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医学阅读(三)

2005-11-14 00:00  来源:中国生命科学论坛    打印 | 收藏 |
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  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 
         

  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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