Unit 5 (21). At the surgical department.

Ex.1. Read and memorize the words and word-combinations:

operating-room – операційна

gown – халат

glove – рукавичка

surgical disease – хірургічна хвороба

hernia – грижа

duodenal ulcer – виразка дванадцятипалої кишки

anesthesia – анестезія

blood transfusion – переливання крові

to perform – виконувати, проводити, здій­снювати

tumour – пухлина

fracture – перелом

dressing – перев’язувальний матеріал

suture material – шовний матеріал

syringe – шприц

gauze – марля

cabinet for dressings – шафа для перев’язувального матеріалу

special device – спеціальний прилад

artificial respiration – штучне дихання

blood circulation – кровообіг

to dress wound – перев’язувати рану

gauze drain – марлевий тампон

Ex.2. Match the word combinations:

suture material- марлевий тампон

perform an operation - перев’язувати рану

cabinet for dressings - спеціальний прилад

special device- кровообіг

artificial respiration - штучне дихання

blood circulation - проводити операцію

to dress wound- шовний матеріал

gauze drain - шафа для перев’язувального матеріалу

Read and translate the text:

At the surgical department

A surgical department is on the first floor of this hospital. One can see patients with surgical diseases, such as appendicitis, ulcer of abdomen, tumor, carbuncle, phlegmone, fractures and others. If the operation is necessary, the doctor performs it immediately. Operations are performed in a special operating room.

There is a large operating room in this department. Here one can see two operating-tables, instrument tables, small cabinets for suture material, dressings and instruments.

Before the operation the nurses prepare surgical instruments fol­lowing the rules of aseptic. After sterilizing them they put the instru­ments on a special table covering them with sterile material.

There are different instruments here: scalpels, syringes, surgical needles, scissors, wound clips, pincettes and sterilizing drums.

Before the operation the surgeon and his assistants wash their hands according to the rules of surgery and put on the sterilized overalls, caps and special face masks on their mouths.

The patient is put on an operating-table and is covered with a steri­lized cloth, Then a doctor or an assistant begins to give the patient narcosis. When the patient has fallen asleep the surgeon disinfects the skin of the region to be operated on and begins to perform the operation. One assistant helps the surgeon during the operations Other assistants listen to the heart, feel the pulse and look at the pupils. They use dif­ferent ways of controlling the patient's condition.

During the operation special devices are used for artificial respi­ration and blood circulation.

After the operation special care and attention is paid to the patient. The surgeon prescribes him definite medicine and diet.

Every day the surgeon examines the patients, dresses their wounds and introduces fresh gauze drains into them. He listens to the patients' lungs and hearts, tests their abdomens and others.

The surgeon prescribes the patients proper treatment. Many patients are doing well. Some patients are in their bad condition. The doctors and nurses pay much attention to them.

Ex.3. Answer the following questions to the text:

1. Where is the surgical department? 2 What are the surgical diseases? 3. What is there in the operating theatre? 4. What do the nurses do before the operation? 5. What instruments do they put on a special table? 6. What does the surgeon do before the operation? 7. When does the surgeon begin to perform the operation? 8. What do the assistants do during the operation? 9. What kind of devices are used during the operation. 10. Where is the patient moved after the operation? 11. What do the surgeon and assistants do before the operation? 12. What does the anasthesiologist do before the operation? 13. Who performs the operation? 14. Who pays much attention to the patient after the operation?

Ex. 4. Carry out the following exercises:

1. a) Read the sentences showing the furniture and things in the operating-room:

1. In the operating-room there are two operating-tables, instrument tables, some medical appatuses. 2. One can see some small cabinets for suture material, dressings and instruments here.

b) Complete the following sentences, using the necessary word-combinations:

1. In the operating-room there are ... .

2. Here one can see some small cabinets ... .

2. a) Read the sentences describing the patients who suffer from surgical diseases:

1. In this department there are patients who suffer from appendici­tis, hernia, ulcer, and other diseases.

2. One can see the patients who have fractures of bones and others.

b) Translate the following sentences:

1. У хірургічному відділенні можна бачити хворих, які мають різні хірургічні хвороби.

2. Ці хворі страждають на грижу.

3. Цей чоловік має виразку дванадцятипалої кишки, а той хворий страждає на апендицит.

3. a) Read the sentences by means of which you may describe a surgeon's work:

1. Every day the surgeon makes the morning round.

2. He examines the patients, makes diagnosis.

3. He prescribes operations and treat­ment.

4. Many patients are operated on by this surgeon.

b) Describe some surgeon's work using the verbs in the correct form:

Every day these surgeons; (to make) the morning rounds; (to exa­mine) many patients; (to palpate) them; (to make) diagnosis; (to pre­scribe) them treatment and (to perform) many operations.

4. a) Read the sentences describing the medical personnel's actions in the operating-room:

Before the operation: 1. The surgeon and assistants wash their hands, put on sterile gowns, caps, masks and come into the operating-room. 2. The anaesthetist gives the patient anaesthesia.

During the operation: 1. The surgeon performs the operation. 2. The assistants help the surgeon, give the instruments and control the patient's condition.

After the operation: The doctors and nurses pay much attention to the patient.

TASK. Make up your information and be ready to speak about a surgical department:

-description of the surgical department;

- furniture and things in the operating-room;

-patients of the surgical department;

-surgeon’s work;

-medical personnel’s actions.