Академический Документы
Профессиональный Документы
Культура Документы
Учебно-методическое пособие
Часть III
Санкт-Петербург
Издательство СЗГМУ им. И. И. Мечникова
2017
УДК 811.111
ББК 81.432.1
Е56
Авторы разделов:
Unit 11. Hygiene — Кубачева К.И., Липатова Е.Г.
Unit 12. Mental illnesses — Лебедева Н.А.
Unit 13. Monitoring the patient — Мушенко Е.В., Липатова Е.Г.
Unit 14. Medication — Ольховик Н.Г.
Unit 15. Alternative medicine — Липатова Е.Г.
Рецензент:
канд. пед. наук, доцент Гуманитарного института Санкт-Петербургского госу-
дарственного политехнического университета Т.А. Баранова.
Утверждено
в качестве учебно-методического пособия
Методическим советом ФГ БОУ ВО
СЗГМУ им. И. И. Мечникова
Минздрава России,
протокол № 3 от 5 октября 2017 г.
3
Grammar
■ The Passive 41
Reading
■ Telemedicine 40
Listening
■ Telemedicine 38
Speaking
■ Describing procedures 36
■ Describing lab results 37
Video task: The future health-monitoring devices 43
Wordlist 45
Unit 14. Medication
Vocabulary
■ Types of medication 48
■ Forms of medication 51
Grammar
■ be going to vs Present Continuous for future 54
Reading
■ What are medicines? 47
■ Seven drugs that changed the world 49
Listening
■ Different ways to take a drug 53
Speaking
■ What are medicines? 47
■ Exchanging details about patient's medication 53
Writing
■ Medication orders 55
Video task: The placebo effect 56
Wordlist 58
Unit 15. Alternative medicine
Vocabulary
■ Types of alternative medicine 61
Grammar
■ Giving reasons 67
Reading
■ Acupuncture 63
Listening
■ Acupuncture 63
Speaking
■ What is alternative medicine? 61
■ Looking for an alternative medicine therapist 69
Translation
■ Shiatsu 67
Video task: Homeopathy 71
Wordlist 72
Appendix 73
Reference 75
4
МЕТОДИЧЕСКАЯ ЗАПИСКА
Целью учебно-методического пособия «English for Healthcare Professionals» яв-
ляется формирование готовности к решению профессиональных задач на англий-
ском языке у будущих специалистов в области медицинской деятельности.
Настоящее пособие включает пять коммуникативных ситуаций: «Hygiene»,
«Mental illnesses», «Monitoring the patient», «Medication», «Alternative medicine»,
представляющих заключительный этап курса английского языка для студентов
медицинского вуза и создающих преемственные связи в тематическом и содержа-
тельном планах с дисциплиной «Иностранный язык» в аспирантуре.
Содержательное наполнение коммуникативных ситуаций пособия позволяет
расширить культурологический и лингвистический кругозор учащихся, сформи-
ровать основы деонтологической компетенции, создать установку на непрерыв-
ное самосовершенствование собственных речевых умений и навыков на англий-
ском языке.
Система заданий и упражнений пособия представляет собой профессиональ-
но-ориентированную методическую модель развития речевых способностей, ос-
нованную на коммуникативном, деятельностном и компетентностном подходах
к обучению, учитывающую этапы процесса речевосприятия и речепорождения и
реализованную в активных методах обучения иностранному языку.
Каждая коммуникативная ситуация презентована в пособии через блоки зада-
ний, которые актуализируют все виды речевой деятельности (аудирование, говоре-
ние, чтение и письмо), взаимосвязаны на лексическом и грамматическом уровнях,
выполняют единые задачи пошагового развития и закрепления речевых умений и
навыков, а также создания установки на изучение нового материала.
Блок заданий «Vocabulary» вводит ключевую лексику коммуникативной ситуа-
ции через такие активные методы обучения, как соотнесение лексемы и дефини-
ции, поиск соответствий концептов в родном и изучаемом языке, множественный
выбор, ассоциирование словарного значения слова и его контекстуальных ассоци-
аций, вербализация концепта и т.д.
Целью упражнений в блоке «Grammar» является установление связи между
словом, ситуацией общения и грамматической конструкцией, что автоматизирует
процесс создания речевого высказывания на иностранном языке. Преподавателю
рекомендуется акцентировать внимание учащихся при выполнении граммати-
ческих заданий на устойчивых словосочетаниях, лексико-грамматических кон-
струкциях, функциональных фразах, актуальных для рассматриваемой темы про-
фессионального общения.
Изученные лексико-грамматические единицы синтезируются в блоке заданий
«Translation», который представлен в пособии как особый вид речевой деятельно-
сти на занятии по дисциплине «Иностранный язык» в медицинском вузе и ори-
ентирован на оптимизирование процесса усвоения нового речевого материала.
5
Данный вид деятельности позволяет зафиксировать в речевом сознании учаще-
гося эквивалентные соответствия языковых единиц изучаемого и родного языка,
что значительно повышает эффективность процесса формирования готовности
к профессиональной коммуникации на иностранном языке.
Задания блока «Reading» расширяют культурологический кругозор учащихся,
формируя фонд фоновых знаний о специфики медицинской сферы англоговоря-
щих национальностей. Тексты содержат актуальные и современные проблемные
ситуации, представляющие интерес для будущего специалиста-медика и, соот-
ветственно, стимулирующие его познавательную деятельность. Сопровождающие
текстовый материал упражнения основаны на активных методах работы с пись-
менным высказыванием разных стилей и развивают способность к самостоятель-
ному корректному восприятию, пониманию и интерпретации речевого произве-
дения на английском языке.
В разделе «Writing» формируется умение создавать письменное высказывание,
соответствующее целям и задачам профессиональной коммуникативной ситуации
с точки зрения формы, содержания, лексической презентации и грамматического
оформления.
Задания «Video task» может рассматриваться как самостоятельный вид учебной
деятельности, так как актуализирует навыки, умения и способности учащихся
в области аудирования, чтения и говорения. Система упражнений к видеоролику
четко структурирована с учетом процессов речевосприятия и речепорождения и
включает следующие этапы работы с речевым материалом: создание установки на
просмотр видео на эмоциональном и содержательном уровнях, лексическая рабо-
та над ключевыми словами высказывания, понимание содержания речевой ситу-
ации, интерпретация высказывание и инициирование и развитие коммуникатив-
ной ситуации на английском языке в соответствии с заданными целями. Активная
речевая деятельность учащихся стимулируется посредством ролевой игры в устной
или письменной форме в зависимости от задач изучаемой коммуникативной си-
туации.
Ключевые лексико-грамматические конструкции объединяются в конце каж-
дого раздела в глоссарий с примерами на фразовом уровне и ориентируют студен-
тов на самостоятельное закрепление изученного речевого материала.
Лексические и грамматические упражнения, задания к видео роликам обла-
дают универсальным характером и могут быть интегрированы в СДО Moodle для
использования в качестве мониторинга и контроля самостоятельной деятельно-
сти студентов, изучающих профессионально-ориентированный английский язык
в медицинском вузе.
6
UNIT 6. HYGIENE
7
5. Underline the correct options in bold.
1. The nurse cleaned the trolley using disinfectant and a mop/cloth/clinical waste
disposal bag. 2. Cloth towels/paper towels/mops are disposable paper and intended to be
used only once. 3. Soap dispensers/disposable gloves/swabs are often used by people to
wash hands in public toilets. 4. One of the main steps in cleaning metal instruments is
immersing them into a water bath with cleaning mop/paper towel/detergent. 5. Sinks/
clinical waste disposal bags /bins must be used for the storage of soft clinical waste
contaminated with infectious or potential infectious blood or bodily fluids. 6. Doctors
and nurses have to wear disposable gloves/bins/mold when handling a bleeding patient.
7. Nowadays string mops and buckets/paper towels and cloths are still the most common
tools used to clean floors in many hospitals. 8. The results of the study say that paper
towels/sinks are associated with multiple outbreaks of serious infections in hospitals
worldwide. 9. The clinical waste mops/bins are constructed from an anti-bacterial plastic
that helps to reduce the risk of cross infection.
8
11. catheters k) лекарственно-устойчивый
12. scrubbing-up l) переходить
13. affect m) быть чувствительным/восприимчивым
14. cross-infection n) заразный
9
3. a procedure when a doctor washes the hands and arms
very carefully before performing a medical operation;
4. any item that is essential for treating illness or injury.
5. a drug inability to effectively control or kill bacterial
growth.
12. Complete the questions with the words from Ex. 11. The first letters have been given.
Then answer the questions.
10
3. Healthcare associated infections are caused only by C. difficile, or deadly diarrhea
and Pseudomonas.
4. Staphilococci include the drug-resistant type known as CRE the "nightmare bacteria,"
Enterococcus.
5. Bloodstream infections in patients have not been reduced in the last 5 years.
16. Work in pairs. Follow the chart below. Prepare a short presentation on Hygiene.
What is hygiene?
Types of hygiene.
must
We use must in rules, and to say when things are necessary.
All surfaces must be cleaned with disinfectant.
have to
We use have to to talk about things that other people oblige us to do.
The patient has to take medicine at certain hours.
mustn’t
We use mustn’t to say it is necessary that you do NOT do something.
A nurse mustn’t wear her hair loose.
don’t have to
We use don’t have to to say something is not necessary.
Receptionists don’t have to move patients around the hospital. That is the porter’s job.
need to
We use need to to say it is necessary to do something.
All visitors need to wear shoe covers in hospitals.
need + ing
We use need + ing to say what job it is necessary to do.
This patient’s linen needs changing.
11
17. Match the halves of the sentences.
1. This solution must be a) a hygiene report every week.
2. This bedridden patient’s hair b) an antimicrobial agent in hand washing.
3. You don’t have to feed this patient c) needs cutting.
4. The Ward Matron must make d) kept in the fridge.
5. All nurses must use e) because he can do it himself.
12
21. Match the words with their Russian equivalents.
1. medical costs a) период времени/протяжение
2. prolonged b) распространяться
3. mortality c) целенаправленный антибиотик
4. emergence d) вид/образец
5. spread e) держать/брать курс на что-либо
6. misuse f) смертность
7. urgent actions g) возникновение/появление
8. head for h) длительный
9. viral infection i) вирусная инфекция
10. duration j) злоупотребление
11. species k) стоимость медицинского обслуживания
12. targeted antibiotic l) срочные /экстренные меры
22. Read the article and match the headings to the correct paragraphs.
A. What are the possible consequences of antibiotic resistance?
B. What can be done to limit this increasing resistance to antibiotics?
C. What is the origin of resistance to antibiotics?
D. How do bacteria become resistant to antibiotics?
Over the last century, antibiotics have radically changed the way we treat infections.
They are an important tool for modern medicine, but unfortunately their misuse has led to
the emergence of bacteria that are resistant to antibiotics.
1. _________________________________
The main origin of resistance to antibiotics is their misuse. As underlined by the
European Centre for Disease Prevention and Control (ECDC) they are three main
types of misuse:
The unnecessary prescription of antibiotics for viral infections, against which
they have no effect;
The too frequent prescription of “broad-spectrum antibiotics”, in place of a
better targeted antibiotic, through more precise diagnosis;
The inadequate use by the patient, not respecting either dosage or duration of the
treatment, which means that some of the bacteria may survive and become resis-tant.
2. _________________________________
Some bacteria are naturally resistant to certain antibiotics, others can acquire resistance
through mutations in some of their genes when they are exposed to an antibiotic. This
resistance, natural or acquired, can spread to other bacterial species since bacteria can easily
exchange genetic material from one to another, even if they are from different species.
3. _________________________________
Many of the available treatment options for common bacterial infections are becoming
more and more ineffective. As a result, a growing number of infections — such as
13
pneumonia, tuberculosis and cystitis — are becoming harder to treat as the antibiotics used
to treat them become less effective and it leads to higher medical costs, prolonged hospital
stays, and increased mortality.
4. _______________________________
Today antibiotic resistance is one of the major global problems. Without urgent
actions, we are heading for a post-antibiotic era, in which common infections and routine
operations could become fatal.
Health experts from the World Health organization are calling to take steps at all levels
of society to limit the spread of resistance. Most of them are quite easy to follow: we all are
able to prevent infections by washing hands regularly, preparing food hygienically, avoiding
close contact with sick people and keeping vaccinations up to date. Take antibiotics only
when prescribed by a doctor. If you take it, always complete the full prescription, even if
you feel better, because stopping treatment early promotes the growth of drug-resistant
bacteria.
23. Read the text again and answer the questions below.
What can antibiotic resistance lead to?
What are the main causes of antibiotic resistance?
What can individuals do to reduce antibiotic resistance?
24. Find a word or phrase in the text which means...
1. ___________ means death rate;
2. ___________ means the process of coming into existence;
3. ___________ means using something in the wrong way or for the wrong purpose;
4. ___________ means requiring immediate action or attention;
5. ___________ means caused by a virus.
25. Complete the sentences with the words from the box.
The ___________ (1) of Ebola was first medically recorded in 1976 near the Ebola
River in what is now the Democratic Republic of the Congo.
The Ebola virus causes an acute, serious illness which is often ______ (2) if untreated.
It belongs to the (3) ______ family Filoviridae. Ebola is caused by (3) _________. These
virus (4) _______ cause hemorrhagic fever or heavy bleeding inside the body, and dam-
ages almost every organ.
The Ebola virus may be (5) __________ through blood, diarrhea, breast milk, saliva,
sweat, urine, vomit and other contaminated body fluids. Unprotected health care work-
ers are especially (6) _________ to the infection because they often deal with blood and
bodily fluids. According to the WHO, the average (7) ________ rate for a person infected
with Ebola is 50 percent.
Over the years Ebola has killed 11,315 in Liberia, Sierra Leone, Guinea and Nigeria.
But the WHO admits the figures are not (8) _________ due to the difficulty collecting the
data.
14
26. Complete the charts.
27. Fill in the gaps with the correct particles and prepositions.
1. Pregnant women are more susceptible ____ Zika virus than others. 2. Zika virus may
lead ___ serious birth defects in the baby. 3. Zika virus is a mosquito-borne disease. Sci-
entists released out some insecticides, but the mosquitoes got resistant __ them very fast.
4. Resistance ____ insecticides was caused by a variety of physiological changes within
the insect. 5. California health officials warned winter travelers headed ____ Mexico to
take precautions against the Zika virus. 6. Pregnancy should be avoided for 6 months if the
male partner has also been exposed __ the Zika virus.
15
29. Imagine that you are a public health educator and you are going to make a presentation
about the consequences of antibiotic resistance. Prepare a plan of your presentation. Work in
small groups. Make your presentation.
16
UNIT 11. VIDEO TASK
1. What do you know about typhoid? What are the main sources of this disease? What
are its main symptoms?
2. Do you think it is possible to be a healthy carrier of typhoid?
3. Read the summary of the story. Try to find the mistakes there.
Mary Mallon was a Scottish immigrant who came to New York City in 1885. She started
working as a cook for rich families. Every time the families she worked for got sick after she
started cooking for them.
Once in 1908 when she was working for a family in Long Island, the family unexpectedly
came down to typhoid fever. So, the house’s landlord hired a sanitary inspector, to find
the cause of the outbreak. All the water sources turned up to be clean, and he started
checking Mary’s employment history. He found out that six families she had worked
for — 22 people in total — had reported cases of typhoid fever. He understood that it
was Mary who spread typhoid. She didn’t feel sick, but the bacteria were in her feces
and urine. So, in case she didn’t wash her hands properly, she could spread the disease
easily. Typhoid bacteria usually die from the high temperature involving in cooking.
But Mary often prepared apricot ice-cream which was packed with raw fruit. After the
investigation, Mary was forced to have her tests for typhoid. The test was positive, so she
was quarantined in a small shack on North Sister Island.
Four years later, she was released from quarantine with the promise not to go back to
cooking. However, Mary did not keep it, changed her name into Mary Black and went
back to the kitchen again.
17
Five years later typhoid fever broke out at Sloane Maternity Hospital in Manhattan,
infecting 24 workers and killing three people. Health officials came to the hospital and
found Mary working there. So, she was taken back into North Sister Island where she was
quarantined for more than 22 years until she died in 1939.
GLOSSARY
18
UNIT 11. WORDLIST
Study the list of useful words from Unit 11. Insert your translation after reading the
corresponding sentences.
adj = djective conj = onjunction phr v = phrasalverb phr = phrase pron = ronoun
adv = adverb n = noun pl = plural prep = reposition v = verb
19
Use a detergent to remove dirt from clothes,
detergent (n)
dishes, etc.
The disposal of hazardous waste is a serious
disposal (n )
problem in all hospitals of our city.
Wearing disposable gloves in the hospital
disposable gloves (phr)
helps prevent the spread of germs.
Drug resistant bacteria can spread from
drug resistant (phr) person to person in the community or from
patient to patient in hospital.
A research suggests that a common cold will
duration (n) delay a child's growth for the duration of the
illness.
Over the past few decades, scientists have
emergence (n) observed an emergence growth of dangerous
infectious diseases and an outbreak of
epidemics in different parts of the world.
Food hygiene procedures are the conditions
food hygiene (phr)
and measures necessary to ensure the safety
of food from production to consumption.
Hospitals are being forced to close
force (v )
departments because of quarantine.
The scientists headed for developing a new
head for (phr v)
vaccine against Coxsackie virus.
Hospital hygiene deals with the control and
hospital hygiene (phr)
prevention of hospital infections.
hospital-acquired infection Hospital-acquired infections are the most
(phr) serious infections acquired by patients in the
intensive care unit.
inherit (v ) Mike inherited this incurable disease from his
father and was unable to walk.
Further investigation is required to develop a
investigation (n)
new drug against this viral disease.
maintain hygiene Maintaining good hygiene is one of the keys
(phr v) to a healthy lifestyle.
A great amount of medical costs are spent
medical costs (phr)
annually on the treatment of infected
patients with dangerous diseases.
Military hygiene means the care of troops
military hygiene (phr) and it concerns officers who control the daily
lives of soldiers: their food, clothing and
habits.
misuse ((n) The misuse and treatment of hormonal drugs
can cause side effects.
In some cases, mold in your home can make
mold (n)
you sick and irritate your eyes, skin, nose,
throat, and lungs.
mop (n) Use a mop for wiping floors or other surfaces.
20
A decline in infectious diseases mortality
mortality (n) preceded the introduction of penicillin;
antibiotics have made possible further
reductions in deaths.
MRSA (methicillin- MRSA is a form of bacterial infection that is
resistant staphylococcus resistant to numerous antibiotics including
aureus) (phr) methicillin.
Occupational health deals with the health of
occupational health (phr) people in their workplace or in relation to
their job.
There was no outbreak of small pox because
outbreak (n)
of vaccination.
Paper towels should be used in hospitals for
paper towel (phr)
drying hands, cleaning up spills, etc.
prolonged (adj) Prolonged exposure therapy is a treatment for
chronic post-traumatic stress disorders.
Isolation and quarantine help protect the
quarantine (n) public by preventing exposure to people who
have or may have a contagious disease.
Antimicrobial resistance threatens the
effective prevention and treatment of
resistance (n)
infections caused by bacteria, parasites,
viruses and fungi.
The doctor thought that was possible to
release (v) release him from the hospital of infectious
diseases.
Scrubbing-up is a very important procedure
scrubbing-up (n) for the surgeon to perform effective disinfec-
tion of hands.
In low-income countries many dangerous
shack (n) infections are quickly wide spread among
people living in shacks.
Sink is a water basin fixed to a wall or floor
sink (n)
and having a drainpipe.
A soap dispenser is a device that dispenses
soap dispenser (phr)
soap usually in small, single-use quantities.
Every bacterial cell in a species in most cases
species (n)
appears equally capable of performing all the
physiological functions of these ones.
A sister of the department must control the
spillage (n) cleaning of patients’ spillages of bodily fluids
on time.
Nowadays, an infection outbreak rapidly
spread (v)
spreads among a large number of people
within a short period of time.
Older people are more susceptible to
susceptible to (phr)
infections.
21
Targeted antibiotic includes a range of
resources that can each be used to support
targeted antibiotic (phr)
prescribers’ and patients’ responsible
antibiotic use.
transfer (v) This disease is rarely transferred from mother
to baby.
transmit (v) Some diseases are transmitted from one
generation to the next.
Urgent action is needed to prevent future
urgent actions (phr)
most threatening disease outbreak.
Influenza B is a viral illness that causes the
viral (adj)
flu and mutates each year.
22
UNIT 12. MENTAL HEALTH
23
________________ are false beliefs that a person firmly holds to be true. Patients with
bipolar disorder can do ________________ and impulsive things, for example, buy
expensive things that they do not really need. People diagnosed with social anxiety are
often described as ________________.
4. Translate the sentences from Russian into English using the words from Ex. 1.
1. Окружающие обычно считают людей, страдающих социофобией, замкнуты-
ми и необщительными. 2. Во время депрессии человек может стать равнодушным
и безразличным ко всему. 3. Пациенты с диагнозом “шизофрения” часто страдают
от галлюцинаций и бредовых идей. 4. Нелогичное мышление может быть призна-
ком психического заболевания. 5. Пациенты с делирием часто потеряны во вре-
мени и пространстве. 6. Маниакальные эпизоды характеризуются повышенной
активностью пациента. 7. Чрезмерная подозрительность может быть признаком
паранойи. 8. Для пациентов, страдающих депрессией, характерна плохая осанка.
7. Complete the conversation putting the verbs into the Past Simple or the Present Perfect.
Doctor: When ________________ (you / start) feeling depressed?
Patient: About a week ago.
Doctor: ________________ (something / happen)? ________________ (there /
be) anything that ________________ (make) you sad?
Patient: Well, I ________________ (give) birth to a baby boy 3 weeks ago. I think
I’m a terrible mother.
Doctor: Believe me, you are not the only mother who feels that way. There are a lot
of mothers out there who go through this kind of depression after giving birth
24
and we try to help them. Now, ________________ (you / have) similar epi-
sodes before?
Patient: You mean feeling depressed after giving birth?
Doctor: Yes.
Patient: No. He is my first baby.
Doctor: Ok. ________________ (there / be) complications during pregnancy and
after delivery?
Patient: No, I ________________ (have) a normal delivery and the baby is in good
health.
Doctor: Good to hear that. Mrs. Drew, do you think this depression is affecting your
life now? ________________ (you / experience) appetite loss?
Patient: Yes. I don’t like to eat and I ________________ (lose) some weight.
Doctor: ________________ (you / have) any sleeping problems?
Patient: Yes. I can’t make myself sleep sometimes. Last night I ________________
(not / sleep) at all.
Doctor: And ________________ (you / be) depressed before?
Patient: Actually, when I ________________ (be) in college, I ________________
(be) diagnosed with depression. My dad ________________ (pass away) and
I ________________ (feel) really sad.
Doctor: I’m sorry. But I’m glad you were able to overcome that situation. And one more
question. Do you know of anybody in your family who ________________
(be) also diagnosed with depression?
Patient: Yes, my aunt. She ________________ (be) depressed when her husband
________________ (die).
Doctor: I see. Thank you for answering all my questions, Mrs. Drew.
8. Read the story of a psychiatric patient and fill in the gaps putting the verbs into the Past
Simple or the Present Perfect.
I ________________ (1. be) hospitalized twice due to depression. The first time
________________ (2. be) in 2005. In the two years leading up to my hospitalization,
four of my close relatives ________________ (3. die) violently or by their own hand.
While in the hospital, I ________________ (4. be) diagnosed with Major Depres-
sive Disorder with psychotic features, and a personality disorder that ________________
(5. be) not specified. My stay in the hospital ________________ (6. be) very short, and I
________________ (7. not / gain) anything from it, because I ________________ (8. not /
think) anything ________________ (9. be) wrong with me.
In 2010, I ________________ (10. get) married and ________________ (11. have) two
beautiful children. Unfortunately, we ________________ (12. divorce) in 2013. Last April,
I ________________ (13. start) having psychotic features again, and I ________________
(14. believe) I might hurt my children, which ________________ (15. scare) me to death.
So, again I ________________ (16. check) myself into the hospital.
I ________________ (17. be) eventually diagnosed with bipolar disorder with psychotic fea-
tures. My stay in the hospital ________________ (18. be) much longer and I got more out of it
the second time around. The main problem I ________________ (19. have) was accepting the
reality that I ________________ (20. have) a problem. The second part ________________
(21. be) accepting the fact that I ________________ (22. need) to stay on medication to keep
25
myself better. I ________________ (23. be involved) with a support group through the mental
health clinic here for almost a year, and it ________________ (24. be) beneficial to me. In
addition, I am with three on-line support groups discussing bipolar disorder.
Right now, I am trying different ways to express myself. I ________________ (25. take
up) writing poetry, which I ________________ (26. never / do) before, so that is a new
beginning for me. I am actually quite surprised at the words and feelings that come out when
I write. Now I feel much better that I ________________ (27. do) a couple of years ago.
VOCABULARY Schizophrenia
10. Match the expressions with their Russian equivalents.
1. think logically a) изменения в поведении
2. recover completely b) начало болезни
3. facial expressions c) вести относительно нормальную жизнь
4. reduce the symptoms d) длительное лечение
5. the onset of the illness e) мыслить логически
6. changes in behaviour f) серьезные побочные действия
7. commit suicide g) мимика
8. lead a relatively normal life h) совершить самоубийство
9. long-term treatment i) полностью поправиться
10. have bad side effects j) уменьшить симптомы
12. Translate the following sentences into English using the expressions from Ex. 10.
1. Люди с некоторыми психическими заболеваниями не могут мыслить логи-
чески. 2. Правильно подобранные медикаменты помогают уменьшить симптомы
заболевания. 3. Депрессия — это распространенное психическое расстройство, ко-
26
торое может потребовать длительного лечения. 4. При грамотном лечении паци-
енты с депрессией имеют хорошие шансы полностью поправиться. 5. Изменения
мимики могут быть симптомом психического заболевания. 6. Значительные изме-
нения в поведении — одна из характеристик биполярного расстройства. 7. Боль-
ные шизофренией часто пытаются совершить самоубийство. 8. Около половины
больных паническим расстройством выздоравливают, а остальные ведут относи-
тельно нормальную жизнь. 9. Начало заболевания может быть острым или посте-
пенным. 10. Психотропные препараты могут иметь серьезные побочные действия.
14. Read the text about schizophrenia and answer the questions below.
Mathematician John Nash, who died in 2015 in a car accident, was known for his de-
cades-long battle with schizophrenia — a struggle famously depicted in the 2001 Oscar-
winning film "A Beautiful Mind." Nash had apparently recovered from the disease later in
life, which he said was done without medication. But how often do people recover from
schizophrenia, and how does such a destructive disease disappear?
Nash developed symptoms of schizophrenia in the late 1950s, when he was around age
30, after he made groundbreaking contributions to the field of mathematics. He began to
exhibit bizarre behavior and experience paranoia and delusions. Over the next several de-
cades, he was hospitalized several times, and was on and off anti-psychotic medications.
But in the 1980s, when Nash was in his 50s, his condition began to improve.
Studies done in the 1930s, before medications for schizophrenia were available, found
that about 20 percent of patients recovered on their own, while 80 percent did not. More re-
cent studies have found that, with treatment, up to 60 percent of schizophrenia patients can
achieve remission.
It is not clear why only some schizophrenia patients get better, but researchers do know
that a number of factors are linked with better outcomes. It looks like Nash had many of
these factors in his favour.
People who have a later onset of the disease tend to do better than those who experi-
ence their first episode of psychosis in their teens. Nash was 30 years old when he started
to experience symptoms of schizophrenia.
In addition, social factors — such as having a job, a supportive community and a family
that is able to help with everyday tasks — are also linked with better outcomes for schizo-
phrenia patients. Nash had supportive colleagues who helped him find jobs where people
were protective of him, and a wife who cared for him.
Moreover, some researchers have noted that patients with schizophrenia tend to get
better as they age. However, many patients will get worse over time if they do not have ac-
cess to proper medical care and are not in a supportive environment.
Still, there is no guarantee that someone will recover from schizophrenia — a patient
may have all the protective factors but not recover. Most patients cope with their symp-
toms for their entire lives, but many are also able to live rewarding lives. Future research
into the causes of the disease may lead to better ways to prevent and treat the illness.
27
1. When did Nash develop symptoms of schizophrenia?
2. What kind of symptoms did he have?
3. Did he have to go to hospital because of his disease?
4. Did he take any medications?
5. When did his condition begin to improve?
6. According to some recent studies, how often do schizophrenia patients achieve
remission?
7. What are the factors that are linked with remission?
28
17. Match the words with their Russian equivalents.
1. shiver a) бормотать
2. stutter b) гримасничать
3. spit c) фыркать
4. sniff d) лягаться
5. mutter e) кричать
6. belch f) икать
7. shout g) дрожать
8. make faces h) рыгать
9. hiccup i) заикаться
10. kick j) плеваться
18. Complete the sentences with the words from Ex. 16 and 17.
1. If you ________________, you speak very quietly so that you cannot easily be heard.
2. When you ________________, you make repeated sharp sounds in your throat. 3. When
you ________________, you hit your hands together. 4. If you ________________,
you say something very loudly. 5. If you ________________ yourself, you rub your fin-
gernails against your skin. 6. If you ________________, you have difficulty speaking be-
cause you find it hard to say the first sound of a word. 7. If you ________________, you
use offensive language. 8. When you ________________ your eyes, you shut your eyes
and very quickly open them again. 9. If you ________________, you put your nose near
them and breathe in, so that you can discover their smell. 10. If you ________________,
you force an amount of liquid out of your mouth.
TRANSLATION
19. Translate the text from Russian into English.
Синдром Туретта — это генетически обусловленное расстройство центральной
нервной системы, которое проявляется в детском возрасте и характеризуется мо-
торными и вокальными тиками. Тики возникают внезапно в виде повторяющих-
ся, однообразных движений (моторные тики) и высказываний (звуковые тики)
с участием отдельных групп мышц. К наиболее распространенным симптомам
синдрома Туррета относятся заикание, высовывание языка, гримасничание, не-
контролируемое выкрикивание непристойностей.
Лечение синдрома Туретта направлено на оказание помощи пациентам в управ-
лении наиболее проблемными симптомами. В большинстве случаев синдром Ту-
ретта протекает в лёгкой форме и не требует фармакологического лечения. Меди-
каментозное лечение назначается в том случае, если симптомы заболевания ухуд-
шают качество жизни человека.
Проявления заболевания обычно уменьшаются после окончания подростково-
го возраста. У взрослого человека могут оставаться некоторые проявления син-
дрома (например, тики), а также различные психические расстройства (депрессия,
панические атаки, перепады настроения, антисоциальное поведение).
29
UNIT 12. VIDEO TASK
3. Watch the video again and divide the causes and the symptoms mentioned in the video
into the three groups.
Causes
Symptoms
changes in the sleep pattern lack of energy changes in appetite and weight
feelings of guilt or worry low self-esteem irritability towards others
reduced social interactions constipation unexplained aches and pains
slowed movement or speech lack of motivation poor performance at work
difficulties with family life prolonged sadness changes in the menstrual cycle
30
After you watch
5. Search the Internet. Decide whether these statements are facts or myths about depression.
GLOSSARY
31
UNIT 12. WORDLIST
Study the list of useful words from Unit 12. Insert your translation after reading the
corresponding sentences.
adj = adjective conj = conjunction phr v = phrasal verb phr = phrase
adv = adverb n = noun pl = plural prep = preposition
pron = pronoun v = verb
32
People in a manic state are irritable and eas-
frustrated (adj)
ily frustrated.
Irrational spending sprees are classic bipolar
irrational (adj)
behavior.
People with Tourette’s syndrome often have
muscular (adj)
muscular spasms.
Obsessive compulsive disorder (OCD) is a
obsessive compulsive
mental disorder where people feel the need
disorder (n)
to do things repeatedly.
Copropraxia means making offensive or
offensive (adj) otherwise unacceptable movements or
gestures.
She had the onset of the illness at a younger
onset of the illness (n)
age.
Some patients who have Tourette’s syn-
outburst (n) drome experience sudden outbursts of ob-
scenities.
I was on placement in an elderly mental
placement (n) health ward, mainly for people with demen-
tia.
Walking with a slouched body posture can
posture (n)
lead to feelings of depression.
A few months ago, he was forcefully admit-
psychiatric ward (n)
ted to a psychiatric ward.
Yoga can reduce symptoms of anxiety and
reduce symptoms (phr)
depression.
Motor tics are sudden, brief, repetitive
repetitive (adj) movements, such as eye blinking, shoulder
shrugging, or head jerking.
Some of the side effects of mental health
side effects (n) medication include nausea, headache, and
changes in appetite.
Many mental disorders go undiagnosed
sufferer (n) because the sufferer is simply unaware their
symptoms are not normal.
He was admitted to a psychiatric ward after
suicide attempt (n)
a suicide attempt.
Coprolalia is the involuntary utterance of
swear words (n)
swear words.
Patients with mental illnesses may make
threat (n, v)
threats to kill themselves.
In this book you can learn about the dif-
ferent kinds of treatments and services that
treatment (n)
are effective in helping people with mental
disorders.
Working with uncommunicative patients is
uncommunicative (adj)
challenging for a clinician.
The vast majority of people with mental ill-
violent (adj)
ness are not violent.
Throat clearing, grunting, and coughing are
vocal (adj)
all common vocal tics.
33
UNIT 13. MONITORING THE PATIENT
An x-ray (radiograph) is a (1) __________ medical test that helps physicians diagnose and
treat medical conditions. Imaging with x-rays involves (2) _____________ a part of the body
to a small dose of (3) _________________ to produce pictures of the inside of the body.
34
The most familiar use of x-rays is checking for (4) ____________ bones, but they are
also used to diagnose pneumonia, heart problems, lung and breast cancer.
When you have an x-ray, you may wear (5) _______________to protect certain parts
of your body. No special preparation is needed for this exam.
Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at
organs and (1) _______________ inside your body. Health care professionals use MRI
scans to (2) evaluate the head, spine and joints. The exam is totally painless and has no
known (3) _______________.
During the test, the patient lies on a bed that moves into a (4) __________ machine. It
takes a series of pictures of the inside of the body using a magnetic field and radio waves.
The computer enhances the pictures produced.
However, there are some (5) ____________ for undergoing an MRI scan. They include
patients with (6) ________________ and those who have a metallic foreign body.
4. Read the doctor’s instructions and guess the type of diagnostic test he/she is going to do.
A. I’m going to put some B. Stand sideways to the C. Can you lie flat on your
gel on your abdomen. plate and raise your arms. back on the table, please?
D. Now, take a deep E. Don’t forget to sign the in- F. Please, remove all the
breath and hold it. formed consent here, please. metallic objects.
35
5. Dr. Anderson is talking to a patient about one of the procedures from Ex. 2. Read his
words and guess which procedure he is going to do.
“First of all, I will ask you to complete a safety questionnaire and write an informed
consent form. It is very important because we need to make sure you don’t have any
contraindications. Prior to the procedure you can eat and drink normally. Make sure you
don’t have any metallic objects and credit cards. You will be asked to lie on the table and
make yourself comfortable. During the procedure, you will not feel anything but you will
be required to stay still. The whole examination process takes approximately 45 minutes.
No injections will be required.”
• “be going to” is usually used to explain a procedure or doctors often use fixed
expressions with “What”:
36
7. Match the halves of the sentences.
1. Have you had any a) up your sleeve above your elbow, please?
2. Could you raise b) hold your breath.
3. You may feel c) just turn over onto your tummy.
4. Could you roll d) a bit uncomfortable.
5. Could you remove e) take long.
6. Would you pop f) your arm above your head for me?
7. Breathe in and g) your top clothing, please?
8. It won’t h) other investigations recently?
9. Now, I want you i) and say ‘ah’.
10. Could you bend j) up on the couch for me?
11. Please, open wide k) other investigations recently?
37
11. Match the unit abbreviations with their full form.
1.L/L a) millimols per litre 1. U/L a) grams per litre
2. 109/L b) micromoles per litre 2. fL b) units per litre
3. mmol/L c) litres per litre 3. g/L c) femtolitres
d) times ten to the power
4. umol/L e) nine per litre
12. Work in pairs. Read the Biochemistry and Haemotology lab report. Patient A — for
Student A, Patient B — for Student B. Look at the prompts to help you:
The patient’s name is…She is…
The Full blood count was taken…(date)
Potassium is within normal limits/normal/unremarkable.
Hemoglobin is up/elevated/high/raised.
Mean cell volume is down/low/reduced.
38
14. Watch the video about telemedicine (https://www.youtube.com/watch?v=y02nSCYl2ZE)
and check your ideas in Ex. 13.
16. Read the article about telemedicine and fill in the gaps with the words from the
boxes.
MRI scans are lacking a video-chat appointment be relayed keep track share
1. Reaching a health care provider, day or night, via your device. In many areas, parents
can schedule (5) _________________ with a doctor for a face-to-face visit. During
the virtual visit a doctor can diagnose common viruses like colds and flu, infections,
pinkeye, rashes, allergies, and mental health problems, do routine follow-up visits for
things like surgery or illnesses, review lab results, (6) ____________, or other test
results, provide education, such as explaining how to use an inhaler or how to toilet
teach a toddler
2. Sharing health data via digital devices. Phone apps, digital watches, and other wearable
devices now record health data, such as blood-glucose readings for kids with diabetes. This
information can (7) _____________ to a computer monitoring system in your doctor's
office or hospital so that health care professionals can (8) ____________ of your child's
health.
3. Sending X-rays, ultrasound images, or photos from one location to another. This
practice lets doctors securely (9) ___________ the actual pictures, rather than just reading
a radiologist's report or a description of a rash.
39
Limitations
Telemedicine isn't meant to replace traditional health care, but to (11) __________ it.
And it does have its limitations.
Some critics worry that families will stop seeing their regular doctors if the doctors don't
provide virtual visits, and (12) ________ whoever is available. That doctor may be less
informed about a patient's medical history.
Others worry that many health problems can't be diagnosed through telemedicine.
Anything requiring (13) __________— like pressing on the belly to feel for a mass in a
patient complaining of belly pain — would need to be done in person.
Finally, while many health insurances (14) _______ telemedicine services, others
don't.
What is
When is it used? Its benefits. Limitations.
telemedicine?
19. Work in pairs. Student A is a journalist who is going to take an interview. Student B is
a healthcare provider. Look at the information on the cards below and spend a few minutes
preparing what you are going to say.
40
GRAMMAR The Passive
The Passive
• We make the passive of the present and past simple with is/are/was/were + the past
participle. The object of an active sentence becomes the subject of the passive sentence:
The medical staff constantly monitors the patient’s condition.
The patient’s condition is constantly monitored by the medical staff.
• We don’t make passives from verbs that don’t have objects (e.g. come, arrive, happen,
wait etc.)
• The Passive form focuses on the action, not on the person or thing that does the action.
If you want to say who does the action, use by. We usually use an active verb when we
are interested in the person who does the action.
The blood pressure was taken by a nurse.
The appointments are made by a receptionist.
20. Rewrite the sentences in the Active voice using the Past Passive.
1. Paramedics gave the patient CPR.
_________________________________________________________________
2. The nurse made an injection.
_________________________________________________________________
3. Paramedics took the patient to hospital.
_________________________________________________________________
4. A receptionist made an appointment for the patient.
_________________________________________________________________
5. We tested her blood yesterday.
_________________________________________________________________
6. An anaesthetist gave general anaesthesia to the patient.
_________________________________________________________________
41
7. The surgeon didn’t finish the operation.
_________________________________________________________________
8.The nurse explained the procedure to the patient.
_________________________________________________________________
9. An electrocardiogram recorded the heartbeat.
_________________________________________________________________
10. We constantly measured the patient’s body temperature and blood pressure.
_________________________________________________________________
21. Complete the text using correct Passive forms of the verbs in brackets.
Diagnostic endoscopy report
Informed consent (1) _____________ (obtain) from the patient after discussing risks
and benefits of the procedure. The patient (2) _____________ (connect) to the pulse
oximeter and placed in the left lateral position. Oxygen (3) _____________ (provide)
through a nasal cannula and the premedication (4) _____________ (administer) as stat-
ed. The endoscope (5) _____________ (introduce) into oesophagus. At the end of the
examination the patient (6) _____________ (transfer) to the recovery area to recuperate.
22. Read the text and fill in the gaps with the correct form of the verbs in brackets (Active
or Passive).
Computed tomography
A new GE LightSpeed 16 Computed Tomography (CT) Scanner (1) _____________
(install) by the Western General Hospital. CT (2) _____________ (use) an X-ray source
which (3) _____________ (rotate) around the body to produce cross-sectional images.
The new scanner (4) _____________ (take) up to 16 simultaneous cross-sectional im-
ages and more data (5) _____________ (transmit) in less time. Each slice can be less
than one millimeter thick, making it possible to find very small abnormalities. The scanner
(6) _____________ (use) for diagnosing muscle and bone disorders; locating tumours;
monitoring the progress of malignant diseases and the response to therapy.
42
UNIT 13. VIDEO TASK
2. Match the pictures to the words from the box. What do you think the functions of these
devices are?
43
After you watch
7. Search the Internet. Find out some information about an interesting health-monitoring
device. Present this information to the group.
8. Imagine that you are a faithful user of one of the health-monitoring devices. Write an
e-mail to your friend and tell him/her what its main functions are, what it looks like, how
much it is and how it has changed your life. Try to persuade your friend to buy and use it, too.
GLOSSARY
44
UNIT 13. WORDLIST
Study the list of useful words from Unit 13. Insert your translation after reading the
corresponding sentences.
45
Many procedures require the
premedication (n)
administration of premedication.
A pulse oximeter monitors a person's
pulse oximeter (phr)
oxygen saturation.
After the surgery patients stay in the
recovery area (phr)
recovery area.
After general anaesthesia patients need to
recuperate (v)
recuperate.
safety questionnaire A safety questionnaire must be filled in
(phr) before the procedure.
This procedure is performed under
sedation (n)
sedation.
State-of-the-art equipment enables quicker
state-of-the-art (adj)
and more accurate diagnosis.
When you undergo a chest X-ray
stay still (phr) examination you need to hold your breath
and stay still.
Telemedicine uses telecommunication and
telemedicine (n) information technology to provide clinical
health care from a distance.
Ultrasound scanning involves the use of a
transducer (n) small transducer and ultrasound gel placed
directly on the skin.
An ultrasound scanning uses high-
ultrasound scanning
frequency sound waves to create an image
(phr)
of the inside of the body in real-time.
46
UNIT 14. MEDICATION
2. Read the passage and fill in the gaps with the words from the box. Then check your ideas
in Ex. 1.
47
VOCABULARY Types of medication
3. Complete the sentences using the types of medication from the box.
4. Discuss which types of medicine you may use to treat these disorders.
1. allergy a) a stimulant
2. vitamin-deficiency b) an anti-inflammatory
3. headache c) a beta-blocker
4. food poisoning d) an antibiotic
5. constipation e) a painkiller
6. swelling and inflammation f) an emetic
7. heart conditions g) a laxative
8. pneumonia h) a supplement
9. irritability and excitement i) an antihistamine
10. depression j) a sedative
48
нальный препарат, но не обладают патентной защитой. 12. Слабительные —
лекарственные средства, которые применяются для лечения запоров.
49
revolution.” The development of the drug also laid the groundwork for the later generation
of agents used in the treatment of anxiety and depression.
Nitrogen mustards were developed in the 1920s and ’30s as agents of chemical warfare.
During World War II, it was discovered that people exposed to nitrogen mustard had
significantly low white blood cell counts. This finding led researchers to investigate
whether mustard agents could be used to halt the growth of rapidly dividing cells such as
cancer cells.
In the 1940s, two prominent Yale pharmacologists, Alfred Gilman and Louis Goodman
examined the therapeutic effects of mustard agents in treating lymphoma. During their
research they found that the patients’ tumour masses were significantly reduced for a few
weeks after treatment. Although the patients had to return to receive more chemotherapy,
this marked the beginning of the use of cytotoxic agents for the treatment of cancer.
AZT, also called Zidovudine (ZVD) and Retrovir, was the first HIV/AIDS drug approved
by the FDA on March 19, 1987. While not able to cure the disease, it was found to prolong
the lives of AIDS patients. Owing to these drugs, the annual number of deaths from AIDS
declined in the early 21st century.
The contraceptive pill is often described as one of the most significant medical advances
of the 20th century. The pill is a combination of the hormones oestrogen and progestin
that was developed in the US in the 1950s by the American biologist Dr Gregory Pincus.
It was approved for release in 1960 and within two years it was being used by 1.2 million
American women.
In 1928 Scottish bacteriologist Alexander Fleming was in the process of sterilizing
bacterial culture plates that had become contaminated with mold when he noticed clear
zones circling mold colonies. The mold toxin responsible for killing the bacteria turned out
to be penicillin, which Australian pathologist Howard Walter Florey and British biochemist
Ernst Boris Chain later successfully isolated and purified to produce the world’s most
effective live-saving antibiotic.
The name of the drug The year The names of the inventors
10. Complete the sentences with the words from the article.
1. Frederick G. Banting and John Macleod managed to _________ insulin from animal
pancreas in 1921. 2. The Bayer Company launched a ____________ production of aspirin
50
in 1899. 3. The usage of ether for anaesthetic purposes became a ________________ in
the history of medicine. 4. Scientists believe that it is possible to __________ people’s
lives and help them live in good health well until 120. 5. The Telegraph announced that a
group of British scientists was close to creation of the first drug to _________ Alzheimer's
disease.
11. Fill in the sentences using the base word given in bold at the end:
1. Penicillin is one of the main medical _____________ of the 20th breakthrough
century.
2. _________ to insulin diabetes sufferers do not die at a young age. owe
3. Felix Hoffmann’ father was rheumatism ______________. suffer
51
15. Complete the following instructions to a patient on how to use each item illustrated.
1. Glycerin ____________ are rectal laxatives for relieving mild to moderate
constipation. 2. Herbal ___________ are a great way to preserve and concentrate the
benefits of the herbs. 3. Apply antibiotic ____________ and cover with a bandage. 4.
You should take 2 ______ 2 times daily with meals, drinking water. 5. About 40 percent
of Americans have trouble swallowing pills or ________. 6. First, warm the medicine in
your hands for a few minutes, then tilt your child’s head to one side and put ear _____ in
the ear. 7. How do I choose the best place for an intramuscular _____________? 8. An
___________ is a medical device used for delivering medication into the body via the
lungs. 9. — Can you tell me how to take Strepsils? — Dissolve one ________ slowly in the
mouth every 2 to 3 hours. 10. Blow your nose gently before using the ___________.
17. Read the step-by-step instructions on how to give ear drops to a child and put them into
the correct order.
a) Remove the top of the bottle or spray and throw away the plastic seal.
b) Gently pull your child’s earlobe backwards to open up the ear canal.
c) Keep your child in this position for a few minutes so the drops or spray can spread
inside the ear.
d) Put the top back on the bottle or spray.
e) Put the prescribed amount of drops or spray into the ear canal.
f) Wash your hands.
g) Warm the drops by holding the bottle in your hands for a few minutes.
h) Tilt your child’s head back and to one side.
i) Shake the bottle or spray.
52
Make a similar list of instructions on how to give eye drops to a child, how to administer
nasal spray to a child and how to make an intramuscular injection.
1. Do you know the routes by which drugs can be administered or taken into the body?
2. Can you guess what these abbreviations stand for: PO, SQ, IV, IM?
b) Watch the video up to the end and complete the table below.
IM IV SQ PO
What does it
stand for?
How is drug
administrated?
The principal
sites
21. Work in pairs. Use the table in Ex. 19 and tell your partner about the principal routes
and sites of drug administration.
53
23. Work in pairs. You are going to exchange details about patients’ medication. Student A
looks at this page. Student B goes to page 75. Use the phrases from Ex. 22.
Student A
Ask Student B questions to complete this information about patients’ medication.
Name of Type of medi- Route of ad-
Patient Quantity Frequency
medication cation ministration
1 Senokot laxative 2 tablets oral nightly
1000 units
anticoagu- continuous
2 Heparin per hour IV
lant
3
4
● to talk about general intentions and plans, something you have decided to do.
The nurse is going to set up an IV.
24. Complete these sentences using be going to or the Present Continuous and verbs in
brackets.
1. The sonogram is clear. You __________ (have) a boy! 2. We _______________
(leave) for a conference on lasers and optoelectronics tonight. 3. Everything is fine with
your stomach. You _____________ (not need) an operation. 4. I am busy with the slides
now. I ___________ (make) a presentation next Thursday. 5. I ___________ (finish)
the ward-round in a minute. 6. My dad is well now. His doctor ___________ (discharge)
him tomorrow. 7. It’s just a stethoscope. I ______________ (not hurt) you. 8. They
__________ (launch) a new antihistamine next month. 9. Next, I ________ (put) some
gel on your abdomen. 10. Dr. Brown ___________ (work) night shift tomorrow. 11. The
eye test shows that you have myopia. I ___________ (prescribe) you glasses.
54
25. Translate the sentences from Russian into English.
1. Я собираюсь поступать в Кингстон колледж в следующем году. 2. Не волнуй-
тесь! Я просто измерю температуру. 3. Вертолет медицины катастроф прибудет че-
рез несколько минут. 4. Завтра утром я иду на прием к неврологу 5. У Вас баналь-
ная простуда, поэтому я не собираюсь прописывать антибиотики. 6. Я собираюсь
сделать ему укол, чтобы помочь заснуть. 7. Мы летим на конференцию в Берлин на
следующей неделе. 8. Поздравляю! У Вас будет ребенок!
27. Explain the following medication orders and write them in full.
1. Codeine p.c. q4h codeine after meals every 4 hours
2. meperidine 50 mg and promethazine
25 mg IM q4-6h prn pain
3. Lanoxin 0.25 mg tab po qam if P 60 or ↑
4. Phenergan 25 mg po q4-6h prn
5. 100 mg IM a.m.
6. 3 tab. p.o. q6h prn. severe pain
7. Zithromax 250 mg tab ii po stat, then
tab i po daily on days 2-5
8. 500 mg IV q4h T 38C
55
UNIT 14. VIDEO TASK
1. You are going to watch a video about the placebo effect. Look at the screenshots and
answer the questions below.
1. Do you know what placebo is? And what is the placebo effect?
2. When do you think doctors started to use it?
3. Do you know how researchers explain this effect?
4. What are its possible advantages and disadvantages?
3. Watch the video again and complete the summary with the words from the box.
test trigger stress hormones please miss out injections symptoms therapies
The placebo effect is a mysterious phenomenon when fake drugs, treatments and 1)
______________ miraculously make people feel better. Doctors have used the term
“placebo” since the 1700s when they realized the power of fake drugs to improve people’s
2) ___________.
The word “placebo” comes from the Latin phrase “I shall 3) _________”. Placeboes
can take a few forms: sugar pills, water-filled 4) ___________ and even sham surgeries.
By the 1950s, researchers started to use placebos as a standard tool to 5) ___________
new treatments. To evaluate a new drug, they divided a group of patients into 2 parts. The
first half received the real drug, the other got a placebo that looked the same. In case the
new drug became more beneficial than the placebo, it was proved effective.
Today scientists can’t explain the placebo effect. Some of them believe that this effect is
merely confused with other factors, like patients trying to please doctors by falsely reporting
56
improvements. On the other hand, they believe that if a person thinks that a fake drug is
real their expectations of recovery actually do 6) ___________ physiological factors that
improve their symptoms. Placebos seem to be capable of causing measurable change in
blood pressure, heart rate, and the release of pain-reducing chemicals, like endorphins.
Placebos can even reduce 7) ___________, like adrenaline. So, is the placebo effect so
beneficial? No, not at all! If patients believe that a fake treatment has cured them, they may
8) __________ on drugs or therapies that are proven to work. Additionally, the positive
effect may fade over time.
4. Work in pairs. Follow the chart below. Prepare a short presentation on Placebo effect.
The history of
placebo.
What is placebo How do researchers
effect? explain this effect?
How is it used
today?
5. Search the Internet and find the answers to the questions below.
1. Can the placebo effect occur in animals?
2. Can the placebo have the external influence on patients?
3. Are placebos geographically sensitive?
4. What is “nocebo”?
GLOSSARY
sham surgery — имитация операции
trigger — вызывать
fake treatment —
57
UNIT 14. WORDLIST
Study the list of useful words from Unit 14. Insert your translation after reading the
corresponding sentences.
adj = adjective conj = conjunction phr v = phrasal verb phr = phrase
adv = adverb n = noun pl = plural prep = preposition
pron = pronoun v = verb
58
Intravenous (IV) medications are a solutions
IV (intravenous) administered directly into the venous
(adj) circulation via a syringe or intravenous
catheter (tube).
Our pharmaceutical company is launching a
large-scale (phr)
large-scale research next month.
The Bayer Company launched the
launch (v)
production of aspirin in 1899.
Laxatives can help relieve constipation and
laxative (n)
promote regular bowel movements.
lay the groundwork We are busy laying the groundwork for
(phr) another campaign.
A lozenge is a small medicinal tablet, taken
lozenge (n)
for sore throats and dissolved in the mouth.
Ointment is a smooth oily substance that is
ointment (n)
rubbed on the skin for medicinal purposes.
Over-the-counter (OTC) medications
OTC (over-the-
are drugs you can buy without a doctor’s
counter) (phr)
prescription.
In the late 1840s surgery greatly advanced
owe to owing largely to the invention of anaesthe-
sia.
The pill is an informal word for an oral
pill (n)
contraceptive.
Reading books regularly can prolong your
prolong
life by up to two years.
purify We purified the water by boiling it.
A remedy is a medicine, application, or
remedy (n)
treatment that relieves or cures a disease.
Rheumatic diseases are characterized by
rheumatic (adj) inflammation that affects the connecting or
supporting structures of the body.
A route of administration is the path by
route of drug ad-
which a drug, fluid, poison, or other sub-
ministration (phr)
stance is taken into the body.
A topical anesthetic affects a localized area
topical (adj)
of the body.
The discovery of DNA was a turning point
turning point (phr)
in medicine.
59
UNIT 15. ALTERNATIVE MEDICINE
2. Read the statements and decide whether they refer to alternative medicine (AM) or
conventional medicine (CM).
1. It is based on anecdotal evidence, belief or magical thinking.
2. It is recognised by the medical profession and taught in medical school.
3. It is not scientifically proven.
4. It dates back longer than conventional medicine.
5. It is scientifically proven to work.
6. It is administered by practitioners.
7. It is not recognised by the medical profession.
8. It is administered by doctors and nurses.
9. It is based on scientific knowledge and evidence.
60
4. Match the types of alternative therapy (1-8) to the definitions (a-h).
Crystal healing
Crystal healing is an alternative medicine practice that uses crystals and gemstones for
a wide variety of healing and therapeutic ___________ (1). Crystal healers believe that
amethyst, for example, is beneficial for the intestines; green aventurine helps the _______
(2); quartz is a powerful ____________ (3) and it _________ (4) brain function.
During a treatment session, the patient lies down and practitioner places crystals on
different energy points, or _______ (5), of the body. This process can last anywhere from
minutes to hours. It is believed that the crystals will give the patient their ________ (6)
energy to help him/her feel better or even recover from a disease.
Homoeopathy
Homeopathy a system of alternative medicine based on the idea that "like cures like."
That is, if a substance causes a symptom in a healthy person, giving the person a very
small amount of the same substance may (1) _______ the illness. A homeopathic health
practitioner uses pills or (2) _________ containing only a little of an active ingredient
(usually a plant or mineral) for treatment of disease.
Homeopathy was founded in the late 1700s in Germany and has been widely practiced
throughout Europe. Nowadays it is used to treat (3) ________________, atopic
dermatitis, rheumatoid arthritis and others disease.
61
However, some critics of homeopathy believe that there is so little active substance
in a solution that any benefits from treatment are likely not because of the substance but
because you are thinking it is effective ((4) ________________).
Reiki
Reiki is a Japanese technique for stress reduction and (1) __________. This therapy is
often described as palm healing or hands-on-body healing because during the session the
practitioner places hands lightly on or over the patient's body to (2) ______________ the
patient's process of healing.
Reiki is based on the idea that an unseen "life force energy" flows through us and is what
causes us to be (3) _________. If one's "life force energy" is low, then we are more likely
to get sick or feel stress, and if it is high, we are more capable of being happy and healthy.
A Reiki practitioner aims to change and (4) ____________ the energy fields in and around
your body to help on a physical, psychological, (5) ____________ and spiritual level.
62
8. Match the words with their definitions.
1. meridian a) a sports team or a group of players
2. blockage b) doubting that something is true or useful
3. insert c) exhausted
4. restore d) a wonder
5. deaden e) to put or introduce into the body
6. sceptical f) put back into a former or original state
7. established g) being accepted or recognized
8. squad h) unwilling to do something
9. worn-out i) any of the pathways along which the body's vital energy flows
10. reluctant j) to make something less painful or less strong
11. miracle k) an act or instance of obstructing
9. Read the text. Match the headings with the correct paragraphs.
a) Who uses acupuncture? d) What can acupuncture be used to treat?
b) What are the risks? e) What is the history of acupuncture?
c) What is acupuncture?
1. _________________________________
Acupuncture is based on the idea that energy flows through the human body along
12 lines or meridians. These meridians end up at organs in the body, and illness is the result
of a blockage of the energy flow to these organs. To remove the blockage, an acupuncturist
inserts very fine needles into the body at points along the meridians. This stimulates the
flow of energy, and restores the patient’s health.
2. __________________________________
Traditional Chinese medicine has been practised for around 3000 years in the Far East,
but is relatively recent in the West, and acupuncture only really became well-known in the
West in the 1970s as people began to travel more frequently between the two areas of the
world.
A significant event in the history of acupuncture came in 1971, when a journalist from
the New York Times had his appendix removed in China, when on a trip to the country
with Henry Kissinger, the Secretary of State for the USA. Surgeons used acupuncture to
deaden the pain of the operation, which greatly impressed Kissinger.
Although at first doctors in the West were often sceptical of the medical value of
acupuncture, in the last few years it has become more established as an alternative to
Western medical treatments, since clinical tests have shown that acupuncture is effective
for a number of conditions.
3. ____________________________
In the Far East acupuncture is used to treat a wide range of complaints, and is also used
as a preventative medicine, since it is thought to increase the body’s resistance to infection.
In the West, the treatment is often used to relieve headaches, dental pain, back pain, and
arthritis, and to treat depression, asthma, stress, high blood pressure and anxiety.
63
4. ____________________________
Since acupuncture is known to be effective against pain, it is not surprising that
many sportspeople have experimented with acupuncture when fighting injury. Martina
Hingis, the famous tennis player, had a wrist injury cured through treatment, and
English Premier Division football club Bolton Wanderers employ an acupuncturist to
keep their squad in good physical condition. While in Korea for the World Cup in 2002,
soojichim, a Korean form of acupuncture, was very popular with the German football
team.
Cherie Blair, a well-known human rights lawyer, and the wife of the British Prime
Minister, was recently spotted wearing an acupuncture needle in her ear, suggesting
that she uses the treatment to cope with stress. The Queen of England is also interested
in acupuncture, although she doesn’t use the treatment herself — she and many of
her family rely on another alternative medical treatment, homeopathy, to keep them
healthy.
5. ________________________
Finally, if you do decide to visit an acupuncturist, it is important that you check that
they are qualified and registered to practise acupuncture. In the past some people have
experienced allergic reactions, broken needles and even punctured lungs while being
treated, although this is very uncommon.
10. Read the text again. Decide if the statements are True (T) or False (F). Correct the
false ones.
1. An acupuncturist inserts needles in body organs.
2. Henry Kissinger had his appendix removed in China.
3. A lot of doctors believed that acupuncture doesn't work.
4. Acupuncture does work for some medical problems.
5. Acupuncture is only used to treat people who are ill.
6. Tony Blair uses acupuncture to relieve stress.
7. The Queen of England uses alternative medicine.
64
4. Energy flows through the body in a system of 12 ___________, or lines that connect
acupuncture points, and all 12 vital organs. anismdier
5. Acupuncturists _________ needles into specific acupuncture points. ensrti
6. A lot of doctors are _______ about acupuncture. epcaltisk
12. Listen to the girl telling about her experience with acupuncture. Correct the statements
below.
1. Today people trust alternative medicine less than before.
2. The girl had problems with sleeping for a few weeks.
3. It was her brother’s idea to visit an acupuncturist.
4. When she was in college, she was scared of needles.
5. During her visit the acupuncturist took her temperature and blood pressure.
6. The practitioner inserted a needle in the girl’s left arm.
13. Listen to the story again and complete the summary with the words from the box.
Nowadays alternative medicine is getting more and more popular due to the fact that
people are becoming increasingly worried about the (1) _________ of drugs.
Three or four years ago I was suffering from (2) ________ and was mentally and
physically (3) _________. A visit to my GP didn’t help a lot. Then my friend recommended
me to visit an acupuncturist. First I was (4) ________ to follow his advice, but then I
decided to try.
Soon I made (5) ________ with the acupuncturist in the local alternative health centre.
The examination was rather short: just taking my pulse, looking at my tongue, and asking
a few questions about my diet and lifestyle. The acupuncturist diagnosed that I was (6)
___________.
Then he (7) __________ a needle in my right foot and a (8) _________ happened: I
fell asleep immediately!
65
15. Make a short presentation on acupuncture following the chart below.
What can
What is The history of
acupuncture be Its risks
acupuncture? acupuncture
used to treat?
TRANSLATION Shiatsu
16. Translate the passage from Russian into English.
Шиацу терапия была разработана японцем Токудзиро Намикоси (1905–2000 гг.)
в начале ХХ-го века.
Свою уникальную технику он начал разрабатывать с раннего детства. В 7 лет
Токудзиро пытался облегчить дискомфорт своей матери, которая страдала от
ревматоидного артрита. Мальчик заметил, что после надавливаний большим
пальцем ей становилось лучше. В итоге боли матери исчезли, и она дожила до
88 лет.
Намикоси назвал свою методику «шиацу», что переводе с японского обо-
значает «давление пальцами». То есть во время сеанса шиацу-терапевт нада-
вливает пальцами или ладонью на определенные точки на теле для того, чтобы
разбудить внутренние силы организма и направить их действие в нужном на-
правлении. Токудзиро Намикоси считает, что данная терапия помогает вос-
становить трудоспособность служащих, которые весь день вынуждены сидеть
на одном месте. Кроме того, он уверен, что шиацу предотвращает от простуд,
желудочно-кишечных заболеваний и мозговых кровоизлияний.
В 1919 году доктор Намикоси опубликовал книгу «Метод шиацу» где изложил
все основные принципы и техники применения данного массажа. Через шесть лет
(1925 г.) он открыл первую специализированную клинику Шиацу, а в 1940-м году —
учебное заведение, которое специализируется на подготовке специалистов по
шиацу-терапии. В 1964 году Министерство здравоохранения Японии официаль-
но включило шиацу в перечень медицинских дисциплин как самостоятельную
лечебную терапевтическую методику.
Своей популярностью на Западе метод шиацу во много обязан… Мэрилин
Монро! В 1956 году во время визита в Японию известная американская актриса
серьезно заболела. Медикаментозное лечение не помогло, и тогда она пригла-
сила доктора Намикоси. После нескольких сеансов шиацу актрисе стало значи-
тельно лучше. И хотя к тому времени этот метод уже был достаточно известным,
но после выздоровления Мэрилин в США начался настоящий шиацу-бум.
66
GRAMMAR Giving reasons
We can give reasons for things in a number of ways.
● for + noun
Doctors recommend acupuncture for pain relief.
● for + ing
Recent research has found shiatsu to be effective for relieving lower back pain.
to + infinitive
An acupuncturist inserts very fine needles into the body to remove the blockage of the
energy flow.
●… so that …
During a crystal therapy session an array of beautiful crystals will be placed on and around
your body so that the balance between you mind, body and spirit can be restored.
●… because …
Many people choose shiatsu because they enjoy it and it helps them to stay well.
●… so …
Aromatherapy involves a holistic approach, so it aims to treat the whole person.
● That’s why …
I have cut down on sugar — that’s why I have lost some weight.
67
18. Complete the passage using for (2), to, so that, because, so, and That’s why.
68
UNIT 15. VIDEO TASK
HOMEOPATHY
Before you watch
1. Do you know what homeopathy is? What are its main principles?
2. What are homeopathic remedies made of?
3. What does science say about this type of alternative medicine?
4. Is homeopathy popular in your country?
2. Here are the three main homeopathy principles. Match them with their descriptions.
A. The chosen substance is repeatedly diluted in alcohol or
distilled water until very little or none of the original substance
1. “Like cures like”
is left. Homeopaths believe that it makes the original substance
more powerful and potent.
B. It describes the method of vigorous shaking the substance
each time it is diluted. Homeopaths believe that this helps
2. Dilution
the water to retain the memory or vibrations of the original
substance during the dilution process.
C. It is based on the idea that the substance taken in small doses
3. Succussion will cure the same symptoms it causes if it were taken in larger
amounts.
69
4. What is a typical homeopathic dilution? What does it mean? What is it equivalent to?
5. Why is the third principle so problematic?
6. Why is homeopathy so popular today? What are the main reasons?
7. What does the science say about homeopathy?
8. After you watch
6. Divide the class into 2 groups. Group A is the alternative medicine therapists. Group B
is the patients. The therapists choose one of the adverts on page 74 (Appendix) and prepare to
answer the patients’ questions. The patients choose one of the cards on page 75 (Appendix) and
make a list of questions to the therapist.
Then work in pairs, one therapist with one patient. Sit on chairs that are placed back to
back. Instead of a face-to-face consultation with the therapist, this time the patients are
telephoning the therapist for advice. Patients should gather all the information they need
in order to decide whether or not they think the therapy will help them.
The therapists don’t have many clients at the moment. They really need to get more
clients in order to keep their businesses going, so when potential clients contact them they
will need to really try and convince them to try their therapies.
Currently there is a trend towards the use of alternative forms of medicine. However, at
best these methods are ineffective, and at worst they may be dangerous.
To what extent do you agree with this statement?
Give reasons for your answer and include any relevant examples from your own experi-
ence or knowledge.
GLOSSARY
dilution — разбавление
succussion — встряхивание
potency — активность
vigorous shaking — интенсивное встряхивание
retain the memory — сохранять в памяти
70
UNIT 15. WORDLIST
Study the list of useful words from Unit 15. Insert your translation after reading the
corresponding sentences.
adj = djective conj = onjunction phr v = phrasalverb phr = phrase
adv = adverb n = noun pl = plural prep = reposition
pron = ronoun v = verb
71
Acupuncturists believe that energy flows
meridian (n) through the human body along 12 lines or
meridians.
I think that acupuncture is a miracle because
miracle (n) it helped me with my unbearable pain that
lasted for years.
Crystal healing is an alternative medicine
practice that uses crystals and gemstones
property (n)
for a wide variety of healing and therapeutic
properties.
A reluctant patient is a patient who is
reluctant (adj)
unwilling to follow the treatment.
First, I am going to restore your energy
restore (v)
balance.
First, I was rather sceptical about
sceptical (adj)
acupuncture.
A solution is a liquid in which a medication is
solution (n)
dissolved.
Some essential oils can stimulate your brain
stimulate (v)
activity.
Succussion is the vigorous shaking of a
succussion (n) diluted homeopathic preparation in order to
activate the medicinal substance
worn-out (adj) She felt worn-out and exhausted.
72
APPENDIX
73
Patients’ cards
A — You’ve been suffering from insomnia for months. You regularly spend three or
four hours awake every night. You’re exhausted and your work is beginning to suffer.
B — You are recovering from a sports accident and you’ve had your leg in plaster for a
month. You’ve put on weight and you feel like you need to get back in shape. Your leg
isn’t as strong as it used to be.
C — You really want to give up smoking. You’ve tried several times but haven’t
managed to kick the habit.
D — You are really stressed out. You’re working fourteen-hour days and you just don’t
have time to see your friends or relax. You have a pain in your wrist that you believe
is caused by working all day on the computer. You have also recently started getting
headaches and backache.
E — You have been on a diet for a year but don’t seem to be able to lose much weight.
You really want to reach your ideal weight before the summer as you’re getting married
and want to look really good on your wedding day.
F — You have just moved to a new house in a new area and are feeling quite depressed.
Following the move you have terrible backache from moving boxes. You work from
home and your new house needs to be completely redecorated.
Student B
Ask Student A questions to complete this information about patients’ medication.
Patient Name of Type of medi- Quantity Route of Frequency
medication cation administration
1
2
3 Benzyl antibiotic 600,000 IM every 6
Penicillin units hours
4 Pilocarpine miotic 1 drop ophthalmic once a day
74
REFERENCE
1. Acupuncture (2010) // Сайт https://learnenglish.britishcouncil.org (https://
learnenglish.britishcouncil.org/en/magazine/acupuncture?page=3). Дата обращения:
10.09.2017
2. Centers for Disease Control and Prevention (CDC) (2014) [видеоматериалы Цен-
тра по контролю заболеваний и профилактики] Healthcare-Associated Infections in
the United States // Youtube. (https://www.youtube.com/watch?v=-FfMCv8FUXI).
Дата обращения: 05.05.2017
3. CloudBiography (2012) [видеоматериалы — биографии известных лич-
ностей] Alexander Fleming Biography // Youtube. (https://www.youtube.com/
watch?v=48BmoGmWAiU). Дата обращения: 20.05.2017
4. English for medicine: учебно-методическое пособие для студентов медицин-
ских специальностей. Часть I / Е. Г. Липатова, Н. Г. Ольховик, Т. А. Баева и др.—
СПб.: Изд-во СЗГМУ им. И. И. Мечникова, 2016. — 80 с.
5. Faculty of Homeopathy (2014) [видеоматериалы факультета гомеопатии] Ho-
meopathy in general practice // Youtube. (www.youtube.com/watch?v=93KNWiaLaqg).
Дата обращения: 19.04.2017
6. Glendinning E.H., Howard R. Professional English in Use: Medicine/ Cambridge
University Press, 2007. — 176 p.
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