Boost up your speech skills



6.1. Improve Your Listening Skills

Assignment 1. Listen to the recording to Unit 6. Which is the problem Ed has? What symptoms are described? On the Internet Ed found some information – how helpful was it?

Listen to the recording again and jot down the words and expressions, which the speakers define and exemplify after their dialogue. Find their Russian equivalents.

Assignment 2. And write down the dialogue ‘At the Doctor’s’.

6.2 Vocabulary Enrichment

Assignment 1. Complete these words. The first letter is given. They are all parts of the body.

  1. T (you have one on each hand)

  2. L (two parts of your mouth)

  3. E (you hear with these)

  4. G (your teeth grow in them)

  5. E (the middle part of your arm)

  6. S (the part under your foot)

  7. H (Achilles had a problem with this)

  8. K (a joint in your leg)

  9. C (the part below your mouth)

  10. S (the soft part below your waist)

  11. N (it holds up your head)

  12. S (the row of bones down the centre of your back)

  13. W (you put your watch round it)

  14. N (the small hollow place in the centre of your stomach)

  15. C (you have one on each side of your face)

  16. E (the flap that comes down over your eye while you sleep)

  17. N (the holes in your nose)

  18. S (the front part of your lower leg)

  19. F (the part of your face above your eyes)

  20. T (the front part of your neck)

Assignment 2. Fill the gap with an appropriate preposition from the list. You need to use some prepositions twice (consult the Active Vocabulary section).

for against from on out with in

  1. Children should be vaccinated measles and rubella.

  2. Paul won't be at work today – he's gone down flu.

  3. Pollution in cities is causing more and more children to be treated asthma.

  4. You're so of condition! Don't you think swimming every morning will help?

  5. Too many people die lung cancer due to smoking.

  6. If you have a fever, there is definitely something wrong you.

  7. I spent the weekend in a health farm and am really good shape now.

  8. She's still recovering the stomach bug she picked up on holiday.

  9. It's best that we operate you and remove the lump from your breast.

  10. I've injected your mother a painkiller so that she can sleep.

Assignment 3. Fill in the blanks with an appropriate word from the list.

lie down agony hurt fainted die
aching symptoms painless suffered had
  1. I'm feeling ill - I think I'd better go and ....
  2. I felt so dizzy that I nearly ....
  3. I had to have an internal examination but it was quite ....
  4. They gave me an injection and it really ....
  5. The ... are a high temperature and a rash.
  6. He ... a heart attack and had to be rushed to hospital.
  7. The doctor prescribed some drops for my earache but it's still ....
  8. I fell down the stairs and I was in ... waiting for the ambulance to arrive.
  9. He ... from an incurable illness for many years.
  10. I hope I ... in my bed of old age.

Assignment 4. Complete the sentences using as many words or phrases from the list as possible.

Example: I feel ill, fit, ...

1. I feel
    2. You must have
      3. I've got
        4. Be careful you don't catch
          5. You need to see
            6. I'm afraid it's
              7. He'll take
                8. You've sprained
                  9. She's
                    10. It feels
                      • a headache
                      • ill
                      • sore
                      • measles
                      • an operation
                      • fit
                      • an injection
                      • her to hospital
                      • your ankle
                      • an aspirin
                      • cancer
                      • a cold
                      • numb
                      • your doctor
                      • a broken wrist
                      • his tooth out
                      • mumps
                      • in agony
                      • hot
                      • a virus
                      • a sore throat
                      • a consultant
                      • inoperable
                      • flu
                      • dizzy
                      • incurable
                      • an earache
                      • nauseous
                      • in great pain
                      • jogging
                      • her temperature
                      • your blood pressure
                      • this medicine
                      • your wrist
                      • fatal
                      • in plaster
                      • stitches
                      • sick
                      • painful
                      • depressed
                      • an infection
                      • a surgeon

                      Assignment 5. Match the first part with the second part of these sentences.

                      • If you've got a bad headache,
                      • You have a heart problem and
                      • He sprained his ankle and
                      • She went out in the pouring rain and caught
                      • She's not at work because she's gone down
                      • He works out in the gym because
                      • She went on a diet and
                      • He had spots all over his face because
                      • After aerobics last week
                      • Not all cancers are
                      • with flu.
                      • incurable.
                      • lost weight.
                      • was in great pain for days.
                      • need an operation.
                      • he had measles.
                      • a cold.
                      • he wants to feel fit.
                      • take an aspirin.
                      • my legs felt really sore.

                      Assignment 6. Phrasal verbs and idioms. Complete the second sentence so that it is as similar in meaning as possible to the first, using the word given. Do not change this word.


                      1. I had to have a tooth extracted last week. (out)

                      I had my .

                      2. Has he recovered from his illness yet? (over)

                      Has ?

                      3. He took care of you while you were ill. (after)

                      He .

                      4. You've gained a lot of weight since I last saw you! (on)

                      You've .

                      5. The drugs aren't having any effect now. (off)

                      The effect .

                      6. After fainting he regained consciousness after a few minutes. (round)

                      Having .

                      7. He caught flu and had to have time off work. (down)

                      He .

                      8. She has had a lovely baby girl and is feeling fine. (birth)

                      She has .

                      9. Since her heart attack, my mother has not been at all well. (poor)

                      Ever .

                      10. Michelle often has terrible headaches. (from)

                      Michelle .

                      Assignment 7. Translate the following sentences into English. Use the words and expressions from the Active Vocabulary section.

                      1. Дети вечно болеют.
                      2. Глубоко вдохните.
                      3. Мы договорились встретиться с ним в 6 часов.
                      4. Возьми с собой таблетки на всякий случай.
                      5. У него, должно быть, раскалывается голова.
                      6. Тебе больно глотать?
                      7. Обидно, что он не пришел навестить меня в больнице.
                      8. Когда я вижу ее, у меня разрывается сердце.
                      9. У меня аллергия на клубнику.
                      10. Я записался на прием к зубному врачу на 3 часа на завтра.
                      11. Моя тетя страдает одышкой. Ей следует обратиться к терапевту немедленно.
                      12. После гриппа могут остаться серьезные осложнения.
                      13. Пациент находится в критическом состоянии. Его жизнь висит на волоске. Он может уйти от нас в любую минуту.
                      14. Здесь очень душно. В таких условиях невозможно работать.
                      15. Врач не гарантирует полное выздоровление, но худшее уже позади.
                      16. Есть ли средство от рака?
                      17. Врач не смог поставить диагноз больному.
                      18. С вашей раны необходимо удалить бинты.
                      19. У него сильный жар.
                      20. Может быть, у него ветрянка.
                      21. Она задыхается. У нее сильный приступ кашля.
                      22. Если бы он принимал таблетки ежедневно, он бы давно уже поправился.
                      23. Где я могу сделать анализ крови и проверить кровяное давление?
                      24. Могу ли я заказать лекарство в вашей аптеке?
                      25. Вы уже прошли медосмотр? Да, но мне еще надо сделать рентген грудной клетки и проверить зрение.
                      26. Врач прописал мне микстуру от кашля, и теперь мне надо заказать ее в аптеке и принимать по 1 столовой ложке три раза в день после еды и еще 1 столовую ложку перед сном.
                      27. У меня болят глаза, когда я смотрю на дисплей.
                      28. Я хотел бы записаться к врачу на пять часов, если возможно.
                      29. Врач вас примет только по предварительной записи.
                      30. Сделайте глубокий вдох и задержите дыхание.
                      31. Это лекарство хорошо помогает от простуды.
                      32. Она постоянно жалуется мне на мигрень.
                      33. После операции жизнь больного висела на волоске: у него появились осложнения, и его состояние ухудшилось.
                      34. Сегодня я просто не в состоянии заниматься спортом. У меня болит все тело после вчерашнего кросса.
                      35. Он был в сознании до последней минуты.
                      36. Если ты чувствуешь себя плохо, то не жалуйся на боль, а обратись к врачу.
                      37. Дайте мне что-нибудь от сильного кашля.
                      38. Найдено новое эффективное лечение этой болезни.
                      39. Эта болезнь неизлечима.
                      40. Авитаминоз может привести к тяжелым заболеваниям.
                      41. Гладиатор умер на арене от ран.
                      42. У меня кружится голова, когда я смотрю вниз.
                      43. Если бы ему сразу перевязали рану, то он не потерял бы столько крови и не было бы необходимости делать переливание крови.
                      44. У меня проверили зрение, и оказалось, что мне нужны более сильные очки.
                      45. Вы скоро почувствуете действие лекарства.
                      46. Меня лихорадит. Я, наверное, подхватила грипп.
                      47. Он еще не может работать. Он все еще на больничном.
                      48. У Мерилин вошло в привычку принимать на ночь таблетки от бессонницы.
                      49. Эти капли абсолютно безвредные.
                      50. От этого шума у меня разболелась голова.
                      51. У него совсем больной вид.
                      52. Не может быть, чтобы у него не было аптечки в машине, когда он проходил техосмотр.
                      53. Он перенес операцию на желудке и сейчас полностью исключил из своего рациона алкоголь и жирную пищу.
                      54. Чем можно сбить температуру?
                      55. Врач пощупал мой пульс, прослушал сердце и легкие и измерил температуру и давление.
                      56. Она не в состоянии разговаривать. У нее ужасно болит зуб.
                      57. Я вся дрожу. Должно быть, я простудилась.
                      58. Я не могу читать вслух. У меня болит горло.
                      59. Беспокоиться не о чем. Его успешно прооперировали.
                      60. Я, пожалуй, приму эти пилюли от головной боли и рано лягу в постель. А завтра я буду совершенно здоров.
                      61. Почему ты ходишь в такую погоду без шляпы? Ты ведь недавно серьезно болел. У тебя могут быть осложнения.
                      62. Вам сделали рентген ноги? Если она сломана, вам придется несколько недель быть в гипсе и еще месяц ходить на костылях.
                      63. Вот рецепт. Горло надо полоскать каждые несколько часов, а микстуру от кашля принимать по столовой ложке 3–4 раза в день.
                      64. Врач попросил пациента раздеться до пояса и послушал его.
                      65. На вашем месте я придерживалась бы строгой диеты, у вас ведь не в порядке желудок.
                      66. Кажется, доктор забыл выписать мне лекарство от насморка.
                      67. Почему у вас одышка? Вы страдаете от высокого давления или у вас что-то с сердцем?
                      68. Я должна была посетить окулиста на прошлой неделе, но внезапно слегла с гриппом и провела дома несколько дней.
                      69. Неужели врач не выписал тебе это лекарство? Без рецепта тебе его не дадут ни в одной аптеке.
                      70. Врачи, должно быть, уже поставили ему диагноз.
                      71. В целях профилактики туберкулеза и других серьезных заболеваний органов дыхания рентген грудной клетки следует делать каждый год.
                      72. Если бы ты записался на прием к врачу заранее, он смог бы назначить тебе время и выписал бы тебе больничный.
                      73. Какими лекарствами тебя лечили от гастрита в больнице?
                      74. Запломбируй ты зуб вовремя, не мучилась бы сейчас от жестокой боли.
                      75. Неужели тебе никогда не измеряли кровяное давление? – Но я никогда не страдала от головных болей.
                      76. Педиатр не поставил бы правильный диагноз, если бы ребенок не сдал анализ крови.
                      77. По всей вероятности, его забирают в больницу, чтобы прооперировать на предмет острого аппендицита.
                      78. Ты должен записаться на прием к хорошему врачу. У тебя сильный сухой кашель. Утром у тебя быль ужасный приступ кашля. При ходьбе у тебя одышка, а в груди боль.
                      79. У меня все болит. Наверное, я что-то подхватил. Ты не знаешь, когда принимает наш врач?
                      80. У больного очень высокая температура – 39.9. У него все болит, он жалуется на постоянную головную боль. А вчера он потерял сознание. Через несколько минут он пришел в себя, но был слишком слаб, чтобы ходить. Болеутоляющие таблетки ему также не помогают.

                      6.3. Reading Improvement

                      Assignment 1. Read the passage below. For each paragraph, choose the most suitable heading from the list which follows. There is one extra heading you do not need to use. In the Cambridge First Certificate, the time for this exercise would be 15-20 minutes.

                      PROCESSED FOOD

                      A. Not all doctors agree. B. Adequate nourishment essential. C. Additives disguise bad ingredients. D. Diet to be fat-free, sugar-free. E. Coffee increases risk of heart disease.
                      F. Tea and coffee bad for you. G. Processed food may be bad for you. H. Doctor's argument not logical.

                      1. ...

                      After the cigarette manufacturers, it has become the turn of the food processors to suffer the attacks of those who would have us lead a healthy life. Sometimes you have the feeling that almost everything you eat is liable to damage your brain, clog your arteries, ulcerate your stomach, or impact your intestine. On the other hand, it is certainly true that there is nothing like reading the list of ingredients on the back of a cereal packet or a pot of jam to put you off your breakfast.

                      2. ...

                      One dietician writes of pork pies as follows: "People wouldn't buy a pork pie if chemicals had not been designed into them. A pork pie can contain as much as 50 per cent of highly saturated fat which is bad for the heart and arteries. A perfectly good pork pie could be made from reasonable ingredients but it is cheaper to make it with additives because less meat is then needed. The additives in the pie do little harm in themselves. The fat is made acceptable by a perfectly safe emulsifier. Added colour makes the fat look like meat. The additives in it deceive our senses and persuade us to eat too much fat. Even if the additives themselves are considered to be relatively safe, the nutritional consequences are appalling."

                      3. ...

                      Since a study by Johns Hopkins Medical Centre, Baltimore, in the mid-eighties, coffee has been on everyone's blacklist. According to the study: "Regardless of the measure of coffee consumption used, analyses found that heavy coffee drinkers were almost three times more likely to have coronary disease than were non-drinkers. Even one or two cups of coffee a day appear to be associated with a small extra risk of heart disease - a one-third increase over non-drinkers." The one piece of good news appears to be that the risk decreases rapidly once a person stops drinking coffee.

                      4. ...

                      Few arguments create greater passion among medical experts than the supposed link between diet and heart disease. Some doctors, however, refuse to accept any connection between the two. They have argued that diets which cut back on dairy produce, although unlikely to cause physical harm, could lead to malnutrition, particularly among children. They are appalled that breakfast, that traditional British meal, should be under attack by the spectre of disease. Come between some doctors and their bacon and eggs and feelings will run high.

                      5. ...

                      The nutritionists have fought back. They remain convinced that sugary, fatty foods lead to preventable ill health. One doctor argues that a fibre-rich diet is only of use to those who suffer from diabetes. Rubbish, say the nutritionists, and go on to point out that "over one third of British adults are constipated. At least one in seven takes laxatives. And dietary fibre is of proven value in the treatment of constipation."

                      6. ...

                      Yet another doctor argues that dental decay should really be seen as a disease which results from a lack of fluoride. What we need to do is clean our teeth like crazy, have them coated with sealants, and take fluorides daily. The nutritionist blasts back by pointing out that you might as well say that headaches are caused by a lack of aspirin.

                      7. ...

                      What we do know is that nutrition does affect health. Too little food and too much food are both bad for you. In Britain, poor boys tend to be two inches shorter on average than rich boys.

                      Assignment 2. Before reading the text below make a list of things which make you feel depressed. While reading compare your list of depression triggers to those mentioned in the text. Then answer the questions.

                      Biggest Depression Triggers and How to Turn Them Off

                      It’s downright scary: More than 20 million Americans can expect to suffer from depression in the coming year. But you don’t have to be one of them if you’re alert to the events and situations that can turn the blues into something more serious. Here, the 10 most common depression triggers — and what to do to prevent them from dragging you down.

                      Depression trigger #1: Losing a job

                      Why: In addition to causing financial stress, losing a job can jeopardize your sense of identity and feelings of self-worth. Unemployment and financial stress also strain marriages and relationships, bringing conflict that compounds stress and unhappiness.

                      Who’s most vulnerable: Statistics show that the older you are or the higher you were paid, the longer it’s likely to take to find work again. Also, those employed in downsized industries and fields, such as the auto industry, may have to retrain or start over in a new field, which can be frightening and can undermine self-confidence.

                      What helps: Connect with others in the same situation, whether it’s through a job skills class, training program, or job-search support group. Also, if you can afford it, use a career counselor or coach to help you create a plan, stay accountable, and feel supported. Experts also recommend building a support network by reaching out to friends and colleagues and setting up regular events throughout the week. The more you can structure your time with lunches, walks, and other get-togethers, the better. Try signing up for a morning exercise class or schedule regular morning walks to get you going each day.
                      If time goes by and it doesn’t look like you’re going to find a replacement job quickly, consider volunteering. It’s not only a way to boost your self-esteem and get out of the house but it’s also great for learning new skills and making new connections.

                      Depression trigger #2: “Empty nest” syndrome

                      Why: Two of the hardest things to deal with are loss and change, and when a child leaves home you’re suddenly hit with both, all at once. “Your entire routine changes, from the minute you wake up in the morning to the moment you go to bed at night,” says Celestino Limos, dean of students at Lewis & Clark College in Portland, Oregon. “Parents tend to focus on all the practical details of getting a child ready for college, but they’re unprepared for how much the rhythm of their own lives changes from day to day.”

                      Who’s most vulnerable: Women seem to suffer more acutely than men, perhaps because their self-identity is more closely associated with being parents, experts say. But men can suffer an acute sense of loss as well, and they may be less prepared for the onslaught of emotions. Those who are divorced or otherwise single are much more likely to be lonely once the kids are gone, but married couples may also find themselves struggling, particularly if the marriage is rocky or they’ve developed a tag-team approach to family life and don’t share many activities and interests. Parents of only children are also more vulnerable.

                      What helps: Plan in advance. Parenting experts suggest that parents begin exploring independent interests during their child’s last year of high school. Sign up for a class one night a week, or subscribe to a travel magazine and think about trips you might want to take.
                      When your child leaves home, give yourself a few weeks of quiet time to grieve, but don’t spend too much time alone. Set up regular events you can look forward to. Organize weekly walks with friends, join a book group, or sign up for a yoga, pilates, or dance class. Plan your weekends ahead of time, so you’re not caught off guard with time heavy on your hands. Try something completely new, such as a cooking or language class. When you discover a new interest or passion, having more time available becomes a good thing rather than a liability.

                      Depression trigger #3: Alcohol abuse

                      Why: Recent research backs up what addiction and depression experts have long argued: Alcohol abuse and depression are often linked in what’s called a “dual diagnosis” or, colloquially, “double trouble.” The reason for this complicated interaction is the effect alcohol has on mood. When you stop into your local tavern for a cold one, you might think you’re staving off the blues with some camaraderie and relaxation. But alcohol acts as a depressant in the central nervous system, triggering depression in those who are susceptible.

                      Who’s most vulnerable: Those already prone to depression or those prone to overusing alcohol are at greatest risk. In either group, the combination of alcohol abuse and depression is dangerous. According to studies, between 30 and 50 percent of alcoholics suffer from major depression. And the relationship works the other way too: Studies have found that alcohol use causes relapse in people with depression, and that when people with depression drink they’re more prone to suicide.

                      What helps: Cut back on drinking and seek help for alcohol abuse or addiction. “There’s a reason we’ve got the stereotype of the weepy drunk,” says Liliane Desjardins of Pavillion International, a treatment center in Texas. “Alcohol triggers a mood crash.” But people who drink too much rarely attribute their misery to drinking, she adds. Instead they blame it on other people and factors.
                      There’s only one solution: Cut back and see if, over time, you feel better. If you repeatedly promise yourself or others not to drink and your efforts fail or your drinking brings other negative consequences into your life, you may need help to stop. Alcoholics Anonymous and other 12-step programs are effective for some people. Others need the physical restriction and concentrated services of a residential alcohol rehabilitation facility or the supervised medical detox of an inpatient program. No matter what type of alcohol treatment program works for you, you’ll find it has the additional benefit of preventing depression.

                      Depression trigger #4: Illness

                      Why: When you’re diagnosed with a serious illness, it changes your sense of what’s possible in the present and affects your outlook for the future. Finding out you have diabetes, cancer, or another condition can set in motion a chain of events that profoundly alters your sense of yourself, your relationships, and your expectations for what life may hold in store. “People call diagnosis of a serious illness a ‘wake-up call,’ but often it’s more like a slap in the face,” says Gloria Nelson, a senior oncology social worker at Montefiore-Einstein Medical Center in New York. “Nothing is as it seemed even a few days ago, which can be disorienting and terrifying.” Pain and fatigue are physical symptoms, but they take an enormous emotional toll as well.

                      Who’s most vulnerable: At highest risk are those diagnosed with cancer, Alzheimer’s, COPD (chronic obstructive pulmonary disease), multiple sclerosis, Parkinson’s, chronic pain, or any other debilitating condition.

                      What helps: A support group. “I can’t say it strongly enough – no one is going to understand what you’re going through like your fellow patients,” says Nelson. “Your spouse, your friends, your family – they all love you and support you, but they can’t really ‘get it’ like others going through the same thing.”
                      Advocating for yourself to obtain effective treatment is important, too. If you aren’t getting the answers or help you need from your doctor, ask for a second opinion or referral to a specialist. For many conditions, such as cancer, a social worker can be a valuable addition to your team, offering access to additional resources the doctor may not tell you about. In some circumstances, a patient advocate can be valuable in helping you pursue aggressive or experimental treatment.

                      True or false?

                      1. Age is of no importance when finding a new job.

                      2. Finding a new job often requires retraining.

                      3. People can cope with their problems easier if they don’t start telling everybody about them.

                      4. The need to adjust to deprivation and alterations is backbreaking.

                      5. Mothers suffer more than fathers from the empty nest condition.

                      6. Being busy or taking up new hobbies can only aggravate the situation.

                      7. ‘Double trouble’ refers to cases when people lose their job and their families getting divorced.

                      8. Alcohol acts as a tranquiliser and a relaxant.

                      9. Almost one in two heavy drinkers have bouts of depression on a regular basis.

                      10. Alcoholics typically attribute their distress to alcohol addiction.

                      11. Mood swings do not depend on alcohol abuse.

                      12. Keeping being on the wagon does not need professional help.

                      13. Serious diseases crash people’s mood.

                      14. Having heard your diagnosis can be so intimidating you develop overtiredness and other bodily disorders.

                      15. There are many reasons why a patient should get a second opinion.

                      6.4. Writing Enhancement

                      Assignment. The following test contains 15 spelling mistakes. Edit the text, spell the words correctly.

                      HEALTH BENEFITS OF LAUGHTER

                      Is there anything better than a contageous giggle that you absolutely can’t control? (Ok, maybe not so good in school or church.) Laughter works wonderfully well in the moment, but it also has some surprising long-term health benefits. In the book A Better Brain at Any Age: The Holistic Way to Improve Your Memory, Reduce Stres, and Sharpen Your Wits (Conari Press, 2009), author Sondra Kornblatt explores how laughter can truly make you feel better.

                      She writes that the new field of gelotology is exploring the benefits of laughter. It was brought to the public’s awareness in Norman Cousins’ memoir Anatomy of an Ilness. Cousins found that comedies, like those of the Marx Brothers, helped him feel better and get some pain-free sleep. That’s because laughter helps the pituitary glend release its own pain-suppressing opiates.

                      What can laughter do?
                      Lower blood presure.
                      Increase vascular blood flou and oxygenation of the blood.
                      Give a workout to the diafragm and abdominal, respiratory, facial, leg, and back musles.
                      Reduce certain stress hormons such as cortisol and adrenaline.
                      Increase the response of tumour- and disaese-killing cells such as Gamma-interferon and T-cells.
                      Defend against respiratory infections even reducing the frequency of colds by imunoglobulon in saliva.
                      Increase memory and learning; in a study at Johns Hopkins University Medical School, humor during instruction led to increased test scores.
                      Improve alertness, creativity, and memory.

                      Humor and creativity work in similar ways, says humor guru William Fry, M.D., of Stanford University by creating relationships between two disconnected items, you engage the whole braine.

                      Humour works quickly. Less than a half-second after exposure to something funny, and electrical wave moves through the higher brain functions of the serebral cortex. The left hemisphere analyzes the words and structures of the joke; the right hemisphere “gets” the joke; the visual censory area of the occipital lobe creates images; the limbic (emotional) system makes you happier; and the motor sections make you smile or laugh.

                      So let’s laugh. What makes you laugh? Tell us your favrite funny movie, or how about a good joke?

                      6.5. Speaking Reinforcement

                      Assignment 1. Sort out the following questions and answers into two columns according to who pronounced them – the doctor or the patient. Then order them so that the dialogue makes sense.

                      • Doctor:What seems to be the problem today Jake?

                      • Doctor:How long has this been going on?

                      • Doctor:Tell me, have you done anything or eaten anything unusual in the last couple of days?

                      • Doctor:What did you drink and how much?

                      • Doctor:Do you usually drink that much?

                      • Doctor:Do you happen to remember if you fell down or hit your elbow against something?

                      • Jake:What can I do to feel better?

                      • Jake:I’m not sure Doctor, I just feel lousy all over. I have a splitting headache, my stomach is upset, all I want to do is sleep, and my right elbow is hurting.

                      • Jake:It just started today. Yesterday I felt great, but when I woke up this morning ...oh.

                      • Doctor:Well let’s take your temperature and blood pressure and see how they are.

                      • Doctor:You don’t have a fever, and your blood pressure and pulse are normal. There is a flu going around, but that wouldn’t explain your elbow hurting.

                      • Jake:Not really, I did go to a party last night and drank a little.

                      • Jake:Not much, 7 or 8 cans of beer and a bottle of tequila.

                      • Jake:No, it was the first time drinking anything. I was celebrating my 21st birthday.

                      • Doctor:Well, no wonder you feel lousy, you have a major hangover.

                      • Jake:Now that you mention it, I seem to recall I fell down when I was getting out of my car.

                      • Doctor:Well your elbow seems OK, just a bad bruise. It’ll be OK in a few days.

                      • Doctor:For your elbow, you might want to put on a cold pack. For your hangover, I suggest taking some aspirin, drinking lots of water, eating something light and going back to bed. You’ll feel good as new tomorrow.

                      • Jake:Thanks doctor. You’re a life saver.

                      Make up a similar dialogue.

                      Assignment 2. Tell your partner about your recent visit to the doctor using some of the ideas for discussion below. Your partner should ask questions to get more information.

                      • when did you go
                      • why did you go
                      • where did you go
                      • what kind of treatment did you receive
                      • did you have a follow-up visit

                      Assignment 3. Pair work-discussion

                      Use your imagination and express sympathy to your partner in a number of situations (your partner should tell you about the situations listed below). Continue the conversation by asking questions to get more details.

                      • getting fired from a job
                      • parents’ divorce
                      • being dumped by your girlfriend/ boyfriend
                      • failing an important test

                      Assignment 4. Pair work-Role Play.

                      Working with a partner, role play the situation, using the information below. The roles: A doctor, a patient.
                      The patient has the following symptoms or problems mentioned in the table belowe. The doctor should:

                      • ask what the problem is
                      • ask how long it has lasted
                      • ask if the patient has done or eaten anything unusual lately
                      • make a recommendation for treatment
                      The patients’ problems and symptoms The doctor’s treatment

                      Cold: Runny nose, cough, muscle aches

                      Bed rest, drink fluids (orange juice), prescription cold medicine

                      Fever: Hot forehead, headache, shivering

                      Bed rest, alcohol rub, aspirin

                      Upset stomach: Vomiting, stomach pain, nausea

                      Take antacid

                      Back pain: Pain in lower lumbar region

                      Bed rest, massage, heating pad, take analgesic (pain pill)

                      Head ache: Pain in head, at temples

                      Bed rest, aspirin

                      Skin burn (from hot water): Pain at site of burn, red skin, blisters

                      Cool site with cold water, apply aloe or other skin burn ointment

                      Broken finger: Extreme pain, lack of mobility

                      Set finger in cast, pain pill

                      Sore throat: Pain in throat, difficulty swallowing

                      Gargle with salt water, take throat lozenges

                      Allergies: Runny noose, sneezing, watery, itchy eyes

                      Take allergy pills