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Section 2: Speaking

            Dialogue: Asking about symptoms
            Mrs. Smith has been taken into hospital because of persistent pain and sickness. The doctor asks her
                some questions about her health.

            Doctor: Hello, Mrs. Smith. How are you today?
            Patient: I’m a bit down because I don’t think I’m making good progress.
            Dr: I see, are you still having pain?
            Pt:  It’s very bad at the moment, it makes me feel sick too. You see, I’m not getting any rest at all. It
                wakes me up even at night. I go to sleep for about an hour and then I’m awake again.
            Dr: Show me where it hurts.
            Pt:  Down here.
            Dr: Can you describe the pain?
            Pt:  It’s a sort of dull pain, sometimes it moves up and down.
            Dr: You’re taking something for the pain, aren’t you?
            Pt:  Yes, I am. They’re giving me a lot of medicines.
            Dr: Did you have fever last night?
            Pt:  I didn’t have a fever last night, but today it is going up again, that’s why I am very upset.
            Dr: Don’t worry. We’ll try to bring your temperature down. Are you eating well?
            Pt:  I often get indigestion. I can’t eat a lot.
            Dr: Does any particular food upset you?
            Pt:  If I eat fatty food I feel very sick.
            Dr: Do you work?
            Pt:  I work in a bank. I’ve been off work a lot lately.
            Dr: What about your bowels? Is there any blood in your stools?
            Pt:  No. there isn’t.
            Dr: What about your kidneys? Are you urinating more frequently than usual?
            Pt:  Not really, although sometimes I have to get up during the night to pass water.
            Dr: And do you get any pain when you urinate?
            Pt:  No, no pain at all.
            Dr: Do you often get a cough?
            Pt:  Only when I have a cold or a sore throat. It usually happens in water or in damp weather.
            Dr: Do you suffer from breathlessness?
            Pt:  Not really. I sometimes get breathless when I climb the stairs or I rush about.
            Dr: Are you a smoker?
            Pt:  I don’t smoke too much, just four or five cigarettes a day.
            Dr: Do you get palpitations?
            Dr: From time to time. When I am anxious I feel my heart thumping.
            Dr: Any pain in your chest?
            Pt:  No.
            Dr: Do you get giddy at all?
            Pt:  Sometimes in the morning when I get up but it doesn’t last long.
            Dr: Do you suffer from headaches?
            Pt:  Quite a lot lately.
            Dr: Do you take anything for them?
            Pt:  Every now and then a pill.
            Dr: Is your hearing good?
            Pt:  I think so.
            Dr: I see you wear glasses?
            Pt:  Yes, I’m  short-sighted.
            Dr: I see, try to keep calm.
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