 6 dateofbirth 7 male/female 8 pastillnessesand inyuries 9 mamied /single {divorced /widowed 10 not applicabie = nota question forthis patient) = 11 ineach day, week, ete) 22 number es18 Unit3 ‘Research shows that hospital admissions increase when, there's. fll moon, andin the two days fllowing a Worl Cup defeat Listening Apatient record form 1 @isten tothe use get persona details froma patient As youlistencomplete the form. PATIENT RECORD Sumame First name Gender MF op Place of birth Occupation Manta status Next ofkin Contact no. ‘Smoking intake Alcohol intake Reason for admission Family history mental lines turbereulosis diabetes HIVAIDS 2 © Listen ageinandcomplete these questions that the nurse asks 1 What____you? 2 —__dateofbith? 3 —___youbomn? married? smoke? _-do you smokea 2 allergicto. ? & Dowty ofyour _farnily from any of the following...” 4 5 6 7 Speaking Student As work together in pairs Student Bs work together in pais. Youare going to play the role ofa patient admittedto hospital vent the following details. fullname dateand placeof birth allergies smoking and alcohol intake occupation marital status next of kin reason for admission family history medical history Student A-youare the nurse Ask Student B the patient, questicns to complete the patient record below. Nowchangeroles PATIENT RECORD Sun First name Gender MF Dog Place of birt (Occupation M Next of kin Contact no ‘Smoking intake Alcohol int Reason for admission Medical history Family historyHospital admissions 19 InoreyearintheUK 10,733 people reve sted te hospital because ena ch op tg © Language spot 2. Witte atieastthnee sentences about these people, ast Slnple Psst continiious inventing detalsabout what Rappenedtothem. Weise the Past Simple totallcabout things which happenediin the past. felt terible when Iget home lastnight J slipped on ice and hurt ray knee. Some verbs have a regular Past Simple, ending ned. ask-asked —arnve~arrived ‘The Pact Simple af some verheisirrrguiiar go-went —come-came —_take-took Find examples ofthe Past Simplein the Listening scrip for Scrub up on [Link] the base form for ‘eachone EXAMPLE had (have) When weare tellinga story we often vse a verb in the Past Continuous to givea background towhat happened. was riding my bike A catranin front of meand I selloff. ‘Shecuther finger when she was preparing food. Underline examples of the Past Continuous in the Listening script for Scrub upon p.125. » GotoGrammarreference p17 1 Completethe sentences using the verbs in bracketsin the Past Simple and Past Continuous tenses. Decide the order ofthe verbs first 1 When he was working, he broke his arm. (break, work) 2 Myson__a firework when and__his hand. (explode, hold, burn) aL ‘ofthe car My dad the doorand____ my fingers get out. break, lose) 4 Mymum —___inthe bathroom. She ___and___her head. (ut fal, get dressed) 5 1 tommusie, winen suddenly 1 ‘awhistling inmy earand| deaf. ([Link]. listen) 61 Inthe park, and aman__me and____me (punch, chase, rin) 3. Describe an accident that happened to you. What were you doing and what happened?20 Unit’ Every minute spent filingin forrrsisaminutespent uot ‘with patients, era Kneip Reading Bad handwriting 1 What do people say about yeurhandwntting? Isit clear andeeasy toread? 2 Asfastas [Link] down thee types of medicine and three diseases Show 1 toyour pariner Can they read what you have written? Have you made any mistakes? 2 Read the article ond decide the (Morfalse( 1 Nurses study doctors’handwnting at school, —__ 2 Doctors generally write murbers more carefully than words, 3. Methimazcleand Metolasoncare used forditferent conditions —__ 4 Ramachandra KoUuruis apharmacist, —__ ‘There isan old joke that docion te schooltoleam howto wate badly and urses go toschoolo leain how to read doctors hardwnling There sth in he [oke—comuteranabsis of the handwriting f medical salt shows that Cocters wehing isa let worse than that of hursesand adminsiaive sta Mayhe ts because dovtors re always under presse of ime that they wit very fast. ‘Thehabitstanswhen hey are medical students and gets worse astime passes. Computer arabian thal generale al ere 2telul wily numbers. However they lend t foam leurs ofthe alphabet badly When drug naieslock verysimilr, bad hhandwiting canmeon patients getthe wtocg meviciwe A yous gi neatly died wher she was ven Methimazole instead ‘of Metolazone (ones forhigh blaed pressure and the withers forthyru preblean). Adin 1089, 9 Amencen cardiologe. Ramachandra Kolluru, wrote a rcsenption so badly that the pharmack! gave 2 patien! the weg medicine. Tis time the patient did die and a court fined the doctor 25,000 LS dears Recently researchers studied 50 patient progress notes They found that they could not read 16% ofthe words The ‘misunderstandings thal hiscauses can mean thal 2 patient is shen the wrongblood, or that asuygeon ampurates the vreng, Thm Faalerors. ef course. mabe news, sles show thal every yest hundreds ofthousands of mistakes ae rade in ‘hogpials around the world, and alt of hem are because of 5. Researchers ould understand 4% of doctors’ notes. 6 Many hospitals use abbreviationsim order to avoid mistakes, —__ 7__AtCharing Cross [Link] carry computers around 4 Find words in the article tomatch these definitions, 1. con-medical people wo workin hospital offices 2 wertlen [Link] what drugte givea patient 3 made somebody pay money as a punishment 4 tocutoffpatt ofthe body 5 anarmorley — 6 mistakes thatresult ndeath — Luad handling or ablveviations which woody users Bad hang ako causes delays \shich are expensive and wasteful ‘There are many technical solutions forthe problema though digtl uechnology cant impreve handwntiog. ccan improve tie situation, At London's Charing Cross hhosptal,forexample patients wear bar codes (the same as ina supermarket) fontheirwntsor ankles Staff use the barcodesalongwith hand held ‘computerstegetacceite, deat, and easy tctead informationWriting Patient summary Read this summary about Mustapha Hussein, the patient in Listening 1Find three mistakes init Mustapha Hussein was admitted with possible ‘concussion after falling from a ladder and hitting his head, Mr Hussein was bom in 1962, He is divorced, and ‘works asa painter. His next of kin is his brother, Yusuf He can be contacted on 07709-401229, Mr Hussein smokes 40 cigarettes a day. Hedoes not drink alcohol He isnetallergicto anything. There is afarnily history of diabetes on his father's side, Writea similar summary about Sarah Behr using the inforraationen the patient recoud below PATIENT RECORD Sumame Behr Firstname Sarah _ bOE 1/84 Gender MF Occupation __teacher Mental status married Next of kin father len _ Contact no. 01792-7834656 Smoking intake _ n/a - Alcoho! intake 10 units per week Reason foradmission suspected fractured erm _ Family history heart disease side) Allergies Hospitaladmissions 21 Ll Checklist ‘Assess your progress in this unit. Tick (¥) the statements which are true. lean describe the admissions procedure ‘can understand and complete patient records Ian ask sornebody for thelr personal details Ican describe eventsin the past lean understand an article about handwriting SSS Key words Adjectives, allergic fatal Nouns accounts appointment cubicle firstaid Initial assessment life-threatening condition limb prescription priority progress notes registration trealient triage nurse Look back through this unit. Find five more ‘wards or expressions that you think are usefulWriting Patient summary Read this summary about Mustapha Hussein, the ppatientin Listening 1. Find three mistakes int. ‘Mustapha Hussein was admitted with possible concussion after falling from. ladder and hitting his head. Mr Hussein was born in 1982 He is divorced, and ‘works asa painter. His next of kin is his brother, Yusuf. He can be contacted on 07709-401229, Mr Hussein smokes 40 cigarettes aday. He does not drinkalcohol. Heis not allergicto anything. There is afarnly history of diabetes on his father's side Waite asimilar summary about Sarah Behr using the information on the patient record below. PATIENT RECORD Sumame Behr Firstname Sarah 008 2/1/84 Gender MMF Occupation teacher Marital status married Next ofkin father [an _ Contact no “01792-795456 Smoking intake na intake 10 units per w Reason foradmission suspected fractured ily history neart disease —— (father's side) Allergies nuts Hospital admissions 21 Ee Checklist Assess your progress inthis unit-Tek() the statements which are tue lean describe the admissions procedure can understand ard complete patient records Ican ask somebody for their personal details lean describe eventsinthe past | can understand an article about handwriting SS Key words Adjectives allergic fatal Nouns accounts appointment cubicle first aid Initial assessment life-threatening condition lirnb prescription priority progress notes registration treatment triage nurse Look back through this unit. Find five more words or expressions that you think are useful,22 Unita Scrub up Youarema light aircraft when it crashes intothe jungle Yourradiois breken so you can't call forhelp. ‘There ate twoof you and yournust get ready to walk: 100 kilometres tosafety. You already have clothes, food, and water. Youcan take only ten mote things with you~five fromeach list Discuss wha totake with your partner and explain your reasons. Medical General bandoges torch ascalpel abexof matches asnakebitelat soap Morphine amiror Aspicin acompass isposablegloves —aknife thermometer scissors tweezers fish hocks afirst aid manual lange plastic bags hypodermicnieedles—_accoking pot adhesive tape amosquitonet 4 Accidents and emergencies Vocabulary ‘rst aid ‘T Workin paits Discuss the questions. Have you ever experienced a patient with bhisters? third degree burns? severe bleeding? How should you treat them? 2 Complete aarh contence with a word frown the hex apply keep squeeze check for makesure sterilize immerse puncture swab fmmobilite remove treat 1 ___adean, sharp needle with alcohol 2 _— there isno glass or other foreign body inthe wound 3 Usetheneedletto the blister. 4@ Dont. burnt clothing, 5 __—amain artery ifnecessary. 6 ‘the injured person lying down. 7 ‘the injured body part once the bleeding has stopped. & ___the person for shock. 9 Dont severe large bums in cold water. signsof drculation u _ with lodine or cubbing alcohol 2 antibiotic ointment and cover with a bandage. 3. Compare your answers with a partner. Working ugetlwer decide wluch of the above i belong with eachof these conditions, a blisters bb third degree bums © Bleeding lucien 4 Add aninstructicn of your own fer each condition,e Language spot Instructions: Totell somebody what toda, you can use the Immperative. check forsigneof circulation, Apply the pads to his chest. Totell somebody what nottodo, add Don't on'tremove burnt clothing, ‘To omphacine what ie important, you can wee Make sure. ‘Make sure the wound isclean. ‘Make sure you don't touch hs body. When asking for instructicns, you can use the Present Simple, hiaveto, sha ana should What doide now? Dolhoveo immobilize his leg? Skolt takeoff the dressing now? What dosage should I give him? 9 Goto Grammar reference j:117 ‘1 Match the beginnings and endings of the sentences. 1 Cheekthat 2 Icount uptobetween breaths? 2 Makecureyou |b Igiveher? 3 Whatdo have toapply the pads? 4 Don'tlet 4. the patient isbreathing. 5 Should! € the patient hy tostand up, 6 Shalltbandage —f_putthebumtareaunder running water? 7 Don't g the patient’s pulse again, 8 What dosageshall 1 tiethe bandage too tight! 9 Take 1 the wound now? 10 Where do! } useasterileneedle 2 Workin pairs. Thunk of three emergencies a member of ‘the public might have Wo deal with Fer each one, wile three instructions to help them. Tell your instructions toanother pair They must guess the emergency. PxAMPLE (apatientis unconscious) Don't move the person. ‘Make sure they are still breathing. Keep the person warm until medical help arrives. Accidents and emergencies: 23 ee Athi unit (talking about fst aid ‘© understanding and givinginstructions €@ the symptoms of shock (describing how todealwithan emergency Speaking ma Workin pairs Student A look at this page. Student 8 go topii2. student a 11 Youarea paren. Five minutes ago poisonous snake bityour child. You phone an emergency helpline Explain the situation to the helpline nuts, then listen and use these notes to find out what todo. Notedown theinstructionsthat you are given EXAMPLE What shall Ido withthe wound? Should Iput itonice? Should l..? wound ice? bandage? child thisty-mikOX? walkaround? actor? 2 You area nurse working on telenhone helpline. Listen toyour callerexplamn the emergency, then use these notes to tell thecaller what todoand toanswer any questions PXAMPLE -Makesure he gets fresh air! Open windows and doors ‘ond fresh ait 17 (wmdows / doors ¥,carry necessary [Link]) mouth- washout v(water) rmilk/(aleoko1x) shan ~remove clothes if covered. pesticide 7 ~washy (running water, soap) eyes ~washy (running water, Sminutest, chernicals x) touch pestiode xx (gloves v7)24 Unita ‘Adefibiiatoris used to make the heart start beating conecty afterithas stopped orbecome fegulat tworks bysendingan leetieshock through paddles orelectrodesplacedan the patients chest. Listening Instructions 1. Workwaitha partner to put these pictures n logical ‘order. Describe what is happening in each one. 2 @tisten tothe studert muse receiving instructions froma paramedic, and check your order. 3 @ Usten agam. Underline the correct option in italics EXAMPLE The patient has hada stroke /a cardiacamrest 1 Thenurse gives two/three breaths into the patient's mouth. 2 Thepatamediccounts up to three /fourafter each push down on the chest 3. The nurse pushes downion the chest fifteen /sixteen fumes 4 They se the charge on the defibrillator at 100/200. 5 ‘Thenutse applies the pads on each side of above and belowthe heart. & ‘The patient startstorespond afterthe fist /second, charge from ‘he defibrillator. 7 The patient is given Lidocaine / Atropine. 8 Thedosage is 200 micver one minute /100 mover ‘two minutes. 4 © Complete each sentence witha verb from thelist, then isten again to check. check hold repeat stand. give press setup support give put 1 himcPR 2 him mouth-to-mouth fist 3 __hishead 4 Right, his nose closed, then, 5 ___your hand on tus chest. 6 dear of his body. 7 .then.__.the buttons and hold fortwo. seconds, 8 his pulse again. 9 oK- the procedure. 30. Welldone. Now. anIV and give1 Lookat the pictures. What do you think the article ts about? 2 Discuss these questions witha partner, ave you ever helped with a birth? How was it? Were you bom in hospital, at home, or somewhere else? Have you heard of any births that happened in an. ‘umnsual place? 3. Read the text and answer the questions 1 Was this Cive's frst experience ofa birth? Taxi diversin Bangkok arenow being tained tohelp women ‘[Link] 3-400 womeninthe ‘crygnetiren mraxisertuK tues ‘on the way tohespital each yea, Accidents andemergencies 25 Ih Ths all "| 2 Who gave instructions tocuve? 3 Whois Mehantuned Clive? 4 Howsthe taby now? 4 Workin pairs. Cover the article. Conyou remember the ridwafe'sinstractions. Look at the words below tohhelp youremember. blanket ‘mother's chest medical help head noseand mouth ‘umbilical cord hee towel British tal ariver, Cave Lawrence, pecame a mile fer an hour when a passenger gave bith Loa baby in tne back of his tant ‘Asha Gemechu's baby wes due in a month, but when her coniraclions started she called for a tax to take her to hospital. lr Lawrence answered the cal The expectant mum was in the tay for ten minutes when she realized that things were happening oo fast. the beby ‘was not going to wat Ils head aapeared, and Mr Lawrence stopped the taxitohelp with the bth, ‘MF Lawrence sad Iwas there when my kids were born, so tis was net completely new tor ne. spoke to anurse onthe {ax radio and she gave me instructions enly dé what she toldme. There's nothing special bout that. One minute {nas ‘one passenger, then Ihad twe, bul there's no extra cheroe! ‘Armiduale al the hospital aid, ‘Giving birth on the wey Co hospital Goesrit happen otten but f you're there when 1 does, just support the baby's head and guide it out ~ con't pul. Then clean the baby’s nose anc mouth, but cant cut the umbilical cord ~ just la the baby on the mothers chest, cord ‘and all. Dry tne baby vith 9 lean towel or cath, gently rubis back, then cover rum and baby with adry blanket tokeep them both warm, and wait for medical help ta arrive "Clive was wondertut' the ‘mother sai later, he did everything ight ‘sha is naming the baby Mohammed ve. Mother ant baby are bath sng wel26 Units ‘Worldwide, somebody sil ina car ‘accident every 30 seconds. ‘World Heath Organisation statistics) It’s my job 1 Read about Jeff Oliver and answer the questions. 1 When did eff decide to become aparamedic? 2 How long did he tran for the yoo? 3 What things do you have to be good at do Jeff job? 4 Who makes leff'sjob difficult? fs rs) Jeff Oliver rn deffOlwer.t 2¢yearsold decided tobecome a paramedic when saw twoof tem (rating a diver al the scene of an accident when I was a boy. {started as trainee ambulance techrician,and trained fortwo and aa years‘o become a qualified paramedic Now administer if saving procedures ryselh ts part of my everyday work togeioilate the heartofacatdhacamesttoapplyspinisto limbs and dress wounds, and tosetup ais, Uhave tomake quick decisions is animportant part of guing emergency treatment Sois communicating clearly and teeping aciear head in some dial situations. Andsituations are often very difficult, especially, when we have to deal with people Under the influence of drugs and aloe. But paramedics don't think twice we are awaystistelthescene ‘when there isa suicide, a road waent ora fire ‘When you savea life, thebestjobinthewerld Snell 2 Join these word combinations used in the text 1 before a alfe death \__b asatraince 2 cy 2 give ‘© aqualifiea paramedic 4 make treatment 5 save e people 6 start F decisions 3 Would youltketodo lefts job FS Signs and symptoms Shock Paramedics often have to deal with shock, condition that soften caused by major trauma such asatraffic ‘accident Shock occurs when the heartis unable to supply enough blood tothe organs Thisresultsina slowing-down ofthe vital functions,and can cause death, Shock s dificult to diagnose in its early stages. which makes it hard to treat Read about the signs and eymptome of chork ond complete them wath words below. dangerously blood pressure abdominal cardiovascular respiratory intestines. abnormally coma gastrointestinal central nervous systesn The. Ms ‘ atecied This can ‘causechangesin personality and restlessness. n advanced stages, confusion and ultimately problems may develop. The patient's heart often beats abnormally fast, but heavy bleeding may causeittobeat too slowly. ean result. Their temperature maybe? tow {hypothermia)or high (hyperthermiaAccidentsandemergencles 27 REE Ee Writing Information poster Youhave been asked to produce a poster telling motorists what todoin an emergency. Write alist of instructions forthe following situation. Give reasons ‘where it will help people to understand, RST AID FoRMoronIstS mij Acar has crashed. You are the first to arrive on the scene. The driver is unconscious. What do you do? An abnormal Increase in breathing rateconteadto Sistress or failure. hughin the early stages,but then hypotension is cornmon asit falls “low. ‘problems arise rom alack of blood supply. The —__* ‘an stopworking and ‘anstart todie. This _ "pain, nausea, vomiting, or diarthoea, Checklist ‘Assess your progress in this unit Tick (7) the statements which are true. lean talk about first ald procedures can understand instructions for CPR lean instruct somebody how to give frst aid Ian understand 4 descuiption of the symptoms of shock can wate instructions for dealing with an emergency Key words ‘Medical problems blister cardiac arrest circulation foreign body strob trauma ‘wound Treatment cre dispesable dressing hypodermic needle sterile sterilze swab taweerers Look >ack through this unit. Find five more Words or expressions that you think arc useful34 Units Listening 1 ‘Symptoms 1 @ stento these patients describe their symptoms and match each one with their condition 11 Workwith a partner. Match each phonetic spelling to oncof the wordson thelist How do yousay those seven words? Tidal aah tring constipadon 2 fnazial ‘acough. daefority 2 @ tistenagoin and tick the words you hear from this dizziness _ bist. 3 kof fever. —_——_——_ ding —— Adjectives dantoes 0 © deformed 4 Prams! va o 0 lumpy mumbness OG bused 5 Pekin’ aruruysoee_— naling 0G” wollen _ Sickness pin paint sreeeng ee ee ‘asoenthraal numbness 0 numb frets fer fees eellng £ : te wines ed 7 fades! gehang—— ivesness 0 2 @ histenandzepeat the seven words. 3. Decideif each of the symptoms on the ist affect the Inside ofthe ody, the outside ofthe body, o both. Write1{(~ inside), © (- outside), or B= both) next to ‘eachone Say the words as you decide together (the bold partcof the wade noe stressed) constipated3. @ Canyouremember the questions that the nurse asked? Workin pairs totry tocomplete them from memory, then listen again to check. 1 How __it feel? 2 Alittledeformed, __> 3 —___at paunfur when you movest? 4 ___moveyour tees? 5 How_____ feeling? 6 ___asorethroat? 8 going? 9 ___dizzyatallr 10 When___sick, mostly ” poin? e Language spot Question forms We change the word orderto form a question with be, «with tenses that are formed with beand have, nd with modal verbs such ascan, wil, should, ete Are you all ight? (Not You ave alright) What is she doing? Where have they put that weelchair? Can you move your toes? We use tht verbo to rake questions with the Present and Past Simple What side effects dees this dag have? id you take your medhcation last night? what, who etc asks about the subject ofthe verb, doisnot necessary ‘What happened) (not whet tid happen’) Who said that? (not Whodrdsy thot) ‘We often use question tags to check information, toexpress surprise, tobe friendly, ete ‘Thisis your fist me on thsward, isn't it? Youdon'teat meat, doyou? ‘Wesometimes leave out the verb, fit is easily unverstood, Anypain? (= Doyouhave any pam?) Comfortable? (= Are you comfortable?) 2» Goto Grammar reference p10 Symptoms 35 eT inthis unit ‘© describing symptoms ‘@ asking about symptoms ‘@ how to form questions ‘e syndromes ‘© tongue diagnosis 1 Match the begianings of the questions with the endings 1 0K, a ithut? 2 What b MysHales? 3 Wheredoes © areyou? 4 What about broken? 5. Let’shavea iook—swollen, 2 happened to you? 6 You'vehadan x-ray, f haven'tyou? 7 Anything yourshouldes? 8 Youuren'tonanyother hi isttit medication, 2 @tistenand check your answers. 3. [Link] your books and try toremember ‘as much of the conversation acyoucan. 4 Write questions togowiththese answers Nore | —_____ Patient Not bad, thanks~a bitsore Nurse Patient [fell ff my bike Nurse Patient Here, around my wnst. ‘Nurse ee Patient Yes,tcan, slowly, Nurse ‘ve also got a cut on iy leylook Patient Yes, ser Nurse _ Patient Yes, is deep. Will need stitches? Nurse Patient [Link]—and I don'twant any! Nurse — Patient No,!haver't seen him yet 5 @ Nowwlisten tothe conversation. Were any of your questions exaely thesame?36 Unité Inthe Uk, the most common reason _ghenfortaking time off work ‘Muctike symptoms’ which ae typically ‘fever and aches and pairsin the body. It’s my job Read about Sandy McCunreand decide if these sentences are true (1) or false (2). 1 Sandy works at night. Hex shifts aquiet one, ‘Some people phone becauise they arelonely. Sandy only gives information -not advice Helpline nurses have to speak foreign languages Se SS ie a el) Sandy McGuire ‘operate the telephone helpline on the graveyard shift that's the one from midnight through to the morning, Althoughit’s quiet andstilinthe streets outside, it's not so quiet in the office. The early hours of the morning are sometimes the busiest time, when the telephone never stops ringing People call the helpline for information or advice, or ‘sometimes they just need toheara friendly voice. We talkto people who are depressed and worried, and sometimes in pain. Sometimes we get some Funny enquiries~yesterday.a teenager phoned because he had swallowed some chewing gum and he was afraid he was goingtodie! ‘Wecan't see our patients, so we have to be very good on the phone, We have tolearn how to doit, because it doesn't come naturally. We have to know how tosk the right questions so that we get clear and accurate answers. and we have tobe abletospeakin language anyone can understand. Signs and symptoms Night coughing Here are descriptions of four possible conditions that can cause a child to cough in the night. Complete then with the words beiow. coughingup occurs. make sounds accompanied get are wheeze breathe has Asthma Children with asthma cough, and ‘when they breathe out. They become very short of breath ‘when an attack 2 Acold Sometimes child. Sacough anda fever with acold Abad cough can Sachild vornit, croup Children under three years old sometimes Scroup. They havea sore threat and they ‘wheeze when they in. When they cough itoften__ like a dog barking Pneumonia ‘The symptoms ot pneumonia__*a temperature of over 107°F (39°C), fast breathing, sometimes by vorniting and sometimes * blood.Listening 2 Ahelpline call 1. @ustentoSandy McGuire takings cllon the helpline. As you listen, lin the information about the patient 1 ageotratient =O 2 wheezes breathingin breathing out 3 coughsuptiocd yes] no 4 vermis ye ro 5 allergies yes ro 6 fever yes no] 2. Which ofthe conditions in Signs and symptoms do you think the child has? Discuss your idea witha partner, Speaking Student A look at this poge Student B goto pit2 Student A 1 Youhave hut your wrist. Memorize these symptoms. You will describe them tothe heiphine nurse late. You fell off your bicycle. It happened five days ago. Your right wrist is very painful. Theskin feels hot,and isred and sore. Theshape of the wrist seems normal, but it’s bit swollen, and it hurts when you touch You can move it without making the pain worse. You canalso held heavy bags,and put weight on it. 2-1 Yousre thehelpline muse. Ask the caller questions tofindout exactly what the problems Use the notes below toe you. an rske nates us you licten tothe ancwere aches? nausea? vomiting? (blood?) fever? diarchoes? (blood?) cramps? boating? 2 When you have all the answers youneed, ook at the diagnosis table on pI. What do youthink Student BSproblernist symptoms 37 3. Now change roles You are the [Link] helpline and tell the nurseabout your injured wrist Writing Symptom report 1 Read this report about a patient with appendieatis and find three mistakes. “Two das ago Miss dabarti had a mid Sever and conplaned of ales appetite, Later sub fered vausea and vomiting with on cecasional pain in the centre of her Stomach, Ske. 10s adwitted hospital yesterday, Todos her abdoncn i Siler and she. Subering a constant sharp pain her lower right side 2. Witte wseporton this patient who hus foed poisoning using these notes Patient wane: wan Abashey History Yesterday -venuiting with headaches, diarthoca (On admission - Severe. abdominal pam, high Sever “Tie morning ~ Heekeness, shivering, Pain in left abdomen ecxstant, stabbing Project Research the symptoms of one these illnesses and give a chort presentation deseribing them to the lass AtDs gangrene tuberculosis rubies malaria leprosy38 Unité Discuss the question witha partner Have you ever had symptaras with an unknown cause? What did the dactor say? 2. Read the article and decide f the sentences are true (T) or false (Fp. 1 CPSiscoused bya virus 2. C¥Ssufferers cannot lead a normal fe, 3. Some doctors believe they are not realy il 4. Gult War synaromne sutterers were attacked with chemicals. 5. They were vaccinated against the syndrome, 6 The army officially says that stresscauised their snes. 3 Tick (V) the things that each syndrome affects. Chronic cult Fatigue War Syndrome Syndrome appetite head mood eck sleep throat Work witha partner. Try to match the words without, looking back 3t the text, then look hock and chec 1 arecurent —\ a sleep 2 anoverwhelming |b glands 3 chronic © swings 4 lossof achesané pains 5 mood © appetite 5 muscle Nf sorethroat 7 poor g feeling of tiredness 8 swollen bh ilnesses: Lusedtohave complete faith doctors. Now Fighting tomake WH trem understarainat they dont Big beveatttne answers Gulf Weorvetense Cee ee tee have, and then to treat you, But sometimes Peer emery eta eres) and for these people it can be difficult or impossible to perenne The main symptom of Chronic Fatigue Syndrome (Ci Se nae! Sn a ec and continue normal physical and mental activities. Other include muscle aches and pains, poor sleep, 2, a recurrent sore throat, and swollen Pereira for known diseases. which prove negative. and many feel that doctors see them as hypochondriacs. sufferers often undergo many tests After the Gulf War of 1991, tens of thousands of soldiers suffered chronicillnesses which doctors still See eee) Tee recy Por area ena eee ary een ee ee are a eta eee eee ee have been exposed to chemical weapons without eee tne! eon a ree ree eee eee tert ta Perot eee rete but their Rene the cause of these syndromes will be nd willbe treatable. But for people like ex Pee ee et aa eee to be recognized by the medical profession. Then Peet sea cure onBody bits Tongue diagnosis Zelsushinisused intraditional Chinese medicine. Practitioners ‘exarnine the tonguein orderte diagnose illness and tofind out about the personality of the patient. Complete the text about zetsu shin using the words below. @isorder balance sign state condition problems effectively indicates thinking aggressive Colour Blood___are associated withawhite tongue Yellow —__*a disordered liverand gallbladder. Blue or purple shows upa__?* inthe digestivesystem. Purpleon the underside shows the iramune system is not working —_____+- darted tongue can bea_» ofinflammation orulcers in the body ‘Movernent ‘The flebihity of the tongue shows the general Sof the digestrur system width Aide tongue is good. fort shows physical and psychological 2 anartow tongue indicates sharp. * Tp rounded up showsa ‘of good physical and mental health. People whose tongues havea pointed tiphave —___ personalities, Examine your partner's tongue and make notes. Tel them what their tongue indicates about thera according tozeteu shin. Discuss what you told each other. Do you think theres any truthan zetsu shin? symptoms 39 Oe Checklist ‘Assess your progress in this unit-Tick (7) the statements which are true. Ian describe symptoms | canaska patient about their symptoms {can form questions in all main tenses ‘can understand an artide about syndromes Key words aching bruising cramp deformity sizziness itching lump mood swings rumbress rash spot stitches swelling swollen Look back through this unit. Find five more ‘words or expressions that you think are useful