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Practice English Speaking&Listening with: How to Talk About Illness and Medicine in English

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Hi, Im Oli.

Welcome to Oxford Online English!

In this lesson, you can learn how to talk about illness, medicine and healthcare in

English.

Youll learn how to deal with a visit to the doctors office, how to talk about different

healthcare systems, how to talk about going to hospital, and more.

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Lets start by looking at language you can use if you need to see a doctor.

So, what can I do for you today?

Well, Ive been having these headaches, just behind my eyes.

How long have you been having them?

For about a week now.

They arent constantthey come and go, but theyre really painful.

Do you have a fever?

No, I dont think so.

Any respiratory symptoms?

How do you mean?

For example, do you have a blocked nose, a sore throat, a cough, or anything like that?

No, nothing like that.

Is this the first time youve had a problem like this?

As far as I can remember, yeah.

OK, please sit on the bed over here.

I need to check your pulse and blood pressure.

Ill also need to check your lymph nodes to see if theyre swollen.

In the dialogue, the doctor asked many questions.

Can you remember any?

Typically, the doctor will ask about your symptoms, your medical history, and about

medication which youre taking.

To ask about your symptoms, the doctor might askDo you have a fever?’

Do you have a cough?’

Do you have a sore throat?’

The doctor might ask more questions about a specific symptom.

For example: ‘How long have you been feeling like this?’

Is this the first time youve had a problem like this?’

How severe is the pain?’

If youre describing your symptoms, its common to use the present perfect tense, especially

for a problem that appears repeatedly.

For example: ‘Ive been having really bad headaches.’

Ive been having some stomach problems.’

Ive been having a lot of problems getting to sleep.’

You could also add a time period, as in: ‘Ive had this cough for a week now.’

To describe more stable symptoms, use the present simple tense.

For example: ‘I have a swelling in my right knee.’

I have this rash on my arm.’

After you describe your symptoms, the doctor might do some basic checks on you.

For example, he or she might want to take your pulse check your blood pressure

or listen to your heartbeat or breathing using a stethoscope.

Next, the doctor will suggest further treatment, and possibly prescribe medicine for you to

take.

Are you taking any medication currently?

No, nothing.

Any allergies?

No.

Im going to prescribe you some painkillers.

Take one as soon as you feel your headaches starting.

If youre still in pain after an hour, take a second one.

Dont take more than two pills in four hours, or more than six pills in a 24-hour period.

OK

Also, dont drink alcohol or take any other anti-inflammatories while youre taking

these.

Cant you do some more tests?

What if its something more serious?

If youre still having the same problem in two weeks, then well need to investigate

further.

These things often clear up by themselves.

You should also make sure you get enough sleep, stay hydrated, and avoid stress if possible.

Do I have to pay for the prescription?

You pay a seven-pound prescription fee.

Im giving you enough pills to last four weeks, so you should have enough.

Can I take it to any chemists?

Yes, of course.

Theres a pharmacy in the supermarket around the corner.

You could get your medicine there.

OK, Ill do that.

Thank you.

Doctors can prescribe you medicine or other treatments.

They do this by writing what you need on a piece of papera prescription.

Prescribeis the verb, andprescriptionis the noun.

You can also use the nounprescriptionto refer to the medicine which a doctor prescribes

for you.

For example, you could say: ‘The doctor prescribed antihistamines, but they didnt

help.’

I lost my prescription, so Ill have to call the doctor and see if she can send

me a replacement.’

Antihistamines are often taken by people who have allergies.

In the dialogue, do you remember what kind of medicine the doctor prescribed?

She prescribed painkillers.

Common painkillers are paracetamol and ibuprofen.

Painkillers may also be anti-inflammatoriesthey reduce fever and swelling.

After you have your prescription, you can collect your medicine from a pharmacyalso

called a chemists in UK English, although both words are used.

The doctor or pharmacist might also give you advice on how to take your medicine.

For example: ‘Take one pill every twelve hours.’

Make sure you take the pills with food.’

Avoid alcohol while youre taking these, or they might not be as effective.’

Finally, the doctor might also give you some more general advice.

In the dialogue, the doctor mentioned three things.

Do you remember them?

I saidYou should also make sure you get enough sleep, stay hydrated, and avoid

stress if possible.’

Last question for this section: what happens if you dont stay hydrated?

If you dont stay hydrated by drinking enough fluids, youll get dehydrated.

Next, lets look at language to use if you arent sure where to go or how to get medical

help.

So, weird question, but what do I do if I need to see a doctor?

Ive never been to hospital or anything here, and I have no idea how it works.

You have insurance?

No.

No?

Anyway, whats wrong with you?

Nothing much.

I have this swelling in my wrist, and its a little uncomfortable to move it.

Id just like to get it checked out.

Well, you could go to a public hospital.

I think as a resident youre entitled to free public healthcare, but even if you have

to pay, it wont be much.

You might have to wait for a long time, though.

You mean, you have to wait to see a doctor?

Yes, that too, but I meant that after you see a doctor, it might be a long time before

you get any treatment.

From what I hear, the public health system is really overstretched at the moment, and

people have to wait weeks or months for treatment.

So, you have private health insurance?

Yeah, most people do.

You could also go to a private clinic, or just go to a GP and let him or her refer you

to the right specialist if you need further treatment.

Would that be very expensive?

A GP appointment normally costs about 40 or 50 Euros.

For further treatment, it depends what you need, obviously.

Of course, if youre uninsured, itll be more expensive, but its not likely to

be ridiculous.

Maybe Ill do that, then.

Id prefer to get it looked at sooner.

Can you recommend anyone?

I can give you the details for my GP.

Theres also a website I can show you where you can find a doctor closer to where you

live, if you like.

That sounds great.

Thanks.

In your country, if you need to see a doctor, what do you do first?

Can you go directly to a hospital, or do you need to go to a GP or smaller clinic first?

Lets take the UK as an example.

Most people in the UK use public healthcare, which is almost completely free.

Some people choose to buy private insurance, which can give you more choice about where

and when you get treatment.

If youre using public healthcare, youll generally register with a GP.

GPstands forgeneral practitioner’, meaning a doctor who doesnt specialise

in one area.

GPs mostly work in small clinics, not in hospitals.

If you have a problem, youll go to your GP first.

Your GP will then help you to arrange further treatment if you need it.

For example, your GP might refer you to a specialist if you need more targeted treatment.

In other countries, most people have healthcare insurance.

In some places, healthcare can be very expensive if youre uninsured.

What about in your country?

Look at three questions:

One: do most people use public healthcare, or is it more usual to buy private health

insurance?

Two: is public healthcare high-quality and reliable?

Why or why not?

Three: are all residents entitled to free public healthcare, or are there restrictions?

Could you answer these questions?

Try it!

Say an answer out loud, or write it down.

Or, do both!

Remember that you might need to repeat and practise your answer several times, so that

it is fluent and clear.

Did you do it?

If so, feel free to share your answers with other learners in the comments.

Lets move on.

What happens if you have a more serious health issue, and you need to stay in hospital?

Have you heard about what happened to Louis?

No, what?

He went to the doctors for a routine check-up, and they discovered he had a major cardiac

problem.

They sent him to A&E right away; they wouldnt let him go home even for an hour.

Then, he had surgery the same day.

No way!

I saw him on Tuesday.

He looked absolutely fine.

Yeah, I was shocked, too.

Anyway, we should go and see him, dont you think?

He would probably appreciate some company.

Sure

How long are they keeping him in?

From what I heard, they want to monitor him for a few days, and then he can go home.

So, when can we go?

Do they have set visiting hours?

Yeah, its in the afternoon some time.

I can check on their website.

Let me check with his wife, too, because Im sure shell be spending time there, and

I think theres a two-visitor maximum.

I hope hes alright.

Ive never had an operation or had to stay overnight in hospital, but I imagine its

fairly miserable.

Yup, youre not wrong.

Hopefully hell be discharged soon.

We should take him some fruit or something nice to eat.

Can we do that?

I think so, but Ill check to be sure.

Look at a sentence from the dialogue: ‘They sent him to A&E right away.’

Do you know whatA&Emeans?

A&E stands foraccident and emergency’.

Its the hospital department where you go if you have a serious medical issue.

In American English its commonly calledER’—‘emergency room’.

Lets look at four more sentences from the dialogue.

In each sentence, theres a word missing.

Can you remember the missing words?

If not, you can also go back and review the dialogue to find them, if you want!

Did you find the missing words?

Lets look.

How long are they keeping him in?’

meansHow long will he have to stay in hospital?’

Theyhere refers to the hospital staff.

Hospitals have visiting hours, when you can go and spend time with your friends and relatives

who are staying there.

Even if you need to go to hospital, you might be an outpatient, meaning that you go to hospital,

do what you need, and then go home again.

The opposite isinpatient’, meaning that you need to stay overnight.

When youre ready to leave hospital and go home, they discharge you.

You can discharge yourself earlier, but your doctors might try to persuade you to stay

longer.

Now, lets look at our final section: recovering from a health problem.

So, how are you feeling?

Quite fragile, to be honest.

I mean, I feel better than I did, but its a long process.

Well, thats to be expected.

You had a major operation.

How long do they say itll take to recover?

They dont give exact answers to things like that.

I guess every case is different, but they said I should be back to normal in around

three months.

Three months?!

Obviously I wont be like this for three months, or at least I hope not.

I get tired so easily right now.

They told me I should get some strength back in a couple of weeks.

Do you have to go back in for any more tests?

I have to go tomorrow to get the incision cleaned and dressed.

Its a big wound, so thatll take a while to heal just by itself.

Apart from that, I think I have to go back in a month or so for an ECG.

Maybe theres more, but Im not focusing on that right now.

One day at a time!

Do you need any help with anything?

Please ask if you do.

Id love to help if I can.

Thats kind of you!

If you want, you could take me for a walk.

Im not supposed to go outside by myself, but its nice to get some fresh air.

I start going crazy if Im just stuck in bed or at home all day.

Sure, how about tomorrow?

That would be great!

Come by any time.

Lets look at some language you heard in the dialogue.

Do you remember how this language was used?

Could you explain what these sentences mean?

Remember, you can pause the video to think, or go back and review the dialogue if you

need to.

Fragileis similar to weak.

Its often used to describe things which break easily, like china plates or things

made of glass.

If youre feeling fragile, you feel weak and ill.

If youre recovering from a serious illness or an operation, youll need to get your

strength back.

You also heard the phraseget back to normal’.

For example: ‘Itll take a few weeks to get back to normal.’

A wound is an opening or a cut in your skin.

If you have an operation, the surgeon will need to make an opening in your skin, which

needs to heal afterwards.

Finally, ‘one day at a timeis a phrase which means you focus on the present, rather

than thinking about the future.

You can use it when youre dealing with a difficult or complex situation.

You can also use the longer phrasetake things one day at a time.’

For example: ‘Everythings so busy right now.

I cant make plans for next year.

Im just taking things one day at a time.’

Of course, we hope you dont need the language youve seen in this lesson.

But, we still hope it was useful for you.

Thanks for watching!

See you next time!

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