Ida: unit listening D=Doctor,P=Patient

Ida: unit 3 listening 2

D=Doctor,P=Patient

D Alexander, you've had quite a bang on your head.

P Yeah, and I'm surprised I feel OK. I thought it might give me a really bad headache or something, but I really feel fine. I'm just a bit shaken, really.

D Yes. These things can knock you quite a bit. You still need to be careful over the next twenty-four hours, even though you feel flne.

P What? You mean I have to stay inthe hospital?

D Oh, no, you don't need to stay in hospital, but we need you to look after yourself and rest for the next twentyfour hours.

P Rest? But I can't. I have to go to my best friend's party this evening. I just can't miss it. He's getting married tomorrow.

D But I'm afraid you do need to be careful. And you need to have someone to go home with you and stay with you for the next twentyfour hours as well.

P But I feel OK. I mean, why allthe fuss?

D Yes, you may feel well, but some things may develop afterwards.

P Like what?

D You may get a headache.

P Well, I can take a paracetamol.

D Yes,but otherthings couldhappen like blurred vision or vomiting.

P OK, but I can come back if anything Soes wrong

Unit 1 listening 1

D=Doctor,P=Patient

D Hi, Mr Stone, I'm Dr Tariq, one of the doctors in A&E. How are you?

P I'm OK, but I'm a bit worried about my wife.

D Your wife's OK.

P That's good.

D Amir, one of the paramedics, says you were walking along the street when your wife coliapsed. Can you tell me a bit more about what vou actuallv saw?

P Mmm. Yes, sure. We were shopping in Cambridge Street in town, when suddenly Barbara, my wife, just fainted. Mmm, we tried to get her upright and she started twitching quite violently. it was quite scary.

D Yes, it certainly can be, but it can happen when people faint like thls. Did anything else happen?

P No. Nothing at all. She came round very rapidly. But we dialled 999 and a paramedic appeared almost instantly and then the ambulance almost immediateiy afterwards. Do you think she had a seizure or something like epilepsy?

D We don't think so. But can I ask you a few more questions? Did she complain of anything before that?

P Mmm. She had been complaining of feeling a bit unwell, and had almost fainted and she felt a bit woozy? She ... yes, er... she was abrt dizzy and she was yawning repeatedly and then all of a sudden, there she was, lying on the ground

D Anything else? Was she ill or anything before she fell?

P No. lust tired.

D What about her eyesight?

P Nothing, but she said her hearing was a bit funny - she wasn't hearing clearly.

D Any vomiting?

P No.

D When she fell, how did she fall?

P She just crumpled to the ground slowly. In fact, it all happened so abruptly and silently I didn't realize it had happened.

D So she didn't cry out or anything?

P No, there was no warning sign at all.

D Just a few more questions.

P OK.

D Has she ever had anything like this before?

P When I come to think of it, she passed out once before about a month ago. She hasn't been feeling well off and on over the summer. We thoueht it was the heat.

D At the moment it looks like ..

Unit 1 Listening 2

Gary Edwards, a Brltish Airways customer service arrivals agent, had been sitting with hls work colleagues ln a rest room at Heathrow Airport's Terminal One when he suffered severe pain in his chest and arms. Within seconds, he Iost consciousness and stopped breathing. His British Airways colleagues immediately dialled 999 for an ambulance and began attempts to resuscitate him. All he can remember is that he had got up from the sofa and said to his coileagues that his chest and arm hurt. After that, everything went blank. Within seconds of the 999 call being made, cycle paramedic Dave Parksreached Mr Edwards. Dave was able to continue resuscitation and re-start Mr Edwards's heart after three attempts using the portable deflbrillator that is carried on ambulance bicycles. Paramedics, dispatched in an ambulance at the same time as the bicycle ambulance, arrived a few minutes later to continue treatment and took Mr Edwards to hospitai. This resuscitation shows how well-suited bikes are to reaching patients quickly inside the airport. As they are based at the airport and were able to get to him so quickly, it most probably made the difference between life and death. Dave emphasized the importance of quick intervention when someone suffers a cardiac arrest and took the opportunity to remind members of the public that they can Iearn cardiopulmonary resuscltation - or CPR - at free'Heartstart' classes given across the capital by the London Ambulance Service and supported by the British Heart Foundation. Effective CPR buys time for a patient and doubles a person's chances of survival.

unit 2 listening 1

D=Doctor,P=Patient

D You look as if you are in quite a lot of pain.

P Yes, I thlnk I've hurt my hip badly. it's giving me a lot of pain.

D I think we need to get you some painkillers. So ... can you tell me a bit more?

P Oh, I slipped on the kitchen floor. I must have spilled some water and I was coming into the living room with a cup of tea and I just went down on my bottom and twisted my leg.

D Oh, dear. That sounds bad.

P It was. I couldn't move. Fortunately, I had my mobiie in my apron pocket and I phoned my neighbour who had the key to come in. She calied an ambulance.

D Falls like this happen so easily. You may just have pulled a joint out of place rather than breaking anything.

2

D What's brought you here today?

P My wrist is really hurting. I think I've broken it.

D OK. How did it happen?

P Weil, I was coming out of a shop and I was trying to avoid someone and I didn't notice the paving stone was raised and I just tripped and of course I put out my hands to protect myself and break my fall. My wrist took the full force of my fall.

D It certainly looks quite bad, yes. I think we need to do an X-ray.

3

D = Doctor, ! = Patient's father

D What's happened here?

F She fell down from a tree at school and they called me and I came here from work as the ambulance was bringing her here.

D Oh,I see.

F She's crying a lot and Ithink she's fractured something in her leg.

D She may not have broken anything, but let's have a look at her

unit 3 listening 2

D=Doctor,P=Patient

D Alexander, you've had quite a bang on your head.

P Yeah, and I'm surprised I feel OK. I thought it might give me a really bad headache or something, but I really feel fine. I'm just a bit shaken, really.

D Yes. These things can knock you quite a bit. You still need to be careful over the next twenty-four hours, even though you feel flne.

P What? You mean I have to stay inthe hospital? D Oh, no, you don't need to stay in hospital, but we need you to look after yourself and rest for the next twentyfour hours.

P Rest? But I can't. I have to go to my best friend's party this evening. I just can't miss it. He's getting married tomorrow.

D But I'm afraid you do need to be careful. And you need to have someone to go home with you and stay with you for the next twentyfour hours as well.

P But I feel OK. I mean, why allthe fuss?

D Yes, you may feel well, but some things may develop afterwards.

P Like what?

D You may get a headache.

P Well, I can take a paracetamol.

D Yes,but otherthings couldhappen like blurred vision or vomiting.

P OK, but I can come back if anything Soes wrong

unit 4

Exercise 5

D Well, congratulations, Mrs Canterbury you were right, you are expecting, and ifyour dates are correct you're probably about four weeks gone.

P Oh, so the baby'll probably be born in October.

D Around then, yes. We'lI be abie to be more precise after you've had a scan.

P Whenwillthatbe?

D It's usually done at about twelve weeks. By that time we can usually get a clear picture of the baby. Now, I take it you'll have your baby in hospital?

P I haven't really thought about it.

D Well since it's your flrst, it's probably best. We'll check your details Iater and sod out the hospital.

P So you'll iet me know which hospital it']I be?

D Yes, that's right. Now I just want to ask you a few questions about your Iifestyle. Do you eat sensibiy?

P Generally yes, though I do skip meals sometimes when I'm rushed

D Well, it's very important now that you make sure you eat nutritious food regularly.

P I realize that. Um, does it matter what I eat?

D Yes, there are certain things you need to steer clear ol like shellfish and soft cheese. You don't want to risk any kind of food poisoning. Now what about alcohol?

P A couple of glasses now and then, but I haven't been on a binge for ages.

D Good, well keep it that way. Alcohol should really be avoided in pregnancy, but the occasional drink will do no harm. Do you smoke?

P Occasionally, but it's not a real habit.

D Well, try to cut down, if not give up altogether. With a growing baby inside you, you need to be very careful what you are putting into your body. Are there any questions you d like to ask?

P No.

D And congratulations, Mrs Canterbury.

P Thankyouverymuch

unit 5 listening I

He's Caucasian, around about fifty years of age. His ciothes are very extravagant with iots of clashing bright colours. But he is not very clean in himself, and he doesn't look as if he's eating properly. It's the f,rst time that I've seen the patient, but he looks just a little thin. He's not very aggressive, just elated and is talking rather fast. There is copious rapid speech, which is hard to interrupt. He talks at a much faster rate than normal, which may reflect the acceleration of speed of thought in affective illnesses. The patlent stutters slightly and speaks rather Ioudly. His speech has a rhythmic pattern and he uses a range of intonation patterns appropriately. The speech is appropriate to the situation, though it is fast. It is at times pointless with digressions. There are no word-finding diftrcuities nor any neologisms.

Unit 6 [istening 1]

M=Man,D=Doctor

M She used to be able to get around quite easily. In fact, she would often go out all over the place in the bus. And I think she finds it difficult getting used to the changes in her life. But now she says that she gets a bit muzzy in the head when she's standing at times and then when she manages to sit down it all passes.

D Has she fallen at all?

M Mmm, yes. Sometimes she doesn't make it to a chair and her legs give way and down she goes. I don't know how she hasn't hurt herself at all.

2

M=Man,W=Woman

M It was really exciting, the whole experience. But I'm not sure I d want to go through it that often.

W How many people were there?

M Five or six others, l think. They were very high calibre. A couple of them had years of experience working in care ofthe elderly. One used to run a geriatric hospital in his own country. I don't think I stood a chance.

3

W=Woman,M=Man

W There are a couple of things that could be done to help this patient. We could get in occupational health to get things like a perching stool installed and grab rails.

M Yes, and also flooring and lighting. And I don't think all the clutter helps. As the place is full of rubbish, small changes like that will help a lot.

4

D = Doctor, C = Consultant

D And apart from the expression thereare other tell-tale signs like diffculty in swallowing, a decrease in the blink rate, and Iead-pipe rigidity.

C Did you pick up anything else with this patient?

D Mmm... the handwriting.

C What about it?

D It was really small. His wife said in the past he would write very long elegant letters and now.