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МЕДИЦИНСКОЕ ОБРАЗОВАНИЕ

Кафедра иностранных языков

Е. Г. Липатова, Н. Г. Ольховик, Т. А. Баева,


Е. В. Мушенко, Л. А. Степанян

ENGLISH FOR MEDICINE

АНГЛИЙСКИЙ ЯЗЫК ДЛЯ СТУДЕНТОВ


МЕДИЦИНСКИХ СПЕЦИАЛЬНОСТЕЙ

Учебно-методическое пособие

Часть I

Санкт-Петербург
Издательство СЗГМУ им. И. И. Мечникова
2016
УДК 13-00-03
ББК 81.2 Англ-9
А64

English for medicine: учебно-методическое пособие для студентов медицинских


специальностей. Часть I / Е. Г. Липатова, Н. Г. Ольховик, Т. А. Баева, Е. В. Мушенко,
Л. А. Степанян. — СПб.: Изд-во СЗГМУ им. И. И. Мечникова, 2016.— 80 с.

Рецензент:
канд. пед. наук, доцент Гуманитарного института Санкт-Петербургского
государственного политехнического университета Т. А. Баранова.

Целью учебно-методического пособия является развитие навыков устной и


письменной коммуникации, перевода, аудирования, интерпретации и изложения
текстов на английском языке в медицинской сфере профессионального общения.
Пособие является частью учебно-методического комплекса, разработанного на
кафедре иностранных языков СЗГМУ им. И. И. Мечникова, и предназначено для
студентов, обучающихся по направлениям подготовки «Лечебное дело» и «Медико-
профилактическое дело».
Данное учебно-методическое пособие может быть использовано для аудиторной и
самостоятельной работы студентов I курса медицинского вуза, а также для слушателей
старших курсов на факультативных и элективных занятиях.

Утверждено
в качестве учебно-методического пособия
Методическим советом ФГБОУ ВО
СЗГМУ им. И. И. Мечникова
Минздрава России,
протокол № 2 от 03 июня 2016 г.

© Коллектив авторов, 2016


© Издательство СЗГМУ им. И. И. Мечникова, 2016
СОДЕРЖАНИЕ
page
Методическая записка 5

Unit 1. The hospital team 7


Vocabulary
 Hospital jobs 7
 An admission 9
 A job interview 9
 The nursing profession 14
Grammar
 Present Simple or Present Continuous? 11
Speaking
 An interview for a volunteer program 12
Writing
 Writing a personal profile 14
Translation
 Working as a nurse 15
Video task: Working in general practice 16
Wordlist 18

Unit 2. In and around the hospital 20


Vocabulary
 Hospital equipment 20
 Hospital departments 21
 Working as a porter 22
 Wheelchairs 23
Grammar
 Prepositions of place and movement 24
Listening
 The history of the stethoscope 24
Reading
 Who invented the microscope? 25
Translation
 The invention of the stethoscope
Video task: Bumrungrad International hospital 27 2
5
Wordlist 29
Quick check: Units 1 and 2 31

Unit 3. Hospital admissions 34


Vocabulary
 Hospital admissions 35
 Patient record 35
 A hospital receptionist 39
 A bad handwriting 40
Grammar
 Past Simple or Past Continuous? 38

3
Listening
 A day in the life: an ER nurse 37
Speaking
 An interview with a ER nurse 37
Translation
 Filling in a patient record form 36
Video task: Health in Britain 40
Wordlist 44

Unit 4. Accidents and emergencies 46


Vocabulary
 First Aid 46
 A cardiac arrest 50
 Births in unusual places 50
 Shock 51
Grammar
 Instructions 47
Listening
 Stroke: know the facts, save a life 48
Writing
 Making a poster 50
Translation
 A cardiac arrest 53
 Stroke 53
Reading
 Flying doctors 52
Video task: Cycle response paramedic 55
Wordlist 57
Quick check: Units 3 and 4 59

Unit 5. Pain 62
Vocabulary
 Describing pain 62
 Pain relief 64
 Alternative methods of pain relief 64
 The mechanism of pain 67
Grammar
 Making comparisons 63
Speaking
 Questions to assess pain 65
Reading
 Phantom pain relief 69
Translation
 The girl who doesn't feel pain 69
Video task: The bionic girl 70
Wordlist 72

Appendix: Parts of the body 76


Reference 80
МЕТОДИЧЕСКАЯ ЗАПИСКА
Учебно-методическое пособие «English for Medicine» может использоваться при
обучении английскому языку в медицинских вузах по направлениям подготовки
«Лечебное дело» и «Медико-профилактическое дело».
Пособие состоит из трех частей и направлено на формирование коммуникативной
компетенции на английском языке в медицинской и санитарно-гигиенической сферах
общения. Каждая часть пособия презентует коммуникативные ситуации, являющиеся
частотными и актуальными в медицинской сфере общения.
Первая часть настоящего учебно-методического пособия сфокусирована на пяти
коммуникативных ситуациях: «Больница. Штат больницы», «Структурная организация
больницы», «Приемный покой. Прием пациента в больницу», «Несчастные случаи»,
«Боль. Типы боли и ее лечение», — которые системно и пошагово формируют у
учащихся способности воспринимать, понимать, интерпретировать чужое
высказывание на английском языке, а также продуцировать собственное высказывание
в устной и письменной форме, инициировать, развивать и логически завершать диалог
на английском языке.
Типы заданий, заложенные в основу пособия, направлены на развитие следующих
видов речевой деятельности в ходе формирования коммуникативной компетенции на
английском языке: аудирование, говорение, чтение, письмо, перевод с русского на
английский язык. Перевод с русского на английский язык выделяется в отдельный вид
речевой деятельности, поскольку обладает особой функциональной нагрузкой в
процессе развития речевой деятельности обучающихся на английском языке,
актуализируя и формируя их словарный запас, создавая оптимальные условия для
закрепления лексического, грамматического и культурологического материала.
Культурологический аспект речевой деятельности отражен в деонтологическом
подходе к презентации речевого материала и реализуется во введении современной,
зачастую проблематичной и требующей понимания основ гуманистичности,
проблематики в сфере медицины.
Пособие включает следующие типы базовых заданий: лексический минимум
(Vocabulary), грамматический минимум (Grammar), чтение (Reading), письмо (Writing)
и перевод (Translation), аудирование (Listening, Video tasks) — и дополнительные
задания: повторение пройденного материала (Quick check Units 1-2, Quick check Units 3-
4), приложение «Части тела» (Appendix “Parts of the Body”).
Задания и упражнения на формирование лексического минимума для каждой
ситуации общения представлены как самостоятельные, а также актуализированы в
каждом последующем типе заданий (грамматика, чтение, письмо, аудирование). В
конце каждого раздела пособия лексический минимум коммуникативной ситуации
презентован в виде списка слов с сопроводительным речевым материалом.
Грамматический минимум формируется в ходе целенаправленной работы над
тренировкой грамматических навыков, а также закрепляется на уровне чтения,
аудирования, говорения и перевода.
Навыки чтения формируются у студентов в формах изучающего, ознакомительного,
поискового и регулятивного чтения с целью последующего создания собственного
речевого высказывания в устной или письменной формах. Рекомендуется в ходе
выполнения заданий на чтение актуализировать проверку переводческой деятельности
студентов с английского на русский язык с целью мониторинга их способности
трансформировать лексико-грамматические единицы, функциональные фразы и
метафорические единицы на родной язык.
Включенные в лингводидактический аппарат пособия видео-задания расширяют
речевое и смысловое пространство пособия в силу аутентичности и современности
обсуждаемой проблематики, вводят дополнительные единицы функционального языка.
Уникальность видео-заданий для процесса обучения иностранным языкам заключается
в том, что в ходе их выполнения у учащихся формируется способность прогнозировать
и «угадывать» развитие мысли на английском языке на основе прочтения и
декодирования языка жестов, мимики и сопроводительного аудио-визуального ряда.
В данном пособии особое внимание уделено упражнениям на перевод с русского на
английский язык, поскольку этот вид речевой деятельности формирует навык
трансформировать фразу с одного языка на другой в структурном плане и расширяет
обучающий потенциал всех лексических заданий на уровне как письменной, так и
устной коммуникации. Особую важность задания на перевод обретают в контексте
сжатого с точки зрения аудиторной работы формата обучения: настоящий
образовательный стандарт для медицинских специальностей ФГОС3+ отводит на
дисциплину «Иностранный язык» 72 академических часа, включая самостоятельную
Учитывая рекомендации современного образовательного стандарта ФГОС 3+ для
работу.
медицинских специальностей в части выделения 30% академических часов (36
академических часов в год) на самостоятельную работу студентов, разработчики
данного пособия предлагают использовать такие разделы, как видео-задания,
повторение и приложение в качестве организации, мониторинга и контроля
деятельности учащегося по дисциплине «Иностранный язык» за
пределами аудиторного занятия.
Самостоятельная деятельность студента прописана в каждом виде задания на уровне
пошаговых рекомендаций к манипуляциям с речевым материалом.
В целом, рекомендуется интегрировать данное пособие в процесс обучения
иностранным языкам в медицинских вузах в ходе организации аудиторной и
самостоятельной работы студентов.
Авторский коллектив учебно-методического пособия «English for Medicine.
Английский язык для студентов медицинских специальностей. Часть 1» благодарит за
неоценимую поддержку в генерировании идей и их реализации и оказанную в виде
методических рекомендаций доктора педагогических наук, профессора Попову Н.В.
(Гуманитарный институт СПбГУ им. Петра Великого), Тони Грайса (автора учебников
«Nursing 1», «Nursing 2»), кандидата филологических наук, профессора Маркови-
ну И.Ю. (Первый МГМУ им. И.М. Сеченова).
UNIT 1. THE HOSPITAL TEAM

VOCABULARY Hospital jobs

1. Match photos A-J to the words from the box.

cardiologist lab technician midwife porte paediatricia surgeo


r n n
paramedi physiotherapis radiologist scrub aneasthetis
c t nurse t
A. B. C. D. E.

F. G. H. I. J.

Answer the questions about the hospital jobs:


1. Which hospital jobs are the most stressful? Which are the least stressful?
2. Which hospital jobs let you have a work-life balance?
3. Which hospital jobs are the best-paid? Which are the worst-paid?
4. Which hospital jobs are the most monotonous (the most demanding the most rewarding)?
5. Which hospital jobs are in high demand nowadays? And which jobs have future
perspectives?

2. Underline the correct options in bold.


1. A midwife gives/attends births and moves/delivers babies. 2. A cardiologist supports/
specializes in illnesses of the heart and blood vessels. 3. A paediatrician treats/delivers
children. 4. A lab technician examines/performs samples and tissues under a microscope.
5. A scrub nurse supports/moves surgeons in the operating theatre. 6. A paramedic
responds/specializes to emergencies and gives first aid. 7. A radiologist gives/takes x-rays
and other images. 8. A physiotherapist designs/treats exercise programs for patients. 9. An
anesthetist specializes in providing/responding anesthesia for all types of surgery.
10. A gynecologist sometimes performs/supports minor gynecologic surgeries.
11. A porter supports/moves patients and equipment. 12. A pharmacist gives/prepares
medicines to give medical staff or patients.
3. Read the descriptions and guess the correct hospital job from the box.

otolaryngologistgastroenterologist orthopedist oncologistnutritionist ophthalmologist

1. I advise people on what to eat 2. I specialize in treating


in order to lead a healthy people with cancer.
lifestyle or achieve a specific
health- related goal.

4. I diagnose and treat diseases of


3. I specialize in treating
the ears, nose, sinuses, larynx (voice
disorders of the
digestive system. box), mouth, and throat.

5. I treat eye diseases,


prescribe 6. I treat bone and joint
disorders.
glasses and contact lenses.

4. Translate the sentences from Russian into English.

1. Aкушерка присутствует при родах и принимает новорожденных. 2. Врач-


рентгенолог делает снимки и анализирует их. 3. Кардиолог специализируется на
заболеваниях сердца и кровеносных сосудов. 4. Врач-гинеколог специализируется на
заболеваниях женской репродуктивной системы и проводит незначительные
гинекологические операции. 5. Врач-лаборант проводит исследование образцов и
тканей под мик- роскопом. 6. Врач-офтальмолог специализируется на проблемах,
связанных с нару- шением зрения (visual problems). 7. Фельдшер скорой помощи
выезжает на вызов и оказывает первую помощь. 8. Эндокринолог специализируется на
лечении заболеваний эндокринной системы. 9. Гастроэнтеролог лечит заболевания
пищеварительной системы. 10. Хирург-онколог (surgical oncologist) проводит
онкологические операции.
11. ЛОР-врач диагностирует и лечит заболевания уха, горла, носа. 12. Врач-физио-
терапевт разрабатывает (design) программы упражнений для пациентов. 13. Врач-
ортопед лечит заболевания костей и суставов. 14. Врач-невролог специализируется на
заболеваниях нервной системы. 15. Санитары перевозят пациентов из операционной
в палаты.
VOCABULARY An admission

5. Match the words with their Russian equivalents.

1. call an ambulance a) измерять давление


2. discharge b) иметь сильную головную боль
3. break an arm c) упасть
4. have a fall d) вызвать скорую
5. use a bedpan e) сломать руку
6. have a horrible headache f) делать рентген снимки
7. take X-rays g) иметь высокое давление
8. have high blood pressure h) использовать судно
9. prescribe antibiotics i) прописать курс антибиотиков
10. measure blood pressure j) выписывать пациента из больницы

6. Complete the story with the correct words from the box.

appointmentfellparamedicsbrokedischargedambulanceX-rays

Jim Enser, a 91-year-old Second World War veteran from Waltham, Lincs, was cycling
home from a shopping trip when he (1) off his bike and (2) his shoulder.
Witnesses called for an (3) and waited with the veteran for the
(4).
When the emergency vehicle had not arrived almost an hour and a half later, a stranger
drove Jim to A&E. Jim said: "I've never complained about anything like this before. I'm not
blaming the paramedics but I am blaming the system and the way it is run. The hospital
staff's care was excellent as well.”
He was (5) later that night after undergoing (6) and was asked
to return for a follow-up (7).

VOCABULARY A job interview

7. Match the words with their Russian equivalents.

1. full-time job/part-time job a) заочный курс


2. look for a new job b) подавать заявление о приеме на работу
3. part-time course c) дневная/ночная смена
4. day/night shift d) искать новую работу
5. apply for a job e) работа на полную/неполную занятость
6. assist the surgeon f) благодарный
7. rewarding g) помогать хирургу
8. Complete the story with the correct words from the box.

responsibilitypreparesrewardinginstrumentsX-raysshiftsassists

My sister Kerry has been working as a dental assistant for more than 4 years. She always says
that it’s the most (1) job ever! She has a good salary and flexible working
hours: she may choose to have a morning or an evening (2) or just weekends.
Her days are different: she (3) dentists, hygienists and therapists during a
variety of treatment procedures, (4) the dental surgery
both before and after treatments takes (5), processes (6) after use. This job
requires a lot of (7) but she is very happy to make a difference in her patients’
lives.

GRAMMAR Present Simple or Present Continuous?

9. Read the interviews and underline the correct verb forms.


Reena Chaudry: practice nurse
Age: 33 years old Home: Alicante, Spain
'I work/am working as a practice nurse in a big doctor's surgery. This is my first job since graduation. I
like/am liking the fact that every day is different. Practice nurses carry out/are carrying out a lot of routine
procedures they change/are changing dressings and treat/are treating wounds, etc. I am/am being also
responsible for giving health checks and advising patients I give/'m giving them advice on healthy eating
and on health conditions such as asthma or diabetes. At the moment, with a colleague, we run/are
running a clinic for patients with diabetes. It's very interesting and I learn/am learning a lot about how to
deal with this condition. Like most nurses, I don't have/am not having a lot of free time, but I like going to
the cinema when I can. I also play/am playing the guitar in a classical music group and we sometimes
give/are giving concerts.’

Olivia Brown: gynecologist


Age: 38 years old Home: San Francisco, USA
'I work/am working as a gynecologist in a private hospital in San Francisco, USA. Every day I perform/ am
performing a variety of tests and exams focused on women's health, including gynecological ultrasound
scanning. I discuss/am discussing contraceptive options with my patients and provide/am providing family
planning advice. One or two days a week I spend/am spending in a surgery where I perform/am performing
minor gynecological operations. In order to be a good doctor, it's important to update your professional
knowledge and skills all the time. That is why I often take part/am taking part in various workshops and
conferences and read/am reading a lot of medical journals. This week I attend/am attending a workshop
on Minimally Invasive Gynecology. In May I fly/am flying to Washington, DC to participate in Annual
Clinical and Scientific Meeting of ACOG (the American Congress of Obstetricians and Gynecologists). In
my free time, I enjoy/am enjoying being with my young daughters. We often go/are going swimming and
cycling. In summer we like/are liking doing triathlons.

10
10. Look at the pictures in Ex.1 (p. 7) and say what these people usually do at their
work and what they are doing at the moment.

11. Complete the conversation putting the verbs into the Present Continuous or
Present Simple.
At the European nutrition conference

A: Do you mind if I join you?


B: No, not at all. Please, sit down.
A: How (1. you/enjoy) the conference?
B: Very much. The presentations are very interesting and it’s a great chance to
network. A: What (2. you/do), by the way?
B: I’m an immunologist. I (3. work) in a children’s hospital in Barcelona. What
(4. you/do)?
A: I’m a nutritionist. I (5. have) my own practice in Munich. Is this your first
time in Berlin?
B: Yes. And I (6. like) this city a lot: it is so green and nice.
(7. you/stay) at the Estrel, too?
A: No, I (8. stay) at my friend’s. He’s a doctor, too. By the way, he
(9. give) his presentation on Food Nutrition And Immune Function after lunch.
B: (10. your friend/specialize) in Immunology?
A: Yes, and he (11. work) in the Institute of Immunology here in Berlin. They
(12. do) a lot of research there.
B: What time (13. his presentation/start)?
A: It (14. start) at 2 p.m. Would you like to join me?
B: Oh, thank you. With great pleasure.

12. Write the questions to the words in italics.


1. He usually drives to work.

2. They are interested in Biology.

3. He’s writing a report now.

4. The meeting is at 5.

5. She is responsible for running a ward.

6. This week Sarah is working a day shift.

7. They’re good at Organic Chemistry.

8. I’m staying at the Radisson Ottawa Parliament Hill.

9. They are preparing for the operation now.

10. Tom and Alice enjoy cycling in their spare time.


13. Translate the sentences from Russian into English.

1. Доктор Браун сейчас занят: он проводит операцию. 2. Почему ты ищешь новую


работу сейчас? 3. Педиатры лечат детей. 4. В этом году я занимаюсь исследованием по
эндокринологии. 5. В свое свободное время я люблю кататься на велосипеде и
заниматься плаванием. 6. Медсестра готовит сейчас инструменты для следующей
операции. 7. На этой неделе я работаю в ночную смену. 8. Я учусь в медицинском
университете и по совместительству работаю медсестрой. 9. Я сейчас измеряю
давление. 10. Я не прописываю антибиотики, если пациент простудился. 11. На этой
неделе я принимаю участие в мастер-классе по лапароскопии.

SPEAKING An interview for a volunteer project

14. Work in pairs and discuss the questions.

1. What is a volunteer project? Why do people volunteer?


2. Have you ever done any volunteer work? Would you like to work as a volunteer?
3. Would you volunteer to help people outside your city/town or outside your country?
4. Do you know any volunteer organizations? Have you ever heard about any medical
volunteer programs or organizations?

15. Read the text and answer the questions below.

1. What type of organization is Projects Abroad? Who may participate in their programs?
2. What countries do they work in?
3. What fields of medicine do they arrange placements in?
4. Where do participants stay during the program?
5. Would you like to participate in their programs?

Projects Abroad is an organization that allows pre- medical and medical students to get valuable
medical experience in the developing countries around the world. The goal of our medical programs
is to help individuals learn more about medicine in general, how it is practiced abroad, and the
challenges fed when practising in the developing world.

You can choose one of our Medicine programs in over 20


countries including destinations in Africa, Latin America, Asia,
and Eastern Europe.

We also arrange placements in different Medical fields such as


Nursing, Physical Therapy, Occupational Therapy, Midwifery,
Public Health, and more.
By living with a host family you will have the chance to learn all
about the local customs and traditions, and experience the
culture as a family member rather than an outsider.

Please, visit for more information.

16. Work in pairs. Student A is the interviewer from Projects Abroad and is going to
interview applicants for the program. Student B has sent an application and has been
asked for an online interview. Look at the information on the cards below and spend a few
minutes preparing what you are going to say.

STUDENT A: INTERVIEWER STUDENT B: APPLICANT


Think about the questions you are going to Think about what relevant qualificati-
ask Student B. You need to find out about: ons, skills and experience you have.
Use the following prompts and invent
 his/her education and work experience
the details yourself:
 his/her practical skills (e.g. typing)
 his/her ability to work in a team and  your education and work experience
communication skills  your practical skills
 his/her personality (e.g. confident, lively)  your ability to work in a team and
 his/her motivation to participate in the communication skills
program  your personality (e.g. confident, lively)
 what country he/she would like to work  why you are interested in participating in
in and what field of medicine he/she the program
wants to get experience in.  what country you would like to work in
and what field of medicine you want to
get experience in.

You are now ready to conduct your interview. Remember:


- Student A: you really want to find the right person for the program, so find out as
much as you can about the applicant.
- Student B: you really want to participate in the program, so answer the
interviewer’s questions as fully as possible.

WRITING A profile of a volunteer


17. Read this volunteer’s profile and fill in the gaps with the correct prepositions.

Name: Phillipa Collins


Age: 26
Organization: Projects Abroad

Phillipa is one of the ward nurses in King Faisal Hospital (Kigali, Rwanda). She arrived only three
days ago, but tomorrow she is already (1. at/on/for) duty. She has always been
interested (2. in/at/for) doing a volunteer work and taking care (3. of/for/at) patients
in other countries, that's why she has decided to apply (4. to/at/for) one of the programs of
Projects Abroad.
Every day Phillipa deals (5. with/at/for) different types of work. She is responsible
(6. for/at/in) giving injections, monitoring patient's pulse, taking temperature, measuring blood
pressure and many others. She also carries (7. for/in/out) different procedures, prescribed by
a doctor. As Phillipa works with children a lot, she must be particularly good (8. at/for/in)
communicating with them. Phillipa thinks being a volunteer is a good opportunity to work with
different people and different teams, especially with local staff.
Although Phillipa's work is very difficult, she is enjoying every moment. "There are not many
places to go (9. away/out/for) in the evening after a hard day, the ones we got used to at home, but
the landscapes are so amazing…I am just fond (10. in/at/of) walking around and admiring the
beauty of the local nature."
Phillipa is not going to stop her volunteer work. She is planning to do further study and
specialize (11. in/at/on) midwifery. It will give her an opportunity to apply
(12. for/at/on) more volunteer projects and get more experience and skills.

18. Imagine that your partner has been selected to participate in Projects Abroad. Now
he/she is staying in Serbia and working as a volunteer in a small community hospital.
Write a similar profile about him/her.

VOCABULARY The nursing profession

19. Match the words with their Russian equivalents.


1. unpaid a) тарифная сетка (шкала заработной платы)
2. unions b) иметь категорию
3. pension c) пенсия
4. to be on a grade d) обязанности
5. experience and skills e) низкооплачиваемый
6. work overtime f) профсоюзы
7. pay scale g) опыт и навыки
8. responsibilities h) зависеть от чего-то
9. make nursing into a profession i) превратить сестринское дело в профессию
10. depend on j) работать сверхурочно
20. Fill in the gaps with the words from Ex. 19.

1. In the 19th century nurses were unpopular, untrained and . 2. It was Florence
Nightingale who turned . 3. Today nursing is a career with a three or four year
training, qualifications, grades, and _. 4. In Britain every nurse is on a
that depends on experience and , and each grade has different and
pay. 5. Many nurses work shifts, and often they to make more money.

21. Match the words with their Russian equivalents.

1. work shifts a) основное обучение


2. basic training b) дальнейшее обучение
3. treat the mentally ill c) лечить душевнобольных
4. auxiliary nurse d) получать продвижение по работе
5. ward e) работать посменно
6. nursing officer f) больничная палата
7. staff nurse g) младшая медсестра
8. get promotion h) старшая сестра отделения
9. further study i) главная медицинская сестра
10. sister j) старшая медицинская сестра

22. Fill in the gaps with the words from Ex. 21.

1. An is on the bottom grade. 2. There are 15 two-bed in this department.


3. A is usually an administrator. 4. After many nurses choose to do
further study and become specialists. 5. Psychiatric nurses . 6. Unfortunately,
many nurses say that they don’t get enough money and for what they do.
7. A is responsible for planning and implementing patient care.

TRANSLATION Working as a nurse

23. Translate the passage from English into Russian.


Около 150 лет назад профессия медсестры была низкооплачиваемой, неквалифициро-
ванной и непопулярной. Флоренс Найтингейл превратила сестринское дело в про-
фессию.
Сегодня сестринское дело — это профессия c трехлетним сроком обучения, квали-
фикациями, категориями, профсоюзами и пенсиями. В Великобритании каждая
медсестра имеет категорию. Категория зависит от опыта и навыков и имеет свои
обязанности и оплату (тарифную ставку). После основного обучения многие
медсестры проходят дальнейшее обучение и становятся специалистами. Они могут
специализи- роваться в различных сферах, например, медсестра приемного отделения,
участковая медсестра, медсестра психиатрического отделения, акушерка. Многие
медсестры говорят, что их работа — низкооплачиваемая, тяжелая физически и
морально, но она очень благодарная.
UNIT 1. VIDEO TASK

WORKING IN GENERAL PRACTICE

Before you watch

1. Work in pairs. Discuss the questions.

1. Who do you think general practitioners treat?


2. What is their typical day like?
3. What personal qualities does a GP need?
4. What are advantages and disadvantages of working in general practice?

2. You are going to watch the video about Alison Martel, a family physician from
Alberta, Canada. Look at the screenshots below and tick the topics which you think she
will be talking about.

1. Why she became a family physician. 6. Work and life balance.


2. Her typical day. 7. Rotation.
3. Her education. 8. Career development.
4. Her family. 9. How she copes with stress.
5. Advantages and disadvantages of working
as a family physician. 10. The town where she lives.

While you watch

3. Watch the video (https://www.youtube.com/watch?v=vKUAFYVg8fc) and check


your ideas in Ex. 2.

4. Watch the video again. Answer the questions below.


1. What age group of patients does she look after?
2. How does she usually start her day?
3. Are the days always the same in her office?
4. Which two main components do her appointments include?
5. How often does she have a 24-hour rotate?
6. How does she try to keep her work-life balance?
7. What does she think are the great things in family medicine?
After you watch

5. Work in pairs. Student A is the medical student who doesn’t know what specialization
to choose. Student B is the family physician who needs to convince the medical student to
become a family physician. Look at the information on the cards below and spend a few
minutes preparing what you are going to say.

STUDENT A: MEDICAL STUDENT


STUDENT B: FAMILY PHYSICIAN
Think about the questions you are going to
Use the following prompts and invent the
ask Student B. You need to find out about:
details yourself.
 why he/she decided to become a family
 why you decided to become a family
physician
physician
 what advantages and disadvantages of
 what advantages and disadvantages of
being a family physician are being a family physician are
 his/her typical day  your typical day
 if he/she manages to keep work-life  if you manage to keep work-life balance
balance  how often you have to rotate.
 how often he/she has to rotate.

You are now ready to roleplay your conversation.

6. Imagine that now you work as a family physician. Write an email to your friend telling
him/her about your responsibilities, the hospital you work in, your patients, what
problems you have to face and if it is possible to keep work/life balance.

GLOSSARY

admit in — госпитализировать follow-up — контрольный приём


adolescence — подростковый возраст make a diagnosis — поставить диагноз
beeper — пейджер rotate — сменяться, чередоваться
do investigations — проводить treatment options — варианты лечения
обследование
UNIT 1. WORDLIST

Here is a list of useful words from Unit 1. You can insert your own translation.

adj = adjective conj = conjunction phr v = phrasal verb phr = phrase pron = pronoun
adv = adverb n = noun pl = plural prep = preposition v = verb

An anesthetist provides anesthesia for all


anaesthetist (n) types of surgery.
apply for a job (phr) Why are you applying for a new job?
attend births (phr) A midwife attends births and delivers babies.
auxiliary nurse (n) An auxiliary nurse is on the bottom grade.
You can use your bedpan at any time you
bedpan (n) want.
blood pressure (n) A nurse will measure your blood pressure.
A cardiologist specializes in illnesses of the
blood vessels (n) heart and blood vessels.
break a leg (phr) I had an X-ray when I broke my leg.
A cardiologist specializes in illnesses of the
cardiologist (n) heart and blood vessels.
A charge nurse is a male nurse equivalent to
charge nurse (n) a sister.
consultant (n) A consultant will examine you in a moment.
deliver babies (phr) A midwife attends births and delivers babies.
A doctor will discharge you as soon as you
discharge (v) feel better.
examine samples and A lab technician examines samples and
tissues (phr) tissues under a microscope.
examine under a A lab technician examines samples and
microscope (phr) tissues under a microscope.
A paramedic gives first aid and responds to
give first aid (phr) emergencies.
grade (n) In Britain, every nurse is on a grade.
If I have a headache, I usually take some
have a headache (phr) painkillers.
have an X-ray (phr) Have you had an X-ray before?
A lab technician examines samples and
lab technician (n) tissues under a microscope.
midwife (n) A midwife works in a newborn nursery.
move patients (phr) Porters move patients around the hospital.
I usually work a day shift, but this week I'm
night/day shift (n) working a night shift.
A surgeon performs operations in the
operating theatre (n) operating theatre.
nursing officer (n) A nursing officer is on the top grades.
A paramedic gives first aid and responds to
paramedic (n) emergencies.
I'm doing a part-time course and work at the
part-time (adj) same time.
Nurses at the bottom of the pay scale get the
pay scale (n) lowest pay.
pediatrician (n) A pediatrician treats children.
perform operations Surgeons perform different times of
(phr) operations.
A pharmacist prepares medicine to give to
pharmacist (n) medical staff or patients.
A physiotherapist designs exercise programs
physiotherapist (n) for patients.
A porter transports patients from the wards
porter (n) to different hospital departments.
A pharmacist prepares medicine to give to
prepare medicine (phr) medical staff or patients.
prescribe some A consultant will prescribe you
medicine (phr) some medicine after he makes a
radiologist (n) diagnosis.
A radiologist takes X-rays and other images.
A receptionist makes appointments for
receptionist (n) patients.
respond to emergencies A paramedic gives first aid and responds to
(phr) emergencies.
rewarding (adj) Nursing profession is very rewarding.
A scrub nurse supports surgeon in the
scrub nurse (n) operating theatre.
A staff nurse is responsible for planning and
staff nurse (n) implementing patient care.
A scrub nurse supports the surgeon in the
support surgeons (phr) operating theatre.
surgeon (n) A surgeon performs operations on patients.
take X-rays (phr) A radiologist takes X-rays and other images.
treat children (phr) A pediatrician treats children.
UNIT 2. IN AND AROUND
THE HOSPITAL

VOCABULARY Medical equipment


1. Match the medical equipment in the pictures to the correct words in the box.

dialysis machine scalpel pediatric spoon neurological pinwheel centrifuge


Scales x-ray machine bone plate ECG machine microscope

A. B. C. D. E.

F. G. H. I. J.

2. Complete the sentences using the words from Ex. 1.


1. The is used for monitoring the heart. 2. The is
used for examining tissues, samples, etc., very closely. 3. The is
used for separating substances by spinning them. 4. The are used for weighing
substances. 5. The is used for fixing a broken bone. 6. The
is used for cleaning the blood when the kidneys don’t work. 7. The
is used for testing for sensation in nerves. 8. The is
used for performing surgery. 9. The is used for taking a photo of bones.

3. Make sentences using the words from the three boxes.

1. The glucometer
hearing sounds from movements within the body.
2. The stethoscope
recording the patients’ blood pressure.
3. The blood
oral examination.
pressure meter IS making injections.
4. The tongue
looking inside the stomach, larynx, trachea, etc.
depressor FOR measuring the patient’s temperature.
5.
The endoscope
6. determining the concentration of glucose in the
The
7. blood.
thermometer
The syringe

20
4. Translate the sentences from Russian into English.
1. Педиатры используют шпатели для осмотра полости рта. 2. Глюкометр
используется для определения уровня глюкозы в крови. 3. Врачи-лаборанты
используют микроскопы для проведения исследования тканей и образцов. 4. Хирурги
используют скальпели для проведения операций. 5. Судно используется для
лежачих (immobile) больных.
6. Металлическая пластинка используется для фиксации отломков
костей.
7. Термометр используется для измерения температуры тела больного. 8. Медсестры
пользуются одноразовыми (disposable) шприцами и иглами (needles) для проведения
инъекций. 9. Манометр используется для определения кровяного давления.
10. Неврологи используют неврологическое колесо для проверки чувствительности
нервов. 11. Стоматологи пользуются автоклавом (autoclave) для стерилизации
инструментов. 12. Стетоскоп и фонендоскоп (phonendoscope) используются для

VOCABULARY Hospital departments

5. Use the words in the box to complete the definitions of these hospital departments.

skin performs kidney bones nervous anaesthesia

1. Neurology deals with disorders of the system. 2. Surgery


operations on patients. 3. Orthopedics treats and joints.
4. Renal Unit specializes in diseases. 5. Doctors in the
Anesthesiology department give for operations and procedures. 6. Dermatology
treats diseases of the .

blood pregnancy children medicine exercises heart

7. Obstetrics specializes in and birth. 8. Physiotherapy designs


on patients. 9. Haematology studies disorders.
10. Cardiology treats illnesses of the and blood vessels. 11. Paediatrics deals
with sick . 12. Pharmacy dispenses .

samples emergency cases elderly digestive cancer endocrine glands

13. Accident and emergency (or Casualty) is the place where they deal with
. 14. Specialists in Geriatrics treat problems related to the
. 15. Doctors in Endocrinology specialize in disorders of the
. 16. Pathology studies illnesses and analyzes
. 17. Gastroenterology investigates and treats the disorders of the
system. 18. The Oncology department specializes in the
diagnosis, management and treatment of .
GRAMMAR Prepositions of place and movement

6. Translate the phrases from Russian into English.

Part A. 1. На первом этаже есть аптека. 2. Между отделениями неврологии и


гериатрии есть лифт. 3. Слева от здания есть большая парковка. 4. Под лестницей
находятся два туалета. 5. Рядом с лифтом находится отделение физиотерапии.
6. Напротив педиатрического отделения находится игровая комната. 7. В конце
коридора есть лаборатория. 8. На нашем отделении есть 10 одноместных и
5 двуместных палат (one-bed/two-bed wards). 9. В отделении лучевой диагностики
есть магнитно-резонансный томограф, рентгеновский аппарат и несколько
аппаратов УЗИ.

Part B. 1. Идите по этому коридору, затем поверните налево. 2. Подниметесь на


лифте на второй этаж. 3. Не могли бы Вы отнести карты пациентов обратно в
регистратуру.
4. Пройдите мимо кафе, и Вы увидите аптеку. 5. Присядьте в комнате ожидания,
доктор к Вам спустится. 6. Если Вы едете в нашу больницу на машине, то сначала
поезжайте по Главной улице, затем поверните направо на втором повороте.
7. Пройдите через турникет, регистратура будет прямо перед Вами.

VOCABULARY Working as a porter

7. Match the words with their Russian equivalents.

1. take waste away for recycling a) продуктовая тележка


2. take samples and specimens b) выбрасывать мусор
3. collect waste c) перевозить пациентов
4. deliver the post d) инвалидная коляска
5. food trolley e) носилки
6. stretchers f) морг
7. lift and carry heavy equipment g) собирать мусор
8. mortuary h) увозить мусор на переработку
9. dispose of the waste i) доставлять почту
10. wheelchair j) собирать образцы и пробы
11. transport patients k) доставлять письма пациентам
l) поднимать и перевозить тяжелое
12. bring letters for patients оборудование
8. Fill in the gaps with the English equivalents of the words in brackets.
My name is Chris Brown and I work as a porter in St. Nicolas hospital. Our hospital is rather
big, there are 800 beds here.

My working day starts at 6.30 a.m. and finishes at 2.30 p.m. When I come to work, first I go
to the Inpatient faculty to (1. собрать и вынести весь мусор). Then
I (2. собираю образцы и пробы пациентов и везу их в
лабораторию).

Breakfast is at 8 o’clock. I go to the kitchen, take (3. продуктовую


тележку и развожу завтрак пациентам). After breakfast I take patients to various
procedures, take them to an X-ray, endoscopy or to the operating theatre and then back to the
wards. Besides, I bring the post to the departments and (4. доставляю письма
пациентам). Every day I have to deal with a great number of staff, patients and their
relatives, so porters always have to be polite and friendly.

One of the most difficult responsibilities is transportation dead patients to the


(5. морг). Every week we have 6-7 dead patients.

The most positive part of my work is taking patients during discharge. This is a pleasant
moment for all patients. From time to time they give me presents but I seldom take them.
Instead, I ask them to say a prayer.

VOCABULARY Wheelchairs

9. Match the words with their Russian equivalents.


1. voice commands a) решать проблему
2. arm rests b) кресло-каталка с ручным приводом
3. leg rests c) самоходная инвалидная коляска
4. solve a problem d) подниматься по лестнице
5. manual wheelchair e) люди с ограниченными возможностями
6. self-propelled wheelchair f) физически здоровые люди
7. modern wheelchairs g) голосовые команды
8. all-purpose wheelchair h) большой прорыв
9. able-bodied people i) подставка для ног
10. climb stairs j) подлокотники
11. reach high shelves k) доставать до высоких полок
12. latest technology l) универсальное инвалидное кресло
13. big jump forward m) новейшие технологии
14. disabled people n) современные инвалидные кресла-коляски
10. Fill in the gaps with the English equivalents of the words in brackets.
1. Today there is a great number of (1. современных инвалидных
кресел) that are designed by scientists to make the life of (2. людей
с ограниченными возможностями) easier. 2. Scientists made a (3. большого
прорыва в разработке современных инвалидных кресел) with the invention of the
computer program that responds to (4. голосовые команды). 3. Nowadays
modern wheelchairs let disabled people (5. подниматься по
лестнице), (6. доставать до высоких полок), use a shower and a
toilet.
4. In 16th century King Philip of Spain had a wheelchair with removable
(7. подставка для ног и подлокотники).

LISTENING The history of the stethoscope

11. Work in pairs. Discuss the questions.

1. What is the stethoscope used for? Which doctors usually use stethoscopes?
Do you know anything about how the stethoscope was invented? How did doctors use to listen
to the heartbeat before it was invented?
2. Look at the photos below and say how different the early models of the stethoscope were.

12. Watch the video about the invention of the stethoscope


(https://www.youtube.com/watch?v=Dd2FuLBm3Qw) and complete the
notes.

Before the invention double


Doctors placed an ear against the patient's body. newspaper
wooden tube
1816
Renne Lenneck used a rolled-up (1) . Later he made a single (2) . binaural
Today it is known as the monaural stethoscope. ear
model
1851
Arthur Leared introduced a (3) stethoscope.
Nathan Marsh presented the first commercially marketed (4) .

1852
Dr. George Camman produced the first recognised (5) stethoscope.
13. Watch the video again and choose the correct option.

1. Renne Lenneck was from the USA/France/England.

2. While examining a young married/obese/slim/pregnant woman Renne felt embarrassed to


listen to her heartbeat.

3. Arther Leared presented his invention at the conference/in the hospital/at the exhibition in
London.

14. Work with your partner. Use the notes from Ex. 12 and tell the partner about the
history of the stethoscope.

TRANSLATION The invention of the stethoscope

15. Translate the sentences from Russian into English.


Стетоскоп — это медицинский инструмент, который используется врачами для
прослушки внутренних органов человеческого организма. До его изобретения врачи
приставляли свое ухо прямо к груди пациента.

В 1816 году на прием к Рене Лэннек, молодому французскому доктору, пришла


пожилая женщина. Ему нужно было прослушать ее легкие. Так как пациентка
страдала избыточным весом, доктору было сложно это сделать. Тут он вспомнил
детскую игру, быстро свернул лист бумаги в трубочку (rolled up a sheet of paper into a
tube) и поместил ее конец на грудь пациентки. Трубочка усилила (magnified) звук, и
доктор смог легко прослушать ее легкие. Вскоре бумажная трубочка была заменена на
полую деревянную трубку. А это изобретение было названо стетоскопом.

READING Who invented the microscope?

16. Work in pairs. Discuss the questions.

1. What is the microscope used for? What fields of science are microscopes used in?
2. Do you know who invented the microscope? In what country was it invented?
3. What purposes was the first microscope used for?
4. How do you think a modern microscope has changed since the discovery of the first one?
17. Read the text and check your ideas in Ex. 16.

A microscope is a device that magnifies small objects. When the first microscope was
developed it was only as strong as a magnifying glass. Today, there are dozens of
microscopes capable of letting us see and analyze objects as small as atoms! Let's have a
look at the interesting timeline of the microscope history.

Dating back to the first century when glass was first invented, the Romans were
investigating its usage and how it made objects appear larger when viewing them through it.
The earliest
simple microscope was merely a tube with a plate for the object at one end and, at the other,
a lens which gave a magnification less than ten diameters — ten times the actual size. They
became known as "flea glasses" as they were mostly used to view fleas or tiny creeping
things.

About 1590, two Dutch spectacle-makers, Zaccharias Janssen and his son Hans, while
experimenting with several lenses in a tube, discovered that nearby objects appeared greatly
enlarged. This became the forerunner of the compound microscope and of the telescope. In
1609, Galileo (1564–1642), father of modern physics and astronomy, heard of these early
experiments, worked out the principles of lenses, and made a much better instrument with a
focusing device.

The father of microscopy, Anthony Leeuwenhoek of Holland (1632–1723), started as an


apprentice in a dry goods store where magnifying glasses were used to count the threads in
cloth. He taught himself new methods for grinding and polishing tiny lenses of great
curvature which gave magnifications up to 270 diameters, the finest known at that time.
These led to the building of his microscopes and the biological discoveries for which he is
famous. He was the first to see and describe bacteria, yeast plants, the teeming life in a drop
of water and the circulation of blood corpuscles in capillaries. He also used his lenses to
make pioneering studies on an extraordinary variety of things, both living and non-living
and reported his findings in over a hundred letters to the Royal Society of England and the
French Academy.

Robert Hooke (1635–1703), the English father of microscopy, reconfirmed Anthony van
Leeuwenhoek's discoveries of the existence of tiny living organisms in a drop of water.
Hooke made a copy of Leeunwenhoek's microscope and then improved upon his design.

Later, few major improvements were made until the middle of the 19 th century. Several
European countries began to manufacture fine optical equipment but none finer than the
marvelous microscopes built by the American, Charles A. Spencer (1813–1881), and the
industry he founded. Present day instruments, little changed from these early microscopes,
give magnifications up to 1250 diameters with ordinary light and up to 5000 with blue light.

18. Read the text again and correct the mistakes in the sentences.

1. The first microscope was developed by two German scientists.


2. Hans Janssen is considered to be the father of Microscopy.
3. The first compound microscope was designed by Galileo.
4. The microscope designed by Zacharias Janssen was called flea glasses because they used
it for examining insects.
5. It was Robert Hook who first saw and described bacteria, yeast plants and red blood cells.
6. Present day microscopes look exactly the same as those early models.

19. Work in pairs and answer the questions.

1. Which facts from the text did you know before? Which facts did you find surprising?
2. What would happen if they never invented the microscope?
UNIT 2. VIDEO TASK

BUMRUNGRAD INTERNATIONAL HOSPITAL


Before you watch

1. Work in groups. You’re going to watch a video about Bumrungrad International


Hospital in Thailand. Look at the photos and discuss the questions.

1. Is this hospital big or small?


2. What countries are their patients from?
3. What diseases do they specialize in?
4. Do they use the latest technologies and innovations there?
5. What languages do you think the staff can speak?
While you watch

2. Watch the video (https://www.youtube.com/watch?v=TYg-N-qrXTs ) and check


your ideas in Ex. 1.

3. Watch the video again and answer the questions.


1. How many doctors work in this hospital?
2. What do they focus on in their work?
3. How many tests and evaluations does the check-up include?
4. When can you get the results of your check-up?
5. How much does the check-up cost?
6. How many operating theatres are there in the hospital?
7. How many tests a year do they perform in their laboratory?

After you watch

4. Work in pairs. Student A is the US resident who needs some medical treatment but
doesn’t have enough money. Student B is the person who has just come back from
Thailand where he was on observation in Bumrungrad International Hospital. Look at
the information on the cards below and spend a few minutes preparing what you are
going to say.
Student A: You are from the USA. You are worried
about your health and you’d like to go to hospital
for observation but medical service in your country
is very expensive. Your friend has just come back
from Thailand where he/she got some medical
treatment in Bumrungrad International Hospital.
Ask him/her about his/her experience.

Student B: You have just come back home to the


USA from Thailand where you got some medical
treatment in Bumrungrad International Hospital.
Your friend is worried about his/her health and
would like to go to hospital for observation but it is
very expensive in your country. You need to
convince him/her to go to this hospital.

5. Work in groups. Discuss the questions.

1. Would you like to work in Bumrungrad International Hospital in Thailand? Why/why not?
2. Would you like to be treated there? Why/why not?
3. What is medical tourism? Why is it so popular today?
4. What countries and cities are the leading destinations for medical tourism? What fields of
medicine do they specialize in? Search the Internet and fill in the chart below:

Country Fields of medicine they specialize in

Germany

Israel

India

China
UNIT 2. WORDLIST

Here is a list of useful words from Unit 2. You can insert your own translation.

adj = adjective conj = conjunction phr v = phrasal verb phr = phrase pron = pronoun
adv = adverb n = noun pl = plural prep = preposition v = verb

Able-bodied people sometimes don’t realize how


able-bodied (adj) difficult the life of the disabled can be.
Nowadays there are a lot of modern and all-
all-purpose (adj) purpose wheelchairs.
autoclave (n) A nurse sterilizes instruments in an autoclave.
The blood pressure meter is for recording
blood pressure meter (n) patients’ blood pressure.
bone plate (n) A bone plate is used for fixing a broken bone.
A centrifuge is used for separating substances by
centrifuge (n) spinning them.
Go along the corridor and Physiotherapy will be
corridor (n) on the left.
Porters deliver the post all over the hospital and
deliver (v) bring letters for patients.
A dialysis machine is used for cleaning the blood
dialysis machine (n) when the kidneys don’t work.
Some simple everyday activities can be a major
disabled (adj) problem for disabled people.
dispose of (v) Porters dispose of all the waste at the hospital.
ECG machine (n) An ECG machine is for monitoring the heart.
The endoscope is for looking inside the stomach,
endoscope (n) larynx, trachea, etc.
floor (n) Radiology is on the second floor.
Porters do more than just push food trolleys
food trolley (n) around the hospital.
The glucometer is for determining the
glucometer (n) concentration of glucose in the blood.
A highly-advanced wheelchair can perform
highly-advanced (adj) different functions.
Porters lift (v) and carry heavy equipment.
lift (n)(v) Take the lift (n) to get to the third floor.
A manual wheelchair is moved by the user’s own
manual (adj) power.
A microscope is for examining tissues, samples,
microscope (n) etc., very closely.
mortuary (n) Porters remove dead bodies to the mortuary.
A neurological pinwheel is for testing for
neurological pinwheel (n) sensation in nerves.
A paediatric spoon is a special spoon for children
paediatric spoon (n) to grip.
reception (n) You can ask all the information at the reception.
scales (n) Scales are for weighing substances.
scalpel (n) A scalpel is for performing surgery.
You don’t need to use your arms in a self-
self-propelled (adj) propelled wheelchair.
A doctor uses a stethoscope to hearing sounds
stethoscope (n) from movements within the body.
Porters transport patients by stretchers or
stretcher (n) wheelchairs.
syringe (n) A syringe is for making injections.
A nurse measured a patient’s temperature with a
thermometer (n) thermometer.
An otolaryngologist uses a tongue depressor for
tongue depressor (n) oral examination.
Ultrasound scanners are for detecting problems
in the liver, heart, stomach and other internal
ultrasound scanner (n) organs.
ward (n) There are a lot of wards in this big hospital.
Nowadays modern wheelchairs are a big
wheelchair (n) improvement on the first wheelchairs.
X-ray machine (n) X-ray machine is for taking a photo of bones.
QUICK CHECK: UNITS 1 AND 2

GRAMMAR Present Simple or Present Continuous?

1. Read the interview and underline the correct verb forms.

My name is David Maduram, and I’m an anesthesist at White Plains Hospital in New York. This is my first
year as an attending anesthesist.
At my job, I am primarily administering/ primarily administer anesthesia for patients undergoing surgery. I
also take / am also taking care of patients in the post-operative care unit, emergency room, in the ICU, and
in the OB/GYN suites.
Although I entered practice immediately after residency, at the moment I complete/am completing
additional training in critical care medicine and working at the same time. It’s hard especially when I am
working/ work night shifts. At the end of the month I take/am taking the anesthesiology board exam.
My job is not easy, but it is rewarding. It’s nice to walk home and know that people depend/are depending
on you and that you are helping them!

2. Open the brackets and put the verbs into the correct verb form.

My name is Thomas Connors, and I work as a physician at Beaumont Hospital in Farmington Hills, MI.
I (work) full-time in an Urgent Care Clinic. I (love) Urgent Care because you have to know a little about
everything — you never really (know) what you are going to see. Every day is different and that (keep) it
interesting. I (think) working in Urgent Care is highly challenging. You only(have) seconds to decide if a
person (be) sick or not. From time to time I (take part) in online courses or webinars. This week
I(attend) a webinar on Chemical Dependency in Urgent Care. When I'm not at work, I am very busy with my
wife and six children. I (enjoy) family activities, playing sports with my children and gardening.

GRAMMAR Prepositions of place and movement

3. Rearrange the words to make sentences.

1. Go/ through/ door/ into/ swing/ the /hospital /the/.


2. end/ turn/ left/ at/ Go/ along/ the/ next/ the/ corridor,/.
3. you/ The/ want/ ward/ right/ is/ the/ end/ at.
4. the/ man/ behind/ Give/ counter/ your/ to/ prescription/ the.
5. Go/ the/ corridor/ down/ the/ doors,/ through/ swing/.
VOCABULARY Alphabet quiz

4. Work in pairs. Complete the sentences with words or phrases from Units 1-2. The
first letter of each word or phrase is given.
A. An provides anesthesia for all N. A is for testing for
types of surgery. sensation in nerves.
B. A is used for fixing a O. A surgeon performs in the
broken bone. operating theatre.
C. A is a male nurse P. I'm doing a course and
equivalent to a sister. work at the same time.
D. If you feel better next week, the doctor will R. A paramedic gives first aid and
you. to emergencies.
E. The is used for looking S. Porters transport patients by
inside the stomach, larynx, trachea, or wheelchairs.
F. Porters do more than just push T. An otolaryngologist uses a
around the hospital. for oral examination.
U. are for detecting problems in the
G. The is for determining the liver, heart, stomach and other
concentration of glucose in the blood. internal organs.
H. A wheelchair can W. There are 20 two-bed and 10 one-bed
perform different functions. in this department.
L. A examines samples X. Radiologists take and other
and tissues under a microscope. images.
M. Porters remove dead bodies to the
.

VOCABULARY Phrasal verbs

5. Complete the sentences with the correct prepositions.

1. Receptionists deal patient details and check their hospital records. 2. Nurses can specialize
many different fields. 3. Paramedics respond emergencies. 4. How do you feel about
job interviews? Are you good them? 5. Why are you applying a new job? 6. When I was
a child I was good skiing. 7. Do you go a lot in your free time? 8. Charge nurses are
responsible running a ward. They deal budgets and employing staff. 9. Michelle is
interested many areas of ecology and animal behavior. 10. At the moment she is looking
a part-time job from home. 11. The police respond emergencies in just a few minutes.
12. Obstetrics specializes pregnancy and birth. 13. Pediatrics deals sick children.
14. Surgery performs operations patients. 15. Porters are responsible transporting
patients around the hospital. 16. Porters dispose all the waste.

6. Match the halves of the sentences.


1. Nursing officers a. visit patients in their own homes
2. Triage nurses b. perform operations on patients
3. A surgeon c. assists surgeons in the operating theatres
4. Auxiliary nurses d. work in Casualty
5. Health visitors e. deliver babies
6. Midwives f. are usually administrators
7. A scrub nurse g. are on the bottom grade
8. Porters h. transport patients around the hospital.
SPEAKING

7. Work in pairs. Prepare a conversation on one the topics below.

 at the school reunion (Imagine that you are at the school reunion. Ask each other
about your jobs, your families and your interests)
 at the medical conference (Imagine that you are attending a medical conference. Talk
to each other about your jobs, the conference and the city the conference is organized
in)
 at the hospital reception (Imagine that one of you is the receptionist and the other is
the patient. The patient asks the receptionist how to get Cardiology).

8. Work in groups. Answer the questions.


1. Usually in a general hospital there are many departments for different patients. Can you
name the most common ones?
2. Do you think that patients generally need to be cared after by only one department or they
may need care that involves many of the departments?
3. When admitted to the hospital, you are under the care of a hospital medical team. Which
specialists does a hospital team include?
4. Which hospital jobs do you think are the most demanding?
5. Which hospital jobs are always in demand?
6. Which hospital jobs are the most stressful?
7. Which departments would you like to work in?
8. There are many common pieces of equipment and special tools in the hospital. What role
does medical equipment play in hospitals?
9. Imagine a hospital without any medical equipment. What would it be?
10. Do you think that as time goes by medical equipment will play even a more important
role in making quick and correct decisions?
UNIT 3. HOSPITAL ADMISSIONS

VOCABULARY The admissions procedure

1. Match photos A-F to the words from the box.

waiting room cubicle fill in a form a triage


nurse
life-threatening registration
condition form

A. B. C.

D. E. F.

2. Underline the correct option.


Coming to the Emergency Department

St. Mary’s Emergency Department (ED) is a full-service department, open 24 hours a day,
7 days a week. Every day, more than 130 people are seen and treated in our ED.

When you arrive, you will print a form from a touch-screen computer, which you will then
need to fill out/fill up/fill in. This form will have a number on it, and a scrub nurse/triage
nurse/surgeon will call you by that number, and will then make a (an) test/initial
assessment/sample of your condition. This will help to decide who is a priority/a
cubicle/treatment. After that you will have to wait to see the doctor.

Like all hospitals, patients with life-threatening situation/assessment/conditions are seen


immediately. Please be aware that arrival by ambulance does not mean you will be seen any
sooner than those already sitting in the ward/cubicle/waiting room.
TRANSLATION A hospital admission

3. Translate the story from Russian into English.

Несколько дней назад я чинил крышу своего дома, когда я оступился (miss a step),
упал и сильно ударился головой. Моя жена сразу же повезла меня в больницу.

В приемном отделении было несколько больных: беременная женщина, мужчина,


которого укусила змея, и девушка с прыщами на лице. Вскоре ко мне подошла
медсестра приемного отделения, задала несколько вопросов, провела первичный
осмотр и заполнила регистрационную форму. Медсестра попросила подождать минут
20–30, так как у них был больной в тяжелом состоянии. Спустя полчаса медсестра
позвала меня в смотровую, где меня осмотрел врач, поставил диагноз и назначил
лечение.

VOCABULARY Patient record

4. Look at the patient record card and fill in the gaps with the words from the box.

marital occupatio next of kin DOB intake admission


status n

PATIENT RECORD

First name: Alex Surname: Bradshaw


Gender: M (1): 05.12.1977
(2): construction worker
(3): married
(4): wife
Contact: 0346789218
Smoking (5): n/a
Allergies: none
Reason for (6): concussion
GP: Dr Alice Green
Tel.: 0346151698
5. Match the questions with the correct answers.

1. Are you married?


2. How many cigarettes do you a) No, I’m single.
smoke a day? b) C-A-M-E-R-O-N.
3. Are you allergic to c) Three or four.
anything? d) 27th January, 1987.
4. Do you smoke? e) Yes, nuts.
5. What’s your date of birth? f) International marketing manager
6. What happened to you? for PMI Group.
7. Can you spell your g) I fell off my bicycle and hurt my
surname, please? leg.
8. What is your job? h) Yes, I do.

TRANSLATION Filling in a patient record form

6. Translate the conversation between the nurse (N) and the patient (P) from Russian into
English.

N: Добрый день. Меня зовут Сара Джонсон, я медсестра приемного отделения. Вы


мистер Смит, не так ли?
P: Да, все верно.
N: Пройдите, пожалуйста, к доктору. Мне также необходимо задать Вам пару вопросов,
чтобы заполнить карточку пациента. Что с Вами произошло?
P: Я попал в автомобильную аварию. На дороге было скользко, мой автомобиль
занесло, и я врезался в забор.
N: У вас большой синяк (bruise) на щеке. Вы ударились головой?
P: Да. Я сразу почувствовал головокружение (dizziness) и тошноту (nausea).
N: Ясно. Возможно, у вас сотрясение мозга. Мне необходимо заполнить вашу карточку.
Мистер Смит, назовите, пожалуйста, дату Вашего рождения.
P: 11 ноября 1975 года. N:
Кем вы работаете?
P: Я менеджер по продажам автомобилей.
N: Мне нужен контактный телефон ближайшего родственника.
P: Да, конечно. 07709-409765 — это мобильный телефон моей жены. Ее зовут Кристина
Смит.
N: Есть ли у Вас аллергия на что-нибудь? P:
Да, на пенициллин.
N: Были ли в вашей семье случаи наследственных заболеваний? P:
Насколько я знаю, нет.
N: Случаи диабета?
P: Да! Моя бабушка — диабетик. N:
ВИЧ?
P: Нет.
N: Хорошо, Мистер Смит. Доктор подойдет через несколько минут.
LISTENING AND SPEAKING A day in the life: ER nurse

7. Work in pairs and discuss the questions.

1. What do ER nurses do?


2. What is their typical day like?
3. What personal qualities does an ER nurse need?
4. What are advantages and disadvantages of working as an ER nurse?
8. Watch the video about Will Cristobal, an ER nurse, (https://www.youtube.com/watch?
v=3GzBKoCK3Ik) and decide if the statements are True
(T) or False (F).

1. His working days are always the same.


2. He enjoyed his studies in the nursing school.
3. His patients often think that he is their doctor.
4. He wants to become a physiotherapist one day.
5. After college he got a job in a hospital.
6. He sometimes has up to four patients asking him for help at the same time.
7. He says that nursing is a career for those who love interacting with people and helping
them.
9. Watch the video again and match the halves of the sentences.

1. It was his wife's uncle a) and taking care of his patients.


2. Will found working in health insurance b) who recommended his a career in nursing.
c) and the doctor asks him to discharge a
3. If there is a patient with a cardiac arrest, patient.
4. Will enjoys being at the bedside d) he cleans it up and the doctor stitches it up.
5. If there is a patient with abdominal pain, e) and HR rather boring.
6. If he has a patient with laceration, f) he puts IV fluids and gives him a painkiller.
7. Before applying for a nursing school g) he volunteered in a hospital
8. He often has to balance when he has h) the whole team goes to the resuscitation
patients in life-threatening conditions room.

10. Work in pairs. Student A is the ER nurse. Student B is the journalist who is going to
write an article about working as an ER nurse. Look at the information on the cards
below and spend a few minutes preparing what you are going to say.

STUDENT A: ER NURSE

Use the following prompts and invent the details


 why you decided to become a ER nurse where you studied
yourself:
 what advantages and disadvantages of being a ER nurse
 are your typical day
 why you enjoy your work

if you’d like to become a doctor in the future.

STUDENT B: JOURNALIST

Think about the questions you are going to ask Student B. You need to find out about:

why he/she decided to become a ER nurse


where he/she studied
what advantages and disadvantages of being a ER nurse are
his/her typical day
why he/she enjoys his/her work

You are now ready to roleplay your conversation.

GRAMMAR Past Simple or Past Continuous?

11. Make up three forms of the verbs. Some of the forms are given.

be taken
got consult
felt prescribe
came put
see had
tried fill in
done made
arrive drove
hit decide
gone said

12. Fill in the gaps using the correct forms of the verbs in the Past Simple.

When my brother Henry (1. be) 4 years old, he (2. love) to play Batman. He
(3. put) on his Batman pajamas and (4. pretend) to fly all over the
house. But one night, just before bedtime, he (5. try) to “fly” from
one end of his bed to the other and he (6. miss) his mark and (7. end up)
banging his elbow hard on the wooden floor. Ouch!
My mother (8. put) ice on it, but his elbow (9. get) really swollen
and he (10. have) difficulty moving his arm. Then my mother
(11. say): “Batman, we’re going to the emergency room.”
So, we (12. get) into the car and (13. go) there.
In the emergency room there (14. be) three patients only. Soon a triage nurse
(15. come), (16. make) an initial assessment and (17. ask) my mother
some questions. She (18. fill in) a patient record form and (19. ask) to
wait for the doctor.
When the doctor came he (20. examine) my brother’s arm and elbow and
(21. take) an x-ray. Luckily, the x-ray (22. show) that it was just a
bruise. The doctor (23. prescribe) anti-inflammatory
ointment and we (24. drive) back home.

13. Fill in the gaps using the correct forms of the verbs in the Past Simple or the
Past Continuous.

A 47-year old Mrs. Bentley (1. telephone) at 5 p.m. complaining of vomiting and
abdominal pains. She (2. work) in the office when suddenly she
(3. feel) sick. It (4. start) about 3 hours ago. The patient (5. not eat)
anything unusual. Her temperature (6. be) 38,4 when she was admitted. The
blood pressure and pulse (7. be) normal. While the doctor (8. auscultate)
and (9. palpate) her abdomen, he (10. not find) any pathologies.
The doctor (11. refer) Mrs. Bentley to gastroenterologist and
(12. to prescribe) some painkillers to relieve stomachache.

14. Translate the sentences from Russian into English.

1. Когда пациент поступил в больницу, медсестра произвела его первичный


осмотр.
2. В то время как пациент ожидал в приемном покое, медсестра заполняла его
медицинскую карту. 3. Врачи скорой помощи в срочном порядке доставили пациента
в больницу. 4. При сборе анамнеза врач задал пациенту вопросы, которые помогли
поставить диагноз и назначить лечение. 5. Вчера вечером моего папу укусила змея,
когда мы гуляли по лесу. 6. Скорая помощь увезла пожилого пациента в больницу
с подозрением на сотрясение мозга. 7. У пациента имелись случаи заболевания
диабетом в семье. 8. Мой дядя принимал таблетки от бессонницы в течение
нескольких месяцев. Это помогло ему нормализовать сон. 9. Когда я бегал по парку, я
подвернул лодыжку. Я сразу же вызвал скорую, так как не мог передвигаться
самостоятельно.

VOCABULARY A hospital receptionist

15. Match the words with their Russian equivalents.


1. frightened patients a) медицинская терминология и сокращения
2. medical terminology and
abbreviations b) приветствовать и помогать пациентам
3. organize and file patient records c) назначать приемы
4. make appointments d) регистрировать информацию о пациентах
5. diplomatic and strong e) заводить и хранить карты пациентов
6. angry patients f) напуганные пациенты
7. greet and assist patients g) спокойный и дипломатичный
8. record patients’ information h) раздраженные пациенты
16. Read the interview and give the English equivalents of the words in brackets.

Interview with a hospital receptionist

Many people think that hospital receptionists are dragons behind a desk: they are unsmiling,
curt and unhelpful. But what is it really like to be on the front line? We spoke to Emma
Smith, a receptionist at a large London hospital.

Can you tell me about your main responsibilities?

My main duties are to (приветствовать и помогать пациентам, когда они


приходят в больницу), (назначать приемы), and
(регистрировать информацию о пациентах) и (заводить и хранить
карты пациентов).

What are the advantages and disadvantages of working as a hospital receptionist?

I really like helping people. My knowledge of (медицинская


терминология и сокращения) can make (напуганные пациенты) feel at
ease. More than that, I have flexible working hours and am a part of a close and hardworking
team.
But I should say that my work is rather stressful. We have about 400 patients a day, so it’s
sometimes hard to be (спокойный и дипломатичный, когда
пациенты раздражены).

What has been the greatest achievement of your career?

When I started my career I was very shy but soon I became more communicative and I have
made a lot of friends.

VOCABULARY A bad handwriting

17. Match the words with their Russian equivalents.

1. fatal errors a) ампутировать конечность


2. get worse b) щитовидная железа
3. wasteful c) выписывать рецепт (на лекарство)
4. digital technology d) ухудшаться
5. administrative staff e) административные сотрудники
6. solution f) оштрафовать
7. cause delays g) цифровые технологии
8. fine h) решение (проблемы)
9. court i) непоправимые (смертельные) ошибки
10. amputate a limb j) суд
11. thyroid k) быть причиной задержек
12. prescribe/write a prescription l) расточительный
18. Translate the sentences from Russian into English using the words from Ex. 17.

1. Зачастую почерк у врачей гораздо хуже, чем у медсестер и административных


сотрудников. 2. Возможно, неразборчивый почерк у врачей связан с недостатком
времени и высокой скоростью письма. 3. Неразборчивый почерк врачей, особенно
в медицинских рецептах, может привести к непоправимым ошибкам. 4. Существует
множество способов решения проблемы неразборчивого почерка, в том числе
с помощью цифровых технологий. 5. В некоторых больницах медицинский персонал
использует штрих-коды, которые фиксируются на запястье или лодыжке пациента, а
также планшетные компьютеры, позволяющие получать точную и легко
воспринимаемую информацию о пациенте.
UNIT 3. VIDEO TASK

HEALTH IN BRITAIN

Before you watch

1. Work in groups. You’re going to watch a video about healthcare system in Great
Britain. Look at the photos and discuss the questions.

1. If you get ill in Britain, who do you visit first: your general practitioner or the specialist?
2. Is healthcare free in Great Britain?
3. Do patients pay for medicines in pharmacies?
4. Do you have any ideas what the NHS stands for?
5. What are the most common diseases in Great Britain?
6. Are there any problems that British patients can face?
7. How long do British men and women live?
8. Do you think that alternative medicine is popular in Britain?

While you watch

2. Watch the video (https://www.youtube.com/watch?v=8qr1pu_T1Es) and check your


ideas from Exercise 1.

3. Watch the video again. Decide if the statements are true (T) or false (F).

1. Pregnant women have to pay for the medicine.


2. If patients need an operation the GP will send them to a hospital.
3. NHS provides free medical care for every patient in Britain.
4. Earlier NHS provided free visits to dentists.
5. Nowadays visits to dentists are also free.
6. There are more NHS doctors than alternative medical practitioners in Britain.
7. Nowadays people in Britain eat more red meat than in the past.
8. Women in Britain live longer than men.
9. In 1952 only 291 people reached the age of 100.
4. Watch the video again. What do times and numbers 1–8 refer to?

1. 505 million 2.
2,000
3. 40 billion pounds 4.
3,000
5. 79
6. 1948
7. 36,000
8. 74

After you watch

5. Work in small groups. Make a list of differences between the health system in Britain
and the health system in your country. Think about:

1. doctors
2. hospitals
3. dentists
4. specialists
5. alternative medicine
6. prescriptions

6. Write an essay of at least 250 words on the following task:

Despite advances in medicine and improved access to healthcare, the overall level of health is
falling in many countries.

Why is this happening and what can be done to solve this problem?

GLOSSARY

The NHS (The National Health System) — Система


медицинского обслуживания населения в Великобритании
alternative medicine — нетрадиционная медицина
reflexology — рефлексотерапия
homeopathy — гомеопатия
acupuncture — иглоукалывание
life expectancy — продолжительность жизни
on average — в среднем
UNIT 3. WORDLIST

Here is a list of useful words from Unit 3. You can insert your own translation.

adj = adjective conj = conjunction phr v = phrasal verb phr = phrase pron = pronoun
adv = adverb n = noun pl = plural prep = preposition v = verb

If a patient is allergic to some medication, it


be allergic to something should be written down in his/her patient
(n) record.
be under pressure of Nowadays doctors are always under pressure
time (phr) of time.
When there is a free cubicle a doctor will see
cubicle (n) the patient.
easy-to-read New technologies can help to get accurate and
information (n) easy-to-read information.
fatal error (n) Bad doctors’ handwriting can cause fatal errors.
first aid (n) A receptionist must know how to give first aid.
gender (n) Gender is written into a patient’s record.
Bad handwriting can cause delays in the work
handwriting (n) of a hospital.
A hospital receptionist makes appointments for
hospital receptionist (n) patients.
hospital registration A hospital registration form contains the
form (n) information about the patient.
An initial assessment will help to determine a
initial assessment (n) priority.
A receptionist is also responsible for
keep the accounts (phr) keeping the accounts.
life-threatening Patients with life-threatening condition will see
condition (n) the doctor immediately.
limb (n) A surgeon may amputate the wrong limb
because of bad handwriting.
make an appointment One of the receptionist’s duties is making
(phr) appointments for patients.
marital status (n) What is your marital status?
medical history(n) Are there any cases of infectious diseases in
your medical history?
next of kin (n) Do you have a contact telephone number for
your next of kin?
occupation (n) What is your occupation?
patient record (n) A patient record contains the patient’s personal
information.
personal details (n) A nurse will get personal details from you.
prescription (n) The doctor wrote out a prescription for
mebendazole and gave it to the patient.
priority (n) After an initial assessment a triage nurse will
decide who is a priority.
record patient’s Receptionists record patients’ information and
information organize patient records.
(phr)
smoking/alcohol intake There are cases when questions about smoking
(n) or alcohol intake are not applicable.
treatment (n) A doctor decides on the treatment.
triage nurse (n) A triage nurse decides who is a priority.
waiting room (n) There are a lot of patients in the waiting room.
UNIT 4. ACCIDENTS AND EMERGENCIES

VOCABULARY First aid

disposable gloves sterile cotton ballsrubbing alcohol defibrillator


adhesive tape scissorsantibiotic ointment hypodermic
needles

A. B. C. D.

G.
E. F. H.

2. Complete the sentences with the words from Ex. 2.

1. Nurses use for making injections. 2. is used for covering minor injuries on the skin. 3. One
of the most common uses ofis treating wounds. This is because it makes an excellent
antiseptic. 4. All American planes have an automatic onboard. In addition, all American flight
attendants are trained how to use it. 5.is used for preventing infections in minor cuts,
scrapes, or burns on the skin. 6. Doctors and nurses wearfor reducing the risk of infection
between patients and them. 7. are used for cutting sterile pads and bandages to the right
length. 8. can be used for applying antiseptics and medications in order to treat minor
wounds, scrapes, scratches, and cuts.

3. Match the words with their Russian equivalents.


1. foreign body a) признаки кровообращения
2. signs of circulation b) пережать главную артерию
3. wounds c) сильное кровотечение
4. third degree burns d) раны
5. puncture the blister e) ожоги третьей степени
6. disposable gloves f) проколоть волдырь
7. severe bleeding g) пластырь
8. snake bite kit h) ножницы
i) простерилизовать иглы для подкожных
9. adhesive tape инъекций
10. scissors j) инородное тело
11. bandages k) бинты
12. squeeze a main artery l) нанести мазь на основе антибиотика
13. apply antibiotic ointment m)набор для оказания первой помощи при
укусах змеи
14. sterilize a hypodermic needle with
alcohol. n) одноразовые перчатки

4. Translate the sentences from Russian into English using the words from Ex. 3.

1. При сильных ожогах не погружайте поврежденные участки тела в холодную


воду.
2. Отправляясь в поход, возьмите с собой набор для оказания первой помощи при
укусах змеи. 3. Перед использованием простерилизуйте медицинские иглы этиловым
спиртом.
4. В случае кровотечения сохраняйте поврежденную область в состоянии покоя до его
полного прекращения. 5. Нанесите мазь на основе антибиотика с помощью стерильного
тампона. 6. Не снимайте одежду с пациента при получении ожогов. 7. Ожоги третьей
степени представляют опасность для пациента. 8. Удерживайте пациента
в горизонтальном положении, не позволяйте ему вставать. 9. Промойте рану проточной
водой с мылом и немедленно обратитесь к врачу. 10. Вы можете использовать йод для

GRAMMAR Instructions

5. Fill in the instructions with the Imperative, using the words from the box. You may
need to use a negative form.
Animal bite
stopmake surerinseapplycovercleancalltryvisit

1. the bleeding.
2. the wound gently with soap and warm water.
3. for several minutes after cleaning.
4. antibiotic ointment and with a sterile bandage.
5. the animal doesn’t have rabies.
6. If it was a wild animal, the animal control immediately.
7. to treat a serious wound without doctor’s help.
8. a doctor.

Ankle sprain

drink immobilize do bandag takeuse raise apply


e
1. the injured ankle.
2. icepacks every 2 hours. them for 15 minutes.
3. the ankle very firmly.
4. the ankle above heart height.
5. any exercises for the first 48 hours.
6. alcohol for the first 48 hours.
7. any strong drugs for relieving pain without doctor’s prescription.
8.
Hypothermia
givecoverimmersestarttake offapplydry

1. Get the person indoors.


2. the patient’s wet clothes and his/her skin, if needed.
3. the patient extra clothing and him/her with a blanket.
4. the person in warm water. Rapid warming can cause heart arrhythmia.
5. If using hot water bottles or chemical hot packs, wrap them in cloth them
directly to the skin.
6. CPR if the person is not breathing normally.

6. Translate the sentences from Russian into English.

1. Удостоверьтесь в том, что пациент дышит. 2. Не забудьте надеть перчатки. 3. Убеди-


тесь, что в ране нет инородных тел. 4. Что мне следует делать сейчас? 5. Мне наложить
лед? 6. Убедитесь, что пациент чувствует себя комфортно. 7. Измерьте пульс. 8. Как ча- с.
то мне нужно будет принимать это лекарство? 9. Мне вызвать скорую?

LISTENING Stroke: know the facts, save a life

7. Work in pairs and discuss the questions.

1. Do you know what a stroke is?


2. Who is at risk for a stroke?
3. What are possible complications after stroke?
4. Is it possible to prevent stroke?
5. Do you know any signs of a stroke?
8. Watch the video about stroke (https://www.youtube.com/watch?v=kr4syeWvaI8) and
tick the topics that are mentioned there.

1. Signs of stroke;
2. Complications after stroke;
3. How to prevent stroke;
4. Stroke treatment;
5. After stroke therapy;
6. Post-stroke rehabilitation;
7. Risk groups
9. Watch the video again and complete the poster.

Know the Facts, Save a


STROKE: Life

FACTS
 A stroke happens when the blood supply to  Stroke is less common in people under
the brain is blocked or when a blood vessel 40 years, although it does happen. In
in the brain bursts. The loss of blood to the young people the most common causes
brain means a loss of oxygen and the are high blood pressure or sickle cell
brains cells become injured and die. disease.

 Globally, stroke is the second leading  Every year, 15 million people


cause of death above the age of 60 years, worldwide suffer a stroke. Nearly six
and the fifth leading cause of death in million die and another five million
people aged 15 to 59 years old. are left permanently disabled.

RISK GROUPS:
 age
 (1)
 good (2)
 untreated heart disease and artial fibrillation

CONTROL YOUR RISK FACTORS

 Stop (3)  Stay physically active


 Moderate alcohol consumption  Improve your (6)
 Control your (4)  Control your blood sugar levels if you
 Lower and manage your (5) have (7)

THE SIGNS OF STROKE

B (8) Sudden loss of balance

E (9) Sudden loss of vision in one or both eyes

F (10) Does the face look uneven?

A (11) Ask them to raise both arms.

S (12) Ask them to repeat a phrase.


Time is brain. Every second brain cells
T (13) die during a stroke.
WRITING Making a poster

10. Work in groups. Make a poster on Heat stroke: first aid. Include some
general information about heat stroke, its symptoms and how to treat it.

VOCABULARY A cardiac arrest

11. Match the words with their Russian equivalents.


a) сделать искусственное дыхание «рот
1. set up an IV в рот»
2. repeat the procedure b) оказать первую помощь
3. give mouth-to-mouth c) сердечный приступ
4. cardiac arrest d) надавить на грудную клетку
пациента
5. check the patient’s pulse e) приложить электроды на грудную
клетку пациента
6. support the patient’s head f) дать пациенту лекарство
7. push down on the patient’s chest g) подключить капельницу
8. apply the pads to the patient’s chest h) проверить пульс пациента
9. give first aid i) повторить процедуру
10. give the patient some medicine j) поддерживать голову пациента.

12. Complete the sentences with the words from Ex. 11.

1. The patient has a . 2. The nurse gives the patient first.


3. The nurse down on the patient’s chest sixteen times. 4. The paramedic
on each side of the patient’s heart. 5. Don’t forget to the
patient’s head. 6. the pulse again. 7. In case the patient doesn’t respond after
the first charge of the defibrillator, the procedure. 8. Now an IV and
give the patient .

VOCABULARY Births in unusual places

13. Match the words with their Russian equivalents.

1. midwife a) перерезать пуповину


2. contractions b) акушерка
3. a baby was due in a month c) схватки
d) ребенок должен был появиться через две
4. give a birth недели
5. cut the umbilical cord e) рожать
6. support the baby’s head f) поддерживать головку младенца
7. dry the baby with a clean towel g) обтереть младенца чистым полотенцем
8. cover with a blanket h) накрыть одеялом

50
14. Read the stories about some births that happened in unusual places and fill in the
gaps with the words below.

Special delivery Sky high baby

Mother Sonia Marina Nascimento, 39, gave a Student Shona Owen is the only UK citizen
new meaning to the term ”special delivery” whose passport reads: “Born on an aeroplane,
when she went into labour in her local post ten miles south of Mayfield, Sussex.”
office in Wisbech, Cambridgeshire, in 2009. Her mother, Deborah Owen, was travelling to
“I was shopping and had stopped at the post Britain from Ghana in 1990 when she went
office on the way, but in the queue my broke. A into labour. Her daughter was in
woman from the post office brought me inside six weeks.
the staff room. I didn’t think I was going to give Wym Bakker, a Dutch doctor, who was
birth there, as Dulce wasn’t for nine days, but travelling on the aircraft, the
she started coming out fast. My waters broke baby with the assistance from the cabin crew.
at Deborah is very grateful to the BA crew and
9.17 am and she was born two minutes later. the doctor. When Shona was born, the
Then they weighed the baby on the post captain announced it, everyone clapped and
office champagne was sent out.
. To mark her unusual , Miss
My daughter’s birth says Norfolk Owen was given the names Shona Kirsty
Street Post Office and I still go to visit my Yves — spelling out the initials SKY.
daughter’s godparents.”
due giving birth delivered
certificate waters due
labour scales

Book baby

The 18-year-old Dominique Tverino was on a bus on the way to a medical appointment when her
started. A passenger realized she was in labour and told her to get off and
wait in the library while she called the . By the time the
arrived, Baby Sariah was already on her way.
‘I just can’t believe I had her at the library,’ Dominique said.
Staff from an American library who helped with the , gave the new mum a
bag full of children’s books and two library cards — for mum and baby.

paramedic contractions emergency services delivery

VOCABULARY Shock

15. Match the words with their Russian equivalents.


1. vomiting a) частота дыхания
2. cause death b) недостаток кровоснабжения
3. diarrhoea c) тошнота
4. vital functions d) диарея
5. nausea e) становиться причиной смерти
6. diagnose f) жизненно важные функции
7. breathing rate g) диагностировать
8. a lack of blood supply h) рвота
16. Translate the sentences from Russian into English using the words from Ex.13.
Шок — это состояние, когда сердце не может доставлять достаточно крови к органам.
Шок может произойти по разным причинам, например, после дорожной аварии. Шок
может стать причиной смерти, если все жизненно важные функции замедлятся.
Врачам трудно диагностировать шок на ранней стадии и вылечить от него на более
поздней стадии развития. Существует несколько признаков и симптомов шока:
слишком низкая и высокая температура, нарушения работы сердечно-сосудистой
системы, учащенное дыхание, а также проблемы с желудочно-кишечным трактом,
которые могут вызвать боли в животе, тошноту, рвоту и диарею.

READING Flying doctors

17. Work in pairs and discuss the questions.

1. What do you know about Australia? How large is its territory?


2. How do you think people who live in rural, remote and regional areas of Australia can get
emergency and primary health care services?
18. Read the story about The Royal Flying Doctor Service of Australia and answer
the questions below.

1. What service does this organization provide?


2. When did the service start? Who was its founder?
3. When was the first official flying doctor visit made?
4. How many aircrafts are there in their fleet today? How many visits do they make a day?

The Royal Flying Doctor Service of Australia (RFDS, informally known as The Flying
Doctors) is one of the largest aeromedical organisations in the world. It provides emergency
and primary health care services for those who live in rural, remote and regional areas of
Australia.
The Flying Doctor service started in 1928. It was the idea of Reverend John Flynn, a church
minister who was working in the Australian outback. He had many stories to tell about how
necessary an aerial medical service was, including one about Jimmy Darcy. Jimmy had a
bad fall, and it took his friends twelve hours to take him thirty miles to the nearest town.
The only person there who knew first aid was the Postmaster, and he performed a seven-
hour operation without anaesthetic, following instructions in Morse code from his first aid
teacher, who was 2,000 miles away. Unfortunately, Jimmy died ten days later.
In May 1928, Dr St Vincent Welch made the first official flying doctor visit. In the
following year he saw 255 patients. He had no radio, and he used a compass and landmarks
like rivers and fences to find his easy.
Nowadays the Royal Flying Doctor Service has forty-six planes, attends about 500 patients
each day and services an area of 7,150,000 square kilometers. The service is available
twenty- four hours a day, 365 days a year. Modern technology is also available: the doctors
have digital cameras and video conferencing facilities. However, a pilot might still need the
help of ordinary people on the ground when he is landing the plane in the outback:
sometimes he asks them to do a “roo run”, which means driving up and down the landing
area to frighten off kangaroos and other wild animals!
19. Visit http://www.flyingdoctor.org.au/and find more information about the Royal
Flying Doctor Service of Australia. Answer the questions below.

1. How many aerobases does the Royal Flying Doctor Service operate from today?
2. What can you see on an Australian 20$ note?
3. How many times has RFDS transformed its logo since 1928?
4. What does their today logo represent?
5. How many Australian school students know about the Royal Flying Doctor Service? Why
is the percentage so low?

TRANSLATION A cardiac arrest

20. Translate the story from Russian into English.

Студент-медик спас жизнь мужчине на борту самолета

Двадцатидвухлетний Крег Маклин — студент-медик из Университета Данди в


Шотландии. В марте 2015 года он летел из Шотландии в Абу Даби. Во время полета он
услышал объявление бортпроводницы, что им нужен врач. Крег подошел и сказал, что
он всего лишь студент-медик, но так как на борту не было врачей, его попросили о
помощи. Крег рассказывает: «Когда я подошел ближе, то увидел мужчину без сознания.
Я проверил у него пульс, но он не дышал, и пульс не прощупывался. Это была остановка
сердца». Тогда они положили мужчину на пол в проходе между рядами (in the aisle),
студент начал делать искусственное дыхание и попросил принести дефибриллятор.
Вскоре подошла медсестра из Голландии и начала помогать ему. Когда бортпроводница
принесла дефибриллятор, Крег приложил электроды на грудную клетку пациента и
вызвал у него шок. Его сердце забилось, и он начал дышать. Крег установил капельницу
и дал пациенту лекарство.
Вскоре самолет совершил вынужденную посадку (make an emergency landing) в Анкаре,
где больного передали в руки медиков. Позже Крег узнал, что пациент выжил и в
больнице пошел на поправку.

TRANSLATION Stroke

21. Translate the text from Russian into English.

ИНСУЛЬТ: ФАКТЫ, СИМПТОМЫ,


РИСКИ, ПРОФИЛАКТИКА

Согласно Всемирной организации Инсульт — это заболевание, при


здравоохранения (the World Health котором часть головного мозга не
Organization), ежегодно 15 миллионов получает достаточное количество крови.
человек переносят инсульт (suffer from В результате этого клетки головного
stroke). Почти 6 миллионов человек мозга (brain cells) умирают, что может
умирают, а 5 миллионов становятся привести к потере речи, памяти и
инвалидами (become disable). параличу.
Четыре простых шага к распознанию инсульта:

1. Попросите человека улыбнуться (он это не сможет сделать).

2. Попросите его/ее сказать простое предложение (напр.: «Сегодня хорошая погода»).

3. Попросите поднять (raise) обе руки (он не сможет или только частично сможет
поднять их).

4. Если Вы определили какой-то из этих симптомов, немедленно вызывайте скорую!

Меры по профилактике инсульта:

1. Проверяйте свое давление. Высокое давление — это основная причина


инсульта.

2. Не игнорируйте такие проблемы, как высокий уровень холестерина в крови и


диабет.

3. Занимайтесь физическими упражнениями, ведите активный образ жизни.

4. Старайтесь питаться сбалансированно.


UNIT 4. VIDEO TASK

CYCLE RESPONSE PARAMEDIC

Before you watch

1. Work in groups. You’re going to watch a video about cycle response paramedics
at London Heathrow Airport. Look at the photos and discuss the questions.

1. What is a cycle response paramedic responsible for?


2. What accidents and emergency cases can he/she deal with?
3. What equipment do you think they carry with them?
4. How many cycle response paramedics do you think there are at London Heathrow Airport?

While you watch

2. Watch the interview with Ben, one of the cycle response paramedics at London
Heathrow (http://www.youtube.com/watch?v=BHnimMZDj0A) and check your answers in
Ex.1.

3. Watch the video again. Decide if the statements here are True (T) or False (F).

1. Cycle Response Paramedics carry most of the equipment in front of the bike.
2. There are 300 defibrillators around the airport.
3. Ben says that London Heathrow Airport is the safest place to have a toothache.
4. They try to carry as little as possible on their bikes.
5. They have a set of blue lights, a siren and a cycle bell on their bikes.
6. Their working day is quite predictable.
7. Their patients are usually grateful to paramedics.
8. Ben is not a very humble person.
After you watch

4. Work in pairs. Student A is the cycle response paramedic at London Heathrow Airport.
Student B is the journalist who is preparing an article about unusual medical professions
for MedLife journal. Look at the information on the cards below and spend a few
minutes preparing what you are going to say.

STUDENT A: CYCLE RESPONSE PARAMEDIC

Use the following prompts and invent the details yourself:

 why you decided to become a paramedic


 how long you have been working as a cycle response paramedic
 what your typical day is like
 what you find the most difficult in your work
 some unusual situations you have faced during your work

 .
(additional answers)

STUDENT B: JOURNALIST

Think about the questions you are going to ask Student B. You need to find out about:

 why he decided to become a paramedic


 how long he has been working as a cycle response paramedic
 about his typical working day
 what he finds the most difficult in his work
 about unusual situations he has faced during his work

 .
(2 more questions)

You are now ready to roleplay your conversation.

5. A 1001 Nights in the ER is a book written by Baptiste Beaulieu. It tells a story of a 27


year- old intern who becomes fond of a terminally ill female patient. Her only son can’t
make it to her bedside because of the volcanic ash from Iceland. The doctor decides to
cheat death and gain time. Like a Scheherazade, he tells her stories, funny and tragic,
about life at the hospital. Go to http://www.litmir.co/br/?b=238885 and read some chapters
from the book. Then write two or three patient summaries.
UNIT 4. WORDLIST

Study the list of useful words from Unit 4. Insert your translation after reading the
corresponding sentences.

adj = adjective conj = conjunction phr v = phrasal verb phr = phrase pron = pronoun
adv = adverb n = noun pl = plural prep = preposition v = verb

An adhesive tape may be useful for holding


adhesive tape (n) bandages.
antibiotic ointment Apply antibiotic ointment to avoid
(n) contamination.
bandage(n) A nurse covered the wound with a bandage.
call an ambulance
(phr) Call an ambulance in case of emergency.
cardiac arrest (n) If a patient has a cardiac arrest, a paramedic
CPR.
cardiovascular When a patient is in shock, he or she may have
system (n) problems with cardiovascular system.
central nervous When the central nervous system is affected, this
system (n) can cause changes in personality.
circulation (n) Check for signs of circulation.
confusion (n) Confusion is caused by CNS problems.
cover with a blanket Cover a patient with a blanket to warm him/her
(phr) up.
disposable gloves
(n) Nurses must always wear disposable gloves.
dosage (n) What dosage shall I give her?
first aid kit (n)
first aid kit in your home and in your car.
foreign body (n)
sure there is no foreign body in the wound.
give a patient
mouth-to-mouth If a patient doesn’t breathe, give him/her mouth-
(phr) to-mouth.
Some women give birth to a child in unusual
give birth (phr) places.
give first aid (phr) Paramedics give first aid and respond to
emergencies.
give instructions
(phr) A paramedic gave instructions to a nurse about
procedure.
immerse (v) Don’t immerse severe burns in cold water.
immobilize (v) Immobilize the injured part of the body.
injury (n) Call an ambulance in case of severe injury.
life-saving Paramedics administer life-saving proce-dures.
procedures (phr)
main artery (n) Squeeze a main artery if necessary.
nausea (n) Problems with gastrointestinal tract can cause
nausea and vomiting.
paramedic (n) I decided to become a paramedic when I was a
boy.
pulse(n) Check his pulse before giving CPR.
puncture the blister
(phr) Puncture the blister with a sterile needle.
push down on the
chest (phr) A paramedic is pushing on the chest fifteen
times
remove burnt to makeremove
Never the patient’s
burnt heart beat correctly.
clothing as it can cause
clothing serious skin damage.
respiratory
(phr) (adj) An abnormal increase in breathing rate can lead
to respiratory distress or failure.
respond to
emergencies (phr) Paramedics’ duty is responding to emergencies.
road accident (n) Do you know what to do when there is a road
accident?
rubbing alcohol (n) Swab the place of injection with
rubbing
set up an IV (phr) alcohol.
A paramedic set up an IV after giving CPR.
severe bleeding
(phr) Severe bleeding is an emergency condition.
swab with Iodine
(phr) Swab the place of injection with Iodine.
umbilical cord (n) Don’t cut the umbilical cord — just lay the
baby
vomiting (n) on the
In mother’s
shock chest. the intestines can stop
condition
working causing abdominal pain and vomiting.
wound (n) Sterilize the wound if necessary.
QUICK CHECK: UNITS 3 AND 4

GRAMMAR Past Simple or Past Continuous?

1. Open the brackets and put the verbs into the correct verb form.

My name is Sarah Johnson. I work as a triage nurse in an emergency department in


Nashville. There is rarely a slow day in A&E department, and yesterday was no exception.

When I came to work I (1. see) a few patients waiting. I (2. pick up)
two charts and immediately (3. begin) examining them. My first patient
(4. be) a 31-year-old male with nausea, vomiting and diarrhea. My second one
(5. be) a 65-year-old female with chest pain. The cases (6. be) rather usual, so I
(7. know) exactly what to do. I (8. head back) to my desk and
(9. begin) putting in orders a chest X-Ray, ECG, laboratory analyses and aspirin
for the woman with chest pain IV-drips and zofran for the patient with vomiting. I
(10. fill in) the patient records when the next patient (11. arrive). It was a 29-year-
old male with shortness of breath. As I (12. enter) the room, I
(13. see) that the patient (14. look) terrible. His X-Ray (15. show) that
he (16. have) extensive right-sided pneumonia and developing pneumonia in the
left lower lung. After questioning him further, I (17. find out) he was an IV
drug user. A CT scan of his chest (18. show) that he had septic emboli. It was an
unusual case to say the least.

Yesterday I (19. finish) my work at 6p.m: I had seen 18 patients and had
admitted 4 patients to the hospital. It was a pretty typical day. I love my work because it is
interesting, challenging and fun. I work hard, but I enjoy my flexible schedule.

GRAMMAR Instructions

2. Work in pairs. Give three instructions for each emergency case below:
1. a sunburn;
4. a cut;
2. a bruise;
5. an insect sting.
3. a
frostbite;

GRAMMAR Prepositions

3. Complete the sentences with the correct prepositions.

1. Paramedics respondemergencies. 2. Doctors of the A&E Department need some special


qualities to dealaccidents and emergencies every day. 3. The emergency helpline nurse is
responsiblegiving instructions on the phone.
4. Babies are sometimes aller- gic eggs. 5. When a patient arrives at the A&E, the nurses fill a
triage form for the patient. 6. Have you set an IV for the new patient? 7. Eight out of ten
nurses say they are often under pressure of time at work.
VOCABULARY Crossword

3. Work in pairs. Complete the crossword sentences with words or phrases from Units 3-4.

Clues:
1. Make sure there is no 1 E
body in the wound. 2 M
2. Don’t cut the 3 E
cord — just lay the baby on the
4 R
mother’s chest.
3. An tape may be 5 G
useful for holding bandages. 6 E
4. After an initial assessment a 7 N
triage nurse will decide who is a 8 C
.
9 Y
5. If a patient is to some
medication, it should be written
down in his/her patient record. 10 D
6. If a patient has a cardiac 11 E
, a paramedic gives CPR. 12 P
7. A triage nurse makes an
13 A
assessment of the
patient. 14 R
8. the blister with a 15 T
sterile needle. 16 M
9. Squeeze a main if 17 E
necessary. N
18
10. Sterilize the if
19 T
necessary.
11. When there is a free a doctor will see the patient.
antibiotic ointment to avoid contamination.
the place of injection with Iodine.
Don’t severe burns in cold water.
Bad doctors’ handwriting can causeerrors.
A is an arm or leg of a person.
Nurses must always wear disposable .
An assessment will help to determine a priority.
A doctor decides on the .

VOCABULARY Word combinations

4. Make up word combinations.

1. waiting a) arrest 8. antibiotic h) system


2. marital b) relative 9. rubbing i) body
3. adhesive c) details 10. respiratory j) bleeding
4. closest d) cord 11. main k) alcohol
5. umbilical e) tape 12. severe l) artery
6. cardiac f) status 13. foreign m) ointment
7. personal g) room 14. initial n) assessment

60
5. Work in groups. Prepare a conversation on one the topics below.

 the triage nurse and the patient (Imagine that one of you is the triage nurse and
the other is the patient. The triage asks the patient questions to fill in the patient
record form)
 the hospital receptionist and the journalist (The journalist interviews the
hospital receptionist in order to write an article for MedLife journal)
 the flying doctor and the junior student (The junior student is interested in becoming
a flying doctor. He/she asks the flying doctor about his job and responsibilities).

6. Work in groups. Answer the questions.


1. What are the three ways of a patient’s admission to a hospital?
2. What is written in a patient record?
3. What is an outpatient? What is a day patient? What is an inpatient?
4. Why are medical records so important?
5. What kind of information goes on a hospital registration form?
6. Where do patients sit while they wait for treatment? Which patients are seen first?
7. What is A&E department? What are the patients of A&E?
8. What cases are considered as emergencies?
9. What is a triage?
10. Why is working in A&E very stressful?
11. How should you treat a patient with severe bleeding?
12. What is CPR?
13. What does a first aid kit contain?
14. Who is always first at the scene and why?
15. Why are people usually grateful to paramedics?
UNIT 5. PAIN

VOCABULARY Describing pain

severe mild moderat slight unbearableburningdull stabbing


throbbin constane shooting shar gnawing cramping agonizing
g t p
A. B. C.

D. E. F.

1. The pain in my foot is constant/intermittent. It comes and goes throughout the


day.
2. A shooting/chronic pain starts and ends very quickly. 3. The patient moaned because
the pain was absolutely moderate/unbearable. 4. I still have a headache. It’s like a drum,
a real throbbing/burning pain. 5. The patient complained of a sharp stabbing/dull pain in
1.Match the conditions with the types of pain.

2. Underline the correct options in bold.


1. The pain in my foot is constant/intermittent. It comes and goes throughout the
day.
2. A shooting/chronic pain starts and ends very quickly. 3. The patient moaned because
the pain was absolutely moderate/unbearable. 4. I still have a headache. It’s like a drum,
a real throbbing/burning pain. 5. The patient complained of a sharp stabbing/dull pain in
his chest felt like a needle or a knife piercing the skin. 6. There’s a burning/shooting pain

3. Translate the sentences from Russian into English.

1. Как вы думаете, какие части тела наиболее чувствительны к боли? 2. Она


проснулась из-за колющей боли в груди. 3. Эта схваткообразная боль в спине мучает
меня уже в течение месяца. 4. Боль отдаёт в левую руку. 5. Пульсирующая боль
является одним из наиболее распространенных (common) симптомов мигрени
(migraine). 6. Пациентам, которые испытывают боль, врач выписывает обезболиваю-
щие препараты для её купирования. 7. Пациент жаловался на непереносимую боль
в правом боку. 8. Ноющая боль в области желудка может быть одним из симптомов
гастрита. 9. У меня сильная боль в запястье, и она усиливается. 10. Самая распростра-
ненная причина жжения в области живота — неинфекционный гастроэнтерит (non-
infectious gastroenteritis). 11. Он почувствовал внезапную резкую боль в руке, но она
быстро прошла. 12. При мигрени характерна пульсирующая боль. 13. Существуют
два вида боли: острая и хроническая. 14. Чувствительность к боли зависит от инди-
видуальных особенностей человека. 15. Боль в висках приходит периодически, а за-
тем отступает.

GRAMMAR Making comparisons

4. Open the brackets and put the adjectives into the correct forms.

1. After taking strong painkillers, my headache is much unbearable.


(little) 2. Aspirin is than Nurofen. (effective) 3. What can I do to
make you feel ? (well) 4. Before surgery the patient was
(weak) and felt (bad) than now. 5. Now people are much (resistant)
to penicillin than 50 years ago. 6. Can you describe when (sharp)
pain of all after the accident was? 7. An IV is (fast) way to
administer pain relief. 8. The (bad) pain many women experience is in
labour. 9. Your lips are (sensitive) than your forehead. 10. I’m sure I
have a stomach ulcer, this is (gnawing) pain I’ve ever felt. 11. The new study
claims that meditation is (strong) than drugs for pain relief.

5. Translate the sentences from Russian into English.

1. Рентгеновский снимок показывает, что перелом намного серьезнее, чем мы


предполагали (suppose). 2. Пациент чувствует себя гораздо лучше, чем до операции.
3. Современные антигистаминные препараты имеют наименьшее количество
побочных эффектов. 4. Боль в желудке становится сильнее, когда пациент начинает
двигаться. 5. Это самое сильное болеутоляющее, которое можно приобрести в аптеке
без рецепта (over the counter). 6. Большинство пациентов с хроническими болями
в спине используют альтернативные методы лечения. 7. Пациенты испытывают
хроническую боль намного дольше, чем острую. 8. Во время родов эпидуральная
анестезия намного эффективнее, чем местная. 9. Боль является важнейшей реакцией
для защиты организма. 10. В какое время суток боль в животе усиливается?
11. Большинству людей с болью в спине не нужны сильные болеутоляющие
препараты.
VOCABULARY Pain relief

6. Match the words with their Russian equivalents.


1. epidural a) рожать
2. gas and air b) обезболивание
3. give birth c) закись азота («веселящий газ»)
4. wear off d) исчезать, выветриваться (об эффекте)
5. go numb e) эпидуральная анестезия
6. take away the pain completely f) справляться с болью
7. pain relief g) полностью блокировать боль
8. bear the pain h) переносить боль
9. lose sensations i) потерять чувствительность
10. cope with the pain j) онеметь
11. feel light-headed k) чувствовать сонливость,
головокружение

7. Translate the sentences from Russian into English.


1. Во время родов врач назначает анестезию индивидуально. 2. Выбор анестезии
зависит от множества факторов, в том числе от выраженности боли. 3. Анестезией
обычно называется интенсивная блокада всей чувствительности. 4. Эпидуральная
анестезия очень популярна в настоящее время, поскольку она эффективно снижает
чувствительность в нижней части тела, но не затрагивает сознание. 5. В настоящее
время при родах врачи также часто используют закись азота, которую пациент
вдыхает самостоятельно. 6. Тем не менее обезболивающий эффект от закиси азота
быстро выветривается. 7. Одним из побочных эффектов применения закиси азота
может быть сонливость и головокружение. 8. Многие пациенты по-разному переносят
боль, поэто- му выбор типа анестезии зависит от их индивидуальных особенностей. 9.
В первую очередь, анестезия, независимо от ее типа, должна быть безопасна для
ребенка.

VOCABULARY Alternative methods of pain relief

8. Match the types of pain relief (1-8) to the definitions (a-h).

1. aromatherapy a) use of fragrant oils for well-being


b) a pad used for warming of parts of the body in order to
2. analgesia manage pain
3. yoga c) use of fine needles to relieve pain
4. hypnosis d) medicine taken by mouth or by injection which stops pain
5. acupuncture e) a system of exercises for mental and physical health
f) a practice of concentrated focus upon a sound, object,
visualization, the breath, movement, or attention itself in
6. meditation order to relieve pain.
g) the therapist manipulates the bones in the spine to help treat
7. chiropractic treatment pain
h) the therapist talks to the patient when he or she is “asleep” to
8. heat pack influence their feelings about pain.
9. Match the pictures to the types of pain relief in Ex. 9.

A. B. C. D.

E. F. G. H.

10. Fill in the gaps with the words from the box in Ex. 9.

1. Peppermint is used in to stimulate the senses, help digestion, and clear


congestion. 2. has been used for centuries for pain control, including during the
Civil War when Army surgeons hypnotized injured soldiers before amputations. 3. There is
no doubt that applying a to an aching body part provides almost instant relief
from pain and stiffness. 4. Among people looking for back pain relief alternatives, most
choose . 5. is a Chinese therapy that has been used for
centuries.

SPEAKING Questions to assess pain

11. Add question words to form pain assessment questions.

1. does it hurt? 5. is the pain?


2. does the pain last? 6. kind of pain is it?
3. do you have pain? 7. did it start?
4. does it hurt? 8. makes it worse?

12. Complete the table. Use SOCRATES in the history of the present complaints to
help you remember the main questions you need to ask about pain:

Site Onset CharacterRadiationAssociationsTiming

Exacerbating and alleviating factorsSeverity


Feature Typical question
What makes it worse?
Does anything make the pain feel better?
Does it go anywhere else?
Does it stay in one place or move around?
How much pain do you have? How much does it hurt?
How bad is the pain? What would you rate your pain out of 10?
Does it hurt all the time? When does it stop?
How long does it last? How often do you get the pain?
When did your pain start? When did it start hurting?

Do you feel anything else wrong when it's there?


Have you any other problems related to the
Where do you have pain? Where does it hurt?
pain?
Show me where it hurts.
Can you describe the pain? What kind of pain is it?

13. Complete the conversations using the information from the cases.

CASE A Nurse: Where do you have pain?


Kate: I have pain in my .
Kate is 17-year old girl. She touched a hot Nurse: How much pain do you have?
stove and burned her right hand. Kate has Kate: I have pain.
mild pain in her right hand. She rates her Nurse: What would you rate your pain out
pain 3 out of 10. The pain is intermittent of 10?
and itchy. 30 minutes later, Kate goes to
Kate: I would rate my pain out of 10.
the clinic for medical help. A nurse sees
Nurse: When did your pain start?
Kate and asks her some questions. How
would Kate answer the nurse’s questions? Kate: My pain started ago.
Nurse: Is your pain constant or intermittent?
Kate: My pain is .

CASE B Nurse: ?
Bob: I have pain in my chest.
Bob is a 46 year old man. For the first
time, he is having moderate pain in Nurse: ?
his chest and he feels it moving Bob: It moves down my arm.
down his arm. He rates his pain 5 Nurse: ?
out of 10. The pain is constant and Bob: I have a moderate pain.
has a tingling feeling. 10 minutes Nurse: ?
later Bob’s son drives Bob to St. Bob: I would rate my pain 5 out of 10.
Patrick’s Hospital Emergency for
Nurse: ?
medical help. A nurse sees Bob and
asks questions. How would the Bob: My pain started 10 minutes ago. Nurse:
nurse him some questions? ?
Bob: My pain is constant.
14. Translate the conversation from Russian into English.

In a GP's surgery

GP: Mrs. Andrews, isn’t it? Good morning, I’m Dr. Adams. I am your GP.
?
(Что с Вами случилось?)
Mrs. Andrews: Nothing really. As usual I was working in my office when I suddenly felt
(сильную боль) in my stomach. It (усиливалась), that's
why I decided not to wait and see a doctor immediately.
GP: ?
(Где конкретно Вы чувствуете боль?)
Mrs. Andrews: Right here. .
(C правой стороны внизу).
GP: I see. ?
(Не могли бы Вы описать характер боли?)
?
(Она колющая, схваткообразная или
пульсирующая?)
Mrs. Andrews: I’m not sure, but I think it is (пульсирующая).
GP: Uhu-h. And ?
(Боль сосредоточена на одном месте?)
Mrs. Andrews: No, .
(Она переходит в низ живота и в область таза).
GP: I see. Let me palpate your abdomen. ?
(Боль усиливается, когда я нажимаю вот здесь?)
Mrs. Andrews: Да. .
(Становится гораздо больнее)
GP:
?
(Не могли бы Вы оценить интенсивность боли по шкале от 1 до 10?)
Mrs. Andrews: Hmmm...I would say it’s 6, but when you push on the right side it’s all 9.
GP: OK. I see. ?
(Наблюдаете ли Вы какие-либо сопутствующие симптомы, такие как рвота,
диарея, озноб, повышенная температура?)
Mrs. Andrews: Yes, at first
(был легкий озноб и температура поднялась до 38). I took some painkillers and
.
(мне стало немного лучше).
GP: I see. And ?
(Усиливается ли боль при ходьбе?)
Mrs. Andrews: Yes. I can barely walk. .
(Болит невыносимо сильно)
GP: It seems that you have appendicitis. We should take some analysis to make the right diagnosis.

VOCABULARY The mechanism of pain

15. Match the words with their Russian equivalents.


1. drugs a) фантомные боли в конечностях
2. acupuncture b) чувствовать боль от ран
3. survive c) иглоукалывание
4. our body’s defences d) сильнодействующие препараты
5. fractures e) длиться всю жизнь
6. nerve endings f) посылать сигналы
7. phantom limb pain g) нервные окончания
8. send messages h) переломы
9. last a lifetime i) неспособный чувствовать боль
10. unable to feel pain j) избегать повреждений
11. avoid damage k) выживать
12. feel pain from wounds l) защита нашего организма

16. Complete the sentences with the words from Ex. 15.

1. Pain is a vital part of our . 2. Pain helps us .


3. Congenital analgesia is a rare condition that makes people unable .
As a result, these people suffer a lot of and infections. 4. When a body part is
damaged, are triggered and send warning signals to the brain. 5. Chronic
pain and cannot usually be treated. It must be managed using
or other methods. 6. Patients who lose a limb may feel pain in the limb long afterwards. It is
called . 7. Pain sometimes works in strange ways: soldiers in
battles may not until after the battle.

READING Phantom limb pain

17. Work in pairs. Discuss the questions.

1. What is a phantom limb pain? What may cause this pain?


2. Do you think this phenomenon can be a psychological problem?
3. Do you know any methods to treat phantom limb pain?

18. Read the article about phantom pain and check your ideas in Ex. 17.

After a person has had an arm or leg amputated, they may still experience various
sensations in their missing limb, such as sharp or shooting pains, aches, cramping or
burning pains.

What Causes Phantom Limb Pain?


Although the limb is no longer there, the nerve endings at the site of the amputation
continue to send pain signals to the brain that make the brain think the limb is still there.

What Are the Symptoms of Phantom Limb Pain?

In addition to pain in the phantom limb, some people experience other sensations such as
tingling, cramping, heat, and cold in the portion of the limb that was removed. Any
sensation that the limb could have experienced prior to the amputation may be experienced
in the amputated phantom limb.

How Is Phantom Limb Pain Treated?


There are many methods used to treat the condition. These include acupuncture, hypnosis,
various medications and mirror box therapy — using the reflection of the remaining limb
in an attempt to move the phantom limb into a comfortable position. Treatment is usually
based on the person's level of pain, and multiple treatments may be combined.
19. Work in pairs. Complete the chart. Now tell each other about phantom pain using
the chart.

What is Its treatment:


phantom Symptoms of
Its causes:
limb pain? p hantom
pain:

TRANSLATION The girl who doesn’t feel pain

20. Translate the story from Russian into English.

Боль — это жизненно важная часть защиты нашего организма, которая


предупреждает нас об опасностях и, таким образом, помогает нам избежать
повреждений. Однако в мире есть около 100 человек, которые никогда не
испытывают боли. Звучит странно, но это болезнь, она может передаваться по
наследству или возникнуть вследствие травмы.
У такого человека отсутствует чувствительность нервных окончаний. Эти люди
наносят себе множество мелких травм, не замечая этого. Дети, родившиеся с этим
редким состоянием, не извлекают уроков, которым учит боль, и в результате
получают (страдают от) много переломов и инфекций.
Одна из таких историй — это история Эшлин Блокер из городка Паттэрсон, США.
Ей 14, она ходит в обычную школу и занимается музыкой. Но Эшли одна из тех
редких людей в мире, которые никогда не чувствуют боль, поэтому ее жизнь полна
опасностей.
Когда Эшлин была маленькой, ее родители обматывали ей руки марлей, чтобы она
не расчесывала их. Когда у Эшлин прорезались зубки, она изжевала себе губы.
Однажды она сломала себе лодыжку и два дня ходила так, пока родители не
заметили, что с ней что-то не в порядке. Тело Эшлин не выделяет пот, что очень
опасно, так как она может умереть при сильной жаре. К сожалению, у современной
медицины нет лекарства от этой болезни, поэтому уже несколько лет все
родственники Эшлин находятся в постоянно страхе за ее жизнь.
Страх родителей маленькой девочки вполне понятен — очень редко те, кто не
чувствует боли, доживают до двадцати лет. Часто эти люди погибают от аппендици-
та — они не могут пожаловаться на боль в правом боку, и эту проблему выявляют
слишком поздно.
UNIT 5. VIDEO TASK

THE BIONIC GIRL

Before you watch

1. Work in pairs. Discuss the questions.

The word “bionic” is referred to a person who has greater powers of strength, speed, etc. than
seem to be possible for a human.

1. Have you ever heard about any people with super powers?
2. The story that you are going to watch is about a girl. Which super powers do you think
she might have?
3. Do you think her super powers may cause problems to the people around her?
4. What can be the cause of her greater powers? Would you like to be a superman/woman? If
yes, what super powers would you like to have?

While you watch

2. Watch the video (https://www.youtube.com/watch?v=LrBvY1xKo7s)and check


your answers in Ex.1.

3. Watch the video again and complete the summary of the story.

Olivia Farnsworth has a very rare medical condition. It is a


called a chromosome six deletion that allows her not to feel , and tired.
When she was a baby she stopped at night. When she was in the nursery school she injured her
badly. Only that time the doctors realized that Olivia had a rare disease.Today doctors can’t treat this
genetic but they can prescribe her some medication to help her body do normal things, e.g. they
prescribe herto get her to go to sleep.
Olivia’s mother has found a support group online that deals with different types ofand mutations. This
group is trying to raise for chromosome problems. Nowadays about 15,000 peoplefrom different types
of chromosome disorders and only 100 people have the deletion of the sixth chromosome.

After you watch

4. Work in pairs. Student A is Olivia’s mother. Student B is the journalist who is going
to write an article about Olivia’s daughter. Look at the information on the cards below
and spend a few minutes preparing what you are going to say.

70
STUDENT A: OLIVIA’S MOTHER

Use the following prompts and invent the details yourself and your daughter:

 why your daughter is considered to be unique and when you first realized that she was not like
other children
 what difficulties you had to deal with when Olivia was a baby
 when doctors first understood that your daughter had a rare disease
 if you communicate with other people who have chromosome disorders
 if you really think that your daughter is a bionic girl.

STUDENT B: JOURNALIST

Think about the questions you are going to ask Student A. You need to find out about:

 why her daughter is considered to be unique and when she first realized that Olivia was not like
other children
 what difficulties she had to deal with when Olivia was a baby
 when doctors first understood that her daughter had a rare disease
 if she communicates with other people who have chromosome disorders
 if she really thinks that her daughter is a bionic girl.

You are now ready to roleplay your conversation.

5. Today there are a lot of organizations that are trying to raise awareness of health issues,
such as smoking, autism, strokes, self-injury, breast cancer and others. Write an essay of
at least 250 words on the following task:

Why is it important to raise awareness of health issues? Are there any organizations in your
country that organize campaigns to improve public health?

GLOSSARY

rare — редкий
a chromosome six deletion — отсутствие шестой хромосомы
a nursery school — ясли
a genetic mutation — генетическая мутация
chromosome disorders — хромосомные болезни
raise awareness — повышать степень информированности
общественности
UNIT 5. WORDLIST

Here is a list of useful words from Unit 5. You can insert your own translation.

adj = adjective conj = conjunction phr v = phrasal verb phr = phrase pron = pronoun
adv = adverb n = noun pl = plural prep = preposition v = verb

acupuncture (n) Acupuncture is the use of fine needles to


relieve pain.
acute (adj) Acute pain is short-term and can be removed
when the cause is cured.
agonizing (adj) Agonizing pain is very difficult to bear.
alleviating (adj) Exacerbating and alleviating factors are very
important in evaluating pain.
analgesia (n) Where pain is continuous, analgesia needs to
be prescribed on a regular basis.
aromatherapy (n) Aromatherapy is the use of fragrant oils for
well-being.
available (adj) There are a lot of painkillers available
without prescription.
avoid (v) Try to avoid strong painkillers when you can
bear the pain.
bladder (n) Crystallized minerals can develop into
bladder stones.
burning (adj) There’s a burning pain in my lower back. It
feels like it’s on fire.
character (n) The character of pain depends, first of all, on
its cause.
chiropractic treatment I decided to try chiropractic treatment to
(n) relieve the pain in my back.
chronic (adj) Chronic pain is very difficult to treat.
Some people claim that alternative treatment
claim (v) doesn’t work.
People with colon cancer suffer from severe
colon (n) pain.
Nowadays a lot of patients complain of
complain of (v) chronic pain.
constant (adj) The pain is constant and a patient has a
tingling feeling.
cope (v) There are a lot of alternative methods to cope
with pain.
cramping (adj) The woman is suffering from a cramping
abdominal pain.
crushing (adj) I have a crushing pain — it’s so severe that I
can’t move my leg.
cure (v) How can we cure the cause of pain?
damage (n) The ‘phantom limb’ pain is caused by
damage to the remaining nerves.
deal with pain (phr) There are a lot of different methods of
dealing with pain.
defence (n) Pain is a vital part of our body’s defences.
dull ache (n) A dull ache is steady and not too painful.
When the pain became unbearable, I had an
epidural (n) epidural.
Exacerbating and alleviating factors are very
exacerbating (adj) important in evaluating pain.
fracture (n) Both the fracture and any injuries to the body
tissue near the fracture site can produce pain.
I’ve got frequent pain in my hand — it hardly
frequent (adj) goes away.
Gallbladder pain is usually caused by
gallbladder (n) gallstones.
I had gas and air when I gave a birth for my
gas and air (n) first child.
A duodenal ulcer is accompanied by gnawing
gnawing (adj) pain.
heart (n) The pain of a heart attack is felt in the left
shoulder.
A heat pack is an effective way to relieve
heat pack (n) pain.
hurt (v) How much does it hurt?
Hypnosis has been used for centuries for pain
hypnosis (n) control.
The pain in the patient’s hand is intermittent
intermittent (adj) and itchy.
Kidney stones may cause constant and severe
kidney (n) pain.
One of the symptoms of acute liver failure
liver (n) may include pain in your upper right
abdomen.
Regular smoking affects your airways and
lung (n) lungs.
You can train your brain to manage the
manage (v) sensation and chronic pain with the help of
meditation.
meditation (n) Some alternative doctors advise meditation
as one of the best ways to cope with pain.
The pain began suddenly last night as mild
mild (adj) but constant.
A patient is having moderate pain in his chest
moderate (adj) and he feels it moving down his arm.
occasional (adj) The pain is occasional — it comes and goes.
Early onset Parkinson's disease has a wide
onset (n) range of symptoms.
ovary (n) Ovary cysts can cause different types of pain.
Mr. Thomas receives an injection of
receive (v) antihistamine every 4 hours.
There are a lot of natural pain relief options
reduce (v) to reduce your pain.
referred (adj) Internal injuries often cause referred pain.
relate (v) Medical conditions are often related to other
diseases and conditions
relieve (v) An epidural relieves pain during birth.
Regional anesthesia removes all feeling of
pain from parts of the body while you stay
remove (v) conscious.
Some medications can change your sense of
sense (n) smell.
severe (adj) Some conditions can cause severe pain.
The severity of the injury will depend on the
severity (n) extent of injury
shooting (adj) What can cause shooting pain in the ear?
The site of pain during migraine attacks can
site (n) differ.
slight (adj) There is a slight pain in my lower abdomen.
The small intestine absorbs about 90% of the
small intestine (n) nutrients from the food we eat.
A cramping pain feels like something is
squeeze (v) squeezing your muscle.
The patient complained of a stabbing pain in
stabbing (adj) his chest felt like a knife piercing the skin.
A heat pack provides almost instant relief
stiffness (n) from pain and stiffness.
A little boy was admitted to hospital with
stomach (n) constant pain in his stomach.
Some people who lost their limbs can suffer
suffer (v) from ‘phantom limb’ pain.
The X-ray show that a fracture is much more
suppose (v) severe than we supposed.
survive (v) Without pain we couldn’t survive.
throbbing (adj) Millie feels throbbing pain down her legs.
One of the important features for assessing
timing(n) pain is timing.
Most cancer pain is caused by the tumour
tumour (n) pressing on bones.
I’m sure I have a stomach ulcer — the pain is
ulcer (n) unbearable.

The pain was so unbearable that I couldn’t


unbearable (adj) cope with it without medications.
Unfortunately, the effect of gas and air wears
wear off (phr v) off very quickly.
I decided to try yoga because it is one of the
best methods to keep mentally and physically
yoga (n) fit.
APPENDIX. PARTS OF THE BODY

1. Label the diagram using the words from the box.


shin ankle calf jaw (mandible) neck armpit (axilla) upper arm
Adam’s apple loin forearm shoulder leg palm thumb
finger thigh ear cheek wrist foot toe
hair forehead sole chin hand chest nipple
breast stomach (abdomen) navel (umbilicus) hip groin (inguinal region)
genitals elbow knee big toe buttock nose heel
2. In this table there are 37 words for parts of the body and six categories. Decide
which category or categories each part belongs to. The first one has been done for you
as an example.
arm hand leg foot torso head
abdomen +
ankle
buttock
calf
chest
chin
ear
elbow
eye
eyebrow
eyelash
eyelid
finger
forearm
forehead
gum
hip
knee
knuckle
lip
nail
navel
neck
nipple
nose
palm
rib
scalp
shoulder
sole
temple
thigh
thumb
toe
tongue
tooth
wrist

3. Match the words (1-7) with their definitions (A-G).


Part 1
1. hip A. the part of the forearm that attaches to the hand
2. finger B. the long extension from the upper body between the shoulder and wrist
3. elbow C. the part of the upper leg that projects slightly outward
4. arm D. the long extension from the lower body between the hip and foot
5. wrist E. one of the extensions from the hand
6. leg F. the joint between the upper and lower arm
Part 2
1. lips A. the organs that detect sound
2. face B. the part of the face above the eyebrows and below the hairline
3. forehead C. the body part that contains the brains and skull
4. cheek D. the sensitive organs surrounding the mouth
5. head E. the front part of the head that contains the sensory organs
6. ears F. the fleshy part of the face on either side of the nose
7. eyes G. the organs that detect sight

Part 3
1. shoulder A. the upper front part of the torso
blade B. area between the legs
2. abdomen C. the part of the body between the neck and the groin
3. waist D. lower portion of the back
4. torso E. part of the body that contains the digestive organs
5. neck F. part of the body that allows the head to turn and connects the head
6. groin to the torso
7. chest G. upper back bone that connects to the shoulders
8. small H. area between the ribs and the pelvis

4. Read the sentence pair. Choose where the words best fit the blanks.
1. shoulder/ankle
A. I twisted my when I was running.
B. Tom can’t move his arm due to his injury.
2. toe/knee
A. The leg bends at the .
B. Breaking even your smallest can move walking difficult.
3. neck/back
A. If you cannot see Andy’s chest, you are looking at his .
B. The attaches the head and torso.
4. small/rib cage
A. The doctor placed his hand on the of the patient’s back.
B. The bones that protect the heart and lungs make up the .
5. foot/hand
A. This shoe barely fits on my .
B. Give me your and I will help you.

5. Write the ordinary English words for the corresponding anatomical terms in the
table using your medical knowledge.
Anatomical term Common word
abdomen
axilla
carpus
coxa
cubitus
nates
patella
6. Read the statements and decide if they are true (T) or false (F).

10 STRANGE AND FACINATING FACTS ABOUT THE HUMAN BODY

1. It is impossible to touch your mouth with your elbow.


2. The human eye can distinguish about 10 million different colors.
3. A human baby has over 60 more bones than an adult.
4. An average person has approximately 250 hairs in each eyebrow.
5. There are 100,000 miles of blood vessels in an adult human body.
6. Your nose can remember 50 different smells.
7. The fastest growing nail is on the middle finger.
8. Your eyes are always the same size from birth but your nose and ears never stop
growing.
9. We are about 2 cm taller in the morning than in the evening.
10. Each hair stays on your head from between two and six months.
REFERENCE

1. Cunningham S., Moor P., Carr J.C. New Cutting Edge Pre-Intermediate. Workbook
with key. — Longman, 2007.—112 p.
2. Evans V. Career paths: Medical. — Newbury: Express Publishing, 2013. — 117 p.
3. Glendinning E. Professional English in Use: Medicine. — Cambridge: Cambridge
University Press, 2007. — 167 p.
4. Grice T. Oxford English for careers: Nursing 1. — Oxford: Oxford University Press,
2011. — 136 p.
5. Grice T. Oxford English for careers: Nursing 1. Teacher’s resource book. — Oxford:
Oxford University Press, 2011. — 104 p.
6. Riley D. Test your vocabulary for medicine: A workbook for users. — Dorset: Peter
Collin Publishing Ltd, 1995. — 46 p.
7. Марковина И. Ю. Английский язык: учебник для медицинских вузов / под общ.
ред. И. Ю. Марковиной. — 4-е изд., испр. и перераб. — М.: ГЭОТАР-Медиа, 2012. —
368 с.
8. Ятунина А. И., Попова Н. В. Медицина катастроф. Emergency Medicine: учебное
пособие по английскому языку под ред. М. А. Акоповой. — СПб.: Изд-во Политехн. ун-
та, 2009. — 165 c.
9. http://www.projects-abroad.org/
10. https://www.youtube.com/watch?v=vKUAFYVg8fc
11. https://www.youtube.com/watch?v=Dd2FuLBm3Qw
12. https://www.youtube.com/watch?v=TYg-N-qrXTs
13. https://www.youtube.com/watch?v=3GzBKoCK3Ik
14. https://www.youtube.com/watch?v=8qr1pu_T1Es
15. https://www.youtube.com/watch?v=kr4syeWvaI8
16. http://www.youtube.com/watch?v=BHnimMZDj0A
17. https://www.youtube.com/watch?v=LrBvY1xKo7s

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