Файл: Учебное пособие 2 по английскому языку Для студентов лечебного и педиатрического факультета (2 семестр) 2020 год.doc

XII. Try to predict the right answers for the questions:

1. 
   Who do pharmacists work with?
   

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  Only patients
  
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  Allied health staff
  
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  Physicians and nurses
  

2. 
   Why is the team work important?
   

• 
  The team members have different qualification
  
• 
  The members of the team look at the patient from different approaches
  
• 
  The members of the team know a lot about each patient
  

3. 
   What does the success of the healthcare team depend on?
   

• 
  On the knowledge and experience of each member
  
• 
  On the specialization of each member
  
• 
  On the experience of each member
  

4. 
   What is a team approach?
   

• 
  the team is headed by the highly qualified specialist
  
• 
  all the members are equally important for the patient’s care
  
• 
  the members do everything for the patient’s recovery
  

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XIII. Watch the video ‘Board Certified Pharmacists: An Integral Part of the Healthcare Team’ and check your predictions:

https://www.youtube.com/watch?v=GCJyQtgruXQ

Fill in the chart according to the information in the video:

Team Approach
Patient		Team members	Responsibilities
Diagnosis		Gynecologic oncologist
Problems		Pharmacist
Outcome		Oncology nurse

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XIV. Watch the video ‘Meet the Team at the Ottawa Hospital’ and answer the questions:

https://www.youtube.com/watch?v=O1yEzdCIzxc

• 
  What departments are shown in the video?
  
• 
  What health care workers are named in the video?
  
• 
  What members does the healthcare team consist of?
  

XV. Read the text and study the subspecialties:

Subspecialists

Subspecialists, both medical and surgical, are a critical part of the workforce, critical for the health of people and for robust research, education, and scholarship in medicine. Here are some of the specialists working in the hospital:

Anesthesiologist (anaesthetist). An anesthesiologist administers medicine during surgery to help you relax and fall asleep. The anesthesiologist is present during an operation to watch over you and make sure you have no pain. They can also help you manage problems with pain outside of the operating room.

Cardiologist. A cardiologist is a doctor who specializes in diagnosing and treating heart or blood vessel problems.

Endocrinologist. An endocrinologist is a doctor who specializes in diagnosing and treating diseases and conditions caused by hormone problems, such as diabetes and growth problems.

Gastroenterologist. This type of doctor specializes in problems with digestion and diseases of the esophagus, stomach, pancreas, liver, gallbladder, and intestines.

Hematologist. A hematologist is a doctor who specializes in blood disorders.

Nephrologist. A nephrologist is a doctor who diagnoses and treats kidney problems.

Neurologist.This type of doctor specializes in diagnosing and treating brain and nervous system disorders.

Oncologist. An oncologist is a doctor who specializes in diagnosing and treating cancer.

Otolaryngologist. This doctor specializes in treating ear, nose, throat, and neck problems.

Psychiatrist. A psychiatrist is a medical doctor who specializes in treating emotional and behavioral problems through psychotherapy, prescribing medications, and performing some medical procedures.

Psychologist. A psychologist specializes in treating emotional and behavioral problems through psychological consultation, assessment, testing, and therapy. A psychologist is not a medical doctor, but has a doctoral degree (Ph.D. or PsyD). Pediatric psychologists at hospitals often provide prevention and treatment in helping families cope with medical issues.

Pulmonologist. A pulmonologist is a doctor who concentrates on lung problems, such as asthma and cystic fibrosis.

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Rheumatologist. A rheumatologist is a doctor who treats problems involving the joints, muscles, and bones, as well as auto-immune diseases. A rheumatologist treats conditions such as arthritis and lupus.

Surgeon. A surgeon is a doctor who can operate on patients if it is needed. A general surgeon does lots of different types of procedures, such as taking out an appendix or fixing a hernia. There are also many specialized types of surgeons, including neurosurgeons who operate on the brain and nervous system, urologists who operate on the urinary system, and orthopedists who operate on bones and joints.

LESSON 22
Grammar: Forms of Infinitive, Modal verbs + Simple & Perfect Infinitive, Revision Perfect Active & Passive
Case History

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I. Answer the questions:

• 
  Do you know what ’Case History’ is?
  
• 
  What sections does the Case History consist of?
  
• 
  Who fills in the Case History?
  

Word building

Suffix	Meaning	Example
-sis	state, condition or process	enuresis
-graphic (-graphical)	written, or relating to writing	chronographic
chron-(chrono-)	pertaining to time	chronobiology

II. Read and translate the words of Latin-Greek origin

symptom [`sImptqm], anamnesis [,xnqm`nJsIs], genetic [dZI`netIk], genomic [Gi’nOmik], relevant [`relqvqnt], revolutionize [,revq’lHSnQiz], familiar [fq’miljq], personnel [,pWsq’nel], standardize [‘stqendqdQiz], format [‘fLmqet], trauma [‘trLmq], identification [aI,dentIfI`keISn], occupation [,Okju’peiSn], alternative [Ll’tWnqtiv], status [`steItqs], chronicle [`krOnIkl], latex [`leIteks],
Active vocabulary

case history (patient history) – история болезни,

history taking - сбор анамнеза

to gain [geIn]– получать, приобретать

to complain [kqm`pleIn] (of) – жаловаться (на)

complaint - жалоба

to report [rI`pLt] - сообщать, докладывать

clinical sign [`saIn] – клинический признак, симптом

medical record [`rekLd] – медицинская документация, медицинская карта

to experience [Ik`spIqrIqns] - испытывать, чувствовать, переносить (заболевание)

investigation [In,vestI`geISn]- обследование

past medical history [`pRst]– анамнез жизни

complication [,kOmplI`keISn]- осложнение

family history - наследственность, семейный анамнез

clinician [klI`nISn] – клиницист, практикующий врач

over-the-counter drug [,quveDq`kauntq]- лекарство, отпускаемое без рецепта

questionnaire [,kwesCq`neq]– опросный лист, анкета

goal [gqul]– цель, задача

anxiety [xN`zaIqtI] - тревога, беспокойство

physical examination - медицинский осмотр, физикальное обследование

accurate [‘qekjurit] - точный
Usefulvocabulary

chief complaint [,CJf] - основная жалоба больного (при первичном посещении врача)

presenting complaint [prq’sentIN] – жалоба, с которой больной обращается к врачу

presenting symptom – симптом, проявляющийся в настоящее время

longitudinal [,lOnGi’tjHdinl] - продольный

history and physical (H&P) - анамнез и медицинский осмотр

history of present illness - история настоящего заболевания

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schedule [‘SedjHl, ‘skedjHl - таблица, график, план, список

siblings [`sIblINz] - родные братья и сёстры

social history [`squSl]– социально-бытовые условия, социальный анамнез

acute medication [q`kjHt]– сильнодействующий препарат

physical examination - медицинский осмотр, физикальное обследование
III. Read and translate the following word combinations paying attention to the word formation:

to diagnose - diagnosis - diagnostic, symptom – symptomatic - asymptomatic, clinic - clinical - clinician., history taking – case history, to record - the record - recorded, to identify – identified – identification, to complain - complaint, investigate - investigating - investigated – investigation, question –questionnaire - questioning, to experience – experience – experienced

IV. Read and translate the following word combinations

advances in technology, genetic testing, and genomic medicine, patient's electronic medical record, systematic questioning about different organ systems, patient's chief complaint, drugs obtained over-the-counter, to list prior pregnancies outcomes, a primary diagnosis based on the information above, programmed questionnaires and direct questioning, to review the data, to formulate some of the basic questions prior to contact, good communication between doctor and patient, to cope with patient anxiety, to obtain information through the history taking.

Grammar

V. Read the sentences, find Infinitives and define them.

1. This is the main problem brining the patient to see the doctor or other clinician.

2. Also it is an advantage to have saved a lot of doctor’s time.

3. The history taking can provide with some insight as to what the patient may be experiencing.

4. Governments have often refused to disclose medical records of military personnel to have been used as experimental subjects.

5. After the entering data are obtained, the next step is a record of the patient's health history to be obtained.

6. It is always a good idea to ask the patient if there's anything to be asked at the end of a consultation.

7. Try to hear your patients and understand their emotional state as best you can.
VI. Read the sentences and translate them paying attention to the form of Infinitive:

1. Patients have the right to ensure that the information contained in their record is accurate. 2. The medical history is a long record of events to have happened to the patient since birth. 3. It is very important the decision to have been made before this medical procedure is started. 4. The term "patient" comes from the Latin word "pati" which means to suffer. 5. It is very important the decision to have been made before this medical procedure is started. 7. To seek the cause of the ailment is to seek the diagnosis. 8. Try to determine if there is any link between the patient's symptoms and occupational hazards. 9. The only thing is most rare examples when a few symptoms can be manifesting at a clear diagnosis.
VII. Translate into Russian paying your attention to Infinitive:

1. The review of systems often includes all the main systems in the body that may provide an opportunity to reveal the symptoms that the patient may have failed to mention in the history. 2. The law clearly states that these records are not only memory aids for the physicians, but also should be kept for the patient and must be presented on request. 3. Generally in the UK, any recorded information should be kept legally for 7 years. 4. It is important to realize in both diagnosis and therapy that symptoms in chronic cases may have become a fixed part of the personality. 5. You should make connections between the isolated symptoms that the patient may have revealed to you somewhat by chance in their interview. 6. Open questions can be used to obtain specific information about a particular symptom.
VIII. Translate the sentences paying attention to Perfect Active and Perfect Passive:

1. After all of the important history questions have been asked, a focused physical exam is usually done. 2. Medical history gives the clinician a feel for what has happened before to the patient. 3. History of the present illness is a detailed exploration of the symptoms the patient is experiencing that have caused the patient to seek medical attention. 4. Every clinical procedure conducted is started because some decision had been made. 5. Many doctors feel that a questionnaire should be presented to the patient only after the initial history has been obtained. 6. The doctor's actual examination has begun with a review of the initial data. 7. If the patient has been involved in trauma, shock, or a crisis, it is not unusual for a degree of amnesia or faulty recall to be present. 8. Ask the patient to describe the symptom or problem that brought them to hospital by using an open ended question: “What has happened to bring you to hospital?” or “What seems to be the problem?” 9. Once you have determined what the presenting complaint is, it must be evaluated in detail.

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