【一起学英语】第34期|Cystitis
D:Your doctor asked me to have a word with you regarding the urinary symptoms you've been having. What kind of symptoms have you had?
P:Oh, Doctor, I have to pass water all the time and I'm running back and forth to the toilet, and it burns and stings every time.
D:How often does this happen? Does this happen all the time, or is it an intermittent thing?
P:I have good days and have bad days. Sometimes when I get a bad infection it can floor me for a week. But at other times in between it never quite feels right but it's, you know, I can live with it when I don't have a bad bout of infection.
D:Have you noticed any blood or discoloration in your urine?
P:Yes, I passed blood on one occasion, but normally I don't pass any blood. Sometimes when I have an infection, my urine is smelly. It smells foul.
D:Is it cloudy at that time?
P:Yes, it is.
D:How is your health otherwise, apart from this? Do you have any trouble with diabetes, heart disease, blood pressure?
P:No.
D:Are you on any other medication?
P:I'm taking aspirin for my arthritis.
D:Has your doctor given you any antibiotics for this?
P:Yes, he gives me some tablet whenever I get an infection, but in the meantime, in between times. I'm not on any tablets for it.
D:Now, in the first instance, what I'd like to do is to examine you, examine your abdomen and then afterwards we will organise some tests. I'd like you to get undressed and put a gown on so that I'm able to see your abdomen. Would you please get up on the table and I'll come round and examine you. … That's fine. You can get down. Now, about the tests. I'll send some of your urine off to be examined in the lab to see if there's any infection present. We would advise you in the meantime to drink plenty of fluids and carry on taking any antibiotics that your own doctor prescribed for you. We'd like to organise routine X-rays and an ultrasound scan to assess the renal tract further. An ultrasound scan is a simple scan and it doesn't involve any radiation. It involves you attending the X-ray department for a few hours and they scan over your tummy with a probe which allows them to visualise the kidneys and the bladder. It's not a painful or unpleasant procedure. Once we have all these tests, We may call you in to have an inspection of the inside of your bladder. We call it a cystoscopy.
aspirin 阿司匹林 arthritis 关节炎 antibiotics 抗生素 cystectomy 膀胱切除术 total cystectomy 膀胱全切除术 D:您的医生让我谈谈您的泌尿系统症状。请问有什么不舒服吗? P:噢,医生,我总是想小便,上厕所很频繁,每次小便都有灼热和刺痛感。 D:这种情况多久发生一次?这是一直都有,还是间断出现? P:间断出现。有时得了严重感染,会持续一个星期。但在其他时候,也没感觉特别好,感染不是很严重时,我可以忍受。 D:你的尿液中有血或者有变色吗? P:有过,我曾经有过一次血尿,但一般情况下不会出现。有时候出现感染,尿液会有味道,很难闻。 D:尿液混浊吗? P:是的。 D:除此之外,你的身体状况如何?有糖尿病、心脏病、血压方面的问题吗? P:没有。 D:你有在用其他药物吗? P:我在服用阿司匹林治疗关节炎。 D:医生给你开过抗生素吗? P:是的,每次我感染他都给我一些药片,但与此同时,我没吃其他任何药物。 D:现在,首先,我要给你做个检查,检查腹部,之后进行一些检测。请先脱掉衣服,穿上一件长袍,便于我看到你的腹部。请你躺在诊疗台上,我来检查一下。…没关系。你可以下来了。现在,做一些检测。我会把尿液送去实验室检查,看是否有感染。同时,建议您多喝水,继续服用医生开的抗生素。接下来做一个常规的X光检查和超声波扫描,进一步评估肾脏。超声波扫描操作简单,没有辐射,X光检查需要几个小时,会用探头扫描你的腹部,便于看到肾脏和膀胱,这不会很痛苦或不愉快。一旦做完所有的检测,我们可能会打电话给你,检查一下膀胱内部,也就是膀胱镜检查。 资料来源: 《医生诊疗英语会话(English for doctors)》

