【一起学英语】第35期|Renal stone

D:Your doctor asked me to have a discussion with you concerning the symptoms you've been having your doctor thinks perhaps that you have some trouble with stones in your kidney. When did you first notice the symptoms?

P:I've had them on and off for about three months. But it was only last week that I had such a severe bout of pain that it made me to go to my doctor immediately. He gave me an injection for the pain and that's made things settle down somewhat since then. But I still have got this nagging discomfort that's occasionally quite bad on my right side.

D:Have you had any trouble in the past with kidney stones or any history of kidney diseases at all? 

P:No, I was fine until the last few months.

D:Where exactly is the pain that you get?

P:I get it in the right side of my back.

D:Does the pain go anywhere else?

P:Yes, it travels down to my groin on the right and sometimes to my testicles.

D:What type of pain is it?

P:It's a sharp pain that comes and goes in waves. It's very severe when it comes on.

D:Does it make you feel sick or nauseated when you have the pain?

P:Yes, I feel sick, I was sick once.

D:How severe was the pain? How would you describe the pain? Was it one of the worst pains that you've had？

P:Yes, it's a very severe pain.

D:Do you have any associated changes in your urine, such as discolouration or grit in the urine?

P:Yes, I've noticed a change in the colour, and my doctor says that when he tested the urine there was some blood in it, but I didn't notice that. I couldn't see any blood in my water.

D:What I'd like you to do is to sit up on the bed. First of all if you could take off your shirt and loosen your trousers and lie down, please.

P:Lie on my back?

D:If you lie on your back, I'll examine your abdomen first of all, and then I'll examine your genitalia, and after that I'll ask you to turn over onto your left-hand side and I'll examine your prostate through the back passage. First of all, I'm going to have a general feel of your abdomen and after that I'll examine you to see if I can feel your kidneys, your liver, and spleen. … I'd like to examine your genitalia. That might be a little uncomfortable but hopefully that won't be too painful for you. … Was it uncomfortable? … That feels fine, I can't feel anything unusual in your abdomen, and the external genitalia feel normal. There is no abnormality. … And now I'd like you to turn over on your left-hand side. … Can you hold your right knee up towards your chest and I'll examine the back passage. … If you could try and relax it'll make it slightly less uncomfortable for you. I'll put some cold jelly on my finger. … Can you feel that? … Is there any pain or tenderness there?

P:It's just a bit uncomfortable, Doctor.

D:Now you can get up and get dressed and come back in about a quarter of an hour.