Conversation Doctor and Patient [PDF]

Zitiervorschau

Conversation 1 Doctor: Hello! What can I do for you? Patient : Good Morning Doctor. I am not well. Doctor : Come and sit here. Doctor : Open your mouth. Doctor : How long are you not well? Patient : Since yesterday. Doctor : No problem-did you have Motion yesterday? Patient : No Doctor-not so freely. Patient : Doctor I feel giddy. Patient : I don’t feel like eating at all. Doctor : then? Patient : I feel like vomiting. Doctor : Do you take a lot of water? Patient : No, doctor I don’ take too much. Doctor : Did you take any medicine? Patient : Yes Doctor, I took Anacin. Doctor : who told you to take it? Patient : Nobody Doctor I took it myself. Doctor : why did you take it? Patient : Because I felt headache. Doctor : Nothing to be worried at. Doctor : Do you need immediate relief? Patient : No need sir. It is enough you give medicines.

Conversation 2 Patient : May I come in, Sir? Doctor : Yes, you may. Patient : I’ve been suffering from fever for the past two days. Doctor : Did you take any medicine? Patient : No, I didn’t. I’ve got a cold too. (Doctor examines the patient.) Doctor : Your body temperature is 102° F. You must take medicines for at least three days. Patient : Can I attend office? Doctor : You shouldn’t. You must take rest. Patient : What about the diet? Doctor : You should be on liquid diet. Patient : Should I see you again? Doctor : You needn’t. But if the fever persists for more than three days, come and see me. Patient : Sure. Doctor : Here is the prescription. Patient : Thank you, Sir. Doctor : You’re welcome.

Conversation 3 Paciente:- Hello Doctor. Doctor:- Hello, how can i help you? Paciente:- Actually doctor, since last two days i'm having a stomach pain Doctor:- Ok, tell me where exactly the pain is? Paciente:- Its somewhat near lower abdomen. Doctor:- Is it a severe pain or just a light pain? Paciente:- Can't say. I mean sometimes its severe and sometimes mild. Doctor:- Ok. What have you eaten two days before? Paciente:- I went to a marriage and there we had dinner. Doctor:- Do you feel like eating anything? Paciente:- No doctor. Doctor:- Its minor stomach infection. I'm giving you medicine's for 5days and you will feel better. Paciente:- Thank You Doctor.

Conversation 4 RITU: Good morning, doctor! DOCTOR: Good morning, Ritu! What happened? RITU: I am feeling fever. My whole body is aching. DOCTOR: Let me check your fever…… (after checking)…… it’s 102. Show me your throat. RITU: I also have cough. DOCTOR: Your throat is also sore. Did you feel shivering during the night? RITU: Frequently; I couldn’t sleep well. DOCTOR: What did you eat at night? RITU: Simple home-made food. But I have not taken any breakfast. I am not feeling hungry. And there is a feeling of vomiting. DOCTOR: Don’t worry, I am giving you medicine. Also get your blood tested today. Show me the report tomorrow. RITU: From where shall I get my blood tested? DOCTOR: You may go to Lifeline Labs. It is near your colony. RITU: How many doses have you given me? DOCTOR: Three doses. As soon as you reach your home eat something light and take the first dose. It contains three tablets and one capsule. Repeat the same after five hours. The third one can be taken before going to bed at night. RITU: Any precautions doctor? DOCTOR: Don’t go to office today. Take complete rest. Avoid cold drinks or oily meals. RITU: How much shall I pay you doctor? DOCTOR: Only Rs.150/-. RITU: Thank you doctor!

Conversation 4 MR.KAPOOR: Good morning, Dr. Sharma! DR.SHARMA: Good morning! What’s wrong with you? MR.KAPOOR: I have been suffering from fever since yesterday. DR.SHARMA: Have you any other problem? MR.KAPOOR: I also feel headache and shivering. DR.SHARMA: Let me feel your pulse and check your fever……… At this time the fever is 102 degree. Don’t worry, there is nothing serious. I am giving you the medicine, and you will be all right in a few days. MR.KAPOOR: Thank you, doctor. DR.SHARMA: But get your blood tested for malaria, and come with the report tomorrow. MR.KAPOOR: OK doctor. DR.SHARMA: I shall recommend at least two days rest for you. MR.KAPOOR :Would you prepare a medical certificate for me to submit it in my office? DR.SHARMA: Oh sure…………. This is your medical certificate. MR.KAPOOR :Thank you very much. Please tell me how shall I take this medicine? DR.SHARMA: This medicine is for one day only. Take this dose as soon as you reach your home and the second at 3 pm and the third at night before sleeping. MR.KAPOOR: What should I eat doctor? DR.SHARMA :You should eat only light food. You can take milk and fresh fruit also. MR.KAPOOR :How much shall I pay you doctor? DR.SHARMA :Rupees hundred only. MR.KAPOOR: Here it is please. Thanks doctor. DR.SHARMA: It’s all right. MR.KAPOOR: Thank you doctor. I shall see you tomorrow with my blood report.

Conversation 5

Patient: Good morning, Doctor. Doctor: Good morning, Sir. What is the matter with you? Patient: I have a very bad headache and frequent giddiness and sometimes i feel pain in my chest. Doctor: How long have you been indisposed. Patient: For about three aur four months. Doctor: Show me your tongue please. Patient: Is it a little coated. Doctor: Are you constipated? Patient: A little. Doctor: Let me feel your pulse. Do you sleep well? Patient: No, my sleep is very restless Doctor: Please, unfasten your dress. I will sound your chest. Where do you feel pain? Does it hinder your breathing? Patient: Here, yes, sometimes. Doctor: Have you a good appetite. Patient: No, far the last few months, all food has been distasteful to me, especially meat. Doctor: You must take great care of yourself or you might become seriously ill. Have plenty of fresh air and physical exercise. In a few days, you will find your appetite returning. Your fatness will disappear. Moreover you will take the tablets i will prescribe for you. Patient: When must I take them and how many at a time? Doctor: For this first week, six a day, three in the morning and three in the evening.

Conversation 6 P:Good Afternoon, doctor. D:Good afternoon. What is your problem? P:I have a stomachache. D:What do you feel? P:I have a strong pain and heartburn. D:How long have you had this pain and acidity? P:For 2 months now. It does not go way! I eat and after every meal my stomach hurts. Even at night the pain persists. D:Tell me, in the last 2 months, have you eaten any kind of heavy food, or something different? P:No. D:How strong is the pain. Lets say in a 1 to 10 scale, how would you describe the intensity of the pain? P:Between 4-5 D:Is the pain continuous or does it come and go? P:It come and goes. D:Does the pain come after meals? P:That's possible because it hurts everytime after eating. D:Is there a kind of food that affects you more? P:Greasy food. D:Greasy food affects you? P:Yes. At home we eat a lot of greasy food. D:Where in the abdomen does it hurt? Point please! Does the pain travel to your chest, shoulder, back or across your abdomen? P:It hurts in the middle. Sometimes, the pain travels across my abdomen. D:Besides the pain, you said you have heartburn? P:Yes, after a burp, I feel a kind of sour taste. D:Do you feel like this more during the day or in the evenings? P:Both. I feel the acidity during the day and at night. D:Is it worse when lying down? P:Yes, I taste the acid in my mouth? D:Besides greasy food, is there any other kind of food that irritates your stomach? Like spicy food? P:No, at home we don't eat spicy food. D:And tell me, how often do you regularly have a bowel movement? Has that changed since you have been having these problems? P:It is regular. It hasn't changed since the problem. D:Have you noticed any change in the consistency of the bowel movement? P:Yes. It is a bit softer. D:Have you noticed any change in color? P:Yes, it is greener. D:Greener, not darker? Any blood in your bowel movement or black coloring to bowel movement? P:No, not darker. I do not see any blood in my bowel movement, either. Begin examination of the patient D:Ok. What we can do first is check your abdomen to see where the pain comes from. You said the pain comes from the middle-part of your abdomen? P:Correct. D:And does the pain move somewhere else, or does it stay there? P:It usually stays there. D:But with the pain, do you always feel acidity? P:Correct. D:Do you have nausea or vomiting? P:No, not now. D:Tell me, what did you eat today? P:I ate meat with tomato sauce. D:Do tomatoes give you any trouble? P:No, I have always eaten tomato sauce. D:What about orange juice, does it affect your stomach?

P:Sometimes. D:What do you feel? P:It gives me a strange metallic taste. D:But it does not you any acidity? P:No, it doesn't. D:And what do you do when you have stomachaches? P:Sometimes I take Alkaselzer. It helps a bit. D:Yes, it helps. Do you take any Tums, Mylanta, Maalox? P:No. D:Are you taking or have you been taking now or before this problem any medication on a consistant basis, like aspirin, Advil, Motrin, etc. P:No, usually Tylenol. D:And if you take aspirin, or any other kind of anti-inflammatory medicine, do you think it could affect your stomach? P:No, I can't really tell you. D:Ok. As I was telling you before, I am going to examine you. I want to examine your feces to check if you have any kind of parasite. Do you come from the tropics, or have you traveled anywhere recently such as the tropics, or overseas? P:Yes. D:Here in the United States, as well as in any other part of the world, one can find parasites. These can affect your stomach. Besides this, I want to look for any occult blood. You said you have not really seen any changes in your feces. It is only greener, but not darker. The digested blood, in case you have something in your stomach and you could have a haemorrhage, could produce a chemical reaction so that you can have occult blood in your feces. Many times we don't see the red color of blood or the black color of the digested blood; therefore an examination is necessary. I would also like to examine your upper gastrointestinal system through X-rays and contrast. It is a very simple thing and it does not hurt. You will drink a thick substance. The radiologist will see how you digest the substance and will see the movements of your stomach. We will have this type of examination because your pain could not come from the stomach but from the gall-bladder. After the examination, we will decide what to do first, the Xrays of an ultrasonic study of the gall-bladder. For now, do not eat greasy food. Do not eat close to your sleep time because it could cause you more acidity. Eat plain food, nothing spicy. As soon as I get the results from the medical test, I will talk to you. Do you have any questions? P:With so many medical tests, I was wondering if I have an ulcer. D:We need to think of that too. That is why I want that test. I need to explain to you that an Xray of the upper intestine sometimes cannot detect an ulcer or other irritations. If the pain persists after some antibiotics you will need an endoscopy. An endoscopy is a medical examination in which the doctor inserts a tube through your mouth or nose.Then, the specialist will observe your stomach, from the small intestine to the large one, and your gullet. Any other question? P:No doctor, thank you. D:Good. We will see each other next week. Good bye.

Conversation 7 Patient : Good morning, Doctor. Doctor : Good morning, Mr. Govind, Sit down. You usually drop in after 7 p.m. You’re rather early today! Patient : Yes doctor. I couldn’t bear the pain so I had to meet you immediately, Doctor : Tell me how you feel. Where does it hurt? Patient : Doctor, I have this terrible pain on my left side and my back. My mouth is dry and I fed nauseous, I throw up whatever I eat. (Doctor takes the patient’s temperature) Doctor : Your temperature is normal. Have you been drinking? (tests his heartbeat with the stethoscope) Patient : Yes doctor. A little more than usual. You see these endless official sales dinners expect one lo be sociable. (Doctor makes the patient lie down and checks his stomach) Doctor : Your liver is slightly enlarged. Let me see your eyes. Yes, your eyes too are discoloured -slightly yellow. You are heading for a liver-infected problem. It could be infectious hepatitis through a virus or a starting process of damage through excessive and destructive food habits. We’ll go in for all the required tests and start treatment. But as for now, the nurse in the next room will give you an injection to reduce your pain and I’ll prescribe some medicine for relief (writes the prescription). Keep off spicy food and drinking for now. Avoid oil. You have to go slow on these if you need to be fit. Meet me again after two days. I advise full rest till then. Patient : Thank you Doctor – thank you very much- (Exits)