Lesson Three
Good Health Services
Main topic: Some ideas about good doctors and good medical services
3.1 More words and expressions in the form of a Discharge Summary
Discharge Summary
(This is a legal document 每 Every section to be completed)
Austin & Repatriation Medical Center□ Austin Campus □ Repatriation Campus |
Patient’s name: x x x Address: x x x Telephone: x x x |
Copy to LMO Address |
| Admission date: 14/5/00 |
Date of discharge/death: 24/5/00 |
Unit/ Consultant: Ortho. / Mr. P. Wilde |
| Discharge diagnosis: C5-6 central disk protrusion with severe central canal stenosis & severe cord compression |
Operations/Procedures: 1) C5-6 discectomy & anterior cervical fusion (19/5/00) 2) Insertion of scalp tongs (18/5/00) 3) MRI spine (15/5/00) |
| Clinical features: MCA in Shanghai China → Bilat. Hand pains → plain cervical XR’s CT scan & MRI cervical spine → transferred to Austin Hospital for surgical treatment |
Hospital management: n Routine pre- & post-op blood tests, cervical XR’s (plain) n Routine Pre- & post-op care: nursing, physiotherapy, analgesia, IV fluids n Reviews by OT, social worker |
Outcome & follow-up plans: 1) Ortho OPD in 6 weeks with check XR’s 2) To wear the Philadelphia Collar for 6 wks post-op |
| Appointment date: 6/7/00 |
Time: 1-00 – 1-30 |
Location: X-ray, ortho |
Discharge medication: 1) Paracetamol 4/24 PRN 2) Panadeine BD PRN |
Doctor’s signature: Z. Gorge Date: 24/5/00 |
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1st copy:Medical record
2nd copy:L.M.O.
3rd copy:Patient
I,MELVYN BARNETT of 543 Station Street,Box Hill,Victoria,Australia,Notary Public,hereby certify that I have examined this document and I an satisfied after making due enquiries that this is a properly issued document from the Austin & Repatriation Medical Center.
Dated this 24th day of November,2000.
(Signatrue)
(Official Seal)
1.2 More words and expressions for the exercise
Ex. II
1. 方法:method / technique / approach / strategy
Method:an established or orderly way of doing something
Technique:a technical skill as part of a method
Approach:a general rather than a particular way of doing something or of thinking
e.g. This monograph presents a new approach to the treatment of diabetes mellitus.
Strategy:
e.g. Patients with intermediate size benefit the most from this treatment strategy [very early treatment with captopril (开博通)after myocardial infarction]
2.special 特殊的 / specific特异的,针对某个的 / particular具体的,不是泛指的,某些(个)
e.g. The drug is safe and effective, though untoward reactions may be seen in particular patients.
3. 主要的:main / major / leading / predominant
Main:Multi-organ failure was the main reason for the death of these two patients.
Major:greater and more important as compared with others
Leading:of the first one or ones,e.g. Heart disease,cancer and burn are the three leading medical causes of death in the USA.
2. ensure / assure / reassure / insure
Blood replacement should be instituted at once to ______ blood volume of the patient.
Ex. III
1. practice / exercise humanitarianism / human → humane → humanitarian→ humanitarianism
2. other medical workers → paramedics
3. different from others‘ → unique
4. those things such as …。 security…necessary for…basic human needs shared by all people
5. according to priority
6. be classified / divided / grouped / arranged in five levels
7. 安全(感)security
8. 所属感belonging
9. 自尊self-esteem
10. 成就感a sense of achievement
11. 自我价值(感)self-worth
12. 潜在能力potential
13. 排泄elimination
14. 居住shelter
15. 情感的emotional
16. 智力的intellectual
17. 精神的spiritual,cf. mental,emotional,mood,feeling
18. 满足,需要/要求:meet the needs / requirements of
19. 有…危险:be at risk for / a high risk patient (population, group)
cf. be susceptible to + n. → susceptibility to
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