How Do You Talk To The Doctor In English?

76,623 views ใƒป 2019-10-26

Learn English with Papa Teach Me


ไธ‹ใฎ่‹ฑ่ชžๅญ—ๅน•ใ‚’ใƒ€ใƒ–ใƒซใ‚ฏใƒชใƒƒใ‚ฏใ™ใ‚‹ใจๅ‹•็”ปใ‚’ๅ†็”Ÿใงใใพใ™ใ€‚ ็ฟป่จณใ•ใ‚ŒใŸๅญ—ๅน•ใฏๆฉŸๆขฐ็ฟป่จณใงใ™ใ€‚

00:00
Okay so I thought it might be really fun if...
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ใ‚ˆใ—ใ€ใ‚‚ใ—ใ‚ใฃใŸใ‚‰ใ™ใ”ใๆฅฝใ—ใ„ใ‹ใ‚‚โ€ฆใจๆ€ใฃใŸใ‚“ใ ใ‘ใฉ
00:03
You've seen my videos, right?
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ใ€็งใฎๅ‹•็”ป่ฆ‹ใŸใ“ใจใ‚ใ‚‹ใงใ—ใ‚‡๏ผŸ
00:04
Yeah yeah You know I have costumes? Yes!
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ใˆใˆใˆใˆใ€ ็งใŒ่กฃ่ฃ…ใ‚’ๆŒใฃใฆใ„ใ‚‹ใ“ใจใ‚’็Ÿฅใฃใฆใ„ใพใ™ใ‹๏ผŸ ใฏใ„๏ผ
00:06
Let's imagine you come to London and
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ใ‚ใชใŸใŒใƒญใƒณใƒ‰ใƒณใซๆฅ
00:08
then you have a pain or some problem that you really need a doctor for
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ใฆใ€ ๆœฌๅฝ“ใซๅŒป่€…ใŒๅฟ…่ฆใช็—›ใฟใ‚„ๅ•้กŒใ‚’ๆŠฑใˆใฆใ„ใ‚‹
00:14
What do you do? How do you describe things?
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ใจใ—ใพใ—ใ‚‡ใ†ใ€‚ใ‚ใชใŸใฏไฝ•ใ‚’ใ—ใพใ™ใ‹? ็‰ฉไบ‹ใ‚’ใฉใฎใ‚ˆใ†ใซ่ชฌๆ˜Žใ—ใพใ™ใ‹๏ผŸ
00:16
What might your doctor say and how do you understand everything?
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ใ‚ใชใŸใฎๅŒป่€…ใฏไฝ•ใ‚’่จ€ใ„ใ€ใฉใฎใ‚ˆใ†ใซใ™ในใฆใ‚’็†่งฃใ—ใพใ™ใ‹?
00:27
and like that, we're in your doctor's surgery!
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ใใฎใ‚ˆใ†ใซใ€็งใŸใกใฏใ‚ใชใŸใฎๅŒป่€…ใฎ ๆ‰‹่ก“ใ‚’ๅ—ใ‘ใฆใ„ใพใ™๏ผ
00:31
studio magic! this is my doctor surgery, but it's very similar to the set we were chatting on
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ใ‚นใ‚ฟใ‚ธใ‚ชใƒžใ‚ธใƒƒใ‚ฏ๏ผ ใ“ใ‚Œใฏ็งใฎๅŒป่€…ใฎๆ‰‹่ก“ใงใ™ใŒใ€็งใŸใกใŒใŠใ—ใ‚ƒในใ‚Šใ—ใฆใ„ใŸใ‚ปใƒƒใƒˆใจ้žๅธธใซไผผใฆใ„ใพใ™ ใจใฆใ‚‚ไผผใฆใ„
00:36
It's so similar but it's not!
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ใพใ™ใŒใ€ใใ†ใงใฏใ‚ใ‚Šใพใ›ใ‚“!
00:38
So one thing I love that you do on your channel is that you'll watch an
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ใ‚ใชใŸใฎใƒใƒฃใƒณใƒใƒซใง็งใŒๆฐ—ใซๅ…ฅใฃใฆใ„ใ‚‹ใ“ใจใฎ 1 ใค ใฏ
00:42
episode of house and you kind of try and diagnose the patient but you explain it
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ใ€ๅฎถใฎใ‚จใƒ”ใ‚ฝใƒผใƒ‰ใ‚’่ฆ‹ใฆใ€ๆ‚ฃ่€…ใ‚’่จบๆ–ญใ—ใ‚ˆใ†ใจใ— ใพใ™ใŒใ€ใจใฆใ‚‚
00:48
in such an easy way. I thought maybe we could practice something like that
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็ฐกๅ˜ใชๆ–นๆณ•ใง่ชฌๆ˜Žใ™ใ‚‹ใ“ใจใงใ™ใ€‚ ใใฎใ‚ˆใ†ใชใ“ใจใ‚’็ทด็ฟ’
00:52
I'll have a symptom and maybe you can diagnose me? Sure, let's do it!
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ใงใใ‚‹ใฎใงใฏใชใ„ใ‹ใจๆ€ใฃใŸใฎใงใ™ใŒใ€็—‡็ŠถใŒๅ‡บใŸใ‚‰่จบๆ–ญใ—ใฆใ‚‚ใ‚‰ใˆใพใ™ใ‹? ใ‚ˆใ—ใ€ใ‚„ใ‚ใ†๏ผ
01:00
In this scenario as well if you are struggling with English we always
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ใ“ใฎใ‚ทใƒŠใƒชใ‚ชใงใ‚‚ ใ€่‹ฑ่ชžใซ่‹ฆๅŠดใ—
01:03
have options to get interpreters as well you know in hospital we can often get
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ใฆใ„ใ‚‹ๅ ดๅˆใฏใ€้€š่จณใ‚’ๅพ—ใ‚‹ใ‚ชใƒ—ใ‚ทใƒงใƒณใŒๅธธใซใ‚ใ‚Šใพใ™ใ€‚ ็—…้™ขใงใฏใ€ใใฎ่จ€่ชžใ‚’่ฉฑใ™ใ“ใจใŒ
01:07
another member of staff who can sit in who may be able to speak the language or
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ใงใใ‚‹ๅˆฅใฎใ‚นใ‚ฟใƒƒใƒ•ใ‚’ๅบงใ‚‰ใ›ใŸใ‚Šใ€
01:12
we can get people on the phone so that's always an option we can use
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ไบบใ‚’ไน—ใ›ใŸใ‚Šใ™ใ‚‹ใ“ใจใŒใงใใพใ™ใ€‚ ้›ป่ฉฑใฏ ใ„ใคใงใ‚‚ไฝฟ็”จใงใใ‚‹ใ‚ชใƒ—ใ‚ทใƒงใƒณใช
01:15
So that's an option then? Absolutely!
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ใฎใงใ€ใใ‚Œใฏใ‚ชใƒ—ใ‚ทใƒงใƒณใงใ™ใ‹๏ผŸ ็ตถๅฏพ๏ผ
01:17
You could have an interpreter? Exactly!
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้€š่จณใ—ใฆใ‚‚ใ‚‰ใˆใพใ™ใ‹๏ผŸ ไธๅบฆ๏ผ
01:20
Perfect. But! You should try! Why not?
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ๅฎŒๅ…จใ€‚ ใ—ใ‹ใ—๏ผ ่ฉฆใ—ใฆใฟใฆใใ ใ•ใ„๏ผ ใชใœใ ใ‚ใงใ™ใ‹๏ผŸ
01:24
So first of all whenever we talk to a
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ใงใ™ใ‹ใ‚‰ใ€ๆ‚ฃ่€…ใจ่ฉฑใ‚’ใ™ใ‚‹ใจใใฏใ„ใคใงใ‚‚
01:27
patient the first thing we want to explore is ask you about what's brought you in so
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ใ€ๆœ€ๅˆใซ ่ชฟๆŸปใ—ใŸใ„ใ“ใจใฏใ€ไฝ•ใŒใ‚ใชใŸใ‚’้€ฃใ‚ŒใฆใใŸใฎใ‹ใ‚’ๅฐ‹ใญใ‚‹ใ“ใจใงใ™
01:31
Tell me about what's been going on. Tell me about what's brought you in today.
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ใ€‚ไฝ•ใŒ่ตทใ“ใฃใฆใ„ใ‚‹ใฎใ‹ๆ•™ใˆใฆใใ ใ•ใ„. ไปŠๆ—ฅใ‚ใชใŸใ‚’้€ฃใ‚ŒใฆใใŸใ‚‚ใฎใซใคใ„ใฆๆ•™ใˆใฆใใ ใ•ใ„ใ€‚
01:35
Okay well for two days I've been having cramps
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ใ‚ใ‹ใ‚Šใพใ—ใŸ 2 ๆ—ฅ้–“ใ€็งใฏใ‘ใ„ใ‚Œใ‚“ใ‚’ๆ‚ฃใฃใฆใ„ใพใ™
01:39
so notice grammatically I said I've been having cramps
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ใฎใงใ€ๆ–‡ๆณ•็š„ใซๆณจๆ„ใ—ใฆใใ ใ•ใ„
01:43
I used present perfect because it's from a past time until now I've been having
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01:50
cramps okay so with all symptoms something that a medical thing that's
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ใใ‚ŒใŒ
01:56
going on that's what we call a symptom with the doctor we want to explore that
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้€ฒ่กŒไธญใงใ™ใ€‚ใ“ใ‚ŒใŒ็งใŸใกใŒ็—‡็Šถใจๅ‘ผใ‚“ใงใ„ใ‚‹ใ‚‚ใฎใงใ™ใ€‚็งใŸใกใฏ ใใฎ
02:00
symptom in more detail okay so with this particular one and ask you where do you
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็—‡็Šถใ‚’ใ‚ˆใ‚Š่ฉณ็ดฐ
02:06
have the pain and it feels like it's in the bottom of my stomach in the lower
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ใซ่ชฟๆŸปใ—ใŸใ„ใจ่€ƒใˆ ใฆใ„ใพใ™
02:12
part of my stomach okay so the stomach we actually think of being quite high up
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็งใฎ่ƒƒใฎไธ€้ƒจใฏๅคงไธˆๅคซใชใฎใงใ€ ็งใŸใกใฏๅฎŸ้š›ใซใฏ่ƒƒใŒใ‹ใชใ‚Š้ซ˜ใ„
02:18
but actually people think the stomach means the whole of the abdomen whole of
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ใจ่€ƒใˆใฆใ„ใพใ™ใŒใ€ๅฎŸ้š›ใซใฏไบบใ€…ใฏ่ƒƒ ใŒ่…น้ƒจ
02:23
the tummy as well but we can use it interchangeably so that's why it's
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ๅ…จไฝ“ใ‚‚ใŠใชใ‹ๅ…จไฝ“ใ‚‚ๆ„ๅ‘ณใ™ใ‚‹ใจ่€ƒใˆใฆใ„ใพใ™ใŒใ€็งใŸใกใฏใใ‚Œใ‚’ๅŒใ˜ๆ„ๅ‘ณใงไฝฟ็”จใ™ใ‚‹ใ“ใจใŒใงใใ‚‹ ใฎใงใ€ใใ‚Œ
02:26
important for us it doesn't matter if you use these language terms we have to
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ใฏ็งใŸใกใซใจใฃใฆ้‡่ฆใงใ™. ใ‚ใชใŸใŒใ“ใ‚Œใ‚‰ใฎ่จ€่ชž็”จ่ชžใ‚’ไฝฟ็”จใ™ใ‚‹ใ‹ใฉใ†ใ‹ใซ้–ขไฟ‚ใชใใ€็งใŸใกใฏใใ‚Œใ‚’
02:30
identify that and find out so I might say can you show me where you're having
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็‰นๅฎšใ—ใฆ่ฆ‹ใคใ‘ๅ‡บใ•ใชใ‘ใ‚Œใฐใชใ‚‰ใชใ„ใฎใง ใ€ใ‚ใชใŸใŒใฉใ“ใง
02:34
the pain so you could get me to point out I told you I was stupid
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็—›ใฟใ‚’ๆ„Ÿใ˜ใฆใ„ใ‚‹ใ‹ ใ‚’ๆ•™ใˆใฆใ‚‚ใ‚‰ใˆใพใ™
02:40
so but no that's really interesting so in English we say my stomach or my belly
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ใ‹๏ผŸ ่ˆˆๅ‘ณๆทฑใ„ใฎใง ใ€่‹ฑ่ชžใงใฏmใจ่จ€ใ„ใพใ™ y ่ƒƒใพใŸใฏ็งใฎ่…น
02:45
just this whole area is my stomach or my belly mm-hmm right okay cool so so I
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ใ“ใฎ้ ˜ๅŸŸๅ…จไฝ“ใŒ็งใฎ่ƒƒใพใŸใฏ็งใฎ ่…นใงใ™ mm-hmm ๅคงไธˆๅคซใงใ™ ใ‚ฏใƒผใƒซใชใฎใง
02:52
know where the pain is now right and I'm a and you've given me a bit of a hint
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ใ€็—›ใฟใŒใฉใ“ใซใ‚ใ‚‹ใฎใ‹ใŒใ‚ใ‹ใ‚Šใพใ—ใŸใ€‚
02:56
that's been going on for two days so with this I'd want to know what I'd call
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2ๆ—ฅ้–“ใ‚ชใƒณใชใฎใง ใ€ใ“ใ‚Œใง็งใŒใƒ•ใ‚ฃใƒ‰ใจๅ‘ผใถใ‚‚ใฎใ‚’็Ÿฅใ‚ŠใŸใ„
03:00
the Fido so I want to know its frequency so I'd ask you how often do you have to
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ใฎใงใ€ใใฎ้ ปๅบฆใ‚’็Ÿฅใ‚ŠใŸใ„ใฎใงใ€ ใฉใฎใใ‚‰ใ„ใฎ้ ปๅบฆใงใƒšใ‚คใƒณใƒˆใ™ใ‚‹ๅฟ…่ฆใŒใ‚ใ‚‹ใ‹ใ‚’ๅฐ‹ใญใพใ™ใ€‚
03:06
paint it's about every every hour and it lasts about 10 minutes okay good so
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ใใ‚Œใฏ็ด„1ๆ™‚้–“ใ”ใจใงใ€ ็ด„10็ถšใใพใ™ ๆ•ฐๅˆ†ใงใ„ใ„ใฎใง
03:18
within that as well you've also given me the duration so that's the D and Fido so
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ใ€ใใฎไธญใซๆŒ็ถšๆ™‚้–“ใ‚‚ๆ•™ใˆใฆใใ‚Œใพใ—ใŸใ€‚ใใ‚ŒใŒ D ใจ Fido
03:22
you give me the frequency so how often you get it and you've given me the
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ใงใ™ใ€‚้ ปๅบฆใ‚’ๆ•™ใˆใฆใใ ใ•ใ„ใ€‚ใฉใฎใใ‚‰ใ„ใฎ้ ปๅบฆใง ใใ‚Œใ‚’ๅ–ๅพ—ใ—ใ€ๆŒ็ถšๆ™‚้–“ใ‚’ๆ•™ใˆใฆใใ‚Œใพใ—ใŸ
03:25
duration so when you get it how long it lasts for so the eye is for the
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ใ‹ใ€‚ ๆŒ็ถšใ™ใ‚‹ใฎใง็›ฎใฏ
03:30
intensity so I'd like you to give me a score like how at worst how bad is the
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ๆฟ€ใ—ใ•ใ‚’่ฆ‹ใ‚‹ใฎใง ใ€ๆœ€ๆ‚ชใฉใฎ็จ‹ๅบฆใฎ
03:35
pain okay so in general it's about a 5 but last night it was so bad that I
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็—›ใฟใงๅคงไธˆๅคซใ‹ใชใฉใฎ็‚นๆ•ฐใ‚’ใคใ‘ใฆใปใ—ใ„ใฎใงๅคงไฝ“5็‚นใใ‚‰ใ„ใงใ™ ใŒๆ˜จๅคœใฏ
03:42
fainted too faint means you lose consciousness you fall over or another
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ใ‚ใพใ‚Šใซใ‚‚ใฒใฉใ™ใŽใฆๅคฑ็ฅžใ—ใŸใจใ„ใ†ๆ„ๅ‘ณใงใ™ ใ‚ใชใŸใฏๆ„่ญ˜ใ‚’ๅคฑใ† ใ‚ใชใŸใฏๅ€’ใ‚Œใ‚‹ใ‹ใ€ๅˆฅใฎ
03:48
phrasal verb to pass out so I could say last night the pain was so bad I passed
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ๅฅๅ‹•่ฉžใŒๆฐ—็ตถใ™ใ‚‹ใฎใง ใ€ๆ˜จๆ—ฅใฎๅคœใฎ็—›ใฟใฏใจใฆใ‚‚ใฒใฉใ‹ใฃใŸใจ่จ€ใˆใพใ™ ็ง
03:55
out ok so I want to explore those symptoms of what led you to pass out but
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ใฏๆฐ—็ตถใ—ใพใ—ใŸ ใใ‚Œใง็ง ใฏไฝ•ใฎ็—‡็Šถใ‚’่ชฟในใŸใ„ใงใ™
04:01
we'll leave that for the moment so the O stands for the onset so tell me about
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O ใฏ็™บ็—‡ใ‚’่กจใ™ใฎใงใ€
04:06
what happened when it first came on okay so for about a week it's been hurting a
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ๆœ€ๅˆใซไฝ•ใŒ่ตทใ“ใฃใŸใฎใ‹ๆ•™ใˆใฆใใ ใ•ใ„ใ€‚ ็ด„1้€ฑ้–“ใฏๅฐ‘ใ—็—›ใ„
04:12
little bit but progressively over time it's it has been getting worse okay fine
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ใงใ™ใŒใ€ๆ™‚้–“ใฎ็ตŒ้Žใจใจใ‚‚ใซๅพใ€…ใซ็—›ใฟใฏใชใใชใ‚Šใพใ™ใ€‚ ๆ‚ชๅŒ–ใ—ใฆใ„ใ‚‹
04:19
so with this particular symptom I'd want to ask a few more questions we actually
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ใฎใงใ€ใ“ใฎ็‰นๅฎšใฎ็—‡็Šถ ใซใคใ„ใฆใ‚‚ใ†ๅฐ‘ใ—่ณชๅ•ใ—ใŸใ„ใฎใงใ™ใŒใ€ๅฎŸ้š›ใซ
04:23
use a slightly different framework but this isn't a medical thing we'd normally
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ใฏใ‚ใšใ‹ใซ็•ฐใชใ‚‹ใƒ•ใƒฌใƒผใƒ ใƒฏใƒผใ‚ฏใ‚’ไฝฟ็”จใ—ใฆใ„ใพใ™ใŒใ€ ใ“ใ‚Œใฏ้€šๅธธใ‚ฝใ‚ฏใƒฉใƒ†ใ‚นใ‚’ไฝฟ็”จใ™ใ‚‹ๅŒปๅญฆ็š„ใชใ‚‚ใฎใงใฏใชใ„
04:26
use Socrates so a few more mnemonics to explore but one of the things in
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ใŸใ‚ใ€ใ•ใ‚‰ใซใ„ใใคใ‹ใฎใƒ‹ใƒผใƒขใƒ‹ใƒƒใ‚ฏใ‚’ ๆŽข็ดขใ—ใพใ™ใŒใ€ ใ‚ฝใ‚ฏใƒฉใƒ†ใ‚นใฎใ“ใจใฎ 1 ใค
04:31
Socrates is does the pain radiates anywhere so radiate means does it move
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ใฏใ€็—›ใฟใฏ ใฉใ“ใซใงใ‚‚ๆ”พๅฐ„ใ™ใ‚‹ใ‹ใจใ„ใ†ใ“ใจใงใ™ใ€‚ใคใพใ‚Šใ€ๆ”พๅฐ„ใ™ใ‚‹ใจใ„ใ†ใ“ใจใฏ
04:36
from one place to another so you said the pains here so does the pain go
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ใ€ใ‚ใ‚‹ๅ ดๆ‰€ใ‹ใ‚‰ๅˆฅใฎๅ ดๆ‰€ใซ็งปๅ‹•ใ™ใ‚‹ใ“ใจใ‚’ๆ„ๅ‘ณใ—ใพใ™ใ€‚ ใ“ใ“ใงใฎ็—›ใฟใฏใ€็—›ใฟใฏ
04:41
anywhere else and yes it's moved to the side now okay fine and have you had any
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ไป–ใฎๅ ดๆ‰€ใซใ‚‚็งปๅ‹•ใ™ใ‚‹ใจ่จ€ใ„ใพใ—ใŸใ€‚ใฏใ„ใ€ใใ‚Œใฏๆจชใซ็งปๅ‹•ใ—ใพใ— ใŸใ€‚
04:47
changes in your urine or any changes opening your bowels
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ๅฐฟใฎๅค‰ๅŒ–ใ‚„่…ธใ‚’้–‹ใๅค‰ๅŒ–ใฏใ‚ใ‚Šใพใ›ใ‚“ใ€‚
04:50
nope they are beautiful very good so we will kind of end that
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ใ„ใ„ใˆใ€ใใ‚Œใ‚‰ใฏ ้žๅธธใซ็พŽใ—ใ„ใฎใงใ€่™ซๅž‚็‚Žใฎใ‚ˆใ†ใชใ‚‚ใฎใ‚’ๅฟƒ้…ใ™ใ‚‹ใฎใงใ€ใใฎ
04:56
particular roleplay thing there right because we kind of I'd worry about
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็‰นๅฎšใฎใƒญใƒผใƒซใƒ—ใƒฌใ‚คใ‚’ใใ“ใง็ต‚ไบ†ใ—
05:00
something like an appendicitis so you're a young person with abdominal pain that
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ใพใ™ใ€‚ใ‚ใชใŸ ใฏ่‹ฅใ„ไบบใงใ™
05:05
started centrally and is now radiated to the side now and that's what we'd worry
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่…น็—› ไธญๅคฎใซๆ”พๅฐ„ใ•ใ‚Œ ใ€็พๅœจใฏๅด้ขใซๆ”พๆ•ฃใ•ใ‚Œใฆใ„
05:11
about in that circumstance and you'd also have other symptoms so feel
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ใพใ™ใ€‚ใใฎ็Šถๆณใงใฏใใ‚ŒใŒๅฟƒ้…ใงใ‚ใ‚Šใ€ ไป–ใฎ็—‡็Šถใ‚‚ใ‚ใ‚‹
05:15
generally unwell fevers but because the pain made you pass out you know that's
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ใŸใ‚ใ€ไธ€่ˆฌ็š„ใซๆฐ—ๅˆ†ใŒๆ‚ชใ„็†ฑใ‚’ๆ„Ÿใ˜ใพใ™ใŒใ€็—›ใฟใŒๅŽŸๅ› ใงๆฐ—็ตถใ—ใŸใŸใ‚ใ€ใใ‚ŒใŒ
05:19
the type of thing we'd be looking at okay what happens next like what
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็งใŸใกใฎใ‚ฟใ‚คใƒ—ใฎใ‚‚ใฎใงใ‚ใ‚‹ใ“ใจใ‚’็Ÿฅใฃใฆใ„ใพใ™. ๆฌกใซไฝ•ใŒ่ตทใ“ใ‚‹ใ‹ใ€ใฉใ‚“ใช
05:23
questions would I expect yeah so then I'd want to know about any medical
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่ณชๅ•ใŒไบˆๆƒณใ• ใ‚Œใ‚‹ใ‹ใชใฉใ€ใ‚ใ‹ใ‚Šใพใ—ใŸใ€‚ใใ‚Œใงใฏใ€
05:29
conditions you have so your past medical history how does that question go
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ใ‚ใชใŸใŒๆŒใฃใฆใ„ใ‚‹็—…็Šถใซใคใ„ใฆ็Ÿฅใ‚ŠใŸใ„ใฎใงใ€ใ‚ใชใŸใฎ้ŽๅŽปใฎ ็—…ๆญดใ€ใใฎ่ณชๅ•ใฏใฉใ†ใชใ‚‹ใฎ
05:33
so I'd say anything that you see your doctor regular belt or any medical
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ใงใ—ใ‚‡ใ†ใ‹ใ€‚ ๅŒป่€…ใฎ้€šๅธธใฎใƒ™ใƒซใƒˆใพใŸใฏ
05:36
conditions you have will say no cool and then I'd ask any previous operations
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ใ‚ใชใŸใŒๆŒใฃใฆใ„ใ‚‹็—…็Šถใฏใ€ใ‚ฏใƒผใƒซใงใฏใชใ„ใจ่จ€ใ„ใพใ™ใ€‚ ใใ‚Œใ‹ใ‚‰ใ€ไปฅๅ‰ใฎๆ‰‹่ก“
05:42
you've had okay and I had my tonsils removed a few years ago is that relevant
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ใงๅคงไธˆๅคซใ ใฃใŸใ‹ๅฐ‹ใญใพใ™ใ€‚ ๆ•ฐๅนดๅ‰ใซๆ‰ๆกƒ่…บใ‚’ๅˆ‡้™คใ—ใพใ—ใŸใ€‚
05:49
it is relevant because although it may not be relevant to this body system we
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ใ“ใฎไฝ“ใฎใ‚ทใ‚นใƒ†ใƒ ใซๅฏพใ—ใฆใ€็ง
05:55
know that you may have had certain medications certain anesthetic drugs
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ใŸใกใฏใ‚ใชใŸใŒ็‰นๅฎšใฎ่–ฌใ‚„็‰นๅฎšใฎ้บป้…”่–ฌใ‚’ๆœ็”จใ—ใฆใ„ใŸๅฏ่ƒฝๆ€งใŒใ‚ใ‚‹
05:58
that we know you're probably comfortable having again okay so then after we've
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ใ“ใจใ‚’็Ÿฅใฃใฆใ„ใพใ™.ใŠใใ‚‰ใใ‚ใชใŸใฏๅ†ใณๅคงไธˆๅคซใ ใจใ‚ใ‹ใฃใฆใ„ใพใ™. ใใ‚Œใ‹ใ‚‰็งใŒ่ฉฑใ—
06:03
done the kind of looked at your past medical history and past surgical
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ใŸใ‚ใชใŸใฎ้ŽๅŽปใฎ ็—…ๆญดใจ้ŽๅŽปใฎๆ‰‹่ก“
06:06
history I talked about any medications that you're on so I'd ask you any drugs
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ๆญดใ‚’่ชฟในใŸๅพŒ. ใฉใ‚Œใ‹ ใ‚ใชใŸใŒๆœ็”จใ—ใฆใ„ใ‚‹่–ฌใซใคใ„ใฆ่ณชๅ•ใ—ใŸใ„
06:12
that you take regularly so this is an interesting thing so you said drugs now
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ใฎใงใ€ใ“ใ‚Œใฏ ่ˆˆๅ‘ณๆทฑใ„ใ“ใจใชใฎใง
06:17
if your doctor asks you about your what drugs you take probably you don't mean
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ใ€ๅŒปๅธซใŒใ‚ใชใŸใŒๆœ็”จใ—ใฆใ„ใ‚‹่–ฌใซใคใ„ใฆๅฐ‹ใญใŸๅ ดๅˆใ€ ใŠใใ‚‰ใใ‚ใชใŸใฏใพใ ่–ฌใ‚’้ฃฒใ‚“ใงใ„ใ‚‹ใƒ˜ใƒญใ‚คใƒณใ‚’ๆ„ๅ‘ณใ—ใฆใ„ใชใ„
06:23
heroin that would still be important to tell your doctor but when we talk about
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ใงใ—ใ‚‡ใ†. ๅŒปๅธซใซไผใˆใ‚‹ใ“ใจใŒ้‡่ฆใงใ™ ใŒใ€็งใŸใกใŒ่–ฌ็‰ฉใซใคใ„ใฆ่ฉฑใ™ใจใใ€็ง
06:29
drugs we're not talking about illicit drugs so drugs you smoke or drugs you
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ใŸใกใฏ้•ๆณ•่–ฌ็‰ฉใซใคใ„ใฆ
06:33
inject we're talking about medications you take okay treat medical conditions
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่ฉฑใ—ใฆ
06:37
right so do I take medication we don't say I eat a pill or I eat medicine we'd
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ใ„ใ‚‹ใฎใงใฏใ‚ใ‚Šใพใ›ใ‚“ใ€‚ ้Œ ๅ‰คใ‚’้ฃŸในใŸใ‚Šใ€่–ฌใ‚’้ฃŸในใŸใ‚Šใ™ใ‚‹ใจ่จ€ใ„ใพใ™ใ€‚่–ฌใ‚’้ฃฒใ‚“ใงใ„ใ‚‹ใจ
06:43
say I take the medicine or if it's maybe long-term I could say I'm on the
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่จ€ใ†ใ‹ใ€ใใ‚ŒใŒ ้•ทๆœŸใซใ‚ใŸใ‚‹ๅ ดๅˆใฏใ€่–ฌใฎๅๅ‰ใซใ‚ใ‚‹ใจ่จ€ใ†ใ“ใจใŒใงใใ‚‹
06:51
medicine name so I don't know last month I was on antibiotics for an infection
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ใฎใงใ€ๅ…ˆๆœˆใฏๆ„ŸๆŸ“็—‡ใฎใŸใ‚ใซๆŠ—็”Ÿ็‰ฉ่ณชใ‚’ๆœ็”จใ—ใฆใ„ใŸใ‹ใฉใ†ใ‹ใฏใ‚ใ‹ใ‚Šใพใ›ใ‚“ใ€‚
07:03
fine and then within the when I'm exploring your medications I'd want to
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ใใ—ใฆใ€็งใŒ ใ‚ใชใŸใฎ่–ฌใ‚’
07:08
know about any allergies any drug allergies okay perfect now if I have an
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่ชฟในใฆใ„ใ‚‹ใจใใซใ€ใ‚ขใƒฌใƒซใ‚ฎใƒผใซใคใ„ใฆ็Ÿฅใ‚ŠใŸใ„ใจๆ€ใ„ใพใ™ ใฉใ‚“ใช่–ฌ็‰ฉใ‚ขใƒฌใƒซใ‚ฎใƒผใงใ‚‚ๅคงไธˆๅคซใงใ™ ใ‚ขใƒฌใƒซใ‚ฎใƒผใŒใ‚ใ‚‹ๅ ดๅˆใฏไปŠใ™ใๅฎŒ็’งใงใ™ ็งใฏ
07:15
allergy I use this structure I'm allergic to name of thing so this is
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ใ“ใฎๆง‹้€ ใ‚’ไฝฟ็”จใ—ใพใ™ ็ง ใฏ็‰ฉใฎๅๅ‰ใซใ‚ขใƒฌใƒซใ‚ฎใƒผใŒใ‚ใ‚‹ใฎใงใ€ใ“ใ‚Œใฏ
07:22
true I'm allergic to penicillin okay I've just told everyone how to kill
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ๆœฌๅฝ“ใงใ™ ใƒšใƒ‹ใ‚ทใƒชใƒณใ‚ขใƒฌใƒซใ‚ฎใƒผ ใ‚ชใƒƒใ‚ฑใƒผ ใฟใ‚“ใชใซ็งใ‚’ๆฎบใ™ๆ–นๆณ•ใ‚’ๆ•™ใˆใŸใจใ“ใ‚ใ 
07:26
me that's all right
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07:30
we won't be giving you that you should be given in that you could also say I
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07:35
have an allergy to penicillin or I have a penicillin allergy so the last thing
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็งใฏใƒšใƒ‹ใ‚ทใƒชใƒณใซใ‚ขใƒฌใƒซใ‚ฎใƒผใŒใ‚ใ‚‹ใ€ใพใŸใฏ
07:42
we talked about in the history after we've done the drug history we talked
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07:45
about your family history so ask you if you have any medical conditions that run
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ใƒšใƒ‹ใ‚ทใƒชใƒณใ‚ขใƒฌใƒซใ‚ฎใƒผใŒใ‚ใ‚‹ใจ่จ€ใ†ใ“ใจใŒใงใใ‚‹ใจใ„ใ†็‚นใงใ‚ใชใŸใŒไธŽใˆใ‚‰ใ‚Œใ‚‹ในใใงใ‚ใ‚‹ใ“ใจใ‚’ใ‚ใชใŸใซไผใˆใฆใใ ใ•ใ„ใ€‚ ใ‚ใชใŸใฎๅฎถๆ—ใซ ็—…็ŠถใŒใ‚ใ‚‹ใ‹ใฉใ†ใ‹ๅฐ‹ใญใฆ
07:50
in your family nope we're pretty we're a healthy Bunch
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ใใ ใ•ใ„ ใ„ใ„ใˆใ€็งใŸใกใฏใ‹ใชใ‚Šๅฅๅบทใงใ™
07:54
good good good and then we'd ask about your social history so I'd basically
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่‰ฏใ„่‰ฏใ„่‰ฏใ„ใงใ™ใใ—ใฆ ใ‚ใชใŸใฎ็คพไผšๆญดใซใคใ„ใฆๅฐ‹ใญใพใ™ใฎใงใ€็งใฏๅŸบๆœฌ็š„
07:58
keep it very open so I'd say what job do you do I'm a teacher yeah and I say have
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ใซใใ‚Œใ‚’้žๅธธใซใ‚ชใƒผใƒ—ใƒณใซไฟใกใพใ™ใฎใง็งใฏใใ†ใ—ใพใ™ ไฝ•ใฎ ไป•ไบ‹ใ—ใฆใ‚‹ใฎ๏ผŸ
08:04
you had any foreign travel recently um I went on holiday to Italy okay
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08:11
and but no we're sort of outside of that in the last few months
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08:15
no cool and then I'll ask do you smoke cigarettes no have you ever smoked
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ใŸใฐใ“ใ‚’ๅธใฃใฆใ„ใพใ™ใ‹ใ€ไปŠใพใงใซๅธใฃ
08:21
cigarettes no okay and do you drink alcohol yes
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08:25
so they're not ask you what you typically drink in a week um maybe I
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ใŸใ“ใจใŒใชใ„ใ‹ ใ€ใŠ้…’ใ‚’้ฃฒใฟใพใ™ใ‹ใ€ใŠ้…’ใ‚’้ฃฒใฟใพใ™ใ‹ใ€ใŠ้…’ใ‚’้ฃฒใฟใพใ™
08:30
have one or two beers a week okay so one or two pints of beers yeah okay fine so
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ใ‹ใ€‚ ใƒ“ใƒผใƒซ 2 ใƒ‘ใ‚คใƒณใƒˆ ใˆใˆใ€ๅคงไธˆๅคซใงใ™ใ€‚ใƒ“ใƒผใƒซใซใฏ
08:38
there's about three units in a beer so I'd say you have about six units of
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็ด„ 3 ๅ˜ไฝใ‚ใ‚‹ใฎใง ใ€ใ‚ขใƒซใ‚ณใƒผใƒซใฏ็ด„ 6 ๅ˜ไฝใ ใจๆ€ใ„ใพใ™ใ€‚
08:42
alcohol a week so that may be relevant but in those quantities cool okay and
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้–ขไฟ‚ใŒใ‚ใ‚‹ใ‹ใ‚‚ใ—ใ‚Œใพใ›ใ‚“ ใŒใ€ใใฎ้‡ใง
08:49
the last thing we should be talking about is any concerns you have so how
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ๅคงไธˆๅคซใงใ™ใ€‚็งใŸใกใŒๆœ€ๅพŒใซ่ฉฑใ—ๅˆใ†ในใใ“ใจ ใฏใ€ใ‚ใชใŸใŒๆŠฑใˆใฆใ„ใ‚‹ๆ‡ธๅฟตใซใคใ„ใฆใงใ™ใ€‚ใฉใฎใ‚ˆใ†ใซ
08:54
are you feeling is there any particular worries you have because very often
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ๆ„Ÿใ˜ใฆใ„ใพใ™ใ‹?
08:57
people know it's not just they come with illness they have preconceived ideas and
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็—…ๆฐ— ๅฝผใ‚‰ใฏ
09:02
worries about why they're coming to the doctor right it would always be an
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ใชใœๅฝผใ‚‰ใŒๅŒป่€…ใซๆฅใ‚‹ใฎใ‹ใซใคใ„ใฆๅ…ˆๅ…ฅ่ฆณใจๅฟƒ้…ใ‚’ๆŒใฃใฆใ„ ใพใ™ ใใ‚Œใฏใ„ใคใงใ‚‚
09:05
opportunity so I'd say is there anything worrying units brought you in today yeah
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ใƒใƒฃใƒณใ‚นใชใฎใงใ€็งใฏ่จ€ใ„ใŸใ„ใฎ ใงใ™ใŒใ€ใƒฆใƒ‹ใƒƒใƒˆใŒใ‚ใชใŸใ‚’ไปŠๆ—ฅ้€ฃใ‚Œใฆใใฆไฝ•ใ‹ๅฟƒ้…ใชใ“ใจใฏใ‚ใ‚Šใพใ™ใ‹ ใฏใ„
09:09
I've probably got cancer that's always my that's always my worry if anything
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็งใฏใŠใใ‚‰ใ็™Œใซใ‹ใ‹ใฃใฆใ„ ใพใ™ ใใ‚Œใฏๅธธใซ็งใฎใ‚‚ใฎใงใ™ ใใ‚Œใฏๅธธใซ็งใฎใ‚‚ใฎใงใ™ ไฝ•ใ‹
09:14
hurts I'm dying I've got cans
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ใŒ็—›ใ„ใฎใงใฏใชใ„ใ‹ใจๅฟƒ้…ใ™ใ‚‹ ๆญปใซใ‹ใ‘ ใฆใ„ใ‚‹ ็ผถใ‚’ๆŒใฃ
09:16
and I'll google it you're so right google often doesn't help these things
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ใฆใ„ใ‚‹ใฎใงใ‚ฐใ‚ฐใฃใฆใฟใ‚‹ ใ‚ใชใŸใฎ่จ€ใ†ใจใŠใ‚Š
09:20
because caps can have lots of symptoms but a doctor will be able to take a look
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ใ‚ญใƒฃใƒƒใƒ—ใซใฏๅคšใใฎ็—‡็Šถ ใŒใ‚ใ‚‹ใŸใ‚ใ€Google ใฏใ“ใ‚Œใ‚‰ใฎใ“ใจใ‚’ๅŠฉใ‘ใชใ„ใ“ใจใŒๅคšใ„ใŒใ€ๅŒปๅธซใŒ่ชฟในใฆ
09:24
at the whole picture and be able to reassure you okay so I don't have cancer
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ใใ‚Œใ‚‹ ๅ…จไฝ“ๅƒใจ ใ‚ใชใŸใ‚’ๅฎ‰ๅฟƒใ•ใ›ใ‚‹ใ“ใจใŒใงใใ‚‹ใฎใงใ€็งใฏ
09:29
with the given symptoms here it would be very low down on - okay good that's
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ใ“ใ“ใงไธŽใˆใ‚‰ใ‚ŒใŸ็—‡็Šถใ‚’ไผดใ†็™Œใซใ‹ใ‹ใฃใฆใ„ใพใ›ใ‚“ใ€‚ใใ‚Œใฏ ้žๅธธใซไฝŽใ„ใงใ™-ๅคงไธˆๅคซใงใ™ใ€‚
09:35
that's put my mind ease so then after we've done our history would then do an
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ใใ‚Œใง็งใฎๅฟƒใŒๆฅฝใซใชใ‚Š ใพใ—ใŸใ€‚
09:41
examination of you so in this instance with the abdominal pain we'd probably
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ใ‚ใชใŸใฎๆคœๆŸปใชใฎใงใ€ใ“ใฎๅ ดๅˆ ใฏ ่…น็—› ็งใŸใกใฏใŠใใ‚‰ใ
09:45
want to take some observations so check your blood pressure check your heart
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ใ„ใใคใ‹ใฎ่ฆณๅฏŸใ‚’ใ—ใŸใ„ใฎใง ใ€่ก€ๅœงใ‚’ใƒใ‚งใƒƒใ‚ฏใ—ใฆใใ ใ•ใ„ ๅฟƒๆ‹ๆ•ฐใ‚’ใƒใ‚งใƒƒใ‚ฏใ—ใฆ
09:50
rate measure your temperature and a few other
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ใใ ใ•ใ„ ไฝ“ๆธฉใ‚„ไป–ใฎใ„ใใคใ‹ใฎใ“ใจใ‚’ๆธฌๅฎšใ—ใฆใใ ใ•ใ„ใ€‚
09:53
things and also want to have a feel of your tummy or your belly as we said
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09:57
earlier and then from there organize some investigations like blood tests and
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่ก€ๆถฒๆคœๆŸปใ‚„ๅ ดๅˆใซใ‚ˆใฃใฆใฏใ‚นใ‚ญใƒฃใƒณใฎใ‚ˆใ†ใชใ„ใใคใ‹ใฎ่ชฟๆŸป
10:02
possibly a scan you as a patient you might say I'm going to have a blood test
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ใ‚ใชใŸใฏๆ‚ฃ่€…ใจใ—ใฆ ็งใŒ่ก€ๆถฒๆคœๆŸปใ‚’ๅ—ใ‘ใ‚‹ใคใ‚‚ใ‚Šใ ใจ่จ€ใ†ใ‹ใ‚‚ใ—ใ‚Œใพใ›ใ‚“.
10:07
or what would you say is a doctor how would you tell me that so we can say I'm
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10:12
going to take a blood test or take some of your blood or take a blood sample
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่ก€ๆถฒๆคœๆŸปใ‚’ใ™ใ‚‹ใ‹ ใ€่ก€ๆถฒใฎไธ€้ƒจใ‚’ๆŽกๅ–ใ™ใ‚‹ใ‹ใ€่ก€ๆถฒใ‚ตใƒณใƒ—ใƒซใ‚’ๆŽกๅ–
10:17
it's it's very much a take action because you'll give it us something
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ใ—ใฆ
10:21
right you're not borrowing and finally might I need surgery okay for with this
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ใใ ใ•ใ„ใ€‚ใ‚ใชใŸใŒๅ€Ÿใ‚Šใฆใ„ใชใ„ๆญฃใ—ใ„ใ‚‚ใฎใ‚’็งใŸใกใซไธŽใˆใ‚‹ใฎใงใ€ใ“ใ‚Œใฏ้žๅธธใซ้‡่ฆใช่กŒๅ‹•ใงใ™ใ€‚ๆœ€็ต‚็š„ใซ ใฏใ€ใ“ใฎ็‰นๅฎšใฎ็Šถๆ…‹ใงๆ‰‹่ก“ใŒๅฟ…่ฆใซใชใ‚‹ใ‹ใ‚‚ใ—ใ‚Œ
10:31
particular condition yeah we're thinking about absolutely I mean that this would
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ใพใ›ใ‚“ใ€‚ ็ตถๅฏพใซ่€ƒใˆใ‚‹ใจใ€ใ“ใ‚Œ
10:36
be an emergency so if you were presented to your family doctor we'd want to refer
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ใฏ็ทŠๆ€ฅไบ‹ๆ…‹ใซใชใ‚‹ใฎใง ใ€ใ‹ใ‹ใ‚Šใคใ‘ใฎๅŒปๅธซใซ็ดนไป‹ใ•ใ‚ŒใŸๅ ดๅˆ
10:41
you into the hospital for these blood tests and for the scan because we can do
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ใ€ใ“ใ‚Œใ‚‰ใฎ่ก€ๆถฒ ๆคœๆŸปใจใ‚นใ‚ญใƒฃใƒณใฎใŸใ‚ใซ็—…้™ขใซ็ดนไป‹ใ—ใŸใ„
10:46
that very quickly we can't do them in a GP practice straight away and then from
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ใจๆ€ใ„ใพใ™ใ€‚ ใ™ใใซGPใฎ็ทด็ฟ’ใซๅ‚ๅŠ ใ—ใ€ ใใ“ใ‹ใ‚‰
10:51
there you will certainly be under the surgical team to rule out the
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ใ€ใ‚ใชใŸใฏ็ขบใ‹ใซๅค–็ง‘ใƒใƒผใƒ ใฎไธ‹ใซใ„ใฆใ€ ๆ‰‹่ก“
10:55
possibility of needing surgery okay but if I do need surgery the way I can say
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ใŒๅฟ…่ฆใซใชใ‚‹ๅฏ่ƒฝๆ€ง ใ‚’้™คๅค–ใ—ใพใ™ใŒใ€ๆ‰‹่ก“ใŒๅฟ…่ฆใชๅ ดๅˆ
11:01
it is I'm going to have surgery or have an operation or have an operation seat
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ใฏใ€ๆ‰‹่ก“ใ‚’ๅ—ใ‘ใ‚‹ใ‹ใ€ๆ‰‹่ก“ใ‚’ๅ—ใ‘ใ‚‹ ใ‹ใ€ๆ‰‹่ก“ๅธญใซๅบงใ‚Š
11:08
now you're an English teacher that's it so let's get out of your practice let's
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ใพใ™. ใ‚ใชใŸใฏ่‹ฑ่ชžใฎๅ…ˆ็”Ÿใงใ™ใ€‚ ใใ‚Œใงใ€ใ‚ใชใŸใฎ็ทด็ฟ’ใ‚’ใ‚„ใ‚ใพใ—ใ‚‡
11:13
go of your surgery yup and we're back back in the studio I asked you guys to
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ใ†ใ€‚ใ‚ใชใŸใฎๆ‰‹่ก“ใ‚’ใ‚„ใ‚ใพใ—ใ‚‡ใ†ใ€‚ ใฏใ„ใ€ใ‚นใ‚ฟใ‚ธใ‚ชใซๆˆปใ‚Š
11:19
send me your questions about medicine in the UK and any medical questions that
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11:24
you might have we'll answer them for you so let's have a look...
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ใพใ™ ็งใŸใกใŒใ‚ใชใŸใซไปฃใ‚ใฃใฆใใ‚Œใ‚‰ใซ็ญ”ใˆใ‚‹ใ‹ใ‚‚ใ—ใ‚Œใชใ„ ใฎใงใ€่ฆ‹ใฆใฟใพใ—ใ‚‡ใ†...
ใ“ใฎใ‚ฆใ‚งใƒ–ใ‚ตใ‚คใƒˆใซใคใ„ใฆ

ใ“ใฎใ‚ตใ‚คใƒˆใงใฏ่‹ฑ่ชžๅญฆ็ฟ’ใซๅฝน็ซ‹ใคYouTubeๅ‹•็”ปใ‚’็ดนไป‹ใ—ใพใ™ใ€‚ไธ–็•Œไธญใฎไธ€ๆต่ฌ›ๅธซใซใ‚ˆใ‚‹่‹ฑ่ชžใƒฌใƒƒใ‚นใƒณใ‚’่ฆ‹ใ‚‹ใ“ใจใŒใงใใพใ™ใ€‚ๅ„ใƒ“ใƒ‡ใ‚ชใฎใƒšใƒผใ‚ธใซ่กจ็คบใ•ใ‚Œใ‚‹่‹ฑ่ชžๅญ—ๅน•ใ‚’ใƒ€ใƒ–ใƒซใ‚ฏใƒชใƒƒใ‚ฏใ™ใ‚‹ใจใ€ใใ“ใ‹ใ‚‰ใƒ“ใƒ‡ใ‚ชใ‚’ๅ†็”Ÿใ™ใ‚‹ใ“ใจใŒใงใใพใ™ใ€‚ๅญ—ๅน•ใฏใƒ“ใƒ‡ใ‚ชใฎๅ†็”ŸใจๅŒๆœŸใ—ใฆใ‚นใ‚ฏใƒญใƒผใƒซใ—ใพใ™ใ€‚ใ”ๆ„่ฆ‹ใƒปใ”่ฆๆœ›ใŒใ”ใ–ใ„ใพใ—ใŸใ‚‰ใ€ใ“ใกใ‚‰ใฎใŠๅ•ใ„ๅˆใ‚ใ›ใƒ•ใ‚ฉใƒผใƒ ใ‚ˆใ‚Šใ”้€ฃ็ตกใใ ใ•ใ„ใ€‚

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