医患英文对话 | 痛风

小白老师说：昨晚发了一条文字消息，unfortunately，打字太快，有个 m 不小心掉队了，还有个 h 偷偷挤到了 with 这个单词里面（捂脸）。感谢各位同学的耐心指正！认真细看的同学才能发现这些 typing mistakes。今天一起来听一则主题为 “痛风” 的医患对话。医生美音，患者英音。

重要词汇

1. 痛风 gout
2. 脚趾 toe
3. 血尿酸 blood uric acid （BUA）
4. stab （用刀）刺；扎
5. lump 肿块

点击这里播放音频**▼**

Patient: Doctor, I’ve got a terrible pain in my foot.

医生，我的脚疼得厉害。

Doctor: Now tell me exactly what is wrong.

请告诉我确切情况。

Patient: I suddenly began to feel a severe pain in the joint of this toe.

我突然感到这个脚趾的关节很疼。

Doctor: Can you describe the pain?

你能描述一下是怎么个疼法吗？

Patient: It feels like a red-hot knife stabbing my toe.

好像烧红的刀子在我的拇趾上戳一样。

Doctor: How long have you had it?

疼多久了？

Patient: Since last midnight. It hurt so much. I couldn’t sleep at all. This morning I saw that the skin was red, hot and swollen.

从昨晚半夜开始。疼得我睡不着觉。今天早晨患趾表面的皮肤又红、又热、又肿。

Doctor: Have you had it before?

以前有过这样的情况吗？

Patient: No. This is the first time. It’s never happened before.

这是第一次。以前从来没有疼过。

Doctor: Have you noticed any lumps on your ear?

你有没有注意到你耳朵上有小肿块？

Patient: No. 没有。

Doctor: Do you drink a lot? 你喝酒喝得多吗？

Patient: Yes, I drink often. 是的，经常喝。

Doctor: Do you eat a lot of meat? 肉吃得多吗？

Patient: Yes, I love meat. 是的，我喜欢吃肉。

Doctor: Has anyone in your family had the same trouble?

你家里有人得过这种病吗？

Patient: Yes, my father and my elder brother once had the trouble. They died ten years ago.

有，我父亲和我哥哥都有过这样的疼痛。他们10年前都去世了。

Doctor: I think it’s probably gout. You’d better have your foot X-rayed and have a blood test for blood uric acid level, just to be sure. Take this paper, and the nurse will tell you what to do.

我看是痛风。你得拍张你脚的X光片、查一下血中的尿酸含量才能确诊。拿着这张申请单，护士会告诉你怎么做。

Patient: When shall I come back? 我什么时候再来门诊呢？

Doctor: Come back the day after tomorrow for the results.

后天来看结果。

Two days later…

Doctor: Your X-ray and raised blood uric acid level show you have gout.

X光片和血尿酸浓度升高都证明你得的是痛风。

Patient: Can it be cured? 能治好吗？

Doctor: Yes. Here’s your prescription. In addition, the affected toes should be rested and protected from any contact. Have regular meals, keep to a diet of salads and fruit, and eat very little meat. Avoid all alcohol.

可以的。这是你的处方。另外，患趾尽量少动，不要有东西压它。饮食要有规律，多吃蔬菜水果，少吃肉类，不要喝酒。