Unit 11.

PHYSICAL DIAGNOSIS.

Text: Examination.

Grammar: The Future Indefinite (Simple) Tense.

Практические цели: Ознакомление с лексическим материалом по теме “ Physical Diagnosis”. Ознакомление с новым грамматическим материалом, развитие навыков изучающего чтения и перевода на основе текста “Examination”, развитие умений и навыков аудирования, просмотрового чтения.

Examination.

The afternoons were devoted to a new course, physical diagnosis, in which the students practiced the technique of examination on one another. Dan and Noble again were partners. They spent a whole week learning how to use a stethoscope.

"Take a deep breath. Now hold it. Now cough." After the cough Dan heard something odd in the right lung. He put the stethoscope down. "I think you've got rales in the right lung".

"What do you think it means?" ''Maybe a cold."

Noble looked around. Then he said quietly, "My mother and father both died of tuberculosis".

"Have you been swimming lately? Maybe you got some water in your lungs"

''I've lost eleven pounds."

"Maybe you ought to get an X-ray."

"Be quiet," Noble whispered fiercely. "If they find out about this I'll be put in a sanatorium. I won't get out for a couple of years, and I won't finish the medical school then. I'll be out of money."

"Are you sweating at night?"

"Sometimes 1 sweat. Don't you?

"Not much. You ever run a fever?"

Noble felt his own forehead. "I don't know," he said.

"Get a thermometer. Take your temperature whenever you get a chance, particularly in the late afternoon."

Noble looked at him. "Don't tell anybody about this," he said.

"You ought to see a doctor. The school doesn't have to know anything about this."

"It's a reportable disease." - Dan had forgotten. All cases of tuberculosis had to be reported.

In the evening Dan took Noble to the laboratory after everybody had left. They looked at Noble's sputum^ under the microscope.

"They look like ТВ germs^' to me". Noble said. "I ran a fever and sweated a lot last night. I lost three more pounds. 1 can't eat at all now.

"You ought to go to a doctor. You have to get an X-ray." "I'm not going to a doctor. Don't give me away." So Dan managed to get Noble into X-ray unnoticed. He took his chest' X-ray and developed the film. When Noble looked at the picture he-was! sure it was tuberculosis. Dan was not sure. He showed the picture to Dr.

Rosenthal, who said that the picture was badly overexposed and he couldn't tell a thing.

That night Noble didn't go home. His sister had a little baby and he' was afraid that he was contagious. He slept at Dan's. All through the night, Dan heard him moving restlessly and coughing. In the morning Dan drove. directly to the hospital and took Noble to Dr. Rosenthal. The doctor took, out his stethoscope. After a while he asked Dan where he had heard those, rales. Dan showed him. The doctor handed him the scope. "Find them for me." Dan heard nothing but the soft movement of air in Noble's lungs. Then Dr. Rosenthal listened again. "Have you had a cold?"

Noble nodded. "I'm just getting over one."

Rosenthal shrugged. "You got mixed up between coarse rales and fine rales." He said to Dan.

"What?" Noble said, "I can't eat and I've been sweating and I'm feeling lousy."

"I'd feel the same way if I thought I had tuberculosis. All you have is a cold," Dr. Rosenthal said.

Topical vocabulary

1. take temperature измерять температуру

2. feel one's pulse определять пульс

3. make tests делать анализы

4. take (measure) one's blood pressure измерять давление крови

5. check/examine обследовать

check/examine one's heart (liver) обследовать сердце (печень)

examine (sound) one's lungs обследовать легкие

6. make a diagnosis поставить диагноз

7. go to the doctor пойти к врачу

consult a doctor проконсультироваться с врачом

8. complain of smth. жаловаться на что-либо

9. trouble (v) (bother; disturb) беспокоить

2. What is troubling you?

3. What disturbs you?

10. have the symptoms of иметь (у вас) все признаки

11. treat for лечить от

cure (v) smb of smth вылечить oт

cure (n) (treatment) лечение

take a treatment for принимать лечение от

12. do good помочь

do harm навредить

13. give direction/recommendation дать предписание/назначение

14. relieve the pain облегчить боль

15. operate (on) оперировать

undergo an operation/surgery лечь на операцию (перенести операцию)

be operated on/for перенести операцию (по поводу)

have smth removed удалить

16. have after-effects/complications осложнения

17. write out a prescription выписать рецепт

write out a sick leave выписать бюллетень

make out a medical certificate выписать справку

18. prescribe a diet назначить диету

be restricted to a diet назначить диету

19. stay in bed соблюдать постельный режим

20. gargle полоскать горло

Ex. 1. Read and translate the text.

Ex. 2. Answer the questions.

1. Who were Dan and Noble?

2. Why didn't Noble want to go get a client X-ray?

3. What made them both think that Noble had got tuberculosis?

4. Why didn't Noble go home one night?

5. Why did Dan take Noble to see Dr. Rosenthal?

6. What was Dr. Rosenthal's opinion of Dan's diagnosis?

7. What was the final diagnosis?

Ex. 3. Find in the text equivalents to the following words and phrases:

Методика обследования, сделайте глубокий вдох, не дышите, похудеть на одиннадцать фунтов, температурить, измерять температуру, заразный, потеть, кашлять, флюорография грудной клетки, простуда, перепутать, отвратительно себя чувствовать, сделать снимок грудной клетки, физическая диагностика.

Ex. 4. Read the text. Translate the words and phrases in brackets.

There is nothing more unpleasant than (заболеть) when you are away from home. If that happens, do you (пойти на прием к врачу) or send for him at once? He will come and (прослушать пульс, измерить температуру, прослушать легкие, осмотреть) you thoroughly. He will (прописать диету) for you and tell you what to eat, and what not to eat, and he will probably advise you to give up drinking coffee, or tea, or both, and to smoke less.

Going to the chemist's is rather an adventure in a foreign town. Chemist shops, these days, are wonderful places. Besides medicines and all kinds of (таблетки и мази) you can get all sorts of other things there as well, such as soaps, brushes, combs, bottles of every shape and size containing scent, (полоскание, микстура от кашля) and what not. You can buy tooth-pastes, tooth-brushes and a hundred and one other things required by man, woman or child.

Grammar: The Future Indefinite (Simple) Tense.

Shall / will + Infinitive

AFFIRMATIVE	NEGATIVE	INTERREGATIVE
I shall / will work	I shall/will not work	Shall / will I work?
He will work	He will not work	Will he work?
She will work	She will not work	Will she work?
It will	It will not work	Will it work?
We will work	We will not work	Will we work?
You will work	You will not work	Will you work?

• The Future Indefinite (Simple) Tense denotes a future action.

You will write these exercises tomorrow.

I am tired. I shall (will) go and have a nap before dinner.

• NOTE: The Future Indefinite (Simple) Tense is not used after the conjunctions:

till as soon as provided

until as long as in case

before unless

after on condition that

introduces an object or attributive clause- the future indefinite is used.

• WHEN

introduces an adverbial clause of time- the Future Indefinite is not used.

I do not know when they will arrive.

But when they arrive, I will inform you.

“ли”- the Future Indefinite is used.

• IF

“если”- the Future Indefinite is not used.

I do not know if he will agree.

But if he agrees, I will call you.

Ex. 5. Put the verb in brackets into the Future Indefinite.

1. He (be) here soon. 2. The dress (be) ready tomorrow. 3. They (be) at the station in time for the 10.30 train. 4. I (know) the result in a day. 5. I (be) twenty years old next year. 6. They (remember) you well. 7. when he (come) back? 8. When he comes, I (apologize) to him. 9. I (not see) this beautiful city again. 10. I (recognize) his pictures anywhere.

Ex. 6. Put the verb in brackets into the Present Indefinite and the Future Indefinite.

1. When he (call) I (give) him a piece of my mind. 2. I (be) at home if you (need) anything. 3. They (be) in the gallery if you (decide) to speak to them. 4. If they (want) your advice, they (get) in touch with you. 5. If you (have) anything to report, put it in writing and send it to me. 6. I (write) you about it when I (have) time. 7. He (wait) until they (send) for him. 8. He (be) all right when this (be) over. 9. I'd like to ask you a few more questions before you (go). 10. I (not know) when they (come) to see us.

Ex 7. Put the verbs in brackets into the Future Simple.

1. I am sure that I (recognize) him.2. I (see) her tomorrow.3. He (play) in a tennis match on Friday.4. His speech (be) broadcast tonight.5. The window-cleaner (come) at eight tomorrow.6. He (leave) in a few days.7. He soon (forget) all about it.8. There (be) a big meeting here tomorrow.9. She (not go) on a cruise next summer.10. You (see) a signpost at the end of the road.

Ex. 8. Translate the sentences from Russian into English.

1. Подпишут ли это письмо? 2. Завтра соглашение заключат со многими фирмами. 3. Это здание полностью восстановят только на следующий год. 4. Ящики пересчитают и отвезут на склад.5. Когда он вернется, дом отремонтируют, покрасят забор и посадят много фруктовых деревьев. 6. Вам не придется ждать, документы будут проверены и письма напечатаны. 7. Первая часть этой книги печатается в Москве, а вторая часть будет печататься в Ленинграде. 8. Наш завод оборудуют новыми машинами. 9. Где построят новую библиотеку? 10.Я думаю, что мне предложат эту работу.11.Эти учебники напечатают на всех языках. 12. Нам расскажут новую историю.