Text a.

One morning a victim of a street accident was brought to the traumotological department. He received a blow on the jaw and complained of a severe pain. The lower part of his face was swollen, there were many injuries, abrasions and bruises on his face, forehead and skull. The patient could not speak of pain.

The nurse on duty recorded his initial data which the patient wrote on the paper.

On examinations the doctor found a compound fracture of the lower jaw at the symphisis, with great mobility at the seat' of injury. It was necessary to fix the fracture immediately and the doctor directed the patient to the operating room. Two assistants holed him during this procedure. One of them fixed the patient's head in a steady state, the other averted the patient's lower lip. The doctor passed the drill through the bone on either side of the fracture. Care was taken not to injure the fangs of the teeth. The silver wire was then passed through the opening. Next, the tubular needle was withdrawn and with it the wire. This needle was to act as a director to the posterior opening of the aperture, and to obviate difficultly and delay in searching for the entrance. Afterwards the end of the wire was inserted into the slit of the key and twisted into three or four coils, the same being done with the end of the wire, until the fracture was fixed.

On the fifth day the doctor found that the wire had slackened the use of the key in one of the coils. Although the either end of the wire may be tightened under these circumstances, the doctor thought it better to choose the shorter coil, and, before proceeding to twist, he made sure that the cross piece of the wire was well set into the slit of the key. In this case the wire required tightening every three or four days. In twenty days the fracture was firm and united. The patient, from the very beginning, expressed his ability to masticate, which he was not permitted.

The application of the wire ligature need not occupy more than three minutes. The removal of the wire requires the next procedure: the doctor introduces the key into one of the coils and unwires it, afterwards passing the key into the remaining coil, and winding up, until all the wire has been coiled upon the stem of the key.

The condition of the patient was satisfactory during the whole course of treatment. The feeding was produced through a tube.

In a month he was discharged from the hospital.

Notes.

1. seat - place -

2. fix - set -

3. steady state - неподвижное положение -

4. aperture - passage -

5. commencement - beginning - Ex.6. Answer the next questions:

1. What patient was brought to the clinic one day?

2. What did the patient complain of?

3. What symptoms could be observed?

4. What did the doctor find during the examination?

5. What treatment should be given immediately?

6. How many assistants helped the surgeon?

7. What did they do?

8. What surgical procedure was made by the surgeon?

9. What was found on the fifth day after the operation?

10. What did the doctor do to tighten the sleekend end of the wire? 11 .In how many days was the fracture firm and united?

12. Was the patient permitted to masticate?

13.In what condition was the patient discharged?

Ex. 7. Define gerund and translate the sentences:

1. Would you mind my closing the window? I am afraid of catching a cold. 2. On having taken the patient's electrocardiogram the cardiologist noted some abnormalities in its readings. 3. My father did not mind being operated on by this surgeon. 4. This convalescent cannot be discharged without being completely cured. 5. The doctor's having diagnosed suppurative appendicitis in time helped him to save the patient's life. 6. On having been operated on the patient was gradually recovering. 7. The patient could not fall asleep without being given an injection of a pain-killer. 8. His having been treated properly and attentively enabled him to be discharged from the hospital so soon.

Ex.8. Translate the following sentences into English using the gerund:

Model: I don't mind your … Would you mind my …

1. Я не возражаю, если мне будет делать операцию хирург Белов. 2. Вы не возражаете, чтобы я сделал операцию этому больному? 3. Лечащий врач не будет возражать, если больного Петрова выпишут завтра. 4. Лечащий врач не возражает, чтобы больного Петрова выписали сегодня. 5. Вы не возражаете, чтобы я сделала перевязку этому больному? 6. Вы думаете оперировать этого больного во вторник? 7. Нас интересует определение глухих сердечных тонов посредством аускультации. 8. Студентов интересовало, как глухие сердечные тоны определяются посредством аускультации. 9. Меня интересует применение новых способов лечения гипертонии. 10. Мне нужно снять электрокардиограмму этому больному, как можно скорее. 11. Я хочу, чтобы мне сняли электрокардиограмму, как можно скорее. 12. Этот врач не любит применять слишком много лекарств при лечении долевой пневмонии. 13. Этот врач не любит, когда слишком много лекарств применяются при лечении долевой пневмонии.

Ex. 9. Put questions using the interrogative words given in brackets:

1. The patient in a very bad state has just been brought to the hospital by the ambulance (by what). 2. Many neurosurgical operations have been performed with particularly no bleeding (without what). 3. Under the guidance of highly skilled and experienced scientists great research work has been carried on in our country lately (under whose). 4. This patient has recently undergone the operation on the lung (on what). 5. The patient who had been operated on for cholecystitis was discharged from the hospital on the fifteenth postoperative day (on which). 6. His father has already recovered from pneumonia (from what). 7. The patient's eye had been washed with ether before the dentist filled it (with what).

Ex.10. Change these complex sentences into simple ones using the Objective Infinitive Construction:

1. I haven't seen how surgeons close wound in layers. 2. The doctors didn't expect that the patient wound recover his consciousness so soon. 3. We know that surgeon treats tooth abscesses ulcers skillfully. 4. They did not notice how I entered the scrub-up room. 5. The surgeons expect that the patient will get ready for the operation in time. 6. The dentist considers that my dentures are good. 7. The professor thinks that the post-operative course of this patient will be uneventful. 8. Everybody knows that rupture of the spleen is dangerous to life. 9. The surgeon believes that the patient will survive the operation well. 10. We didn't expect that the patient would become alert so soon.