LESSON 7. AT THE DOCTOR'S. GRAMMAR: INDIRECT (REPORTED) QUESTIONS. THE COMPLEX OBJECT WITH THE PAST PARTICIPLE.

Exercise 1. Read and translate into Russian words of Latin and Greek origin: occupation, neurologist, otolaryngologist, laboratory analyses, hospital treatment, local polyclinic, pulse, a correct diagnosis, doctor's instructions, to telephone, to hospitalise, to recommend, to measure, to administer (prescribe), temperature, necessary, patient, period, condition, injection, course.

Exercise 2. Practice the pronunciation of the following words; use the dictionary:

tongue, regardless, headache, listen, heart, lungs, breastbone, chest, fatigue, electrocardiogram, measure, blood, pressure, antibiotic, mustard plasters, recover, diagnosis, injection, ambulance, follow.

Exercise 3. Learn the active vocabulary to the text:

to have the right to иметь право на

to fall (fell, fallen) ill заболеть

to complain of, complaints жаловаться на, жалобы

to feel one's pulse сосчитать пульс to listen to one's heart and lungs выслушать сердце и легкие

to measure blood pressure измерять кровяное давление

to take one's temperature измерять температуру to make a diagnosis, to diagnose ставить диагноз

to prescribe (administer) назначать соответствующее

a proper treatment лечение

to be X-rayed пройти рентгеновское обследование

to take an electrocardiogram снимать ЭКГ

(ECG)

to give injections делать уколы

blood (urine, stomach juice, etc.) анализ крови (мочи, желудочного

analysis сока и т.д.)

to receive (give) sick leave получить (выдать) больничный лист to follow the doctor's instructions выполнять рекомендации

(administrations) (назначения) врача

to follow a bed regimen соблюдать постельный режим

(home treatment) (домашний режим)

to recover (to get well) поправиться, выздороветь

a patient's case history история болезни

to perform an operation делать операцию

to consult a doctor проконсультироваться с врачом

an ambulance машина скорой помощи

Exercise 4. Translate the following word combinations into Russian before reading the text:

depending on, regardless of, income and occupation, both hospital and home treatment, in case of a cold, pills for headache, mixture for cough, to have a heart trouble.

Exercise 5. Read and translate the following text into Russian.

AT THE DOCTOR'S

All citizens of Russia regardless of their income or occupation have the right to both home and hospital treatment free of charge.

If a person falls ill, he can go to a local polyclinic or call a doctor in. Many qualified specialists work in the polyclinic: therapeutists, neurologists, otolaringologists, eye specialists, surgeons and so on.

During a medical examination a doctor usually asks the patient what he complains of. A patient may complain of a bad headache or cough and pain in the throat in case of a cold; of pain in the chest and behind the breastbone, early fatigue if he has a heart trouble, etc. When examining the patient, the doctor looks at his tongue, feels his pulse, listens to his heart and lungs, measures his blood pressure and, if necessary, asks him to have his temperature taken. After that the doctor makes his diagnosis and prescribes a proper treatment. The doctor may prescribe pills or powders for headache, mixture for cough, antibiotics or cardiacs, injections or mustard plasters, depending on the kind of a disease the patient has.

Laboratory analyses of blood, urine, gastric juice, and others help the doctor to make a correct diagnosis. The patient may be recommended to be X-rayed or have his electrocardiogram taken.

For the period of his disease the patient is given sick-leave. If the patient's condition is very poor and he has to follow a bed regimen, a nurse calls on him to give injections or carry out any of the doctor's administrations. If the patient follows the doctor's instructions, he recovers very soon. All the patient's complaints and everything about the administrations, changes in the patient's condition and course of the disease are written down in the patient's case history.

If the patient needs hospitalisation, the doctor telephones the emergency department and the patient is taken to the hospital by an ambulance.

Take care of your health! If you do not feel well, you should consult a doctor at once.

VOCABULARY EXERCISES

Exercise 1. Give the English equivalents to the following words and word combinations:

иметь право на, заболеть, жаловаться на, жалобы больного, медицинский осмотр, сильная головная боль, простуда, быстрая утом-

ляемость, боль в груди и за грудиной, прощупать пульс, выслушать сердце и легкие, измерить кровяное давление, измерить температуру, назначить лечение, история болезни, независимо от, в зависимости от, таблетки от кашля (головной боли), выполнять назначения врача, выздоравливать.

Exercise 2. Translate the sentences from the text «At the doctor's» into Russian:

1. All citizens of Russia regardless of their income or occupation have the right to both hospital and home treatment free of charge.

2. If necessary, the patient may be recommended to be X-rayed or have his

ECG taken.

3. The patient's complaints and everything about the course of the disease are written down in his case history.

4. A patient may complain of a bad headache or cough and pain in the throat in case of a cold; of pain in the chest and behind the breastbone, early fatigue if he has a heart trouble, etc.

5. When examining the patient, the doctor looks at his tongue, feels his pulse, listens to his heart and lungs, measures his blood pressure and, if necessary, asks him to take his temperature.

6. The doctor may prescribe pills or powders for headache, mixture for cough, antibiotics or cardiacs, injections or mustard plasters, depending on the kind of a disease the patient has.

7. If the patient's condition is very poor, a nurse calls on him to carry out the doctor's administrations.

Exercise 3. Fill in the gaps with prepositions where necessary.

1. Regardless . their income or occupation all citizens of Russia have the right . both home and hospital treatment.

2. If the condition ... the patient is poor and he cannot go ... the polyclinic himself, he can call . a doctor.

3. During a medical examination the doctor looks . the patient's tongue, feels. his pulse, listens . his heart and lungs, measures . his blood pressure.

4. If the patient follows a bed regimen, a nurse can call ... him to carry ... all the doctor's administrations.

5. A patient may complain . a bad headache, pain in the throat or in the chest and . the breastbone, etc.

6. The doctor prescribes a treatment depending . the patient's condition.

GRAMMAR EXERCISES

Exercise 1. Translate into Russian paying attention to the Complex Object with Past Participle (after the verbs «to have», «to get»).

1. He will have his analysis made tomorrow.

2. I must have my hair cut.

3. She has had a heart attack, she must have her ECG taken at once.

4. You must get the books brought here without delay.

5. The wounded man had his leg amputated.

6. The doctor said the tooth could not be stopped, so I had to have it extracted.

Exercise 2. Form indirect questions according to the model: Mo del : Where is an X- ray room in this polyclinic? Will you tell me where an X-ray room is.

1. What are you ill with?

2. What must I do if I have a very high temperature?

3. Why must I keep to bed?

4. Why should he take this medicine?

5. When must I come next time?

6. What must she do to recover sooner?

7. How many times is she to take this medicine?

8. How often will the nurse come for injections?

9. Is the doctor's name «Ivanov»?

Exercise 3. Explain, why in the following sentences it is preferable to use the Complex Oject with Participle I than with the Infinitive. Translate the sentences.

1. The mother woke up because she heard her little baby crying.

2. We saw the plane landing.

3. The patient said that he felt the pain irradiating to the left shoulder.

4. The nurse had to return to the ward as she heard someone calling her.

5. When he was passing near the intensive care ward, doctor Manson heard someone coughing.

6. He remembered that he had heard her singing at an evening party at school.

7. She looked out of the window and saw the children running towards the house.

8. The nurse heard the patient moaning and thought that it was time to give him another injection.

Exercise 4. Report these questions and thoughts, using the verbs suggested.

1. «Where are you going?» He asked me .

2. «When did you last see a dentist?» The nurse asked the patient .

3. «Can I use your phone?» The girl asked me ..

4. «Why are you late?»

The teacher asked the boy .

4. «Do you know where the nearest pharmacy is?» A man asked a passer-by .

5. «Do I have enough money to buy the ticket?» He wondered .

6. «How many times a day do you recommend to brush teeth?» We asked the dentist .

7. «When will you be back?» I'd like to know .

8. «Why did she ask me about it?» I wondered .

9. «How is your wife?» Henry asked his friend .

10. «Can you help me?» He asked the nurse .

11. «How long do I have to take this medicine?» I asked the doctor ...

SPEECH EXERCISES

Exercise 1. Answer questions to the text:

1. What right do all citizens of Russia have?

2. If a patient falls ill, he can call in a doctor, can't he?

3. Many specialists work at every polyclinic. What are they?

4. What do patients usually complain of in case of a) a cold, b) a heart trouble?

5. What does a doctor do during a physical examination?

6. What helps the doctor to make a correct diagnosis?

7. In what cases are patients given sick-leave?

8. What is done if the patient needs a hospital treatment?

Exercise 2. Read the dialogue and retell it in the Past Indefinite Tense on behalf of a) Mary and b) her doctor:

Mary is going to consult a doctor because she doesn't feel well. Dr. Mathews, a well-known lung specialist, has his consulting room in Harley Street. Mary has an appointment with him today at 4 p.m.

Dr. Mathews (D): Come in, please, and tell me what your trouble is. Mary (M): I haven't been feeling well for some time, lost my appetite and

cough badly. D: When were you last X-rayed? M: It was about two years ago.

D: All right, let me see your tongue and your throat. Have you taken your

temperature? M: It's normal.

D: Will you let me listen to your heart and chest? That's all right. Well, it looks like bronchitis. You must have caught a bad cold. You'd better have another X-ray. Drink plenty of milk, eat lots of fresh fruit, dress warmly, get plenty of sleep and take good care of yourself. I'll prescribe a bottle of medicine and a box of pills to take three times a day after meals. If you don't feel better after taking the medicines, come again and let me have a look at you.

M: All right, doctor. Thank you very much.

Exercise 3.

A. Read and translate the dialogue paying attention to the word combinations in bold type. Work in pairs.

Doctor: What's the trouble?

Patient: Well, I don't know what the matter with me is, but I've been sleeping

very badly lately and I've lost three kilos during this week. D.: Have you been working very hard?

P.: I had some urgent work to do and I had to keep late hours as I was short of time.

D.: Well, strip to the waist, please. I'll sound you. (Sounds his chest).

Your heart is very good. Let me feel your pulse. It's quite normal. I think you

must have a good rest. Do you smoke, by the way? P.: Sorry to say, but I do. About twenty cigarettes a day. D.: You must cut it down by half at least. Then take a leave and get to some

quiet place. I'm sure that fresh air, a change of surroundings will do you

a lot of good. P.: Will you prescribe me some medicine?

D.: I'll give you some sleeping pills. Take them for a week. But I've already said that the best remedy for you will be a good rest somewhere in the country.

P.: Thank you, doctor. I'm sure to follow your advice. Good-bye.

B. Make up similar dialogues. Use one of the situations below:

•  imagine you have a terrible headache and that's why you are worried about your health, doctor gives your some useful advice;

•  imagine you are a doctor and you have to persuade your patient to undergo a regular medical examination;

•  imagine you are a doctor and your patient is against taking any medicine, what can you advise him.

Exercise 4. Prepare the following topics on your own:

a) My visit to a doctor.

b) Polyclinical aid in our country.

c) Imagine you're a district doctor. Speak about your work. Exercise 5. Read the text and do exercises A and B that follow it.

THE NATIONAL HEALTH SERVICE OF GREAT BRITAIN

The British National Health Service came into existence in 1948, to give completely free medical treatment of every kind to everyone needing it. Since then some payment has been brought in for one item after another, beginning from 1951 when patients had to pay a small fixed amount for pills or medicine prescribed for them. Children, pregnant women, old people and the poor were exempted from some of these charges, but in 1988 the Government began to abolish some general exemptions for pensioners.

People who are ill go first to see their general practitioners (GPs), who treat minor illnesses themselves. These family doctors work alone or in partnerships with surgeries or bigger urban medical centres, and when necessary go to see patients in their homes. Everyone is normally on the list of a general practitioner (or family doctor), who keeps full records of all treatments and over the years gets to know 2,000 or more people on his or her list.

General practitioners refer people to hospital, if necessary, for more specialized treatment, also free of charge both for outpatients and for those who have to stay in hospital.

Most dental treatment is carried out in the dentists' surgeries though difficult cases are sent to dental hospitals. The dentists are paid from health service

funds for each item of treatment. At first their patients did not have to pay, but later payment became necessary, and now people must pay even for checkups. Only children and few other groups of the population are exempted.

Note

exempt - освобождать от оплаты

A. Find the English equivalents in the text to the words and word combinations below:

начать существование; предоставить полностью бесплатное лечение; заплатить небольшую фиксированную сумму денег за что-либо; быть освобожденным от этих расходов; аннулировать привилегии по оплате для пенсионеров; врач-терапевт; городской медицинский центр; вести подробные записи обо всех назначениях; поликлиника; проводить лечение зубов; осмотр.

B. Use necessary prepositions.

To come____existence; to give medical treatment____every kind; to

pay some amount of money____pills; to be exempted____some charges;

to be____the list of a GP; to refer somebody____hospital; to stay____

hospital; to be divided____10 districts.