WOMAN, AGED 29
女人,29岁
Doctor: I see from your notes you were in hospital ten years ago with thyroid trouble.
大夫:我从你的病历中得知,你10年前曾因甲状腺功能混乱住过院。
Patient: Yes, thats right. And now Ive got stomach trouble and my doctor sent me here.
患者:对,是如此的。目前我有有胃病,我的大夫介绍我到你这里来看病。
Doctor: What has actually been happening since the thyroid trouble?
大夫:自从得了甲状腺疾病以来,有过那些症状?
Patient: All sorts of things. Ive been feeling very depressed for a year.
患者:症状可多呢。一年来,我精神很不好。
Doctor: Did you go to your doctor?
大夫:看过大夫吧?
Patient: Yes, when it got bad. He gave me some Valium tablets to slow me down but they slowed me to a halt. I didnt do anything but sleep.
患者:难受时看过。他让我服用安定药片,使我镇静。我整天昏昏欲睡,除去睡觉外,我啥事也干不了。
Doctor: Did they affect you in any other way?
大夫:还有其他症状吗?
Patient: Yes. I got indigestion.
患者:有,我近期消化不好的。
Doctor: Did he give you anything for that?
大夫:大夫给你吃过什么药吗?
Patient: Yes. He gave me some medicine and then it was all right.
患者:给了,他给我开点药,我吃了就好了。
Doctor: How does the indigestion affect you?
大夫:消化系统如何不好受?
Patient: All the food stays up here
患者:吃进的东西都停在这里。
Doctor: When do you get it?
大夫:什么时间感觉难受
Patient: Two to three hours after food.
患者:饭后两三个小时。
Doctor: What is it like? A pain?
大夫:如何不好?疼痛不痛?
Patient: Yes, a pain.
患者:是的,非常痛。
Doctor: What kind? Burning, stabbing?
大夫:如何个痛法?烧痛还是刺痛?
Patient: It feels like some wind there and I want to get rid of it.
患者:肠胃里胀气,我想把气排掉。
Doctor: Do you belch?
大夫:打嗝吗?
Patient: Not much.
患者不常打嗝。
Doctor: Does it bother you at night?
大夫:夜间犯病吗?
Patient: No.
患者不。
Doctor: It comes on when you are hungry?
大夫饥饿时发作吗?
Patient: Yes, I have a terrible pain in my stomach and I feel Ill collapse if I dont eat straight away.
患者:对,饥饿时胃部特别疼痛,假如不立刻吃些东西,我就支持不住。
Doctor: How is your appetite?
大夫胃口如何?
Patient: Very poor.
患者:非常差。
Doctor: Did you always have a bad one?
大夫:胃口一向不怎么样?
Patient: No, it started to deteriorate ten years ago.
患者:不,10年前才开始疼的。
Doctor: Has it changed much in the last few months?
大夫:近几个月变化大吗?
Patient: I think the medicine must push the food down and then I fell hungry?
患者:服药后,食物可以往下走了,我也感觉到饿了?
Doctor: What about your weight?
大夫:你体重如何?
Patient: Im losing weight.
患者:体重在降低。
Doctor: How much do you weight now?
大夫:目前体重是多少?
Patient: 8st1lb.
患者:
113磅
Doctor: And how much did you weigh a year ago?
大夫:一年前体重是多少?
Patient: 9st
患者:
126磅
Doctor: What about your bowels?
大夫:大便状况怎么样?
Patient Terrible.
患者:非常不好。
Doctor: In what way?
大夫:如何不好?
Patient: Im constipated.
患者常常便秘。
Doctor:: How often do you have them opened?
大夫:几天大便一次?
Patient: only when I take medicine.
患者:只有吃了药才能大便。
Doctor: Every day?
大夫:天天都解大便吗?
Patient: No, every other day.
患者:不,隔一天一次。
Doctor: Does warm weather affect you?
大夫:天气暖和时,你难不难受?
Patient: No. I prefer warm weather. I sweat less.
患者:不,我喜欢温暖气候, 我出汗不多。
Doctor: Do you always sweat?
大夫:你常常出汗吗?
Patient: Yes, but more recently.
患者:是的,近期出汗更多了。
Doctor: All over your body?
大夫:是全身出汗吗?
Patient: Yes, all over.
患者:是的
Doctor: Do you feel depressed, nervous, edgy, and irritable?
大夫:你感觉抑郁、不安、急躁和爱激动吗?
Patient: I was worse before I got my job.
患者:是的,找到工作以前,我的病情更重。
Doctor: When did you start that?
大夫:如此多长时间了?
Patient: A month ago.
患者:
1个月前。
Doctor: Have you been fidgety, have your hands been shaky?
大夫:你一直坐立不安、双手颤抖吗?
Patient: When I was coming here.
患者:我到这里时就是如此。
Doctor: At times of stress?
大夫:是在精神紧张的时候发作吗?
Patient: Yes. And when something riles me.
患者:对,或者惹我生气时。
Doctor: Any trouble with your eyes?
大夫:双眼有哪些问题吗?
Patient: No
患者:没。
Doctor: Periods regular?
大夫:月经规律吗?
Patient: Every month since I had my baby.
患者:有了孩子后,每月都有。
Doctor: When was that?
大夫:那是什么时间?
Patient: Five years ago.
患者:5年以前。
Doctor: Do you feel restless?
大夫:你感到躁动不安吗?
Patient: I couldnt concentrate till I got my job but now I have to,
患者:未找到工作以前,我精力一直集中不起来,现在不能不专心工作
Doctor: Is there anything else youve noticed?
大夫:你还有别的感觉吗?
Patient: No
患者没
Doctor: Has anyone in your family had thyroid trouble?
大夫:家里还有其他人有过甲状腺疾病吗?
Patient: No. I have one sister and two brothers.
患者:没。我有一个姐姐和两个兄弟。
Doctor: Are they well?
大夫:他们都怎么样?
Patient: Yes.
患者是的。



